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: 1361024
Sex: M
Age: 88
State: NY

Vax Date: 04/02/2021
Onset Date: 05/18/2021
Rec V Date: 05/29/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

Symptom List: Dysphagia, Epiglottitis

Symptoms: He developed acute dyspnea with a drop in pulse ox to 90. Normally not dsyneic, on room air and sats in a good range. Symptoms progressed and he was seen at the ED and ruled out for a PE, MI and antibiotics stopped based on neg proclaimed, imaging, etc Chest CT read as interval progression of ILD and he was seen in consultation by Pulmonary. Additional cardiac workup with TTE with normal EF. Autoimmune/rheum workup was initiated with result to date unremarkable except for positive ANA and mildly positive dsDNA. He was discharge home on continuous O2, not weanable in hospital with follow up with pulmonary and no clear trigger as of discharge for acute change in pulmonary status from usual baseline.

Other Meds: Venlafaxine HCL XR 150 mg and 75mg qd, Atorvastatin 40 mg qd, Atenolol 25 mg qd, ASA 81 mg qd, Gabapentin 300mg BID, Tylenol ES 2 daily, Biscadodyl 2 tabs daily, Omeprazole 40 mg qd Supplements: Fish Oil, Vit C, Centrum silver, Vit D3, Mel

Current Illness: No acute illness

ID: 1361025
Sex: F
Age: 59
State: AL

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

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: After patient's 15 minute timer expired, she complained of hot-flash like symptoms and dizziness. Gave the patient water and an ice pack and asked her to remain seated until she felt better. Checked her blood pressure - which was elevated but not outside the patient's norm, according to her. Patient left after feeling slightly better an hour after administration.

Other Meds:

Current Illness:

ID: 1361026
Sex: F
Age: 50
State: MI

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)

Other Meds:

Current Illness:

ID: 1361027
Sex: F
Age: 21
State: OK

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

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

Lab Data:

Allergies: no

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Directly after the vaccine, patient was flushed and nauseated. Started coughing up phlegm.

Other Meds: did not ask

Current Illness: did not ask

ID: 1361028
Sex: F
Age: 35
State: CA

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: After the vaccine, I was having dizziness, not feeling well, fatigue and severe stomach pains. I slept for a long time. About a week afterwards, my stomach was still very upset, nausea, vomiting, tingling and pain in extremities (fingers, arms, neck, shoulder) and loss of appetite. After a week and 1/2, I decided to seek medical care and I went to the ER. At the ER, I was given IV fluids since I was dehydrated. They order blood work, CAT scan with contrast (positive for cyst on ovaries and gall stones). They gave me oral pain medication and oral Zofran for nausea. I was sent home with Zofran and OTC pain medication and follow up with specialist for ovaries, gall stones and shoulder pain. Symptoms improved over the few weeks. It took me about 2 weeks to feel better.

Other Meds: none

Current Illness: none

ID: 1361029
Sex: M
Age: 17
State: MS

Vax Date: 05/21/2021
Onset Date: 05/27/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: 6 days post vaccine patient presents to clinic with Left side facial paralysis, left blurred vision, and left ear pain. Bells Palsy.

Other Meds: none

Current Illness: none

ID: 1361030
Sex: M
Age: 12
State: CA

Vax Date: 05/19/2021
Onset Date: 05/27/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: My son has a swollen lymph node under his left armpit. It is sore to the touch and there is no color to the area. It is not hot. He is acting normal; no fever and has an appetite. He is doing his regular activities and does not have a fever.

Other Meds: None

Current Illness: None

ID: 1361031
Sex: F
Age: 38
State: IN

Vax Date: 05/25/2021
Onset Date: 05/26/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List: Pharyngeal swelling

Symptoms: The day after I received my vax, the injection site became very red, hot and tender to touch. Two days after vax, the injection site is swollen and extremely tender to touch. There is a large knot at injection site. 4 days after vax, injection site is still swollen, very sore and red.

Other Meds: Lipitor 20mg

Current Illness: None

ID: 1361032
Sex: F
Age: 53
State: CA

Vax Date: 04/17/2021
Onset Date: 04/21/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Rash - started with large spot (looked like a burn) on back of right shoulder near the neck, within 2 weeks several other spots developed on chest, within 4 weeks spots covered much of chest, abdomen and back and spread to arms and legs but concentrated on back and abdomen. Spread is continuing (as of 5/29/2021) but initial spots are receding. Doctor diagnosed as Pityriasis rosea and should clear in 2-3 months. Triamcinolone Acetonid Ointment 0.1% and Betamethasone Dipropionate Ointment 0.05% prescribed to aid in healing.

Other Meds: Mesalamine 1.2gm 4/day Ezetimibe 10mg 1/day Losartan/Hctz 50/12.5 1/dayBupropion 300mg 1/day Amlodipine Besylate 10mg 1/day

Current Illness: None - Second Shingles vaccine received on 4/2/2021

ID: 1361033
Sex: M
Age: 48
State: OH

Vax Date: 05/15/2021
Onset Date: 05/22/2021
Rec V Date: 05/29/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient representative, I believe his wife, called and stated he had a stroke about 1 week after his second dose. She states he is admitted to Medical center so outcome is unknown.

Other Meds:

Current Illness:

ID: 1361034
Sex: M
Age: 55
State: IL

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: losarten

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Blood pressure skyrocketed by next morning, still high, despite increased medication. Diastolic remains high no matter what. This began the morning after the first dose.

Other Meds: Diltiazem

Current Illness: none

Date Died: 05/29/2021

ID: 1361035
Sex: F
Age: 71
State: NY

Vax Date: 03/16/2021
Onset Date: 03/19/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: PCN

Symptom List: Rash, Urticaria

Symptoms: 3 days post vaccine, patient developed progressive DOE. Ultimately dx with microagiopathic hemolytic anemia and severe pulmonary HTN thought to be pre- and post capillary. TTP ruled out with normal ADAMTS 13, attempted IV vasodilation but ultimately died.

Other Meds: MVT

Current Illness: anxiety, h/o limited stage colon CA s/p resection 2016

ID: 1361036
Sex: F
Age: 19
State: NC

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

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

Lab Data:

Allergies: N/A

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Patient passed out and hit face on the floor which resulted in a severe nose bleed. She was taken into the ambulance. I do not know if she was taken to the hospital or not. This happened about 15 minutes after her vaccination.

Other Meds: None.

Current Illness: None

ID: 1361037
Sex: F
Age: 76
State: CA

Vax Date: 05/24/2021
Onset Date: 05/25/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: allergic to Vicodin, amoxicillin, Percodan

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: the day after the vaccine I got a headache that became a terrible Migraine that lasted for 4 day, subsided and then returned. It was bad and I did call and spoke to the nurse and doctor. I vomited for 4 days. I am a little better but this is day 6 and I am still dizzy and have a slight headache

Other Meds: propranolol 20 mgm #2 tabs evening and night

Current Illness: none

ID: 1361038
Sex: F
Age: 50
State: TX

Vax Date: 03/19/2021
Onset Date: 03/22/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: I had a welt on my arm and on the third day I had pain and inflammation throughout my body and I started to feel tingly, and from that day on I was losing sleep, after more than two months I still have inflammation even in my face and I have insomnia, I can't sleep an hour, I'm living hell, my sleep is lacking, even taking strong medications with side effects, I can only sleep two hours. Please help me.

Other Meds: Omeprazole

Current Illness: Acid reflux

ID: 1361039
Sex: F
Age: 19
State: IL

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Extreme chills, fever, and difficulty breathing from 11:30 pm to 4:00 pm this morning. Considered hospitalization but can't afford it.

Other Meds:

Current Illness:

ID: 1361040
Sex: M
Age: 47
State: CA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: Tired, body aches, malaise for 6 hours

Other Meds: tylenol, ibuprofen

Current Illness: none

ID: 1361041
Sex: F
Age: 34
State: PA

Vax Date: 04/24/2021
Onset Date: 05/14/2021
Rec V Date: 05/29/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Preterm birth at 33 weeks and 5 days. Date of birth 5/15/21. Due date June 28, 2021. Water broke on 5/14. Birth weight 4 lbs 8oz. Only pregnancy complication was bleeding at 6 weeks. Baby in NICU for 12 days.

Other Meds: Zoloft, prenatal, Synthroid

Current Illness:

ID: 1361042
Sex: F
Age: 50
State: MD

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Pt. felt dizzy. Recorded by RN. Pt. left at 10:05 A.M.

Other Meds:

Current Illness:

ID: 1361043
Sex: F
Age: 69
State: CT

Vax Date: 05/28/2021
Onset Date: 05/29/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: Valycyclovir, sulfa drugs, mefloquin

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Total body aches. Sore musvles, sore at vaccination site, unable to perform daily activities

Other Meds: Losartan 25 mg, , singulair, calcium, fish oil, tumeric, vitamin.B complex

Current Illness: None

ID: 1361044
Sex: F
Age: 47
State: NV

Vax Date: 05/26/2021
Onset Date: 05/28/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Swollen hot painful gland (i guess)!left side of neck starting at collar bone area going up. Seems more fluid filled than hard lump.

Other Meds: Methocarbamol dilaudid gabapentin xarelto Xanax Effexor phentermine olanzapine hydrochlorothiazide

Current Illness: No

ID: 1361045
Sex: F
Age: 32
State: MI

Vax Date: 05/07/2021
Onset Date: 05/23/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: Bactrim Ceclor Cefzil Doxycycline Imitrex Motrin Nitrous Oxide

Symptom List: Unevaluable event

Symptoms: I take the Depo-Provera shot and do not have bleeding with periods. On the morning of 5/23/2021, I woke up and I was vaginally bleeding. I am cramping worse than normal and feeling worse than normal. I have been bleeding consistently since then. I am using regular size tampons and have had to change at least 3 times a day.

Other Meds: Exposed Skincare Acne Treatment Serum Refresh Tears Eyedrops Aimovig Amitriptyline Anti-Diarrheal Aspirin Benedryl Ceterizine Cystex Depo-Provera Elmiron Famatidine Ferrous Sulfate Flunisolide Levothyroxine Lexapro Montelukast Omeprazole

Current Illness: None

ID: 1361046
Sex: M
Age: 3
State: CA

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: HPI: Shots (DTAP, IPV and Hepatitis A) were given in the am. Fine whole day. 8 pm last pm fell asleep on the floor. 30 min later felt very hot. Then he started shaking and twitching. Mostly in joints wrists and fingers and ankles. ?involuntary But doing different things. He was alert and conscious. Really bad 2 minutes then slowed down. Fever went down too. Mom woke him up and had him watch a movie. Fingers still twitching some. ?reaction to vaccine? Woke up seeming fine today.

Other Meds: none

Current Illness: none

ID: 1361047
Sex: M
Age: 45
State: NJ

Vax Date: 05/24/2021
Onset Date: 05/27/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Developed shingles. Pain in left side hip and lower back, itchiness, numbness, rash.

Other Meds: None

Current Illness: None

ID: 1361048
Sex: F
Age: 52
State: HI

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: na

Symptom List: Injection site pain, Menorrhagia

Symptoms: Instantly hurt and never stopped hurting at the injection site. My entire shoulder, joint and next are in extreme pain where I can not do my job properly without over the counter pain medication.

Other Meds: basic vitamins

Current Illness: na

ID: 1361049
Sex: F
Age: 39
State: NC

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

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

Lab Data:

Allergies:

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: PATIENT RECEIVED AN EXPIRED VACCINE - RECONSTITUTED THE EVENING BEFORE. I OFFERED TO REVACCINATE IMMEDIATELY BUT PATIENT DECLINED AND AGREED TO COME THE FOLLOWING DAY FOR REVACCINATION

Other Meds:

Current Illness:

ID: 1361050
Sex: F
Age: 42
State: OH

Vax Date: 05/27/2021
Onset Date: 05/27/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Systemic: Hypertension-Severe, Additional Details: Approx 90 min post injection pt returned with "swimmy feeling" in head; dz;difficulty in walking. In staff EMT recorded bp 120/110; advised er or clinic. Pt went to er and was told injection prob not the cause given med and released. I spoke to pt following day and she said hospital thought vaccination not the primary cause and advised pt to see family physician.

Other Meds:

Current Illness:

ID: 1361051
Sex: F
Age: 36
State: NJ

Vax Date: 05/25/2021
Onset Date: 05/25/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: Eucalyptus, blueberries

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Soreness near the injection site, headache, backache, muscle aches, and fatigue all continue and are all intermittent

Other Meds: Wixela Inhub, ChlorTrimeton, Rhinocort, Azelastine

Current Illness: None

ID: 1361052
Sex: M
Age: 46
State: NJ

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Full Fibromyalgia flare up. Extreme Pain over 10 on 1-10 scale. Incapacitated. I feel this should have be told. Especially for other people with the condition.

Other Meds: Atorvastatin Amlodipine Besylate Lithium Cyclobenzaprine Ibuprofen

Current Illness: None

ID: 1361053
Sex: F
Age: 69
State: IL

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Nausea

Symptoms: 2nd shot on March 9. March 10 had terrible headache, felt awful, lack of sleep night before & during day, injection site swollen & pain lasted a good week, tiredness lasted several days, and by March 11-12 noticed buzzing in ears (mainly right).

Other Meds: ezetimibe

Current Illness: none

ID: 1361054
Sex: M
Age: 16
State: NC

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient was very worked up and nervous before receiving vaccine. Seemed to calm down after vaccine administration. Within a few minutes patient fainted. Had patient lie down with feet up. Once patient could sit up, blood pressure reading 75/42. Patient was given water and laid down/sat for about 30 minutes. Feeling better and blood pressure reading of 98/69 before leaving store.

Other Meds:

Current Illness:

ID: 1361055
Sex: F
Age: 46
State: MA

Vax Date: 05/26/2021
Onset Date: 05/27/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: penecillin, latex, coconut, apple, apricot, avocado, banana, black pepper, carrot, celery, drupes, fennel, fish, kiwi, mango, nightshades, olive, onion, orange, papaya, palm, peppers, pine, plum, potato, shea, shellfish, strawberry, tomato

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: "Covid Arm" rash at site of vaccination, started approx. 29 hrs after vaccination, initially around the size of a quarter and grew to 3.5"x4" over the course of the next 24 hrs, very hot to the touch and itchy if touched/brushed at all, hot pink in color. (Also, less than one day of fever up to 101.5 preceding the rash, with general fatigue and headache that ended abruptly, prior to the rash as well.)

Other Meds: Fludrocortisone, Zyrtec, AZO, Trazodone, Melatonin, Vitamin D, Pepcid, Singulair

Current Illness: orthostatic hypotension, sinusitis, migraine, seasonal allergies

ID: 1361056
Sex: M
Age: 19
State: MD

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

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

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: Pt. reported scratchy throat, but states it may be seasonal allergies. No difficulty breathing, rash or SOB. Evaluated by EMS, 0 interventions. Remains in observation. Pt. left at stable condition at 11:00 A.M. Recorded by RN.

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Current Illness:

ID: 1361057
Sex: F
Age: 56
State: WA

Vax Date: 05/27/2021
Onset Date: 05/28/2021
Rec V Date: 05/29/2021
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Allergies: none

Symptom List: Tremor

Symptoms: I received my 2nd Covid 19 shot at clinic. I began to get sick that night. But by 4:00 am I woke up with seizures, freezing cold, nausea, fatigue, fever of 101.3, pain throughout my body. I had slightly labored breathing and took Elderberry juice. My nose was stuffy. I have a slight wheezy cough. Slightly labored breathing, not severe. I took ibuprofen 500 mg yesterday for the sore shoulder. This morning at I took Bayer's low-dose chewable tablets 350 mg. I really couldn't eat much from nausea, but I ate applesauce, broth, juices, and water. Later that day, as suggested by my doctor I took Tylenol PM. I am feeling 50% better the next day. High 102.5 Temperature went away in 48 hours.

Other Meds: none

Current Illness: none

ID: 1361058
Sex: F
Age: 32
State:

Vax Date: 05/29/2021
Onset Date: 05/30/2021
Rec V Date: 05/29/2021
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Symptom List: Erythema, Pruritus

Symptoms: Facial swelling plus worsening of chronic urticaria (which typically does not involve facial lesions or facial swelling)

Other Meds: Bepotastine 10mg tabs -- > take two tabs by mouth twice daily Allegra 180mg po qd Benadryl 25mg tabs -- > take two tab po q4-6h prn Xyzal 10mg po qd Montelukast 10mg po qd Nuvaring.

Current Illness:

ID: 1361059
Sex: F
Age: 42
State: OR

Vax Date: 05/28/2021
Onset Date: 05/29/2021
Rec V Date: 05/29/2021
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Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Left supra-clavicular swollen lymph node(s). Tightness at sight. Swelling is about 2 inches in diameter. There is currently no redness or pain. Spoke to nurse. Monitoring symptom.

Other Meds: Vitamin C, B-complex, Fish Oil, D3, Evening Primrose Oil

Current Illness:

ID: 1361060
Sex: F
Age: 16
State: WA

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/29/2021
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Allergies: None

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Patient reports immediately after receiving the vaccine she developed chest tightness and pain that has continued to wax and wane the past two weeks. Has some intermittent difficulty breathing and fast heart rate that each last about 20- 30 minutes. Also accompanied by dizziness or lightheadedness. Reports her whole right leg feels tingly and her joints hurt, but denies weakness, redness or swelling of the joints or right foot. Also has a continuous headache that started within an hour of receiving the vaccine and worsened over the next few days. This too has waxed and waned.

Other Meds: QVar, Albuterol, orthocyclen

Current Illness: Anxiety and depression

ID: 1361061
Sex: F
Age: 59
State: MI

Vax Date: 03/26/2021
Onset Date: 03/28/2021
Rec V Date: 05/29/2021
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Allergies: NKA, NKDA

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Severe incompassitation 36 hours after first COVID injection. Lost use of legs for a total of 6 hours. Fell on floor while using restroom and could not get back on my feet to return to bedroom. I am a "seasoned" pharmacy technician, and I understand the mechanisim of action of vaccines. I knew that the problem would resolve itself eventually. I believe having Charcot-Marie-Tooth disease played a major roll in this episode. I did not seek medical attention. Thank you.

Other Meds: Lopressor, Eliquis, Entresto, Neurontin, Metformin, Aldactone,

Current Illness: None

ID: 1361062
Sex: M
Age: 30
State: VA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/29/2021
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Allergies: None

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Patient fainted after about 10 seconds of Covid-19 Moderna (2nd dose) administration. Patient reported to lose consciousness for about 10 seconds. Patient was then helped getting back to his chair staying that he was feeling fine. I sat with patient for about 2 minutes and noticed that he was a little pale and sweating. I asked patient if he wanted to lie down and he refused. I told patient to remain still while I was getting help and called 911. I again fainted and I put patient down on the floor and monitored his breathing, heart rate. I gained consciousness back after 10 to 15 seconds. Store manager arrived. Patient drank some water. Patient seems to be aware of surroundings. EMTs arrived soon after. During the time that EMTs were monitoring patient. Patient fainted again and was taken to hospital.

Other Meds: Patient stated that he is on any medications.

Current Illness: None

ID: 1361063
Sex: F
Age: 47
State: PA

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/29/2021
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Allergies: none

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Shot was received in my left arm. Within 10 minutes of shot, had severe pain in arm. Nerve pain, pins and needles, ran up and down my arm and hand. Hand and pinky finger had numb areas. Nurse came to waiting area and I asked if this was normal. She said some pain was ok. This was a lot of pain. Pain continued for a couple of days straight and then off and on. Pins and needles in hand never fully stopped. Also had facial numbness on left side of my face, chin and lower lip. Upset stomach continued for a couple of weeks. When I went for the second shot on May 27th, same nurse was there and asked about my pain. She was going to report it. The second shot was worse. The pain started again within 10 minutes. Within 30 minutes was unable to lift my arm to open the car door. Tried to go back to work but needed to take some time off to lay down and immobilize my arm. Pain was excruciating for hours. Still have pain as of today.

Other Meds: vitamin B

Current Illness: none

ID: 1361064
Sex: M
Age: 57
State: IL

Vax Date: 04/09/2021
Onset Date: 04/16/2021
Rec V Date: 05/29/2021
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Allergies: Latex, Paxil

Symptom List: Pain in extremity

Symptoms: Headaches neck pain followed by emergency room visit, schingles and meningitis. 8 days in hospital on iv aciclovir followed by 2 weeks more at home. then 3 weeks of oral aciclovir. off work since April 28Th.

Other Meds: Multi vitamin, metoprolol, rosuvastatin clopidogrel 81 mg asprin venaflaxin.

Current Illness: none

ID: 1361065
Sex: F
Age: 53
State: VA

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 05/29/2021
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Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Persistent fever 103.5 - 103.7 (2 days), nausea, vomiting, body aches, headache, chest pain

Other Meds: Allegra, Multi-vitamin

Current Illness:

ID: 1361066
Sex: M
Age: 18
State: MD

Vax Date: 05/29/2021
Onset Date: 05/29/2021
Rec V Date: 05/29/2021
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Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Reported feeling dry throat and tightness. History of anxiety. No shortness of breath. No interventions. Left in stable condition at 12:35 p.m.

Other Meds:

Current Illness:

ID: 1361067
Sex: M
Age: 40
State: NJ

Vax Date: 05/25/2021
Onset Date: 05/26/2021
Rec V Date: 05/29/2021
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Allergies: NA

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Fatigue, arm pain, diarrhea

Other Meds: NA

Current Illness: NA

ID: 1361068
Sex: M
Age: 35
State: NJ

Vax Date: 05/29/2021
Onset Date: 05/29/2021
Rec V Date: 05/29/2021
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Symptom List: Vomiting

Symptoms: Patient felt dizzy and weak. Lost color and lips were very pale. Was awake, but confused and semi unresponsive via talking Requested water and sucking candy. We called 911. He started to improve. Color was coming back, but he was in a cold sweat. No signs of anaphylaxis. Was much improved by the time paramedics arrived. Checked out as precaution

Other Meds:

Current Illness:

ID: 1361069
Sex: F
Age: 20
State: WA

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/29/2021
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Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Rightness to throat and difficulty swallowing. Received 50mg Benadryl at vaccination site before arrival at ED

Other Meds: None

Current Illness: Unknown

ID: 1361070
Sex: M
Age: 29
State: NH

Vax Date: 05/28/2021
Onset Date: 05/29/2021
Rec V Date: 05/29/2021
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Allergies: none

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: tinnitus is significantly worse than before

Other Meds: none

Current Illness: none

ID: 1361071
Sex: F
Age: 69
State: IL

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 05/29/2021
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Allergies: statins

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Second shot 03/09/21. On 03/10/21 terrible headache, injection site swollen and painful for week, very low energy level for about a week. Buzzing in ears (mainly right) on 03/10-11/21.

Other Meds: ezetimibe

Current Illness: none

ID: 1361072
Sex: F
Age: 54
State: IN

Vax Date: 05/21/2021
Onset Date: 05/22/2021
Rec V Date: 05/29/2021
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Allergies: sulfa meds

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: The day following vaccination, I was doing doing light yard work, came in the house, got a drink and it got caught in my throat, I sat down in a chair and woke up on the floor( presuming I had passed out.) I was out for a few minutes. When I awoke I was disorientated and had suddenly a headache, nausea, sweaty and clammy skin.

Other Meds: womens vitamins, Sumatriptan

Current Illness: none

ID: 1361073
Sex: F
Age: 22
State: MN

Vax Date: 05/29/2021
Onset Date: 05/29/2021
Rec V Date: 05/29/2021
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Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: Patient felt dizzy following immunization of Moderna -Covid vaccine. Patient stated she felt dizzy about 10 minutes into wait time following immunization. I gave her a bottle of water, we talked with her about her symptoms, gave her wet towels as cool compress and called the person who was accompanying her, who was shopping in store. Patient sat and drank the water as we monitored her. She felt better after about 30-40 minutes and left with her companion. Patient denied needing further aid or emergency services

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am