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: 0997750
Sex: M
Age: 50
State: OH

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

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

Lab Data:

Allergies: NKA

Symptom List: Dysphagia, Epiglottitis

Symptoms: Chills same day noticed at 11:30 pm. Tylenol taken. Effective. Next day some fatigue. Returned home from work early. Napped total of 3 hours: effective. No other concerns.

Other Meds: NA

Current Illness: NA

ID: 0997752
Sex: F
Age: 48
State: WA

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data:

Allergies: CT contrast, dust

Symptom List: Anxiety, Dyspnoea

Symptoms: I began noticing 2 days after receiving the second vaccine joint stiffness and aches. At the end of my 9 hour shift I was very stiff in all of my lower joints from the hips down as well as uncomfortable from the achiness. I walked slowly and stiffly as I was leaving work. I felt extremely tired that night and decided to work a shorter shift the next day - 8 hours rather than 9 hours. I took ibuprofen prior to my second shift. I was still achy and stiff but it was a little better witht he ibuprofen. The next day at home on the weekend I was again achy and stiff and took ibuprofen. I woke up on 1/25 with swollen hands that were painful and stiff. I have since had daily swelling of both hands and achiness in wrists non

Other Meds: prozac 60mg, low dose birth control pill

Current Illness: none

ID: 0997756
Sex: F
Age: 86
State: NY

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Per patient, received vaccine on 1/20/21, but states side effects did not present until 1/28/21. Reported to this office 1/29/21. States on 1/28/21 injection site red and itchy; 1/29/21-site itchy; 1/30/21-itchy, blistery; 2/1-resolved

Other Meds:

Current Illness: none

ID: 0997768
Sex: F
Age: 87
State: NC

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: dizziness

Other Meds:

Current Illness:

ID: 0997792
Sex: F
Age: 60
State: OR

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

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

Lab Data:

Allergies: penicillin, e-mycin

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

Symptoms: dizzy, headache, upset stomache, chills/sweats

Other Meds: lisinopril/hctz20-25 mg, pot citrate er 1080 mcg, alloprinol 100 mg, omeprazole dr 20 mg, magnesium 250 mg, cranberry 400 mg

Current Illness:

ID: 0997800
Sex: F
Age: 60
State: AL

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

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

Lab Data:

Allergies: none

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

Symptoms: headache, joint & bone pain, red lump at injection site, injection site warm to the touch, soreness at injection site, some wheezing 40 x 40 mm

Other Meds: synthroid simvastatin Zyrtec, Cosamin DS, Magnesium, Vitamin C, Vitamin D Turmeric, Aspirin, Flonase, Progesterone, Janumet, Potassium

Current Illness: n/a

ID: 0997812
Sex: F
Age: 38
State: FL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/02/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: Environmental Allergies

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient received first dose of Pfizer Covid-19 Vaccine on 1/13/21. Patient was seen in office on 1/27/21 and reported symptoms of headache, dizziness, speech disturbance, memory loss, balance issue, and hand tremors causing change in handwriting for the past 1.5 to 2 weeks after receiving vaccination of first dose of Pfizer Covid-19 Vaccine. Upon review of Neurological symptoms, patient was positive for loss of balance and coordination, 4/5 strength in all extremities, and 4/5 grip strength. CT of Head with and W/O contrast was ordered. CBC, CMP, Free T4, HgbA1c, lipid, TSH, Urinalysis, Vitamin B12, Folate and CK laboratory ordered.

Other Meds: Adderall 20mg, Zyrtec 10mg, Fluticasone Propionate 50mcg, Atorvastatin 20 mg, Azurette (28) 0.15mg-0.02mg (21)/0.07mg (5), Clotrimazole-betamethasone 1%-0.05%, Cyclobenzaprine 10mg, Lexapro 20mg, Metformin 500mg, Nexium 20mg, Singular 10mg

Current Illness: Unknown

ID: 0997825
Sex: F
Age: 68
State: CA

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies: NONE

Symptom List: Pharyngeal swelling

Symptoms: Patient's chronic eczema flared up about five hours later. Her upper lip started tingling at which time patient took 25mg of Benadryl and 40mg of Famotidine. In about one hour symptoms reduced. Patient called her Dermatologist that monitors her eczema on the following day. Dr. told patient to take 25mg of Benadryl one hour before next vaccination and to be monitored for 30 minutes after the injection.

Other Meds: CELLCEPT

Current Illness: ECZEMA

ID: 0997831
Sex: F
Age: 31
State: CA

Vax Date: 12/24/2020
Onset Date: 12/26/2020
Rec V Date: 02/02/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Antibiotics (hives)

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Pt noticed the rash over her trunk and extremities 1-2 days after the COVID vaccine. She has been seen at the clinic on 1/5 and 1/6/2020. Denied itching, so no treatment was render. Pt applied skin moisturizure to her dry flaky skin after shower and feeling better the next day.

Other Meds: Wellbutrin XL 300 mg daily, Portia-28 1 tablet daily

Current Illness: Pityriasis Rosea (12/26/2020)

ID: 0997839
Sex: F
Age: 21
State: VA

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

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

Lab Data:

Allergies: None listed

Symptom List: Diarrhoea, Nasal congestion

Symptoms: During wait time after vaccination, patient became dizzy, lightheaded, pale

Other Meds: None

Current Illness: None listed

ID: 0997846
Sex: F
Age: 54
State: FL

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data:

Allergies: SULFA

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

Symptoms: Urticarial lesion, swelling - frst on the left upper arm at the injection side, spreading distally and also seen on the right upper arm Lesions are erythematous, maculo-papular, circumscribed. No fever. No other skin lesions noted on the trunk, legs. Initially treated with Benadryl. Here in the office today, given Solumedrol 125mg IM followed by 4 mg Medrol dosepak, Levocetirlzine.

Other Meds: Chondroitin sulfate, cinnamon, calcium and vitamin D, CoQ10,

Current Illness: None

ID: 0997854
Sex: F
Age: 81
State: LA

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 02/02/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: none

Symptom List: Rash, Urticaria

Symptoms: Localized skin allergic reaction on deltoid muscle, lasting about 2 weeks, itching, rash. Starts in the morning and progressively worsens throughout the day.

Other Meds: none

Current Illness: none

ID: 0997863
Sex: F
Age: 72
State: PA

Vax Date: 01/07/2021
Onset Date: 02/01/2021
Rec V Date: 02/02/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: Seasonal pollen and mold

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

Symptoms: Upper left arm started to itch on Monday 2/1/2021. It felt like there were areas of dried skin, slightly flakey and rough. That night when I took off my shirt and looked at the arm, there were over a dozen pin head sized red areas, all within 3 inches of the vaccination site. No systemic signs (fever, chills, fatigue) at all. There has been no change, and I have not contacted a physician or needed any medication

Other Meds: None

Current Illness: None

ID: 0997894
Sex: U
Age: 63
State: KY

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

Vax Type:
Manufacturer:
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Lot:
Dose Series:
Vax Route:
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Lab Data:

Allergies: doxycycline, pencillin, Incruse elipta

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

Symptoms: About 24 hours after her vaccination with Shingrix, Patient became breath, had severe pain in her arm and felt very tired. She visited her pulmonologist and I/ID said she had interstitial markings and granular areas in her lungs. MD said it was probably from the Shingles vaccine and they want to re check her in 4 months. Patient has gradually started feeling better.

Other Meds: albuterol, calcitonin, clindamycin gel, desonide cream, pramip

Current Illness: asthma

ID: 0997906
Sex: M
Age: 15
State: KY

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

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

Lab Data:

Allergies:

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

Symptoms: While at COVID Clinic on 1/29/2021 the first dose of vaccine was administered outside of CDC guidelines to someone less than 16 years old.

Other Meds:

Current Illness:

ID: 1000852
Sex: F
Age: 40
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Dizziness & NauseaVomiting Narrative: discharge diagnosis of acute labrinathis requiring walker to ambulate. Having falls

Other Meds:

Current Illness:

ID: 1000854
Sex: M
Age: 72
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Narrative: Pt became unresponsive after receiving 2nd dose of covid vaccine, leading to ED visit. Pt also completed hemodialysis prior to receiving vaccine. Pt reported feeling tired, lightheaded prior to syncope. On arrival to ED, BP was 80/60 mmHg, given lactated ringers and BP improved. Pt admitted for high risk possible syncopal episode.

Other Meds:

Current Illness:

ID: 1000858
Sex: M
Age: 60
State:

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

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Angina Narrative: Pt presented to the ED with persistent chest pain and shortness of breath for 6 days after receiving 2nd dose of covid vaccine. Symptoms began morning after receiving vaccine. Negative work up, however pt is high risk of cardiac events. Given ASA and nitro for ongoing chest pain that is possibly cardiac in nature. Pt admitted.

Other Meds:

Current Illness:

ID: 0996566
Sex: F
Age: 44
State: UT

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Rash at injection site 8 days after shot. ("Covid arm") Rash is slowly going away 3 days after it appeared.

Other Meds: None

Current Illness: None

ID: 0996567
Sex: F
Age: 65
State: OR

Vax Date: 01/23/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Sulpha antibiotic Endocin (anti inflammatory)

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

Symptoms: 8 days following vaccine, injection site became painful again. Day 10 it became itchy, red, and hot. Feels bruised. (Initially on days 1-3 only had arm soreness)

Other Meds: Synthroid Vitamin D Estradiol external cream

Current Illness: None

ID: 0996568
Sex: M
Age: 36
State: AZ

Vax Date: 12/15/2020
Onset Date: 12/15/2020
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: not known

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

Symptoms: Adverse event: 2 of 7 people received a more concentrated dose of the vaccine. One vial of two was diluted incorrectly with less Normal Saline than require. This error was not noticed until person mixing vaccine said they were out of vaccine and did not have enough to get 5 dosages of 0.3ml. Two people mixed one vial of vaccine together demonstrating to the other. It appears the person making the error did not notice they did not have 1.8ml of NS but must have had some air and did not realize it. The error was noticed when all the vaccines were given and one person had not completed pulling up the vaccine. So, 2 of 7 patients received the incorrect dose of vaccine and it could not be determined which two received the incorrect dose. Patient Reports: Sore arm for several days

Other Meds: not known

Current Illness: not known

ID: 0996569
Sex: F
Age: 45
State: WA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List: Unevaluable event

Symptoms: Flu like symptoms: started getting week and tired. Went to bed about 11pm and could barely get up in the morning at 4:30 am. Headache, low grade fever of 99.7, achy all over, a bit of nausea.

Other Meds: Vitamin B12, Vitamin D Magnesium

Current Illness: None

ID: 0996570
Sex: F
Age: 56
State: NJ

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: All Nuts, All Berriers, All seafood. Lactose intolerant

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

Symptoms: for the 2 dose again my blood pressure rose to 168/109 and the back of my throat began to itch , I was then taken to the emergency room for treatment for my adverse reaction, while in the emergency room my upper body began to itch my right began to hurt and got a slight headache, I was discharge after receiving treatment. While at home I have chills and was tired.

Other Meds: metformin 500mg, metropolo 100mg, amlodipine 5mg , trucility once a week

Current Illness: Diabetes High blood Pressure

ID: 0996571
Sex: F
Age: 50
State: MD

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Reglan, Bees, latex sensitive

Symptom List: Injection site pain, Pain

Symptoms: Within 6 hours, expected R arm pain and beginnings of a headache. On 1/28/21, moderate headache continued but was fatigued/lethargic and had muscle pain and body aches. On 1/29/21, headache decreased and felt refreshed. On 1/30/21, had moderate headache, slight body aches, and was sleepy. 1/31/21, slept most of the day, was irritable and some nasal congestion noted along with the headache. 2/1/21, sweated throughout the night, no fever but was either hot or cold. Irritable with brain fog as well. Facial flushing, neck pain, swollen lymph nodes in pelvic and bilateral submandibular areas. Throat does not look red or patchy but some post nasal drip involved. Tongue has geographical patches which started about 1 year ago and is random. Had unilateral lymphedema and geo tongue both 1 year ago for reference. CT results, reactive.

Other Meds: Novolog insulin via pump

Current Illness: None

ID: 0996572
Sex: U
Age: 21
State: CA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Some fruits and vegetables. Mainly leafy greens

Symptom List: Injection site pain, Menorrhagia

Symptoms: Inflamation, pain on touch, remaining hard spot of some tissue.

Other Meds: Weed

Current Illness:

ID: 0996573
Sex: F
Age: 65
State: CA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: nausea, diarrhea, dizziness, aches & pains all over body, feeling weird, tired, can't get up, all lasting 3 days

Other Meds: apple cider

Current Illness:

ID: 0996574
Sex: M
Age: 66
State: CA

Vax Date: 01/21/2021
Onset Date: 01/24/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: No previous known Allergies

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: There was no adverse event involved. only a series of moderate side effects that went on for about 8 days. My father received his first dose on 1/21 after 3 days on Sunday evening of 1/24 he started chills and fever till 1/31. He experienced persistent fever as high as 104.7 even 105 at one point followed by fatigue and body-ache. He no longer had any fever on 2/1, just mostly fatigue and not having much energy and also couple episodes of coughs. As of 2/2 he is doing much better looks to be fully recovering. I wanted to know if you would advise if he should get his second shot as well.

Other Meds: fluoxetine 20 MG, Vitamin D3 3000 IU

Current Illness: No known illness prior to the vaccine

ID: 0996575
Sex: F
Age: 40
State: FL

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Severe itching, redness, sores on back, arms, torsal, upperlegs, buttocks.

Other Meds:

Current Illness:

ID: 0996576
Sex: M
Age: 54
State: IN

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Kelfex

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

Symptoms: Mild body aches, dizziness, low-grade fever (99.4), headache. Body aches started about 20 hours after dose, followed by dizziness and fever. Headache lingered the longest. All resolved approximately 30 hours after dose.

Other Meds: famotidine, cetirizine, hydrochlorothiazide, multivit, vit C

Current Illness:

ID: 0996577
Sex: F
Age: 25
State: TX

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Pecans

Symptom List: Nausea

Symptoms: Fever lasting 8 hours straight, resolved for 4 hours, returned for 2, chills with fever, severe muscle aches for 24 hours, headache for 24 hours, N/V with headache.

Other Meds: Propanolol 60mg ER daily, Prenatal Vitamin daily, Sprintec daily, Docusate Sodium 100mg every other day.

Current Illness: None

ID: 0996578
Sex: M
Age: 19
State: SC

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List: Injection site pain

Symptoms: Body aches, chills, shaking, headache, neck pain, fever, insomnia, rust colored spots on palms and fingers and finger tips

Other Meds: Lorazepam 1mg Lamotrigine 100mg Fluoxetine 40mg Amlodipine 10mg Ibuprofen 800mg Baby aspirin

Current Illness: None

ID: 0996579
Sex: F
Age: 35
State: ID

Vax Date: 01/26/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: N/a

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

Symptoms: Rash on left arm at injection site

Other Meds: Vitamin C, Vitamin D

Current Illness: N/A

ID: 0996580
Sex: M
Age: 29
State: TX

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Pain at injection site - sudden and more painful compared to that of dose 1. Other adverse events that happened with second dose that did not happen with 1st dose: - Insomnia on 1/28/21 night up to 1/29/21 early morning, needed melatonin to help with falling asleep. - Grogginess/lightheadedness on 1/29/21 morning, some mild headache. Proceeded to take 2 Tylenol 650 mg tabs. - Headache, dizziness, and fatigue worsening during 1/29/21 throughout the day. Severe headache/dizziness, especially if moving head quickly, on 1/29/21 evening - prompting to take 2 Advil 200 mg tabs. - The headache and injection site pain were lessened significantly, but still there on 1/30/21. All other symptoms resolved. - All symptoms resolved by 2/1/21.

Other Meds: Tums

Current Illness: H pylori infection

ID: 0996581
Sex: M
Age: 21
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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Allergies: NKDA

Symptom List: Tremor

Symptoms: c/o subjective fever with dizziness and sweating. Temperature, tmax 100.0F (A) at home. Pt received 2nd dose of COVID Vaccine at 0930 02Feb2021. Patient is a 21 year old male who presents to ED with subjective fever, dizziness, sweating and papitation 8 hours after receiving his second Moderna vaccine. He denies any chest pain, no shortness of breath. He doe shave some nausea, but it able to drink fluids well. No other significant PMH.

Other Meds: UNK

Current Illness: NO

ID: 0996582
Sex: F
Age: 30
State: CA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
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Allergies: Most NSAIDS triggers rosacea including ibuprofen.

Symptom List: Erythema, Pruritus

Symptoms: After taking the vaccine around 9:45 am, 1/27, I started feeling mild pain so took ibuprofen. -after an hour or less, I started getting itchy, burning hives all over my face and scalp. - hives disappeared by the end of the day. - next morning there was bad headache, almost passed out, threw up. -entire body pain for atleast 3 days - have been getting hives on face on and off till this date 2/2.

Other Meds: I took ibuprofen after getting the vaccine because I started feeling mild pain. I was at work and I didn't have any other pain reliever so borrowed from my coworker.

Current Illness: acid reflux

ID: 0996583
Sex: M
Age: 68
State: TX

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
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Allergies: None

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Injection site very sore including muscle use of arm. Started about an hour after shot received. Shot itself virtually painless at injection time. Ibuprofen taken helped diminish pain. 36 hours later still sore but much reduced pain. Physically active use of arm I think helped reduction in pain. Expect after 48 hours to be pain free I hope.

Other Meds: Metformin Actos Glyburide Farxiga Avorstatin Aspirin Multivitamin

Current Illness: None

ID: 0996584
Sex: M
Age: 23
State:

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
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Allergies: NKDA

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

Symptoms: pt c/o of flu like symptoms after receiving 2nd COVID vaccine dose at 1100 02FEB2021. Pt reports fever (tmax 101F), chills, N/V, generalized body aches, h/a, sore throat, and dizziness. Pt states flu-like symptoms after getting 2nd COVID vaccine shot yesterday. Pt states fever, chills, n/v, dizziness, HA, sore throat, bodyache. Pt's left tonsil swollen. Pt states 1 episode of vomiting today 0100 without blood, 8/10 constant bodyache. Pt denies taking medication PTA.

Other Meds: UNK

Current Illness: NO

ID: 0996585
Sex: F
Age: 41
State: CA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/03/2021
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Allergies: Vicodin, Adhesive

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Neck and jaw stiffness/pain started 45 mins after injection. Then Whole body aches. Started taking ibuprofen and Benadryl. Next several days had joint pain in bilateral shoulders,elbows,wrist and hips. This lasted 4 days. Legs ache mostly calves. One week later developed rash on left side of arm and chest. It has been 4 weeks now and still having ashiness in legs mostly calves. I feel that all my lymph nodes in my body are swollen. I was perfectly fine before covid vaccination. I Had none of these symptoms before getting vaccinated.

Other Meds: Ibuprofen

Current Illness: None

ID: 0996586
Sex: M
Age: 71
State: GA

Vax Date: 01/21/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
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Allergies: None

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

Symptoms: "Covid Arm" - slightly red and swollen. Appeared on Saturday (1/30) evening. Size about the diameter of a baseball. No treatment given. By Monday, 2/1, grew in size; shape now oval, length approx 6 inches, width varies from 2 to 3 inches. Started to itch slightly at approx 9:00 PM. Took2 Benadryl liqui-gels at approx 11:00 PM. At 10:00 AM on 2/2, size remained the same, and red coloring started to fade. By 10:00 PM on 2/2, the size grew about 1/2 inch in both length and width. Took 2 more Benadryl liqui-gels at 10:00 PM. By 1:00 a on 2/3, there is no change.

Other Meds: 1) Quinapril 20 mg tablets -one per day , 2) Triamterene 37.5 mg/HCTZ 25mg caps -one per day

Current Illness: None

ID: 0996587
Sex: M
Age: 40
State: HI

Vax Date: 01/14/2021
Onset Date: 01/25/2021
Rec V Date: 02/03/2021
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Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Developed generalized itchy rash

Other Meds:

Current Illness:

ID: 0996588
Sex: F
Age: 55
State: WA

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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Allergies: NKDA

Symptom List: Pain in extremity

Symptoms: 14 hrs after receiving the 2nd Moderna vaccine..she noticed twitching of random areas of her body and face..not all at once but was constantly twitching at one place or another. No other symptoms..no fever..no HA..nothing unusual about injection site..Does have some muscle aches and fatigue which she expected. Also mentioned some loss of balance when trying to walk. Her symptoms have been constant for several hours today and not going away.

Other Meds: Citalopram Vit C Bupropion EpiPen Hx of allergies to insects Gabapentin for sleep and anxiety at night Omeprazole

Current Illness:

ID: 0996589
Sex: F
Age: 28
State: CA

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 02/03/2021
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Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Rash around injection site, treatment of Neosporin 1x, rash resolved after approx 1 week

Other Meds: Probiotic supplement

Current Illness:

ID: 0996590
Sex: F
Age: 49
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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Allergies: None

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Chills, fever 101.9. Headache. Pain at site of injection

Other Meds: Flonase

Current Illness: None

Date Died: 01/30/2021

ID: 0996591
Sex: F
Age: 85
State: CA

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 02/03/2021
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Allergies: Codeine Penicillin simvastatin

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

Symptoms: patient received vaccine on Jan 23, 2021. developed weakness on Jan 25, 2021. Sent to ED on Jan 27, 2021 with hypoxia requiring 6 L O2, low Bp, declining mental status. Per family request transitioned to hospice and passed away on Jan 30, 2021

Other Meds: citalopram, Wellbutrin, docusate, Seroquel, acetaminophen, senna, may have received hospice medications

Current Illness: Dementia, depression, arthritis, IBS, atherosclerosis of aorta, hyperlipidemia, osteoporosis

ID: 0996592
Sex: M
Age: 89
State: UT

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/03/2021
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Allergies: None

Symptom List: Vomiting

Symptoms: I received a Moderna vaccine injection on January 19, 2021 at approximately 3:15 p.m. Later that evening at about 7:40 p.m, I was suddenly hit with pain in my back like someone had hit me with a board. The pain continued to surround the midsection in a swath of about 15 inches. I felt like my muscles were failing me. I made it to my bed where I started shivering and shaking uncontrollably feeling like I was having a seizure. The shaking was sporadic, lasting about an hour. I was covered with a blanket and continued with liquids for dehydration and was given an Xanax to calm nerves. Later that night while attempting to sleep, I was perspiring and my heart was beating 90 to 100 beats hindering sleep. Through the night I attempted to go to the bathroom but with absolutely no control over my arms and legs I was unable to stand. Rolling off the bed and unable to pull myself back, I lay on the floor and pulled a cover over me. At about 4:30 a.m. (Wednesday morning.) I was covered with another blanket and a pillow was put under my head. I slept until awakened at about 11 a.m My heart rate and oxygen level was chedked and appeared to be within normal range. I was greatly fatigued, and light-headed. Continuing a regimen of liquids, I was fed a small amount of soup and some fruit. I ate nothing the rest of the day. I slept most of the day. In the evening, I was fatigued and nauseated and spent 2-3 hours through the night on my knees in the bathroom attempting to vomit. Thursday morning I was awakened around 11.a.m. and was barely able to lift my head. I slept more until needing to use the bathroom and receiving more liquids. Two hours later I was able to eat only a half a piece of toast ? the first and only thing I was able to eat that day. Early evening having no control of my legs, I attempted to walk. It was difficult getting legs out of the covers, but I got up and walked a few feet with the help of a walker. However, an hour later (about 8:30) I went to the bathroom and was unable to pull myself up from the toilet and fell to the floor and crawl flat on my stomach to my bed. I had no strength in my legs and arms and needed assistance from two people to put me on my bed. Periodic rapid heartbeat and fatigue caused restless sleep. Some strength began to return on Friday and with caution over the weekend, and support from a loving family, I appear to be making a slow recovery. Checking with several family medical people working in hospitals, my experience with the serum seemed more extreme than most. Therefore, it was felt that I should report some information on how the Moderna injection affected me that it may be of help to others. (Some of the above information was related to me as I was not always cognizant of conditions at particular times.) I am still puzzled, as members of my family are, as to what happened to me. We would be grateful for any information that might be helpful for us to understand my situation as it relates to others that may have had similar experiences with the Moderna serum.

Other Meds: None

Current Illness: None

ID: 0996593
Sex: F
Age: 69
State: WA

Vax Date: 01/23/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
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Allergies: none

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 1/29/2021 headaches all day, felt fatigued 1/30 diarreaha for 4 hrs, 1/31 diarreaha for 4 hrs., 1/31 injection site2 " swollen and itchy and felt fatigued, I applied Neosporin, 2/1 injection site 2" swollen and itchy I then applied Neosporin.

Other Meds: oxybutunin 10mg

Current Illness: none

ID: 0996594
Sex: F
Age: 30
State:

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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Allergies: None

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

Symptoms: Nosebleed night of fascination and night after

Other Meds: Multi vitamin

Current Illness: None

ID: 0996595
Sex: F
Age: 24
State: CA

Vax Date: 01/11/2021
Onset Date: 01/15/2021
Rec V Date: 02/03/2021
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Allergies: Allergy or amoxicillin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 4 days after the vaccine, heart palpitations began. I had no prior history of these palpitations. They were so frequent to the point where I had to go to my doctor. He heard them with his stethoscope and believed they were Premature ventricular contractions. (PVCs). After almost 3 weeks, they slowly diminished. I just got my 2nd shot today, and I am hoping it does not continue.

Other Meds: None.

Current Illness: None.

ID: 0996596
Sex: F
Age: 25
State: IA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/03/2021
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Allergies: One time I had hives all over my body that just came and went again within the day. I'm unsure if it was an allergic reaction to something new like a laundry detergent of some sort maybe. As I've gotten older though, I do notice that my skin is a lot more sensitive and more easily susceptible to getting hives at that. Sometimes I think it's my makeup, but sometimes I won't have any makeup on and it'll do it then too. Specifically around my eyelids, only. Not sure why this happens. And it only really happens at night time too, thankfully, cause it rarely happens in the middle of the day when I'm out and about- thankfully. Otherwise though I have NKDA.

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

Symptoms: Very itchy arm that has persisted, this far, to a month after getting the vaccine. At the injection site and around that general portion of my upper arm. Sometimes it's perfectly fine, sometimes it's red or pink and either will or will not be itchy as well. If I scratch at it too much, which I try really hard not to but it's really hard not to, and then the little rash-looking areas turns into a small area of mini skin hives. Still redish/pink and itchy. Then I try not to mess with it for the most part, but it's just consisted since then. Idk if this is a me problem, specifically cause I got some weird skin hive stuff going on actually on my eyes at night (randomly) that randomly occur. And that started way before I got the vaccine. With the hives on my arms, it will persist for a while at a time and go away before coming right back again as itchy as ever. It's been basically every single day since I got my vaccine that these side effects have been going on. #StillSupportIt lol. (:

Other Meds: Buproprione 300mg Escitalopram (1.5 tab) = 30mg per dose Jasmiel (birth control pills) Ambien 5mg Hydroxyzine 25-50mg PRN for anxiety Melatonin (OTC) - 10MG before bed as needed. Adderall 15mg tab PRN

Current Illness: Nothing much. I never had a fever or temp or anything like that. Sometimes I'd get a cough, but I also think that could just be my terrible lungs after years of smoking cigarettes unfortunately. No other real symptoms really.

ID: 0996597
Sex: F
Age: 19
State: CA

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
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Allergies: Chlorohexadine - surgical prep wipes

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: 3 days after second dose of Pfizer vaccine, (01/30/2021), went to emergency room for facial droopiness and numbness on the left side. Was diagnosed with Bell?s palsy in the ED. Currently taking prednisone (60 mg - once a day). Valtrax (1mg - 3x a day), Erythromyocin eye ointment (.5% - 4x daily)

Other Meds: 1. Gabapentin 2. Prazosin 3. Vitamin D supplement 4. Allergic medication (allertec) 5. Depo Provera injection - birth control

Current Illness: N/A

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am