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
63,479
AK1,562
AL4,914
AR3,110
AS44
AZ12,730
CA54,886
CO10,464
CT7,347
DC1,568
DE1,561
FL33,514
FM3
GA12,508
GU74
HI2,078
IA4,130
ID2,361
IL18,091
IN22,023
KS4,061
KY6,276
LA4,395
MA13,121
MD11,272
ME2,858
MH8
MI16,697
MN10,689
MO8,360
MP30
MS2,487
MT2,035
NC14,437
ND1,184
NE2,562
NH2,717
NJ16,033
NM3,532
NV3,784
NY30,921
OH17,029
OK5,673
OR7,479
PA21,111
PR1,959
QM2
RI1,833
SC5,601
SD1,087
TN8,048
TX31,896
UT3,791
VA13,180
VI48
VT1,592
WA13,026
WI9,856
WV2,120
WY754
XB5
XL1
XV2

ID: 0979162
Sex: F
Age: 65
State: FL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: Cortisporin Otic Solution, Bactrim, Plastic Tape, Broke out in severe hives 2 weeks after starting Pravachol and Plavix so was taken off both

Symptom List:

Symptoms: When I signed up for the vaccine, the website said that i was at high risk for the vaccine and would need to wait 15-30 minutes after the injection. I checked with doctor re: this warning and she felt the vaccine was still beneficial but to do my research and make a decision. I received the vaccine at the Center. I sat down as instructed. 5 minutes later, something felt off and I removed my protective visor. A paramedic came over about a minute later and asked if i was ok. I said that i didn't feel well. He said that he was going to get a chair with wheels for me and at that time i must have passed out. The next thing that i remember was waking up laying on the floor. My husband said that there were 4 paramedics in attendance. The primary paramedic was telling me that my BP was 72/60. An ekg was being run, an iv inserted and run full force. they checked my blood sugar which was fine. The primary paramedic kept talking to me to check my level of consciousness. I was there for quite a while. Not sure who the paramedics checked with, but they decided that i needed to go via ambulance to the hospital. The paramedics were very concerned that the ambulance go to the back door to pick me up so others getting the vaccine would not be frightened. I was transported to Medical Center for further evaluation. I was there for a few hours and my labwork was normal. EKG and chest xray were completed as well as cardiac monitoring. I called doctor's office the next morning to notify her of the event. It was very scary!!!

Other Meds: Atorvastatin 30 mg qd, CO Q 10 100 mg qd, ASA 325 mg qd, Vitamin D 2000 u qd, Lovaza 1 GM qd, Alprazolam 0.25 mg q3d prn

Current Illness: none

ID: 0979163
Sex: F
Age: 73
State: CO

Vax Date: 01/12/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies: nausea with codeine

Symptom List:

Symptoms: 1/13-1/15 sore arm. 1/14 moderate dizziness and nausea. 1/15 light dizziness and queasiness. 1/21 - 1/22 injection site itching. 1/23 injection site redness, moderate dizziness and nausea. 1/24 injection site redness, mild dizziness and queasiness. Injection site redness ended 1/25. Some light, brief, intermittent dizziness 1/25 - current.

Other Meds: Losartan Potassium 50mg/2x/day; hydroChlorothiazide 12.5mg/1x/day; Progesterone/Estriol/Estradiol 50/0.25/0.25mg/1x/day; Testosterone 1mg/1x/day; Valacyclovir HCL 500mg/prn; Omega-3 Fish Oils, Calcium/Magnesium, Biotin, Glucosamine Sulfate

Current Illness: None

ID: 0979164
Sex: F
Age: 59
State: MO

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
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Vax Route:
Vax Site:

Lab Data:

Allergies: Soma

Symptom List:

Symptoms: Headache, left hand numbness, injection site inflammation and pain to right elbow, right scapula pain, diarrhea x2, nausea,

Other Meds: Lasix, Potassium Chloride, Xanax, Trazodone, Tradjenta

Current Illness: None reported

ID: 0979165
Sex: F
Age: 62
State: CA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: No adverse reaction, patient was given Moderna vaccine a first dose, patient returned to clinic and disclosed returned for 2nd dose, which she believed was Pfizer vaccine. Pfizer vaccine administered. Documentation at end of day showed patient received Moderna as dose 1 and Pfizer was given as dose 2. No adverse reaction noted, no side effects note. Patient was discharged after 15 minutes

Other Meds: not disclose

Current Illness: n/a

ID: 0979166
Sex: F
Age: 44
State: GA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: PENICILLIN CIPRO IV CONTRAST DYE LATEX ZOSYN GLUTEN MOST SOAPS AND LOTIONS ZITHROMAX MACROBID TUBERCULIN

Symptom List:

Symptoms: HIVES (NECK AND CHEST), VOMITING, DIARRHEA, NAUSEA

Other Meds: VITAMIN C LOPRESSOR MYRBETRIQ FLEXARIL IMITREX METFORMIN LEVOTHYROXINE LEXAPRO FIBER GUMMIES WITH VITAMIN D WOMEN'S ONE A DAY ALBUTEROL INHALER OR COMBIVENT TRAZODONE PEPCID FIORCET ZOFRAN MECLIZINE PEPCID BENADRYL PREDNISONE EPI PEN AS N

Current Illness: NONE

ID: 0979167
Sex: F
Age: 43
State: PA

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: NKA

Symptom List:

Symptoms: 2- quarter-sized hives left lower arm 1- 3in erythematous, swollen, warm to touch circle at injection site

Other Meds: Labetalol 300mg BID Lisinopril HCTZ 25mg QD Atorvastatin 40mg QD Metformin 500mg BID

Current Illness: none

ID: 0979168
Sex: F
Age: 35
State: OH

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever to 100.8F, body aches, nausea, fatigue. Large local reaction at shot site- red that spread over my entire upper arm, mildly swollen, painful

Other Meds: None

Current Illness: None

ID: 0979169
Sex: M
Age: 82
State: AZ

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Bad Itching, front and back

Other Meds: Pravastatin, Amiodpine, lisinopril hetz, metoprolol , fish oil

Current Illness: None

ID: 0979170
Sex: F
Age: 36
State:

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Sulfa Drugs, Iodine Contrast for CT scans

Symptom List:

Symptoms: Itchy and redness (4 inches in length, 2-3 inches width) around injection site. Occurred 8 days after injection

Other Meds: Blisovi 1/20 (Oral contraceptive)

Current Illness:

ID: 0979171
Sex: F
Age: 54
State: TX

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
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Vax Route:
Vax Site:

Lab Data:

Allergies: No known allergies.

Symptom List:

Symptoms: 1/25/21: Fever 102.6*F, joint pain: hips, back. Palms of hands and bottom of feet on "fire." Body aches. Shortness of breathe, "Can't take a deep breathe." Fatigue.

Other Meds: Thryoid medication, pRemin daily medications.

Current Illness: None.

ID: 0979172
Sex: F
Age: 75
State: CO

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Woke up the next day 01/16/2021 with vertigo and severe nausea. Took Zofran and slept till vertigo had cleared around noon. Then chills for 2-3 hours and then fever to max of 100.9 lasting 6 hours. Had myalgia, nausea for all day. Intermittent headache. Had abdominal pain in AM with the nausea but no vomiting. Took both ibuprofen and Tylenol during afternoon and evening after fever started. Fever stopped around 8 or 9 pm. Left arm swelling, redness and pain started 01/17 and progressed for 2-3 day then started to fade. 8 by 8 cm swelling on 01/18 and 10 by 10 on 01/19. Have 2 by 2 cm painful nodule in Left arm on 01/27/2021.

Other Meds: Synthroid 75mcg daily, omeprazole 20 mg in am, famotidine 20 mg in pm, Centrum Silver daily, vit D3 1,000 daily, Biotin 5,000 daily, Estrace vaginal cream weekly, Sambucus elderberry gummies 2 a day, Oxygen 2 lpm at night

Current Illness: post COVID respiratory symtoms, shortness of breath with exertion and fatique. Had COVID with onset mid September and hospitalized 09/25/2020 to 10/05 /2020

ID: 0979173
Sex: F
Age: 25
State: PA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/27/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient stated feeling like it was difficult to swallow and redness at injection site. Sent to ER from observation area at COVID clinic.

Other Meds:

Current Illness:

ID: 0979174
Sex: F
Age: 46
State: TX

Vax Date: 01/06/2021
Onset Date: 01/16/2021
Rec V Date: 01/27/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: swelling of the throat and mouth. difficulty breathing. lightheadedness.

Other Meds: None

Current Illness: None

ID: 0979175
Sex: F
Age: 27
State: KS

Vax Date: 12/18/2020
Onset Date: 12/28/2020
Rec V Date: 01/27/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: No

Symptom List:

Symptoms: I had a cough for two days that got worse, nasal congestion & body aches.

Other Meds: No

Current Illness: I had bronchitis.

ID: 0979176
Sex: F
Age: 43
State: SD

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Sick and feverish for one day after vaccine

Other Meds:

Current Illness:

ID: 0979177
Sex: M
Age: 43
State: IN

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Chlorhexidine

Symptom List:

Symptoms: 10-12 hours post administration experienced severe malaise, fatigue, body aches, and mild fever ~101.5 fahrenheit. No respiratory symptoms. Symptoms persisted through the next day and began to ease ca 24 hours after beginning. Now almost 48 hours from onset, mild symptoms persist.

Other Meds: Levothyroxin 75mcg, Metformin 500mg, Bismuth subsalicylate

Current Illness: Covid (positive test 1/15/2021)

ID: 0979178
Sex: F
Age: 34
State: TN

Vax Date: 01/12/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: Codeine and Penicillin

Symptom List:

Symptoms: Approx 10 days after vaccine a red, raised rash appeared around injection site. Area was swollen, painful, warm, and itching. The rash continued to spread and almost completely wrapped around the entire arm. She also experienced heavy vaginal bleeding, and was not due to begin cycle. Last cycle ended 1/5 and bleeding began on 1/23, and she also experienced abdominal pain on 1/25. When rash was at its worst, she was extremely fatigued.

Other Meds: None

Current Illness: None

ID: 0979179
Sex: F
Age: 73
State: FL

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: Lisonipril, latex

Symptom List:

Symptoms: Client describes burning at the injection site.

Other Meds: Fumoseride, Temazapan, Metformin, Carvedilol, Lantus, Pravistan, Pentoprizide

Current Illness: diabetes, heart disease, high blood pressure

ID: 0979180
Sex: F
Age: 58
State: CA

Vax Date: 01/01/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies: Wasp stings

Symptom List:

Symptoms: Bruise 2cm by 4cm. Redness 12cm by 21cm. Warm and painfull.

Other Meds: Effexor

Current Illness: None

ID: 0979181
Sex: F
Age: 82
State: VA

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: redness and swelling around the site that spread down the arm

Other Meds: none

Current Illness: none

ID: 0979182
Sex: M
Age: 20
State:

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: 2nd dose received at 11am. Mild arm soreness immediately after. Remained for 2 days with no increase in severity then dissipated. Lymphnode discomfort mild beginning 2 hours after vaccination. Remainder for 2 days with increase to medium severity approximately 8 hours after receiving vaccination. Nuchal rigidity began 8 hours after receiving 2nd dose, mild -> medium severity. Dissipated 1 day after receiving shot. Mild photosensitivity to light began approx 9 hours after receiving shot. Dissipated by next morning. 9 hours after receiving vaccination, medium fever developed. Baseline temperature is 96.4. At 9 hours after vaccination, developed fever at 99.7*F. At 11 hours after, temperature was 100.9*F, with severe discomfort and body aches / chills. Dissipated by following morning. Hope this helps. Thank you.

Other Meds: None

Current Illness: Cold. Covid rest x 2 week prior negative for covid.

ID: 0979183
Sex: F
Age: 30
State: KS

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Progress Notes Hastings,(Nurse Practitioner) ? ? Nurse Practitioner MD at 1/17/2021 7:01 AM Expand All Collapse All 1/15/2021 Subjective 30 y.o. female who was seen at Clinic today for her first dose of the COVID 19 vaccination. She denied any history of previous adverse reactions to vaccines. She was given the Moderna vaccination in the left deltoid muscle. During her 15 minute waiting period after the injection, the patient began to experience Right arm pain, numbness/tingling and soreness, note that injection was given in left arm. She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. This provider was notified of patient reaction and she was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting. ALLERGY REVIEW OF SYSTEMS: Patient complains of muscle aches (Right arm) Previous Reactions: No previous reactions to vaccines. Objective Vitals Vitals: 01/15/21 1239 01/15/21 1248 BP: 137/89 134/89 Pulse: 99 100 SpO2: 100% 100% Blood Sugar 66 collected at 1236 * Patient given snack (granola bar) just before blood glucose checked. Physical Exam Constitutional: General: She is not in acute distress. Appearance: Normal appearance. She is not ill-appearing. Cardiovascular: Rate and Rhythm: Normal rate. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Musculoskeletal: Right shoulder: She exhibits pain. She exhibits normal range of motion and no tenderness. Right elbow: She exhibits normal range of motion and no swelling. No tenderness found. Right wrist: She exhibits normal range of motion and no tenderness. Skin: General: Skin is warm and dry. Neurological: Mental Status: She is alert and oriented to person, place, and time. Assessment/Plan Treatment included: Ibuprofen/analgesics. Follow up response to treatment: no change. Patient discharge: Stable to go home and follow up with PCP. Reports that she had work up for Guillain Barre 2.5 years ago but this was ruled out. States that she has had intermittent pain of all extremities since that time and has a handicap parking placard due to this. She denies any pain in right arm prior to the vaccine but states it started just a few minutes after administration. She has full ROM without difficulty and full sensation but reports some numbness and tingling as well as soreness but not necessarily tender to touch. Ibuprofen was administered but shortly after patient requesting to leave and feels this pain is the same as what she's had over the past 2.5 years but wanted to keep us aware. She will be discharging home and states she does not live alone. Electronically Signed 1/15/2021 1:03 PM

Other Meds:

Current Illness:

ID: 0979184
Sex: F
Age: 79
State: WI

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies: Sulfonamide

Symptom List:

Symptoms: Shortly after vaccination, patient developed dizziness and tingling sensation along jawline. Patient mildly hypertensive. Approximately 15 minutes later, dizziness developed but tingling sensation also experienced in bilateral feet. Evaluated in ER and ultimately sent home without further complication.

Other Meds: Multivitamin (AREDS formula), lactobacillus supplement, Lovaza 4 grams

Current Illness: N/A

ID: 0979185
Sex: M
Age: 26
State: WI

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: Received COVID vaccine on 1/7 in L arm and had sore arm for 1-2 days but no other symptoms for first 2 days. Then on 1/9, developed facial twitching (left side of face just above L cheek), which was sporadic (1-2 twitches/hr). This stopped 1/14. However, he has also noticed slight asymmetry with smile and has flattening of the right cheek compared to left. Patient is a virology/vaccine researcher and works with SARS-COV-2, TB, chicken coronavirus, and environmental microbacteria. No fatigue, no other symptoms; frequently tested for COVID, all negative. No weakness, changes in sensation, changes in gait, or difficulty breathing/swallowing/speaking. No hx vaccine rxn, gets flu shot every year.

Other Meds: none

Current Illness: none

ID: 0979186
Sex: F
Age: 55
State: PA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: Ibuprofen

Symptom List:

Symptoms: Itchiness in left arm (opposite of vaccine site).

Other Meds: Unknown

Current Illness: unknown

ID: 0979187
Sex: F
Age: 53
State: OR

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies: Metforman, Lisinopril, Milk

Symptom List:

Symptoms: Headache, Severe Vomiting, Sore Arm, Weekness, Stuffy Nose, Hard to Breath, Chills, and Body Aches

Other Meds:

Current Illness: None

ID: 0979188
Sex: F
Age: 56
State: CA

Vax Date: 01/24/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
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Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillin Erythromycin Walnuts

Symptom List:

Symptoms: I experienced the typical reactions of headache, achy joints , and sore arm on 01/25/2021 which continue today, however my anaphylactic event occurred yesterday 01/26/2021.. after my shower I was feeling odd my hands and feet were tingly and I could feel my b/p go up . I made a phone call trying relax but mid call I could not speak due to throat and tongue swelling and then development of a cough trying to clear my throat. I grabbed my sons epi pen but I was able to still get air so I didn?t use it. My husband transported me to the ER. They took my straight back took my vitals and administered Benadryl, Pepcid and Dexamethasone IM and worked well, they observed me for few hours and I was released. I have follow-up appt tomorrow with primary care,

Other Meds: Atenolol

Current Illness: None

ID: 0979189
Sex: F
Age: 38
State: TX

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: denies

Symptom List:

Symptoms: patient states on day of just felt "normal tired". The next day 1/26/21, patient was at lunch at about 1300 and has " high heartrate around 120-130 beats /minute" . Patient is a healthcare professional. States took some deep breaths and seemed to help. patient denied chest pain, no irregular heartrate,, no shortness of breath, no rash or redness to injection site or body. , no fever, Today at work took pulse at about 0930am and heartrate was 74 beats /minute. No other symptoms reported at this time. Patient is currently at work and states will clock out soon due to symptoms. Patient educated to report to ER if worsening symptoms, importance of follow up with pcp , and educated on reported system. Verbalized understanding.

Other Meds: Provigil Zyrtec

Current Illness: seasonal allergies

ID: 0979190
Sex: F
Age: 83
State: WI

Vax Date: 01/14/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Red rash began 9 days after receiving the vaccine. Rash was the size of a 50 cent piece. Located below the injection site. Patient stated rash now extends to her elbow. It is about 2-3 inches wide. It is red, warm to touch. Denies blistering or swelling. States it is very itchy and some what sensitive to touch.

Other Meds: baby aspirin

Current Illness: None

ID: 0979191
Sex: M
Age: 48
State: MN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Received first dose 1/10/21 and 2nd dose 1/26/21, only 16 days apart.

Other Meds:

Current Illness:

ID: 0979192
Sex: F
Age: 44
State: AR

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

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Symptoms: Flushing of Face, Dizziness and weakness

Other Meds:

Current Illness: IBS

ID: 0979193
Sex: F
Age: 44
State: MN

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
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Allergies: NSAIDS

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Symptoms: Within 7 hrs of second dose of the Moderna Covid 19 vaccine my arm was very painful at the injection site, I developed a headache and severe fatigue. At 7pm the same evening I developed a fever of 101.2, chills, headache, nausea, severe fatigue and weakness. 24 hrs after the vaccine I was so weak I could not get out of bed, chills, fever, nausea, body-aches, fatigue. I also noticed my whole left arm was swollen. At 48 hrs I had the sweats, chills, fever, body-aches, fatigue, swollen left arm and a 6cm x 6cm circle of hot erythema around the injection site. At 72 hrs most symptoms were gone but I was still fatigued, area around injection site no longer red but where the erythema was it itched.

Other Meds: Zoloft 150mg

Current Illness: none

ID: 0979194
Sex: F
Age: 53
State: ME

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/27/2021
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Allergies: penicillin, ibuprofen, aspirin

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Symptoms: Systemic: left ear swelling at 40 minutes; symptoms lasted 1 day

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Current Illness:

ID: 0979195
Sex: M
Age: 43
State: UT

Vax Date: 01/07/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
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Allergies: None

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Symptoms: I got shingles approximately two weeks after the vaccination date. The doctor didn't think it was related to the vaccine, but I wanted to report it since it is rare in people under 50.

Other Meds: None

Current Illness: None

ID: 0979196
Sex: F
Age: 59
State: ID

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
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Symptoms: Pt c/o SOB and feeling "woozy". Slightly off balance

Other Meds: Trulicity, Metformin, Atenolol, Lisinopril, Amlodipine, Atorvastatin

Current Illness:

ID: 0979197
Sex: F
Age: 56
State: AL

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
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Allergies: None

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Symptoms: Patient reported to emergency room at Community Hospital on 1/26/21 AM after receiving second dose of Moderna's COVID-19 Vaccine on 1/25/21. She reported feeling weak, having nausea, and having a headache and believed she was having a reaction to the vaccine. She was ordered Zofran PO and Ibuprofen PO by the emergency room physician and discharged home.

Other Meds: None

Current Illness: None reported

ID: 0979198
Sex: F
Age: 44
State: VA

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
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Allergies: Pregabalin, Methotrexate, PCNs, Gabapentin, Cymbalta

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Symptoms: 1/23/2021 Arm soreness, tenderness, swelling at vaccine site 1/24/2021 12am woke with chills, headache, took 2 Tylenol, felt nauseated/"queasy" so took a peptobismol chewable and then vomited. Remained "very cold". 8am temp 100.2, could not get warm, started Zofran and held down soup. Vomited this evening again. 1/25/2021 Vomited again, headache persists, taking Tylenol and Zofran, thinks she had fever. 1/26/2021 Vomiting and diarrhea, headache, abdominal pain, thinks she had fever. 1/27/2021 Today - vomiting and diarrhea have stopped, headache is still present but has improved. Afebrile. She still does no feel well overall.

Other Meds: Vitamin D, Hydrochloroquine, Montelukast sdium, fluoxetine

Current Illness: None

ID: 0979199
Sex: M
Age: 34
State: OH

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
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Symptoms: WOKE UP AT 3 AM WITH FEVER AND CHILLS AND TAKEN TYLENOL AT 4 AM. WENT TO WORK FELT FEVERISH AND TIRED. DAY 3 SYMPTOMS IMPROVED.

Other Meds:

Current Illness: NONE

ID: 0979200
Sex: F
Age: 33
State: FL

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
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Allergies: NKA besides animal dander

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Symptoms: Received the vaccine in the morning. By evening had severe arm pain, unable to lift arm at all. Low grade fever, chills, muscle pain, nausea, migraine, fatigue.

Other Meds: Vit C

Current Illness: Asthma

ID: 0979201
Sex: M
Age: 46
State: DE

Vax Date: 12/18/2020
Onset Date: 12/23/2020
Rec V Date: 01/27/2021
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Allergies: Efexor

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Symptoms: Began on the 21st of December, sores on the tip of the tongue and progressed to canker like sores on the inside of the bottom and top lips , burning sensation that covered the facial area. Doctor instructed to keep taking Valtrex and prescribed a Z pack , I was already taking the Valtrex with little to worsening effect BUT after administering the Z pack condition quickly deminished and went completely away within 2 days.

Other Meds: Valtrex, Tylenol

Current Illness: None

ID: 0979202
Sex: F
Age: 75
State:

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
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Symptoms: Moderna COVID-19 Vaccine EUA I had my first dose of the Moderna Vaccine 1/14 with minor discomfort. On 1/21 area around the site felt itchy. On 1/22 morning I saw large red circle that was slightly sore and hot to the touch. On 1/22 afternoon I called for appointment. Since none was available I went to urgent care where I was prescribed Doxycycline. Have been taking it as prescribed and circle has been slowly fading away but is still visible. I thought it might have been a reaction to an insect bite, but now a friend who got the vaccine the same day I did is experiencing the same reaction. I would like to know if you think this is connected to the vaccine and if so could it affect the efficacy of the vaccine? I am also concerned about taking the second dose.

Other Meds:

Current Illness:

ID: 0979203
Sex: F
Age: 53
State: IL

Vax Date: 01/15/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
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Allergies: None

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Symptoms: Sore first couple of days at injection site then around 9th day left arm few inches below the injection is red/hot . Took Benadryl and iced it also took ibuprofen but no change , still red and hot but more spread!

Other Meds: 500mg acetaminophen one hour before Then 600mg ibuprofen two hours after vaccination For pain/discomfort

Current Illness: None

ID: 0979204
Sex: F
Age: 52
State: WI

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
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Allergies: pcn

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Symptoms: 12:35pm patient states her tongue and lips are tingling - patient evaluated by provider - 12:40pm 25mg benadryl given - patient observed 1 on 1 1:25pm patient states she can not swallow - epi pen administered per providers order 1:35pm patient states she is feeling better and symptoms are dissipating

Other Meds: none known

Current Illness: none known

ID: 0979205
Sex: M
Age: 38
State:

Vax Date: 01/15/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
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Symptoms: NOT an adverse event, but this is a error in timing. Second dose received too early.

Other Meds:

Current Illness:

ID: 0979206
Sex: F
Age: 57
State: NY

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
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Allergies: Nsaids, morphine, PCN,

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Symptoms: Pt reported to POD for vaccine very anxious and concerned about her allergies to Nsaids, Morphine and pnc. she reports that her they cause HA and facial swelling. Pt received vaccine at 1405 and went to 30 min observation area. at 1420 this provider was contacted by the patient and she reported that feeling numbness and drooping to the right eye lid. The patient was then brought for eval by this provider and EMT. The patient continued her observation until 1510 and at that time she reported that she was back to normal and continued to be without HA.

Other Meds: Vit D, Turmeric, pro-biotic and prn Tylenol prn for pain

Current Illness: NONE

ID: 0979207
Sex: F
Age: 32
State: RI

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
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Symptoms: Hot flash

Other Meds: Birth control

Current Illness:

ID: 0979208
Sex: F
Age: 31
State: CO

Vax Date: 01/17/2021
Onset Date: 01/20/2021
Rec V Date: 01/27/2021
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Allergies: Denies

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Symptoms: Vaccinated with dose #2 on 1/17. On 1/20, developed a headache, dizziness, and sore throat. She states it felt the same covid symptoms she had in October (test for covid + on 10/09/2020). Swabbed at medical center on 1/21/2021. Swab returned a not detected result. Symptoms have resolved.

Other Meds: Tylenol and Ibuprofen

Current Illness: Denies

ID: 0979209
Sex: F
Age: 44
State: WV

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 01/27/2021
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Symptoms: was not ill prior to vaccine. 3 days later started getting rash on neck. went to doctor was told it was shingles. never had any warning signs of shingles. I had just had a complete health check a couple months prior and everything was OK.

Other Meds:

Current Illness: none

ID: 0979210
Sex: F
Age: 56
State: CA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/27/2021
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Allergies: Sulfa Antibiotics, Dilaudid

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Symptoms: Acute onset of diverticulitis late afternoon/evening after injection without usual prodrome of symptoms. Initial onset of LLQ abdominal to suprapubic pain about 4 hours after injection on 01/19/21, later that night chills, fever of up to 100.4? with worsening abdominal pain 8/10. On 01/20/21 App used for video MD visit prescribed Augmentin 875/125, started later that day. In bed 22 of 24 hours on 01/20/21 and 01/21/21. Acute onset of non-traumatic R ankle /foot severe swelling and instability with severe pain, unable to bear weight, waking me up early morning 01/22/21. Due to diverticulitis and unable to walk, stayed home, conservative care (RICE), ace bandage and Norco 5 mg 01/22/21-01/24/21. X-rays R ankle/foot taken on 01/25/21 at Imaging . Unable to get into PCP, went to Urgent Care, orthocast placed, prescribed Norco 5 mg. Unable to talk with PCP, spoke with another Physician requesting MRI R foot/ankle and Podiatry and/or orthopedic Consult. Still non-weight bearing on 01/27/21 but decreased swelling and R ankle/foot pain in cast. Diverticulitis improved, no fever, on liquid diet.

Other Meds: Lotrel 5/20 mg, levothyroxine 25 mcg, Nature's Made Diabetes Supplement Pack

Current Illness: R calcaneal stress fracture

ID: 0979211
Sex: F
Age: 33
State: CA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/27/2021
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Symptoms: seizure after vaccine

Other Meds: zarontin

Current Illness:

Total 2021 VAERS Injuries: 559,999

Page last modified: 03 October 2021 5:28pm