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
43,870
AK1,312
AL3,205
AR2,096
AS39
AZ9,497
CA40,189
CO7,704
CT5,164
DC1,055
DE1,072
FL21,651
FM3
GA8,494
GU58
HI1,457
IA3,207
ID1,727
IL12,874
IN18,939
KS3,051
KY4,054
LA2,970
MA9,737
MD8,396
ME2,185
MH7
MI11,773
MN7,902
MO6,014
MP13
MS1,562
MT1,584
NC10,054
ND875
NE1,940
NH2,163
NJ10,609
NM2,549
NV2,520
NY21,322
OH12,402
OK4,089
OR5,703
PA14,909
PR1,413
QM1
RI1,451
SC3,805
SD806
TN5,491
TX21,169
UT2,878
VA9,854
VI31
VT1,253
WA9,629
WI7,327
WV1,553
WY581
XB5
XL1
XV2

ID: 1078176
Sex: F
Age: 47
State: MO

Vax Date: 03/04/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Honey Bees Seasonal allergies

Symptom List:

Symptoms: Coughing up blood

Other Meds: Pro Air Inhaler Advair Inhaler Amitriptyline Propranolol Rizatriptan Fluticasone nasal Spray ESTRADIOL 0.05 MG PATCH REYVOW DIVALPROEX Loratadine

Current Illness: None

ID: 1078177
Sex: F
Age: 41
State: IN

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Patient stated tingling at the tip of her tongue 15 minutes post immunization.

Other Meds: No

Current Illness: None

ID: 1078178
Sex: F
Age: 51
State: MN

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Nka

Symptom List:

Symptoms: Extreme fatigue, headache, joint aches, muscle aches, sweating, mild stomach pain.

Other Meds:

Current Illness:

ID: 1078179
Sex: F
Age: 55
State: IL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: REPORTS HEADACHE, NAUSEA, REDNESS AND SWELLING AT INJECTION SITE, SORE WHEN LIFTING ARM -- STARTING 2 HOURS POST DOSE. PT HAS TREATED W/ ICE, IBU, AND BENADRYL

Other Meds:

Current Illness:

ID: 1078180
Sex: F
Age: 48
State: TN

Vax Date: 02/27/2021
Onset Date: 03/02/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Mild headache, tired, itchy eyes and face, sneezing, congestion, heart racing

Other Meds: Tirosint 88mcg

Current Illness: NA

ID: 1078181
Sex: F
Age: 65
State: TX

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient complained of "anxiousness" and "nervousness" after receiving vaccine. Patient assessed by EMS on site. HR-99, SPO2 97% on RA, no rash or hives. Pt anxiety resolved after 25 minutes without treatment.

Other Meds:

Current Illness:

ID: 1078182
Sex: M
Age: 42
State: CA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Moderate soreness at site of injection. Headache Mild fever (99-99.6) Body wide muscle ache Skin touch sensitivity Tiredness Treated with 2 tablets of Extra strength Tylenol

Other Meds: None

Current Illness: None

ID: 1078183
Sex: F
Age: 67
State: MA

Vax Date: 02/24/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Hive like area on arm about 3? by 4?

Other Meds: Sythyroid, clonidine, metoprolol, priolosec Vit D. Manganese

Current Illness: None

ID: 1078184
Sex: M
Age: 67
State: MA

Vax Date: 03/04/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List:

Symptoms: sudden flushing of upper body starting around 4PM 3/6/21 - about 50 hrs post-dose - took Benadryl 50mg seemed to diminish some 30-40 minutes later - itch gone, still minor redness on upper chest, shoulders and face

Other Meds: lisinopril, allopurinol, fluticasone,azelastine, vitamin D, Vit B-12, niacin

Current Illness: N/A

ID: 1078185
Sex: F
Age: 39
State:

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness, cleared by medics

Other Meds:

Current Illness:

ID: 1078186
Sex: F
Age: 16
State: IL

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Administered outside approved age. Patient is 16 y/o, Vaccine approved for 18 y/o.

Other Meds:

Current Illness:

ID: 1078187
Sex: F
Age: 36
State: FL

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

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

Lab Data:

Allergies: Cipro

Symptom List:

Symptoms: Sharp shooting pains in collar bone area (same side as vaccine) went to hospital lots of test run, heart blood panel was elevated,

Other Meds: No

Current Illness: None

ID: 1078188
Sex: M
Age: 44
State: FL

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Peanuts, Milk, Soybean, Cheese, Wheat, Sesame, Egg White, Shrimp, Sheep Sorrel, Almond, Walnut, Cashew, Hazelnut, Ragweed, Pigweed, Mountain Cedar, Maple Box Elder, Oak, Elm, C. Herbarum, A. Alternata, D. Pterony, D. Farinae, Cockroach, Timothy Grass, Bermuda Grass, Bahia Grass, Mouse Urine, Dog Dander, and Cat Dander

Symptom List:

Symptoms: I felt light headed, dizzy and I almost passed out approximately 20-25 minutes after the injection. I then took 1 tablet of Claritin in order to counter the reaction. I sat down outdoors, removed my mask and jacket so I could breathe better. I also ate a sandwich since I thought maybe I felt dizzy because I didn't eat a full breakfast. I stayed outdoors sitting down for 2 hours before getting up. I felt better after about 1 to 1.5 hours. However, as of March 6, 2021, sometimes I have a drowsy feeling like I'm on cold medication. However, I did not take any medication today. Also, for the 1st COVID vaccine I took on 11 Feb 2021, I took 1 tablet of Benadryl, which countered the allergic reaction which is why I did not have symptoms to report for the 1st dose.

Other Meds:

Current Illness: None

ID: 1078189
Sex: M
Age: 75
State: VA

Vax Date: 02/27/2021
Onset Date: 03/02/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Joint pain, Muscle Spasms, muscular pain, abdominal and hip pain.

Other Meds: None

Current Illness: Psoriasis, blood pressure, diabetes

ID: 1078190
Sex: F
Age: 78
State: LA

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

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Fever chills soreness

Other Meds: Blood pressure meds

Current Illness: None

ID: 1078191
Sex: F
Age: 47
State: NH

Vax Date: 02/23/2021
Onset Date: 03/03/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: PENICILLIN; MANY YEARS AGO HAD REACTION TO FLU SHOT; SENSITIVE TO GLUTEN

Symptom List:

Symptoms: WARM RED HIVE LIKE BLOTCH AT INJECTION SITE ABOUT 2-3 INCHES SPLOTCH.

Other Meds: NO

Current Illness: NO

ID: 1078192
Sex: M
Age: 34
State:

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Lightheadedness, sweating. Cleared by medics.

Other Meds:

Current Illness:

ID: 1078193
Sex: F
Age: 76
State: DC

Vax Date: 02/15/2021
Onset Date: 02/23/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: PENICILLIN CLINDAMYCIN LEVAQUIN CODEINE MILK GLUTEN

Symptom List:

Symptoms: Hives. Zyrtec for 5 days. Resolved by 3/6/21

Other Meds: Atorvastatin 10 mg; Evista (Raloxifene HCI), 60 mg; Gabapentin 3600 mg.; Melatonin, 10 mg; Solanezumab 1600 mg. monthly; Tylenol, 500 mg., 2 tablets 2 x day; Tylenol, 650 mg., 2 tablets 1 x day; Vitamin B complex ; Vitamin D3, (2000 IU); Vi

Current Illness:

ID: 1078194
Sex: M
Age: 69
State: NE

Vax Date: 03/01/2021
Onset Date: 03/03/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: allergic to codeine

Symptom List:

Symptoms: 2 DAYS AFTER VACCINATION I WOKE WITH WHAT SEEMS LIKE SOMEONE PUNCHED ME IN THE NOSE. THE CARTILAGE ON THE UPPER PART OF MY NOSE WAS EXTREMELY TENDER. ALSO I HAD A HEADACHE WHICH EMANATED IN A RADIUS OF MY NOSE. WASN'T REALLY A HEADACHE AS MUCH IT WAS A FACEACHE. THREE DAYS OF TAKING NAPROXEN AND I AM STARTING TO FEEL BETTER.

Other Meds: latanaprost ezetimbe atorvastatin,lutein and zeaxanthin calcium, b-12, vitaminE

Current Illness:

ID: 1078195
Sex: M
Age: 49
State: CA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Diarrhea at 11:35 PM on 3/3/21. 100.2 fever at 1:30 PM on 3/4/21. Fever ended at 8:00 PM on 3/4/21

Other Meds: Allopurinol Losartan Daily vitamins Glucosamine Tumeric

Current Illness: None

ID: 1078196
Sex: F
Age: 73
State: FL

Vax Date: 02/01/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I have developed bell's palsy. I am not sure if that is due to the Pfizer vaccine. Otherwise, I am in excellent health.

Other Meds: None

Current Illness: None

ID: 1078197
Sex: M
Age: 61
State: CO

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Morphine

Symptom List:

Symptoms: Headache - moderate. Facial numbness - started at the nose, across the bridge of the nose and upper cheeks, then spread to entirety of face. Face is still somewhat numb 55 minutes after symptoms began. Headache also still present.

Other Meds: Allupurinol, Testosterone, Acylivir

Current Illness:

ID: 1078198
Sex: F
Age: 35
State: CA

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Fever, Chills, Body aches, hives 48 hours New onset Rheumatoid Arthritis

Other Meds: Vitamin B Methlyfolate

Current Illness: None

ID: 1078199
Sex: F
Age: 68
State: NY

Vax Date: 02/17/2021
Onset Date: 02/25/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Shellfish allergy

Symptom List:

Symptoms: Immediately after the injection (2/17/21) I had no noticeable symptoms except a tiny bruise appeared at the injection site. Then, about a week after the injection (Thurs. 2/25/21) I developed a red rash (approx. 2" X 4") at and extending below the injection site. Plus my arm began aching. Rash and aching worsened for the next two days through Sat. 2/27/21. I took ibuprofen Sat. evening in order to sleep. By Sunday 2/28 the aching had mostly subsided and the rash gradually faded by 3/2.

Other Meds: Femhrt; Multivitamin; Vitamin D

Current Illness: None

ID: 1078200
Sex: F
Age: 34
State: TX

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Mouth and throat tingling and slight swelling, dizziness, rapid heart beat, shaking, difficulty breathing.

Other Meds: Montelukast, Sronyx

Current Illness: None

ID: 1078201
Sex: M
Age: 73
State: IN

Vax Date: 02/18/2021
Onset Date: 02/01/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: severe flu symtoms,sore arm, fever ,headache,body aches, fever and sweating at night and now coughing

Other Meds: 81mg aspirin 100mg losartan 25mg hct 20mg rosuvastatin 1/2 500mg fish oil multivitamin

Current Illness: none

ID: 1078202
Sex: F
Age: 71
State: GA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Low fever of 99.0 on 3/25. Took Tylenol and slept ten hours. Symptoms cleared next four days and returned on Tuesday 3/2, with fever 99.1 and fatigue. Symptoms continuing 3/3, 3/4, 3/5, and today 3/6. Contacted physician and instructed to rest and hydrate.

Other Meds: Calcium, Turmeric, biotin

Current Illness: None

ID: 1078203
Sex: F
Age: 64
State:

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Swelling beginning at injection site 4 hours after injection Chills beginning about 8 hours after injection Headache beginning at 24 hours after injection Rash at injection site 30 hours after injection Rash on left cheek 40 hours after injection All still present at this time!

Other Meds: None

Current Illness: None

ID: 1078204
Sex: F
Age: 70
State: IN

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Chills, excessive tiredness, excessive thirst, headache, general overall achy and not feeling well at all! I took tylenol, which seemed to help some with headache. My symptoms started by noon of the day of vaccine, lasted over the weekend. On the following Monday I started to feel better.

Other Meds: bystolic xarelto norvasc liptor

Current Illness: none

ID: 1078205
Sex: F
Age: 39
State: TN

Vax Date: 02/15/2021
Onset Date: 02/22/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Levoquin

Symptom List:

Symptoms: Localized rash 7 days after vaccination. Resolved after 2 days.

Other Meds: Tolteridine Aivomig Zomig Zyrtec

Current Illness: No

ID: 1078206
Sex: F
Age: 27
State:

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Syncope, lightheaded, nausea. Pt is pregnant at time of vaccination. Transported to ER by EMS

Other Meds:

Current Illness:

ID: 1078207
Sex: F
Age: 45
State: TX

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Various environmental allergies Sulfa Tetracycline

Symptom List:

Symptoms: Arm was red and swollen at injection site. Very hot at injection site. Large welt appeared and circled red raised area which had become discolored (brown). Went to my PCP because I couldn?t raise my arm over 90? without a lot of pain and he said to get next shot even though it had been a month and the redness and discoloration was there. It was sunken in around the actual vaccination site. I got the second dose and it caused a similar reaction but it went under my arm. The pain in my shoulder and armpit intensified. Armpit was swollen and pain radiated from shoulder to forearm. Kept hoping it would resolve. Finally PCP sent me for an X-ray and you can see something at injection site. Referred me to neurologist and immunologist. Saw immunologist and he said it was a rare Arthus reaction. The tissue is gone at the vaccine site. Like it was dissolved in a divot the size of a chicken egg. Discoloration is still there and tissue is mushy and painful if pressed. Shoulder pain has not resolved.

Other Meds: Baby aspirin

Current Illness: Allergies/cough from helping carry cedar fencing pickets.

ID: 1078208
Sex: F
Age: 57
State: IN

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: Starting within four hours of injection, I began to feel fatigued and a bit groggy, which is persisting two days later. I am also experiencing soreness in most of the arm that received the injection, which has been the most bothersome at night. I have felt chilled at times and feel as though I may be running a slight fever.

Other Meds: Qunol Turmeric 1500 mg

Current Illness: none

ID: 1078209
Sex: F
Age: 30
State: IN

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: APAP

Symptom List:

Symptoms: Severe pain and swelling joins - felt like they were on fire - recovered in 7 hours Muscle spasms for multiple hours - seizure like lack of control of muscles randomly across body - still suffering back muscles cramping

Other Meds: Celexa, gabapentin, levothyroxine

Current Illness: None

ID: 1078210
Sex: M
Age: 78
State: TX

Vax Date: 02/27/2021
Onset Date: 03/01/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt developed rash in several spots on his body started at his back , his arms then his legs, rash started 2 days after getting the moderna vaccine.

Other Meds:

Current Illness:

ID: 1078211
Sex: M
Age: 83
State:

Vax Date: 02/08/2021
Onset Date: 02/24/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: aspirin

Symptom List:

Symptoms: Patient w/ L sided heart palpitations after COVID-19 vaccine 2/8/21. First episode lasted 4-5 hours: BP=113/78, HR=78, O2=96. Happened a few hours after second dose of vaccine as well (3/1/21). He visited PCP and was stable.

Other Meds: Xarelto, Flomax, Metoprolol, Potassium, Stool softener, Synthroid, furosemide, omeprazole

Current Illness:

ID: 1078212
Sex: F
Age: 17
State: IL

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Administered outside of approved age. Patient is 17 y/o, MODERNA approved for 18 y/o and older

Other Meds:

Current Illness:

ID: 1078213
Sex: F
Age: 67
State: NY

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

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

Lab Data:

Allergies: Penicillin Tetracycline Codine

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA. Received vaccine at 2:30. By 7:00 pm started with headache, chills and slight fever and very fatigued. Went to bed. At 2::00 am decided to take an ibuprofen. By 6:00 am fever broke and went into a sweet. By 8:00 am next morning felt much better. Just slight headache and tiredness

Other Meds: Atorvastatin Sertraline Levothyroxine Mesalamine Probiotic Vitamin D3

Current Illness: None

ID: 1078214
Sex: F
Age: 38
State: NC

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
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Allergies: No

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Symptoms: I got my first Vaccination of the Pfizer shot on Wednesday, with no immediate symptoms. Gradually muscle soreness and fatigue kicked in, but nothing concerning. The next day, my stomach had a burning and unsettling feeling. I tried a couple of Tums, thinking I was having some pregnancy issues, but that didn't help. I was having waves of nausea. I didn't have much appetite, and could only manage to eat some potato soup for dinner. I was feeling very weak, lethargic, and needed to lay down the majority of the evening. I finally had some uncontrollable vomiting by around 9pm, followed by the chills. I slept all night, struggled the next day at work, and left early to sleep the rest of the day since I was just too weak and lethargic to do anything. I consider myself to be very healthy, I exercise every morning, and the pregnancy has been normal. I am in the early 3rd trimester, and my due date is June 14 - this is my second pregnancy. I am an onsite teacher, thus I have built up a strong immune system and never get sick, so this caught me by surprise. I am feeling much better today, and I will absolutely get the second Pfizer shot later this month. I will try to better prepare myself as I hear the symptoms may be worse on the second shot. My sister, a pharmacist, insisted that I should share this information, in case it is helpful for data.

Other Meds: Prenatal Vitamins

Current Illness: No

ID: 1078215
Sex: F
Age: 54
State: IL

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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Allergies: NA

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Symptoms: I have a fever of between101.7 and 102.5 and its keeps going up and down with extreme chills, and overall headache with fatigue and bad body aches.

Other Meds: NA

Current Illness: NA

ID: 1078216
Sex: M
Age: 65
State: NY

Vax Date: 02/04/2021
Onset Date: 02/19/2021
Rec V Date: 03/06/2021
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Allergies: none

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Symptoms: Head aches , severe HTN BP 210/105 HR 60 , general fatique, Has required Losartin 100/25 daily. All labs CBC, CMP, TSH, VIt D, HEM A1C were all normal. I rarely have headaches and never for days, Headache persisted to a lesser degree even with BP now at 150/85 on medication. I am now 1 month pass my 2nd vaccine. I went to my MD and BP is new with no explination.

Other Meds: Vit d3, fish oil, glucosamine

Current Illness: none

ID: 1078217
Sex: F
Age: 57
State: OH

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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Allergies: Sulfa, emycins, ultravist, fentanyl, Aleve

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Symptoms: Headache, ear ringing, muffled hearing, fingers oh left side of head

Other Meds: Premarin estrogen

Current Illness: None

ID: 1078218
Sex: M
Age: 47
State:

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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Symptoms: About 10 min after the vaccine was administered, the patient suddenly felt hot, dizzy, and his vision became blurred. Resolved after about 2 minutes after removing glasses and drinking water

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Current Illness:

ID: 1078219
Sex: F
Age: 42
State: LA

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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Allergies: No

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Symptoms: After the first vaccine, my arm stayed swollen for two weeks. Approximately two weeks after, I developed a red rash at the injection site that was about 6 inches in diameter. This disappeared after about 4-5 days. After the second vaccination, I developed very high fever reaching its highest 103.9?F. In addition, I experienced significant flu like symptoms including, body aches, headache, joint pain, chills, nausea. I did throw up and dry heave the night of the injection. I continue with all of these symptoms now more than 24 hours later. If I have not recovered by Monday, I will go to my physician.

Other Meds: Zyrtec, albuterol prn

Current Illness: None

ID: 1078220
Sex: F
Age: 65
State: ME

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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Allergies: Penicillin

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Symptoms: About two hours after the shot I experienced swelling face, eyes and itchy eyes. My heart rate also steadily increased. Benadryl eased the symptoms in 30 minutes to an hour.

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Current Illness:

ID: 1078221
Sex: F
Age: 31
State: WA

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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Allergies: unknown

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Symptoms: Patient complained of sudden mild headache and sinus pressure. Patient seated, VS taken, water given. Gross neuro assessment within normal limits. Complained of increasing mild headache 2/10 at 3:21pm to 3/10 at 3:33pm. Assessed by dr. VS 130/88, HR 90, Resp 14, temp 98.5, O2 Sat 99%. EMT not consulted. Patient monitored by RNs. Patient states history of Celiac and Lyme diseases, and stress due to having to testify at a hearing next week. Before discharge, patient advised to consult with MD and if severe symptoms call 911. Patient verbalized understanding. VS 128/82, HR 88, Resp 18, O2 Sat 100%.

Other Meds: unknown

Current Illness: Celiac and Lyme diseases

ID: 1078222
Sex: F
Age: 64
State: IN

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 03/06/2021
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Allergies: Sulfa Drugs Artichokes

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Symptoms: Baseball sized swelling and redness, itching

Other Meds: Levothyroxine Losartan Potassium Premarin Crestor Vitamin D

Current Illness: None

ID: 1078223
Sex: F
Age: 68
State: FL

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 03/06/2021
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Allergies: cleocyn

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Symptoms: I had a fever of 102 the night of the vaccine. I took ibuprofen 800 mill. and fever came down to 101. The fever continued until the evening of the next day. I felt aches and pain all over my body . My glands in my neck were swollen hard to swallow.

Other Meds: loratadine 10 mg pravastatin vitamine D

Current Illness: none

ID: 1078224
Sex: M
Age: 0
State: PA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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Allergies: NKDA

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Symptoms: While giving immunization, started to push med, the needle wasn't completely secure to the syringe, a few drops came out and ran down patient's arm to his pant leg. Sent text to pharmacy pharmacist on call, states "No additional doses needed!". Patient started home, turned around and came back. Upon arrival patient was moved to exam room for privacy. We then spoke with patient and friend. They would like an additional dose of the vaccine. He quoted online research about same situation where patient was given an additional dose. Advised that we were unable to authorize today and would discuss with appropriate personnel on Monday to get answer. Patient and friend very understanding and appeared satisfied upon leaving. He is available on Tuesday or Thursday next week for additional does.

Other Meds: Genvoya Levothyroxine Olmesartan Lomotil Prednisone Azelastine

Current Illness: Unknown

ID: 1078225
Sex: F
Age: 73
State: OH

Vax Date: 03/03/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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Symptoms: "COVID" arm, swelling, red hot itching started 2 days after the vaccine

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 399,246

Page last modified: 03 October 2021 5:28pm