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: 1091586
Sex: F
Age: 65
State: MA

Vax Date: 02/27/2021
Onset Date: 03/06/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Around 3PM on Saturday March 6, 2021, my right deltoid area became red and swollen with an extremely itchy rash. The area was very warm to the touch. My face was also flushed, but I did not feel feverish. The severe itching continued through Sunday night, lessening on Monday morning. The swelling decreased Monday morning, however, as of today, I still experience occasional itching, the area is still red and the skin feels bumpy to the touch. Monday morning I also experienced vertigo and diarrhea. This is the first time I have had an adverse reaction to a vaccine.

Other Meds: Hydroxychloroquine 200 mg/day for lupus, aspirin 81mg/day, vitamin C 1000mg/day, vitamin D3 50mcg/day; yeast free selenium 200mcg/day, zinc 50 mg/day, turmeric 450 mg/day; otc nutritional support for thyroid.

Current Illness:

ID: 1091587
Sex: F
Age: 67
State: NC

Vax Date: 03/11/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: patient had red splotches on right arm distal to injection site

Other Meds:

Current Illness:

ID: 1091588
Sex: F
Age: 80
State: NV

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 03/11/2021
Hospital: Y

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

Lab Data:

Allergies: rituximab (From RITUXAN) (Severe, RASH ITCHING ) erythromycin base (Severe, DIARRHEA) hydromorphone HCl (From DILAUDID) (Severe, VOMIT ) meperidine HCl (From DEMEROL) (Severe, VOMIT )

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

Symptoms: Developed diplopia 3 hours post vaccine

Other Meds: ZOLPIDEM (AMBIEN) 5 MG TABLET 5 MILLIGRAM ORAL AT BEDTIME AS NEEDED Venlafaxine HCl (EFFEXOR) 37.5 MG TAB 37.5 MILLIGRAM ORAL D CHOLECALCIFEROL (VITAMIN D3) (Vitamin D3) 2,000 UNIT TABLET DAILY

Current Illness: None

ID: 1091589
Sex: F
Age: 36
State: CA

Vax Date: 03/04/2021
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: Dizziness, Fatigue, Mobility decreased

Symptoms: Hard swelling at injection site. Mild itch.

Other Meds: Herbs taken occasionally include: kava, echinacea, goldenseal

Current Illness: None.

ID: 1091590
Sex: F
Age: 18
State:

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

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, Injection site warmth

Symptoms: 18 year old female came to hospital for chest tightness, choking sensation in the throat as well as skin rash after receiving COVID-19 vaccine. Initially patient presented to emergency room but subsequently discharged on steroid and Benadryl. Patient had continued episode of choking as well as chest tightness and skin rash for that patient came back to emergency room. Patient had received total 5 doses of epi pen because of that. Patient was admitted to medical floor initially. Patient was given steroid, Benadryl and famotidine. Patient had 2 episodes on medical floor where she started feeling choking and chest tightness. Patient remained stable hemodynamically except for tachycardia. Patient was transferred to intensive care unit for close monitoring. D-dimer was negative, urine tox screen was negative, COVID-19 PCR was negative, EKG showed sinus tachycardia. CT scan of neck was negative. We had discussed that patient has remained stable hemodynamically in the intensive care unit and discharge planning was discussed and patient was getting ready to be discharged when she had another episode where after drinking soda patient started having that choking sensation, patient remained stable hemodynamically during this episode as well. Her symptoms had improved. She looked visibly anxious. Patient was monitored in the ICU for few more hours and patient remained stable. I checked back on her and she was able to eat her lunch. She probably had a allergic reaction to more than a vaccine but subsequent episodes are thought to be secondary to anxiety attack given situation.

Other Meds: Oral Contraceptive

Current Illness: None

ID: 1091591
Sex: F
Age: 64
State: GA

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: Injectable steroids, contrast dye

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

Symptoms: Woke up with moderate pain in coccyx lower back area. Applied heat, essential oil applied. Pain is intermittent still, today took Tylenol.

Other Meds: None 3/9/21 and 3/10/21

Current Illness: Acid reflux, discomfort top of pubic area near lower abdomen

ID: 1091592
Sex: F
Age: 64
State: CA

Vax Date: 02/19/2021
Onset Date: 02/23/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Within 7 days of the injection, my left breast begin to swell and feel uncomfortable. Days after this, left breast nipple inverted. This problem is only escalating in my opinion. Sporadic pain in breast - sharp deep pain. Within 10 days of the injection, large rash appeared at injection site, approx size of a softball. An additional rash also appeared below and to right (towards inner arm) of the injection site; it started small and proceeded to spread to approx several inches. Sporadic pain in upper arm continues. I reported all of this to my physician. I was told to take Tylenol and Bendadryl. I pushed for an appt to check on my breast, and that appt is scheduled for 3/12/21 with a PA.

Other Meds: Nexletol 180mg, Vitamin D 5000mg, Famotidine 20mg

Current Illness: none

ID: 1091593
Sex: F
Age: 66
State: VA

Vax Date: 03/02/2021
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: Amoxicillin, PCN, Ceclor

Symptom List: Pharyngeal swelling

Symptoms: About 3 hours after vaccine administration I experienced severe numbness and tingling in entire Right arm and hand, pain at very top of right arm. Fatigue started the next day (3/3/2021), worsened each day through day 6. Numbness and tingling also lasted 6 days.

Other Meds: Carvedilol, Losartan, carBAMazepine, clonazepam, Duloxetine, Vitamin B12 (subcutaneously), promethazine, Baclofen, Benzonatate, generic Fiorcet (prn- as needed)

Current Illness:

ID: 1091594
Sex: F
Age: 65
State: IN

Vax Date: 03/01/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Body aches, sore arm near injection site, tiredness, fever of 100.4 and chills Most symptoms started the day following injection, and the fever and chills started the next evening and ended by the next morning.

Other Meds: Lantus, humalog, metformin, crestor, synthroid, levothyroxine, metoprolol, lisinopril, venlafaxine, fish oil, Vitamin c and d, CoQ10

Current Illness: None

ID: 1091595
Sex: F
Age: 67
State: VA

Vax Date: 03/01/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Patient presented after doctors visit where she discovered red, swelled rash on right arm from COVID vaccine she recieved on 3/1/21. Will advise patient to premedicate with bendryl before second vaccine appointment

Other Meds:

Current Illness:

ID: 1091596
Sex: M
Age: 49
State: MD

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: None

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

Symptoms: Low Grade Fever (100-101 degrees) for 24 hours. Fatigue for 24 Hours.

Other Meds: Lexapro 20 mg

Current Illness: None

ID: 1091597
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: No treatment. Just waited for it to subside. Metallic taste in mouth. Lasted that day only. Normal amount of pain in arm at injection site on the evening of injection. Next day also moved into top of shoulder. Still sore on 3/11/21 but much better.

Other Meds:

Current Illness:

ID: 1091598
Sex: F
Age: 27
State: NM

Vax Date: 03/04/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: First, I had moderate pain in my right arm and near the injection site. After the first dose, my right arm and hand became numb with loss of feeling or touch. This lasted for most of the evening, about 12 hours after vaccination. The injection site and the muscle were in a lot of pain, which climbed up into my neck muscle. I did not have any fever or chills. For the past several days, I have become fatigued very easily. Lastly, my lower abdominal area has become sore with discomfort. I have never experienced this before, and I am not currently menstruating either. Tylenol makes it better, and resting on my back and excess movement makes it worse.

Other Meds: ibuprofen 200 mg PRN pain Tylenol 325 mg PRN pain hydroxyzine pamoate 25 mg PRN anxiety cetirizine 10 mg daily

Current Illness: seasonal allergies

ID: 1091599
Sex: F
Age: 30
State: MN

Vax Date: 02/05/2021
Onset Date: 02/20/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: Household exposure to COVID (2 family members tested positive on 2/17.) She had her second dose of the Moderna vaccine on 2/5/21. She started having COVID symptoms on 2/20/21 and tested positive on 2/23/21. She is a healthcare worker (works as professional interpreter in a primary health care clinic and dental office)

Other Meds: Acetaminophen

Current Illness: no

ID: 1091600
Sex: F
Age: 40
State: TX

Vax Date: 03/11/2021
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: Penicillin, Strawberries, Avocados, Jalapenos, Lavender, Cedar, Grass, Eucalyptus, adhesives

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

Symptoms: My tongue started feeling itchy, I have a metal taste in my mouth. It has been this way since about an hour after I got the shot. Itchy has turned into like a tingling but also the feeling it you "burn" your tongue. It is not uncomfortable but a symptom that was not listed on the affects

Other Meds: none

Current Illness: none

ID: 1091601
Sex: F
Age: 61
State: IN

Vax Date: 03/03/2021
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: Pennicilian

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

Symptoms: On the 10th of March, I remember the spot where the vaccine was administered was itchy. This was not a prolonged itch. On the 11th, I noticed a 1 and a half inch by 2 inch jagged red oval at the injection site. The area is warm to the touch and it appears to slightly swollen. My only reaction at the time of the shot was just soreness that lasted a day.

Other Meds: Centrumsilver for women multivitamin

Current Illness: None

ID: 1091602
Sex: F
Age: 65
State: IL

Vax Date: 03/11/2021
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: unknown

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

Symptoms: Patient had history of anxiety with previous vaccines, started to become anxious when she though she lost her vaccine card. Patient experience the shakes, increased blood pressure 179/131 with pulse 111 pm, shortened breathing. We called 911, took her blood pressure, took her mask off to view face, offered water and ice pack before EMS arrived. Epinephrine not administered.

Other Meds: unknown

Current Illness: unknown

ID: 1091603
Sex: F
Age: 47
State: WA

Vax Date: 03/11/2021
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:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Person received 1st dose on 2/20/2021 and 2nd dose received on 3/11/2021. Dose received earlier than recommended.

Other Meds:

Current Illness:

ID: 1091604
Sex: F
Age: 73
State: MN

Vax Date: 02/26/2021
Onset Date: 02/28/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: eggs

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Having extreme issues with arthritis in hands and joints.

Other Meds: Omeprazole 25 mg, Lisinopril 20 mg

Current Illness: none

ID: 1091606
Sex: F
Age: 32
State: WI

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:

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

Symptoms: Headache, soreness at injection site, minor body aches, chills, acetaminophen 500mg taken with improvement, symptoms subsided after 24 hours from onset.

Other Meds:

Current Illness:

ID: 1091607
Sex: M
Age: 25
State: CA

Vax Date: 03/11/2021
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: NKA

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Shortness of breath x 10 min, pt discloses having anxiety in certain public places and have these type of 'attacks", V/S normal. Observed for another 15 min, pt recovered and was released by doctor on duty.

Other Meds: none

Current Illness: none

ID: 1091608
Sex: F
Age: 72
State: MD

Vax Date: 02/26/2021
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: Cephalosporins Crestor Clindamycin

Symptom List: Unevaluable event

Symptoms: Pt received vaccine thru local health department on 02/26/2021. Pt developed the itching a few days after the injection and then the day after she developed swelling to right arm, warmth to right arm as well as redness which extends to her elbow. Pt continues with itching.

Other Meds: Biotin 1,000 mcg TID Celexa 40 mg daily Klonopin 1 mg take 1.5 mg in the am and 1.5 mg in the pm Estrace place 2 grams vaginally twice a week Zetia 10 mg one daily Tricor 145 mg take one daily Fish Oil 1 gram 2 capsuels daily Xarelto 20 mg

Current Illness: None

ID: 1091609
Sex: M
Age: 71
State: IN

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: n/a

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

Symptoms: Severe nausea, stomach cramps. on and off for 5 hours. Blacked out while walking to bathroom. fell and struck chin on table and chipped a tooth. Wife called EMTs. they hooked me to an IV and took me to the emergency room at Hospital. Was discharged a few hours later. Nausea and cramps did not return. Felt of 48 hours later

Other Meds: statin

Current Illness: n/a

ID: 1091610
Sex: F
Age: 56
State: NC

Vax Date: 03/03/2021
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: Childhood reaction to sulfa-based drugs

Symptom List: Injection site pain, Pain

Symptoms: Delayed reaction (1 week) - Lump, Warm & Itchy at site of vaccination on upper right arm. I have taken an antihistamine (1 Benadryl) and am awaiting further guidance from medical provider.

Other Meds: Benicar, Crestor, 81m Aspirin, Flonase & Multi-Vitamin (Hydrocodone for Frozen Shoulder PT but NOT taken on day of vaccine)

Current Illness: N/A

ID: 1091611
Sex: F
Age: 72
State: NY

Vax Date: 02/14/2021
Onset Date: 02/22/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Injection site pain, Menorrhagia

Symptoms: Rash red and itchy and hot 10 days after injection

Other Meds: Toprol, lisinpril, chlorthalidone, xarelto, baby, aspirin, letrozole,ezetimibe, , dail vitamin, calcium, vitamin c, magnesium, vascepa,

Current Illness:

ID: 1091612
Sex: F
Age: 76
State: IN

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

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

Lab Data:

Allergies:

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

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1091613
Sex: F
Age: 72
State: TN

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: n/a

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: given in hip

Other Meds: n/a

Current Illness: n/a

ID: 1091614
Sex: F
Age: 38
State: OK

Vax Date: 02/05/2021
Onset Date: 02/21/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds: Claritin, Tylenol, vitamin D, zinc

Current Illness: none

ID: 1091615
Sex: F
Age: 36
State: LA

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: Erythromycin

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

Symptoms: Covid Arm - redness and swelling at injection site

Other Meds:

Current Illness:

ID: 1091616
Sex: F
Age: 48
State: CA

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.

Symptom List: Nausea

Symptoms: 4:39 pm - Client complained "heaviness in neck region". There was no rash or tingling sensation. Client was alert and oriented and left at 4:53 pm.

Other Meds: Unknown.

Current Illness: No.

ID: 1091617
Sex: F
Age: 35
State: NC

Vax Date: 03/03/2021
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: Injection site pain

Symptoms: patient reported throat feeling swollen . Benadryl given.

Other Meds:

Current Illness:

ID: 1091618
Sex: F
Age: 22
State: KY

Vax Date: 03/04/2021
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: tree nuts (not peanuts)

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

Symptoms: One week after receiving the first dose of Moderna, I woke up with a very sore left arm. As the day has gone on, my arm has become swollen around the injection site, has become more sore, and it hot to the touch. There is no rash. The soreness/pain radiates down my arm and up my shoulder.

Other Meds: NuvaRing, Buspirone, Escitalopram

Current Illness: none

ID: 1091619
Sex: F
Age: 28
State: TX

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: Dairy,

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

Symptoms: Pain at injection site, headache, fever, fatigue, extreme pain all over body , skin is painful to the touch, nauseous, dizzy and difficulty walking, extreme perspiration while sleeping

Other Meds: Zyrtec, aviane, olly sleep gummies, trazodone, fluoxetine

Current Illness:

ID: 1091620
Sex: F
Age: 68
State: AR

Vax Date: 02/01/2021
Onset Date: 03/11/2021
Rec V Date: 03/11/2021
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Allergies: Lincosamides, and smoked foods (angioedema and anaphylactoid reactions)

Symptom List: Tremor

Symptoms: Red, hot swollen where injection given. Only noticed it starting today - 13 days after received.

Other Meds: Plavix, Aspirin, Bystolic, Pantoprazole, Famotidine, Alprazolam, Allegra, Flonase

Current Illness: Seasonal allergies

ID: 1091621
Sex: F
Age: 47
State: NY

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

Symptom List: Erythema, Pruritus

Symptoms: Dizziness , light headed, numbness and tingling sensation face and extremities Had difficulty standing Airway was clear. No difficulty breathing No rash Placed in supine position Given oral juice and bottle of water Vital signs were stable in supine position After > 30 min individual felt steady and was allowed to leave the facility

Other Meds: None

Current Illness: None

ID: 1091622
Sex: F
Age: 9
State: VA

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

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

Symptoms: Patient received Varicella vaccine in office. Nurse was then obtaining cholesterol via fingerstick (with patient watching) when patient became unresponsive and became very rigid and grayish in color. Patient was noted to make a squeaking noise at the time she became unresponsive. Patient did not lose bowel or bladder function. Patient was alert and responsive within a few minutes.

Other Meds: None

Current Illness: No

ID: 1091623
Sex: M
Age: 60
State: KY

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

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

Symptoms: bruising on armpits on both sides

Other Meds: nitroglycerin

Current Illness: na

ID: 1091624
Sex: F
Age: 66
State: OH

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/11/2021
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Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Systemic: Allergic: Difficulty Breathing-Severe, Additional Details: patient states that exactly 5 hours after receiving vaccine she went into respiratory distress, she had an albuterol treatment at home which she used and it relieved her distress..then stated that it happened again 5 days later..she says she sometimes has some breathing problems in the fall but never to the degree that it happened after the vaccine...lots of wheezing and gasping for air, no other adverse effects

Other Meds:

Current Illness:

ID: 1091625
Sex: M
Age: 31
State: IL

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

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

Symptoms: The Moderna COVID-19 vaccine was administered to the patient at 11:15 am on 03/11/2021. At approximately 12:50 pm on 03/11/2021, the patient reported "tingly fingertips" and a "taste of Llisterine" in his throat. No other symptoms reported.

Other Meds:

Current Illness:

ID: 1091626
Sex: F
Age: 52
State: WA

Vax Date: 03/03/2021
Onset Date: 03/11/2021
Rec V Date: 03/11/2021
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Allergies: Penicillin

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

Symptoms: Raised rash at injection site appeared on day 8 after vaccine

Other Meds: Levothyroxine Chlorthalidone

Current Illness:

ID: 1091627
Sex: F
Age: 72
State: CA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 03/11/2021
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Allergies: n/a

Symptom List: Pain in extremity

Symptoms: Left ear hurt 11 pm 1-25-21; Violent pain/claws ripping flesh off half of face/head 2 am 1/26/21; non-amblitory, could not support weight, major balance issues. Televisit 1/26/21=earache. Blacked out cold 5 min, non responsice 30 min 2 am 1/26/21; woke with Bell's Palsey; Ddumb televisit 1/28/21=BP. Urgent Care visit-EKG (normal), bloodwork, urine lab work. 2/1/21 Saw NEURO = MRI brain w/contrast to rule out cancer (2/4/21; Two weeks of solid hallucinations 24/7. Horrendous balance issues-almost non-amblitory from onset 1/26/21 to present. Lost 9 pounds in 2 weeks.(I was 104 now 95 pounds). I was walking 5 mi a day, walked 1/24/21, healthy. Devastating pain to left side of head/face, esp ear. PAIN

Other Meds: n/a

Current Illness: none

ID: 1091628
Sex: F
Age: 41
State: NY

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/11/2021
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Allergies: PCN, SULFA, SEASONAL ALLERGIES, IODINE, COVID VACCINE

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

Symptoms: ITCHING ALL OVER, SCRATCHY THROAT, ANAPHYLAXIS PT PREMEDICATED WITH BENADRYL 50MG PO AT HOME PRIOR TO COMMING FOR SECOND VACCINATION AT 1125 12:57 PT STATES S/S OF ANAPHYLACTIC REACTION, SCRATCHY THROAT, TONGUE SWELLING, HIVES, ITCHING VS TAKEN: HR 120,RR 20,BP 150/78, SPO2 100% RA 1258: EPI PEN GIVEN X 1 IM TO LEFT VASTUS LATERALIS, PT TOLERATED WELL. 1259: SQUAD AND ER NOTIFIED FOR NEED OF TRANSPORT TO CPH. 1301:DEXAMETHASONE10 MG IM IN RT LETOID GIVEN X 1, PT TOLERATED WELL. 1305: 20 GUAGE SL PLACED TO RT WRIST. PT TOLERATED WELL. 1315: REPEAT VS TAKEN AND STABLE HR 95, RR 20, BP 140/74, SPO2 100% RA. 1315 RESCUE ARRIVED AND TRANSFERED TO CPH

Other Meds: LEVOTHYROXINE DAILY VITAMINS ESTROGEN

Current Illness: NONE

ID: 1091629
Sex: M
Age:
State: NC

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

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

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

Other Meds:

Current Illness:

ID: 1091630
Sex: F
Age: 18
State: AZ

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
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Allergies: N/A

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

Symptoms: Extreme soreness (couldn't move my arm fully), as well as fatigue and muscle pain, nausea, and headaches. I couldn't move half of the day and was in so much pain I could not leave my room. My joints felt like they were burning and I couldn't stay in one position too long (more than 15-30 minutes) or I would get back pain. I couldn't sleep due to the pain

Other Meds: Drospirenone and Ethinyl Estradiol Tablets

Current Illness: N/A

ID: 1091631
Sex: F
Age: 69
State: CA

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 03/11/2021
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Allergies: Codeine, Flumadine, Scopolamine, Sodium Pentathal

Symptom List: Vomiting

Symptoms: the day after the vaccine I slept all day. Next day felt 100% better. On the 3rd day I began feeling exhaustion and weakness as though I had been very sick and my body was having difficulty recovering. 20 years ago I had an autoimmune issue (Chronic Fatigue Syndrome) and asthma that took me about 10 years to get under control. I started getting shortness of breathe and I was concerned I may have gotten COVID, but I since took a test and do not and have never tested positive (about 5 tests). I had 2 days of Renaud's incidence when one segment of my right forefinger completely drained of blood, and turned white. (Same finger both days). It took me 10 minutes of massage and windmills with my arm to bring color back to the finger. The shortness of breathe continues weeks later and it appears my asthma has returned. Went to the doctor last week and we are starting with and inhaler to see if that takes care of it. I have had to use it every day since I got prescription 3/6 - all day the first day, lesser since. Still shortness of breathe and feeling compromised. My sister has worse autoimmune problems and MSRA. After her Moderna vaccine last week she was confined to bed the whole week with her 1st vaccination. She had not been exposed to COVID that she is aware of. Neither of us ever smoked. Could be our lungs were already compromised with both parents heavy smokers and growing up where all the smog from the 1960's would linger. Our breathing would ache from exertion. A brother, once a heavy smoker, has had emphysema, and serious heart damage from a heart attack, and suffers from a lack of O2. He has not had a shot yet and we are concerned about his response.

Other Meds: No prescriptions. Tylenol, Aspercreme, Hempvana gel for pain, Loratadine; Vitamin: Super B Complex, C, Calcium, D3; Acidophilus, Coenzyme Q10, Magnesium, Potassium. Melatonin, Gluconate, Multivitamin

Current Illness: Arthritis

ID: 1091632
Sex: F
Age: 62
State: FL

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/11/2021
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Allergies: Avocado Latex Clindamycin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Lips began tingling (similar to when administered novocaine at the dentist) and tightness along jawline to left ear after I left the site, approximately 40 minutes after injection. After about 1 1/2 hour the sensation lessened.

Other Meds: Metformin. Trulicity. Resouvostatin. Vitamin D, Vitamin B 12, Levothyroxin

Current Illness:

ID: 1091633
Sex: F
Age: 57
State: NC

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/11/2021
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Allergies: PCN, Corticosteriods, doxycycline, Cymbalta, Prozac, Gabapentin

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

Symptoms: Hives, SOB, itching

Other Meds: Ultram, Zofran, FeSO4, Glucophage XL, Glucotrol, Levemir, Lasix, Eliquis, Volteren, Flexeril, Vit D3, Allopurinol

Current Illness:

ID: 1091634
Sex: F
Age: 19
State: MD

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/11/2021
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Allergies: none listed

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient may have inadvertently been given 1cc of Moderna CVID vaccine instead of 0.5cc. Patient was notified. State was notified

Other Meds: none listed

Current Illness: none at time of vaccination

ID: 1091635
Sex: F
Age: 47
State: AZ

Vax Date: 03/09/2021
Onset Date: 03/11/2021
Rec V Date: 03/11/2021
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Allergies: sulfa, penicillin

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

Symptoms: headache, muscle aches and pains, night sweats, fever, arm very sore at site of injection 3 days later

Other Meds: none

Current Illness: none

ID: 1091636
Sex: F
Age: 75
State: NC

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

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Allergies:

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

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

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am