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
77,740
AK1,673
AL5,567
AR3,585
AS44
AZ13,626
CA59,856
CO11,265
CT8,040
DC1,664
DE1,725
FL37,742
FM3
GA13,908
GU87
HI2,250
IA4,424
ID2,525
IL19,979
IN22,857
KS4,397
KY7,321
LA4,909
MA14,287
MD12,244
ME3,063
MH8
MI18,496
MN11,661
MO9,174
MP30
MS2,782
MT2,201
NC15,876
ND1,299
NE2,813
NH2,942
NJ17,883
NM3,795
NV4,238
NY33,709
OH18,630
OK6,086
OR8,214
PA23,254
PR2,192
QM2
RI1,936
SC6,283
SD1,156
TN8,998
TX35,358
UT4,151
VA14,330
VI50
VT1,710
WA14,253
WI10,684
WV2,269
WY843
XB5
XL1
XV2

ID: 1043408
Sex: M
Age: 51
State: MO

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Diarrhea, fatigue, muscle soreness, fever 100.2

Other Meds: Omeprazol, Divalproex

Current Illness: None

ID: 1043409
Sex: F
Age: 48
State: IL

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

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

Lab Data:

Allergies: Banana, nuts, adhesive tape, avocado, cucumber, chocolate, cinnamon, carrot, wheat, pear, honey, ethanol, Beets, doritos, dark chocolate peanut butter cups, honey mustard, dark chocolate in general Fragrance-causes hives/rash

Symptom List:

Symptoms: voice change, cough, wheezing, bumps on tongue

Other Meds: Albuterol, Astelin, QVAR Redihaler, CoQ10, Calcium, Nexium, Pepcid, Allegra, Breo Ellipta, Claritin, Exolair, Ativan, Cozaar, Incruse Ellipta and aldactizide

Current Illness: n/a

ID: 1043410
Sex: F
Age: 39
State: AZ

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Severe pain in site of injection. Pain was so bad it was throbbing at night and couldn?t fall asleep. Pain was so severe I needed assistance getting dressed for 3 days as I couldn?t move my arm or the pain would be so bad. Finally got better 3 days after the shot was given. Not bad enough to go to the doctor, but it was an intense prolonged pain.

Other Meds:

Current Illness:

ID: 1043411
Sex: F
Age: 73
State: AZ

Vax Date: 02/11/2021
Onset Date: 02/01/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Moderna COVID-19Vaccine EUA One week (8th day) after receiving first dose of Moderna COVID vaccine, I developed approx. 7cm diameter erythematous patch at the site of the vaccine administration that was very itchy. It is better on day 9, not quite as red and way less itchy.

Other Meds: Atorvastatin, Calcium, Vit D, Stress B vits, OREDS2 eye supplement

Current Illness: None

ID: 1043412
Sex: F
Age: 86
State: MD

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fateague,headache, fever

Other Meds: N/A

Current Illness: None

ID: 1043413
Sex: M
Age: 53
State: KY

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: During the night after vaccination the patient experienced chills, severe headache, fever, cough and and fatigue. All abated after 24 hours except the headache, which continue 48 hours later

Other Meds: daily multi-vitamin

Current Illness: None

ID: 1043414
Sex: M
Age: 48
State: MD

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: joint pain in both elbows and wrists

Other Meds: Seroquel, Biktarvy, Emsam, Celebrex, baclofen, Tylenol, calcium/magnesium/zinc supplements, multivitamins

Current Illness: none

ID: 1043415
Sex: M
Age: 75
State: VA

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

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

Lab Data:

Allergies: Sulfur

Symptom List:

Symptoms: Low diastolic blood pressure (38-46 range); Low blood pressure readings (under 50); Method of testing - Apple Watch and wrist monitor.

Other Meds: Vitamins B, C, D Probiotic Fish Oil

Current Illness: Diabetes Mellitus Parkinsons Peripheral Neuropathy Cardiovascular Artery Disease Allergic Rhinitis Psoriasis

ID: 1043416
Sex: F
Age: 49
State: RI

Vax Date: 02/03/2021
Onset Date: 02/15/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Shingles- left eye

Other Meds: Zoloft, levothyroxine

Current Illness: None

ID: 1043417
Sex: F
Age: 30
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 1/30 Reaction tongue and lips tingling. Right arm w rash and chest tightening. Today lips 8and tongue tingling. EMS evaluated. BP 128/84 P 86 SaO2 98% No further issues resolved - home 2:55

Other Meds:

Current Illness:

ID: 1043418
Sex: M
Age: 69
State: FL

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills, fever, headache, body aches

Other Meds: Olmesartan, Metoprolol, baby aspirin, Lipitor, Tylenol

Current Illness: Hypertension, CKD

ID: 1043419
Sex: M
Age: 27
State: PA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: All nuts

Symptom List:

Symptoms: Red Blotchy Rash on Left Arm, Shoulder, Chest, Back, Thighs.

Other Meds: Celexa 40mg, flonase, advair 100/50, Vitamin d, zyrtec

Current Illness: none

ID: 1043420
Sex: F
Age: 27
State: CO

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: Septra/Sulfa drugs

Symptom List:

Symptoms: Yesterday afternoon (which was exactly 1 week from receiving my first dose of the COVID-19 vaccine), I noticed my shoulder was strangely itchy and felt a bit bumpy. When I got home from work I examined it further and noticed it was a bit red, blotchy, warm, and raised in about a 3-4inch patch of skin around where I received my injection. This morning it looked the same and was even itchier. This afternoon it still feels warm and a bit tight/sore like when I first received the injection. Naturally, I googled my symptoms and came upon reports of 'covid arm', which were judged to be annoying but ultimately harmless which sounds a lot like what I'm experiencing, and as my mother reminded me, I've always had very sensitive skin! So I haven't done much to treat it except put a tshirt over it to make sure I leave it alone.

Other Meds: Prescriptions: Lexapro, Adderall, Sprintec, Gabapentin.

Current Illness:

ID: 1043421
Sex: F
Age: 71
State: IA

Vax Date: 02/11/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Delayed cutaneous hypersensitivity, I assume. Rash around injection site appeared today, 9 days after dose 1 of Moderna COVID vaccine. So far just rash. Does not hurt or itch, but just noticed it this morning.

Other Meds:

Current Illness:

ID: 1043422
Sex: F
Age: 66
State: NY

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: ampicillin; suspected penicillin

Symptom List:

Symptoms: After approximately one week, I developed a red, warm raised area at injection site. Approximately 2 inches in diameter. It aches and itches. Edges of red area are broken up and look rash-like. Looked online and it appears to be "COVID Arm". Note: In the 3 -4 days after the shot, my left arm was a bit sore and achy, and it would ache a little bit to raise the arm. That subsided and then late Thursday / early Friday 2/19 I noticed the redness and felt the itching and different ache. I am reporting this after only about a day and a half of symptoms / adverse event.

Other Meds: OTC multi-vitamin

Current Illness: none However, currently being evaluated for myasthenia gravis. Eyelid drooping several days PRIOR to vaccine dose 1.

ID: 1043423
Sex: F
Age: 44
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: While being monitor in post-vaccine area she developed dizziness similar to when she has had hypoglycemia in the past. Reports she did not eat breakfast this morning. No hx of diabetes, not on diabetic medications. She is on some pain medications for a recent surgery. Otherwise denies rash, throat swelling, dyspnea, nausea/vomiting. EMS contacted and came to assess pt. Vitals assessed and were wnl. Blood sugar check was 68. She was given apple juice, starburst, graham crackers and felt better. Monitored for additional period of time and felt well enough to leave. EMS advised transfer to hospital for additional monitoring however she declined. No other specific symptoms of post-vaccine side-effects and I do suspect this was primarily due to low blood sugar in setting of not eating breakfast before receiving the vaccine.

Other Meds: none

Current Illness:

ID: 1043424
Sex: F
Age: 38
State: TX

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: Shellfish

Symptom List:

Symptoms: Pain and swelling at injection site Pain and swelling of lymph node near left side of collarbone Body aches

Other Meds: Multi vitamins Singulair Proair inhaler

Current Illness:

ID: 1043425
Sex: M
Age: 69
State: AZ

Vax Date: 02/10/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Red, itchy rash in area of injection site notice 9 days (2/19/2021) after vaccine injection. Also mild headaches but not sure if they are related to injection.

Other Meds: Lovastatin, omeprazole, tamsulosin

Current Illness: none

ID: 1043426
Sex: F
Age: 68
State:

Vax Date: 01/17/2021
Onset Date: 01/28/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Bell's palsy. Earache began several days prior to diagnosis. On 1/28 , woke up with a drooped left eye (couldn't close it fully), followed that day by loss of taste and sensitivity to noise. The next morning (1/29), experienced drooling. That afternoon, I went to the ER at NY, and was diagnosed with Bell's palsy. Treatment was prednisone (50mg) and valacyclovir (1g) for seven days. Symptoms were halted by the meds and now, three weeks later, have nearly disappeared.

Other Meds: none

Current Illness: none

ID: 1043427
Sex: F
Age: 62
State:

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Pt assessed after receiving COVID-19 vaccination drive thru site. She reported onset of mild lightheadedness and a non-specific "funny feeling" in her head. No vertigo or presyncope. No other new neurologic changes such as vision changes or extremity weakness. No chest pain, palpitations, dyspnea. No other signs of allergie/anaphylaxis (ie rash, throat swelling, GI side-effects). She reports hx of high blood pressure and is on one BP medication but cannot recall the name. States she took it today. Reports eating breakfast this morning. Exam notable for BP 140/85, HR 60. Pt well-appearing, no acute distress, no obvious CNS or peripheral deficits. RRR, normal s1/s2, no m/r/g. Lungs CTAB. No obvious rash or facial swelling. During course of evaluation pt reported symptoms improved but did not quite resolve. Advised pt to continue monitoring at vaccination site for additional 15 minutes. Offered juice, crackers, fluids which she declined though did drink some of her own water. Upon reassessment pt reported continued improvement though symptoms had not completely resolved. Offered to have EMS come assess pt though she declined. Warning signs/symptoms discussed with pt for when to seek out care at ED. She is in agreement.

Other Meds: unknown

Current Illness:

ID: 1043428
Sex: F
Age: 24
State: AL

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

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Patient c/o tingle sensation to bilateral lower extremities with gradual numbness 1hr after vaccination. Patient states symptoms worsen with shortness of breath, dizziness and blurred vision. Patient return back to clinic, the medical staff assessed the following vital signs: Temp 97.0; HR 83; Resp 16; B/P 131/83; Sat02 98-100% on room air. Overall assessment by medical staff revealed the following; anxiety, tearful with redness eyes. local EMS was contacted and patient transferred to local Emergency department via stretcher.

Other Meds: unknown

Current Illness: test positive for COVID-19 in January 2021, but tested negative on January 11, 2021

ID: 1043429
Sex: F
Age: 31
State: NC

Vax Date: 02/05/2021
Onset Date: 02/15/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List:

Symptoms: Big welt/rash on arm that is spreading size of the welt 8 inch circle Rash is hot and itching

Other Meds: Xanax Zoloft Singular Omperazole Allegra Sonata Lyrica Flexeril Dupixent Advil Tylenol

Current Illness: N/A

ID: 1043430
Sex: F
Age: 22
State: FL

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Lethargy, fevers, headaches, nausea and body aches lasted for about a day

Other Meds: N/A

Current Illness: N/A

ID: 1043431
Sex: F
Age: 69
State: NY

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: left sided facial swelling 2 hours post vaccination

Other Meds: None

Current Illness: None

ID: 1043432
Sex: M
Age: 78
State:

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Severe headache lasted three hours; pain in left arm where shot was given; body tiredness 12-hours. 36-hours later: chills, shaking, temperature 101-degrees - lasted 2.5 hours.

Other Meds:

Current Illness:

ID: 1043433
Sex: M
Age: 27
State:

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: None Known

Symptom List:

Symptoms: Dose 1 on 26Jan2021: Sore left arm at injection site; persisted for approx. 40 hours. Slight brain fog - difficulty completing basic mental math (addition/subtraction with values less than 50); persisted for approx. 12 hours. Dose 2 on 16Feb2021: Sore left arm at injection site; persisted for approx. 30 hours. Low-level headache focused behind my eyes; effectively treated twice with Tylenol and later with Ibuprofen; onset within 1.5 hours of injection; persisted for approx. 12 hours.

Other Meds: None

Current Illness: None

ID: 1043434
Sex: F
Age: 40
State: PA

Vax Date: 02/09/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: Vicadin

Symptom List:

Symptoms: I am on day 11 since vaccination and site of injected has remained ?swollen? and today has a 2-3 inch red mark that is warm to the touch.

Other Meds: Multivitamin

Current Illness: N/a

ID: 1043435
Sex: F
Age: 68
State: FL

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Hallucinating by hearing things falling doors opening throughout her house when no one is living with her.

Other Meds: Rosuvastatin 10mg Lisinopril HCTZ 20mg

Current Illness: N/A

ID: 1043436
Sex: M
Age: 71
State: CA

Vax Date: 02/17/2021
Onset Date: 02/18/1921
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: Bactrim, Chloroquine, Nafcillin

Symptom List:

Symptoms: Felt like intense Flu, but muscle ache only. From 8pm to 2pm the next day.

Other Meds: Enbrel, Xarelto, Flecainide, Losartan Potassium, Metoprolol, Metformin, Atorvastatin, Alfuzosin, Pantoprazole, Tadalafil, Escitalopram, and Ethacrynic Acid.

Current Illness: Psoriatic Arthritis, Paroxysmal Atril Fibrillation, BPH, GURD, mild depression

ID: 1043437
Sex: F
Age: 67
State: FL

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: Macrobids, tetracycline, soy

Symptom List:

Symptoms: Had injection on Sunday. Woke on Monday with 104.5 temp, swollen joints and general body aches. Temp broke about 6:00 pm but returned on both Tuesday and Wednesday. On Tuesday my husband found out that a coworker was positive for Covid. Wednesday morning both my husband and I also tested positive for covid. Overnight Wednesday, the fever resolved itself.

Other Meds: Xolair

Current Illness: None

ID: 1043438
Sex: F
Age: 65
State: NC

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Patient reports persistent case of hives since having had first dose. States that hives noted the "morning after" having vaccine. Has been advised by primary care physician not to have second dose.

Other Meds: Unknown

Current Illness: None reported

ID: 1043439
Sex: F
Age: 62
State: AK

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 48 hrs post vaccination I experienced severe abdominal cramping, vomiting, diarreha for 8 hours. I haven't experienced influenza symptoms in decades prior.

Other Meds: none

Current Illness: none

ID: 1043440
Sex: F
Age: 69
State: FL

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: Ephedrine Methotrexate

Symptom List:

Symptoms: Today, one week after the Moderns vaccine, I have broken out with hives all over my body. I am breathing fine. Is there any reason I shouldn't get the next Covid shot?

Other Meds: Livalo, Synthroid , xeljanz tramadol omeprazole olmesartan

Current Illness:

ID: 1043441
Sex: M
Age: 40
State: MA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: VM Received: RN callback to male caller who received his 2nd dose of the COVID vaccination yesterday, 2/19/2021 at approximately 0900 at the stadium. He is started early this morning experiencing a headache, chills body and joint aches accompanied by a Temp of 101.0. He stated when he received the first dose he experienced the same symptoms but they did not start for about 30 hours after receiving the 1sst injection and the symptoms lasted for 2 days. Caller instructed to to seek in-person medical care or to call his PCP if he feel the need per AE's criteria due to a fever of 101.0. Caller also instructed if he elects not to seek in-person medical care or call his PCP to take Tylenol to help lower his fever

Other Meds:

Current Illness:

ID: 1043442
Sex: F
Age: 79
State: NY

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, thorazine

Symptom List:

Symptoms: swollen arm at injection site, red, itchy, warm

Other Meds: Dupixent, Symbicort, Carbidopa/Levidopa, vitamin E, vitamin D, Co-Q 10, Pro-Lia,

Current Illness: Parkinson's Disease

ID: 1043443
Sex: M
Age: 68
State: CA

Vax Date: 02/12/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
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Allergies: none

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Symptoms: covid arm - delayed cutaneous hypersensitivity (itchy lesion) exactly as described in : https://www.health.com/condition/infectious-diseases/coronavirus/covid-arm-rash-moderna

Other Meds: lipitor, eilquis, meteprolol

Current Illness: none

ID: 1043444
Sex: M
Age: 43
State: MS

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/20/2021
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Allergies: Sulpha

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Symptoms: I was diagnosed with Covid on 2/12/2021 and my entire family also got Covid.

Other Meds: Flonase and zyrtec

Current Illness: None

ID: 1043445
Sex: F
Age: 44
State: TX

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/20/2021
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Allergies: None

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Symptoms: Day 1: Extreme fatigue and drowsiness Day 2 - 4: Headache. extreme fatigue, excruciating arm pain, and drowsiness Day 4: Runny nose, sneezing, headache. fatigue, and drowsiness.

Other Meds: Plaquenil, Breo, Gabapentin, Acarbose

Current Illness: Lupus, asthma, hypoglycemia

ID: 1043446
Sex: F
Age: 67
State: SC

Vax Date: 02/01/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
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Allergies: Doxecycline Sulfa. Cipro

Symptom List:

Symptoms: Muscle aches in thighs hips legs

Other Meds:

Current Illness:

ID: 1043447
Sex: F
Age: 41
State: LA

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
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Allergies: azithromycin

Symptom List:

Symptoms: Dose 1: About 5 minutes after injection slight dizziness and ear felt stopped up. Later that night chest was flushed. Flushing lasted about 2 hours Dose 2: Due to flushing with last infusion, nurse told me to wait there 30 minutes after infusion. About five minutes after starting getting a headache and left ear was stopped up. Was told to take Benedryl if rash(flushing) came back with this infusion and to report symptoms to CDC. Headache and nausea felt till next day. Felt sick and headache riding in car. At 0130 am on 2/18/21 was awoken by pain under right arm. Very mild swelling noted but very sore to put arm down and tender to touch. Underarm still sore as of today Feb 20, 2021. Second day joint pain in shoulders, elbows, fingers, and knees. Joint pain improved but still there as of Feb 20, 2021. Ibuprofen and Tylenol did not help headache or joint pain. Third day headache off and on with nausea once, right hip pain. Feb 20, 2021 Fourth day underarm and joint pain improving , nasal and ear congestion

Other Meds: letrozole daily, ibuprofen and tylenol night before vaccine

Current Illness: allergies

ID: 1043448
Sex: M
Age: 55
State: IL

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/20/2021
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Allergies: Unknown

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Symptoms: Patient received 2nd dose 10 days after the first dose was given.

Other Meds: Unknown

Current Illness: Unknown

ID: 1043449
Sex: F
Age: 51
State: TX

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/20/2021
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Allergies: Peanuts cucumbers carrots

Symptom List:

Symptoms: Headache, extremely fatigue, body aches, muscle pain, left elbow pain

Other Meds: Adderall

Current Illness: Cellulitis

ID: 1043450
Sex: F
Age: 75
State: ID

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 02/20/2021
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Symptoms: PATIENT DIAGNOSED WITH SHINGLES 7 DAYS AFTER VACCINE -- THEN EMERGENCY ROOM VISIT FEB. 16TH OR 17TH DUE TO HYPERGLYCEMIA, VERTIGO , DEHYDRATION AND ELEVATED BLOOD PRESSURE/HEART RATE

Other Meds: SIMVASTATIN , OMEPRAZOLE, LANTUS

Current Illness:

ID: 1043451
Sex: F
Age: 37
State: VA

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
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Allergies: Sulfa

Symptom List:

Symptoms: Dizzy. Flushing. Ringing ears.

Other Meds: Maxide. Wellbutrin. Inderal. Vitamin D. Zyrtec

Current Illness: No

ID: 1043452
Sex: F
Age: 77
State: WA

Vax Date: 01/21/2021
Onset Date: 01/30/2021
Rec V Date: 02/20/2021
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Allergies: too med allergies to list

Symptom List:

Symptoms: Covid arm: 2 inch round red, raised skin patch; itchy, painful

Other Meds: lisinopril metropolol omeprazole pravastatin

Current Illness:

ID: 1043453
Sex: F
Age: 66
State: IN

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
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Allergies: None

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Symptoms: On Day 8 post vaccine I noticed there is redness and a little swelling at injection site. It is about 2 inches and slightly itchy.

Other Meds: Estradiol, Lexapro, Trazodone

Current Illness: None

ID: 1043454
Sex: F
Age: 26
State: WI

Vax Date: 12/26/2020
Onset Date: 12/31/2020
Rec V Date: 02/20/2021
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Allergies: None

Symptom List:

Symptoms: Dizziness described as a swaying sensation. Swollen eyelid. Dizziness/sway has not gone away. Also off balanced and visual axis is now tilted.

Other Meds: Isibloom

Current Illness: None

ID: 1043455
Sex: F
Age: 70
State: PA

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
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Allergies: None

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Symptoms: A week after receiving the vaccine, my right arm developed a bump, almost like a mosquito bite in the injection site. During the following days it grew redder and the area became larger, very itchy, warm to the touch and hard. I have not had it looked at but if it continues to worsen, I will.

Other Meds: Synthroid, Fosomax, Methotrexate, Calcium Citrate, Multi-vitamin, Omega 3, D3

Current Illness: None

ID: 1043456
Sex: F
Age: 65
State: WI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/20/2021
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Symptoms: No adverse event reported. Only air was administered. Patient returned to get revaccinated.

Other Meds:

Current Illness:

ID: 1043457
Sex: M
Age: 68
State: SC

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
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Allergies: none on file

Symptom List:

Symptoms: The patient became lightheaded and pale and said he felt like he was going to pass out. He then had a syncope episode where he was unresponsive for 15 to 20 seconds and then became responsive. It took him 15 to 20 minutes to recover and regain balance to stand up and walk. He rested with his head down as he was nauseas and tired from the event. He stood up once he was able and alert.

Other Meds: n/a

Current Illness: none on file

Total 2021 VAERS Injuries: 622,171

Page last modified: 03 October 2021 5:28pm