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: 1078872
Sex: M
Age: 73
State: MA

Vax Date: 03/01/2021
Onset Date: 03/03/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: swelling and pain began in left elbow, (bursa sac area) pain and swelling continued to get worse till unbearable. could not bend or straighten left arm, could not sleep throbbing pain I rated at 8 on scale to 10 day later same swelling and pain started in base of left thumb and forefinger area. today is sunday and elbow is still swollen but not throbbinghave been applying menthol spray and like hand are which is greatly swollen.

Other Meds: none

Current Illness: none

ID: 1078873
Sex: F
Age: 40
State: DC

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Tachycardia event.

Other Meds: Losartan, rosuvastatin, spironolact

Current Illness:

ID: 1078874
Sex: F
Age: 34
State: PA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever, body aches, headache, weakness, fatigue. Injection arm reaction (red, hot, raised spot)

Other Meds: None

Current Illness: None

ID: 1078875
Sex: F
Age: 69
State: NC

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Beginning 18 hours after injection: slight fever, extreme fatigue, extreme head pressure, burning eyes, mild full-body muscle aches, injection site swelling and severe pain. Symptoms lasted 24 hours.

Other Meds: Met form in Ultrak2 Vit d3 Armoire thyroid Rosuvastatin Valycyclovir Naltrexone

Current Illness:

ID: 1078876
Sex: F
Age: 35
State: CO

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

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

Lab Data:

Allergies: Tramadol and other pain meds like oxy

Symptom List:

Symptoms: First shot: severe head pain and boy aches. No fever. Fatigued set in around 530 pm, 4.5 hours after injection. Could not sleep. Woke up and took two Extra strength Tylenol to relieve the pain and they worked. Second shot: similar experience except, two Tylenol at 3am the next morning helped with my fever. My fever broke around 4am and came back around 9am. Severe body and head pain that lasted all day until around 330 pm. I laid in bed all day because I could not function normally. Woke up Sunday morning fatigued feeling but no head or body pain.

Other Meds: None

Current Illness: None

ID: 1078877
Sex: F
Age: 54
State: NC

Vax Date: 02/26/2021
Onset Date: 03/05/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: ciprofloxacin

Symptom List:

Symptoms: "COVID arm" About 7 days after receiving the vaccine, I developed an approximately 2 inch diameter slightly raised, itchy, tender red "rash" at the injection site. Prior to this, I had only experienced minor fatigue and overall bodyaches the day after the shot.

Other Meds: zoloft 100mg daily lorazepam .5mg as needed vitamin d3 2000iu daily delta 8 cbd gummies 17.5 mg daily

Current Illness: none

ID: 1078878
Sex: M
Age: 20
State: VT

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Back pain, leg pin, arm pain(both arms) a headache and weakness and sleepiness

Other Meds:

Current Illness:

ID: 1078879
Sex: M
Age: 72
State: IN

Vax Date: 02/19/2021
Onset Date: 02/26/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Allergic Reaction in Hives, underarm redness, itching, upper torso. Confined to left underarm where shot was received.

Other Meds: Losartan, Metformin, Metroorolol, Elizuis, Torsedmide, Omeproz

Current Illness: Atrial Fibrilation

ID: 1078880
Sex: F
Age: 66
State: IN

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Left Lip numbness with increasing blisters inside lower lip, began about 50 mins post injection, lasted approximately 24 hours. Numbness bilateral feet from arches to toes, started approximately 4 hrs. post injection, lasted until next morning

Other Meds: 5 mg Lisinopril 15mg Amphetamine 75 mg Vyvanse 900 mg Gabapentin Aleve 660 mg

Current Illness: None

ID: 1078881
Sex: F
Age: 66
State: KY

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Injection site is red and itchy with a small knot the morning after the injection

Other Meds: Amlodipine 2.5 mg, levocetirizine 5 mg, losartan 100 mg, simvistatin 20 mg, montelukast 10 mg

Current Illness: None

ID: 1078882
Sex: M
Age: 65
State: TX

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tachycardia, joint soreness on March 5th. Low grade fever (100.5), severe headache, nausea, whole body ache on March 6th. Severe shaking on the evening of March 6th, duration over 60 minutes. Night sweats, nausea, headache that night.

Other Meds: Benadryl, vitamins D, B6, B12

Current Illness: None

ID: 1078883
Sex: M
Age: 38
State: TX

Vax Date: 02/27/2021
Onset Date: 03/02/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Severe rashes all over the body including face and neck with itching.

Other Meds: NA

Current Illness: NA

ID: 1078884
Sex: F
Age: 80
State: NY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Unknown

Other Meds:

Current Illness: Alzheimer's/dementia, hyperlipidemia, hypothyroidism, ESRD/kidney disease, heart disease

ID: 1078885
Sex: F
Age: 60
State: NC

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: hay fever, triple antibiotic ointment

Symptom List:

Symptoms: Modern a COVID-19 Vaccine EUA. First 24 hours- mild soreness not at injection site but 2-3 inches below injection site. Days 2, 3, 4 muscle fatigue and sensation of unusually elevated heart rate during stenuous exercise significant enough for me to take ?breathing breaks? to allow my heart to slow - like enforced interval training. Days 5, 6, 7, 8 no noticeable side effects. Day 9 slightly stiff sensation and itching at injection site, no rash, no swelling. Day 10 (today) itching at injection site significant enough for me to stretch in my sleep. Injection site visably swollen, warmer to the touch than surrounding area, no rash.

Other Meds: V itamin C500mg, D 40iu, solaray mega B stress timed release, St Mingiano Thyroid support, Chromium Picolinate 200 mg,. Small unmeasured amounts in a smoothie: calcium citrate, magnesium, citrate, stinging nettles, tulsi basil, ginger

Current Illness: no

ID: 1078886
Sex: M
Age: 64
State: TX

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: The day after receiving the COVID injection I started experiencing shooting pain and tingling in left arm, then a day or two later experienced a burning sensation in lower left arm. The pain in left arm significantly increased over the next few days and on Friday evening developed blisters in the palm of left hand. On Saturday, March 6, 2020 was diagnosed with Shingles potentially caused from the COVID vaccine.

Other Meds: Trulicity Pioglitazone Lisinopril Farxiga Cinnamon MultiVitman Simvastatin Metformin Escitalopram

Current Illness: None

ID: 1078887
Sex: M
Age: 35
State: CT

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Woke up at 3am to use bathroom. Got extremely dissy and feel down. Could not get off the floor and was delerious for about 1 minute. After a minute my balance returned, had a ringing in my ears for another 5 minutes and after that the side affects went away completely.

Other Meds: 50 mg zoloft 300 mg welbutrim 50 mg trazadone 3 mg melatonin

Current Illness: None

ID: 1078888
Sex: F
Age: 65
State: IN

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills, low fever, tiredness, headache, iffy stomach. Was fine the next morning.

Other Meds: Levothyroxine, Lisinopril, Preservision Areds 2

Current Illness: None

ID: 1078889
Sex: F
Age: 48
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: PT STATES AT SAMS PHARMACY WAS GIVEN COVID J&J VAX AND IMMEDIATELY FELT THORAT TIGHTNESS AND RASPY VOICE, PHARMICIST IMMEDIATELY ADMINS LIQUID BENADRYL AND ADMINS 2 EPI PENS

Other Meds:

Current Illness:

ID: 1078890
Sex: F
Age: 57
State: MN

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Headache, fever, nausea, muscle aches, higher resting heart rate

Other Meds: None

Current Illness: Migraines

ID: 1078891
Sex: F
Age: 31
State: MI

Vax Date: 02/23/2021
Onset Date: 03/01/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Swollen painful lymph nodes at underarm - unilateral , side of injection.

Other Meds: Elderberry, zinc, prenatal vitamin

Current Illness: None

ID: 1078892
Sex: F
Age: 49
State: NC

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: hay fever, seasonal allergies, dust, and mold.

Symptom List:

Symptoms: first 24 hours after the vaccine were not too bad. arm was sore. as the 16 hour mark came on, began to feel tired and sore. by the 20 hour mark had enough to climb into bed and was in bed for a couple of days. barely able to move for the body pain, the muscle cramps, the joint pain, sweats and chills. For weeks after I would have night sweats where I would wake up smoking wet. Even now, a month later I continue to fight joint pain that I did not have before.

Other Meds: levothyroxine, prilosec, zyrtec, Topamax, sertraline, vitamin d3, gabapentin, tylenol, methocarbomol.

Current Illness: none

ID: 1078893
Sex: F
Age: 68
State: VA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: headache, dizziness, nausea

Other Meds:

Current Illness:

ID: 1078894
Sex: F
Age: 65
State: TX

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: NO

Symptom List:

Symptoms: Red raised rash from jaw line down chest - lasting 24 plus hours. Still a bit itchy after 3 days. Looked like hives.

Other Meds: FISH OIL CALCIUM

Current Illness: NO

ID: 1078895
Sex: M
Age: 65
State: FL

Vax Date: 02/26/2021
Onset Date: 03/02/2021
Rec V Date: 03/07/2021
Hospital: Y

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

Lab Data:

Allergies: No food or drug allergies

Symptom List:

Symptoms: Began feeling very weak with a constant headache that later led to blurry vision on March, 2, 2021. On the morning of March 4, 2021, I was still experiencing a right sided headache as well as double vision. I was no longer able to drive at that point. I took my blood pressure digitally at the local pharmacy twice where it was 200/104. I went home to call my physician and also have my wife take my blood pressure manually. My blood pressure at that time was 214/106. I went to the hospital where they examined me and then discharged me with a General Headache without a know cause. I contacted my PCP and he advised me to quadruple my Lisinopril until my BP came down to normal range and see him the morning. My visit the next day showed an elevated blood pressure, double vision, and a continuing headache. My meds were adjusted to Lisinopril 10 mg qd and an addition of Norvasc 5 mg qd. Later that day my blood pressure was down, but still not in the normal range. The following day, March 6, 2021, I was still having the same issues despite the changes in medication. I took my blood pressure at 6 pm and it was 199/104. I immediately went to another hospital where I was admitted as a "stroke alert" patient in hypertensive emergency. I am presently being followed as an inpatient in order to get these issues under control.

Other Meds: Lisinopril 5 mg qd Rosuvastatin 20 mg qd Metformin 1000 mg qd Fish Oil 1000 mg qd Aspirin 25 mg qd

Current Illness: None

ID: 1078896
Sex: M
Age: 66
State: NC

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

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: STates having funny feeling in chest, daaphorectic, would not respond to questions. Vacant stare. Sent to ED for further evaluation.

Other Meds: Unknown

Current Illness:

ID: 1078897
Sex: F
Age: 66
State: IN

Vax Date: 02/15/2021
Onset Date: 02/17/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: Tired and muscle aches

Other Meds: NONE

Current Illness: ARTHRITIS

ID: 1078898
Sex: F
Age: 55
State: NY

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fatigue, headache, body aches, chills, fever (101.9) and nausea

Other Meds: Claritin and Flonase

Current Illness: Just seasonal allergies

ID: 1078899
Sex: F
Age: 72
State: MA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: Peanuts. soy. eggs, many tress and grasses

Symptom List:

Symptoms: Almost immediately I got a headache. The headache intensified and muscle pain ensued. The muscles in my arms, legs and even the headache felt as if something inside was vibrating. It has been eight days, and none of the symptoms have abated. I am now very uncertain ifI can tolerate a second dose on March 20. I cannot take anything except Tylenol, and that doesn't touch the pain.

Other Meds: Synthroid, ome[razole, Gemfibrozil,chlorpheniramine maleate

Current Illness: None

ID: 1078900
Sex: F
Age: 33
State: IA

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Pregnant 17 weeks, Due August 14 2021 Adverse effects: Muscle aches, headache, low grade fever, sore injection site

Other Meds: Levothyroxine, prenatal vitamin, vitamin D supplement, Probiotic supplement, baby aspirin

Current Illness:

ID: 1078901
Sex: F
Age: 69
State: MD

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

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

Lab Data:

Allergies: CODEINE POTASSIUM

Symptom List:

Symptoms: patient became flushed, stated hard to breathe, headache, nausea and back ache

Other Meds:

Current Illness: Thyroid Goiter Osteoarthritis

ID: 1078902
Sex: M
Age: 73
State: MA

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: Butalamine

Symptom List:

Symptoms: CHILLS, TIREDNESS , BODY ACHES ON 3/6/2021

Other Meds: Naproxen, Atorvastatin Calcium, Lisinopril-HCTZ

Current Illness:

ID: 1078903
Sex: M
Age: 33
State: ID

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Had chills, fever, lethargic, headache 12 hours after

Other Meds: None

Current Illness: None

ID: 1078904
Sex: F
Age: 61
State: NY

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: sulfa and latex (both cause rashes)

Symptom List:

Symptoms: At 3am the following morning, I woke with every muscle hurting and my head hurting and nausea and no appetite. I was very fatigued throughout the day with chills and muscle aches continuing. In the afternoon around 3pm on 3/6 (same day) I had a temp of 100.4. Fatigue all day long which prohibited my normal daily activities. I took Tylenol (2000mg) throughout the day to alleviate the muscle aches and reduce headache. This morning 3/7/21 I am still fatigued however much better with very slight muscle aches. I do however now have a rash around my neck and up and down the sides of my torso. As I am writing this, I still have my rash.

Other Meds: Thyroid, Pepcid, Vitamin D, Fish Oil, Iodine, Atorvistatiin, Magnesium, Zinc, Biotin, B12, Probiotics

Current Illness: N/A

ID: 1078905
Sex: M
Age: 68
State: CO

Vax Date: 03/04/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Bad Torso rash. No treatment at this time. Pics available

Other Meds: None

Current Illness: None

ID: 1078906
Sex: F
Age: 51
State: NJ

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

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

Lab Data:

Allergies: Environmental

Symptom List:

Symptoms: Chills, severe headache - last d for about 12 hours after onset

Other Meds: Advair 250 Flonase Asteline Singulair

Current Illness: None

ID: 1078907
Sex: F
Age: 75
State: MI

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chills, Fever & Headache. Symptoms went away within 24 hours without any treatment.

Other Meds:

Current Illness:

ID: 1078908
Sex: M
Age: 23
State: FL

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Headache, Nausea, Diarrhea, Arm Pain

Other Meds: Viberzi 100mg Escitalopram 20mg Buspirone 10mg Wellbutrin 150mg Pantoprazole

Current Illness: N/A

ID: 1078909
Sex: F
Age: 54
State: TX

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
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Allergies: None

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Symptoms: headache, fatigue, myalgia, chills, muscle weakness (legs gave out while walking)

Other Meds: None

Current Illness: None

ID: 1078910
Sex: F
Age: 40
State: MD

Vax Date: 02/12/2021
Onset Date: 02/17/2021
Rec V Date: 03/07/2021
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Allergies: Epinephrine

Symptom List:

Symptoms: Moderna COVID?19 Vaccine EUA 2/13/2021: chills, fever (101-102), body aches, headaches and slight nausea. Treated at home with tylenol. 2/14/2021: fatigue, slight dizziness. 2/15/2021: Asthma flare up, used rescue inhaler 2/17/2021: Eyelid swelling, itching, discharge. Went to Urgent Care and was diagnosed with an allergic reaction. Was given 60 mg of 60 mg prednisone, benedryl then took 20 mg of prednisone daily for 5 days. 3/2/2021: Eyelid swelling continue. Went to primary care doctor and was given erythromycin ophthalmic oinment usp .5% to use for 10 days .

Other Meds: Flovent HFA 110, levalbuterol as needed, Allegra 180, Flonase, multi-vitamin.

Current Illness: Possible Ear Infection, did not see doctor and felt better on date of vaccination.

ID: 1078911
Sex: F
Age: 65
State:

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/07/2021
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Symptoms: Pt felt mild itchiness on both cheeks on her face. Pt came into the medical room. Pt?a vs were taken and normal. Pt itching went to her arms and back. Small rash was noticed on her back and shoulders and chest. Pt was given 50 mg of oral benadryl. Pt has he of allergies to many substances. Pt denies sob pt rested for 25 mins on stretcher and her car were monitored and normal. Pt felt better and rash was gone. Pt was released back to observation area and pt checked out.

Other Meds:

Current Illness:

ID: 1078912
Sex: F
Age: 60
State: TX

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 03/07/2021
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Allergies: None

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Symptoms: Fatigue - 2 days Soreness - 5 days Rash and itchiness - day 7 up to today which is day 12.

Other Meds: Atorvastatin

Current Illness: None

ID: 1078913
Sex: F
Age: 61
State: SC

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
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Allergies: sulfa drugs, hydracodone, latex, bandaid adhesive

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Symptoms: About 15 minutes after vaccine, I felt a fever blister pop up on my bottom lip. Within 5 minutes of that, my mouth filled with a 'metalic' taste( not exactly, but as close as I can get) then the roof of my mouth at the gum line began to 'blister' or become sensitive. This morning, after taking my synthroid, the entire roof of my mouth is now affected. My morning coffee seemed to improve it for a bit. It's not a severe reaction, but one worth reporting. My injection site is tender, but that's not unusual.

Other Meds: synthroid, metoprolol, allopurinol, calcium magnesium _____ supplement

Current Illness: seasonal allergies

ID: 1078914
Sex: F
Age: 56
State: TX

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/07/2021
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Allergies: penicillin. Lyric

Symptom List:

Symptoms: severe headache, nausea, vomiting, diarrhea, neck pain, dizziness

Other Meds:

Current Illness: COPD, Asthma

ID: 1078915
Sex: M
Age: 62
State: WA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/07/2021
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Allergies: Medications: Biscacodyl; Cefoperazone Sulbactam; Ciprofloxacin; Gabapentin (oral); Gentamicin; Mefloquine; Metronidazole; Trazodone (as a sleep aid). Food: Chicken; garlic Environmental: Cigarette smoke; ornamental grasses

Symptom List:

Symptoms: Swollen arm at injection site; swollen hands, fingers, and feet; headache (forehead); painful joint inflammation in fingers, shoulders, knees.

Other Meds: Multivitamin and multimineral supplements; DHEA; Pregnenolone; Testosterone; Morphine Sulfate ER (post-surgical pain); Levothyroxine Sodium

Current Illness: None

ID: 1078916
Sex: F
Age: 70
State: MD

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/07/2021
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Allergies: sulfa, tree nuts

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Symptoms: Next day dizziness that passed, returned daily, became severe day 5, causing nausea, vertigo, stiff neck, fatigue, chills, headache, severity lessening day 9 (so far).

Other Meds: levothyroxin, candesartin

Current Illness: none

ID: 1078917
Sex: F
Age: 39
State: NE

Vax Date: 01/20/2021
Onset Date: 02/08/2021
Rec V Date: 03/07/2021
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Allergies: Neosporin Eye drops when I was an infant. I had a seizure after taking them. No other allergies.

Symptom List:

Symptoms: Only arm soreness the first 2 days. Headaches on Feb. 25th, 26th. Headaches on Feb. 4th, 5th, 6th, 7th, 8th. The headache pain increased on 6th, 7th, 8th. Went to ER on 7th, had CT that came out clear. Got a COVID test because of icky taste after eating sweet foods. COVID test was negative but I was positive for antibodies. At 9:00 on Feb. 8th, noticed facial weakness on right side. Went to ER, got diagnosed with Bells Palsy. Symptoms have continued through now - March 7th. Pain has decreased but still have facial paralysis on the right side.

Other Meds: Levothyroxine 0.05mg

Current Illness: None.

ID: 1078918
Sex: F
Age: 50
State: CT

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
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Allergies: Amoxicillin

Symptom List:

Symptoms: Body aches Fatigue Headache Running nose Chills

Other Meds: Hydrochlorothiazide 25 mg Pimecrolimus Cream 1 %

Current Illness:

ID: 1078919
Sex: M
Age: 21
State: IN

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 03/07/2021
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Allergies: None

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Symptoms: I started feeling muscle aches in my upper torso, shoulders, and upper arms. This started day after around 9:30 or so, but it was very mild. As the day progressed around noon it was pretty bad. 1-10 it was a 7. Finally I took an advil and that soothed it for that day. The following day the advil had worn off, but the pain was much less noticable. It was only if I wasn't moving that I felt it. By the next day it was gone.

Other Meds: None

Current Illness: None

ID: 1078920
Sex: M
Age: 70
State: IN

Vax Date: 02/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/07/2021
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Allergies: Oxycodone

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Symptoms: Numbness in 3 finger tips on right hand , beginning day after 2nd shot continuing today, 10 days later.

Other Meds: Tylenol-3900mg/day. Panto Prazole Son 40 mg/day. Carvedilol 12.5 mg twice daily. Xerelto 15mg/day. Losartan- 50 mg/day. Atorvastatin 40 mg/day. Lyrics 150mg/day

Current Illness:

ID: 1078921
Sex: F
Age: 19
State: VA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
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Allergies: None

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Symptoms: Fever began around 11pm 3/6/21 and went to 102.3 at about 2:00 am 3/7/21. She had chills for several hours during this time. She felt nauseous, had skin sensitivity, a dry mouth and muscle pain, and felt exhausted. No fever this morning but still some skin sensitivity, nausea and feeling tired, muscle pain, dry mouth, and hot/cold back and forth.

Other Meds: Junel birth control pills, melatonin

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm