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: 1007726
Sex: M
Age: 68
State: GA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Nearly completely incapacitated. Head spinning, very weak limbs, barely able to get out of bed and stand after extreme effort, no arm strength, could only move to the bathroom via baby steps with while holding on to whatever was available to steady myself. I ended up on the floor and was barely able to get up and back into bed after considerable effort. My arms and legs were like rubber. I had fever and severe night sweats. I was virtually unable to function. This lasted from the night of 02/03 and continued through 02/04. Finally 02/05 I was able to get out of bed and shakily stand. But I couldn't stay up long, as I had the aches and pains and a headache still. Finally 02/06 I was able to get out of bed and stay out. I hope my description describes the magnitude of my symptoms. I wasn't sure I was going to survive.

Other Meds: Metformin, Lisinopril, Atorvastatin, Finasteride, Singulair, Loratadine, Modifinil

Current Illness: Covid-19

ID: 1007727
Sex: F
Age: 32
State: GA

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List: Anxiety, Dyspnoea

Symptoms: 1 week later, injection site had hives and rash, grew by 1/4in every 12 hrs until Dr confirmed to take benedryl until gone then cleared up

Other Meds: Birth control pill

Current Illness: none known

ID: 1007728
Sex: M
Age: 22
State: TX

Vax Date: 01/26/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Armantadine

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

Symptoms: I noticed small red rash on the left side of patient's neck

Other Meds: Keppra, Vimpat, Topiramate, Donepezil, Propranolol, Sertraline, Methylphenidate

Current Illness: TBI, Neurodegenerative disorder

ID: 1007729
Sex: F
Age: 68
State: OK

Vax Date: 01/22/2021
Onset Date: 01/27/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Starting 5 days after shot large joints (shoulders and hips) became extremely sore and painful. Pain was constant bur worse if joint was flexed at all.

Other Meds: allopurinol lisinopril famotidine B complex D

Current Illness: none

ID: 1007730
Sex: M
Age: 27
State: NV

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: 101.2 degree fever, aches, chills

Other Meds: None

Current Illness: None

ID: 1007731
Sex: F
Age: 77
State: IL

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital:

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

Allergies: high fructose corn syrup, iodine, bleach

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

Symptoms: rapid heart beat followed by loss of breath. Couldn't get breath. Slight nausea called the nurse and she called 911. Then started in my intestines with numerous BMs that progressed to diarrhea . Breathing subsided back to normal within a half hour but the intestines continued through the next day.

Other Meds: Allegra, calcium 500, cholestyramine 4 gram pwpk, doxazosin 2 md tab, lisinopril 40 mg tab, Miralax 17 gram/dose powder, multi-vit, verapamil 240 tuber, vitamin D3

Current Illness: None

ID: 1007732
Sex: F
Age: 29
State: ND

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Penn.

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Itching, rash on arm that was injected its hot.

Other Meds:

Current Illness:

ID: 1007733
Sex: F
Age: 47
State: OH

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Pharyngeal swelling

Symptoms: Pain, 6 hours after vaccine Sore breasts, 11.5 hours after vaccine Swollen lymph nodes under left armpit and in neck, 21.5 hours after vaccine Brain fog, 21.5 hours after vaccine Tiredness, 21.5 hours after vaccine

Other Meds: Trazodone Hydroxyzine Syeda

Current Illness: None

ID: 1007734
Sex: F
Age: 73
State: PA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: cipro penicillin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: i have a blotchy rash on my arms and legs. that is somwhat itchy. it also is in my head.

Other Meds: clopidogrel 75mg metoprolol50mg atrovastatib40mg amlodipine5mg 1 low dose aspirin

Current Illness:

ID: 1007735
Sex: M
Age: 79
State: DE

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Fpllowing classes of medications: B-lactams, tetracyclines, Linamycin antiboticcs, Nitroimiczzole allergergies are always rash

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Chills with shaking, fever, rash on lower legs

Other Meds: Pravastatin, Cholestyramine Powder, Amlodipine besylate, Low dose aspirion, Preservision Areds 2

Current Illness: none

ID: 1007736
Sex: F
Age: 75
State: NY

Vax Date: 01/29/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: At injection site, approximately a 2 inch oval raised red area with itching.

Other Meds:

Current Illness:

ID: 1007737
Sex: M
Age: 73
State: IN

Vax Date: 01/30/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: 4 days after shot, started with welp on inside of right leg, by evening severe rash around waist, under arms, on back and at back of legs at top. Very itchy with raised welps. Lasted until evening of Feb 5 after taking benadryl.

Other Meds: lisinopril 5mg; low dose aspirin, multi vitamin

Current Illness:

ID: 1007738
Sex: F
Age: 58
State: OH

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: seasonal

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

Symptoms: Temperature (high 101.2), chills, body aches, fatigue began 10:30 pm 2/3 until 2/4 6pm, 2/5 fatigue and stomach pain 2/3 to 2/4 treated with ibuprofen every 6-8 hours

Other Meds: Multi vitamins

Current Illness: none

ID: 1007739
Sex: F
Age: 34
State: NY

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Hives, burning sensation over skin, pain on roof of mouth.

Other Meds: Lantus, Humalog, Glimeperide,

Current Illness: Had COVID 19 on 12/29/20.

ID: 1007740
Sex: F
Age: 71
State:

Vax Date: 01/23/2021
Onset Date: 01/29/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: EES

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

Symptoms: 4x2" Rash at Injection site went away in a few days, Headaches, Fatigue, aches mainly upper body for 2 weeks, sensation of throat trying to close at times

Other Meds: Anastrozole 1 mg, MultiVitamin, Vitamin D, Vitamin C, Astaxanthin, OmegaAvail Synergy3.6.7.9,Glutathion, Lysine Extra

Current Illness:

ID: 1007741
Sex: M
Age: 76
State: AL

Vax Date: 01/27/2021
Onset Date: 02/01/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Drug Dilaudid Omega 3

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

Symptoms: Swelling, Red rash, Itching

Other Meds: Tamsulosin Gabapentin

Current Illness:

ID: 1007742
Sex: F
Age: 69
State: FL

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital:

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: Injection site pain, Headache, Muscle Pain, Chills, Joint Pain, Fever 100.1, Tiredness, feeling unwell (like flu) Took Tylenol and relieved the pain for 4 hours. All symptoms disappeared after 36 hours except the feeling of fatigue still continues.

Other Meds:

Current Illness:

ID: 1007743
Sex: M
Age: 65
State: MI

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: About 2 hours after receiving the vaccine, patient had mild itching on upper chest, scalp, neck and eyes. Took 25 mg of Benadryl and I hour later, symptoms resolved. 10 hours later, itching returned and patient took another 25 mg of Benadryl. He noted small blanching palm-sized rash on upper sternum and had mild erythema on his neck. These symptoms eventually resolved.

Other Meds:

Current Illness:

ID: 1007744
Sex: F
Age: 73
State: KS

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: UKA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Developed numbness on the left side of face, neck and to about mid-chest. "Felt like someone had injected lidocaine in my body" Facial heaviness on left side and severe headache.

Other Meds: Low dose ASA

Current Illness:

ID: 1007745
Sex: M
Age: 74
State: CO

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: extreme fatigue, muscle weakness, dizziness, possible visual blurring, intermittant fever,

Other Meds: aspirin 81 mg \levothyroxine 150 mcg, omeprazole 40mg, fish oil, tamsulosin .4 mg, tadalafil 20mg

Current Illness: none

ID: 1007746
Sex: F
Age: 46
State: TN

Vax Date: 12/27/2020
Onset Date: 01/03/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: On 1/3/2021 redness, swelling, warmth, and welts with itching. Used cortisone cream. On 1/4/21 the redness was from top of shoulder to elbow, swelling, warmth, itching. Cortisone cream and Benadryl. The next day on 1/5/21 I had my scheduled eight week remicade infusion and the MD orders Tylenol, Benadryl orally with the infusion but also injects a steroid into the IV so by that evening it was much better and by the morning of 1/6/21 it was completely gone.

Other Meds: Apriso, sertraline, vitamin D3, immuneti supplement

Current Illness: None

ID: 1007747
Sex: F
Age: 35
State: PA

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Allergic to wasps and hornet stings

Symptom List: Unevaluable event

Symptoms: Red raised inflammation at site of vaccine injection. Sore to the touch and slightly itchy. I noticed it a week after injection.

Other Meds: Effexor, tramadol, xanax, clonazepam, norethindrone, uribel, cyclobenzaprine, armor thyroid, spironolactone

Current Illness: None

ID: 1007748
Sex: M
Age: 63
State: IN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: 12 hours after receiving my second moderna vaccination I started to get a fever of 101. Throughout the night I fought the fever with Tylenol. The following morning I still had a fever of 100, but also great fatigue, nausea, headache, and general body ache. From the on set of my first symptoms until they completed was 30 hours.

Other Meds: 12.5mg metoprolol

Current Illness: None

ID: 1007749
Sex: F
Age: 65
State: TX

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Clindamyacin Amoxicillin Ampicillin Hydrocodone Factive

Symptom List: Injection site pain, Pain

Symptoms: Large dark red raised welt approximately 4 inches wide and 3 inches high above injection site. Itching. Very firm to the touch. Color and swelling diminished after a few days but still able to see redness 3 weeks later.

Other Meds: Magnesium Vitamin D

Current Illness: Hernia surgery

ID: 1007750
Sex: M
Age: 79
State: MA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: I had Moderna COVID-19 Vaccine on Wednesday February 3 at 11:30 AM . After the vaccine I went home and had virtually no pain. Around 10PM that night I felt some pain in the toes on my left foot. When I looked, I noticed that my toes were red and appeared slightly swollen. My big toe was the worst. It was sensitive to the touch and very red. I also felt a short intermittent sharp pain that would last a second or two. It would happen every 3-4 minutes. The next day the redness was gone on all but my big toe. As I write this today Saturday February 6 at at 11 AM. My big toe is still sore, but does appear a bit better. I have had gout once in the past. So, gout or Covid ? The people at were great.

Other Meds: Hydrochlorothiazide 12.5 mg vitamin C and a vitamin Vit

Current Illness: None

ID: 1007751
Sex: F
Age: 55
State: CT

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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: Chills, fever of 102.3, muscle aches, nausea

Other Meds:

Current Illness:

ID: 1007752
Sex: M
Age: 71
State: OH

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: took a nap after getting home from 2nd shot. Awoke at 3:50pm with feeling of Flu like symptoms(chills, ache). Took (2) Tylenol as recommended by Vaccine administrating nurse at clinic.

Other Meds: Post Vaccine(as recommended by inoculating nurse) - (2) Tylenol at 4pm to alleviate 'flu like' symptoms

Current Illness: none

ID: 1007753
Sex: M
Age: 66
State: NY

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: FEVER, CHILLS, SWOLLEN LYMPH NODES 2/5/21, 2:00 PM - 2/6/21, 3:30 AM 2 DOSES OF TYLENOL 500MG

Other Meds: METFORMIN 500MG, LOVASTATIN 10MG, TRIAMTERENE/HCTZ 37.5/25,LOW DOSE ASPIRIN, PRESERVISION, CULTURELLE, OMEPRAZOLE 20MG

Current Illness: NONE

ID: 1007754
Sex: M
Age: 20
State: PA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Peanuts, treenuts, fish, shellfish, sesame, mango

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

Symptoms: Following second vaccine, about 12 hours after vaccine. Sever levels of fatigue, nerve pain, joint and muscle throbbing, convulsions, fever of 102.4

Other Meds: zyrtec, ibuprofen, flonase, Pepsi?s A/C

Current Illness: none

ID: 1007755
Sex: F
Age: 28
State: NC

Vax Date: 01/20/2021
Onset Date: 01/29/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Na

Symptom List: Nausea

Symptoms: On January 29 my lip randomly started swelling. I was laying in bed no food or drink for over an hour. No medications, new body washes soups etc. no new laundry detergent. Thought it was random until my lip once again started swelling on 2/1 in the morning while brushing my teeth (nothing new about routine) it then once again started to swell at work on 2/4 once again no food or drink or change in anything, and lastly began again last night 2/5 while laying in bed. Each time has been different locations of the lips has not spread further and has be variant in symptom intensity. One case only lasting minutes and 2 lasting up to 24 hours. Might not be related to vaccine but I?ve never had any allergies before and this began after, so for the sake of research decided to report.

Other Meds: Na

Current Illness: Na

ID: 1007756
Sex: F
Age: 54
State: MI

Vax Date: 01/28/2021
Onset Date: 02/02/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Right arm is still red, swollen and itchy after 9 days.

Other Meds: None

Current Illness: None

ID: 1007757
Sex: F
Age: 34
State: PA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, sulfa, mussels, gold, caffeine

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

Symptoms: Morning after receiving vaccine, I feel feverish, fatigued, short of breath when I stand up, and sore in my leg and abdominal muscles. I took an Ibuprofen after symptoms began. I?m not pursuing any treatment because I?m assuming this is just an immune response.

Other Meds: Took 1 Tylenol an hour after vaccination to prevent arm pain at injection site

Current Illness: NA

ID: 1007758
Sex: F
Age: 45
State: MA

Vax Date: 01/22/2021
Onset Date: 02/02/2021
Rec V Date: 02/06/2021
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: Psoriatic appearing rash on elbows and wrists. Itchy.

Other Meds: ibuprofen (generic) prn, Vitamin D3, multivitamin

Current Illness: none

ID: 1007759
Sex: F
Age: 73
State: WA

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Penicillin and sulfa drugs

Symptom List: Tremor

Symptoms: At seven days after getting the Moderna vaccine, my left arm started to get red, itchy, swollen and uncomfortable just below the injection site. In addition, my skin all over my body started to feel kind of "rashy." I had to take a Benadryl to sleep because my skin, overall, felt so warm. This has persisted and I'm onto to day 3. The swelling has lessened, but it's more itchy. I will not be taking the second Moderna dose. This is way too strong of an allergic reaction, to put my body through this again. I realize that many people have had much more serious adverse reactions. But, my Dr. encouraged me to fill out the form, so I am. I'm also making this report because I'm tired of reading in the news that this happens very rarely, but my Dr. told me it was fairly common. Moderna needs to fix their vaccine, or I need to switch to Pfizer.

Other Meds: Vitamins, multiple, C, D, Zinc

Current Illness: None

ID: 1007760
Sex: F
Age: 44
State: MS

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 02/06/2021
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Allergies: PCN- questionable reaction from when a young child but avoid today from caution

Symptom List: Erythema, Pruritus

Symptoms: A 2 inch by 4 inch red area developed 8 days later post-vaccination directly at the injection site. The area began itching the evening of day 4 but it didn't catch my attention. Day 8, I awoke and the area was itching. Then I noticed the red area (erythema, not raised, no pustules or papules, not hot/warm to touch). I applied topical hydrocortisone valerate once and the itching resolved. The wheel remains approximately 3 more days then resolved. No further symptoms occurred at the injection site.

Other Meds: Nikki (generic YAZ birth control), Symbicort 80/6.4mcg 1 puff BID, multivitamin, Vit D 2,000 IU, Vit D and Calcium chewable

Current Illness: None

ID: 1007761
Sex: M
Age: 81
State: TN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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Allergies: none

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

Symptoms: At approximately 2:00 pt arrived at our COVID vaccination site for his second dose of Pfizer vaccine. admin filled out a Moderna assessment sheet, and failed to switch to a Pfizer assessment sheet after the pt answered "yes- Pfizer" to the question have you ever received a COVID 19 vaccine. admin marked yes on the form, and wrote Pfizer on the form. Once the pt arrived at the vaccination bay, contract LPN did not appropriately review the assessment sheet, and inadvertently administered Moderna vaccine instead of Pfizer.

Other Meds: unknown

Current Illness: unknown

ID: 1007762
Sex: F
Age: 29
State: VA

Vax Date: 01/28/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
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Allergies: Allergy to cephaclor

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

Symptoms: "Covid arm" red rash and tenderness

Other Meds: Sertraline 25 mg Fish oil 1000 mg

Current Illness: None

ID: 1007763
Sex: F
Age: 81
State: NC

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/06/2021
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Allergies: sulfa, pentathols, barbituates, (AIP), gluten

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Extreme headache, neck ache, for five days; elevated BP 180/90. 160/88, etc. De. prescribed additional BP medication after a week, and BP is gradually coming down...I hope.

Other Meds: Benicar 20 mg., Liothronine SOD 5 mcg., Over the counter multi vitamin plus Betaine, Biotin, Calcium, Fish oil, Magnesium, Osteo b-flex, Taurine, VitaminD2, Zinc, Vitamin B-12, Pro-biotic

Current Illness: none

ID: 1007764
Sex: F
Age: 66
State: IN

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
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Allergies: shellfish, sesame seeds, horses, sulfa penicillin, sulfa

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

Symptoms: The usual sore left arm and fatigue the second day. After a shower on the third day I noticed a rash on both arms, and my back. and a half dollar size sore/patch on my left hand.

Other Meds: Bupropion Hcl 100 mg tablet, 1 x day, Cetrizine Hcl 10 mg 1 tab a day, Diltiazem 24 hr 240 mg cap, 1 cap a day, Diovan Hct 160 -12.5 Mg Tab one time day, Eliquis 5 mg Tablet one tab 2 times daily, Flecainide Acetat 150 g Tab 1 time day, Lev

Current Illness: None

ID: 1007765
Sex: F
Age: 66
State: IN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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Allergies: None

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

Symptoms: Moderna COVID-19 Vaccine EUA. Sore arm and headache the evening of 2/4. Chills and malaise the evening of 2/5. Took ibuprofen the evening of 2/5. All symptoms gone the morning of 2/6.

Other Meds: Levothyroxin, Lisinopril, Atorvastatin, Hydrochlorothiazide

Current Illness: None

ID: 1007766
Sex: F
Age: 65
State: MN

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
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Allergies: none

Symptom List: Pain in extremity

Symptoms: 1 week after getting my first dose of the Moderna Vaccine, I developed redness and itching at the site. The redness is about 3 inches in diameter.

Other Meds: Trazadone, MVI, Propanolol , Ibuprofen, fish oil

Current Illness: none

ID: 1007767
Sex: F
Age: 46
State:

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
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Allergies: Penicillin

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Severe headache, muscle aches and low grade fever

Other Meds: Allegra Probiotic

Current Illness: None

ID: 1007768
Sex: F
Age: 24
State: MD

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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Allergies: none

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

Symptoms: Starting around 9AM I began noticing a high heart rate while inactive. My heart rate was at 140 bpm (measured manually and with Watch). Normal for me is between 80-100 bpm. My heart rate remained high (between 120-140 bpm) for about 6 hours. I did not notice it go down to 100bpm until the next day. The high heart rate was never provoked by any physical activity. I rested in bed or in a chair all day and drank lots of water. Throughout the day I had fluctuating periods of feeling very hot and very cold. I took 1000mg of Tylenol every 4 hours throughout the day. I also experienced expected side effects (chills, joint aches, muscle aches, nausea, headache, fever (100F w/ Tylenol)).

Other Meds: Concerta 72mg Mirena IUD Nuvaring

Current Illness: none

ID: 1007769
Sex: M
Age: 77
State: TX

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/06/2021
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Allergies: none

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

Symptoms: fever 102-chills- unable to walk-disorientated-loss of appetite-dizzy- we had to take him to his Dr in a wheelchair on Monday ,February the 1st. Doctor put him on covid meds and he is still to this date (Feb. 6th) still weak . we had a covid test done and it was negative.

Other Meds: Buspirone/Lorazepam/Bupropion/Oxcarbazepine/Lamotrigine/Alfusozin/Dutasteride/Myrbetriq/Amiloride/Atenolol/Levothyroxine/ Simvastatin/81 mg aspirin/Multi Vitamin 50+/Turmeric

Current Illness: manic depression/prostate/kidney/thyroid/Hi-Blood

ID: 1007770
Sex: F
Age: 37
State: OR

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
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Allergies: None

Symptom List: Vomiting

Symptoms: Severe to Violent tremors

Other Meds: None

Current Illness: None

ID: 1007771
Sex: M
Age: 52
State:

Vax Date: 01/01/2021
Onset Date: 01/22/2021
Rec V Date: 02/06/2021
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Allergies: NKA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fever

Other Meds:

Current Illness:

ID: 1007772
Sex: F
Age: 50
State: MT

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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Allergies: none

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

Symptoms: Day 2 after vaccine: hives on hips, stomach, armpits and buttocks (noticed upon waking @5am). Day 3 after vaccine: hives on hips and stomach, and a few on buttocks. Claritin helped.

Other Meds: valacyclovir, levothyroxine, bupropion, estradiol patch, fish oil, natrol fruit and vegetable supplements

Current Illness: none

ID: 1007773
Sex: F
Age: 61
State: NJ

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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Allergies: Sulfa drugs

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Received the vaccine at 7:00 a.m. on 2/3/21. I woke up at 1:00 a.m on 2/4/21 with a racing heart, sweats, severe muscle/joint pain. According to my Watch app., the resting hear rate upon waking was 115.. I had a severe headache and generally felt awful. I took Aleve and did deep breathing to try to bring heart rate down. One hour later it was coming down, although still higher than my normal resting rate of 60. The arm where the injection was given has been extremely sore with a rash, sore enough that it is hard to use the arm. It is now 3 days since the vaccine, my heart rate has been normal. My arm pain is reduced but still sore with a rash. I feel fatigued and foggy. The severe joint pain is less but still present.

Other Meds: Fenofibrate, metformin, lisonopril/htz, Celebrex, multi-vitamin, vitamin D

Current Illness: No

ID: 1007774
Sex: F
Age: 41
State: IN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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Allergies: Sulfa

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

Symptoms: Chills, headache and body aches

Other Meds: Zyrtec, singular

Current Illness:

ID: 1007775
Sex: M
Age: 81
State:

Vax Date: 02/03/2021
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Rec V Date: 02/06/2021
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Allergies: Amoxicylin

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

Symptoms: Body rash 48 hours after injection.

Other Meds: Losartan, Torsemide, Allopurinol, Atorvastatin, asprin, Multivitamin

Current Illness: none

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am