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: 1052515
Sex: M
Age: 68
State: NY

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Much like my experience of COVID in 3/2020 and after my first shot of vaccine in 1/2021: extreme chills, extreme achiness, extreme weakness & fatigue, extreme dry mouth, extreme chapped lips. Duration of side effects after first shot was 4 days; duration after second shot was 48 hours, with lingering fatigue & dry mouth until at least a week after the shot. Symptoms, though severe, resolved themselves in the time frames described above.

Other Meds: RS meds, vitamins & supplements 12.4.2020 Rx: Amlodipine Besylate Tabs 10 mg?1 tablet/day (substitute for Nifedipine ER (CC) 90 mg) Metoprolol Succ (Toprol) ER?100 mg?1 tablet/day Losartan?100 mg?1 tablet/day Atorvastatin?40 mg?1 tablet/

Current Illness: None

ID: 1052516
Sex: M
Age: 68
State: SC

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: NONE

Symptom List: Anxiety, Dyspnoea

Symptoms: In under two minutes fainted. Believed to be Vasovagal syncope although patient has never fainted in the past and even with getting other vaccines.

Other Meds: The night before I took: Paroxetine 10 mg , Meloxicam 15 MG , 1 Benedryl , Vitamin C, D, Zinc and Quercitin. The morning of my vaccine I took: LisinopriL 10 mg , Omega 3, Curcumin and a joint supplement. Also took Sudafed PE 10 mg and/o

Current Illness: Having a stuffy nose for about two weeks

ID: 1052517
Sex: M
Age: 84
State: TN

Vax Date: 01/30/2021
Onset Date: 02/01/2021
Rec V Date: 02/24/2021
Hospital:

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Lab Data:

Allergies: NKA

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

Symptoms: A FEW DAYS AFTER GOT 2nD COVID VACCINE STARTED TO HAVE RASH ON OPPOSITE ARM/SHOULDER THAT HE GOT VACCINE IN. SINCE THEN IT HAS SPREAD TO BOTH SHOULDERS AND TO NECK. SEEN PCP AND WAS PRESCRIBED SOME OINTMENT AND HAS BEEN TAKING BENEDRYL

Other Meds: COREG, LASIX, ALLOPURINOL, TAMULOSIN, POTASSIUM

Current Illness: NONE

ID: 1052518
Sex: F
Age: 32
State: GA

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 02/24/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: NA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: sudden constant eruption of cystic acne on chin, back, and chest; not alleviated by any OTC medications. Menstrual cycles, post-vaccine, pain/longevity/heaviness incredibly increased.

Other Meds: NA

Current Illness: NA

ID: 1052519
Sex: F
Age: 40
State: FL

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: nka

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

Symptoms: Client complained of itchy throat. seen and assessed by EMS. Vitals are as follows: B/P 107/72, HR-109, O2-99. Client denies any other symptoms and verbalized decrease is sensation. Client cleared by EMS to go home. Client advised to seek MD if symptoms worsen.

Other Meds: none

Current Illness: none

ID: 1052520
Sex: F
Age: 58
State: MI

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 02/24/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Seasonal Allergies(dust, mold)

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

Symptoms: I exp on welts on face/throat which lasted 3 days. I had continued itchiness around jawline for weeks. Shortly after that exp itchiness under left arm and I also exp short periods of dizziness repeatedly for first month of vaccine. As of today not exp dizziness.

Other Meds: Hydrochlorizide, Potassium,Multi Vit with minerals

Current Illness: No

ID: 1052521
Sex: M
Age: 20
State: FL

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital: Y

Vax Type:
Manufacturer:
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Lab Data:

Allergies: Chocolate, Dust, Peanuts

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 20 year old with cerebral palsy, chronic bronchitis, G-tube dependent received COVID 19 vaccine approximately 1030 on 2/18. Within 5 minutes c/o headache and had audible wheezing. He was treated with Benadryl in the vaccine clinic. He was taken to ER noted to be in resp distress. He received IM epinephrine and symptoms quickly improved. Less than an hour later was again noted to be wheezing and in respiratory distress. He was treated with second IM epinephrine, albuterol, steroids, and antihistamines. Admitted into PICU overnight and remained asymptomatic. Patient received the pneumococcal and influenza vaccines 3 days prior. Has never had any similar reactions in the past. Patient was discharged on 2/19.21.

Other Meds: montelukast; lactulose

Current Illness: None

ID: 1052522
Sex: M
Age:
State: NC

Vax Date:
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

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Lab Data:

Allergies: penicilon

Symptom List: Pharyngeal swelling

Symptoms: Bad chills, slight fever that night for about 1 hour and moderate chills next morning for 15/20 minutes.

Other Meds: carvidol,spiron./hctz

Current Illness: none

ID: 1052523
Sex: M
Age: 26
State: NM

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital: Y

Vax Type:
Manufacturer:
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Lab Data:

Allergies: NKDA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Pt recived his second Moderna vaccine 2/15/21, and on 2/16, staff at pt's group home noted pt was unable to walk although pt previously ambulatory (could go on long hikes prior to acute illness). Pt was grabbing his legs and rubbing them, and initially staff thought it was pain that would resolve. However, on 2/22, lower extremity edema was noted, and pt without improving symptoms, so he was brought to the hospital for evaluation and treatment. GBS suspected, IVIG initiated.

Other Meds: Aripiprazole 15 mg daily, clonidine 0.1 mg QHS, diazepam 10 mg BID, divalproex 1000 mg PO BID, fluphenazine 10 mg AHS

Current Illness: None other than chronic conditions

ID: 1052524
Sex: F
Age: 53
State: KY

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/24/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: unknown

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 11 January 2021 ~6pm: Patient developed a rash underneath her right arm, neck, trunk that was itchy/burning/painful. January 12, 2021: Rash spread more under right arm, top arm, belly and back. January 21, 2021: Patient had been taking benadryl since January 12th, but rash was still present and spreading. Patient came in to see Prev Med Doctor on 21 January.

Other Meds: unknown

Current Illness: unknown

ID: 1052525
Sex: F
Age: 33
State: CT

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/24/2021
Hospital:

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Lab Data:

Allergies:

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

Symptoms: About 8 hours after shot was administered, a severe, painful headache began. A temperature of over 102 with convulsing chills, hot and cold sweats, and fatigue and body aches. The fever did not drop below 100 for 2 days after the shot. The body aches lasted over 24 hours. Was not able to get out of bed for nearly 48 hours after symptoms began. I developed a dry cough that last for a week after all other symptoms subsided. The headaches came and went but never as severe as the first night. Usually just a dull throb. The pain in the injection site was far less than with the first shot but still sore for a few days post shot.

Other Meds:

Current Illness:

ID: 1052526
Sex: M
Age: 33
State: IA

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Headaches, bodyaches. ringing in the back of the ear, fever, nausea, .. Took Tylenol to help with the headaches and fever. All those adverse affects disappeared about 16 hours after they appeared.

Other Meds:

Current Illness:

ID: 1052527
Sex: F
Age: 72
State: VA

Vax Date: 02/15/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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Lab Data:

Allergies: sulfa

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

Symptoms: the evening after 8 days of receiving my vaccine, my left arm around the shot site began to get sore and became swollen to about the circumference of a soft ball. A rash appear in the area. I did feel fatigue all day. This is the next day. The rash is gone but the area is still sore, red, hard, and swollen. I have no fever. I feel no fatigue. I had no side effects at the time of the shot except for a sore arm for a couple of days and I also felt cold the first day. I just want to report this side effect that hit me last night. I plan on icing and taking Advil.

Other Meds: valtrax, hydrochlorothiazide, atorvastatin, flax oil, vitamin D, probiotic, Vit B12

Current Illness: no

ID: 1052528
Sex: F
Age: 37
State: MA

Vax Date: 02/14/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

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Lab Data:

Allergies: Egg

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

Symptoms: Hives, swelling, growing redness and hard lump began on 2/22/2021?8 days after shot

Other Meds: Celexa Labetalol

Current Illness: No

ID: 1052529
Sex: F
Age: 91
State: WI

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

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Lab Data:

Allergies: Azithromycin

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

Symptoms: Dizziness/vertigo, nausea, vomiting, chills started at about 7:30 am on 2/20/2021. This was the day after I received the vaccine. Nausea and vomiting subsided around noon. Chills were ongoing through out the day. On and off vertigo episodes continued through 2/23/2021. All symptoms subsided by 2/23/2021. Also had a very sore left arm.

Other Meds: Eliquis 5 mg ; Aspirin 81 mg; Atorvastatin 10 mg; diltiazem 120 mg; benadryl 25 mg; colace 100 mg; lasix 20mg; melatonin 25mg; prilosec 40 mg;

Current Illness: None

ID: 1052530
Sex: M
Age: 64
State: PA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: NKDA

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

Symptoms: Approximately 23 hours after vaccination, erythematous rash on face, trunk/back & arms, not noted on lower extremities. Mild tingling. No other symptoms at all. Rash subsided spontaneously in 2-3 hours. The question is: Should 2nd vaccine dose be given and if so should it be given in a facility better equipped? PCP has not responded to this question.

Other Meds: Irbesartan

Current Illness: None

ID: 1052531
Sex: F
Age: 65
State: AR

Vax Date: 02/11/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

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Lab Data:

Allergies: Nka

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

Symptoms: On day 8 I awoke with an extremely itchy bump at the shot site. By the end of the day there were two bumps. On day 9 there was a 4? itchy red circle. It was warm to the touch but no pain. Just itchy.

Other Meds: Generic Zyrtec

Current Illness: None

ID: 1052532
Sex: F
Age: 41
State: FL

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/24/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: asked me to reach out to you in regards to a COVID Vaccine Reaction I had yesterday. I received my first shot on Tuesday around noon and yesterday I experienced shortness of breath, headache and muscle pain. I ended up in the ER. The ER doctor advised for me to stay home for a few days to make sure everything calms down.

Other Meds:

Current Illness:

ID: 1052533
Sex: F
Age: 75
State: FL

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: amoxicillin, lidocaine

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 2/19 woke up with pain in right arm, swelling at site, hot to touch, reddish discoloration, stinging, itchy, and noted right above the swollen are three red areas size of tip of my pinky. (these redish spots same on my first vaccination). A few hours after I took my temp and was 99.1. I double checked and 99.1. I took one Motrin for fever and couple hours no fever. Today 2/24= Lump swelling decreased and warm to touch. I have been applying Hydrocortisone Cream 1% for mild itching.

Other Meds: all rx was taken few hours after receiving vaccination #2 and were Amlodopine, baby aspirin, & Atorvastatin

Current Illness: none

ID: 1052534
Sex: F
Age: 57
State: OH

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: NSAIDS

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

Symptoms: within 24 hours extreme fatigue then shortness of breath, palpitations chest tightness at 48hours started having itching in throat and lump in neck/throat. Family doctor prescribed a steroid injection celestone 12mg once followed by a prednisone taper of 40mg, 30mg, 20mg, 10mg over then following 4 days and benadryl for itching

Other Meds: unknown

Current Illness:

ID: 1052535
Sex: F
Age:
State: TN

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies: Cipro, sulfa drugs

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

Symptoms: Next morning there was a red dome size spot on injection site that gre to baseball size that lasted 17 days. Along with redness I had itchiness and swelling at the same spot and it was hot to the touch.bonbthe 14 the day I used ice for two days and took over the counter benadryl for two days. It didn't seem to help so I stopped taking the benadryl and using ice on the 14th day and around day 17 it went a way leaving a shadow of a spot of where the redness once was

Other Meds: Carvedilol, avorstatin, prilosec, percocet, vitamin d3 ,

Current Illness: None other than my copd and my back problemd

ID: 1052536
Sex: F
Age: 50
State: FL

Vax Date: 02/03/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Swelling, Readness, warm to touch, shortness of breath

Other Meds:

Current Illness:

ID: 1052537
Sex: F
Age: 47
State: AZ

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Heart rate spiked after vaccine. Received shot at 4:30pm. At 4:45 was cleared to leave and left the vaccine facility. At 4:56, the heart rate monitor on my watch alerted me to an abnormally high heart rate of 153. It went up to 155 before gradually returning to my normal heart rate of around 55. The spike and return to normal happened over the course of about 10 minutes. No shortness of breath or other symptoms to report.

Other Meds: none

Current Illness: none

ID: 1052538
Sex: F
Age: 83
State: WA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: codine

Symptom List: Injection site pain, Pain

Symptoms: Red skin, hot to the touch, itches Started the day after, and continues to today five days. Slowly getting better.

Other Meds: losartan, levothyroxine

Current Illness:

ID: 1052539
Sex: F
Age: 26
State: MN

Vax Date: 01/11/2021
Onset Date: 02/04/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: Very sore left arm/shoulder, unable to lift up over head for a week after. Now, over a month later it is still sore and stiff especially moving a certain way, sleeping on it, and in the morning.

Other Meds: none

Current Illness: none

ID: 1052540
Sex: F
Age: 36
State: NH

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 02/24/2021
Hospital: Y

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

Lab Data:

Allergies: n/a

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

Symptoms: 1/6 vaccination 1/7 typical immune system response; recovered in 12 hours. 1/8 Woke up and my left hand was weak, numb and tingling in glove distribution. The right hand started to have problems as evening came. The right hand resolved within 12 hours. The left hand symptoms persisted for 6 weeks. *unable to work for 6 weeks. **Still having symptoms in middle finger, pointer finger; left hand. 1/8 I went to urgent care; referred to ED. They did put me in the clinical observation unit, discharged the next day. I went to PCM 2 days later. Dr. didn't know what to think of symptoms. Had me try some steroids. Hospital referred me to neurology; He had me do another MRI (1st in the ER). EMG. He didn't find anything unusual except some nerve damage; carpal tunnel *Symptoms are still persisting. It has gotten better but the 2 fingers are still an issue.

Other Meds: Zoloft

Current Illness: n/a

ID: 1052541
Sex: M
Age: 68
State: WA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Within an hour of receiving 2nd dose started experiencing headaches and dizziness. In addition to the headaches and severe dizziness I started having significant bouts with diarrhea, malaise, loss of appetite and have not slept well. Within a couple days I noticed pronounced tremors in my right hand and I started losing weight from 180 pounds to 157, around 23 pound loss. I contacted my physician and was alerted to make this report and have an appointment on March 1.

Other Meds: Spiriva Respimat 2.5mcg; Proair HFA albuterolsulfate; Symbicort 160/4.5; vitamin D 25 mcg and Metamucil fiber supplement

Current Illness: None

ID: 1052542
Sex: F
Age: 44
State: NY

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 2/22 body aches, fever, rigors, fatigue 2/23 R axillary lymphadenopathy, pain in axilla, shoulder and arm, fever, fatigue, myalgias 2/24 low grade fever, otherwise same as 2/23

Other Meds: Zoloft Multi vitamin Elderberry

Current Illness:

ID: 1052543
Sex: F
Age: 78
State: GA

Vax Date: 02/01/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Crabmeat, Zoysyn Piperacillin, Flagyl, Augmentin

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

Symptoms: After Dose #2 Muscle swelled and red mark just below vaccination site same day. Next day fatigue, chills, sweats, diarrhea, low grade fever, burping Next day pain above stomach below breast bone, nauseau, vomiting, indigestion, burping. Next day arm still swollen, red spot much larger, itchy, hot.

Other Meds: Fish Oil, Livalo, Synthroid, Lisinipril, Pentasa, Caltrate plus D, Multi Vitamin, Vitamin C, Hair Skin Nails w/ Biotin

Current Illness: None

ID: 1052544
Sex: M
Age: 79
State: WV

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List: Nausea

Symptoms: This was an administration error. All documentation provided to us shows that the patient received 3 doses of the Moderna Vaccine. 1st on 12/20/20, 2nd on 1/20/21, and 3rd on 2/23/21. Patient/LTCF has not reported any adverse side effects

Other Meds: Unknown

Current Illness: Unknown

ID: 1052545
Sex: F
Age: 83
State: OR

Vax Date: 02/16/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain

Symptoms: inject site was sore 2-3 days then became itchy and red 3-6 days now itchy red swollen warm with small infection site 6-8 days

Other Meds:

Current Illness: none

ID: 1052546
Sex: F
Age: 73
State: MO

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/24/2021
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Allergies: Unknown

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

Symptoms: Pfizer COVID 19 vaccine given 01/22/21. Patient reports severe arm pain the following day. She presented to ED and was seen by a provider who believes she may have bursitis or tendonitis secondary to the vaccine. I followed up with her 02/16/21 and she is still experiencing severe pain and unable to use that arm. She has an appointment scheduled with an orthopedic specialist 02/18/21 for further evaluation.

Other Meds: Unknown

Current Illness: Unknown

ID: 1052547
Sex: F
Age: 31
State: FL

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

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

Symptoms: received the 2nd dose of the Moderna vaccine on Wednesday, February 3rd. The injection was given much higher than the muscle area as the first dose, closer to the shoulder bone. I started that evening with a very intense sore upper arm and tingling in the bottoms of my feet. On yesterday 02/04, I started noticing it in my legs as well and unable to raise my arm above my head without extreme pain. This morning I woke up with the same symptoms and noticed I am dragging my feet slightly as I do not have much feeling in them accompanied by the tingling. I have made an appointment with my PCP for today, 02/05 at 11:30am. I do not have any of the following symptoms: fever, body aches, cough, sore throat, runny nose, loss of taste or smell, SOB, fatigue, chills, or headache. I can be contacted if needed. Dx with MS

Other Meds:

Current Illness:

ID: 1052548
Sex: F
Age: 74
State: IL

Vax Date: 02/01/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
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Lab Data:

Allergies: melon

Symptom List: Tremor

Symptoms: Red itchy rash at site of injection 2 X 4 inches

Other Meds:

Current Illness:

ID: 1052549
Sex: M
Age: 71
State: TN

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

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Lab Data:

Allergies: Bee stings

Symptom List: Erythema, Pruritus

Symptoms: Tongue and lip swelling on one side (left) and throat closure, admitted to ER then ICU 2/17/2021. Discharged from ICU on 2/19/2021.

Other Meds: Metoprolol 25mg QD Metronidazole 250mg QD Wixela Inhub Diskus 250/50mcg BID Gabapentin 600mg TID Cilostazol 100mg BID Lisinopril 40mg QD Citalopram 40mg QD Fenofibrate 145mg QD Atorvastin 80mg QD Amlodipine 10mg QD Famotidine 40mg QD Aspi

Current Illness: None

ID: 1052550
Sex: M
Age: 80
State: KY

Vax Date: 01/25/2021
Onset Date: 02/04/2021
Rec V Date: 02/24/2021
Hospital: Y

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Allergies:

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

Symptoms: fever, ongoing fatigue, cough, bilateral LE edema, loss of taste and smell

Other Meds:

Current Illness:

ID: 1052551
Sex: F
Age: 83
State:

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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Allergies:

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

Symptoms: Pfizer-BioNTECH COVID -19 vaccine reconstituted with 1.7 ml of 0.9 ml NS instead of 1.8 ml. As a result only 5 doses were obtained for adminstration.

Other Meds:

Current Illness:

ID: 1052552
Sex: F
Age: 52
State: CA

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

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Allergies: none

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Cuyamaca team 2 was notified of a potential adverse reactions of a patient whom just received the second dose of vaccine. The patient was found in her car with husband onscene appearing to be in minor distress. Per the patient she has a history of anxiety and feels that she is having a anxious epsiode. Patient admits to having a similar effect post first dose. Patient admitted to " fluttering in the chest" as well as numbness in the fingers, patient was slightly tachypnic upon inital contact. Patient was advised of calming measures and symptoms began to subside. A full 911 response was started and performed a AMA, Heartland CAD # 2021-00012209. "PFIZER COVID 19 VACCINE EUA"

Other Meds: none

Current Illness: none

ID: 1052553
Sex: M
Age: 73
State: FL

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

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Allergies:

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

Symptoms: Red patches on left leg (about 6 inches high of left ankle)

Other Meds:

Current Illness:

ID: 1052554
Sex: F
Age: 47
State: NH

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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Allergies: none per client

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

Symptoms: Observation volunteer called clinic rapid response team. This RN assessed the client; VSS, no dificulty breathing. Client states bilateral upper extremities felt 'tingly'. Sensation resolved within 5 minutes of oberservation, but began to feel nauseious. Requested that client move to vaccination area for closer observation for a longer observation period. Client cooperative. After about 15 minutes client vomitted small amount. No other symptoms. Client monitored for additional 30 minutes. Nausea resolved. Advised client she should call 911 if any s/s return. Client verbalizes understanding.

Other Meds:

Current Illness:

ID: 1052555
Sex: M
Age: 48
State: TX

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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Allergies: ACEI, lorazepam, NSAIDs

Symptom List: Pain in extremity

Symptoms: 2/24/21 at 12:00, received call from PCP, noting patient had mottled, purple skin on arms and legs (sun exposed areas). No rashes or other side effects noted on 2/24/21 01:54 Nursing Progress Note, but 2/24/21 12:01 Nursing Progress Note stated ?There is a purple discoloration/rash/splotches on his arms and legs that PCP came to assess this morning?. PCP noted in retrospect, a similar event happened soon after his 1st vaccine dose - he received his first COVID-19 vaccine dose 1/26/21 at 13:00. Nursing Progress note from 1/27/21 at 18:05, stated patient was transfered to ER for ??cool clammy skin and discoloration all over body?? (he was admitted for UTI, so it was thought his clammy discolored skin was associated with this acute illness) - He recovered from this first event without issue.

Other Meds: Medications (19) Active Scheduled: (18) bisacodyl 10 mg rectal suppository 10 mg 1 supp, Rectal, HS busPIRone 10 mg tablet 10 mg 1 tabs, Oral, BID busPIRone 10 mg tablet 5 mg 0.5 tabs, Oral, NOON denosumab 60 mg/mL syringe 60 mg 1 mL, S

Current Illness: UTI

ID: 1052556
Sex: F
Age: 46
State: TX

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/24/2021
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Allergies: none

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

Symptoms: Exactly 7 days after receiving the Moderna vaccine I began to have itching in my arm in the evening. It was similar to having a mosquito bite where you itch like crazy. I didn't do anything about it and the next morning I had a huge blotch on my arm that I now know to be "covid arm." It was like a huge red blotch that hurt to the touch.

Other Meds: birth control pills

Current Illness: none

ID: 1052557
Sex: F
Age: 31
State: UT

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/24/2021
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Allergies: No

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

Symptoms: About 2 days after the shot an oval red mark showed up on my upper chest. Over the next 2 weeks more no more spots showed up mostly on my chest and back. A few were on my neck, legs, and arms. Since it kept getting worse I decided to contact my doctor after 2 weeks. My doctor diagnosed it as Pityriasis Rosea. It is now 2 week 5 days post shot & my rash is still present.

Other Meds: Bupropion

Current Illness: No

ID: 1052558
Sex: F
Age: 62
State: SC

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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Lab Data:

Allergies: ALL NUTS, PENICILLIN, SULFA, LATEX, VICODEN, DILAUDID, VERSED, IV DYES, CARFATE, VIOXX

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

Symptoms: PATIENT RECEIVED DOSE AND ABOUT 30 MINUTES POST VACCINATION, PATIENT COMPLAINED OF THROAT SWELLING AND TROUBLE SWALLOWING. 911 WAS CALLED, PAIENT REFUSED EPI-PEN, WAS GIVEN 20 ML OF LIQUID BENADRYL AND PICKED UP BY AMBULANCE

Other Meds: KEPPRA, MAGNESIUM, GABAPENTIN, POTASSIUM, ATORVASTATIN,FUROSEMIDE, PIOGLITAZONE, PROPAFENONE, METOPROLOL, ELIQUIS,

Current Illness: UNKNOWN

ID: 1052559
Sex: F
Age: 69
State: TN

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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Allergies: none known

Symptom List: Vomiting

Symptoms: Approx 15 minutes after injection said she felt hot and dizzy and came in to our waiting room to lie down. She c/o feeling hot, dizzy, lips numb, nausea and indigestion. BP 134/75, HR 75, RR 16, SPO2 99%RA, FSBS 118. EMS was on standby and while assessing her she began vomiting and c/o feeling weak. She agreed to be transported to the hospital and care was turned over to EMS.

Other Meds: unknown

Current Illness: unknown

ID: 1052560
Sex: M
Age: 73
State: WA

Vax Date: 02/09/2021
Onset Date: 02/15/2021
Rec V Date: 02/24/2021
Hospital:

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Lab Data:

Allergies: Penicillin.

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: On 2/15/21 upon wakening both of his thighs, the front of them had a serious ache to a moderate pain that lasted for about 4-5 days and then dissipated. Today, 2/24/21 there are no effects from it. Duration was from 2/15/21 to 2/20/21. He had no swelling or reaction at the injection site just this reaction that popped up and then left. He did not take anything for it, and did not seek medical attention.

Other Meds: Neurontin, Finasteride, Flomax. Vitamin B, Vitamin D3.

Current Illness: None.

ID: 1052561
Sex: F
Age: 27
State: WA

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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Allergies: Bactrim

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

Symptoms: Fever, Body aches, and chills. Loose stool. Started about 14 hours after receipt of 2nd vaccine dose.

Other Meds:

Current Illness: No

ID: 1052562
Sex: F
Age: 49
State: PA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

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Lab Data:

Allergies: No

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Body aches, chills, migraine, 102 fever, nausea, vomiting.

Other Meds: Metoprolol and Levothyroxine

Current Illness: None

ID: 1052563
Sex: F
Age: 77
State: WV

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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Allergies: Unknown

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

Symptoms: According to all the paperwork that we have received, this patient has received 3 doses of the Moderna vaccine. 1st on 12/20/20, 2nd on 1/20/21, and 3rd on 2/23/21

Other Meds: Unknown

Current Illness: Unknown

ID: 1052564
Sex: F
Age: 30
State: FL

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/24/2021
Hospital:

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Allergies:

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

Symptoms: TMcontacted regarding her COVID results. TM reports ongoing diarrhea and HA and is not cleared to RTW at this time. TM informd she had to be without diarrhea for 24 hours to be cleared for work. TM provided and employee injury report to complete for ongoing symptoms

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am