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
43,958
AK1,313
AL3,213
AR2,098
AS39
AZ9,510
CA40,242
CO7,714
CT5,172
DC1,058
DE1,073
FL21,696
FM3
GA8,535
GU58
HI1,458
IA3,213
ID1,729
IL12,908
IN18,961
KS3,054
KY4,071
LA2,973
MA9,760
MD8,428
ME2,189
MH7
MI11,789
MN7,911
MO6,026
MP13
MS1,563
MT1,584
NC10,065
ND876
NE1,943
NH2,169
NJ10,634
NM2,554
NV2,525
NY21,362
OH12,428
OK4,094
OR5,705
PA14,938
PR1,413
QM1
RI1,455
SC3,815
SD806
TN5,503
TX21,211
UT2,880
VA9,875
VI31
VT1,254
WA9,648
WI7,351
WV1,555
WY581
XB5
XL1
XV2

ID: 1067302
Sex: F
Age: 51
State: AR

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: Avocado, sulpha

Symptom List:

Symptoms: 10 x 5 inch raised rash with sever pain from shoulder to hand

Other Meds: Victoza, steglatro, pioglitazone, furosemide, potassium, enalapril, cyclobenzaprine, rosuvastatin

Current Illness:

ID: 1067303
Sex: F
Age: 79
State: NC

Vax Date: 02/08/2021
Onset Date:
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Sulfur, Amoxicillin, Blood Pressure Meds

Symptom List:

Symptoms: Teeth has protruded outward and felt like something was in her throat.

Other Meds: Flonase, Claritin, Vitamins, Metoprolol, Clonidine

Current Illness: no

ID: 1067304
Sex: F
Age: 58
State: PA

Vax Date: 02/20/2021
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: Eggs,cipro

Symptom List:

Symptoms: Large warm red raised arm 9 days after vaccine.

Other Meds: Pepcid,dexilant, v D

Current Illness:

ID: 1067305
Sex: F
Age: 69
State:

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: LATEX, LACTOSA

Symptom List:

Symptoms: HEADACHE, HIGH FEVER, BACK PAIN

Other Meds: AVAPRO 300, CLONAZEPAN, LABETANOL, CYNTHROID .50, PROTONICS,

Current Illness:

ID: 1067306
Sex: F
Age: 67
State: CA

Vax Date: 02/25/2021
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: none

Symptom List:

Symptoms: 2/25 shot at 10:20 am same evening fever and chills 2/26 Headache and sleep all day 2/27 left arm red , rash, ( like hives) 3/2 lighter in color still rash with bumps.

Other Meds: cinsulin, estroven, D3, multi vit., calcium, low dose aspirin, lisinopril,

Current Illness: none

ID: 1067307
Sex: U
Age: 18
State: NY

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:

Symptom List:

Symptoms: Pharmacist is sure they added 1.8mL to Pfizer vaccine vial in order to dilute. When he went to draw a dose he could only obtain one complete dose. Before he reported the even the dose drawn was administered to an unknown patient. He suspects he accidentally withdrew some of diluent when he meant to withdraw air from the vial. The single dose given would have been more concentrated than usual. No severe allergic reactions were reported that day.

Other Meds:

Current Illness:

ID: 1067308
Sex: F
Age: 43
State: WA

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: None

Symptom List:

Symptoms: Arm discomfort, nausea, hypotensive, slightly swollen throat

Other Meds: None

Current Illness: None

ID: 1067309
Sex: M
Age: 53
State: TX

Vax Date: 02/23/2021
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: Fatigue, swelling at site, body aches beginning overnight 2 days after admin

Other Meds: Genvoya, sertraline, Adderall XR, OTC for respiratory allergy

Current Illness:

ID: 1067310
Sex: F
Age: 60
State: TX

Vax Date: 02/19/2021
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:

Symptom List:

Symptoms: At first I didn't feel anything or any different. I started to get a weird sensation behind my eyes like before with the first vaccine. The muscles of my eyes and eye lids feel weak and difficult to focus. I started having extreme nausea and could not go to work. No appetite either. I now have Oscillopsia and feel sick.

Other Meds: Prozac

Current Illness:

ID: 1067311
Sex: M
Age: 58
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: DILTIAZEM; PENICILLINS

Symptom List:

Symptoms: Pt began feeling short of breath and feverish the night after receiving vaccine, which worsened to right-sided chest pain w/ inspiration that radiated to his back. Pt returned to work 03/01/2021 then checked into urgent care the following day d/t worsening symptoms. Patient Plan written by PAC: "At this time the nature of your pain is not clear. Your cardiac enzymes are within normal limits except for myoglobin which often goes up with skeletal muscle pain. Your BNP test which can come up with congestive heart failure is elevated slightly from your normal. We will want to recheck this in a week or so. Differential diagnoses could be skeletal muscle pain/injury, herpes zoster or shingles. (This can sometimes have sharp nerve type pain that will develop into a rash within the first 7 days.) Your rapid COVID test was negative. We are sending a PCR test out just to confirm. While awaiting test results please isolate at home. We will call you soon as results are back. Refer to Mendocino County's packet/isolation order. Your potassium level is low at 3.2. It should be 3.6. We gave you some potassium to take in the clinic. I am going to give you some to take for an additional few days. When you follow-up next week plan to have your labs redrawn." Plan Orders: SARS-CoV-2 RNA (COVID-19), QUALITATIVE NAAT to be performed. URIC ACID to be performed. The patient had the following medication order(s) completed today: Potassium Chloride 40meq PO; Toradol 15mg IVP.

Other Meds: furosemide 80 mg tablet; trazodone 50 mg tablet; Ventolin HFA 90 mcg/actuation aerosol inhaler; Crestor 10 mg tablet; Advair Diskus 500 mcg-50 mcg/dose powder for inhalation; triamcinolone acetonide 55 mcg nasal spray aerosol; albuterol sul

Current Illness: None

ID: 1067312
Sex: F
Age: 47
State: NJ

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: Eritheomyocin

Symptom List:

Symptoms: Right groin lymph nodes swollen and painful.

Other Meds: Levathyroxcin Atenalol

Current Illness: Digestive illness

ID: 1067313
Sex: M
Age: 26
State: NJ

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: Nausea and stomach pain

Other Meds:

Current Illness:

ID: 1067314
Sex: F
Age: 67
State: CO

Vax Date: 02/16/2021
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: Sulfa

Symptom List:

Symptoms: 2/22/2021 (6 days after vaccine) developed shingles of R L4/L5 dermatome

Other Meds: Atorvastatin 10mg daily, estrace 0.01% vaginal cream, vitamin D 3

Current Illness: N/A

ID: 1067315
Sex: F
Age: 60
State: WA

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

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

Lab Data:

Allergies: Milk/lactose, dust, gluten intolerance

Symptom List:

Symptoms: Left side of head/face numbness with continued left ear pain/discomfort. No current treatment. PCP following.

Other Meds: Progesterone, estradiol, testosterone, terbinafine, pregnenolone, multi-vitamin (Transfer Factor Complet Immune Support), DHEA, Vit D with Vit K, Vit C, Vit B12, Zinc.

Current Illness: None

ID: 1067316
Sex: F
Age: 71
State: AZ

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: Codiene

Symptom List:

Symptoms: Fever for two days, body aches, massive headaches. It was almost like having Covid all over again!

Other Meds: Novalog, tresiba, ozempic, metoprolol, duloxitine, allopurinol, alendronate,ezetimibe, vitamin d. Nothing had been taken the morning of the vaccine.

Current Illness: I had the Covid Virus in the end of a November and beginning of December. I was in the hospital for 6 days and was released from hospital on December 4, 2020.

ID: 1067317
Sex: F
Age: 66
State: OH

Vax Date: 02/25/2021
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: Penicillin Maple Trees Honey Bee venom

Symptom List:

Symptoms: An estimation of about five minutes after receiving the Covid19 (Moderna) vaccine, my heartrate increased to around 100 beats a minute (as told to me by Dr. ). My breathing felt a little different but it could have been from wearing two masks for a longer period of time than usual. After ten or fifteen minutes, I felt sort of dizzness and it didn't feel quite normal around my eyes and forehead. The staff were extremely attentive to me. I probably was there after the shot for 30-45 minutes. Dr. suggested my symptoms was due to anxiety and out of an abundance of caution, the emergency squad was called and I was taken to Hospital Emergency Department.

Other Meds: B-12 500 mcg Vitamin-C 500mg

Current Illness: Osteoarthritis Neuropathy in both feet Possible Fibromyalgia

ID: 1067318
Sex: M
Age: 74
State:

Vax Date: 02/09/2021
Onset Date: 02/12/2021
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: Vaccine given 2/9/2021 and symptoms developed 2/12/2021 - severe vaccine site pain radiating to left neck and jaw and inability to life arm more than 90 degrees lasting 3 weeks following injection. Treated with muscle relaxants and tramadol today 3/2/21. Unsure of outcome at this time.

Other Meds:

Current Illness:

ID: 1067319
Sex: F
Age: 44
State: NC

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

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

Lab Data:

Allergies: penicillin, sulfa, tetracycline, azithromycin--all give rash/hives

Symptom List:

Symptoms: While eating lunch, tongue started burning and tingling with odd taste in mouth. The bitter taste, almost like soap, and the tingling sensation lasted until bedtime that evening. All ingedients in lunch have been tolerated before, had eaten from this same batch of vegetables and meat the day before with no issues. Per advisement of physician in my work office, i took 50mg Benadryl when i got home. Ate from the same batch of food 2 days later and no odd taste or tingling sensation.

Other Meds: ibuprofen prn, tylenol prn

Current Illness: none

ID: 1067320
Sex: F
Age: 38
State: KY

Vax Date: 02/23/2021
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: sulfa, penicillin

Symptom List:

Symptoms: sore arm, beginning several hours after shot and lasting about 30 hours; body aches, beginning in the evening and lasting about 24 hours; pounding headache, beginning the next day and lasting about 12 hours as an intense headache and gradually lessening but not disappearing until several days later; vomiting, beginning the next morning and lasting about 12 hours

Other Meds: multivitamin

Current Illness: none

ID: 1067321
Sex: F
Age: 44
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: Neomycin

Symptom List:

Symptoms: nausea, vomiting, malaise, fatigue, worsening depression

Other Meds: baclofen, doxycycline, duloxetine, lamotrigine, quetiapine, trazodone, Myrbetriq. multivitamin, lysine

Current Illness: None

ID: 1067322
Sex: F
Age: 49
State: CA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
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: I felt as if I had full blown flu that night through Saturday night, so for two days. I felt better by Sunday, the third day but with pain and nausea, through for two weeks. This led to runny nose and cough.

Other Meds: none

Current Illness: none

ID: 1067323
Sex: F
Age: 62
State: GA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
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 rec'd Moderna vaccine on 1/19/21 and later developed facial swelling (not at pharmacy). Patient went to ER and told ER she felt that facial swelling was due to Covid vaccine, but ER told her fatigue was her problem. Patient rec'd 2 bags of solution to rehydrate her. Facial swelling resolved within a day.

Other Meds:

Current Illness:

ID: 1067324
Sex: M
Age: 56
State: MN

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: Peanuts, Pecans, red dye, arithamysin

Symptom List:

Symptoms: started with tingling in left neck and up to face. Talked to the nurse and she said that this can be a common side effect as the powder mixed with the liquid is cold. If i have more troubles let her know. After my 35 minutes I left wondering if my lips feeling funny. i drove 12 miles to my school and went straight to the nurse as my lips were swelling up. My throat and tongue ok. I took Benadryl and then hubby picked me up and we went straight to ER. On the way to hospital my tongue started to feel thick on the left side as we were only blocks away. Immediately they took great care of me! They gave my Epi pen shot, steriod and more Benadryl. I left 3 hours later. Came home and taking Benadryl as still slight numbness on left lip. Throat and Tongue great.

Other Meds: Potasium, Calium, Allergy pill, HRT, Magasium, Vitamin B, Probotic, Thyroid,

Current Illness: None

ID: 1067325
Sex: F
Age: 72
State: MO

Vax Date: 02/20/2021
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 known

Symptom List:

Symptoms: Last night I notices an approximately 2 inch diameter red swelling around injection site.

Other Meds: Lisinopril, atorvastatin,alendronate sodium

Current Illness: None

ID: 1067326
Sex: M
Age: 96
State: CO

Vax Date: 02/01/2021
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: morphine

Symptom List:

Symptoms: Diarrhea - Fatigue / Tiredness - Joint Pain

Other Meds: Apixaban - Finasteride - Tamsulosin - Hydrochlorothiazide - Levothyroxine - D-3 - Latanoprost - Dorzolamide HCL Ophthamide - Cranberry Extract - Probiotics

Current Illness: None

ID: 1067327
Sex: F
Age: 71
State: AK

Vax Date: 02/19/2021
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: Amox

Symptom List:

Symptoms: Injection site red and below skin are swollen and light pink rash and very itchy. lasted four days. felt tired for a couple of days

Other Meds: NONE

Current Illness: NONE

ID: 1067328
Sex: M
Age: 74
State: CA

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

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: disorientation, loss of memory and confusion.

Other Meds: Alfuzosin HCL 10mg, Cholecalcif 25mg, Mirtazapine 15mg take 1/2 daily,

Current Illness: suspicion of beginning stages of dementia or Alzheimer's no confirmation yet

ID: 1067329
Sex: F
Age: 91
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: Codeine, Shellfish, Thimerosal, Adhesive, Ammoniated Mercury, Cefuroxime, Codeine, Contrast Media, Cortisone, Latex, Penicillins

Symptom List:

Symptoms: Short of breath, lip swelling, tightness in the chest

Other Meds: Yes

Current Illness: No

ID: 1067330
Sex: M
Age: 68
State: GA

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: none

Symptom List:

Symptoms: patient said he felt hot after receiving vaccine, pharmacist immediately took emergency cart out to the patient and assessed him- he looked a little sweaty- took patients BP it was 84/60- pharmacist stayed with patient and asked about any other symptoms- he stated he had none- retook BP in 10 mins it was 123/74- pharmacist continued to stay with the patient for an additional 30 minutes - he was reassessed after and had no signs of any issues so he went home- pharmacist called him later and checked on him- he stated no more issues

Other Meds:

Current Illness:

ID: 1067331
Sex: F
Age: 65
State: IN

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, ibuprofen, tetracycline

Symptom List:

Symptoms: Woke up 48 hours after injection with itchy palms(hives) and both lips burning. Very anxious and agitated, light headed. History of anaphylactic results requiring medical intervention in the past. Drank a lot of water and took a Zyrtec then laid down and slept 2-3 hours. Exhausted for over a week.

Other Meds: Metformin

Current Illness: None

ID: 1067332
Sex: F
Age: 41
State: TN

Vax Date: 02/27/2021
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 known

Symptom List:

Symptoms: I began having pain in the lymph nodes in my right under arm, then started experiencing stiffness in my neck, and today noticed a swollen node above my collar bone on the right as well. It is painful to touch and is radiating pain in my throat, right ear, and neck around the node.

Other Meds: Nature Made Multi for Her (multi-vitamin) Nature?s Bounty 1000mg Vitamin C with Rose Hips

Current Illness: None known

ID: 1067333
Sex: M
Age: 81
State: CO

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: I had chills and fever

Other Meds:

Current Illness: None

ID: 1067334
Sex: M
Age: 42
State: CA

Vax Date: 02/02/2021
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: N/A

Symptom List:

Symptoms: Chills, headache and achy body follow day of second shot. Discovered marble/golfball size lump in left armpit work days after second shot . Slight discomfort. Lasted approximately 3 days . Small lump still present . Seen primary physician at peak of lump follow up scheduled .

Other Meds: N/A

Current Illness: N/A

ID: 1067335
Sex: M
Age: 69
State: GA

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: None

Symptom List:

Symptoms: Got shot Friday afternoon and reaction started Saturday night. Injection site had a blue coloration about 1/4 inch and began feeling like 1.5 inch of pencil was in my arm. I was feeling very warm and cold at the same time with a normal core temperature. Extreme pain on any movement of arm that caused to muscle to tense. Having a fan on me really help my heat/cold sensation be normal. Most of symptoms went away Sunday afternoon, pain in arm reduced and I felt lethargic but OK. Pain in arm had subsided a lot and just felt like injection pain. most range of movement pain free but it did hurt if I moved my left arm up across my chest. Monday morning had no issues with anything and injection site had no pain on movement or touch. I could just tell I had the shot there and the discoloration was lighter.

Other Meds: Aleve and AREDS eye vitamin

Current Illness: None

ID: 1067336
Sex: F
Age: 39
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:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: No

Symptom List:

Symptoms: Syncope episode 15 mins after receiving vaccine. Pt reported feeling anxious and has history of syncope with blood draws.

Other Meds: NA

Current Illness: NA

ID: 1067337
Sex: F
Age: 70
State: IL

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/02/2021
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Allergies: None known

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Symptoms: Felt ?off? with mild h/a in evening of 2/24; around 2am, 2/25 started slight chills, h/a worsened, body aches?did not feel feverish, but did not check. Could not sleep. R arm bruised & very sore-could not lay on it-applied ice. Finally at 4:30 AM took two Tylenol & slept until 11am. Very tired all day & took afternoon nap. Friday better-just tired & arm sore..

Other Meds: PRADAXA, Metopralol, Vit D, Omega 3, omerazole, Multi vitamin

Current Illness: None

ID: 1067338
Sex: F
Age: 40
State: LA

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 03/02/2021
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Allergies: N/A

Symptom List:

Symptoms: 101.5 fever. Body ache. Chills.

Other Meds: Synthroid

Current Illness: None.

ID: 1067339
Sex: F
Age: 51
State: CA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
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Allergies: none

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Symptoms: Pt. is a 51 y/o female reporting feeling she would pass out 15" into her 30" post-covid 19 first vaccine observation period. Reports felt dizzy slightly immediately after vaccine injection then progressed in observation area. Scheduled for 30" observation due to reported anaphylactic reaction per patient to Tylenol. When first observed by physician in observation at 4:10, nursing staff was holding her upright in chair, eyes were closed, face flushed markedly and a few myoclonic movements were noted in both arms. She did open eyes to command but stated she was going to pass out and wanted to lie down. A Emergency responders call was immediately placed, she was transferred into wheelchair with continued nursing support and brought into office where placed in supine position. First vitals were as stated below. 4:15PM supine vitals: BP 106/68, HR 95, O2 sat 99% Emergency responders was called at 4:28pm

Other Meds: unknown

Current Illness: unknown

ID: 1067340
Sex: F
Age: 43
State: OR

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 03/02/2021
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Allergies: Penicillin, aspirin, ibuprofen/nsaids, prednisone, sulfa, sulfites,

Symptom List:

Symptoms: Severe prolonged migraine headache after dose -- timed immediately after injection

Other Meds: Topiramate, sumatriptan, hydroxyzine, prazosin

Current Illness: Migraine

ID: 1067341
Sex: F
Age: 81
State: WA

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/02/2021
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Allergies: no known

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Symptoms: Deltoid swelling within 15 minutes of injection

Other Meds: No known

Current Illness: No known

ID: 1067342
Sex: F
Age: 19
State: MD

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/02/2021
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Symptoms: Low-grade fever, chills, exhaustion, sore back, sore arm (12 hours after shot until 30 hours after the shot, progressively less severe as time went on)

Other Meds:

Current Illness:

ID: 1067343
Sex: F
Age: 68
State: MI

Vax Date: 02/25/2021
Onset Date: 03/02/2021
Rec V Date: 03/02/2021
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Allergies: none

Symptom List:

Symptoms: delayed skin rash , reaction to arm shot given in at day #5

Other Meds: Losartan, VitaminD,Calcium

Current Illness: none

ID: 1067344
Sex: F
Age: 60
State: CA

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

Symptom List:

Symptoms: 5 Min after vaccine, pt. reported sharp poking sensation in left chest; heart palpitations. History of heart palpitations.

Other Meds: atorvastatin 40 mg oral tablet, 40 mg= 1 tabs, Oral, NIGHTLY, 3 refills diclofenac 1% topical gel, 4 gm, Topical, QID, 5 refills dicyclomine 10 mg oral capsule, 10 mg= 1 caps, Oral, QID, 6 refills fluticasone 50 mcg/inh nasal spray, 1 sp

Current Illness: none identified

ID: 1067345
Sex: F
Age: 53
State: WV

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 03/02/2021
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Allergies: Peanut Butter

Symptom List:

Symptoms: Nausea, extreme fatigue, diarrhea, muscle/body aches, headache chills then burning up all but headache lasted approx 48 hours, headache went for 5 days

Other Meds: None

Current Illness: none

ID: 1067346
Sex: F
Age: 46
State: IL

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 03/02/2021
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Symptoms: One week after the vaccine I experienced lower back pain that has now lasted a week and has gotten worse.

Other Meds: Calcium, vitamin D, multivitamin with minerals, fish oil, zinc

Current Illness:

ID: 1067347
Sex: F
Age: 31
State: AZ

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

Symptom List:

Symptoms: Fever of max 101.6. Strong chills. Loss of appetite. Second dose of Moderna. Didn?t know where else to submit the data.

Other Meds: None

Current Illness: None

ID: 1067348
Sex: F
Age: 76
State: WA

Vax Date: 02/27/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
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Allergies: Sulfa antibiotics, Furadantin, turmeric, some dental materials (HEMA, PMMA, metals).

Symptom List:

Symptoms: 2-3 days after 2nd Moderna vaccination a 10 inch area around injection site swelled and became hot, painful and hard, and a large bright red rash appeared . It persists without improvement today. I also had pain in the joints in my feet and ankles, hands. Some fatigue. No fever, no chills. I had NO reaction after 1st vaccination, although injection site was hot and very tender for days. Used left arm both times. I saw an online photo of "COVID arm" hypersensitivity reaction and looks exactly like mine. Really quite uncomfortable.

Other Meds: Vitamin D, calcium, vitamin C, multivitamin supplement; Lipitor

Current Illness: None

ID: 1067349
Sex: F
Age: 89
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: Slight headache, feeling extreme tiredness fairly suddenly, saying ?I feel like I could pass out? and then passing out. Slight movement of mouth for air, some drooling.

Other Meds: Thyroid medication

Current Illness: None

ID: 1067350
Sex: F
Age: 71
State: NY

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

Symptom List:

Symptoms: erythema, itching to injection site that began few hours after injection. pt daughter states area has lessened. no further reactions, rashes, shortness of breath

Other Meds: cortisone cream

Current Illness: denies

ID: 1067351
Sex: F
Age: 26
State: NC

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
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Allergies: None

Symptom List:

Symptoms: I had hives show up on my wrists about a day and a half after receiving the vaccine. There have been no other life changes.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 399,999

Page last modified: 03 October 2021 5:28pm