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
28,193
AK1,084
AL2,357
AR1,552
AS31
AZ7,318
CA28,113
CO5,391
CT3,688
DC679
DE742
FL15,245
FM3
GA6,071
GU48
HI1,016
IA2,291
ID1,259
IL9,099
IN13,937
KS2,303
KY3,047
LA2,084
MA6,618
MD5,716
ME1,479
MH5
MI8,186
MN5,591
MO4,444
MP10
MS1,192
MT1,264
NC7,310
ND661
NE1,480
NH1,554
NJ7,347
NM1,943
NV1,714
NY15,329
OH9,083
OK2,500
OR3,708
PA9,656
PR1,070
QM1
RI1,028
SC2,716
SD664
TN3,894
TX15,169
UT2,152
VA6,860
VI22
VT887
WA6,284
WI5,307
WV1,172
WY426
XB4
XL1
XV1

ID: 0991812
Sex: F
Age: 69
State: NC

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
Hospital:

Vax Type:
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Lab Data:

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Symptom List:

Symptoms: Patient didn't receive full 1st dose (some of the vaccine ran down her right arm); A spontaneous report was received from a consumer concerning a 69-year-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and the patient didn't receive full 1st dose (some of the vaccine ran down her right arm) with the use of mRNA-1273. There was no medical history provided. There were no concomitant medications provided. On 25 Dec 2020, the patient received the first of two planned doses of mRNA-1273 (Batch # unknown), in her right arm, for prophylaxis of COVID-19 infection. On 25 Dec 2020, the patient didn't receive full 1st dose (some of the vaccine ran down her right arm). It was noted the patient has been scheduled for an antibody test in the future to see how she is doing. There was no treatment information provided. Action taken with mRNA-1273 to the event of patient didn't receive full 1st dose (some of the vaccine ran down her right arm) was not provided. The outcome for the event of patient didn't receive full 1st dose (some of the vaccine ran down her right arm) was resolved.; Reporter's Comments: This case concerns a 69 year old female patient who received the first of two planned doses of mRNA-1273 (Batch # unknown), in her right arm, for prophylaxis of COVID-19 infection and the patient didn't receive full 1st dose. There were no reported adverse events associated with this case of incomplete dose administered.

Other Meds:

Current Illness:

ID: 0991813
Sex: M
Age: 44
State: MN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Body aches, fatigue, upset stomach, dizziness, and light headiness.

Other Meds:

Current Illness:

ID: 0991814
Sex: F
Age: 64
State: KS

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: NKFDA

Symptom List:

Symptoms: Fever spike 102.1, lethargy, refusal to eat, drink and take medication; sent to ER on 1/30/21; COVID tested (negative) returned home same day.

Other Meds:

Current Illness: N/A

ID: 0991815
Sex: M
Age: 40
State: IN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Just under 24 hours after vaccination, I developed a low fever around 100 for an entire day. I had constant body aches and chills for the day as well. This lasted for approximately 10 hours. I felt fine after that with some ibuprofen. The chills and body aches returned again at approximately 48 hours post vaccination. This last for approximately 6 hours then everything returned to normal.

Other Meds: Levothyroxine Meloxicam

Current Illness: None

ID: 0991816
Sex: F
Age: 36
State: CA

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: fever 101.0 fatigue soreness on the arm

Other Meds:

Current Illness:

ID: 0991817
Sex: F
Age: 60
State: MT

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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

Allergies: N/A

Symptom List:

Symptoms: body aches, chills, elevated temp, sweating, headache, upset stomach, lethargy

Other Meds: N/A

Current Illness: N/A

ID: 0991818
Sex: F
Age: 46
State: IL

Vax Date: 01/30/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Gluten causes stomach upset

Symptom List:

Symptoms: I seem to have what others have described as "Covid Vaccine Arm" which seems to more typically be caused from the Moderna shot and develops 8 or so days post injection. It is a 4"x6" patch of skin at injection site that developed 48 hours post injection. It is hot to the touch and has 100.3 temperature while my forehead shows 99.2 degrees. It is swollen, raised and red. It is slightly sore where it has not been in the 48 hours post injection.

Other Meds: Adderall , Armour Thyroid

Current Illness: None

ID: 0991819
Sex: F
Age: 74
State: MN

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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Lab Data:

Allergies: Lisinopril, seasonal allergies

Symptom List:

Symptoms: Diffuse body rash with red spots on face, chest, back, arms, legs. Increased swelling of bilateral legs. Leg swelling first started in the afternoon after the vaccine, followed by diffuse rash with mild itching at night. The rash was on the arms and then spread to the rest of the body The patient had been taking benadryl at night with improvement of her rash . No respiratory complaints

Other Meds: Alendronate, Aspirin, Atorvastatin, Advair, Duo-Neb, Albuterol, Losartan, Metoprolol, Pantoprazole, multivitamin

Current Illness: None

ID: 0991820
Sex: F
Age: 49
State: NE

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List:

Symptoms: Rapid increase in heart rate 3 minute after injection (from 77 to 134)- lasting approximately 5-8 min. Elevated heart rate (20 beats above normal on average) for the day following while resting, rapid increase in heart rate with mild activity.

Other Meds: Depoprovera

Current Illness: none

ID: 0991821
Sex: F
Age: 67
State: MA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Exhaustion-Severe, Systemic: Other- mild chest pain, dizziness, feeling like she was going to pass out or fall asleep-Medium

Other Meds: NONE

Current Illness:

ID: 0991822
Sex: F
Age: 30
State: CA

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

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Lab Data:

Allergies: Shellfish and skins of shiny fruits

Symptom List:

Symptoms: One week after the first dose of the Moderna COVID-19 vaccine, I developed a 3-inch red patch around the injection site. This was not noticeable at all before day #8. I also had a small cluster of tiny welts (about 1/2 inch or smaller) on my right forearm that developed on day #8 as well. Those were red and itchy. I applied Cortizone to both sites. In about 48 hours, the injection site red patch was gone. The small patch of welts is almost gone. Not red or itchy anymore.

Other Meds: Prozac, Klonopin, and Spironolactone

Current Illness: none

ID: 0991823
Sex: F
Age: 67
State:

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
Hospital:

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Symptom List:

Symptoms: soreness and swelling at site of injection. Hardness, swelling approximately 3-4 inches in diameter. Redness, felt hot. Occurred approximately 8-12 hours after shot. Lasted at least 3 days. Tenderness and swelling gradually reduced over time, essentially gone by 5th or 6th day after shot. Also had itching and mild red rash at injection site approximately 2 days after injection which lasted for approx 2 days (intermittent itching).

Other Meds:

Current Illness:

ID: 0991824
Sex: F
Age: 59
State: NY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 02/01/2021
Hospital:

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Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Vaccine administration error. It is suspected that a 1/2? needle syringe was used instead of a 1? needle syringe IM.

Other Meds: Unknown

Current Illness: Unknown

ID: 0991825
Sex: M
Age: 35
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/01/2021
Hospital:

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Symptom List:

Symptoms: Severe fatigue, achy everything down to the joints in my fingers, 103.8 fever with chills starting at 4:30 PM 1/20/21. Fever broke mid day 1/21/21. No medical attention needed just rest, fluids and alternating of tylenol and alleve.

Other Meds:

Current Illness:

ID: 0991826
Sex: F
Age: 65
State: IL

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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Lab Data:

Allergies: Lorabid antibiotic had a rash 1998.

Symptom List:

Symptoms: At 3:30pm on 1-29-2021 I began to have a severe headache and nausea. At 4:20pm on 1-29-2021 one day after receiving Covid 19 first vaccine, I began violently vomiting 4 times hourly until 8pm on 1-29-2021. I also had 3 loose stools during that time. From 1-30-2021 to 2-1-2021 I have had a headache and nausea in the morning.

Other Meds: Levothroxyne, Lisinipril, vitamin, vitamin D, took 1 amox Clav. antibiotic ate a meal before and took at 1pm Friday, 1-29-2021. Had been to the doctor on 1-26-2021. Had taken this antibiotic several times before in the past.

Current Illness: Had a head cold and had gone to the doctor on 1-26-2021. The doctor said my symptoms were now severe for an antibiotic. On Friday, 1-29-2021 I had a headache, nausea and head cold. Called doctor to get antibiotic.

ID: 0991827
Sex: F
Age: 62
State: TX

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: Nausea, vomiting, headache, chills,

Other Meds: metformin, lisinopril, insulin

Current Illness: Diabetes, high blood pressure

ID: 0991828
Sex: F
Age: 65
State: OK

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 02/01/2021
Hospital:

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Symptom List:

Symptoms: Noticed itching at site several days later, much like a spider bite or chigger bite. Area became red and raised, then spread over 6-7 days into an oval shape roughly 3X6'. It was never rough or bumpy, but put out a lot of heat and itched. Towards the last day or so, the originating area began to fade, and the rest followed suit. I read that this is now called "Covid Arm".

Other Meds: Lisinopril 10mg + HCTZ 12.5mg

Current Illness:

ID: 0991829
Sex: M
Age: 28
State: IN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Latex allergy

Symptom List:

Symptoms: Headache lasted 24 hours Arm ache at injection site for 48 hours Fever for 24 hours Body aches for 36 hours Eyes felt like they were burning for 2r hours

Other Meds: None

Current Illness: None

ID: 0991830
Sex: F
Age: 59
State: CA

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Fever, chill body aches she can not move around, head ache.

Other Meds:

Current Illness:

ID: 0991831
Sex: F
Age: 52
State:

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Allergies: None

Symptom List:

Symptoms: Fatigue Vivid dreams Mild headache

Other Meds: Levothyroxine Lipitor

Current Illness: None

ID: 0991832
Sex: F
Age: 75
State: MD

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Latex, penicillin, Cipro

Symptom List:

Symptoms: Nausea, vomiting, flushing, sweating, redness of face, hands chest, lower legs, high blood pressure 180/102 pulse oximeter 97-99. Given 25 mg of benadryl as a liquid. Approximately 4:30 my oxygen level still good and blood pressure was down to 146/75 and pulse 74. Redness was fading. No other problems after this.

Other Meds: Vitamin: D3,B12,B6,folic acid. Propranolol 10 mg, Olmasarton 40 mg. Levothyroxine 100, Lexapro 10, Alupurinol 10. Claritin

Current Illness: None

ID: 0991833
Sex: F
Age: 38
State: CA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: chills fever body aches headaches

Other Meds:

Current Illness:

ID: 0991834
Sex: F
Age: 44
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: After an hour of receiving vaccination I began to have a headache. I began to feel fatigue and overall malaise. That night I experienced chills, fever, body aches and felt terrible. My left arm was very sore. The next day I experienced fatigue, body aches and headaches throughout the next few days.

Other Meds: None

Current Illness: None

ID: 0991835
Sex: F
Age: 53
State: IN

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Extreme chills fevers Sneezing Runny nose watery eyes Fatigue Body aches . Extreme chills And fatigue started 34 hours after shot . Sneezing started 48 hours after the shot Runny nose watery eyes And body aches Started 56 hours .

Other Meds: Cetirizine HCL , Meloxicam Aripiprazole Cymbalta , Montelukast, Oxybutynin , Triamterene Losartan potassium , Probenecid, Medicor .

Current Illness: None

ID: 0991836
Sex: F
Age: 58
State: FL

Vax Date: 01/09/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Nsaids, oral contrast,

Symptom List:

Symptoms: Face swelling, fever, vomiting muscle and joint pain. I also have what looks like hives on my eyelid. I?ll still achy.

Other Meds: Fenofibrate, warfarin. Lisinipril. Zoloft Calcium with vitamin D

Current Illness: A reaction to the first vaccine for covid just achy and nauseous. The second vaccine was a lot worse. Fever my face swelled vomiting every joint hurts. Muscles ache. I have what looks like hives on my eyelid.

ID: 0991837
Sex: M
Age: 36
State: NY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Vaccine administration error. It is suspected that a 1/2? needle syringe was used instead of a 1? needle syringe IM.

Other Meds: Unknown

Current Illness: Unknown

ID: 0991838
Sex: F
Age: 39
State: NY

Vax Date: 01/29/2021
Onset Date: 01/01/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Employee was given the wrong COVID-19 vaccination on her second dose. In error she received the Pfizer vaccine instead of the Moderna vaccine on 1/29/21.

Other Meds: Plaquenil, 200mg, BID Minoxidil, 2.5mg., QD

Current Illness: None

ID: 0991839
Sex: F
Age: 55
State: NY

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: bactrim (hives)

Symptom List:

Symptoms: The patient received the vaccine at 8:30 am. Reported no issues with first vaccine. The patient reported driving and feeling lightheaded and heart started racing. The patient pulled over sat and walked around and felt better. Then got back in the car and kept driving, heart was racing again, couldn't move fingers, blood was pounding, fingers appeared white and numb. The patient called 911 and volunteer firefighter came, ambulance arrived and could move fingers again. Blood pressure was 136/104. For 10-15 minutes fingers felt numb and tingly, light headedness, and heart racing all stopped. The patient drove home and was not taken to the hospital and felt weak and shaky for about an hour.

Other Meds:

Current Illness:

ID: 0991840
Sex: F
Age: 41
State: CA

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Injection abt 11 am, felt tired 2 hours after injection and had pain on side.Felt warm and chilled later in evening abt 8:00 , in Morning Temp went up to 102.2. 2 am took Ibuprofen. Later then 100.1. Temp had headache and body aches, took another Ibuprophen. Still had headache and body ache.

Other Meds:

Current Illness:

ID: 0991841
Sex: M
Age: 77
State: VA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: None I know of

Symptom List:

Symptoms: The night of vaccination (Sat): Pain at right side hip bone difficulties falling in sleep The next day (Sun): Pain at right side hipbone when I bend to put on socks, sit down, get up, or walk. No pain while sitting in one position. The night the next day (Sun): The pain subsided enough that I could fall asleep. Two days later (Mon): The pain reduced enough that I could put on socks with little difficulties. I could move normally with little or no pain. It is getting better rather quickly.

Other Meds: 1. Cholesterol Control Niacin Omega Pravastatin Sodium 2. Triglycerides Control Fenofibrate (Trilipix) 3. Hypertension Control Lisinopril (Zestril) 4. Barrett?s Esophagus Acid Control Pantoprazole 5. Vitamin D Deficiency Vitamin D

Current Illness: Slight lower back pain after 1 hour of leisurely walking exercise

ID: 0991842
Sex: M
Age: 40
State: MT

Vax Date: 01/22/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: On Day 5 after first shot I had extreme pain in injection site that was red swollen and hot. Also my left armpit was so swollen there was no longer a visible armpit. This has lasted for a few days now.

Other Meds: none

Current Illness: none

ID: 0991843
Sex: F
Age: 65
State: WA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: The day of the vaccine my arm became immobile due to pain. I could not move my are for 3 days. My arm is still sore after more than a week.

Other Meds: D3 and Calcium

Current Illness: none

ID: 0991844
Sex: F
Age: 72
State: TX

Vax Date: 01/12/2021
Onset Date: 01/24/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Meperdine

Symptom List:

Symptoms: severe muscle cramps , muscle fatigue , low grade temp

Other Meds: Vit D. Calcium . Tylenol. Ibuprofen

Current Illness: None

ID: 0991845
Sex: F
Age: 31
State: TX

Vax Date: 01/01/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Moderna vaccine Fever, chills, headache, body aches. Felt absolutely Terrible for 30 hours.

Other Meds: None

Current Illness: None

ID: 0991846
Sex: F
Age: 51
State: FL

Vax Date: 01/14/2021
Onset Date: 01/18/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: rash, hives radiating from lower abdomen up to arms, torso and shoulder. Self medicating with loratidine and benadryl.

Other Meds: Hctz 25 mg daily Cloracon 10 meqs daily Vitamin D - 2000 IU daily Lisinoprile - 5mg at bedtime Lipitor - 30mg at bedtime Estradiol - 1mg at bedtime Metformin - 500mg daily

Current Illness: None

ID: 0991847
Sex: F
Age: 71
State: IN

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
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Allergies: Gadolinium

Symptom List:

Symptoms: Nine days after the shot I have developed a red rash around the injection site. It has pink welts, is warm to the touch, itches.

Other Meds: metoprolol, tramadol, cranberry tablets, Bayer 81 aspirin, Vit D, magnesium, vit b12

Current Illness: none

ID: 0991848
Sex: F
Age: 46
State: IN

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
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Allergies: eggs, sulfa based medications, tetracycline based medications, doxycycline, norco, cephalexin, non albuteraol inhalers

Symptom List:

Symptoms: beginning on 1/31/2021 at approximately 5:00pm I noticed joint pain in the elbow and hand/wrist of the arm the injection was given in. This joint pain progressed to then include muscle pain and by the morning of 2/1/2021 joint/muscle pain was not localized to one specific area of the body and I was experiencing nausea

Other Meds: none

Current Illness: none

Date Died: 01/28/2021

ID: 0991849
Sex: M
Age: 88
State: MN

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
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Allergies: NKA

Symptom List:

Symptoms: Congestion, Hypoxia, SOB, Tachycardia, Weakness. Started on O2 @ 3L, HOB elevated, Tylenol supp

Other Meds: clonazepam, Flomax, Flunisolide Soln., Melatonin, Omeprazole, Miralax, Sertraline, Milk of Mag, Tylenol

Current Illness:

ID: 0991850
Sex: F
Age: 24
State: IN

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
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Allergies: Augmitin

Symptom List:

Symptoms: Body aches, fever, chills, fatigue, headache, diarrhea.

Other Meds: Amethia Lo, women?s multi vitamin, vitamin D3, biotin, magnesium, allegera

Current Illness:

ID: 0991851
Sex: M
Age: 79
State: DE

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
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Allergies: Tetanus

Symptom List:

Symptoms: Itching at site of injection and area is red . Location is warm

Other Meds: Atorvastatin 20mg. 1 per day in AM (Cholesterol) Started 3/2018 Increase dosage 6/2020 Cholesterol Indapamide (Lozol) 2.5mg. 1 per day in AM Hypertension Finasteride (Proscar) 5mg. 1 per day in AM started 8/2017 Enlarged Prostrate Breo

Current Illness: none

ID: 0991852
Sex: F
Age: 37
State: MD

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
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Allergies: tomato, pepper, potato, eggplant, tomatillo, atropine (nightshades and derivitives)

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Approximately 15-20 minutes after receiving the injection, felt dizzy, nauseated, shaky. Tongue felt like it was swelling similar to previous allergic reactions I have had, lips were tingly, vision started to blur. Given 25 mg benadryl PO. Walked to urgent care in building, given IV methylprednisone and odansterone, oral famotidine. BP initially very high, was 154-100 at time of discharge from urgent care at approximately 11:30 am. Temp 97.4 at discharge. The following morning: vomiting, copious diarrhea, fever, body aches, stomach pains, fatigue, headache, weakness, dizziness, joint pain. Treated with fluids, rest, benadryl. Temperature high of 100.8 (not taking it consistently though). Today, 02.01.2021 temperature 99.8, still aches and weakness but improving. Normal temperature is ~97.7 on home thermometer.

Other Meds: escitalopram 10 mg 1 QHS adderall xr 15 mg 1 QAM amtryptiline 25 mg 1 QHS melatonin 5 mg 1 QHS diphenhydramine 25 mg 1-2 QHS

Current Illness: n/a

ID: 0991853
Sex: F
Age: 29
State: IN

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
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Allergies: Sulfa

Symptom List:

Symptoms: Horrible headache, severe body aches, nausea, shortness of breath for 30 hours

Other Meds: None

Current Illness: None

ID: 0991854
Sex: F
Age: 67
State:

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 02/01/2021
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Allergies: nkda

Symptom List:

Symptoms: sensation of swelling, shortness of breath

Other Meds:

Current Illness:

ID: 0991855
Sex: M
Age: 54
State: SC

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/01/2021
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Allergies: NKA

Symptom List:

Symptoms: An immediate increase in heart rate, followed by a tingling in the back of the throat and tingling of the lips. Adverse reaction resolved after one hour and 30 minutes.

Other Meds: Benazepril, Lipitor, Xanax, Elavil, Levemir, Novolog

Current Illness: None

ID: 0991856
Sex: M
Age: 63
State: VA

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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Allergies: sensitivity to Haldol

Symptom List:

Symptoms: lip swelling

Other Meds: aspirin, Symbicort inhaler, Celexa, Depakote ER, Colace, ferrous sulfate, lisinopril, lorazepam, melatonin, simvastatin, Spiriva inhaler, tamsulosin, ibuprofen when necessary

Current Illness: hypertension, hyperlipidemia, benign prostatic hypertrophy, organic, impulse control disorder, organic affective disorder, chronic obstructive pulmonary disease

ID: 0991857
Sex: F
Age: 61
State: AK

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
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Symptoms: pt c/o tingling in mouth, lips, throat approx 5 minutes post injection.

Other Meds:

Current Illness:

ID: 0991858
Sex: F
Age: 45
State: AZ

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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Allergies: None

Symptom List:

Symptoms: 1 minute after injection felt a very uncomfortable sensation of heat come over entire body, I felt heart palpitations and a sensation that my heart was racing. I then became lightheaded and dizzy and my hands and lips/cheeks became numb and tingling and I got very shaky. I summoned paramedics who came and took vitals and my heart rate was in 130s with blood pressure of 200/110, I have no prior history of high blood pressure or high resting heart rate. Blood pressure came down to 160/92 within 30 minutes, other symptoms improved and I was cleared to leave vaccination site. Intermittent numbness in face and hands and general shakiness persisted through the next 12 hours and heart rate stayed 100-120 and blood pressure was elevated for 12 hours before returning to my usual results.

Other Meds: Multivitamin Vitamin B complex Vitamin D Zinc

Current Illness: None

Date Died: 02/01/2021

ID: 0991859
Sex: M
Age: 89
State: IL

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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Symptoms: Per granddaughter's report, pt became very weak within hours of receiving the first dose of the Moderna COVID-19 vaccine and could not get out of bed the next morning without assistance, reported difficulty seeing, and did not recognize some family members. By Sunday, 1/31, pt was unable to be awakened, would not eat, and had low urinary output. Granddaughter reports that the morning of 2/1 he was awake and ate a small amount and seemed to be improving although still weak and unable to get out of bed. Granddaughter reported he died 2/1 around 10am in the morning.

Other Meds:

Current Illness:

ID: 0991860
Sex: M
Age: 72
State: IN

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
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Symptoms: He received the 1st shot of Moderna vaccine at 8:15 am. Around 5:00 PM, he experienced chills (was not able to take temperature), nausea, and loss of appetite. This lasted throughout the first evening. No adverse side effects the second day.

Other Meds:

Current Illness:

ID: 0991861
Sex: F
Age: 40
State: CA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/01/2021
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Allergies: Sulfa

Symptom List:

Symptoms: Post Inj. day 3 swollen painful lymph nodes right axillary armpit. Day 9 pain has resolved but lymph is still swollen. Day 16- lymph nodes resolved.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 279,999

Page last modified: 03 October 2021 5:28pm