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: 1090514
Sex: M
Age: 68
State: SC

Vax Date: 02/24/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Mobec

Symptom List:

Symptoms: Bell's Palsy diagnosed March 10, 2010

Other Meds: Losartin, Simvastatin, multi-vitamin

Current Illness: No

ID: 1090515
Sex: F
Age: 67
State: MD

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: flu like symptoms; malaise in muscles throughout body; chills; headache; tiredness; loss of taste; pain in midsection

Other Meds: Metformin; glipizide; simvastatin; lisinopril; levothyroxyn

Current Illness:

ID: 1090516
Sex: M
Age: 65
State: AZ

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

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

Lab Data:

Allergies: occasional reaction to raw fruit

Symptom List:

Symptoms: head and body ache, cold tremors, difficult to move

Other Meds: lisinopril 20mg (1x daily) clopidogrel 75mg (1x daily)

Current Illness:

ID: 1090517
Sex: F
Age: 57
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Nausea, emesis x1, increased respirations, evaluated by EMS-cleared

Other Meds:

Current Illness:

ID: 1090518
Sex: F
Age: 63
State: TN

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

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

Lab Data:

Allergies: PCN, erythromycin, ceclor

Symptom List:

Symptoms: Pt started feeling SOB about 15 minutes after vaccination, feeling tingling in arms/hands. She then reported it was harder to breathe and throat was feeling weird. She was lightheaded. EPI 0.3mg administered by autoinjector, then 50mg Benadryl administered. Shortness of breathe continued and chest pain developed. Another dose of EPI administered 5 min later. EMS arrived and transported pt. to ER.

Other Meds:

Current Illness:

ID: 1090519
Sex: F
Age: 31
State: PA

Vax Date: 02/25/2021
Onset Date: 03/01/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: Numbness in both arms and both legs ( started 3/1/2021 and still have it) Pain in left arm (started 3/1/2021 and still have it ) pain in Right side of chest ( started 3/6/2021 and has subsided) dropping things that are in my hands ( started 3/6/2021 and still happening every so often). Went to hospital on 3/6/2021 and had a follow up with PCP on 3/10/2021. Neurologist appointment scheduled 3/24/2021.

Other Meds: Adderall 20mg

Current Illness: None

ID: 1090520
Sex: F
Age: 56
State: IN

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Vicodin-itching

Symptom List:

Symptoms: Fatigue Headache Muscle pain Chills Joint pain Low fever Swollen left arm lymph nodes

Other Meds: Protonix 40mg Cozar 50 mg Lexapro 10 mg Baby ASA Bystolic 2.5 mg

Current Illness: None

ID: 1090521
Sex: F
Age: 71
State: MD

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Rigidity in joints upon rising; collapse n total loss muscle control by 5pm that day (recovered 11 pm that nite)

Other Meds: Gabapentin 900 mg/da; penicillin 90 mg/da;baclofen 10 mg/da; melatonin 3 mg/da; CBD/THC 1:1 , 5 drops under tongue before bed; vitamins C n D; Miralax or Lactulose/stool softener

Current Illness: MS Dx 1998; multiple left hip surgeries (necrosis followed by broken femur then hip dislocations still ongoing 10/23;11/12/2020; 1/5/2021; 3/4/2021; 3/9/2021

ID: 1090522
Sex: M
Age: 59
State: NJ

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

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

Lab Data:

Allergies: NO KNOWN FOOD OR MEDICATION ALLERGIES

Symptom List:

Symptoms: HIGH FEVER AND HEADACHE . TOTAL DURATION APPROXIMATELY ONE HOUR. FULLY RESOLVED WITHOUT ADDITIONAL TREATMENT.

Other Meds: ASPIRING 81MG/DAY LOSARTAN 25MG/DAY MELOXICAM 7.5MG/DAY CENTRUM SILVER FOR MEN COLLAGEN 10,000MG/DAY

Current Illness: NONE

ID: 1090523
Sex: F
Age: 54
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Tachycardia, tingling in mouth, evaluated by medics, cleared.

Other Meds:

Current Illness:

ID: 1090524
Sex: M
Age: 72
State: TX

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: No allergies.

Symptom List:

Symptoms: patient presented with request for 2nd COVID-19 Moderna vaccine; vaccination record was misread, misstated or not presented prior to administering 2nd dose.

Other Meds:

Current Illness: Unknown.

ID: 1090525
Sex: F
Age: 79
State: NH

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: About 830 Pm on night of injection I got chills until about 3 am and in the morning i had a headache and was very unsteady but by that afternoon all that went away. On Wednesday morning when I took the bandaid off the injection site was red and itchy which it is today

Other Meds: zetia(ezetimibe), diclofenac, pravastatin, torsemide (demadex), losartin (cozaar). levothyroxine

Current Illness: none

ID: 1090526
Sex: M
Age: 70
State:

Vax Date: 02/20/2021
Onset Date: 03/01/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient covid positive 3 weeks after vaccine.

Other Meds:

Current Illness:

ID: 1090527
Sex: F
Age: 64
State: NY

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

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

Lab Data:

Allergies: Penicillan, bee stings, seasonal allergies

Symptom List:

Symptoms: at injection, arm was not opperable, too weak to pick up coat or purse. After about 15 minutes the full use of arm was back. The muscle is still affected and strained after 6 days. I waited a half hour at the site and got into my car at 3:45. On the drive home within 30 minutes my face started to itch and turn red, then my mouth inside started to itch, then my eyes started to itch. After that my throat started to feel gravely, so I took 75 mgs of gel cap benedryl. This is what I feel and take upon getting stung by a bee. I also took my albuterol inhaller two puffs which I also always have on me because of my asthma. I was sleepy but had dinner and went to be. I did not feel that I had to take more benedryl during the night.

Other Meds: Quinipril, Metformin, Advair, Singulair,

Current Illness: UTI

ID: 1090528
Sex: M
Age: 44
State: GA

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

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

Lab Data:

Allergies: pencillin

Symptom List:

Symptoms: pt stated that he got flu like symptoms including tight muscles, headache, body aches, chills, he was nauseated. He woke up feeling a little better but still has head ache, body aches and some nausea.

Other Meds: none

Current Illness: no

ID: 1090529
Sex: F
Age: 48
State: CO

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: PCN bee stings

Symptom List:

Symptoms: Site of injection swelled bigger than golf ball size I had been at work all day and worked all morning my shift at 5am to 130pm when I got home changed my clothes, was huge today. I would say size of golf ball now my armpit also swelled I sytaryed taking over the counter ibuprofen it helps pain a bit

Other Meds: Women's multi vitamins

Current Illness: None

ID: 1090530
Sex: F
Age: 39
State: OH

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Rash and redness at site of injection lasting a week at this time. Fatigue. Chills.

Other Meds: Allegra

Current Illness:

ID: 1090531
Sex: F
Age: 58
State:

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: beginning approximately 28 hours after vaccination, patient developed dry, hacking cough, tightness in chest, shortness of breath/dyspnea and wheezing with exertion. Coughing, and chest tightness/wheezing exacerbated by laughing, deep breaths and exertion. Symptoms limited patient from exercising and continued until 6 days after symptoms started. Day 8 after vaccination, symptoms resolved. Patient able to resume routine exercising without cough and feelings of shortness of breath/dyspnea.

Other Meds:

Current Illness:

ID: 1090532
Sex: M
Age:
State:

Vax Date: 02/25/2021
Onset Date: 03/03/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient covid positive one week after vacccine.

Other Meds:

Current Illness:

ID: 1090533
Sex: F
Age: 67
State: MA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Around 3? swollen, red, oval welt on arm at vaccination injection site that was warm and itchy

Other Meds: None

Current Illness: None

ID: 1090534
Sex: F
Age: 30
State: NJ

Vax Date: 01/29/2021
Onset Date: 02/04/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List:

Symptoms: I received my first shot on 1/29. I had some severe arm pain and fatigue for the first two days but nothing out of the ordinary. In the early morning on 2/4, 7 days after my shot, I started getting chills, had a splitting headache and my left underarm was too sensitive to move. I went to bed, woke up the next morning, the chills were gone but the headache snd swollen lymph nodes remained. My headache subsided after a day, my swollen left arm lymph nodes stuck around for 2-3 days. By 2/6, I developed the red ring on my arm that I had read to be Covid arm which seemed rare but happening per the news. By 2/7-2/8 I was able to comfortably move my arm again and my rash subsided. I received my second shot on 2/26 and happy to report I had minor arm pain again and fatigue but no other adverse reactions at this time. It?s now been 13 days.

Other Meds: N/a

Current Illness: N/a

ID: 1090535
Sex: M
Age: 33
State: FL

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fatigue, chills, slight nausea.

Other Meds: Omeprazole, probiotic gummies, vitamin gummies, B-12 sublingual fluid

Current Illness: None

ID: 1090536
Sex: F
Age: 43
State: NJ

Vax Date: 03/02/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Rash started on arm yesterday 3/11/21. Hot to the touch now encompasses most of arm above the elbow. Whole arm is sore. I have pictures of yesterday and today 3/12 to show progression.

Other Meds: Prilosec

Current Illness: None

ID: 1090537
Sex: F
Age: 72
State: FL

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

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

Lab Data:

Allergies: Sulfa,pencillin,

Symptom List:

Symptoms: COVID arm, soreness after first few hours and swelling. Redness after 48 hours

Other Meds: Zoloft, BP med, meloxicam, vescepa, multi vitamins, calcium, vit k, collagen

Current Illness: Seasonal allergies, sinus infection two weeks prior

ID: 1090538
Sex: F
Age: 27
State: KY

Vax Date: 02/26/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Allergies to Bactrim and Amoxicillin

Symptom List:

Symptoms: Sore arm and fatigue for a few days after the injection. Woke up on 3/9/21 with reaction 2-3" large around injection site. Red area was like a hive, sore, with mild itching. Spot is still present today 3/11.

Other Meds: Drospirenone and ethinyl estradiol 1x per day Multivitamin 1x per day

Current Illness: None

ID: 1090539
Sex: F
Age: 66
State: PA

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: After 12 hours and for the first 24 hours, exhaustion, headache, soreness at vaccination site in left arm and in lymph nodes under left arm and low grade fever. On morning of 3-11-21, about 36 hours later, redness (rash?) at vaccination site, and lymph nodes under my left arm are swollen but not painful. Remaining is some residual tiredness but no headache and feel otherwise good.

Other Meds: none

Current Illness: none

ID: 1090540
Sex: M
Age: 35
State: VA

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

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

Lab Data:

Allergies: Cipro, Bioxine

Symptom List:

Symptoms: Pounding headache, nausea, chills, muscle and body aching and pain at the injection site.

Other Meds: None

Current Illness: none

ID: 1090541
Sex: F
Age: 63
State: VT

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

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

Lab Data:

Allergies: Morphine, Flagyl, Shellfish, Iodine,

Symptom List:

Symptoms: (Note; after 1st dose on February 1st had some tongue and lip tingling within 30 minutes, took Benadryl 25 mg with relief). Prior to second dose, took Benadryl 25 mg at 310pm.... at 350pm, received second dose of Pfizer vaccine.... tingling of lips and tongue within 10 minutes, took Benadryl 25 mg at 4pm...?. progression of tingling of tongue to some numbness of tongue, towards back of throat, some difficulty swallowing, throat hoarseness, chest discomfort, sporatic spot itching of eyeballs - shoulder-forehead-top of right arm. Went to Emergency room around 5pm.... given corticosteroid and Pepcid IV... with relief. Left Emergency room around 730 with minimal tingling of tongue....no other symptoms. Took Benadryl 25 mg by mouth before bed. 3/6/21- woke up with no symptoms.

Other Meds: Benadryl 25 mg by mouth taken at 3: 05 pm

Current Illness: No

ID: 1090542
Sex: F
Age: 64
State: IL

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Nickel

Symptom List:

Symptoms: Chills, fever 100.9, headache,body aches, sore arm, and fatigue on 2/27 in early AM at 4AM lasting about 24 hours On 2/28 and 2/29 left arm swelling along with sore arm Also watery eyes both of those days and headache continued. Sore arm for about 5 days

Other Meds: Lisinopril

Current Illness:

ID: 1090543
Sex: M
Age: 64
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: L eye pressure, evaluated by EMS, cleared

Other Meds:

Current Illness:

ID: 1090544
Sex: F
Age: 53
State: IA

Vax Date: 01/26/2021
Onset Date: 02/11/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 2 weeks after receiving immunization patient developed a new onset of right lower abdominal pain, diagnosed with panniculitis via CT scan. Patient questions possible correlation.

Other Meds: excedrin migraine, lexapro, flonase, levothyroxine, loratadine, multivitamin, senna, imitrex, vitamin d3

Current Illness: ear pain with ruptured TM

ID: 1090545
Sex: M
Age: 47
State: KY

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Flu-like symptoms: headache, fatigue, muscle aches, chills, and fever.

Other Meds: Losartin potassium, Super B Complex, Flo-Nase

Current Illness: None

ID: 1090546
Sex: F
Age: 67
State: VA

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

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

Lab Data:

Allergies: Penicilin, Sulfa, NSAID's, Erythromycin, Moxifloxacin, Coxycycline.

Symptom List:

Symptoms: Dose #1, 3/2/2021 @ 3:30pm, while getting shot the site bled a lot and lump formed on arm, felt warm, after 15 minutes nurse said site looked Ok and didn't feel warm, so I was released. Arm was slightly sore when raising arm or pressing on site. Day 1 after injection, 3/3/2021, bruised at injection site and sore to touch. Day 8 after injection, 3/10/2021, Site area still bruised (yellow/green) that evening, began itching around right outer edge of bruise, applied Lanacane after shower. Day 9 after injection, 3/11/2021, Overnight I didn't sleep well, when I awoke, red bruise where it first itched and below that. Bruise is larger in area and more color to it.

Other Meds: Prescriptions: Humalog 100 units m/l Tandem Insulin Pump, Arnuity Elipta 22mcg, Albuterol Sulfate HFA 90 mcg, Notrofurantoin Mono 100 mg, Clobetasol Propianate Spray 0.05%. Over The Counter: DHS Sal 3%, Systane Ultra, Systane Lubricant Eye

Current Illness: None

ID: 1090547
Sex: F
Age: 57
State: RI

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Diagnosed with Shingles 7 days after vaccine. Symptoms appeared 6 days after receiving vaccine.

Other Meds: Atrovent, Sudafed montelukest, antihistamine

Current Illness: None

ID: 1090548
Sex: M
Age: 31
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Nausea, syncope episode, evaualed by EMS-refused transport. Cleared.

Other Meds:

Current Illness:

ID: 1090549
Sex: F
Age: 61
State: CT

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Extreme chills and headache lasting 14 hours

Other Meds: None

Current Illness: None

ID: 1090550
Sex: F
Age: 44
State: PA

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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Symptoms: Hives ~ 16- 24 hours after 2nd dose

Other Meds: N/A

Current Illness:

ID: 1090551
Sex: M
Age: 67
State: KS

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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Allergies: None

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Symptoms: Fever, chills, sore achy joints, night sweats, excessive urination, insomnia. Got some temporary relief with Acetaminophen. Symptoms lasted about 14 hours.

Other Meds: None

Current Illness: None

ID: 1090552
Sex: F
Age: 58
State: GA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/11/2021
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Allergies: penicillin's class, lisinopril, Hydrochlorothiazide

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Symptoms: I experienced the following side effects on 02/27/2021: extreme fatigue aches and pains in my joints sore arm at the injection site low grade fever ( I felt warm ) sweating profusely slept a lot bowels were a bit looser than usual I stayed home from work one day.

Other Meds: losartan, metformin , atorvastatin , Wellbutrin, Prozac, , multi-vitamin, vitamin c, iron pill,

Current Illness: none that I know of

ID: 1090553
Sex: F
Age: 37
State: TX

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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Symptoms: Report body aches, fever, chills, GI upset. Treatment: Ibuprofen, Outcome: Mild improvement does not interfere with ADLs.

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Current Illness:

ID: 1090554
Sex: F
Age: 35
State: CA

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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Allergies: No

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Symptoms: Body aches, rash on arm, lethargy/fatigue, headache. This was my first shot but I previously had covid. Everything related to baby/fetus is fine. I?m due 7/23/21

Other Meds: Prenatal, Dha, baby aspirin

Current Illness: No

ID: 1090555
Sex: F
Age: 65
State: OH

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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Allergies: latex, gadolinium, ibuprofen, aspartame, aspirin, codeine, ketorolac, medrol.monosodium glutamate, motrin, nsaids,pcn, tylenol, vicodin

Symptom List:

Symptoms: 3/10/2021 - 10:01 - received first Moderna vaccine 10:20 - reports difficulty swallowing and slight throat tightness, mild dyspnea HR 63, Sa02 97% RA, 158/60 10:22 - Benadryl 50 mg liquid given x 1 10:30 - 148/60, HR 58, SaO2 95% RA, patient reports that symptoms have improved. She is tolerating swallowing water without difficulty 10:40 - 140/60, HR 61, Sa02 98% RA. Patient reports that her symptoms have resolved 10:45 - patient left the office with her husband in stable condition Educated patient to go to the nearest ED if symptoms return or worsen. Patient verbalized understanding. Patient to discuss receiving second dose of Moderna with her PCP.

Other Meds: pamelor, mvi, gabapentin, ambien cr, inderal LA, allegram synthroidm maxalt prn, aimovig, zyrtec, topomax, omega 3, vitamin c

Current Illness: sinusitis

ID: 1090556
Sex: F
Age: 64
State: NJ

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/11/2021
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Allergies: Cipro Sulfa drugs

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Symptoms: 10 x 10 sonometer flair Itchy and swelling of area Began of 3/7/21 Itchiness has subsided as of -3/11/21 Redness remains as of 3/11/21

Other Meds: Olmesartan 40mg/25mg. Rosuvastan 10 mg Fish Oil 1000 mg Choleast 600 mg Multivitamin +Omega-3 Flavonoid

Current Illness: None

ID: 1090557
Sex: M
Age: 44
State: VA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/11/2021
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Allergies: Eczema

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Symptoms: 1) Sharp pain in arm near elbow (left arm) the pain comes and goes. Pain scale 8-9 at times. It has woken me up the last two nights. Enough pain I can?t fall back asleep. 2) Tingling in index finger (left) feels like hit funny bone 3) Muscle twitching ? tricep, area underneath arm, upper chest (left side) See phone videos

Other Meds: lotemax - eye ointment 2

Current Illness: N/A

ID: 1090558
Sex: M
Age: 70
State: NC

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/11/2021
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Symptoms: Vaccine was at room temperature for > 6 hours at time of administration.

Other Meds:

Current Illness:

ID: 1090559
Sex: F
Age: 69
State: NC

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/11/2021
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Allergies: none

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Symptoms: 103+ fever, headache, joint pain, trouble breathing, Had sever case of covid 19 3/9/2020

Other Meds: none

Current Illness: none

ID: 1090560
Sex: U
Age: 20
State:

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
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Symptoms: A nurse drawing up vaccine diluted several vials with 1.6ml diluent instead of 1.8ml. 6 doses were retrieved from vial following dilution. An unknown # of individuals received more concentrated dose. No doses lost. No adverse events witnessed in vaccine recipients.

Other Meds:

Current Illness:

ID: 1090561
Sex: F
Age: 46
State:

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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Symptoms: Dizziness, syncope, evaluated by EMS-transported to nearest ER

Other Meds:

Current Illness:

ID: 1090562
Sex: F
Age: 68
State: FL

Vax Date: 02/25/2021
Onset Date: 03/05/2021
Rec V Date: 03/11/2021
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Allergies: Fish Penicillin

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Symptoms: I received the vaccination on Thursday, February 25, 2021 My arm was slightly sore, but nothing terrible. However, on Friday, March 5, my arm began to itch. Originally, I thought it was a mosquito bite. I began to suspect it was the vaccine when my arm became red and the swelling was much larger than a typical insect bite. The itching, redness, and swelling went down after a couple of days and began turning into a dry rash. However, last night, March 10, it began to itch again and the swelling and redness are even more pronounced than it was before.

Other Meds: Losartan/HCTZ Omeprazole Zinc Vitamin D Vitamin B-12

Current Illness: None

ID: 1090563
Sex: F
Age: 38
State: FL

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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Allergies: Cephlexin

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Symptoms: Itching hives welts red like a lobster almost immediately after I waited for the 30 mins and even told EMS they said it?s normal

Other Meds: Benadryl 25mg

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm