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: 1066648
Sex: M
Age: 63
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pediatric HepB given in error

Other Meds:

Current Illness:

ID: 1066649
Sex: M
Age: 51
State: CA

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital: Y

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

Lab Data:

Allergies: Ace inhibitors, ciprofloxacin

Symptom List:

Symptoms: fever to 104, thrombocytopenia. Started 2/28/21. had leukocytosis, near syncope and high recurrent fever with all cultures negative. Is improving as of 3/2/21.

Other Meds: insulin, tylenol, neurontin, flexeril, zofran, pepcid, renvela, zenpep, lipitor, tapazole, trazodone, flonase, alprostadil, lantus, adair,

Current Illness: Covid positive test 12/18/20

ID: 1066650
Sex: F
Age: 59
State: TX

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient recieved their first dose of the Moderna vaccine. We advised patient to wait around for 15 minutes atleast to make sure no reaction would occur, about 5 mins later the patient had difficulity breathing on her own. The RPh had administered a dose on epinephrine in the patients left leg, the patient improved right away.

Other Meds:

Current Illness:

ID: 1066651
Sex: F
Age: 67
State: CA

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: amoxicillin

Symptom List:

Symptoms: Pt got very hot & flushed then had a sudden urge to urinate. Heart then started racing. Feeling passed quickly and she relaxed and started feeling better. Stayed for about 20 minutes in pharmacy area and was feeling well when she left. I called her later that evening and she was fine

Other Meds: unknown

Current Illness: unkown

ID: 1066652
Sex: F
Age: 78
State: OR

Vax Date: 02/16/2021
Onset Date: 02/25/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: family of penicillin drugs

Symptom List:

Symptoms: After 9 days a red rash appeared around the point of the shot. It has grown rather than diminished. Now it is an oval about 4 inches long and about 2 inches wide. It is at times itchy.

Other Meds: Glucosamine, Centrum Silver Women's, vitamin D, Tums, PreserVision,

Current Illness: none

ID: 1066653
Sex: M
Age: 51
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 03/02/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies: Mild shellfish allergy

Symptom List:

Symptoms: Nightime heart palpitations, Hollow feeling in the diaphragm(difficulty to get deep breaths), blood pressure spike. Effects lasted about 2 weeks.

Other Meds: None

Current Illness: None

ID: 1066654
Sex: F
Age: 82
State: MI

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs and bee, wasp and scorpion stings

Symptom List:

Symptoms: Began with a 3"x4" itchy red patch just below injection site. Continued to grow down the arm past the elbow - 4"x9 1/2"

Other Meds:

Current Illness: None

ID: 1066655
Sex: M
Age: 25
State: MN

Vax Date: 02/25/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient complaining that since he received his COVID vaccine on 2/25/2021, he has experienced tingling with the loss of feeling to the top outer edge of his right great toe.

Other Meds:

Current Illness:

ID: 1066656
Sex: F
Age: 44
State: CA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: Vomiting, fever of 104.9, migraine, chills, body aches

Other Meds: Lexapro 10mg

Current Illness: None

ID: 1066657
Sex: F
Age: 47
State:

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

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

Lab Data:

Allergies: dander, dust

Symptom List:

Symptoms: sweating, dizziness, lightheadness, anxious, flushing, tingling, water given, observed, improved , sent home

Other Meds:

Current Illness:

ID: 1066658
Sex: F
Age: 67
State: CA

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

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

Lab Data:

Allergies: Novocaine (epinephrine), wheat, dairy

Symptom List:

Symptoms: Elevated heart rate within 2 minutes of vaccination, lasting approximately 10 minutes, then subsiding

Other Meds: None

Current Illness:

ID: 1066659
Sex: F
Age: 70
State: NC

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: codeine, sulfur, iodides, neggram, cymbalta

Symptom List:

Symptoms: Joint pain, Muscle discomfort, slight dizziness, slight nausea Arm pain accompanied by being hot to the touch Fatigue, tiredness (lasted beyond the fever stage) Chills (felt like I was in a deep freeze) Site itchiness, odd sensation, like fiberglass Also, the other arm where I got the first show became activated re: pain, itchiness, sensations as previously described Did not take any Tylenol or any other similar medication either before the injection or afterward, even to this day.Fever (began at 99.4 and rose to 100.6 for the remainder of the day on Friday, followed by sustained spike over the next number of hours and over the next day (Saturday) up to 102, leveled off and began to reduce over the following hours and day (Sunday) first to 101.2, 100.4 and then to 99.4, 99.2 until it broke on Monday)

Other Meds: Metoprol, protonix, luvox

Current Illness: None

ID: 1066660
Sex: F
Age: 50
State: NC

Vax Date: 02/04/2021
Onset Date: 02/15/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: rash on both arms, moved to lower left leg (shin area)

Other Meds: Maxide, Synthroid, D3, Tumeric

Current Illness: None

ID: 1066661
Sex: M
Age: 70
State: NC

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

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: PATIENT DESCRIBED LEFT SIDE OF FACE FEELING FUZZY. WITH SMILE DROPPING ON THAT SIDE. PATIENT WAS ADVISED TO BE EVALUATED BY ED

Other Meds: unknown

Current Illness: unknown

ID: 1066662
Sex: M
Age: 51
State: FL

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Moderate lingering arm pain, chilly feeling, blood in urine (1 x)

Other Meds: multi-vitamins

Current Illness: None

ID: 1066663
Sex: F
Age: 49
State: OH

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: seasonal allergies poison ivy

Symptom List:

Symptoms: nausea/diarrhea/vomiting started 3 days ago headache started yesterday and is worse today

Other Meds: Naproxen PRN, Pataday eye drops once a day, Metformin once a day, Cymbalta twice a day

Current Illness: Covid 19

ID: 1066664
Sex: M
Age: 40
State: CA

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 2/7/2021 Sore muscles at injection site 2/7/2021 Enlarged lymph nodes in left armpit (same side as injection). 2/26/2021 Headache/Fever/Chills for less than 24 hours

Other Meds: None

Current Illness: None

ID: 1066665
Sex: F
Age: 63
State: WI

Vax Date: 02/14/2021
Onset Date: 02/20/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Shellfish

Symptom List:

Symptoms: 6 days after receiving the vaccine, I had pretty crazy itching at the injection site. The site then became red, inflamed and warm to the touch.. The itching went away after about 36 hours. The redness and swelling lasted about 5 days.

Other Meds: Gabapentin (600 mg 3x/day), Multi-vitamin (daily), Vitamin D (5,000/week), B12

Current Illness: none

ID: 1066666
Sex: M
Age: 71
State: CO

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Sulfa; Ciprofloxacin; hay fever

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: four hours after vaccination patient reported onset of intermittent headache, neck pain/stiffness, muscle twitching, and extremity tingling. No dyspnea, chest pain, confusion, dizziness, or swelling. Strength and sensation grossly intact with normal gait. Symptoms have gradually improved since vaccination and no new symptoms have developed.

Other Meds: Calcium; Cyclobenzaprine; Multivitamin; Oxycodone-Acetaminophen; Pravastatin; Tamsulosin

Current Illness: None reported

ID: 1066667
Sex: M
Age: 53
State: HI

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pain at the injection site, tiredness, headache, and chills.

Other Meds: Vitamins (D3, E, B, C) and fiber supplement.

Current Illness: None

ID: 1066668
Sex: M
Age: 76
State: NY

Vax Date: 02/21/2021
Onset Date: 02/23/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: fainting (vagal reaction)

Other Meds: vitamin C, vitamin D, zinc, fish oil

Current Illness:

ID: 1066669
Sex: F
Age: 38
State:

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

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: lightheadness, flushing, anxious

Other Meds:

Current Illness:

ID: 1066670
Sex: F
Age: 67
State: CO

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: One week after patient's first dose Moderna vaccine, she developed severe headache, body ache, and "heart discomfort ". She went to see a doctor and she was told she had a high risk developing heat attack in the next few weeks. Patient is back to work now, but she suspect this has something to do with her Moderna vaccine.

Other Meds:

Current Illness:

ID: 1066671
Sex: F
Age: 24
State: CA

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: 2/28- 1am: chills, muscle ache, stiff joints - hard to sleep 7am-5pm: headache, nausea, fever, muscle aches, stiff joints (neck and back), chills 6pm-9pm: only nausea went away (Went to bed) 2/29 (all day) Woke up with a really stiff neck/upper body, shortness of breath and chest pain while breathing, exhausted, headache. Shortness of breath getting better throughout the day, headache didn?t leave. Still exhausted

Other Meds: None

Current Illness: None

ID: 1066672
Sex: F
Age: 66
State: OK

Vax Date: 02/26/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: PCN, Gabapentin

Symptom List:

Symptoms: Nausea, diarrhea, body aches, hypotension, headache

Other Meds: Carvedilol, Lisinopril, HCTZ, ASA, Metformin,Atorvastatin, multivitamin,Minipress,Duloxetene

Current Illness: none

ID: 1066673
Sex: F
Age: 65
State: FL

Vax Date: 02/01/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Band-Aids, Levaquin, Mobic, Paxil, sulfonamides, doxycycline Biaxin, and statins

Symptom List:

Symptoms: Simply tired and exhausted. 2 / 28/ 21 felt feverish / clammy. 3/ 2 / 21 still tired and exhausted

Other Meds: Cymbalta, Benadryl, metoprolol, spironolactone, baby aspirin, benazepril, lysine, collagen, Singulair , xyzal, Klonopin

Current Illness: None

ID: 1066674
Sex: F
Age: 70
State: MI

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, sulfa

Symptom List:

Symptoms: Flu like body aches and fever. Of note I tested positive for Covid on November 18, 2020. Lasted 24 hours.

Other Meds: Diltiazem, meloxicam, calcium daily vitamin

Current Illness: Sinus infection

ID: 1066675
Sex: F
Age: 45
State: LA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Cefaclor, Lamotrigine, Zonisamide (all result in rashes)

Symptom List:

Symptoms: Injection given around 10:00am. No side effects, whatsoever. Started to feel soreness at site of injection around 6 hours later. Self administered ibuprofen. I woke up around 11:30pm to extreme chills, aches, and shaking. Oral temperature of 100.9. Self administered Tylenol . Almost unbearable teeth chattering (thought my teeth were going to break), whole body chills (shaking the entire bed, woke up my husband from shivering, almost convulsing). Fever kept going up until it peaked at 101.9. At some point it broke. Woke up again around 5:30am, same symptoms as above, add to the list, nausea and vomiting. Fever to 101.7. I took Ibuprofen this time and it went down sooner. Returned about 5 hours later. No chills or teeth chattering, but severe lethargy all day. No appetite, sense of smell diminished again. Nausea gone. No fever again until 12:00 Sunday morning. Ibuprofen diminished it. Fever was 101.2. Sunday was better. More energy, less sleepy. No fever until 4:30 pm. More appetite. Sunday afternoon I began to show a red rectangle about 1"x2" over the injection site. It's warm to the touch. It's currently still there, and now itches. Have had no more fever, but am still extremely tired.

Other Meds: Topiramate, Buspirone Hcl, Fluoxetine Hcl, Pantoprazole Sod Dr, Pregabalin Cap

Current Illness: N/K illnesses

ID: 1066676
Sex: F
Age: 68
State: CT

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received less than intended amount of 0.3 mL. The vaccinator did not draw up the vaccine correctly, creating a large bubble in the barrel, leading to an underdosage of vaccine. No symptoms. Patient is being notified today by our physician to come and receive another dose per Pfizer recommendations.

Other Meds:

Current Illness:

ID: 1066677
Sex: F
Age: 37
State: NM

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Bactrim - hives doxycycline - rash nust - severe - swollen mouth/throat hives penicillins - rash Pollen - unknown reaction

Symptom List:

Symptoms: c/o itching -rash on both arms. Pt had premedicated with Benadryl. RR called. Benadryl IM administered. Itching resolved, rash decreasing. ER precautions given 911 precautions given. Pt dispo home -boyfriend picked up.

Other Meds: Furosemide 20mg tabs Losartan 50mg tab baclofen 10mg tab Aviane Quetiapine 25mg tab duloxetine EPIPEN ASCORBIC ACID CALCIUM CITRATE Cetirizine lutera MVI with minerials omeprazole

Current Illness: unknown

ID: 1066678
Sex: F
Age: 80
State: MD

Vax Date: 02/28/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: covid arm, red blotch, itchy and sore

Other Meds: amaldine bestalyte

Current Illness:

ID: 1066679
Sex: F
Age: 70
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Keflex

Symptom List:

Symptoms: Reactivated a head injury I sustained about 6 years ago. Symptoms: trouble walking; tiredness; head pain; trouble communicating with words (slightly incoherent) etc. This began immediately following the injection & is still here these 3 1/2 weeks later. I reported this to Urgent Care & have been resting very much etc.

Other Meds: - aspirin 325 mg daily - glutathione 1cc injection weekly

Current Illness:

ID: 1066680
Sex: F
Age: 43
State: IL

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: NKDA, environmental allergies

Symptom List:

Symptoms: I received shot 1 of the Pfizer-BioNTech mRNA vaccine on 2/17/2021. IMMEDIATELY afterward, I had a headache and dizziness and brain fog (including trouble forming sentances and forgetting words). These symptoms have persisted every day since the vaccine. These symptoms have diminished slooooooowly over the past 14 days but are still present today.

Other Meds: Dulera 100mcg/5mcg inhaler BID

Current Illness: none

ID: 1066681
Sex: M
Age: 81
State: FL

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

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

Lab Data:

Allergies: Phenylpropanolamine

Symptom List:

Symptoms: Bruise and severe pain. Bruise and shoulder joint pain remaining after 14 days.

Other Meds: Metoprolol, simvastatin, omeprazole, aspirin 81mg, Cognium, vitamin D3

Current Illness: None

ID: 1066682
Sex: F
Age: 60
State: IL

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

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

Lab Data:

Allergies: Nitroglycerin, Hyaluronic acid. Has seasonal allergies.

Symptom List:

Symptoms: Pt experienced blurry vision to both eyes and slight headache. Onset approximately 25 minutes after receiving vaccination. Pt did not lose LOC, did not lose vision completely. No problems with gait. Alert and oriented. Episode was transient and all sx's went away after about 30 minutes. After sx's resolved, pt refused transport to hospital for further evaluation, signing CFD refusal form stating able to drive self home.

Other Meds: Trelegy, Dupixent, Flonase, and an anti-HTN medication she is unsure of the name of.

Current Illness:

ID: 1066683
Sex: F
Age: 29
State: TX

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: None stated.

Other Meds: none

Current Illness: Epilepsy - Mental Disability

ID: 1066684
Sex: F
Age: 35
State: IN

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 03/02/2021
Hospital:

Vax Type:
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Allergies: none

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Symptoms: fever of 102 degrees, chills, fatigue, nausea. All symptoms lasted about 18 hours after onset.

Other Meds: none

Current Illness: none

ID: 1066685
Sex: F
Age: 37
State:

Vax Date: 02/05/2021
Onset Date: 02/19/2021
Rec V Date: 03/02/2021
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Allergies: None

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Symptoms: Inner ear pain (outer ear does not hurt) in my right ear. I started feeling this pain about 2 weeks after receiving the second dose of the Moderna COVID-19 vaccine (I received the second dose in my right arm). It presents itself about 3 times a day, nothing ignites or lessens the pain, it feels like a sharp stabbing pain, intensity 4/10 and lasts less than a second. Also presenting itchiness inside the ear canal. Additionally, swollen and painful to the touch axillary lymph nodes. I noticed them about 2 weeks after receiving the first and second dose of the Moderna COVID-19 vaccine. They appeared on the same side of the vaccinated arm (i.e., left arm vaccinated, left axillary lymph nodes). They're sensitive to the touch, intensity 5/10. Did not take NSAIDs to reduce the pain (was afraid it might have been a breast lump, but ultrasound ruled it out and confirmed it was a swollen lymph node).

Other Meds:

Current Illness:

ID: 1066686
Sex: F
Age: 68
State: WA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
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Allergies: None

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Symptoms: About 45 minutes after the vaccination while the patient was walking in Grocery Store her husband noticed her Left eye had blood in the white part of her lower eye. Pt had no discomforts or blurry vision. Pt has no pain or complaints. Left eye in the sclera has bright red blood lower aspects of eye below the retina area.

Other Meds: Statin Mediation

Current Illness:

ID: 1066687
Sex: F
Age: 59
State: MI

Vax Date: 12/23/2020
Onset Date: 01/11/2021
Rec V Date: 03/02/2021
Hospital: Y

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Allergies: ERYTHROMYCIN, CELIAC DISEASE

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Symptoms: i woke up at 3am with chest pain on 01-11-2021. I went to the hospital and was diagnosed with pericarditis. At the hospital, an EKG, echocardiogram, US of the abdomen, MRI of the chest, lab work, cardiac marker series , CRP and a scheduled exercised test was done that picked up arrhythmia. I am now recovering and I am still taking Colchicine, a gout medication that treats inflammation and pericarditis. I am on this medication till mid April 2021 when I see my cardiologist for follow up.

Other Meds: OTC MEDICATIONS, GLUCOSAMINE, CITRACEL, FISH OIL, CALCIUM D

Current Illness:

ID: 1066688
Sex: M
Age: 72
State: TX

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 03/02/2021
Hospital: Y

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Allergies: None

Symptom List:

Symptoms: Patient developed bleeding from the gums soon after the first shot, did not notify medical personnel until his second vaccine. Platelet count was found to be 3000 on March 2

Other Meds: Vitamin B 12, digoxin, Xarelto, atorvastatin, metoprolol, allopurinol, Finasteride

Current Illness: None

ID: 1066689
Sex: F
Age: 66
State: CT

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
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Symptoms: Patient received less than intended amount of 0.3 mL. The vaccinator did not draw up the vaccine correctly, creating a large bubble in the barrel, leading to an underdosage of vaccine. No symptoms. Patient is being notified today by our physician to come and receive another dose per Pfizer recommendations.

Other Meds:

Current Illness:

ID: 1066690
Sex: F
Age: 29
State: IA

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/02/2021
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Symptoms: Patient experienced severe lightheadedness and nausea, felt like she was going to pass out and throw up. We offered her a bottle water and then walked with her (with an arm on each side) to another room, where we had her sit down against a wall and put her head between her knees. She also stated she felt very hot, so we got her a cool compress for the back of her neck. We had her wait for another 15 mins (total of 30mins) before she started feeling better, her coloring looked better (she was very pale at first) and she felt better enough to drive home.

Other Meds:

Current Illness:

ID: 1066691
Sex: F
Age: 70
State: CA

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
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Allergies: Pseudophedrine

Symptom List:

Symptoms: Intense itching around the injection site on the left arm began in the afternoon on the third day after the shot. It would come and go throughout the afternoon and evening. I was only able to sleep about 5 hours and the itching woke me up and continued throughout the fourth day. I looked this up on the internet and found that massaging and exercising my arm help. The injection site had been sore the first three days, it was less swollen, sore and warm to the touch by the fifth day but there were three red patches around the injection site. All symptoms gone on the sixth day but a very mild itch is appearing occasionally today which is the seventh day. I also experienced itching after the first shot (Lot 042L20A) but it was very mild and went away by the fourth day.

Other Meds: Azopt 1% and Cephalexin 500mg

Current Illness:

ID: 1066692
Sex: F
Age: 54
State: TN

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
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Allergies: Sulfa

Symptom List:

Symptoms: Received 1st dose 2/27/21. Fever of 102F started 2/28/21 with chills, resolved with tylenol. Redness at injection site started 2/27/21, then had spread to "the size of 2 half dollars." Not getting any bigger now on 3/2/21. Injection site was itchy too. 2/29/21, fever between 99 and 100.5 and took Tylenol again once getting chills. Suspect that patient had fever in response to COVID vaccine due to previous injection with COVID19 and patient confirmed she had previously had COVID19.

Other Meds: Unknown

Current Illness: Had COVID19 previously, a mild case.

ID: 1066693
Sex: F
Age: 79
State: IL

Vax Date: 02/12/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
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Allergies: Latex

Symptom List:

Symptoms: CHIEF COMPLAINT Chief Complaint Patient presents with ? Abdominal Pain ? Headache a 79 y.o. female who presents with chief complaint of not feeling well. Patient is unable to be any more specific about what it is that is wrong. She denies fever chills nausea vomiting abdominal pain diarrhea constipation or urinary tract symptoms. She does state that she has been feeling somewhat weak. Her appetite has been fine.

Other Meds: Current Outpatient Medications: ? amLODIPine (NORVASC) 10 MG tablet, Take 1 Tab by mouth daily, Disp: , Rfl: ? atorvaSTATin (LIPITOR) 20 MG tablet, Take 1 Tab by mouth daily, Disp: , Rfl: ? doxazosin (CARDURA) 1 MG tablet, Take 1 Tab

Current Illness:

ID: 1066694
Sex: M
Age: 62
State: IL

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/02/2021
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Symptoms: Records indicate patient had received a third dose of Moderna

Other Meds:

Current Illness:

ID: 1066695
Sex: M
Age: 25
State: NY

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
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Allergies: I'm allergic to over a dozen meds, an ingredient in propel, dust, and pollen

Symptom List:

Symptoms: Moderna COVID19 EUA A couple hours or so later headache/migraine lasting the night. Night waking

Other Meds: Guanfacine Wellbutrin Jatenzo Ritalin Savella Estradiol Gerd med (sorry I don't remember brand name)

Current Illness: I have chronic conditions, but nothing acute

ID: 1066696
Sex: F
Age: 81
State: NC

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 03/02/2021
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Allergies: sulfa, pentathols, barbituates (AIP) gluten

Symptom List:

Symptoms: extreme pain for five days followed by an apparent outbreak of shingles

Other Meds: Benicar, Liothyronine, multi vitamins

Current Illness: none

ID: 1066697
Sex: F
Age: 28
State: WA

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

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Allergies: n/a

Symptom List:

Symptoms: Felt a pain/burning sensation when wiping after urinating on 2/28. Assumed it was an abrasion associated with shaving. When still occuring on 3/02, I used a mirror to check the area and discovered a single, white, blister-looking lesion on my labia minora (right side). The lymph nodes under the arm on my left side (injection site) and in my right groin are still swollen and have been since 2/28.

Other Meds: multivitamin, adderall (10mg 1-2x daily), junel 1.5/30 (1x daily), biotin (5000mcg daily), collagen (100mg daily)

Current Illness: n/a

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm