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: 1033961
Sex: M
Age: 75
State: CO

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: Gluten

Symptom List:

Symptoms: Extreme pain in right arm with swelling of the wrist (Ganglion cyst) and ulnar nerve pain. Couldn't use right arm , extreme pain in any position, with or without motion. Gradually started getting better after 1 or 2 weeks. After 4 weeks arm is 90% back to normal

Other Meds: Eliquis, Diltiazem, Propafenone, various supplements

Current Illness: None

ID: 1033962
Sex: F
Age: 66
State: OH

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient felt light headed, felt like she was going to faint She lower her head between her knees She got pale sat back up and complained she felt warm, sleepy and her hands tingled she become some what unresponsive Called 911 and was transported to Hospital

Other Meds: unknown

Current Illness: none

ID: 1033963
Sex: M
Age: 77
State: CA

Vax Date: 01/01/2021
Onset Date: 01/30/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 8 days following the first vaccine, extreme chills came on rapidly. Vomit. Unable to sit alone in bed. Paramedics called and to ER. Treatment included EKG, CTscan, antibiotics, etc. Sent home at 1:00am. Still too weak to stand and walk independently. 4:00am rolled off of bed onto floor; collapsed. Unable to raise his body. Paramedics called again. Hospital said being treated for vaccine reaction. Sent home again at 4:00 by ambulance. Continues to feel extremely fatigued and upset stomach. He is ambulatory. We are being told for him to get his next Covid Vac this Friday, the 2/19. Worried

Other Meds: Daily Blood pressure medications.

Current Illness: no illnesses

ID: 1033964
Sex: F
Age: 69
State: WI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: Cipro, azithromycin, ketoprofen, metformin, quinarenes

Symptom List:

Symptoms: Developed fever, fatigue, extreme joint pain, HA, ear ache, tachycardia, SOB. Had Covid 11/4, and these are all symptoms that she had when she had Covid. Continues with HA, ear ache, joint pain, fatigue and SOB today. MD has not responded yet.

Other Meds: pantoprazole, glimepiride, Montelukast, atorvastatin, multivitamin, fish oil, preservision

Current Illness:

ID: 1033965
Sex: F
Age: 54
State: MN

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: Penicillin and Sulfa

Symptom List:

Symptoms: Nausea started around 11 am on day after vaccination, followed by fever and fatigue, with chills and loss of appetite. Mild-moderate headache as well. I slept the entire day, eating little. Fever continued throughout the day and night. Fever up to 103.3. Less fatigue on the next day (the 15th) and temp started at 99.8 but then increased to 100-101.8. Mild-moderate headache. Slept and rested most of the day, unable to perform normal routine. By the 16th no fever and felt well.

Other Meds: B12, D3, Fe

Current Illness: None

ID: 1033966
Sex: M
Age: 91
State: WI

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: post vaccine fever, hypoxia, pulmonary embolisms

Other Meds: Metformin, Levothyroxine, Aspirin 81mg, Sertraline, atrovastat

Current Illness: UTI

ID: 1033967
Sex: F
Age: 55
State: WA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I slept nearly the entire weekend following the shot, and now it?s four days later, but I still get easily fatigued. My energy level is probably about 60% of normal.

Other Meds:

Current Illness: Sinusitis

ID: 1033968
Sex: M
Age: 52
State: UT

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Mild migraine with visual aura on 2/13 was followed by severe migraine on 2/14 with visual aura, nausea, hand/finger numbness. Onset of severe migraine symptoms began at 9:30 am 2/14 and subsided by about 3:30 pm. Treatment included excedrin, prednisone, ibuprofen, tramadol and oxycontin.

Other Meds: Losartan, HCTZ

Current Illness: None

ID: 1033969
Sex: F
Age: 39
State: KS

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: erythmeriacin, penicillin

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Fever, chills, stomach cramping, headache, muscle and join aches and

Other Meds: Pentasa, vitamin D, fiber supplement

Current Illness: n/a

ID: 1033970
Sex: F
Age: 76
State: CA

Vax Date: 01/22/2021
Onset Date: 02/05/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Arm was moderately sore for first two days. After approximately 2 weeks, a large area around the injection site became red and intensely itchy. This continued for a full week or more. The point of the injection was clearly visible with a whitish area around it.

Other Meds: Alendronate; Spiriva Atorvastatin Triamterene/Hydrochlororo Thiazide Low dose aspirin D-3 50mg

Current Illness:

ID: 1033971
Sex: M
Age: 44
State: TX

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: AS THE THE IMUNIZATION WAS BIENG ADMINISTRED INTO THE PATIENT , THE DOSE WAS LOST DUE TOO EQUIPMENT MALFUNCTION . THE BARREL AND THE SYRINGE CONNECTION WAS NOT SEELED AND DOSE CAME OUT THROUGH THE SIDE OF THE SYRINGE, COULD HAVE BEEN THAT THE NEEDLE WAS NOT PROPERLY CONNCETED OR THE SYRINGE WAS DEFFECTIVE. THE VACCINE HAD TO BE READMINISTRED .

Other Meds: INFORMATION NOT AVAILABLE

Current Illness: NONE

ID: 1033972
Sex: F
Age: 56
State: AZ

Vax Date: 12/29/2020
Onset Date: 01/14/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: I noticed on the 14th that I had a large bump or growth on my left calf. It just suddenly appreared that day.

Other Meds: No

Current Illness: No

ID: 1033973
Sex: F
Age: 78
State: MA

Vax Date: 02/13/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Vertigo, nauseous, sweaty Symptoms lasted 3 to 4 hours. Not like orthostatic hypotension when bp is low. Did not stop when sitting. Did not vomit but felt very sick. Hope it doesn't happen again.

Other Meds: Flecainide, fludrocortizone, Prilosec, vitamin d, aspirin

Current Illness: Orthostatic hypotension, premature atrial contraction

ID: 1033974
Sex: F
Age: 52
State: PA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: sulfa drugs

Symptom List:

Symptoms: pounding headache that has lasted for 5 days , swollen glands in back of head and right arm pit - 3 days, pain and swelling of several surgical scarring from a medical procedure in 2019 on right side -for 2/12 days, chills through entire body on and off for about 6 hours- 24hours, with extreme numbness in fingers and feet - to the point they turned white lasting for about 45 min and then another 5 min , congestion - about 6 hours and increase in blood pressure

Other Meds: Premarin, vitamin c, multi vitamin, Zyrtec, Tylenol

Current Illness: none

ID: 1033975
Sex: F
Age: 26
State: AK

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: pcn: hives

Symptom List:

Symptoms: Pt developed urticaria next day following vaccination. urticaria was localized from cheeks to neck. Pt experienced itchiness and burning on the face. Pt developed localized redness, swelling at the injection site. Pt presented on 2/16, 6 days from vaccination with mild, lingering rash on neck. Pt states they took one dose of Benadryl on 2/12 and one dose on 2/13 with mild relief. Pt states took Tylenol OTC for pain in shoulder.

Other Meds: hztc metformin spironlacton

Current Illness: n/a

ID: 1033976
Sex: F
Age: 38
State: IN

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: spironolactone

Symptom List:

Symptoms: Rash at injection site 8 days post-vaccination. Rash has spread to cover the length of the left arm, chest, and torso.

Other Meds: Montelukast, Cetirizine, multi-vitamin, Spriva inhaler, Glucosamine+MSM, BCA Supplement, BCAA Supplement

Current Illness: None

ID: 1033977
Sex: M
Age: 59
State:

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA 7cm diameter of erythema, swelling, pruritus, and soreness onset 2 weeks after injection

Other Meds:

Current Illness:

ID: 1033978
Sex: F
Age: 40
State: OR

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Since then, has had painful stiff neck and pain in between shoulder blades and ongoing daily headaches. Has been prescribed pain medicine that has provided some relief. However, the headaches return daily, and neck pain is ongoing. Has missed a few work shifts due to discomfort and currently has note to be off work until 2/18/21

Other Meds:

Current Illness:

ID: 1033979
Sex: F
Age: 63
State: CA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: Pcn-mild rash

Symptom List:

Symptoms: Developed shingles within a 24hr of receiving MODERNA vaccine. I have been vaccination against shingles 3 years ago, with the ZOSTAVAX vaccine. Symptoms: extreme pain, intercostal areas (under R breast-under R-arm, and R-upper back). Saw my doctor (dermatologist) the following Monday (48 hrs post), and was given Valacyclovir, and Ultracet for pain. Valacyclovir was given for 7 days. Continued having extreme pain (same areas), and was given an Rx for prednisone 20mg. Still alot of pain, continued with ice packs, OTC medications, Percocet, Ambiem (for sleep), and the Ultracet. After 2 weeks saw my primary doctor Dr. and was told to titrate the predinisone, and begin gabapentin. Increased gabapentin as the days continued with pain from 200mg/day, to currently 900mg/day. Also using Lidocaine 5% patches. Second Moderna dose was given with my doctor's approval (same location) on Friday February 5th, around 10am. Did not notice any arm swelling, or muscle aches following vaccine, but continued with my Shingles nerve pain. Today pain much improved, but still using Lidocaine 5% patches, and taking gabapentin. Notified my doctor of all information.

Other Meds: vitamins (calcium, vit C, adrenal gland, bioten, glucosamine/chontrotin), singulair, wellbutrin XL 300mg, plaquenil 200mg

Current Illness: rheumatoid arthritis

ID: 1033980
Sex: F
Age: 25
State: OH

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pt felt that heart was racing and some shortness of breath. @ 1328 HR 118, BP 132/98. Recheck @ 1352 HR 75, BP 130/98, RR 24. Pt feels recovered after resting and feels alright to drive home.

Other Meds: Sprintec, birth control

Current Illness: COVID on 01/12/2021 (onset of symptoms 01/07/2021)

ID: 1033981
Sex: F
Age: 58
State: CA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: muscle aches; joint aches; tired; chills; hot spells; stiff muscles

Other Meds:

Current Illness:

ID: 1033982
Sex: F
Age: 28
State: IL

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: L arm, some numbness and tingling, "tongue feeling fat", toes tingling". Patient was taken to triage, tongue and oral membranes assessed, no signs of swelling, lungs clear, v.s. taken, patient given 25mg of benedryl IM., patient also given orange juice, continued to monitor for 30 minutes, symptoms subsided. Patient was walked out and driven home by her co-worker.

Other Meds: Unknown

Current Illness: Unknown

ID: 1033983
Sex: F
Age: 60
State: MI

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: COVID-19 Vaccine EUA; 14-15 hours after injection, developed chills, low-grade fever (99.9F), muscle aches, malaise, restlessness (probably from fever). Symptoms lasted 24-30 hours after they started

Other Meds: none

Current Illness: none

ID: 1033984
Sex: F
Age: 26
State: MA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pain at Injection Site-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium

Other Meds:

Current Illness:

ID: 1033985
Sex: F
Age: 25
State: UT

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: developed severe abdominal pain on 2/13. denied fever/chills, vomiting or diarrhea

Other Meds:

Current Illness:

ID: 1033986
Sex: F
Age: 46
State: AZ

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: amoxicillin Macrobid food:unknowm but suspected

Symptom List:

Symptoms: welt formed on upper lip @ 2:37 PM; Took 2 Benadryl at 2:45 PM; Nose and cheeks became red and stiff shortly after, before 3pm; By 3:15 welt and other areas on face diminished.

Other Meds: Phentermine 37.5 MG @ 9AM Trazodone 50 MG @1AM 2/16/21 Emergency C @ 1:00 PM Vitamin D @ 1:00 PM Airbourne @ 1:00 PM Tylenoyl 500 Gm @ 1:00 PM 2 Benadryl after first symptoms appeared.

Current Illness: none

ID: 1033987
Sex: F
Age: 40
State: TX

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: FEB 15 I experienced headaches, light sensitivity, chills, temp of 96.6 DegF, vomiting, was unable to go to work.

Other Meds: Iron supplement D3 supplement Ortho tri cyclen lo

Current Illness: None

ID: 1033988
Sex: M
Age: 54
State: MO

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Elbow and Shoulder Aches, Right Elbow still aches

Other Meds: N/A

Current Illness: N/A

ID: 1033989
Sex: F
Age: 69
State: NY

Vax Date: 02/05/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: ITCHING, NO PAIN, REDNESS TO INJECTION SITE 9 DAYS AFTER VACCINATION. ICE WAS PUT TO AREA. SWELLING HAS REDUCED AS OF 2/16/21

Other Meds: SYNTHROID 0.75, SLO-MAG, ZETIA 10MG, ACETAZOLAMIDE 250MG, DAILY VITAMINS, VITAMIN D 3 1000 UNITS, B-6 50MG,WELCHOL 625MG, LIVALVO 4MG, NORTRIPTYLINE 25MG, GABAPENTIN 300MG, CALCIUM 600MG+ VIT D

Current Illness: NONE

ID: 1033990
Sex: M
Age: 67
State: CO

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: About 24 hours after vaccination I noticed a rash on my knuckles (both hands) and also on my wrist (right hand only). There was no itching, just a rash. I took 1 Zyrtec allergy pill at bedtime and by the morning (today) the rash was almost gone. Now, 48 hours after vaccination, the rash is gone.

Other Meds: simvastatin 20mg multivitamin CoQ10 300mg

Current Illness: none

ID: 1033991
Sex: F
Age: 52
State: AZ

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List:

Symptoms: approx 4-5 hours after vaccine I began to have burning on the soles of my feet when I walked. It felt like I was walking on hot coals. This continued in both feet for approx 24 hours. It never went away completely in the R foot. My right foot continues to have burning pain, inflammation, and occasional numbness in my toes. It is more localized to plantar fasciitis area now. I have had a cortisone shot, muscle rub salve, anti-inflammatories with no relief in R foot. I have another podiatry appt tomorrow and an appt with neurologist on Thurs. PCP and podiatrist said they think it may be an inflammatory response to the vaccine that irritated something that was "already brewing" in that area.

Other Meds: prozac 40 mg daily mulit vitamin vit d 5000 u daily progesterone 200mg every other day omeprozole 40 mg daily

Current Illness: none

ID: 1033992
Sex: F
Age: 29
State: CA

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: c/o left arm numbness, back pain and numbness to left side of face

Other Meds: Prenatal Vitamins

Current Illness: none

ID: 1033993
Sex: F
Age: 15
State: OR

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Patient Too Young for Vaccine Administered

Other Meds:

Current Illness:

ID: 1033994
Sex: F
Age: 62
State: NJ

Vax Date: 02/10/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I developed a rash that is very itchy. along the hairline of my entire face and on my shoulders and upper chest (not on my breasts)

Other Meds:

Current Illness:

ID: 1033995
Sex: M
Age: 28
State: OH

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Started to feel warm and light headed. VS @ 15:15 HR 72, RR 16, BP 112/68, S02 98%

Other Meds: None

Current Illness: None

ID: 1033996
Sex: F
Age: 59
State: IL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

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Lab Data:

Allergies: n/a

Symptom List:

Symptoms: severe pain in neck, ear, head on right-side, lump in neck on right side

Other Meds: n/a

Current Illness: n/a

ID: 1033997
Sex: F
Age: 67
State: CA

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

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Lab Data:

Allergies: Beta blockers Shrimp Orange cheese

Symptom List:

Symptoms: Chills Nausea Muscle aches Headache

Other Meds: Pradaxa DILT-XR Hydrochlorothiazide Levotgroxine Cetirzine Hydrochloride

Current Illness:

ID: 1033998
Sex: F
Age: 26
State: MA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Pain at Injection Site-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium

Other Meds:

Current Illness:

ID: 1033999
Sex: F
Age: 41
State: MI

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 02/16/2021
Hospital:

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Lab Data:

Allergies: Avocados, cats, mold, environmental

Symptom List:

Symptoms: Raised red welt, appx 4 inches diameter at infection site

Other Meds: Oral contraceptives, Vitamin D, vitamin b, adult multivitamin

Current Illness: None

ID: 1034000
Sex: F
Age: 33
State: VA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/16/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: Tongue felt swollen and dizzy after vaccine. Evaluated by EMS. Pulse ox 99% BP 100/62 To stay extra 15 minutes. Benadryl and ER prn. Client felt better and went home.

Other Meds:

Current Illness:

ID: 1034001
Sex: F
Age: 29
State: IL

Vax Date: 02/08/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

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Allergies: None

Symptom List:

Symptoms: About 1 week after my first Moderna vaccine, my right arm started to hurt tremendously where I had the first vaccine. I am very healthy and I do not have any allergies. I developed a delayed, large rash (about 6-7 inches) in diameter right around the injection spot. It is very itchy, swollen, hot, and red. This happened after 6 days of receiving the first dose. I did not experience any significant adverse events right after the first dose except for a sore arm for a few days. I went skiing on the 6th day after receiving the vaccine. When I got home, I noticed this large rash breaking out on my arm. It felt as if I just received the shot. It is very swollen and tender to touch. Benadryl helped alleviate the pain. The rash seems to be getting better after 48 hours.

Other Meds: Mononessa Birth Control

Current Illness: None

ID: 1034002
Sex: F
Age: 74
State: MA

Vax Date: 02/16/2021
Onset Date:
Rec V Date: 02/16/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List:

Symptoms: NONE

Other Meds: Calcitriol hydrachlorathiazide

Current Illness: none

ID: 1034003
Sex: F
Age: 34
State: NY

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

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Lab Data:

Allergies: Ambien, Ativan, Bactrim, Hydrocodone, Sulfa, treenut,

Symptom List:

Symptoms: generalized malaise, subjective memory trouble, chest pressure, lips tingling

Other Meds: unknown

Current Illness: none

ID: 1034004
Sex: F
Age: 24
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/16/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: congestion, cough, fatigue, headache, muscle/body aches, nausea, loss of taste/smell, sore throat, runny nose

Other Meds:

Current Illness:

ID: 1034006
Sex: F
Age: 87
State: KY

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

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Lab Data:

Allergies: Some antibiotics

Symptom List:

Symptoms: Started with chills approx. 16 or 17 hours after injection, followed by fever and flu like symptoms . Lasted approx. 24 hours. Soreness at injection site.

Other Meds:

Current Illness:

ID: 1034007
Sex: F
Age: 66
State: FL

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Large red blotch developed starting below the injection spot. It is hot, itches and feels like it has small bumps across it.

Other Meds: Metoprolol, lisinopril, ibuprofen, bioidentical hormones (estrogen, testosterone, progesterone), levocetirizen - e, vitamin D, biotin

Current Illness:

ID: 1034008
Sex: F
Age: 51
State: PA

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 02/16/2021
Hospital:

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Lab Data:

Allergies: no

Symptom List:

Symptoms: At arm pain at 11:00 pm. The following day, my left arm swelled up from wrist to shoulder - three times it's size. I couldn't move my arm for 24 hours. Arm pain was gone after 24 hours. Two days after - I was freezing cold, on the couch. Following day, I called my doctor. He told me to rest. I had a high fever and I had body aches. I was really cold. I felt like I had the flu for about a week - missed a couple days of work.

Other Meds: no

Current Illness: no

ID: 1034009
Sex: M
Age: 34
State: CO

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Fever (102 degrees), headache, nausea, hematuria, foul smelling urine

Other Meds: Kirkland Multivitamin, 200 mg chelated magnesium, valerian

Current Illness:

ID: 1034010
Sex: F
Age: 27
State: MI

Vax Date: 02/06/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

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Allergies: None

Symptom List:

Symptoms: COVID-19 Vaccine EUA; A week after vaccination my left arm developed a large rash just below the injection site, about 7in x 4in. It is warm to the touch. It was sore the first day and is sometimes slightly itchy. It has been 4 days and it appears to be resolving (it is not as red).

Other Meds: Metoprolol Triamterene Hydrochlorathiazide

Current Illness: None

ID: 1034011
Sex: F
Age: 71
State: CA

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/16/2021
Hospital:

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Symptom List:

Symptoms: Systemic: Flushed / Sweating-Mild, Systemic: O2 levels dropped. No flushing/sweating but system would not let me uncheck section-Medium, Additional Details: her oxygen saturations were 93-96% on room air all of January, she received her first vaccine January 20, 2021. She received her second vaccine February 3, 2021. Her sats for February were 92-94% up until the sixth of February when she noticeably dropped to 91% on room air, she started being supplemented occasionally with oxygen on the 8th. She continues to be supplemented with oxygen. Not sure if related to vaccine or not

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm