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: 1055072
Sex: F
Age: 75
State: IL

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/25/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Confusion, falling, inability to complete sentence

Other Meds:

Current Illness: None

ID: 1055073
Sex: F
Age: 36
State: NH

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: After receiving the first dose of Moderna, the patient reacted 7 mins later with hives, Benadryl was given on site and the hives subsided hours later without worsening of symptoms. Prior to receiving her second dose, the patient checked with her PCP and was told she can receive the second dose, but to eventually follow up with an allergist (although this does not have to be prior to receiving their second dose). Benadryl 50 mg was given prior to second dose Moderna was given with good effect.

Other Meds:

Current Illness:

ID: 1055074
Sex: F
Age: 90
State: IL

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: 2/21 severe abdominal pain, Tylenol and ibuprofen

Other Meds: metoprolol 50mg, hydralazine 10mg, isosorbide, mono nitrate 30mg, aspirin 81mg , crestor 10mg, furosamide 20mg, synthroid 50mcg, v

Current Illness: n/a

ID: 1055075
Sex: F
Age: 30
State: CA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient received first dose of COVID vaccine. She stated she was feeling nauseated. She then was lightheaded and lost consciousness and slid out of her chair and hit her head on the floor. She was arousable immediately after. Her VSS. She was able to ambulate to our gurney and tolerate water. She was transferred to the ED for further observation.

Other Meds:

Current Illness:

ID: 1055076
Sex: M
Age: 53
State: VA

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

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

Lab Data:

Allergies: N/A

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

Symptoms: Fatigue, body pain, weakness , headache.

Other Meds: Naproxen, multivitamin

Current Illness: Back pain

ID: 1055077
Sex: F
Age: 65
State: TX

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

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

Lab Data:

Allergies: CODEINE, LATEX

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

Symptoms: 10:20 - Cough, non productive , running nose, congestion and bone pain 96% saturation pulse 76 Respiration 20 Patient received vaccination at 10:00am, Cough started at 10:20am, patient called doctor and set up appointment then left feeling better.

Other Meds: N/A

Current Illness:

ID: 1055078
Sex: F
Age: 35
State: NC

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: I exp redness, swelling of the left arm(surrounding area of the injection) lasted from 1/9-1/11.

Other Meds: No

Current Illness: No

ID: 1055079
Sex: F
Age: 45
State: OK

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

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Report of event received on 2/25. Administered at 3:50pm and observed for 30 minutes. At approximately 5:45p patient developed nausea and "slight" throat tightness with redness and swelling at site. 6:33p intense itching on neck and arm. Took Benadryl 50 mg PO and Prednisone 20 mg and felt better. 7:30p chills; 8:30p arm soreness; 8:50p intense itching on soles of feet 9:00p N/V and hot flashes. 9:20p Benadryl 50mg and Pepcid 20mg; 9:30p itching on soles; 9:55p double vision and 10:00p itching soles at midnight went to the ER with throat tightness and was given Solumedrol IV and a mouthwash containing Maalox and lidocaine. Diagnosed with Covid 19 vaccine dysphasia......she was discharged to home with steroids.

Other Meds:

Current Illness:

ID: 1055080
Sex: F
Age: 29
State: CO

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

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: A few hours after my vaccine my arm became itchy around the vaccine site. The it turn red and hot, it started to spread down and up my arm. The next day I had itchiness, redness, swelling and two big welts, one where the vaccine was given the other was lower down my arm. My arm itched for 4 days after my vaccine until it went away.

Other Meds: Busporine and Celexa

Current Illness: none

ID: 1055081
Sex: F
Age: 71
State: KY

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: site reaction to morphine

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 8:00 p.m. day of injection - Fever & Severe Chills. Chills eased about 3:00 a.m. 02/10/21 7:00 a.m. 02/10/21 - abdominal muscles and unable to function extremities very weak loss of bladder control improved very, very slowly until 02/11/21 - 3:00p.m. 02/11/21 return to normal 02/11/21. No lasting consequences

Other Meds: Aubagio Lisinopril Duloxetine Bupropion Gabapentin Levothyroxine Tolterodine Vitamin B12 Vitamin D Calcium Citrate Tylenol Miralax Advil

Current Illness:

ID: 1055082
Sex: F
Age: 66
State: SC

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Non known, sensitivities to some skin products, and hair dyes.

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

Symptoms: Intense itching and rash above my heels on both feet for 5 days, rash still present but the itching has subsided.

Other Meds: crestor, Vitamin D3, cinnamon, tumeric, Krill oil, Vitamin B12, selenium

Current Illness: none

ID: 1055083
Sex: M
Age: 60
State: CA

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

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

Lab Data:

Allergies: none

Symptom List: Rash, Urticaria

Symptoms: Flu-like symptoms: headache, chills, joint pain, nausea, fatigue

Other Meds: Cozaar, Colace, Vit. D, omeprazole, lipitor

Current Illness: none

ID: 1055084
Sex: F
Age: 78
State: MI

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

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

Lab Data:

Allergies: Antivert-shaking/tremors Diclofenac-rash

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

Symptoms: PATIENT C/O CHEEK BURNING AND PRURITIS. SYMMETRICAL SMILE, NO REDNESS NOTED TO SITE, NO DROOPING OF FACE NOTED. PT STATED "IT FEELS LIKE IT DID WHEN I HAD SHINGLES. HELD 30 MIN FOR OBSERVATION AT CLINIC SITE. INSTRUCTED TO NOTIFY PCP IF CONDITION PERSISTED OR WORSENED. FOLLOW UP CALL TO HER AFTER 24 HOURS-BURNING SENSATION RELEIVED ABOUT 4-5PM AND BUMPY FEELING ON CHEEK RESOLVED ABOUT 10 PM. SHE STATES THERE WERE NO VISIBLE BUMPS BUT "IT'S LIKE IT WAS UNDER THE SKIN". NO FURTHER ISSUES.

Other Meds: none noted

Current Illness: denies

ID: 1055085
Sex: F
Age: 31
State: NY

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: I am breastfeeding my infant and I had a noticeable decrease in breast milk supply beginning within 24 hours of receiving the vaccine

Other Meds: None

Current Illness: None

ID: 1055086
Sex: F
Age: 85
State:

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital: Y

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

Lab Data:

Allergies: CEPHALEXIN; CIPROFLOXACIN; CODEINE; TRAMADOL

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

Symptoms: "Patient with a PMH of HTN, Afib RVR (on Eliquis), nonischemic CMO, HFrEF (EF 25%), HLD, HLD, Fe deficiency anemia, Pulmonary HTN, rectus sheath hematoma presented to ED with LUE edema and pain that started a couple of hours after second dose of COVID vaccine adminstration. Patient had received COVID vaccine shortly after noon day prior to admit on RUE. She reports that she had been experiencing some nausea as well. She was admitted to the hospital for overnight observation secondary to transient alteration of awareness after she presented to the ED for arm swelling where experienced a syncopal episode lasting approximately 1 minute. She was monitored on cardiac tele which showed Afib with appropriate rate control overnight. For her left upper extremity swelling an U/S was done which was negative for thrombus, only a hematoma. Her arm pain was controlled and supportive with a compress. Patient had no further syncope, Afib rate controlled, and hemodynamically stable. Discharged home 2/24/21.

Other Meds: Eliquis

Current Illness:

ID: 1055087
Sex: F
Age: 61
State: WI

Vax Date: 02/18/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Cats and dogs

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

Symptoms: Pain on right-side of back all the way to front of chest and under breast and part of right shoulder. Week prior felt sensation of "pins and needles" on back. Patient reports 1 blister spot on chest. Patient went to urgent care and was diagnosed with shingles. Doctor prescribed Valtrex and Ibuprofen.

Other Meds: Losartan 50mg - 1 QD

Current Illness: N/A

ID: 1055088
Sex: F
Age: 46
State: AZ

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Shortness of breath that was not present prior to vaccination

Other Meds: CLONIDINE & LAMOTRIGINE

Current Illness: NONE

ID: 1055089
Sex: F
Age: 33
State: CA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: pt states she began to feel very dizzy and light headed after vaccine. Pt states she normally feels flushed and dizzy with thought of needles. Pt diaphoretic and crying.

Other Meds:

Current Illness:

ID: 1055090
Sex: F
Age: 75
State: SC

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

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Metallic taste in mouth within 3 minutes of vaccination, "odd/weird" feeling to tongue and lips (denied numbness, prickly, burning, tingling descriptions) with in 5-8 minutes, feeling of "fullness" to tongue and lips but no apparent swelling and client denied swelling to lips and tongue and denied numbness within 10-12 minutes. Symptoms resolved over the next 30 minutes.

Other Meds: Unknown

Current Illness: Unknown

ID: 1055091
Sex: F
Age: 35
State: IL

Vax Date: 02/18/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Tenderness and swelling for a few days after that injection site. Itching seven days after

Other Meds: Citalopram, Wellbutrin, Centrum one a day complete

Current Illness: None

ID: 1055092
Sex: M
Age: 63
State: MD

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

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

Lab Data:

Allergies: none listed

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

Symptoms: Patient possibly inadvertently received 1cc of Moderna COVID vaccine instead of 0.5cc. Patient was notified. State was notified

Other Meds: unknown

Current Illness: none at the time of vaccination

ID: 1055093
Sex: F
Age: 32
State: TX

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Unevaluable event

Symptoms: C/O of dizziness , weakness and nausea immediately after vaccine administration.

Other Meds: took .5 mg of xanax that was prescribed by her PCP Dr. approx 45 min before vaccine

Current Illness: Went to ER after 1st dose , had rapid HR and SOB.

ID: 1055094
Sex: F
Age: 24
State: TX

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: A painless rash/ distorted skin color on the left arm between the writer & elbow. No itch & no bumps. Noticed around 3:45 pm on 2/24/21.

Other Meds: Estarylla (birth control)

Current Illness: Possible hypothyroidism. Had hypothyroidism during pregnancy last year.

ID: 1055095
Sex: F
Age: 73
State: FL

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

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Chills, fever, anorexia, fatigue for 24 hours. Following day - non pruritic rash at injection site. Tylenol and Advil

Other Meds: Losartan, pravastatin, citalopram, niacinamide, probiotic

Current Illness: None

ID: 1055096
Sex: F
Age: 32
State: OH

Vax Date: 02/17/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Raised red itchy welt at injection site about 2 inches in diameter

Other Meds: Pre-natal vitamin, ibuprofen, colase

Current Illness: Pregnancy - delivered 2/8/2021 Breastfeeding at time of vaccination

ID: 1055097
Sex: F
Age: 40
State: NJ

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: NA

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

Symptoms: Diarrhea, painfully sore arm, muscle aches, and fatigue

Other Meds: NA

Current Illness: NA

ID: 1055098
Sex: M
Age: 67
State:

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: No adverse event. Concern for only partial dose given by the RN administering because the syringe separated from the needle during administration and it was noted that some of the vaccine was dribbling down the patient's arm. It was unable to be determined how much vaccine was actually administered, but it was reported that "a couple drops" of the vaccine fell onto the towel. Patient was NOT re-dosed at this point due to inability to determine the amount of vaccine actually administered versus wasted.

Other Meds:

Current Illness:

ID: 1055099
Sex: M
Age: 67
State: TN

Vax Date: 02/11/2021
Onset Date: 02/17/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: PT DEVELOPED SHINGLES

Other Meds: tamsulosin

Current Illness:

ID: 1055100
Sex: F
Age: 32
State: NY

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: budesonide azithromycin casein

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

Symptoms: On Sunday, 2/21 both forearms, wrists, and thumbs began swelling and experiencing stiffness, tension, and pain (6/10) that was both burning/nerve pain and achy muscle pain. Previously, my DeQuervein's had been steadily improving through occupational therapy, home exercise, reduced tech use (scrolling/typing), and splinting. By Tuesday, 2/23, range of motion on the Left hand, wrist, and thumb was reduced to almost 0 and the pain reached an steady 9/10 on both arms. As of writing this, the stiffness, swelling, nerve pain, and tension remain at a level higher than the initial level that drove me to seek out occupational therapy back in January. Basically, I went from being close to being discharged to worse than I started. Overall the left side was worse than the right but both sides were impacted. Occupational therapy (ultrasound, fascial release, and assisted stretching) splinting, stretches, and ice were used as treatments. NSAIDs are contraindicated due to Crohn's disease. As of writing this at 16:04 on Thursday, 2/25 none of this has resolved. Pain is a 7/10 on both sides. Range of motion and ability to complete daily care tasks (e.g. dressing, showering, cooking and eating) is nonexistent to minimal.

Other Meds: Humira azathioprine cabergoline levothyroxine turmeric vitamin d + k2 zinc carnosine rhodiola

Current Illness: DeQuervein's tendonosis

ID: 1055101
Sex: F
Age: 32
State: AZ

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: none.

Symptom List: Nausea

Symptoms: Left became irritates with erythema and had blurred vision which resolved by the following day.

Other Meds: None.

Current Illness: none.

ID: 1055102
Sex: F
Age: 68
State:

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: 100.50 fever, muscle/joint pain, fatigue and nausea

Other Meds:

Current Illness:

ID: 1055103
Sex: F
Age: 50
State: FL

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient here for her 1st dose of Moderna Covid 19 vaccine. Has a history of severe medication adverse reactions in the past and carries an Epi pen which she had with her. Patient accompanied by her husband. During her observation time, at 0735, patient complained about starting to have trouble swallowing which is similar to past reactions. Nurse Stat called. Epi pen administered at 0737. ED here at 0738. Decision made to take patient to the ED.

Other Meds:

Current Illness:

ID: 1055104
Sex: F
Age: 62
State: ME

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Tinnitus: persistent high pitch ringing (more prominent in the right ear). No prior history of Tinnitus. No prior issues with hearing acuity or medical complications related to my ears

Other Meds: Vitamin D, K2, Magnesium

Current Illness: none

ID: 1055105
Sex: F
Age: 64
State: CO

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: penicillins

Symptom List: Tremor

Symptoms: Patient stated at time of administration she felt the injection go into her breast, nipple, and areola. She stated she was shopping and felt she couldn't hold her bowels and accidentally defecated in the aisle of the store. She says she has lasting nausea and sudden urges to defecate.

Other Meds: acyclovir 400mg

Current Illness: unknown

ID: 1055106
Sex: F
Age: 76
State:

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
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Symptom List: Erythema, Pruritus

Symptoms: throat discomfort and slight dizziness with normal appearing oropharynx

Other Meds:

Current Illness:

Date Died: 02/15/2021

ID: 1055107
Sex: F
Age: 91
State:

Vax Date: 12/29/2020
Onset Date: 01/15/2021
Rec V Date: 02/25/2021
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Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: No documented vaccine reaction Hospitalized due to co-morbities

Other Meds:

Current Illness:

ID: 1055108
Sex: M
Age: 27
State: WY

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
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Allergies: Allergic Rhinitis

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

Symptoms: Headache, nausea/vomiting, chills, anxiousness, symptom onset with in 60 minutes of injection Tx-50mg diphenhydramine PO in clinic Rx-40mg prednisone QD x 5 days

Other Meds: Albuterol Sulfate HFA inhaler

Current Illness:

ID: 1055109
Sex: F
Age: 52
State: MI

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
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Allergies: Morphine, dust mites, mold, trees, grass, cockaroaches,

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Hard to breath, itching .. hot feeling from left arm area spread to neck face head. Itchying all over, pins and needles feeling in my hands, numbness in lips ear cheek , headache neck pain. Tiredness.

Other Meds: Zyrtec, metformin, inhaler, spironolactone, vitamin c, mito q, progesterone, rhodiola, benadryl

Current Illness: Diabetes, asthma,

ID: 1055110
Sex: F
Age: 36
State: CT

Vax Date: 02/02/2021
Onset Date: 02/10/2021
Rec V Date: 02/25/2021
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Allergies: NKDA

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

Symptoms: Developed a rash with hives, pruitus, burning on whole body (worst areas: head, neck, arms, back, and posterior thighs) Displaying signs of Dermatographia. Occurring all day worse at night and with hot temperatures/showers. Treated with prednisone 80mg taper, hydrocortisone cream, benadyrl initially, still taking allerga and singular.

Other Meds: allerga and singular are PRN for the seasonal allergies. I did not take them prior to either vaccination.

Current Illness: none

ID: 1055111
Sex: F
Age: 54
State: CA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/25/2021
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Allergies: Cats

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

Symptoms: first day I felt nothing...next day about half way thro the day I felt where the shot was given and noticed my my face was a bit puffy around my arch of my nose and under my eyes, I was also a little bit tired. The next day (Thursday the 18th). my face was tender and more painful still around the same area in addition everything tasted bad. I rested and decided to take it easy. Thursday eve I looked in my mouth because it just tasted so awful. I saw big sores on my inner cheeks and my tongue was white ish color ...looked like thrush to me. I took some clovtrimazole troche tablets by mouth for a few days and seems to be helping. My taste is still not back to normal as of yet. I must include that I also had a mild headache off and on after both doses and after the first dose my upper mouth swelled a bit but resolved after the first day. I didn't report that.

Other Meds: Multi Vitamins Prozac Lipitor

Current Illness: no

ID: 1055112
Sex: F
Age: 70
State: MD

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
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Allergies: none listed

Symptom List: Pain in extremity

Symptoms: Patient possibly inadvertently received 1cc of Moderna COVID vaccine instead of 0.5cc. Patient was notified. State was notified

Other Meds: unknown

Current Illness: none at the time of vaccination

ID: 1055113
Sex: F
Age: 77
State: TN

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
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Allergies: denies

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

Symptoms: 1604 rt deltoid swelling raised area 2 in. in diameter no rendess/drainage ice pack applied new band aid applied 1620 swelling reduced pt left after visualizing and verbalizing no additional change or concern

Other Meds: Aspirin 81 mg po

Current Illness: denied

ID: 1055114
Sex: F
Age: 71
State: GA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
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Allergies: I am allergic to codeine.

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

Symptoms: 11 hours after shot chills and high temperature. I couldn't sleep...I took something for the fever. I was dizzy and nauseous. It was hard for me to leave my bed. My joint felt inflamed. Early this morning I fell asleep and when I work up at 11 am I was drenched in sweat. My fever has come down but I still have a low fever.

Other Meds: Turmeric golden paste,zinc +vit C,collegen, vit A,

Current Illness:

ID: 1055115
Sex: M
Age: 63
State: NY

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
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Allergies: n/a

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

Symptoms: rash all over chest, stomach, arm pit, shoulder arms etc. Itchy sensation for the past more than 24 hours (2/24/2021 11am to now 2/25/2021 4pm)

Other Meds: hyzaar 100-12.5mg daily toprol-xl 50mg daily lipitor 20mg daily metformin 1000mg daily zinc 50mg every other day Vitamin D3 - 10000 iu once a week

Current Illness: n/a

ID: 1055116
Sex: F
Age: 38
State: TX

Vax Date: 02/21/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
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Allergies: Penicillin- vomiting

Symptom List: Vomiting

Symptoms: Red flat rash on trunk, neck, back groin. I first noticed about 36 hours after second dose. It could have been there sooner, I was just so sick from fever/body aches, I would t have noticed. It progressively got worse by the end of the day so I finally took Benadryl before bed. The nurse told me to try not to take anything, but the night before my fever wouldn?t let up and I felt really bad so took Advil. The rash kept getting worse so I ended up taking Benadryl and it helped clear it up. It looked very drug allergy to me. Not raised, just red

Other Meds: Relpax for migraine Advil for fever

Current Illness:

ID: 1055117
Sex: F
Age: 67
State: WA

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
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Allergies: NKA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Genera side effects: fatigue, headache, muscle pain, joint pain, chills, nausea & vomiting, ? fever. Plus: Dizziness & weakness, tinnitus. 4"x5" hard, hot, swelling at site of injection. These effects were noted the same on first injection but not nearly as extreme. After 4 days feeling better but dizziness & tinnitus remains along with arm tenderness.

Other Meds: Rx: Spironalactone 25mg 1QD Multivite, Calcium/Magnesium/Zinc, Biotin, Fish Oil. One each QD

Current Illness:

ID: 1055118
Sex: F
Age: 0
State: TN

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
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Allergies: No

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

Symptoms: Pt received an expired DTAP. The vaccine expired on 2/9/2021 and was given on 2/25/21. Mother and baby stayed in clinic room for 20 minutes while she breast fed her baby and monitored for reaction. Once 20 minutes was up and no reaction occurred mother and pt left. The DTAP was given about 9:30am on 9/24/21 and mother and baby left clinic around 9:55am on 9/24/21 am

Other Meds: none

Current Illness: No

ID: 1055119
Sex: F
Age: 73
State: NC

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
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Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient received vaccine and 5 minutes after vaccine admin., she started with mouth and throat tingling, dizziness and headache. Evaluated by EMS at the scene and the transported to UNC-Nash Hospital to be evaluated.

Other Meds: None

Current Illness: Hypertension/High blood pressure, Obesity

ID: 1055120
Sex: F
Age: 31
State: WA

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
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Allergies: NA

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

Symptoms: Large red rash, skin slightly firmer to the touch where it's red. Only itched slightly the first day I noticed it. It spread the second day (today).

Other Meds: B-complex, 400mg folic acid, lactobacillus

Current Illness: NA

ID: 1055121
Sex: M
Age: 40
State: NJ

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
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Allergies: None

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

Symptoms: I had extreme chills, aches, muscle pain, vertigo, headache, and fatigue for 72 hours. At one point is was so bad i could just lay with my eyes closed and could not sleep but just lay there. I had to take off of work and was bed ridden.

Other Meds: Dulexus

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am