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: 1076945
Sex: F
Age: 78
State: NJ

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

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

Lab Data:

Allergies: Alcohol, contrast dye, naproxen, nickel, seafood

Symptom List:

Symptoms: Pfizer-BioNTech COVID- 19 Vaccine EUA: During the post-vaccination observation period, vaccine recipient experience an allergic reaction. They developed headache and throat closing. They were treated by EMS on site with diphenhydramine and methylprednisolone. They were transported to emergency department at Regional Medical Center. They reported itching, swelling, and tingling around the mouth. During reexamination, the patient?s symptoms did not recur and they were discharged to home. Registered 03/03/2021 3:00 PM, Discharged 03/03/2021 6:13 PM.

Other Meds:

Current Illness:

ID: 1076946
Sex: F
Age: 58
State: NJ

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies: Denies/ NKA reported

Symptom List:

Symptoms: 11:00am Post vaccination reports dizziness, light headed w/nausea, and feeling anxious; medical monitoring, BP 138/85 P77. 11:20am Reports symptoms have resolved w/no additional symptoms reported; released from facility to self.

Other Meds: Reports medication list: Metformin

Current Illness:

ID: 1076947
Sex: F
Age: 77
State: WI

Vax Date: 02/12/2021
Onset Date: 02/22/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies: Cortisone injection

Symptom List:

Symptoms: Covid arm Sudden swelling, burning/itching, and redness at injection site 10 days after vaccine administered. Used benadryl gel to stop the symtoms that lasted 5 days.

Other Meds: Metformin, glipizide, metatoporal, farxia, statin (cholesterol), 80 mg asprin, vitamin E, fish oil, calcium/D, cranberry, cinnamon, multivitamin.

Current Illness: Type 2 diabetes

ID: 1076948
Sex: F
Age: 52
State:

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

Vax Type:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: transient episode of dizziness minutes after COVID vaccine administration last less than 2 min spontaneously resolved without any medical intervention

Other Meds:

Current Illness:

Date Died: 02/22/2021

ID: 1076949
Sex: F
Age: 22
State: OR

Vax Date: 01/29/2021
Onset Date: 02/22/2021
Rec V Date: 03/05/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient admitted on 2/21/21 and died in hospital on 2/22/2021. Patient had a significant, lifelong underlying medical condition.

Other Meds:

Current Illness:

ID: 1076950
Sex: M
Age: 72
State: WA

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies: sulfa meds, salmon

Symptom List:

Symptoms: Blood pressure high the next day 2/28 ; 246/177 @7 AM; 159/99 @1600 PM; 3/1 6 AM 161/114; 3/1 7 AM 176/107 while taking regular blood pressure meds. 3/5 6:30 AM 174/115

Other Meds: Doxazosin (cardura) 1 mg bedtime and am;Triamterene/HCTZ 37.5/25 mg cap sand in AM; Amlodipine besylate 5 mg tab Asce 1 in PM; Ezetimibe 10 mg tab amne 1 bedtime; Atorvastatin calcium 40 mg tab krem 1 at bedtime; Albuterol 17 grams, as n

Current Illness: abdominal pain

ID: 1076951
Sex: F
Age: 25
State: CO

Vax Date: 12/31/2020
Onset Date: 01/06/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Neurozon Sulfa Drugs Environmental Allergy's

Symptom List:

Symptoms: On 1/6/2021 I got a rash that started on the vaccine site & it was itchy, inflamed, & red. As the days passed the rash spread all over my body it continued to be itchy, inflamed & red but the itchiness was the worst. I seen my doctor on unspecified date and he prescribed me medication & gave me a steroid shot & steroid pills. This lasted for about 2 months. I still have like a scar because of the rash on the vaccine site but it doesn't bother me.

Other Meds: Birth Control

Current Illness:

ID: 1076952
Sex: M
Age: 70
State: IN

Vax Date: 02/15/2021
Onset Date: 02/23/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Swelling rash at vaccine site

Other Meds:

Current Illness:

ID: 1076953
Sex: F
Age: 51
State: CA

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

Vax Type:
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Lab Data:

Allergies: Ampicillin, Penicillin, Arythromycin

Symptom List:

Symptoms: Pt raised hand states that she feels lightheaded & she is nervous. VS obtained, O2 sat 99%, HR 96, B/P 142/84 RR 20. Pt states that she has not eaten anything at all today & states she is startingto feel better. As pt prepared to leave she stated the feeling was returning & she was so nervous. Pt & I continued to chat while she snacked. 2nd set of VS obtained O2sat 99%, P 80, B/P 142/82, RR 18. Pt Pt states she is ready to go. Additional med attention offered, Pt refused, son who is 20 yrs is in car waiting.

Other Meds: None

Current Illness: None

ID: 1076954
Sex: M
Age: 27
State: PA

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 03/05/2021
Hospital: Y

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Patient is a 27 year old male with no significant medical history presents to MC on 2/6 from Urgent Care for further evaluation of chest pain. He states that he woke up at 5:30am with abrupt onset of chest pain with present like quality in the middle of the chest. It was non-radiating with associated nausea, small amount of emesis, and dyspnea. His pain lasted for about 15 minutes and he started experiencing it again after half an hour with numbness and tingling of his bilateral distal digits and diaphoresis. He decided to seek evaluation at local Urgent Care around 7:30am. States that he was immediately send here through ambulance due to findings of EKG changes. He was given aspirin and nitroglycerin with some alleviation of pain. Currently, he feels little better although continues to have chest pressure substernally every 45 minutes lasting 5-10 minutes. His dyspnea is resolved. He does not have pleuritic chest pain, fever, chills, nausea, vomiting, abdominal pain, diarrhea, leg swelling, rash. Additionally, he has been in normal state of health until this 2/2/21 when he received second dose of COVID-19 (Pfizer) vaccine. He had extreme fatigue with left arm soreness. He reports no sick contacts, recent illness, or travel. MRI cardiac done 2/9/21 with assessment reveals Infero-lateral myocarditis. Patient remained hemodynamically stable and was discharged with ibuprofen taper for 10 days, c/w colchicine 0.6 mg QD x 3 months and pantoprazole 40 mg QD

Other Meds: ibuprofen as needed for pain

Current Illness: N/A

ID: 1076955
Sex: M
Age: 73
State: OH

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

Vax Type:
Manufacturer:
Vax Name:
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Lab Data:

Allergies: chemical sensitivities, gluten allergy

Symptom List:

Symptoms: First injection: mild reactions with no heart involvement. Second injection: Heart A-Fib lasting for 13 hours with very rapid and erratic heart beat ranging from 105 to 151 bpm. Completely resolved by itself and heart rate returned to my normal 75 bpm as measured on my finger-tip pulse oximeter. This type of event has not occurred since my A-Fib ablation done 7 years ago. Also experienced, fever, aches, sore arm, night sweats within first 12 hours and diarrhea 48 hours after injection.

Other Meds:

Current Illness:

ID: 1076956
Sex: F
Age: 86
State: CA

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 03/05/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills, extreme joint and muscle pain, fever of 101, dizziness, headache, listless, 6;x3: raised knot at injection site, severe itching at injection site.

Other Meds: Micardis 20 mg, Simvastatin 10 mg, Zetia 10 mg, B12 2500, B6 50, B1 100, Turmeric 500, Fish Oil 1000, Hair/skin/nail vitamin

Current Illness: Bladder cancer

ID: 1076957
Sex: F
Age: 33
State: CA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Within 5-6 hours after injection on 2/24/21, I began to experience flulike symptoms for approximately 30 hours (chills, fever, headache, extreme fatigue). Symptoms were gone by 2/26/21.

Other Meds: None

Current Illness: None

ID: 1076958
Sex: F
Age: 60
State: MD

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Headache. Hives started around 4:00PM on Friday March52021

Other Meds: Montelukast 10mg Desloratadine 5mg Escitalopram 20mg Valtartan/ hydro 160mg/ 12.5mg Atorvastatin 40mg

Current Illness: Pinched nerve in neck

ID: 1076959
Sex: F
Age: 47
State: CA

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

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: tomatoes, pineapple

Symptom List:

Symptoms: 1430 vaccine given. 1443 started feeling dizzy, light-headed, hot. b/p 140/90,hr-78,r-20, 02 sat 98%ra. 1450 cont hot and dizzy. HR-77,02 sat 98%ra. 1500 report cont hot and dizziness gone and starting to feel better. 1510 report dizziness gone and starting to feel tired. 1515 dizziness resolved, pt stood up no dizziness. b/p 142/82. hr-66, r-18, 02 sat 98%ra, 1520 pt went home with husband who is here with her. Instructed to f/u with MD prn

Other Meds: asa, simvaststin

Current Illness: cold on week ago

ID: 1076960
Sex: M
Age: 65
State: NY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Itchiness for 2 weeks at site of vaccination. Made popping noise as well (has improved). Injection site pain that has lasted since 2/4/21 involved shooting pain down (has since improved) - this has improved but still recurs when arm is lifted past 90 degrees or tucking in shirt behind back (stiffness and tenderness when this occurs).

Other Meds: ramipril, Vytorin

Current Illness:

ID: 1076961
Sex: F
Age: 71
State: VA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: No adverse events; She had COVID19 (Pfizier) on Jan 26 which was only 7 days apart between two vaccines. CDC recommend separate out at least 14 days between any other vaccine and COVID19 vaccine.

Other Meds:

Current Illness:

ID: 1076962
Sex: F
Age: 63
State: FL

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies: Sulpha based medications

Symptom List:

Symptoms: Began running a fever until 5 a.m. on 3/5/2021. The fever stayed at 100+ even with Tylenol. Temperatures were: 101, 102, 103, 106. I literally ran the same symptoms as I had when I was ill with covid a year ago. I would have sought out help if it didn't break by the next day. I kept cold compresses on my head and back of my neck.

Other Meds: None

Current Illness: None

ID: 1076963
Sex: F
Age: 75
State: AZ

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

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

Lab Data:

Allergies: Penicillin and keflex

Symptom List:

Symptoms: chills to where body was shaking, headache, tiredness, hard to get out of bed, just not feeling well . This lasted a day, feel better today

Other Meds: Triamt/Hctaz cap 37.5/25mg, Losartan tab 25mg, Dicyclomine 10mg, baby aspirin 81mg, Calcium 12o00mg, Vitamin D3 150mg, Rosuvastatin tab 40mg

Current Illness: none

ID: 1076964
Sex: F
Age: 53
State: NM

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

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

Lab Data:

Allergies: albuterol; cetirizine; bactrim; guaifenesin; prednisone; metformin; various grasses and trees; animal dander; dust mites

Symptom List:

Symptoms: Patient prophylactically premedicated with 50MG/1ML Benadryl IM to right gluteus without complication due to previous covid pfizer vaccination response. Vaccine administered 1455; 1505 onset itching to right ear and scalp; 1513 symptoms ceased; 1525 continued no adverse reaction thus patient cleared to leave.

Other Meds: glipizide; montelukast; multivitamin with minerals; fluticasone; omega-3 fish oil; semaglutide; fexofenadine; simvastatin; probiotic;

Current Illness: no illnesses

ID: 1076965
Sex: F
Age: 54
State: CO

Vax Date: 02/12/2021
Onset Date: 02/18/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies: Vicodin

Symptom List:

Symptoms: 6 days after receiving the vaccination, I started to display symptoms related to COVID. I was tested 8 days after receiving the vaccination and was positive for COVID. The symptoms I had in order of appearance were chills, fever, body aches, fatigue, chest heaviness, diarrhea, loss of smell, loss of taste, congestion, sore throat, and cough. I never experienced headache, nausea, or a drop in oxygen levels. Approximately 12 days after receiving the vaccination I had a raised, red, irregularly-shaped rash around the sit of the injection. The rash was warm and firm to the touch. It disappeared about 4 days after I first noticed it.

Other Meds: Bio-te bio identical hormones - testosterone, estrogen, progesterone

Current Illness: None

ID: 1076966
Sex: F
Age: 0
State: CA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient reported dizziness after 1st dose of Pfizer at nurse's station. Patient was transported in wheelchair to sick bay. Patient reported difficulty swallowing and chest tightness; epinephrine .3ml administrated in right thigh at 2:55pm and 911 was called. Wheezing was noted. Upon auscultation, FNP noted expiratory wheezing was noted on upper posterior and anterior lung lobe. Patient's tongue appeared swollen, Patient diaphoretic. BP 88/54, HR 69, O2 99%, Temp 98.7. Ambulance arrived on scene.

Other Meds: Birth Control

Current Illness: None

ID: 1076967
Sex: F
Age: 63
State: ME

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies: None aware of

Symptom List:

Symptoms: Achy, fever of 100, chills fatigue

Other Meds: Calcium, magnesium, vitamin d3,

Current Illness: None

ID: 1076968
Sex: F
Age: 71
State: OR

Vax Date: 02/25/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, crab and lobster

Symptom List:

Symptoms: COVID Arm - Itchy, red circle around injection site.

Other Meds:

Current Illness: None

ID: 1076969
Sex: F
Age: 50
State: NJ

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

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

Lab Data:

Allergies: dairy, erythromycin, lobster, Tamiflu, and wheat

Symptom List:

Symptoms: Pfizer-BioNTech COVID- 19 Vaccine EUA: During the post-vaccination observation period, vaccine recipient experience an allergic reaction. They reported throat closing. They were treated by EMS on site with methylprednisolone. Vaccine recipient took their own epinephrine and diphenhydramine. They were transported to emergency department. They reported with an allergic reaction and face swelling. They were administered famotidine. During reexamination, the patient?s symptoms improved and they were discharged to home. Registered 03/03/2021 10:38 AM, Discharged 03/03/2021 1:41 PM.

Other Meds:

Current Illness:

ID: 1076970
Sex: F
Age: 36
State: MD

Vax Date: 02/01/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies: Vancomyosin, penicillin, sulfa, amoxicillin

Symptom List:

Symptoms: Red firm bump the size of a quarter immediately after. Couple days later it was just a bruise. Redness and firmness started to come back. By day 7 post shot 1, Full COVID arm. Red, firm, slightly itchy. No pain.

Other Meds:

Current Illness:

ID: 1076971
Sex: F
Age: 17
State: CA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient was 17 years of age and was provided Moderna vaccine by error. Patient indicated that she was had no adverse reactions and was monitored for 30 minutes without side effects reported.

Other Meds: None

Current Illness: None

ID: 1076972
Sex: M
Age: 78
State: MA

Vax Date: 02/28/2021
Onset Date: 03/01/2021
Rec V Date: 03/05/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Monday morning I found my father lying on couch trying to tell me he couldn?t walk. His speech was slurred he fell and was unable to walk good his body was pulling to one side. His left arm was numb . I called ambulance he was taken to hospital diagnosed with a stroke. Now in rehab

Other Meds: Atenolol and Atorvastatin

Current Illness:

ID: 1076973
Sex: F
Age: 42
State: WI

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, penicillin, sulfa drugs, clindomycin, doxicycline

Symptom List:

Symptoms: Nausea, body aches, skin hurts, headache, very sore arm, fatigue, dizzy

Other Meds: Altavera birth control, glucosamine, probiotics, vitamin D and E

Current Illness: None

ID: 1076974
Sex: F
Age: 67
State: UT

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

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: I STARTED ITCHING ALL OVER MY BODY. NOT JUST AT THE INJECTION SITE. THE INJECTION SITE WAS A LITTLE SORE, BUT DID NOT ITCH. ITCHING WAS EXTRMEMLY INTENSE. SEEMED TO BE SAME SPOTS BUT THERE WAS NO RASH OR REDNESS AT ALL, JUST THE ITCHING. I COULD NOT SIT STILL OR LAY DOWN. HAD TO FRANTICALLY SCRATCH THE SPOTS. MORE ON TORSO... BUT A FEW SPOTS ON UPPER THIGHS TOO. I HAD TO TAKE BENEDRYL TO FINALLY GET RELIEF. DID IT THE NEXT DAY TOO IN THE AFTERNOON OF 3/3/2021 AND THEN ANOTHER BOUT OF IT IN THE EVENING ON 3/4/2021. IT JUST COMES ON AND WILL NOT END. NOT DOING ANYTHING UNUSUAL AND NOT HAVING ANY OTHER REACTIONS.

Other Meds: metformin, simvastin, levothyroxine, wellbutrin, citaloplam, cyanocobbalamin, lisinopril

Current Illness: none

ID: 1076975
Sex: F
Age: 72
State: GA

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: CECLOR, PENCILLIN, Codine Mushrooms, pork, cola, white potatoes, rice

Symptom List:

Symptoms: Same as my 1st Covid shot. Very RED and hot, had a knot , lot of swelling, hurt, sore and spread 7x5 inches. Little fever and chills.

Other Meds: Aspirin, Sertraline, Hydrochlorothiazide, Metoprolol, Simvastatin, Eliquis, Lyrica. CoQ10, D-3, EB-N3, Evening Primrose Oil

Current Illness: 3 heart stents, high blood pressure (under control)

ID: 1076976
Sex: F
Age: 72
State: GA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: PATIENT RECEIVED THEIR FIRST COVID (MODERNA) ON 2/11/21 AND EXPERIENCED SWELLING OF THE ARM ON THE SAME DATE. PATIENT PRESENTED PERSISTING SWELLING TO THE PHARMACY ON 3/5/21.

Other Meds:

Current Illness:

ID: 1076977
Sex: F
Age: 92
State: OK

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/05/2021
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Allergies: none

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Symptoms: Patient woke up the night of the shot and experienced let crams, she was gasping for air, and had shortness of breath. She also experienced leg cramps. This lasted for 3 days.

Other Meds: ferrets, gabapentin, pravastatin, fenofibrate, pantoprazole

Current Illness: none

ID: 1076978
Sex: F
Age: 40
State: OR

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 03/05/2021
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Allergies: naproxen (anaphylaxis)

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Symptoms: Within 10 minutes of the 1st Moderna vaccine dose, the patient developed chest pressure, a burning sensation over the anterior chest, a sensation of mild swelling of the mouth with a metallic taste. No rash, SOB, or n/v. The patient was transported to the ED for evaluation. On ED admission, the BP=151/107, HR=76, RR=20, SpO2=96%. All labs normal (CXR, EKG, CBC, troponin). The patient declined any medications for possible allergic reactions. The symptoms resolved quickly and the patient was discharged home. Three days later, the post-ED follow-up consult found the patient was experiencing cough and congestion. She was sent for a Covid test, which came back negative.

Other Meds: cyclobenzaprine, oxycodone, chantix

Current Illness:

ID: 1076979
Sex: F
Age: 41
State: OR

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 03/05/2021
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Allergies: None

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Symptoms: 9 days later (02/21/2010) centered on vaccination site: Erythema, swollen raised itchy rash, warm to touch, approximately 2 inches by 3 inches appeared . Over several days, itching reduced , grew to 2- 1/2 inches by 3- 1/2 inches with well defined raised border. Rash started fading by 10 days later (03/02/2021) and was mostly gone by day 13 (03/05/2021).

Other Meds: Albuterol inhaler, Citalopram Hydrobromide, Acyclovir, Coenzyme Q10, famotidine, glucosamine

Current Illness: None

ID: 1076980
Sex: F
Age: 42
State: NJ

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
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Allergies: Reports allergy to nuts

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Symptoms: 11:37am Post vaccination reports c/o numbness at the site of the vaccine, w/ slight numbness to both hands; medical monitoring x 30 min w/ symptom improvement/ resolve. 12:18pm reports "feels better" w/no additional complaints; released from facility w/self

Other Meds: None reported

Current Illness:

ID: 1076981
Sex: F
Age: 87
State: MD

Vax Date: 02/25/2021
Onset Date: 03/02/2021
Rec V Date: 03/05/2021
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Allergies: Not typically

Symptom List:

Symptoms: Dizziness, headache

Other Meds: Benecar, others

Current Illness: No

ID: 1076982
Sex: M
Age: 64
State: NY

Vax Date: 02/28/2021
Onset Date: 03/01/2021
Rec V Date: 03/05/2021
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Allergies: None

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Symptoms: Triggered a severe gout attack left foot..toe area and ankle top area both sides. 6 days and counting, never had a gout attack this long...usually 3days total.. Had second shot on a Sunday, Monday morning about 5am gout happened... Was walking with no issues before. Treatment was colchicine and prednisone Informed my doctor, who said to report it.

Other Meds: Coreg-plavix w asprin-procardia xl-minoxidil-hydralazine-torsemide-symbicort-ventolin

Current Illness: Prior- had a gout attack, week before 2nd vaccine shot.

ID: 1076983
Sex: F
Age: 67
State: NY

Vax Date: 02/26/2021
Onset Date: 03/05/2021
Rec V Date: 03/05/2021
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Allergies: Topi max. Artificial sweetener

Symptom List:

Symptoms: Body aches, unsteady

Other Meds: Metformin, Altace, synthroid, Farziga,Januvia vitD,,Lipitor Paxil

Current Illness: Have MS Had revisions bilateral mastectomy scars 2/12

ID: 1076984
Sex: F
Age: 67
State: NH

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/05/2021
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Allergies: Augmentin

Symptom List:

Symptoms: Pt presented for second Moderna vaccine and stated she became red in the face with swelling after the first vaccine. Her BP was taken and was reported to be 180/100. Prior to receiving the second dose, this reporter pretreated with 50 mg Benadryl and had the patient wait 15 minutes before being vaccinated. The patient was checked on 15 minutes after the vaccination and minor redness was seen on face and chest, but patient was feeling well overall.

Other Meds: Cholesterol medications

Current Illness: None

ID: 1076985
Sex: F
Age: 53
State: PA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 03/05/2021
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Allergies: PPD, PTD, phenylenediamine

Symptom List:

Symptoms: Itchy hives under arm of the injection site arm, cortisone cream , 3-5 days

Other Meds: Synthroid 75mcg

Current Illness: no

ID: 1076986
Sex: F
Age: 41
State: OK

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
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Allergies: Imatrex, Latex, Wheat, Eggs, Seasonal Allergies

Symptom List:

Symptoms: Slight swelling of the back of the throat and tongue. I waited 30 minutes and was able to leave to take a Benadryl for the swelling. 15 minutes later I coughed a couple of times and then felt my throat constrict and had a hard time swallowing. My breathing became labored so I used my emergency inhaler and while trying to use my inhaler I started coughing and could not stop. Hard coughing. I work at a school that has a nurse on site and she helped the front office stabilize me after 30 minutes of coughing and not being able to swallow well. My pulse ox got down to 90 with a pulse of 122. I had a rash covering my throat and chest. I did take a Benadryl as well. An ambulance was called but by the time they got there the coughing was slowing down and my throat was opening back up. I was sent home to rest.

Other Meds: Montelukast, Advair, Cyclobenzaprine, Nabumetone, Escitalopram, Magnesium, Vitamin D, Super B-Complex, and Cetirizine Hydrochloride

Current Illness: Bronchitis

ID: 1076987
Sex: F
Age: 38
State: WA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 03/05/2021
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Allergies: yellow jacket venom

Symptom List:

Symptoms: I started having a fever about 12 hours after - and chills and body aches. Fever 102.1 - because I work in the hospital - I had to call employee health and they didn't allow me to return to work the next two days. I had to get COVID tested. The fever and body aches lasted about 48 hours and I also had diarrhea which went away in 48 hours too. Tylenol and Ibuprofen to treat symptoms.

Other Meds: no

Current Illness: no

ID: 1076988
Sex: M
Age: 43
State: FL

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/05/2021
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Allergies: NONE

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Symptoms: Patient became pale, started sweating, got dizzy, blood pressure dropped to 106/68, but patient stated (after getting vaccinated) this happens to him every time he gets a vaccine. He laid down on the ground, legs were raised. He refused to let me check the BP again stating this will only drop it more. When fire rescue arrived he refused to go to the ER

Other Meds:

Current Illness: NONE

ID: 1076989
Sex: M
Age: 42
State: WA

Vax Date: 02/26/2021
Onset Date: 03/05/2021
Rec V Date: 03/05/2021
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Allergies: None

Symptom List:

Symptoms: 7 days after, i have my left shoulder is slightly painful, itchy, and swollen a little.

Other Meds: Multivitamin, vitD3,

Current Illness:

ID: 1076990
Sex: M
Age: 17
State: OR

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 03/05/2021
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Symptoms: A minor got through the screening process at a vaccine clinic I was working at in county and I administered the Moderna vaccine to this minor unaware of his age.

Other Meds:

Current Illness:

ID: 1076991
Sex: F
Age: 32
State: NY

Vax Date: 03/03/2021
Onset Date: 03/05/2021
Rec V Date: 03/05/2021
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Allergies: Nickel

Symptom List:

Symptoms: I had the first dose (Moderna, Lot 030L20A, Left Arm on 1/31/2021). The same side effect happened for both doses. I am 18 weeks, 5 day pregnant. Pregnancy is normal, 1 baby, no issues thus far. During the 24-48 hours post vaccine administration, I have had an increase of depression/self harm thoughts. I was diagnosed with mild depression and generalized anxiety disorder over 15 years ago, but have not experienced a major episode in over 5-7 years and have been able to manage these conditions without medication for over 10 years. With in the time frame given for both shots I have been extremely depressed, angry and had hurtful thoughts. I have done the necessary things to keep myself safe and to curb the thoughts, but I found it more than a coincidence to happen both times after the shot. Normal side effects that occurred that I did anticipate - Sore arm, overall body fatigue.

Other Meds: Prenatal Vitamins

Current Illness: None

ID: 1076992
Sex: M
Age: 65
State: CA

Vax Date: 01/08/2021
Onset Date: 02/11/2021
Rec V Date: 03/05/2021
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Allergies: none

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Symptoms: developed Bell's Palsy placed on one week of steroids. Left side of face as of today 90% improved Am an RN and thought I should make you aware.

Other Meds: multivitamin aspirin Vitamin D3

Current Illness: none

ID: 1076993
Sex: F
Age: 50
State: MD

Vax Date: 02/23/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
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Allergies: N/A

Symptom List:

Symptoms: severe itching, large red spot, swelling, and small lump in arm

Other Meds: N/A

Current Illness:

ID: 1076994
Sex: F
Age: 42
State: IN

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 03/05/2021
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Allergies: Compazine, gluten

Symptom List:

Symptoms: Elevated temperature (100.2), body aches, chills, sore arm, extremely swollen auxiliary lymph nodes on left side. All symptoms began about 24hrs post vaccine. Swollen lymph nodes and near breast , below armpit stayed very sore and swollen for 5 days. All other symptoms were gone after about 24 hrs (48hrs post vaccine). Treated with ice, cool compress, probiotic, ibuprofen.

Other Meds: Vitamin C, vit D, zinc, lisinopril 10mg

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm