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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1092815
Sex: F
Age: 69
State: LA

Vax Date: 02/24/2021
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: Latex sensitivity

Symptom List:

Symptoms: Painful lymph nodes under arm and in breast

Other Meds: Areds II eye vitamins, 600 mg calcium + vitamin D, 1000 mg vitamin C, melatonin

Current Illness: None

ID: 1092816
Sex: F
Age: 50
State: CO

Vax Date: 03/06/2021
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: Sulfa

Symptom List:

Symptoms: I have had major swelling above my collarbone between my shoulder and neck on the left side, the same side as I received my shot. It is tender to the touch. After four days, I can feel harder masses inside.

Other Meds: Levothyroxine 88 mcg Elderberry Zinc Vitamin D

Current Illness: N/A

ID: 1092817
Sex: F
Age: 30
State: WA

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: No allergies

Symptom List:

Symptoms: none for the first day. Day of shot was fine. 2nd day about 2:30 -3 pm symptoms started while at work. My skin all over hurt for anything to touch it, even my clothes hurt my skin and no visible rash anywhere, had the RN check. 3rd same thing as 2nd day, arm swelling and red around injection site. Minor rash started around 12pm on 3rd day, periods of shortness of breath. I am so far only 3 days in, the skin sensitivity all over is the worse I had to leave work. All reported to my nurse supervisor at work.

Other Meds: 0.25 mg mono Linyah (birth control) Not using for birth control as I had a hysterectomy.

Current Illness:

ID: 1092818
Sex: M
Age: 42
State: PA

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: B/A

Symptom List:

Symptoms: PIP at injection site- 48 hours Fever- 102.6- 36 hours Chills- 24 hours Muscle and joint aches- 48 hours Severe Headaches- 48 hours

Other Meds: Fish oil Vitamin D3 Zinc Multi-Vitamin

Current Illness: N/A

ID: 1092819
Sex: M
Age: 41
State: TX

Vax Date: 03/06/2021
Onset Date: 03/07/2021
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:

Symptoms: I started with the expected symptoms (chills, body aches, low grade fever) on the same day (03/06/21) about 12 hours after the injection. On March 7th at about 10:00 am, I developed a pruritic papular rash to my right arm. The rash was from my right wrist to my antecubital area. The next 1-2 days I developed another pruritic papular rash to the left side of my neck and my left ear. I developed another rash to my both my eyelids and to the skin area around my eyebrows. As of today 03/11/21, I continue to have the rashes. Today I also developed pruritis and a red macular rash to my left palm and continue to have continued pruritis to both arms, my scalp and both eyes.

Other Meds: benazepril 20 mg PO Daily, amlodipine 10 mg PO Daily, citalopram 20 mg PO Daily, esomeprazole 20 mg PO Daily

Current Illness: None

ID: 1092820
Sex: F
Age: 63
State: NY

Vax Date: 03/01/2021
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: Unknown

Symptom List:

Symptoms: BELLS PALSY

Other Meds: Hydrochlolorot Diltiazem Lexapro Clonapin Adderall

Current Illness: Felt ill, lethargic, lost sense of taste and smell. Tested negative

ID: 1092821
Sex: F
Age: 53
State: NM

Vax Date: 03/06/2021
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: N/A

Symptom List:

Symptoms: Fever, chills, and aches

Other Meds: Zrytec, Levothyroxin, Vit B6, Docusate Sodium, Qvar Inhaler

Current Illness: Ovarian Cancer

ID: 1092822
Sex: F
Age: 74
State: DE

Vax Date: 02/24/2021
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: About 4 hours after the vaccine I was so tired i went to bed. After midnight i had fever which over the next two days rose to 101.4. My usual temperature is 97.7. I had severe neck ache and head ache extreme fatigue, and was bed ridden for 4 days. My fever started to decrease on the third day. I had roving pains which lasted 3-4 hours in each place: first the right back above the waist where the kidneys are, then just below my right breast, then the left side of the top of my head. Throughout I had to have a wet cloth on my head. About a week later I had a relapse.... my temperature rose to 98 and I had the same headache place and neck ache at the bottom back of my head along with extreme fatigue and brain fog. It lasted at least two days. Of course as expected my arm was sore, but very swollen like a goose egg, red, and impossible to move. I still feel the same fatigue, and have to go to be very early but have insomnia and extreme anxiety.

Other Meds:

Current Illness:

ID: 1092823
Sex: F
Age: 66
State: MO

Vax Date: 02/01/2021
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: Call me

Symptom List:

Symptoms: Woke up. Low grade fever. Slight headache. Joint pain and trouble walking.

Other Meds: Call me

Current Illness: Nothing

ID: 1092824
Sex: F
Age: 74
State: CA

Vax Date: 03/05/2021
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: NKDA

Symptom List:

Symptoms: 1 day after 2nd dose noted headaches, eye pain, photosensitivity, chills, low appetite which have persisted to 6 days post-vaccine.

Other Meds: afterwards taking Tylenol, naproxen

Current Illness: new dx hypothyroidism

ID: 1092825
Sex: F
Age: 65
State: FL

Vax Date: 03/08/2021
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: Big red area below the section where the vaccine was placed.

Other Meds: None

Current Illness: None

ID: 1092826
Sex: F
Age: 22
State: MA

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: Seasonal allergies Animal allergies

Symptom List:

Symptoms: Arm felt heavy and sore 1:30pm took Tylenol. Feel very tired. 6pm Shortness of breath. Needed more air. Used an inhaler & it helped. Exhausted 8pm

Other Meds:

Current Illness:

ID: 1092827
Sex: F
Age: 65
State: WA

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: None

Symptom List:

Symptoms: Swelling and itching in arm on day 8 (Covid arm)

Other Meds: None

Current Illness: None

ID: 1092828
Sex: F
Age: 80
State: WA

Vax Date: 02/26/2021
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: I developed a rash 10 days after receiving the 2nd dos of the Covid Moderna Vaccine. There a red spots, blisters, and it itches. The rash is primarily on the arms and on the neck and upper back. It started at night, it got a little better during the day , then came back the next night. I still have it. The doctor recommended an antihistamine Hydroxyzine HCL, which I took today.

Other Meds: Omeprazole Levothyrocine

Current Illness: Sinusitis

ID: 1092829
Sex: F
Age: 60
State: NC

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: Mild mucous like bowel movements (2)

Other Meds: Levothyroxin Naproxen 50+ Multi vitamin Caltrate 800/600

Current Illness:

ID: 1092830
Sex: M
Age: 54
State: PA

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: No known drug allergies

Symptom List:

Symptoms: Patient was nervous prior to the vaccination. Once he received the vaccine he asked to use the bathroom and while he was in there he felt nauseous and came out of the bathroom. He then felt extremely light headed and nauseous that he almost collapsed to the floor. The pharmacist and myself (an immunizing pharmacy intern) rushed to check on him. He reported a little difficulty breathing but was still conscious. We proceeded to call 911 and gave one dose of 0.3 mg Epi-pen. After about 5 minutes he felt much better and was able to sit up. He reported that he never lost complete consciousness but was extremely nauseous and lightheaded. Patient handed over to EMS.

Other Meds: Unknown

Current Illness: Unknown

ID: 1092831
Sex: F
Age: 20
State: TN

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: Penicillin and Amoxicillin

Symptom List:

Symptoms: Redness, swelling, pain in injection site

Other Meds: Mirena IUD

Current Illness:

ID: 1092832
Sex: M
Age: 25
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: NKDA

Symptom List:

Symptoms: Fever of 101 F and severe body chills throughout the night. Malaise and headache throughout the whole day after vaccination. Have taken Tylenol 500 mg PO q6h for treatment of fever. At this point, fever and chill have seized, but malaise and headache persist.

Other Meds: N/A

Current Illness: N/A

ID: 1092833
Sex: F
Age: 25
State: AZ

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: N/A

Symptom List:

Symptoms: A welt at day 8 post dose 1 that is raised and red about the circumference of a baseball that is slightly itchy.

Other Meds: Nasacort and Zyrtec

Current Illness: NA

ID: 1092834
Sex: M
Age: 46
State: MD

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: Atorvastatin, Contrast dye

Symptom List:

Symptoms: Fever, headache, chills, pain at injection site, body aches, and fatigue

Other Meds: Lisinopril, Rosuvastatin, Aspirin, Metformin, Isosorbide, Vitamin C , Vitamin D, Pantoprazole, Metoprolol, Multi-Vitamin

Current Illness:

ID: 1092835
Sex: F
Age: 59
State: TX

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: Morphine

Symptom List:

Symptoms: Within five minutes of getting the vaccine I felt the front of my neck/throat had something like pressure/pressing/swelling. I kept swallowing and it didn't feel like my throat, more like between the outside of my throat/esophagus and skin...in the position where a man's Adam's apple would be, or possibly where my thyroid is. I got flushed, but I could breath ok. I felt odd, but I think I may have been panicking, I don't know. I drove home and saw that my face, neck, chest, even my thighs, were slightly flushed. I took my temperature throughout the evening. I am normally a low temperature of 97.6. It went up to 99.9. The second day my temperature was in the low 98s. However, by second day the roof of my mouth where it meets the throat felt odd, like if you burned it by eating something hot. Third day, today, I woke up and my temperature was only 95.2. I kept taking it, and then used my daughter's thermometer as well. It stayed low for several hours. I also had several bouts of diarreah this morning. Temperature came up into the 98s again. None of this is life threatening, but I still feel the weirdness in the front of my neck. I've never heard of that side effect so it upset me and scared me. I can handle the fever also, but the low temperature also scared me.

Other Meds: Collagen, Goli Apple Cider VInegar Gummies, Seed Probiotics, GEM Cacao nutrient dense Bites, Earth Echo Cacao Bliss Superfood Elixer Blend, Matcha Tea

Current Illness: None

ID: 1092836
Sex: F
Age: 33
State: TX

Vax Date: 03/05/2021
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: n/a

Symptom List:

Symptoms: My cycle, which is consistent between 26-28 days, is now running into day 36. I have had PMS symptoms which are usually highly specific to me starting my period the next day on three separate occasions, with no cycle start. Two pregnancy tests are negative. I have also had period-like cramping. I wanted to pass along the information that I have not had any stress, change in diet, change in work schedule, sexual activities, or other change in routine or status.

Other Meds: n/a

Current Illness: n/a

ID: 1092837
Sex: F
Age: 29
State: IN

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: Penicillin, z-pack

Symptom List:

Symptoms: Janssen COVID-19 Vaccine EUA Fever, body aches, headache, exhaustion

Other Meds: Sertraline 150 mg, tri lo marzia (birth control)

Current Illness: None

ID: 1092838
Sex: F
Age: 43
State: CA

Vax Date: 02/28/2021
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: None

Symptom List:

Symptoms: Hours after the vaccine, right arm is very sore, tired, heavy and weak. Soreness or pain of the arm is very bothersome. The next day when I woke up, there?s a stabbing pain or headache on the right side of my head. The headache comes and goes all throughout the day. Until to this day, I still have the stabbing pain and headache that I experience all throughout the day, just a little less frequent but the intensity of the pain didn?t diminish at all.

Other Meds: None

Current Illness: None

ID: 1092839
Sex: F
Age: 51
State: FL

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: none

Symptom List:

Symptoms: The patient received the IMZ and was waiting in the post vaccination area and noticed that her hands had turned blue. The patient said she had no symptoms and no complaints of any fever, tingling, or chills. As a precaution, the patient received a dose of diphenhydramine to counter the potential reaction. After advising the patient to seek medical attention, the patient mentions she spray lavender on her hands and that could have been it. Janssen was contacted and notified. They stated that that symptom was not a symptom found in their drug trials but that they would note it and to advise the patient to seek medical care, which was my recommendation as well.

Other Meds: none

Current Illness: none

ID: 1092840
Sex: F
Age: 51
State: UT

Vax Date: 03/03/2021
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: None

Symptom List:

Symptoms: Covid Arm.. Hard red lump at injection site...red large ring... Very itchy

Other Meds: Trujeo, Humalog. Cymbalta. Prestiq. Trulicity. Losartan. Yosemite. Ambien

Current Illness: None

ID: 1092841
Sex: M
Age: 49
State: CA

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:

Symptom List:

Symptoms: Bell's palsy(Left face)

Other Meds:

Current Illness:

ID: 1092842
Sex: F
Age: 50
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: Bactrim

Symptom List:

Symptoms: 1309 injection by rn. 1335 timer went off for patient to leave. pt states her throat is a little tightand she is having trouble breathing. 96% on room air. 160/118. HR 112. EMS called 1339 84% on room air HR 125. Pt raspy voice and difficult to breathe. Epi 0.3 mg sub q given in left back of arm by rn, bsn. Benadryl 25 mg po given. 1341 HR 113 85% on RA. Pt still symptomatic. 1343 HR 94, 87% on RA. Pt remains symptomatic. 1345 HR 86, 87% on RA. Pt states it is hard to breathe and swallow. 1348 HR 157, 83% on RA. BP 150/90. Pt states her chin is numb and her tounge feels weird and her face is itching. Epi 0.3 mg sub q given in right back of arm by RN. 1349 EMS at clinic. Report given by RN, BSN.

Other Meds: unk

Current Illness: History of Covid- not within last 14 days

ID: 1092843
Sex: F
Age: 33
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:

Symptoms: Vasovagal response. After receiving the Janssen COVID 19 vaccine, Patient reported she sat down in her chair. She began to feel dizzy, her palms became sweaty, and diaphoretic. She began to lie herself down on the gym floor but lost consciousness before completely lying down on the floor. LOC for for several seconds after which she began to respond to observation nurse. Fall was unwitnessed so EMS was called to evaluate the patient. She was medically cleared by EMS.

Other Meds: Vyvanse

Current Illness: Asthma

ID: 1092844
Sex: F
Age: 38
State: IL

Vax Date: 02/11/2021
Onset Date: 02/19/2021
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: On the evening of Friday, February 19th, I noticed a slight burning sensation in my upper right arm, and it began itching sporadically. On the morning of Saturday, February 20th, I noticed the injection area on my right arm was red and appeared raised/puffy-kind of welt like. It alternated between the same burn/tingle and itching sensation for the duration of the day, and only slightly itched on Sunday, February 21st, 2021. I did not treat the symptoms in any way and they went away on their own.

Other Meds: Sertraline 200mg/daily

Current Illness: None

ID: 1092845
Sex: F
Age: 38
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: Fentanyl, stadol, levaquin, topamax

Symptom List:

Symptoms: I began feeling muscle aches within a few hours. As the day progressed I became severely tired. My throat started hurting. I felt several large lymph nodes swollen in my neck. I looked in my mouth and found several very red raw spots on the roof of my mouth and throat. I went to urgent care and was tested fir strep. It was negative. I was told it was a reaction to the vaccine.

Other Meds: None

Current Illness:

ID: 1092846
Sex: F
Age: 56
State: OR

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: Penicillin, Sulfa

Symptom List:

Symptoms: 03/04/2021- Difficulty breathing and chest tightness, off and on throughout day. 03/05/2021- Face swelling on the left side and also swollen lymph nodes, symptoms still continue 03/11/2021.

Other Meds: oral asthma inhalers, allegra

Current Illness:

ID: 1092847
Sex: F
Age: 65
State: MI

Vax Date: 03/02/2021
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, cashews

Symptom List:

Symptoms: COVID ARM -- slightly raised rash below injection site about 4 inches long by 3 inches wide

Other Meds: Generic Zyrtec, Low Dose Aspirin

Current Illness: None

ID: 1092848
Sex: M
Age: 68
State: FL

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: none

Symptom List:

Symptoms: I injected the patient with an empty syringe into his left arm. He didn't exhibit any symptoms, however, he was concerned if air was injected, he could get an embolism. After that happened , I did inject the Moderna Vaccination into the left arm in a different injection site.

Other Meds: Eliquis, Lovaza, Venlafaxine, Hydrochlorthiazide, Metformin, Crestor, Norvasc, Zetia

Current Illness:

ID: 1092849
Sex: F
Age: 62
State: IN

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 03/11/2021
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Allergies: Tobramycin

Symptom List:

Symptoms: Approximately 39 hours after immunization I woke with abdominal cramping. Upon standing I became light- headed and fell. My legs and arms turned red and warm and started itching. Itching subsided in an hour but redness remained for several hours. After itching stopped chills started and lasted several hours . By 7am symptoms were gone except for redness.

Other Meds: None

Current Illness: None

ID: 1092850
Sex: F
Age: 89
State: NY

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
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Allergies: penicillin

Symptom List:

Symptoms: Chills / Fatigue / upset stomach / votiming

Other Meds:

Current Illness: none

ID: 1092851
Sex: F
Age: 54
State: OR

Vax Date: 02/22/2021
Onset Date: 02/27/2021
Rec V Date: 03/11/2021
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Allergies: Amoxicillin

Symptom List:

Symptoms: Moderate to severe joint pain. Started in left hip. Added right knee. Knee pain resolved after four days. Hip pain continues to be moderate to severe. Today, for example, I am not able to bear weight on my left leg. I am not able to walk and stairs are not possible with the left leg. I go one step at a time with my right leg. I have never had any trouble with my hip and have had no injury.

Other Meds: Prozac

Current Illness: None

ID: 1092852
Sex: F
Age: 22
State: FL

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 03/11/2021
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Allergies: None

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Symptoms: High fever after first dose for 8 hours straight. Could not lift arm, from pain for 4 days. Hearing my joints cracking whenever I would move

Other Meds: None

Current Illness: None

ID: 1092853
Sex: F
Age: 43
State: CA

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/11/2021
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Allergies: Pt stated she has allergy to antibiotics but didn't know which one.

Symptom List:

Symptoms: After receiving the pfizer covid vaccine pt c/o having an itchy throat and c/o dizziness. Pt was placed supine on cot and vs obtained. VSS on RA. Color pink throughout. Pt continued to c/o itchy throat and then stated her lips where becoming numb. Epi 0.3 mg given via auto-injector per protocol. Ambulance called. Arrived within 6 minutes and took pt to the hospital for further evaluation.

Other Meds: Metformin

Current Illness: DMType 2

ID: 1092854
Sex: M
Age: 66
State: CA

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 03/11/2021
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Allergies: None

Symptom List:

Symptoms: Severe Itching tingling skin rash , red and very itchy especially arms and trunk but could be every where

Other Meds: Timolol eye drops , Omega 3 , Vit. D

Current Illness: None

ID: 1092855
Sex: F
Age: 51
State: CA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/11/2021
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Allergies: Codeine

Symptom List:

Symptoms: Patient received first dose of Moderna - Covid-19 Vaccine on February 4, 2021 and was scheduled to receive her second dose of Moderna-Covid-19 Vaccine on March 4, 2021. She inadvertently received a Pfizer-BioNTech Covid-19 vaccine for her second dose instead of the intended Moderna-Covid-19 Vaccine.

Other Meds: Unknown

Current Illness: Unknown

ID: 1092856
Sex: F
Age: 70
State: AZ

Vax Date: 03/01/2021
Onset Date: 03/03/2021
Rec V Date: 03/11/2021
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Allergies: Prednisone, shrimp, poison ivy

Symptom List:

Symptoms: Two days after the vaccine I began having chills and nausea, after that day I?ve felt queezy all the time,, however waves of extreme nausea pass over me with chills. I have been hoping each wave is the end. Reading ?side effects? it should be gone in 3 days. However today, 10 days later, was worse than ever . I spent the whole day in bed nauseated and vomiting, chilled with 4 blankets over me. My temperature was not high (97). I keep hoping the side effects are finished, but this has gone on longer than your information predicts. This is too long to feel this way.

Other Meds: Dorozolamide HCI-Timolol Maleate Solution (2drops/day) Brimonidine Tartrate Ophthalmic Solution (2 drops/day) Calcium 600+vitamin D, Vitamin B complex, vitamin D3 50 mcg, zinc 50mg

Current Illness: None

ID: 1092857
Sex: M
Age: 76
State: FL

Vax Date: 02/10/2021
Onset Date: 03/01/2021
Rec V Date: 03/11/2021
Hospital: Y

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Allergies: Penicillin

Symptom List:

Symptoms: Patient was admitted to the Neuro ICU in critical condition. He is there currently on 4 seizure medications AND INTUBATED WITH GENERAL ANESTHESIA TO CONTROL THE SEIZURES. All diagnostic tests including MRI's, CT scans, laboratory tests, Spinal taps are negative. He was presented and they can arrive at no diagnosis!!!!! He has no history of a seizure disorder.

Other Meds: Levetiracetam; Atorvastatin; -zolpidem; levothyroxine; pepcid; folbic; losartan-HCTZ. Zyrtec

Current Illness: Coronary artery disease. Prediabetic. Hypertension. Deaf in 1 ear.

ID: 1092858
Sex: M
Age: 68
State: CA

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

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Symptoms: At ~1:40 pm, daughter of client observed client itching his hands ~30 min after receiving vaccine. EMT on site responded. Client complained of itching in hands and localized red hives observed. Client is currently being treated with ciprofloxacin for a UTI on 10th day of treatment. EMT obtained VS: BP140/90, 93% SpO2, 77 pulse. 50 mg oral solution benadryl was given at 1:50 pm. VS ~15 minutes later: BP 132/82, 97% SpO2m 64 pulse. Itching subsided. Client and daughter left site at 2:35 pm, with daughter driving.

Other Meds: ciprofloxacin

Current Illness: UTI

ID: 1092859
Sex: F
Age: 62
State: AR

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
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Allergies: NA

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Symptoms: Whole body pain; sweaty, feverish feeling but never registered a fever when checked. Extreme fatigue and brain fog, headache

Other Meds: Soma Lisinopril Tizanidine MCT Magnesium Potassium Omeprozole B vitamin

Current Illness: Fibromyalgia

ID: 1092860
Sex: F
Age: 57
State: FL

Vax Date: 02/25/2021
Onset Date: 03/05/2021
Rec V Date: 03/11/2021
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Allergies: Some natural red dyes (carmine, manganese violet)

Symptom List:

Symptoms: Red circle rash around injection site showed up about a week after. It's about a three inch diameter white ring with redness inside the circle. It is hot, red, itchy, and there feels like a hard knot in the center.

Other Meds: Lexapro Atorvastatin Levothyroxine Lisinopril

Current Illness: None

ID: 1092861
Sex: F
Age: 31
State: TX

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/11/2021
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Symptoms: 11:44 am Pt reported "neck stiffness" on the right side. Pt was evaluated by EMT's and released at 12:03pm.

Other Meds:

Current Illness:

ID: 1092862
Sex: F
Age: 33
State: NC

Vax Date: 03/04/2021
Onset Date: 03/11/2021
Rec V Date: 03/11/2021
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Symptoms: At 5 am I noticed that my arm was very itchy. It was warm by 8am, and throughout the day it began to swell slightly and turn red. At 9pm arm is sore, swollen and red near the injection site.

Other Meds:

Current Illness:

ID: 1092863
Sex: F
Age: 57
State: IN

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/11/2021
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Allergies: penecillin, keflex, Tetracycline, sulfur

Symptom List:

Symptoms: Headache from early morning (about 2am ) until approx 5pm the following day. Chills, tired, general malaise.

Other Meds: rosuvastatin, calcium supplement, multi-vitamin, vitamin C, fishtail supplement .

Current Illness: none

ID: 1092864
Sex: F
Age: 69
State: MN

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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Allergies: Percocet, pineapple, strawberries

Symptom List:

Symptoms: Chills, sweating, tiredness, queasy stomach, low energy

Other Meds: B Complex, Calcium, Glucosamine Chondroitin, Levothyroxine, Fluoxetine

Current Illness: None

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm