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
33,148
AK1,168
AL2,646
AR1,711
AS32
AZ8,055
CA32,151
CO6,206
CT4,222
DC854
DE841
FL17,604
FM3
GA6,882
GU49
HI1,149
IA2,607
ID1,400
IL10,364
IN15,917
KS2,546
KY3,340
LA2,338
MA7,738
MD6,604
ME1,746
MH6
MI9,455
MN6,426
MO4,924
MP10
MS1,337
MT1,375
NC8,278
ND741
NE1,628
NH1,754
NJ8,443
NM2,114
NV1,985
NY17,530
OH10,263
OK2,706
OR4,271
PA11,318
PR1,171
QM1
RI1,180
SC3,050
SD717
TN4,501
TX17,103
UT2,359
VA7,909
VI27
VT1,026
WA7,274
WI6,007
WV1,305
WY477
XB4
XL1
XV2

ID: 1011278
Sex: F
Age: 65
State: FL

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Shingles rash. Had shingles in 2019.

Other Meds: Bio-identical Hormone Replacement Therapy, DHEA, vitamin D, calcium/magnesium/zinc, vitamin C, Alpha Lipoic Acid, Resveratrol, krill oil

Current Illness: None

ID: 1011279
Sex: F
Age: 37
State: KS

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Patient received a diagnosis of shingles on 12/28/20 after experiencing ear pain on 12/27/20. Patient reports shingles located on/in her left ear. Patient also received the Moderna COVID-19 vaccine in her left deltoid two days prior on 12/26/20.

Other Meds: Levothyroxine, Flonase, and Azelastine

Current Illness: None

ID: 1011280
Sex: F
Age: 54
State: MA

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 8 days after injection, experienced itchy, red, warm rash tender to touch around the injection site.

Other Meds: vitamin C,D3. Zinc

Current Illness:

ID: 1011281
Sex: F
Age: 51
State: PR

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Latex Seafood

Symptom List:

Symptoms: Severe Nausea Headache Weakness Tiredness Dreams Fever Muscle pain Chest pressure

Other Meds: None

Current Illness: None

ID: 1011282
Sex: F
Age: 32
State: IN

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Extreme arm pain, diarrhea, Extreme headache, fever over 100, extreme body aches, jaw pain, chills, sensitivity to light

Other Meds: Singular, buspar, lexapro, Claritin, Flonase

Current Illness: None

ID: 1011283
Sex: F
Age: 78
State:

Vax Date: 01/17/2021
Onset Date: 01/24/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Covid arm

Other Meds:

Current Illness:

ID: 1011284
Sex: F
Age: 52
State: VA

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Bactrim

Symptom List:

Symptoms: Rashed red rash about 2 inches in diameter at injection site. Still present and itching a week later. Now appears to be blue around the edges.

Other Meds: Gabapentin, Buspirone, Cymbalta, Prozac, IUD-Mirena, vitamin B complex, iron, biotin bromelain

Current Illness: none

ID: 1011285
Sex: F
Age: 55
State: IN

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Penicillin and sulfa

Symptom List:

Symptoms: Fatigue started first and is still present. Nausea started around 4:00 PM and continues on and off. Vomiting started around 6:30 PM and ended around 9:30 PM. Headache started around 4:00 PM also and continued till I went to bed the evening of 02/07. Fever started around 3:30 PM and is still on and off. Highest temperature was 3.8 degrees above what my temperature usually is. Body aches on and off continue.

Other Meds: Yes

Current Illness: Sinus / allergy symptoms on and off

ID: 1011286
Sex: F
Age: 54
State: NY

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: On the afternoon of the day of vaccination (2/6/21) I have developed a skin rash on my chest and neck, but it went away after few hours. On Sunday I felt a strong pain in my right arm. In the afternoon (2/7/21) I developed a severe headache, started to feel chest pain, a bit of nausea, flushed skin on my cheeks. By about 5:00 pm I felt really bad and I checked my blood pressure- using electronic meter. The reading was 171/105 with pulse 91. I have no history of high blood pressure. I called my physician but there was only recorded message to go to ER in case of emergency. I didn't feel that urgent need so I called my friend who is a nurse and she advise me to take aspirin. I did not have one on hand so my husband went to the store and I took it (325mg) after 6 pm. By 5:50 pm my blood pressure went up to 181/108, with pulse 98. At 6:54 pm it went down to 148/95 with pulse 91. The headache was becoming dull and I started to feel a bit better. This morning my blood pressure continues to be high- 149/95 with pulse 70.

Other Meds: Levothyroxine Sodium 112 mcg Rosuvastatin calcium 10 mg

Current Illness: none

ID: 1011287
Sex: F
Age: 77
State: SD

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt received 1st dose of moderna covid vaccine at 0942. At 0953, pt reported feeling hot and eyes feeling funny. Moved to exam room. BP185/82, pulse 70, o2 94% on 4l/nc (pt on home o2 at same flowrate). Reported "spots" in eyes. Spots and hot feeling resolved by 1008. Pt reported jaw stiffness at 1008, states feels similar to when she sits for a long time. Dr notified and benadryl given per order. Continued to monitor patient. At 1047, pt reported that jaw felt "tired", no other c/o. 1101-Dr updated on pt condition, Dr stated that patient may be discharged to home with husband and may receive 2nd dose of vaccine, but should take benadryl prior to appointment. Vital signs remained stable, bp 173/73, pulse 71, SpO2 91% on 4l/nc at discharge.

Other Meds:

Current Illness:

ID: 1011288
Sex: F
Age: 64
State: VA

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Augmentin, codeine, Darvocet, ofloxacin

Symptom List:

Symptoms: Eight days after receiving the vaccine, I experienced itching at the site of the injection. After getting out of the shower, I noticed a red rash at the site. The itching lasted just 1 day and the rash lasted about 2.5 days.

Other Meds: OTC: Calcium w/Vit. D (600 mg/400 IU) Vitamin E: 400 units Vitamin C: 500 mg. Bayer Aspirin: 81 mg. PRESCRIPTIONS: Bisoprolol HCTZ Tablet: 10 mg. Potassium Chloride ER Tablet: 10 MEQ Esomeprasole Mag Dr. Capsule: 40 mg. Atorvastati

Current Illness: None

ID: 1011289
Sex: F
Age: 44
State: AL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: HR 158 to 132; bp 148/70; o2 sat 99-100%; monitored 15 minutes additional; bp 122/70 8 minutes later hr 120; patient states she feels better and wanted to go home;

Other Meds:

Current Illness:

ID: 1011290
Sex: M
Age: 69
State: IL

Vax Date: 01/27/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Red blotch at injection site... warm... itching

Other Meds: Statin

Current Illness: None

ID: 1011291
Sex: M
Age: 67
State: TX

Vax Date: 02/01/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever, Chills, chest congestion, tiredness, runny nose consecutively beginning about 4 to 4 1/2 hours post inoculation. Symptoms lasted 48 hours but at 60 hours, felt fine. Took NSAIDS and over the counter medication's to control symptoms. Did not seek professional medical advise or tele-health service.

Other Meds: None

Current Illness: None

ID: 1011292
Sex: M
Age: 48
State: CO

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: chills, fever, extremely sore injection site

Other Meds: metformin, glipizide, lisinopril

Current Illness: none

ID: 1011293
Sex: F
Age: 39
State: PA

Vax Date: 01/28/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: On 2/7 I noticed a quarter sized red area at the injection site also itchy.

Other Meds:

Current Illness:

ID: 1011294
Sex: F
Age: 26
State: NY

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: 35 weeks pregnant, fever of 102 chills, body aches and head pressure

Other Meds: None

Current Illness: None

ID: 1011295
Sex: F
Age: 31
State: CA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Dizziness, loss of consciousness, nausea, joint pain, general body aches, chills, headache

Other Meds: Dizziness loss of consciousness, nausea, joint pain, general body aches, chills, heacache,

Current Illness: None

ID: 1011296
Sex: F
Age: 39
State: NJ

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: chocolate, oranges

Symptom List:

Symptoms: Hives

Other Meds: none

Current Illness: otitis media one month prior

ID: 1011297
Sex: F
Age: 96
State: MI

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: amlodipine, sulfa

Symptom List:

Symptoms: syncope 2 days later after taking nitroglycerin

Other Meds: glucosamine-chondroitin (OSTEO BI-FLEX) 250-200 mg Tab ibuprofen (ADVIL) 200 MG tablet multivitamin-minerals-lutein (CENTRUM SILVER) Tab nitroglycerin (NITROSTAT) 0.4 MG SL tablet peg 400-propylene glycol (SYSTANE, PROPYLENE GLYCOL,) 0.4-0.

Current Illness:

ID: 1011298
Sex: F
Age: 57
State: AR

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

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

Lab Data:

Allergies: depo

Symptom List:

Symptoms: Pfizer-BioNTech Covid 19 vaccine EUA- About 15 minutes after receiving the vaccine I had chills go up the back of my head. Severe HA started about 1600, body aches in joints and muscles began that night. Returned to work 2/3/21 as day progressed my HA became so bad I was nauseous, after 2 hors at work I had to go home. Fever of 100 that went to 101.7 the following day. HA was not relieved with Tylenol or ibuprofen . Arm was moderately sore no redness or swelling.

Other Meds: Vit D3, Zinc, Centrum, duloxetine, gabapentin

Current Illness: none

ID: 1011299
Sex: U
Age: 88
State: NC

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccinations delivered on-site to facility. After receiving 1st dose vaccine, recipient had severe reaction from what the FNP believed was from the vaccine. Reaction symptoms reported were altered mental status, lethergy, confusion, diarrhea with frank blood in stool and body aches.

Other Meds:

Current Illness:

ID: 1011300
Sex: F
Age: 40
State: IN

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 1st day (2/6): headache, sore and swollen arm, fatigue. Took exederin migraine 2nd day (2/7): headache, fatigue, all over body ache, joint pain, minor swelling in arm, sore arm, minor nausea. Took aleve, 3times throughout the day, hot bath to ease pain. 3rd day (2/8): minor headache, still a little joint pain in shoulders, arm pain, swelling is gone. Have taken 1 aleve so far this morning.

Other Meds: Topirimate, omeprazole, flonase, flovent, aleve, excedrin, losarten

Current Illness: None

ID: 1011301
Sex: F
Age: 61
State: IN

Vax Date: 01/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tingling upper and lower extremities, tingling left lower lip and cheek, weird feeling in head. Symptoms started February 1 at 6 PM were intermittent until 6 AM February 4. No symptoms until 6 AM February 6, again they were intermittent. Virtual visit with nurse practitioner at MD office February 6 at 11 AM. No symptoms since 6 AM on February 6.

Other Meds: Levothyroxine, protonix, vitamin D, iron, ambien , focus factor

Current Illness: None

ID: 1011302
Sex: M
Age: 83
State: MD

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Total body shaking with abrupt onset at about 9:30 pm, followed shortly by low-grade fever 100.5 (my normal temp. is 97.3). Took tylenol 1000mg. and Alprazolam 0.5 mg., drank some water, and immediately went to bed fully clothed. Awoke at 8:00 am, with mild skeletal aches, took tylenol 1000mg., and within 2 hrs. I was back to normal. No further symptoms. I am a physician and did not feel need to contact my family doctor.

Other Meds: Metoprolol, Losartan, Hydrochlorthiazide,

Current Illness: none

ID: 1011303
Sex: F
Age: 67
State: OK

Vax Date: 01/19/2021
Onset Date: 01/25/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Rash developed on arm about a week after receiving the first dose. It spread over 1/3 of my upper arm. Was very tender , red, warm to the touch, and had a slight itch. I took benadryl and tylenol for the pain and discomfort. It is now three week after my initial shot and the rash has almost gone away. I can still see some lingering redness but nothing like what I originally had and it is still a little tender to the touch/

Other Meds: thyroid, high blood pressure, cholesterol

Current Illness:

ID: 1011304
Sex: F
Age: 71
State: PA

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: seasonal

Symptom List:

Symptoms: 7 days after injection red rash around injection site. Lasted about 3 days.

Other Meds: simvastatin,fish oil,multi-vitimin,coq-10,movefree joint health,vitaminC,turmeric,calcium,zrytec,apple cider vinegar gummie

Current Illness:

ID: 1011305
Sex: F
Age: 75
State: NC

Vax Date: 01/14/2021
Onset Date: 01/28/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient diagnosed with shingles on 1/31/2021 at an urgent care facility out of state. Patient was treated with acyclivir 800mg PO 5x/day. Patient later followed up with her PCP

Other Meds: Metformin Metapropolol Triamt/Hctz Baby aspirin Vit D Calcium Cranberry Supplement

Current Illness: Torn rotator cuff on right shoulder in which pt received steroid injection on 1/19/2021.

ID: 1011306
Sex: F
Age: 65
State: FL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Feeling aches at point of injection; chills in the evening after about 12 hours and all through the night into the morning; joint pain' muscle tension in legs

Other Meds:

Current Illness:

ID: 1011307
Sex: F
Age: 20
State: NY

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

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: Pt began to feel dizzy and anxious after receiving the vaccine. No swelling, rash, or difficulty breathing. Improved during ED observation

Other Meds: none

Current Illness:

ID: 1011308
Sex: M
Age: 57
State: GA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Very slight headache.

Other Meds: Meloxicam, Vitamin B-12, Fish Oil, Centrum Silver-Male-50+, Apple Cider Vinegar

Current Illness: None

ID: 1011309
Sex: F
Age: 68
State: NJ

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: duricef tequin biaxin doxycycline blueberries

Symptom List:

Symptoms: Pfizer-BioNTech Covid 19 Vaccine EUA Rash Elevated blood pressure Elevated heart beat Dizziness and weakness Observed on site by EMS and nurses for approximately 1 hour

Other Meds: triam/hctz cap37.5/25mg amlodipine tab 5mg potass cl cr wm tb 10meq a2 hydroxychloroquine tb 200mg cyclobenzaprine tab 10 mg vitamin D3 1000 iu

Current Illness: none

ID: 1011310
Sex: F
Age: 34
State: WI

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I have the Nexplanon birth control implant in my left upper inner arm. I rarely get my monthly period and since I received the vaccine I have had vaginal bleeding for the past 17 days. My entire left arm is still very painful and very weak.

Other Meds: Omeprazole

Current Illness: None

ID: 1011311
Sex: M
Age: 37
State: CO

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

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

Lab Data:

Allergies: nkda

Symptom List:

Symptoms: fever, chills, body aches, vertigo

Other Meds:

Current Illness: no

ID: 1011312
Sex: M
Age: 52
State: GA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Full body muscle aches, Chills, Sweats, Severe headache

Other Meds: Allegra 180, Vytorin 10/20, Vit C, D

Current Illness:

ID: 1011313
Sex: M
Age: 70
State:

Vax Date: 01/22/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 2 weeks after receiving 1st vaccine large, itchy rash appeared at injections site. Caused no pain or side effects other than slight swelling , redness, and itch

Other Meds: Atorvastatin

Current Illness: None

ID: 1011314
Sex: F
Age: 63
State: VA

Vax Date: 01/27/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 12 days after shot I have a rash at the site of the injection

Other Meds: metformin

Current Illness: none

ID: 1011315
Sex: F
Age: 65
State: NY

Vax Date: 01/29/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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Allergies: none

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Symptoms: by injection site a Red slightly swollen 3 inches by 1.5 inch area has developed. First noticed just over a week after injection. I have outlined the area with a pen and will monitor to see if it gets larger.

Other Meds: levothyroxine 150mcg, famotidine 20mg, multi vitamin, 1000mg MSM and calcium with magnesium supplement

Current Illness: none

ID: 1011316
Sex: F
Age: 54
State: MD

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 02/08/2021
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Allergies: penicillin, erythromycin, latex

Symptom List:

Symptoms: Developed significant redness, swelling, itching

Other Meds: calcium + vitamin D

Current Illness:

ID: 1011317
Sex: F
Age: 83
State: NC

Vax Date: 01/25/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital: Y

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Allergies: Amlodipine, Ciprofloxacin, Tamoxifen, Levothyroxine, Losartan, Lisinopril, Keflex

Symptom List:

Symptoms: 12 days after first vaccination: Dizziness; high blood pressure; nearly passed out; right arm numbness; inability to grip or pick up items with fingers; feeling of "lopsidedness"; unsteady on feet, requiring assistance to walk. Primary care physician recommended ER visit where possible stroke was diagnosed. Hospital MRI confirmed: " Left acute arterial ischemic stroke, MCA (Middle cerebral artery)" . Spent 2 days in hospital with high blood pressure, dizziness. Residual right finger numbness upon release.

Other Meds: Hydrochlorothyazide Escitalopram NP Thyroid Omega 3 Vitamin D Vitamin C w/Zinc Easy Iron

Current Illness: N/A

ID: 1011318
Sex: M
Age: 71
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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Allergies: none

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Symptoms: The shot was on Friday Feb. 5. Later that day and throughout the next day, Sat. the 6th the left arm was mildly sore. Also on Saturday I developed a mild headache. Then on Monday the 8th there was a mild irritation and sore red streak in my left arm pit. I am o negative blood type, if that makes any difference.

Other Meds: none

Current Illness: none

ID: 1011319
Sex: F
Age: 75
State:

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
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Lab Data:

Allergies: Contrast [Iodinated Contrast Media] Anaphylaxis High 6/4/2015 Hydrochlorothiazide DIZZINESS Not Specified 6/4/2015 Lisinopril

Symptom List:

Symptoms: Pt was driving home from vaccination and she had a sharp left sided chest pain. She pulled over and resolved but has had intermittent left sides chest pain/pressure since. On Monday 2/8 she was directed to go to the ED for evaluation.

Other Meds:

Current Illness:

ID: 1011320
Sex: F
Age: 61
State: NY

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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Symptoms: Patient stated she felt tachycardic post vaccination [BP 176/95 mm/Hg & HR 78] enhanced observation vitals improved slightly [173/94 mm/Hg & 74 BPM.] Patient stated she felt better,

Other Meds:

Current Illness:

ID: 1011321
Sex: F
Age: 62
State: AZ

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/08/2021
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Allergies: Sulfa

Symptom List:

Symptoms: Headache, Fever chills times four days, mouth sores, swollen lymph nodes, joint pain, fatigue.

Other Meds: None

Current Illness: None

ID: 1011322
Sex: F
Age: 57
State:

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/08/2021
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Symptoms: Provider reported an anaphylactic reaction after administration of Moderna. Patient started developing symptoms within 4-5 minutes of injection. She reported tingling of throat and manifested into swelling of the tongue and difficulty breathing. Provider administered EpiPen x 2 until she stabilized. She was treated with antihistamines and steroids and monitored to ensure stability. She was discharged back to quarters with precautions. PSR and VAERS report being completed as we speak.

Other Meds:

Current Illness:

ID: 1011324
Sex: F
Age: 45
State: PA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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Allergies: iodine, environmental: trees / grasses

Symptom List:

Symptoms: Moderna covid-19 vaccine eua 2:45 noticed nausea and heartburn, 7:45 "foggy" and headache, took 2 extra strength tylenol. Woke at 1 AM with muscle pain and headache. Took 2 extra strength tylenol at 2 AM. 8AM to 7:00PM had confusion and extreme chills, plus continued fatigue, muscle ache, and nausea combined. Took Ibuprofen at 8 AM and 2 PM. At 7:30 PM all symptoms subsided within 30 min.

Other Meds: multivitamin

Current Illness: none

ID: 1011325
Sex: F
Age: 61
State: IN

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/08/2021
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Allergies: NKA

Symptom List:

Symptoms: #1 Vaccine - Needle was too long. Administered in Left bicep. Pain onset following the injection and continues today 3.5 weeks later. Not relieved by Ibuprofen po or arthritis pain topical gel ( Diclofenac Sodium Topical Gel). #2 Vaccine - needle was 5/8". Administered in Right bicep. Slight discomfort in muscle following injection. Otherwise no problem.

Other Meds: Risedronate Sodium 35 mg weekly Atorvastatin Calcium 20 mg daily

Current Illness: none

ID: 1011326
Sex: F
Age: 69
State: FL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
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Allergies: Sensitive to epinephrine

Symptom List:

Symptoms: After my second Moderna shot I experienced: headache, aching muscles, fatigue, muscle and joint pain, chills and fever, nausea. These symptoms lasted for about 36 hours. However, three days later, my stomach is still somewhat upset. I would characterize my discomfort as severe. After my first shot, I experienced the same side effects, although they were not nearly as bad. (While annoying, I would categorize them as mild.) They also dissipated in about 36 hours.

Other Meds: None

Current Illness: None

ID: 1011327
Sex: F
Age: 43
State: MA

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/08/2021
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Allergies: NKDA

Symptom List:

Symptoms: Fever with in 24 hours of 103.7, severe body aches arthralgia, headache, dizziness, chest pain, lymphadenopathy, injection site pain. Fever ended after 24 hours but remained with bone pain in long bones and chest pains and severe lymphadenopathy. Took Motrin and Tylenol for discomfort. After 6 days and still having chest pain went to Emergency room for eval. +D-dimer and chest cat scan done. No pulmonary embolus. Negative troponin, chest pain unresolved but not really any explanation given.

Other Meds: Fluoxitine Linzess Wellbutrin

Current Illness: NONE

ID: 1011328
Sex: M
Age: 45
State: PA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
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Allergies: None

Symptom List:

Symptoms: 2/8/2021 Spoke with mom, pt c/o of severe arm pain in same arm vaccinated in. Reports no ROM. Symptoms started 1 day after vaccination. On day 4, mom reports pain has improved. Facility will completed VAERS report. Referred pt to provider.

Other Meds: None

Current Illness:

Total 2021 VAERS Injuries: 319,999

Page last modified: 03 October 2021 5:28pm