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: 1577982
Sex: F
Age: 59
State: MI

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Gabapentin, Latex

Symptom List:

Symptoms: Fever of 103 x 4 days with continued elevated temp of 100 degrees x 6 weeks. After initial 4 days of fever, rheumatoid arthritis began to flare. Multiple joints involved, needed to use cane. Had been off biologics for two years. Saw Rheumatologist in March. Discussed vaccine and subsequent RA flare. Placed on higher doses of prednisone with longer taper. Returned in May to Rheumatologist. I am now back on biologics and my RA status is no longer controlled.

Other Meds: Sulfasalazine, hydroxychloroquin, Lexapro, Voriconazole, Metformin, Prednisone, Methylphenidate, Ibuprofen, Montelukast, Norco, Albuterol inhaler, Steroid inhaler

Current Illness: Rheumatoid arthritis

ID: 1577983
Sex: F
Age: 33
State: PA

Vax Date: 02/08/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: No Known Allergies

Symptom List:

Symptoms: Fatigue Muscle or body aches Headache Sore throat Congestion or running nose

Other Meds: amphetamine-dextroamphetamine XR (ADDERALL XR) 10 mg 24 hr capsule(Expired) fluticasone propionate (FLONASE) 50 mcg/actuation nasal spray

Current Illness: None

ID: 1577984
Sex: M
Age: 78
State: MI

Vax Date: 03/19/2021
Onset Date: 08/17/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies: Asprin

Symptom List:

Symptoms: Pt received both Pfizer vaccines. On August 16th, 2021, pt tested positive for COVID-19. Presented to ED with complaint of chest pain, SOB, leg swelling, and difficulty breathing, and was diagnosed with plural effusion.

Other Meds: APRESOLINE, BREO ELLIPTA, BUMEX, COMPAZINE, COREG, CYMBALTA, GLUCOTROL, HCl, injection, iron, ISOVUE-370, LIDODERM, LIPITOR, HumaLOG, Magnesium, IMDUR, NITROSTAT, PERIDEX, PLAVIX, Propanediol, TEMOVATE, PROVENTIL, VENTOLIN, PROAIR, ROBITUSS

Current Illness:

ID: 1577985
Sex: F
Age: 25
State: TX

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 9 hours after the shot I got a fever , my body started shaking uncontrollably, my whole body hurt everywhere , I was nauseated and dizzy .

Other Meds: None

Current Illness: None

ID: 1577986
Sex: F
Age: 29
State: IL

Vax Date: 08/11/2021
Onset Date: 08/15/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: omincef, biaxin

Symptom List:

Symptoms: Started having nose bleeds on 8/22/21

Other Meds: Spironolactone, birth control, Topamax, Effexor

Current Illness:

Date Died: 08/07/2021

ID: 1577987
Sex: M
Age: 78
State: FL

Vax Date: 01/21/2021
Onset Date: 07/28/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Hospitalization 7/28/21 for Covid19 and death 8/07/21. Received dexamethasone 6 mg IV daily and Remdesivir for 8 doses

Other Meds:

Current Illness:

ID: 1577988
Sex: F
Age: 43
State: IN

Vax Date: 07/31/2021
Onset Date: 08/01/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: None provided

Symptom List:

Symptoms: No adverse events were reported. This form is being completed because it was brought to my attention the patient received her second vaccination 2 weeks after her first dose rather than 3 weeks as approved under the EUA.

Other Meds: unknown

Current Illness: none listed

ID: 1577989
Sex: F
Age: 80
State: FL

Vax Date: 02/11/2021
Onset Date: 04/04/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Hospitalization 04/04/21, DISCHARGED 04/29/21. Received Remdesivir 4/6/21-4/10/21, dexamethasone 6 mg IV twice a day 4/6-4/16.

Other Meds:

Current Illness:

ID: 1577990
Sex: F
Age: 57
State:

Vax Date: 04/01/2021
Onset Date: 07/05/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: codeine

Symptom List:

Symptoms: Went to urgent care and was diagnosed with vertigo. It's been 6 weeks and am still experiencing dizziness and light headedness.

Other Meds: multi--vitamin; calcium supplement; focus factor; pro-biotic; turmeric

Current Illness: none

ID: 1577991
Sex: M
Age: 78
State:

Vax Date: 03/18/2021
Onset Date: 08/16/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: TIA

Other Meds:

Current Illness:

ID: 1577992
Sex: M
Age: 42
State: MI

Vax Date: 05/04/2021
Onset Date: 05/12/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Approximately 1 week after the second dose I started having pain in my chest. Several episodes that almost took me to the hospital at night. Seems to happen when I try to relax or exercise. The loss of breath and sudden need to get up is fairly constant. It's been about 3 months and is not getting better after getting put on Metoprolol Succinate 12.5mg.

Other Meds: None

Current Illness: None

ID: 1577993
Sex: F
Age: 48
State: MN

Vax Date: 04/01/2021
Onset Date: 08/15/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: patient had MVA and was brought to the ED and found to be COVID+

Other Meds:

Current Illness:

ID: 1577994
Sex: M
Age: 41
State: PA

Vax Date: 02/09/2021
Onset Date: 08/07/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

Symptom List:

Symptoms: Fatigue sxs started satuday. no otc meds taken. no exposure to covid-19. ? Nasal Congestion ? Sore Throat ? Fever 100.4 F today. ? Cough

Other Meds: None

Current Illness: None

ID: 1577995
Sex: F
Age: 21
State: NY

Vax Date: 05/10/2021
Onset Date: 07/10/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies: calamus, mite extract, pine nut, trichophyton mentagrophytes allergenic extract

Symptom List:

Symptoms: The patient developed a pronounced tic several weeks after inoculation. She has no history of a tic disorder.

Other Meds: mirtazapine 30 mg po nightly venlafaxine XR 150 mg po daily

Current Illness: Major depressive disorder, Asthma, Environmental allergies

ID: 1577996
Sex: M
Age:
State: FL

Vax Date: 08/01/2021
Onset Date: 08/08/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The night after I experienced some diarrhea , fogginess in my thinking , tiredness . Took hours for it to go away . Also had some chest pain that night too . Went away quickly.

Other Meds:

Current Illness:

ID: 1577997
Sex: F
Age: 29
State: KY

Vax Date: 04/08/2021
Onset Date: 08/11/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient has been fully vaccinated by moderna on 4/8/21. She has tested positive and is symptomatic as of 8/11

Other Meds:

Current Illness:

ID: 1577998
Sex: F
Age: 33
State: SC

Vax Date: 08/09/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: PENICILLIN, CODEINE AND SULFA-DRUGS

Symptom List:

Symptoms: INTENSE HIVES, SEVERE ITCHING AND BURNING, ENTIRE BODY FEELS SUNBURNED - NO REDNESS AT INJECTION SITE, JUST ALL OVER UPPER BODY, TRUNK, BEHIND KNEES, ARMS, FACE, AND NECK

Other Meds: PROZAC 40 MG, WELLBUTRIN XL 150 MG, CYANOCOBALAMIN 1,000 MCG, ALPRAZOLAM 0.5MG

Current Illness: NONE

ID: 1577999
Sex: F
Age: 31
State: MA

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Entire undiluted vial inadvertently administered. Error immediately identified. Patient immediately made aware 24 hours later, patient had expected post-vaccine response with sore arm, body ache, chills. Self-limited.

Other Meds:

Current Illness:

ID: 1578000
Sex: M
Age: 66
State: AL

Vax Date: 07/23/2021
Onset Date: 07/26/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Morphine and Loratab

Symptom List:

Symptoms: I have had a dull headache for the last 3 weeks, starting on day 3. I also have neck pain where the neck meets my head. Sometimes my head feels numb, mostly behind my left ear and on top of my skull. My neck hurts more when I turn my head from side to side. My doctor prescribed muscle spasms and headaches, and a CAT scan.

Other Meds: Calcium, Vitamin D3, Zink Levothyroxine, Escitalopram, Triamiterene, Simvastatin

Current Illness:

ID: 1578001
Sex: M
Age: 58
State: OH

Vax Date: 12/30/2020
Onset Date: 08/06/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Covid vaccine monitoring. Inpatient admitted 8/9/21 with covid. SARS-COVID-19 resulted positive 8/7/21. PT completed Moderna vaccine. Dose 1 received 12/30/20, Lot 025J20A. Dose 2 received 2//27/21, Lot 013L20A. Per documentation in discharge summary signed 8/13/21, PT discharged home. Primary diagnosis Acute hypoxic respiratory failure with COVID-19 pneumonia.

Other Meds:

Current Illness:

ID: 1578003
Sex: F
Age: 65
State: MN

Vax Date: 02/26/2021
Onset Date: 03/26/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Received full dose of Moderna vaccine and reported breakthrough covid positive case on 8/16/2021, verified by PCR test.

Other Meds:

Current Illness:

ID: 1578004
Sex: M
Age: 71
State: CA

Vax Date: 02/13/2021
Onset Date: 03/21/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 03/20/2021 had a mild headache, every other day, not bad enough to take meds, but I never have headaches otherwise. On 03/24/2021 had an episode while sitting and watching tv where room went dark, felt "spaced out..things werent in focus correctly..vision was blurry." Felt "high". Lasted about 15 ?20 min then resolved. 06/01/2021 Right leg Calf is red and swollen. 06/11/2021 Saw Dr. Sent me to Emergency. They completed Ultra sound. Determined Cellulitis infection. Gave me antibiotic. On 07/11/2021 Received more antibiotic CEFADROXIL. 07/25/2021 Went to Emergency due to pain. Had ultrasound. Determined blood Clot in right leg. Given Xarelto medication. 08/13/2021 swelling is going down, calf is softer

Other Meds: Atorvastatin,Lisinopril,Tamsulosin,Baclofen,Aspirin,Humalog

Current Illness: Covid-19 01/05/2021

ID: 1578005
Sex: F
Age: 64
State: FL

Vax Date: 02/10/2021
Onset Date: 05/13/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Hospitalization for COVID19 5/13/21-5/18/21. Patient received Remdesivir 5/13-5/17 and dexamethasone 6 mg IV twice daily 5/13-5/18.

Other Meds:

Current Illness:

ID: 1578006
Sex: M
Age: 62
State: UT

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Arm sore for two days. Slight body aches, very mild fever, and some fatigue that evening and the following day. A nap and a single 200mg Advil tablet reduced symptoms.

Other Meds: Low-dose aspirin atorvastatin Vitamin B-12 Choline

Current Illness:

ID: 1578007
Sex: M
Age: 65
State: MI

Vax Date: 03/17/2021
Onset Date: 03/24/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Neuropathy in anterolateral portion of left hand, starting one week after vaccination and has persisted up to time of report

Other Meds: amlodipine, trandolapril

Current Illness: None

ID: 1578008
Sex: F
Age: 49
State: MD

Vax Date: 04/30/2021
Onset Date: 07/31/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Atarax [Hydroxyzine Hcl]Hallucinations Haldol [Haloperidol]Swelling PravastatinMyalgia / Muscle Pain Sulfa (Sulfonamide Antibiotics)Rash, Other (document details in comments) AcetazolamideRash Bee Venom Protein (Honey Bee)Other (document details in comments) CodeineRash DoxycyclineDiarrhea, Other (document details in comments), Nausea and Vomiting HydrochlorothiazideOther (document details in comments) IbuprofenOther (document details in comments) LevofloxacinOther (document details in comments) MetoclopramideOther (document details in comments) MoldIndigestion / GI upset Nsaids (Non-steroidal Anti-inflammatory Drug)Other (document details in comments) PromethazineOther (document details in comments) Sulfamethoxazole-trimethoprimRash Trulicity [Dulaglutide]Dizziness / Lightheaded

Symptom List:

Symptoms: Contact with and (suspected) exposure to covid-19 Acute upper respiratory infection Nausea

Other Meds: Outpatient Medications ACCU-CHEK FASTCLIX LANCET DRUM misc acetaminophen 500 mg capsule acyclovir (ZOVIRAX) 400 mg tablet azaTHIOprine (IMURAN) 50 mg tablet betamethasone, augmented, (DIPROLENE) 0.05 % ointment buPROPion SR (WELLBUTRIN SR)

Current Illness:

ID: 1578009
Sex: F
Age: 28
State: FL

Vax Date: 05/19/2021
Onset Date: 05/20/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: Morning after, patient experienced fever, body aches, and fatigue that lasted approx 48 hours.

Other Meds: none

Current Illness: none

ID: 1578010
Sex: F
Age: 95
State: FL

Vax Date: 01/24/2021
Onset Date: 07/18/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Hospitalization for COVID19 7/18/2021-7/20/21. Received dexamethasone 6 mg IV BID 7/18-7/20 AND Remdesivir 7/19/21 only.

Other Meds:

Current Illness:

ID: 1578012
Sex: F
Age: 59
State: MI

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: demerol, povidone-iodine, rebif, shellfish derived

Symptom List:

Symptoms: Pt received second COVID vaccination at 11:01, pt observed for mandatory 15 minutes, after the observation period (around 30 mins after vaccination), pt c/o narrowing of airway, "lump" in throat, and tingling lips. Pt was assessed by physician and nurse. Pt compared her symptoms to her symptoms when she has shellfish (pt has active shellfish allergy). Due to pt sxs not improving, EMS was activated and epinephrine auto injection pen was administered (at 11:40). Vitals were obtained and WNL, pt was a&oX4, airway non-obstructed. EMS arrived to facility around 11:50 and transported pt to local ED. Pt returned to facility later in the day to schedule f/u appt from ED, pt stated sxs resolved prior to leaving ED and was feeling much better.

Other Meds: Lorazepam, Hydrocodone-acetaminophen, gabapentin, ropinirole, clotrimazole-bethamethasone, meclizine, allegra D, fluticasone propionate, benadryl

Current Illness: knee pain, multiple sclerosis, prediabetes, relapsing remitting multiple sclerosis, vitamin D deficiency

ID: 1578013
Sex: M
Age: 62
State: MD

Vax Date: 05/02/2021
Onset Date: 07/30/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Bactrim Ds [Sulfamethoxazole-trimethoprim]Other (document details in comments)

Symptom List:

Symptoms: COLD SYMPTOMS, RUNNING NOSE, CONGESTION

Other Meds: bumetanide (BUMEX) 1 mg tablet cephalexin (KEFLEX) 500 mg capsule diphenhydrAMINE (BENADRYL) 25 mg capsule ferrous sulfate 325 mg (65 mg iron) tablet simvastatin (ZOCOR) 20 mg tablet tamsulosin (FLOMAX) 0.4 mg capsule

Current Illness:

ID: 1578014
Sex: F
Age: 64
State:

Vax Date: 06/03/2021
Onset Date: 07/27/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient developed papuloerythrotelangiectatic rosacea a few weeks after the second dose. Patient had never had rosacea prior.

Other Meds:

Current Illness:

ID: 1578015
Sex: F
Age: 55
State: TX

Vax Date: 07/29/2021
Onset Date: 07/30/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Morphine, Penicillin, Doxy, Erythromycin

Symptom List:

Symptoms: I was fine until almost 12 hours later I woke up feeling very dizzy and had a headache. My head felt full. I took Tylenol and didn't think much of it. Later, at almost the 24 hour mark my R ear started ringing nonstop. I had had a bout of Tinnitus once before, but it quickly went away a couple of hours later. I figured this would do the same. It has been almost 3 weeks now and my R ear has not stopped ringing. I did a search and found that others, although rare have had similar issues, but most of them had this occur after the second vaccine. This was my first vaccine. I am a registered nurse and work in a busy ER and practically bathed in COVID all last year during the surges. I do not know if I ever got COVID or not ,but if I did the symptoms were very mild. I had a couple of colds, but other than that nothing big at all.

Other Meds: Benadryl, Pepcid, Tylenol

Current Illness: none

ID: 1578016
Sex: F
Age: 53
State: MI

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Shellfish allergy

Symptom List:

Symptoms: I felt a burning sensation when I was initially injected. I didn?t feel anything with the first dose. A few days later my entire arm was in pain. However, I didn?t think anything of it since the pain only lasted for a less than an hour. Since then, I have noticed that I have loss of the range of motion for my right arm. It?s painful to reach for something or lift my arm up to apply deodorant or wash my shoulder and upper back. I could barely sleep last night due to the arm pain and woke u with my entire upper right arm in pain with any movement.

Other Meds: Crestor 5mg Aspirin 81 mg

Current Illness: None

ID: 1578017
Sex: F
Age: 57
State: NE

Vax Date: 06/25/2021
Onset Date: 07/05/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: On July 5, 2021 rapid heart rate in the middle of chest, no other symptoms. This has continued at random times and increased in rate of occurrence. This happened while resting, working, walking, eating, no trigger or pattern to occurrences.

Other Meds: Multi Vitamin, & Vitamin D

Current Illness: none

ID: 1578018
Sex: M
Age: 74
State: TX

Vax Date: 03/28/2021
Onset Date: 07/14/2021
Rec V Date: 08/17/2021
Hospital: Y

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Symptoms: Admit 7/14. Vaccine 3/7, 3/28. H/O DM Type II, CAD, HTN. Admit for weakness, diarrhea, cough. COVID +, COVID PNA, acute kidney injury reason for admission. Tx w/abx, steroids, fluids. Did not require O2. DC'd home.

Other Meds:

Current Illness:

ID: 1578019
Sex: F
Age: 44
State: PA

Vax Date: 12/18/2020
Onset Date: 07/31/2021
Rec V Date: 08/17/2021
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Allergies: DuloxetineDiarrhea

Symptom List:

Symptoms: Fever or Chills Muscle or body aches Headache Sore throat Congestion or running nose

Other Meds: albuterol HFA (VENTOLIN HFA) 90 mcg/actuation inhaler aspirin 81 mg chewable tablet atorvastatin (LIPITOR) 80 mg tablet buPROPion XL (WELLBUTRIN XL) 150 mg 24 hr tablet busPIRone (BUSPAR) 10 mg tablet citalopram (CeleXA) 40 mg tablet(Expire

Current Illness:

ID: 1578020
Sex: F
Age: 80
State: FL

Vax Date: 05/06/2021
Onset Date: 07/19/2021
Rec V Date: 08/17/2021
Hospital: Y

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Symptoms: Hospitalization for COVID19 7/19/21-7/22/21

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Current Illness:

ID: 1578021
Sex: F
Age: 87
State: KY

Vax Date: 01/21/2021
Onset Date: 08/11/2021
Rec V Date: 08/17/2021
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Symptoms: Covid positive

Other Meds: Blood pressure meds

Current Illness:

ID: 1578022
Sex: M
Age: 49
State: KY

Vax Date: 03/21/2021
Onset Date: 03/31/2021
Rec V Date: 08/17/2021
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Allergies: Penicillin.

Symptom List:

Symptoms: After second shot, covid arm, with swelling, itching and pain. Body aches, fever, chills, severe fatigue. Even went at day 12. Symptoms lasted 13 days. Took 1800 mg of Motrin a day for 2 weeks and 150 mg of Benadryl a day. this was fine and to continue as needed.

Other Meds: Gnc vitamins, HCTZ 12.5, and Lisinopril.

Current Illness: None.

ID: 1578023
Sex: F
Age: 45
State:

Vax Date: 08/11/2021
Onset Date: 08/11/2021
Rec V Date: 08/17/2021
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Symptoms: moderna vaccine EUA within 5 minutes of receiving vaccine, had elevated heart rate to 140-150s, lightheadedness, chest burning, tingling in legs. Was taken to ER immediately and given IV steroids, IV Benadryl for severe allergic reaction.

Other Meds:

Current Illness:

ID: 1578024
Sex: M
Age: 76
State: TX

Vax Date: 02/24/2021
Onset Date: 06/28/2021
Rec V Date: 08/17/2021
Hospital: Y

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Symptoms: Admit 6/28. Vaccine 2/3, 2/24. Admit for SOB, cough. COVID +, COID PNA. Treated with abx, steroids, O2. Weaned down from 4L to RA at the time of DC. Returned to baseline at DC, DC'd home.

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Current Illness:

ID: 1578025
Sex: F
Age: 33
State: CA

Vax Date: 07/19/2021
Onset Date:
Rec V Date: 08/17/2021
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Symptoms: Consistent insomnia since 7/19/2021, regardless of medication nausea and vomiting from 7/20/2021-08/13/2021, regardless of medication. Body chills on left side of body (injected side) 7/21/2021-current 08/17/2021 significant mood changes 07/20/2021-08/15/2021

Other Meds:

Current Illness:

ID: 1578027
Sex: F
Age: 62
State: FL

Vax Date: 08/15/2021
Onset Date: 08/15/2021
Rec V Date: 08/17/2021
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Allergies: no

Symptom List:

Symptoms: severe body aches, severe headache, fever 102, chills, fatigue

Other Meds: omeprazole

Current Illness: no

ID: 1578028
Sex: F
Age: 63
State: TN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 08/17/2021
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Allergies: Tetracycline

Symptom List:

Symptoms: The day after my vaccine, on 02/09/2021 at 2:00 AM, I was woken up because I was having trouble breathing and I was very hot. I couldn't get up. I tried to tell myself to breath in and out because there was a lot of pressure and pain from trying to breathe, and this episode lasted about 2 minutes. I broke out in a sweat and the whole episode lasted about 10 to 15 minutes. I had a low-grade fever, but it wasn't an event. I'm not able to exercise anymore like I was prior to my vaccination, but I do not know if it from the adverse events or some other condition.

Other Meds: Mesalamine enema; Synthroid; Vitamin D; fish oil

Current Illness: No

ID: 1578029
Sex: M
Age: 32
State: IN

Vax Date: 07/13/2021
Onset Date: 07/20/2021
Rec V Date: 08/17/2021
Hospital: Y

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Symptoms: Shortness of breath, feeling weak, tired and high blood pressure and heart failure.

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Current Illness:

ID: 1578030
Sex: F
Age: 34
State: KY

Vax Date: 04/29/2021
Onset Date: 08/14/2021
Rec V Date: 08/17/2021
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Symptoms: diagnosed COVID + on 08/15/2021

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Current Illness:

ID: 1578031
Sex: M
Age: 72
State: NC

Vax Date: 03/01/2021
Onset Date: 03/03/2021
Rec V Date: 08/17/2021
Hospital: Y

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Allergies: None

Symptom List:

Symptoms: CVA admitted to hospital

Other Meds: None

Current Illness: None

ID: 1578032
Sex: F
Age: 24
State: KY

Vax Date: 08/05/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
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Allergies: Benadryl

Symptom List:

Symptoms: Pt. tested positive for COVID-19 08/14/21 and started having symptoms 08/13/21.

Other Meds: N/A

Current Illness: N/A

ID: 1578033
Sex: F
Age: 64
State: KS

Vax Date: 08/01/2021
Onset Date: 08/10/2021
Rec V Date: 08/17/2021
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Symptoms: August 2, 2021 my husband and I had the Shingrix vaccine in my right arm at Pharmacy. The evening of August 11, 2021 I felt like I had something in my left eye, by the next morning I felt like my entire eyeball was going to explode. As the day went on, I could not tolerate any light and was in severe pain, and eyelid would not open all the way and could barely see out of left eye. Met my optometrist at 6:30 p.m. that evening August 11, 2021 an after examination he asked me if I had been ill. I told him I had not and asked why. He said, it appears like you have shingles across your left cornea. I then told him my husband and myself had the vaccine on August 2nd and my husband on August 8th had terrible needle pain in the opposite arm he had his shingles vaccine with the same Lot # as me. I was put on Acyclovir 3-5 times a day at 400 mg. times a day and steroid eye drops every 2 hours. Saw Optometrist again August 12th and August 17th. Will be on meds until August 24th. Dr. said on August 17th, that each time he sees me he is more convinced that the ulcers across my cornea were from the 1st dose of shingles vaccine.

Other Meds: Multi vitamin Vitamin C Vitamin D Calcium Premarin

Current Illness:

ID: 1578034
Sex: F
Age: 72
State: KY

Vax Date: 05/04/2021
Onset Date: 08/01/2021
Rec V Date: 08/17/2021
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Symptoms: Tested positive for Covid

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm