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: 1089042
Sex: F
Age: 20
State: GA

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Pt received Pfizer dose #1 today at 3:40 pm. At 4 pm, patient reported feeling very dizzy and didn't feel well. Sweat shirt removed and she was lowered to the floor. Laying on the floor, vitals were 94/65, HR 69 93% O2. Pt felt better after laying on the floor, repeat BP 95/65. HR 70. Up to sitting position on the floor, patient felt ok, BP to 106/72, HR 67 O2 98%. Pt up to chair sitting comfortably at 1619, BP 102/62. HR 90, O2 96%. Pt ate granola bar and 2 water bottles. Ambulated to car in no distress, roommate to drive home. Advised to drink water and eat meal with protein/ rest tonight.

Other Meds: Last on file: Ibuprofen, levothyroxine, and Zoloft

Current Illness: NA

ID: 1089043
Sex: F
Age: 41
State:

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Low B/P

Other Meds:

Current Illness:

ID: 1089044
Sex: F
Age: 60
State: NV

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Latex

Symptom List:

Symptoms: On day 2 of the second dose, had soreness, pain and swelling to injection site, also fever of 100.3, chills, body aches and weakness On day 4 after second dose had severe back pain, painful to walk, despite taking Motrin. Went to doctor and had MRI done. Then by early February started having insomnia, hard time falling asleep and staying asleep . I feel the second dose of vaccine might have caused my immune system to become over active. The back is now ok after rest and physical therapy but the insomnia still persist.

Other Meds: Synthroid, Motrin, multi vitamin, Vitamin D, Vitamin C, Calcium

Current Illness:

ID: 1089045
Sex: F
Age: 47
State: PA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Shellfish. Penicillin

Symptom List:

Symptoms: Severe Dizziness 4 hours after getting my second dose. Went to ER that same day

Other Meds: No

Current Illness: No

ID: 1089046
Sex: F
Age: 35
State: MD

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Mold, Dust Mites, Trees, Shellfish

Symptom List:

Symptoms: 6pm - Fever & chills started and continued to become wores as the night went on 10pm - Fever and extrem chills 1am- dizzy, Fever was about 101 at the highest, elevated HR (80-130bpm) chills with sweats, having trouble getting enough air 3am -was able to finally sleep 6am- Fever 100, swollen lymph nodes, body aches, headache, and dizzy (HR was under control) still having trouble getting enough air. 4pm-Fever 99.5 swollen lymph nodes, body aches, headache, and dizzy (HR was under control) still having trouble getting enough air. 10pm-Fever 99.1 swollen lymph nodes, body aches, headache, and dizzy (HR was under control) still having trouble getting enough air. 5:30am-No fever, felt almost normal 5:30am -next day dizzy and poops

Other Meds: no

Current Illness: no

ID: 1089047
Sex: M
Age: 69
State: NC

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccine was at room temperature for>6 hours at time of administration.

Other Meds:

Current Illness:

ID: 1089048
Sex: F
Age: 63
State:

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: patient reported the day following her injection numbness in her arm.

Other Meds:

Current Illness:

ID: 1089049
Sex: F
Age: 35
State: TX

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Keflex, Oranges, Avocados

Symptom List:

Symptoms: Starting the morning after receiving the vaccine, the injection site was painful, red, sore, and very swollen. Every single day since (It is now 03/10 - 5 days after), the injection site welt has grown in size and redness, as well as painful to touch, warm to touch, and soreness extending down left arm. It is very similar to the "COVID Arm" hypersensitivity effects seen with the Moderna vaccine.

Other Meds: NA

Current Illness: NA

ID: 1089050
Sex: F
Age: 37
State: IA

Vax Date: 03/05/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: woke up with eye swelling. Now with jaw and chin numbness

Other Meds: Multivitamin

Current Illness:

ID: 1089051
Sex: M
Age: 24
State: CA

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Pork

Symptom List:

Symptoms: Patient was given dose one of Moderna vaccine this morning. Patient returned to our site around 1230 pm with ?facial swelling.? He also reported throat itching and tightness.

Other Meds: Unknown

Current Illness: No

ID: 1089052
Sex: M
Age: 87
State: NC

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccine was at room temperature for>6 hours at time of administration.

Other Meds:

Current Illness:

ID: 1089053
Sex: F
Age: 67
State: MS

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: anaprox

Symptom List:

Symptoms: Approx 2 min after receiving vaccination pt complained of throat swelling, toes tingling, and headache. VS: 158/64, P 66, 02 98% RA, R 18. Benadryl 50 mg IM R deltoid administered. Transferred by EMS to hospital.

Other Meds: unknown

Current Illness: unknown

ID: 1089054
Sex: F
Age: 64
State: CA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: patient feels a slight tingling sensation on L hand. Vitals 97% RA 85 bpm 141/87 Bp 19 cpm #21 pt stable and sent home

Other Meds:

Current Illness:

ID: 1089055
Sex: F
Age: 53
State: OH

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Questionable Bees, contrast IV dye, shellfish, spiders

Symptom List:

Symptoms: Speech garbled, client complained of tongue swelling. Client was given EPi Avi Q injection. Following injection client self amdministered PO Benadryl. Then taken by EMS to ER.

Other Meds: Unknown

Current Illness:

ID: 1089056
Sex: F
Age: 80
State: CA

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Pt denied any complaints upon arrival to vaccine site at 1205. After vaccine, pt states to observation team that she has been dizzy for a few days and is now feeling dizzy at 1225. ALS assesment at the vaccine site revealed HTN and pt remained dizzy. ALS transport was arranged at 1227 and transported pt to Emergency dept. Medics from vaccine site completed EPCR reporting system. PFIZER Covid 19 EUA

Other Meds: Unknown

Current Illness: HTN, DIZZY, LIGHT HEADED

ID: 1089057
Sex: M
Age: 90
State: CA

Vax Date: 03/03/2021
Onset Date: 03/05/2021
Rec V Date: 03/10/2021
Hospital: Y

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

Lab Data:

Allergies: amoxicillin, cephalexin, ciprofloxacin, clindamycin, sulfa

Symptom List:

Symptoms: Acute Pulmonary Embolism, and Acute Deep Vein Thrombosis. He is active every day doing arm exercises and walking in place for exercise, and moving about his house with his walker, and this day was no different. He finished making breakfast and went to sit down on the couch, and had sudden-onset pleuritic chest pain. No other recent risks such as long car ride, illness, plane ride, or other immobility. Patient says the vaccine was Moderna second dose, given at pharmacy.

Other Meds: simvastatin, clopidogrel

Current Illness:

ID: 1089058
Sex: F
Age: 31
State: TN

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Hives on right side of face. Tightness in chest.

Other Meds: Prozac and adderall

Current Illness: Sinuses/runny nose

ID: 1089059
Sex: F
Age: 61
State: IN

Vax Date: 03/06/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Phenobarbital, Prisolec

Symptom List:

Symptoms: Sore dark red patch will pealing dry skin on top. About the size of a quarter. Red sore patch on the roof of my mouth, also the size of quarter.

Other Meds: Losartan, Hydrochlorothiazide, Metformin, Ezetimibe, Bupropion HCL

Current Illness: no

ID: 1089060
Sex: M
Age: 68
State: MA

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Mental status changes. Did not know how to turn TV off. Seemed confused to wife

Other Meds: unknown

Current Illness: unknown

ID: 1089061
Sex: F
Age: 81
State: NC

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccine was at room temperature for>6 hours at time of administration.

Other Meds:

Current Illness:

ID: 1089062
Sex: F
Age: 57
State: PA

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Biaxin, Valium, Penicillin, Succinylcholine

Symptom List:

Symptoms: at 11 hours past the vaccination time (COVID #2) I developed a rapid heartbeat > 90 and body aches. They intensified 18 hours later and lasted another 24 hours. I also had dry heaves(once only) and loose bowels. I am diabetic and my sugars also went crazy. I had to visit my cardiologist for an EKG to make sure there wasn't a problem with my heart. I had to call my diabetes doctor several times for help with how to handle my numbers.

Other Meds: Levothyroxine, Bystolic, Vitamin D3, Nexium, Simvastatin, Xyzal, Mucinex, Pepcid, Wellbutrin, Metformin

Current Illness: none

ID: 1089063
Sex: F
Age: 62
State: MO

Vax Date: 03/02/2021
Onset Date: 03/03/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: PATIENT REPORTED PREVIOUS ALLERGIES TO PRESERVATIVES BUT COULDN'T STATE WHICH PRESERVATIVES

Symptom List:

Symptoms: PATIENT STATED SHE FELT LIGHT HEADED ALMOST IMMEDIATELY AFTER THE IMMUNIZATION. SHE DIDN'T REPORT THAT TO ANYONE AT THE TIME AND SHE SAID IT GOT BETTER BEFORE SHE LEFT THE IMMUNZATION AREA. SHE SAID THE NEXT EVENING (3/3/21) AROUND 6PM SHE STARTED TO EXPERIENCE SHORTNESS OF BREATH AND LOOKED AT HER THROAT AND SAID IT SEEMED SWOLLEN, SHE TOOK BENADRYL AND STATED THE SHORTNESS OF BREATH DIDN'T GET WORSE AND RESOLVED WITHIN ABOUT 2 HOURS. SHE ALSO STATED SHE FELT ACHY AND FLULIKE WITH CHILLS AND FEELING FEVERISH BUT WITH NO FEVER. SHE FELT PRETTY ACHY AND TIRED FOR A COUPLE OF DAYS AND THEN EVERY THING RESOLVED.

Other Meds:

Current Illness:

ID: 1089064
Sex: F
Age: 48
State: PA

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Exhaustion, sore hips, skin felt like it hurt to touch, sleeplessness during evening because of being uncomfortable, slept all day following day and felt out of it. Could not sleep comfortably following night either. Very strong arm pain. Two days later itchy injection site and very red. Felt better by 10 AM on the second day after shot.

Other Meds: Sudafed D, Omeprazole, Vitamin D, Allegra 24 hour, Biosil Collagen Supplement

Current Illness: N/A

ID: 1089065
Sex: F
Age: 74
State: IN

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: went to bed

Other Meds:

Current Illness:

ID: 1089066
Sex: F
Age: 39
State: CA

Vax Date: 02/03/2021
Onset Date: 02/14/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: I started experiencing twitching on my right leg and arm at random hours of the day and night

Other Meds: Estradiol 0.0325mg patch Medroxyprogesterone 2.5mg

Current Illness: NA

ID: 1089067
Sex: M
Age: 78
State: LA

Vax Date: 03/02/2021
Onset Date: 03/05/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt had facial paralysis on one side of face. Pt reporting right side of face was drooping.

Other Meds:

Current Illness:

ID: 1089068
Sex: F
Age: 54
State: CA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Lightheaded, facial tingling, weird sensation in left hand. BPs 166/102 (pulse 84), 160/97 (pulse 77), O2 sats 100%.

Other Meds:

Current Illness:

ID: 1089069
Sex: F
Age: 19
State: TX

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: nonfe

Symptom List:

Symptoms: Patient began experiencing difficulty breathing a few hours after getting her covid 19 vaccine. She took benadryl and zyrtec to relieve the symptoms. About 3 days later the symptoms started back and again she took the benadryl and zytrec. She is currently symptom free.

Other Meds: none

Current Illness: none

ID: 1089070
Sex: F
Age: 32
State: OH

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Tachycardia-heart rate up to 140's. Resolved with deep breathing and rest. Physician notified-observe. Client denies "anxiety reaction". Left after 30 minutes of observation with heart rate in the 90's.

Other Meds: Birth Control

Current Illness: N/A

ID: 1089071
Sex: F
Age: 25
State: TN

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Morphine, grass/pollen, certain adhesives

Symptom List:

Symptoms: Painful, hard, red swollen lump at injection site. Began hours after vaccination and continues to grow, now at 1.5" in diameter.

Other Meds: Natazia (birth control)

Current Illness: none

ID: 1089072
Sex: F
Age: 49
State: CO

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: 1/23/2021: Seven days after receiving Moderna vaccine, arm was bright red, hot to the touch and swollen in area approx 6" in diameter. Went to ER and was prescribed 5-day Keflex regimen for Cellulitis. Area cleared up after four days of antibiotics. 1/28/2021: Itchy red rash appears from injection site down to elbow. Doctor visit. Was prescribed Aristocort cream and Claritin. Rash cleared up after several days of treatment. 2/13/2021: Received second vaccine and developed same symptoms one day later. Used Aristocort cream and Claritin. Rash cleared up five days later.

Other Meds: Metformin 500mg (2x daily) Simvastatin 40mg Lisinopril 20mg Omeprazole 20mg Portia Tab 0.15mg levonorgestrel/0.03mg ethinyl estradiol Aspirin 80mg

Current Illness: None

ID: 1089074
Sex: M
Age: 68
State: NY

Vax Date: 02/24/2021
Onset Date: 03/07/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Patient was admitted to facility May 7 2021 with hemolytic anemia. Recent surgery for lung cancer but had not started adjuvant chemotherapy. No antecedent hematologist or autoimmune problems. Had Moderna Covid vaccine at facility 02/24/2021. I am inclined to think we need to report to FDA. Please advise.

Other Meds: Gabapentin, albuterol, aspirin 81, multivit, rosuvastatin, Trulicity, Wixela

Current Illness: Adenocarcinoma of lung with right upper lobectomy 2/1/2021. Has not started adjuvant chemotherapy

ID: 1089075
Sex: F
Age: 37
State: WA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: c/o severe arm pain radiating to shoulder.

Other Meds:

Current Illness:

ID: 1089076
Sex: F
Age: 52
State:

Vax Date: 02/09/2021
Onset Date: 02/15/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Large warm welt at injection site, tightness, swelling of left arm. Swollen tongue. Lasted 2 days. Did not take any medication for symptoms.

Other Meds: Vitamin D, Omega 3

Current Illness: None

ID: 1089077
Sex: F
Age: 58
State: TX

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: patient developed a rash and hives on head neck and face. Patient went to work and was identified to have an adverse reaction to the Janssen immunization. Patient was sent to the clinic for treatment and was told to use Benadryl for the rash. patient did take two capsules for a 50 mg dose. Patient worked about two to three hours and was then sent home for high blood pressure which patient claims lasted three hours. Patient is feeling fine on 03/10/2021 and says they do not have a rash today.

Other Meds: Vitamin D

Current Illness: N/A

ID: 1089078
Sex: F
Age: 71
State: NY

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: not sure of outcome sore throat fever 99.swollen arm,. nasal congestion body aches

Other Meds: Calcium, red yeast rice, zinc, vitamin d clonazepam

Current Illness: diabeties

ID: 1089079
Sex: F
Age: 73
State: AZ

Vax Date: 02/20/2021
Onset Date: 02/24/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Nitrofurantoin, metronidazole, ciprofloxacin

Symptom List:

Symptoms: I had aching in my armpit off and on when reaching up for about a week.

Other Meds: Lisinopril, amytriptyline, rosuvastatin, vitamin D-3, Estroven, CO Q 10

Current Illness: None

ID: 1089080
Sex: F
Age: 65
State: AZ

Vax Date: 02/26/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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Allergies: Iodine, latex, eggs, cranberries, blueberries

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Symptoms: On March 9, 2021, 11 days after receiving the Moderna COVID-19 vaccine, I woke with a left sore arm that felt similar to the sore arm I experienced after receiving the vaccine. As the day progressed I developed a rash beginning near the injection site that eventually spread from my shoulder to just above my elbow. The rash is not raised, warm to the touch with mild itching. Left arm is slightly swollen.

Other Meds: 1) Zyrtec: on the day I received the Moderna COVID-19 vaccine I premedicated with a one time dose of 1.25mg (cut 10mg tablet into 8ths) one hour before vaccine, per the recommendation. 2) Vitamin C.

Current Illness: none

ID: 1089081
Sex: M
Age: 81
State: GA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 03/10/2021
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Allergies: Penicillin

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Symptoms: My ears felt "slightly stuffed" similar to the change in elevation after my first shot. First the left side then the right side but it cleared up in about three hours. This was no big deal but a friend of mine that is retired from the CDC said I should report it. I get my second shot on March 15th,

Other Meds: Zyrtec, Glucosamine, Mucinex, Losartan, Multi Vitamin, Omeprazole, Simvastatin, Synthroid, Flovent, Proair

Current Illness: High Blood Pressure, Asthma

ID: 1089082
Sex: M
Age: 69
State: NC

Vax Date: 02/12/2021
Onset Date: 03/06/2021
Rec V Date: 03/10/2021
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Allergies: NONE

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Symptoms: HAD BELLS PALSY 8 YEARS AGO MODERNA VACCINE 1ST DOSE 2/12/2021 3/6/2021 HAD TINGLING LIP THAT PROGRESSED TO DROOPING FACE AND EYE TO CENTER ON 3/8/2021 AND RECIEVED PRED PACK AND ACYCLOVAIR

Other Meds: benazepril hcl 20 mg bid hctz 25 mg bid protonix 40 mg qd acyclovair for 7 days ,started 3/8/2021 prednisone decreasing doses to end 3/18/2021 aleve and Tylenol prn

Current Illness: NONE

ID: 1089083
Sex: M
Age: 43
State: CA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 03/10/2021
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Symptoms: Patient reported symptoms of fatigue, headache, muscle/body aches, and runny nose that lasted longer than 72 hours.

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ID: 1089084
Sex: F
Age: 54
State: VA

Vax Date: 03/06/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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Allergies: Lactose; Allergies (grass, trees, weeds, pollen)

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Symptoms: I experienced severe vertigo. I visually saw the room spinning. I had to close my eyes but I still felt the spinning in my head. I used the wall to lean on to get down on the floor. Lasted about 1 1/2 - 2 minutes with nausea. I never had vertigo. When I went to bed I had an ache under my left breast. It eventually subsided.

Other Meds: Fluoxetine 10mg, Triamterene/HCTZ 37.5/25 mg - half tab, Rhinocort allergy spray, Olopatadine HCL nasal spray, Zyrtec

Current Illness: None

ID: 1089085
Sex: F
Age: 52
State: NC

Vax Date: 03/04/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
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Allergies: Penicillin

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Symptoms: Pain in arm was minimal but became very sleepy and developed headache Thursday evening following covid vaccine. Slept 10 hours. 03/05 sinus pain, headache worse. 03/06 slept most of the day. achy, lack of appetite, 03/07 no pain in arm but body aches and continued strong headache & fatigue. Contacted Teledoc on 03/08, Dr. suggestion Acute upper respiratory infection with secondary diagnosis serum reaction due to vaccination. 03/09 continued headache, chills, body aches, fatigue, ringing in ears fever (no working thermometer). Took Covid test, results due by Friday. 03/10 continued headache, fatigue, occasional chills, not able to smell, ears ringing. Ibuprofen, Extra strength tylenol and Excedrin migraine not helping headache.

Other Meds: norgestimate-ethinyl estradioL 0.25-35 mg-mcg per tablet

Current Illness: None

ID: 1089086
Sex: F
Age: 57
State: OH

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
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Allergies: Sulfa drugs, seasonal allergies

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Symptoms: Approx 5 minutes after I received the IM injection I developed SOB, Heart rate was in the 160's, b/p-158/90. I was lightheaded and thought I was going to pass out. My blood pressure has never been that high. Nor have I ever had a HR like that. My body was shaking so much that I couldn't hold on to the water bottle they gave me( d/t developing a very dry mouth.) This lasted about 8 min and then my HR started to go back down.

Other Meds: zoloft, wellbutrin

Current Illness: None

ID: 1089087
Sex: F
Age: 36
State: LA

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/10/2021
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Symptoms: Patient described numbness on one side of the face. No drooping or paralysis. Which Side of face unknown.

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ID: 1089088
Sex: F
Age: 24
State: CA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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Allergies: Peanuts, latex, MSG, sulfa

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Symptoms: 5:20pm Pt c/o scratchy throat , itchy arm, hard to breath, and light headedness. 5:35pm BP 102/58 O2 sat 97% pulse 93 5:35pm gave pt 50mg of Benadryl PO 5:40pm pt states scratchy throat improving, breathing improving BP 102/68 O2 sat 99% pulse 93 6:00pm BP 112/70 O2 sat 99% pulse 83 6:10pm BP 108/72 O2 sat 99% pulse 87

Other Meds: Lexapro, Lamotrigine, omeprazole, Prazosin, multi-vit, Allegra D, Buspar

Current Illness:

ID: 1089089
Sex: F
Age: 69
State: OH

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
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Allergies: Opiates Hymenoptera

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Symptoms: About 5 hours after vaccination, unusual ?stingy? headache and tiredness, some malaise after nap. Symptoms lessened, then disappeared during morning of next day. About 30 hours after vaccination, hot flashes (no fever), chills, tired, but jittery with difficulty sleeping, dizzy, head felt ?weird?, - mostly diminished in morning. About 48 hours after vaccination, headache and tiredness returned -still no fever. Very little soreness in arm over the past two days since injection.

Other Meds: Hydroclorothizide, ZetIa,Crestor Centrum Silver for Women, CaCO3, CoQ10, Omega-3, Vit.D, cinnamon,

Current Illness: None

ID: 1089090
Sex: F
Age: 52
State: TX

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
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Allergies: Bactrim-hives

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Symptoms: Brief episode of lightheadedness 5 mins. post vaccination. O2 sat 100%, HR 86

Other Meds: Allegra

Current Illness: None

ID: 1089091
Sex: M
Age: 64
State:

Vax Date: 02/12/2021
Onset Date: 02/22/2021
Rec V Date: 03/10/2021
Hospital: Y

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Symptoms: Patient received 1st COVID vaccine on 2.12.21. Reported to local ER with chest pain and increased ShOB on 2.22.21. Found to be positive for COVID, elevated troponin. Transferred to medical center. Patient was mildly hypoxic on the floor but never required more than 2L nasal prongs. Patient is currently on dialysis. Patient received dexamethasone therapy only while on the floor. Discharged home on 3.4.2021.

Other Meds:

Current Illness:

ID: 1089092
Sex: M
Age: 66
State: VA

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/10/2021
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Allergies: Glimiperide/ Pioglitazone

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Symptoms: Throat tightness- Given Benadryl oral to resolve symptoms

Other Meds: Allopurinol/ Atorvastatin/ Janumet/Jardiance/ Losartan

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm