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: 1079724
Sex: F
Age: 85
State: PA

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

Vax Type:
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Vax Site:

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Post injection Day 1, merely lethargic & painful arm. Day 2, absolutely PERFECT. Day 3, low-grade fever, uncomfortable arm but never inspected Day 4 (today): Noticed redness on arm, reaching 4-1/2 inches in length below site of injection, warm to the touch. Low grade fever of 98.1 when normal is in the 97.1 area.

Other Meds: Crestor, Vitamins, Calcium

Current Illness: None

ID: 1079725
Sex: F
Age: 64
State: TX

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

Vax Type:
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Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: This 64 year old female experienced an adverse event. At baseline, she presented in a wheelchair. Within 5 minutes after vaccination, she complained of a racing heart, a new onset tremor of hands and head, and slurred/stuttering speech. She denied chest pain, shortness of breath or itching. No facial droop or one-sided weakness was observed. The patient had a history of hypertension and history of an adverse reaction to albuterol in November 2020. The patient described being nervous to get the vaccine due to her previous reaction to alberterol which had the similar effects as today's. The patient's new tremor worsened, and speech became more slurred and stuttered while we observed her. The patient denied any pain and described a similar event that caused her to be hospitalized for a week with no definitive diagnosis. Her primary care doctor had cleared her to get the vaccine. Her Vitals were as follows: BP 160/90. HR 65, RR 20. Heart sounds were regular with occasional PVC's. Lung sounds were clear No visible rash on neck, trunk or injection site. Capillary refill was normal. Mild edema in both lower extremities. No swelling of the lips. No visible droop in facial muscles. Patient was tearful and struggled to speak. She repeatedly said she was tired. She reported nausea. EMT was called and found similar vitals and O2 saturation at 100% on room air by pulse ox. O2 via nasal canula was begun. Rhythm strip showed NSR. Patient refused transport to the hospital for further evaluation. She was informed of a possible Transient Ischemic Attack (TIA) could be occurring which could need a blood thinner and further work up. Patient was tearful saying her previous hospitalization was traumatic and did not want to return. EMS offered her transport to another hospital facility via private vehicle, and she refused. We offered to contact her primary care doctor and she also refused. She was concerned about the cost of a hospital stay if she signed out AMA. EMS left the facility and offered to return if the patient changed her mind. The patient's symptoms had not resolved by 4:30pm. The patient's son, by phone, confirmed she would be monitored until 5pm. She was driven home by one of our staffers. The next day, the patient told our staffer that she felt well. She said it took about 7 hours for her speech to return. She said her head, stomach and body felt better in the morning. She said she going to see an allergist as her doctor recommended. Our presumed diagnosis was a TIA related to uncontrolled HTN with anxiety.

Other Meds:

Current Illness:

ID: 1079726
Sex: M
Age: 55
State: WA

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

Vax Type:
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Lot:
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Lab Data:

Allergies: None

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: Dose given may have been 1 hour and 45 minutes outside the 6 hour limit on use of an open Moderna vaccine vial.

Other Meds: Unknown

Current Illness: Unknown

ID: 1079727
Sex: F
Age: 64
State: NJ

Vax Date: 02/24/2021
Onset Date: 02/28/2021
Rec V Date: 03/07/2021
Hospital: Y

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

Lab Data:

Allergies: tree nuts, kiwi, latex. no meds

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Day 4 became short of breath and continued to increase each day until hospitalized on March 3, 2021. Wheezing, poor response to home meds. Oxygen sat was lowest 88. Dr thought this reaction was due to prior lung infection 2018 (ARDS - staph pneumonia).

Other Meds:

Current Illness:

ID: 1079728
Sex: F
Age: 49
State: ID

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

Vax Type:
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Lab Data:

Allergies: Dilaudid, Morphine, Norco, Demerol, Flexeril, Gluten, Phenergan, Toradol, Reglan, Cortison, Lamictal

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Patient reported feeling warm with sensation of facial warmth. Patient had tachycardia and reported the sensation of throat closing. Epinephrine (Epi pen) administered and held in place for 3 seconds, Airway, Breathing, Circulation, and level of consciousness assessed and stable at 1450, Benadryl 50mg administered as a single dose. Second dose of Epinephrine administered. Patient transported via family member to ED.

Other Meds: Tylenol, Albuterol, Plavix, Bentyl, Cymbalta, Arnuity Ellipta, Singulair, Zofran, Miralax, Lyrica, Imitrex, Zanaflex

Current Illness: Ongoing fatigue, history of meningioma resection earlier this year.

ID: 1079729
Sex: F
Age: 62
State:

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

Vax Type:
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Lab Data:

Allergies: none

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: back of throat felt numb

Other Meds: intermittent blood pressure meds

Current Illness:

ID: 1079730
Sex: F
Age: 44
State: OH

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

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Lab Data:

Allergies: Latex Codeine

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Nausea, Weakness, Overheated, Lightheaded, Body Aches, Fever, Rash, Dizziness

Other Meds: Armour Thyroid Cymbalta Vitamin D Vitamin C

Current Illness: UTI

ID: 1079731
Sex: F
Age: 57
State: MD

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

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Lab Data:

Allergies: cats, mold, pollen

Symptom List: Pharyngeal swelling

Symptoms: After receiving the vaccine I had some common side effects such as nausea, vomiting, fever, chills, achiness, and headache, but after several hours I tried to get out of bed and I lost consciousness. In addition I had two episodes of intense sweating and dizziness.

Other Meds: celexa, biotin, Calcium/magnesiumzinc, alpha lipoic acid, Airborne

Current Illness: none

ID: 1079732
Sex: M
Age: 69
State: IN

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

Vax Type:
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Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Low grade fever, severe chills, headache, no energy Took acetaminophen for fever symptoms lasted about 16 hours

Other Meds: Atorvastatin 10mg, hydrochlorothiazide 15mg, Omeprazole 40mg, krill oil, glucosamine chondroitin, vitamin d3

Current Illness: None

ID: 1079733
Sex: M
Age: 73
State: NY

Vax Date: 01/23/2021
Onset Date: 02/20/2021
Rec V Date: 03/07/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Sore left arm, severe headaches (3-4 per week), extreme swelling in feet-from first shot to present - inside mouth left cheek lining disintegrated into a bloody mess after 14 days after 2nd shot

Other Meds: xarelto, proscar, lipitor, flomax, synthroid

Current Illness: none

ID: 1079734
Sex: F
Age: 38
State: TX

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

Vax Type:
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Lab Data:

Allergies: Penicillin

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Bad headache one day after first dose, third day after first dose experienced hay fever type symptoms, fourth day after first dose experienced pain in chest under right rib and cough

Other Meds: Multivitamin, krill oil, vitamin D

Current Illness: UTI

ID: 1079735
Sex: M
Age: 82
State: MO

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

Vax Type:
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Lab Data:

Allergies: No Know Allergies

Symptom List: Rash, Urticaria

Symptoms: Received Moderna 2/6/21 Received Pfizer 3/3/21 Patient came in for 2nd dose of COVID-19 vaccine on the incorrect day. Patient stated to vaccinator he was receiving his first dose during screening then after injection was administered stated no this is my 2nd dose. The clinic was supporting a National Guard event, so the medical record system did not have the previously received Moderna dose documented. Patient did not have any immediate adverse event or experience any symptoms during the 30 minute monitoring period.

Other Meds: Amlodipine 10mg, 1 tablet daily Chlorthalidone 25mg, 1 tablet daily Dutasteride 0.5mg, 1 capsule daily Fenofibrate 54mg, 1 tablet daily Lisinopril 40mg, 1 tablet daily Metoprolol Succinate ER 100mg, 2 tablet twice daily Nitroglycerin 0.4mg,

Current Illness: None reported

ID: 1079736
Sex: F
Age: 67
State: CA

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

Vax Type:
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Lab Data:

Allergies: None.

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Bone and joint pain, fever. Joint pain severe. Headache. Lasted 48 hours.

Other Meds: None.

Current Illness: None.

ID: 1079737
Sex: M
Age: 66
State: CA

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

Vax Type:
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Lab Data:

Allergies: None

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: Temperature 102-104 F 15 hours after vaccine. No temperature when going to sleep 3 hours earlier. Chills and severe shaking. Fainting when standing to go to bathroom (fell on bed no injuries). Chills and temperature continued for next 12 hours. Stayed in bed the entire next day (3 March). Temperature subsided and was able to work on 4 March.

Other Meds: Lipitor

Current Illness: Covid 1 month prior

ID: 1079738
Sex: F
Age: 66
State: PA

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

Vax Type:
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Lab Data:

Allergies: None

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Fever, chills, headache, nausea, vomiting starting @22 hours after injection

Other Meds: Rosovastatin

Current Illness: Na

ID: 1079739
Sex: M
Age: 53
State: CA

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

Vax Type:
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Lab Data:

Allergies: NONE

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: I had Covid-19 in March/2020. The 1st series vaccine symptoms were similar to main infection to a lesser degree. Headache/BodyAches/On and off fevers/fatigue/right and left leg stiffness and major muscle/joint pain/on and off rapid heart rate Vaccine at 11:00am/Symptoms started around 7:00pm with tingling arm that received vaccine. By bedtime I was suffering from chills and general body aches. Woke up next morning with fever at 100.3, major pain/aching in both legs/general body aching and pain and headache. The fever came and went for 24 hours. On day two after the vaccine I woke up with no systems but was majorly fatigued. I took 800mg of Advil every 6 hours of onset until end of symptoms. I also had taken 2 Tylenol 2 hours before the initial vaccine.

Other Meds: PREZCOBIX 1 TAB DAILY TRIMUEQ 1 TAB DAILY RAMIPRIL 5mg 1 CAP DAILY CARVEDILOL 12.5mg 1 TAB DAILY CITALOPRAM 20mg 1 TAB DAILY QUEITIAPINE 25mg ? TAB DAILY VASCEPA 1GM 2 TAB DAILY GABAPENTIN 300mg 1 TAB DAILY FAMOTINDINE 40mg 1 TAB

Current Illness: NONE

ID: 1079740
Sex: F
Age: 60
State: OH

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

Vax Type:
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Lab Data:

Allergies: none

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: I wanted to report that 10 hours after having the shot in the right arm I had fly like sypmtoms. Very achy and most uncomfortable in back and hips tiredness. The next morning I had a headache that last a few hours. By 4pm the next day I felt better just a little tired.

Other Meds: none

Current Illness: none

ID: 1079741
Sex: F
Age: 35
State: VA

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies: Decongestants

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fever, chills, nausea, body aches, chest pain

Other Meds: None

Current Illness: None

ID: 1079742
Sex: F
Age: 50
State: WA

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

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Dose given may have been outside the 6 hour limit on an open vial of Moderna vaccine.

Other Meds: Unknown

Current Illness: Unknown

ID: 1079743
Sex: F
Age: 75
State: CA

Vax Date: 02/24/2021
Onset Date: 03/05/2021
Rec V Date: 03/07/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: sulfa drugs cheese

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: I developed diarrhea on March 5th, and still have it today on march 7th.

Other Meds: levothyroxine pantoprazole 40 mgs gabapentin vitamin C citalopram vitamin C-M-P atorvastatin digestive enzymes amitriptyline 10 mgs

Current Illness: none

ID: 1079744
Sex: F
Age: 33
State:

Vax Date: 03/03/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Day of 2nd dose of vaccine - Dizzy and headache Day 1 post vaccine - headache, chills, fever Day 2 post vaccine - headache Day 3 - Day 5 post vaccine - Hives, itching all over body. Benadryl relieves temporarily, cortisone cream used to help relieve itching but not effective really. Most of the hives are on arms and legs and trunk. Most itching occurs on hands and feet.

Other Meds: None

Current Illness: None

ID: 1079745
Sex: M
Age: 44
State: MO

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

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: na

Symptom List: Unevaluable event

Symptoms: 5 min after vaccination, patient complained of increase in heart rate to 133 BPM and feeling like his arm was tingling and numb. We propped his feet up and gave supportive care such as blanket and ice packs. Patients heart rate went back to normal (75-80 bpm) after 10 minutes. However, 35 minutes post vaccination, pt started having chills and shakes. Gave blanket and monitored patient for 45 min after vaccination. Pt declined 911. Wife took patient home 50 min past vaccination stating she felt he was stable and they would monitor at home.

Other Meds: na

Current Illness: na

ID: 1079746
Sex: F
Age: 63
State: MN

Vax Date: 02/26/2021
Onset Date: 03/04/2021
Rec V Date: 03/07/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: morphine

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: 6 days after the vaccination my arm got terribly sore and a little itchy - very similar to what happened the first couple of days after the vaccine. However, on day 8 I woke with hives all over my back, around my waist to the front, on top of both of my feet and in spotty locations on arms and legs. Today, I still have no relief.

Other Meds: Irbesartan; Atorvastatin; B12, Vit. D, Magnesium

Current Illness: none

ID: 1079747
Sex: F
Age: 36
State: IA

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: None

Symptom List: Injection site pain, Pain

Symptoms: Headache started 30 minutes after injection and has been continuous without relief. This is day 6. Headache is severe enough that wakes me in my sleep. I wake up with the headache every morning. Tylenol and Aleve do not help.

Other Meds: None

Current Illness: None

ID: 1079748
Sex: F
Age: 29
State: KY

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: LATEX AND ADHESIVES

Symptom List: Injection site pain, Menorrhagia

Symptoms: PATIENT HAD PANIC ATTACK

Other Meds:

Current Illness:

ID: 1079749
Sex: F
Age: 57
State: VA

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies: Food allergies-dairy, soy Allergies environmental-trees, pollen, mold

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: First does given 2/5/2021 no reactions except sore arm next day Second dose given 3/5/2021 Headache next day and on 3/7/2021 now have swollen knot on left side of neck, area around somewhat swollen as well.

Other Meds: vitamin D, vitamin B12, Vitamin C, Elderberry gummies, pseudoephedrine, Montelukast 10 mg daily, Paroxetine HCL 10 mg daily, Zyrtec daily, Simvastatin 20 mg daily

Current Illness: none

ID: 1079750
Sex: F
Age: 44
State: NJ

Vax Date: 02/26/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Environmental allergies Cat allergies Oral allergy syndrome resulting in allergies to apples, pears, and stone fruit Drug allergies Enbrel Sulfa drugs Atropine

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Within 30 minutes of receiving the vaccine, I developed a headache followed by extreme fatigue, both lasting for 3 days. I experienced alternating chills and sweats, but no fever, lasting for 2 days post-vaccine. I also experienced a small flare of my RA symptoms lasting for 2-3 days post-vaccine. I had no injection site reactions. One week post-vaccine, I developed a small red lump at the injection site,. The next day, I developed another lump about half inch below the injection site. The lumps are red, slightly raised, hot to the touch, and itchy. If scratched, they produce a burning sensation under the skin. Left arm is achy (both at the injection site and down the length of the arm) and I am experiencing another small flare of my RA symptoms. Extreme fatigue has returned along with alternating chills and sweats, but no fever.

Other Meds: Gabapentin, propranolol, omeprazole, vitamin D, nabumetone (not taken night before or morning of vaccine), vitamin C, Actemra infusions (given monthly - last infusion date 2/16/21).

Current Illness:

ID: 1079751
Sex: F
Age: 71
State: NV

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 03/07/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: NKA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: On Saturday, Feb 20th, I lost hearing in my right ear. It continued for 10 days. On the day that I was going to make an appointment with an ENT, I could suddenly hear again. It has been almost a week now & I can still hear.

Other Meds: Paroxitine 30 mg; Ezetimbe 10 mg; clopidogrel 75 mg; levothyroxine .125; meloxicam 15 mg; Allegra 180 mg; Colesevelam 625 mg x 3 daily; benazepril 20 mg; metoprolol 50mg. Cranberry pills.

Current Illness: N/A

ID: 1079752
Sex: F
Age: 51
State: CA

Vax Date: 02/24/2021
Onset Date: 02/28/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: tingling on hands/feet/arms/legs for the past 7 days(everyday, all days) after 4th day from the inoculated date

Other Meds: multi vitamin

Current Illness: none

ID: 1079753
Sex: M
Age: 66
State: PA

Vax Date: 03/01/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: Penicillin

Symptom List: Nausea

Symptoms: Red Rash wrists and hands 4-6 hours after first shot with itchiness. Severe Red Rash all over body with tiredness, cough, muscle pain, joint pain in wrists and feeling unwell within 12-24 hours after receiving first shot.

Other Meds: Incruse Ellipta 62.5mcg, Ventolin HFA 90mcg

Current Illness:

ID: 1079754
Sex: F
Age: 70
State: MA

Vax Date: 02/15/2021
Onset Date: 02/23/2021
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: Injection site pain

Symptoms: after no reaction to initial injection and no visible injection site, abrupt onset of itchy red area at injection site, dime-sized, on day 8. Later in day , two additional smaller pale red satellite circular lesions 2 inches from the injection site. All 3 red lesions became slightly raised (almost like a hives lesion). Lasted about 36 hours. Itching relieved with topical steroid x 2 doses

Other Meds: levothyroxine daily

Current Illness: none

ID: 1079755
Sex: F
Age: 62
State: WA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/07/2021
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Lab Data:

Allergies: Penicillin, Opiods

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: May have gotten a dose 2 hours and 5 minutes outside of the 6 hour limit of use of an open Moderna vial of vaccine.

Other Meds: Unknown

Current Illness: Unknown

ID: 1079756
Sex: F
Age: 47
State: FL

Vax Date: 02/26/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
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Allergies: Seasonal allergies

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: Big red splotch, covering half of the upper left arm. The area is hot and itchy as well.

Other Meds: Hydrochlorothyazide, metoprolol, losartan, Zyrtec

Current Illness: None

ID: 1079757
Sex: F
Age: 71
State: WA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 03/07/2021
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Lab Data:

Allergies: Sulpha

Symptom List: Tremor

Symptoms: Red itchy area on arm near injection site

Other Meds: Calcium chews, 1-A-Day Multiple Vitamin 65+

Current Illness: None

ID: 1079758
Sex: F
Age: 51
State: IN

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

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Lab Data:

Allergies: Penicillin

Symptom List: Erythema, Pruritus

Symptoms: Joint pain Body aches Fever Vomiting- severe starting 9:30 pm -4:30am. Every 15-20 min Diarrhea Dr prescribed ondansetron

Other Meds: Vitamin D, emergenC

Current Illness: None

ID: 1079759
Sex: F
Age: 71
State: OR

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

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Allergies: none

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Watery eyes, running itchy nose, sinus headache, partial loss of taste and smell, loss of appetite. Severe symptoms for 36 hours, less severe for another 2 days. No treatment.

Other Meds: lisinopril-hydrochloroth, vitamin C, B6

Current Illness: none

ID: 1079760
Sex: M
Age: 65
State: MA

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 03/07/2021
Hospital:

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Lab Data:

Allergies: Seasonal allergies to pollens

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: On February 19th, one week after shot I woke up with severe dizziness and nausea. Room was spinning and would only stop by sitting up. Eventually dizziness subsided but had mild nausea all day. Dizziness returned each morning for following week but not as severe as on the 19th. Went to an urgent care where they gave me rapid and pcr covid tests. Both came back negative. Also checked heart and blood pressure multiple times. Everything was normal. Reported everything to my doctor. On March 6th, woke up at 7am with severe dizziness and nausea again. Dizziness is subsiding and nausea is gone. Seeing doctor on March 10th and will discuss then.

Other Meds: Zyrtec D Fluticasone Propionate Ketotifen Fumarate None of these are taken daily, only when needed Diclofenac Potassium 50mg - take at night for knee pain Had a cortisone injection in left knee on February 11th, 2021

Current Illness: As mentioned above, knee pain for wich I received a cortisone shot

ID: 1079761
Sex: F
Age: 52
State: PA

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 03/07/2021
Hospital:

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Allergies: Sulpha

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Five hours after injection I got nauseous, little dizzy, abdominal cramps (severe), fever, chills, body aches (severe back and side pain). Lasted two days.

Other Meds: Nortriptyline 75 mg, Advair Diskus 250-50 mcg, Erenumab-aooe 140 mg, B-12, D3.

Current Illness: No

ID: 1079762
Sex: F
Age: 45
State: IN

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 03/07/2021
Hospital:

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Lab Data:

Allergies: Penicillin and gluten

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Fever, cold chills, swollen red spot at injection site, injection site was extremely hot, extreme fatigue, headache, slight loss of taste and smell.

Other Meds: NA

Current Illness: None

ID: 1079763
Sex: F
Age: 43
State: CT

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

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Lab Data:

Allergies: NKA

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Very bad pain in the tailbone, unsure if muscle or joint pain

Other Meds: Multivitamin, Junel

Current Illness: None

ID: 1079764
Sex: M
Age: 53
State: CA

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

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Allergies: NONE

Symptom List: Pain in extremity

Symptoms: At 5:00 pm on vaccination day I started to experience aching in both legs. By 5:30 pm the aching in both legs became greater and started a general unwell feeling. By 7:00 pm I had a headache/full body aching/major pain and aching in both legs/rapid heart beat at rest/chills/diarrhea. I suffered from sweats/chills/rapid heart rate/major right and left leg pain and aches/headache for the whole next day. By 11:00pm the day after vaccine, I was only suffering from major head ache and major left and right leg pain and aching and sweating. I woke up the 2nd day after the vaccine symptom free but very fatigued. I took 800mg of Advil every 6 hours from the onset of symptoms. My watch reported my heart rate at a range from 90-121 BPM while at rest for at least 24hours during onset of symptoms.

Other Meds: PREZCOBIX 1 TAB DAILY TRIMUEQ 1 TAB DAILY RAMIPRIL 5mg 1 CAP DAILY CARVEDILOL 12.5mg 1 TAB DAILY CITALOPRAM 20mg 1 TAB DAILY QUEITIAPINE 25mg ? TAB DAILY VASCEPA 1GM 2 TAB DAILY GABAPENTIN 300mg 1 TAB DAILY FAMOTINDINE 40mg 1 TAB

Current Illness: NONE

ID: 1079765
Sex: F
Age: 65
State: NV

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

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Severe lethargy, mild chills, low fever, bad headache, so very tired for 5 days. Not sure if symptoms are over yet. Still tired, but other symptoms are better

Other Meds: Sulfasalazine, Pantoprazole, Famotidine, Omega-3, Vitamin C, Vitamin D, Co-Q 10

Current Illness: None

ID: 1079766
Sex: M
Age: 73
State: IN

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

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Lab Data:

Allergies: Morphine

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Chills fever and body aches. Started at 930PM the night of the shot lasted thru the next day and night. Second day after the shot I was fine.

Other Meds:

Current Illness: None

ID: 1079767
Sex: F
Age: 35
State: IA

Vax Date: 01/28/2021
Onset Date: 02/01/2021
Rec V Date: 03/07/2021
Hospital:

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Allergies: Ceclor

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Body aches, chills, fever, mild swelling in extremities following 2nd dose persisting for 2-3 days. Symptoms subsided, however intermittent fever and headache continued, along with swelling which gradually worsened, polyarthritis, Raynaud-like symptoms of lower extremities, chest pain, decrease in concentration and cognitive function. Continue to meet with PCP and referred to rheumatology specialist.

Other Meds: Vyvanse

Current Illness: None

ID: 1079768
Sex: F
Age: 86
State:

Vax Date: 02/24/2021
Onset Date: 03/05/2021
Rec V Date: 03/07/2021
Hospital: Y

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Lab Data:

Allergies: NKA

Symptom List: Vomiting

Symptoms: Hemorrhagic Stroke

Other Meds:

Current Illness:

ID: 1079769
Sex: F
Age: 66
State: OR

Vax Date: 02/07/2021
Onset Date: 02/18/2021
Rec V Date: 03/07/2021
Hospital:

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Lab Data:

Allergies: Penicillin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 11 days after 2nd dose became ill with shingles virus.

Other Meds:

Current Illness: None

ID: 1079770
Sex: F
Age: 56
State: WA

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

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Lab Data:

Allergies: N/A

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: fatigue 12 hour duration

Other Meds: Levothyroxine

Current Illness: N/a

ID: 1079771
Sex: F
Age: 21
State: NY

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

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Allergies: PCN

Symptom List: Injection site swelling, Limb discomfort

Symptoms: While in observation area, patient complained of racing heart and blood pressure elevation and some shortness of breath. Evaluated by EMS. BP 210/115 (average), P98-126. Able to communicate clearly entire time, some dyspnea but no respiratory distress. Due to elevated blood pressure and heart rate, she was transported to Hospital for evaluation/treatment.

Other Meds:

Current Illness: POTS, Hashimoto's, HTN

ID: 1079772
Sex: F
Age: 29
State: NC

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

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Lab Data:

Allergies: Sulfa Antibiotics

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Patient presented for her first covid vaccine today. She received the immunization in her right deltoid at 1703, was seated in the 15 minute observation area. After about 10 minutes, she reported feeling dizzy. RN alerted EMS who brought her for closer evaluation. While in EMS care, patient developed rash and hives on her neck and arms, swelling in her lips and tongue, shortness of breath with oxygen saturations in the 80's. EMS started a 20g Left antecubital IV, administered 50 mg benadryl IM, 125 mg solumedrol IV, placed patient on supplemental oxygen at 2L nasal canula. After medication administration, patient's rash and hives began to resolve and she was able to speak clearly after medication. Patient was transported to hospital via ambulance for further evaluation. VAERS documented.

Other Meds: Patient presented for her first covid vaccine today. She received the immunization in her right deltoid at 1703, was seated in the 15 minute observation area. After about 10 minutes, she reported feeling dizzy. RN alerted EMS who brought

Current Illness:

ID: 1079773
Sex: F
Age: 68
State: MA

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

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Lab Data:

Allergies: na

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: 8 days after my first Moderna shot, my right arm got very itchy at the injection site. It continued to be itchy, swollen, a bit warm to touch since the afternoon of March 5. The itchiness and redness has slowly spread about 3 or 4 inches below the injection site in my right arm.

Other Meds: Acyclovir, Vit D, Calcium, B12, multi-vitamin

Current Illness: na

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am