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: 1102452
Sex: F
Age: 41
State: CA

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Only environmental allergies (cats, pollen)

Symptom List: Dysphagia, Epiglottitis

Symptoms: Injection occurred at 1:30pm Friday Severe stabbing muscle pain around ribs starting in the back intercostal muscles around 8pm Friday. Muscle spasms and pain increased and spread to back and front intercostals as well as upper back muscles making it painful lay down or walk most of the day Saturday. Muscle pain made sleeping difficult Friday and Saturday nights. By Saturday morning the pain started to subside and spasms were only affecting lower intercostal muscles. By the time I woke up at 6am Sunday all pain was gone.

Other Meds: Iron supplement, Zyrtec

Current Illness: None

ID: 1102453
Sex: M
Age: 73
State: IL

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient received 2nd dose of Moderna vaccine on March 12th in the early afternoon and started experiencing intermittent itching, swelling and redness below the injection site (left tricept) that started Saturday March 13th.

Other Meds: lisinopril-HCTZ 10-12.5mg and pravastatin 40mg.

Current Illness: No

ID: 1102454
Sex: F
Age: 47
State: AL

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

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

Lab Data:

Allergies: BENADRYL

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

Symptoms: The night of the first dose, patient presented joint pain, stiffness and high temperature for 24 hours. On the second dose, immediately had nauseas and vomiting. It felt like Hyperemesis gravidarum symptoms and high temperature for 36 hours. Pain and stiffness on the joints. Also swelling of the lymphatics under the left arm about size of a softball. Tiredness and felt sleepy for approximately one week.

Other Meds: SYMBICORT

Current Illness: ASTHMA, ARTHRITIS

ID: 1102455
Sex: M
Age: 35
State: CA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: None. Vaccine administered 1 week early. 1st dose was on 3/1/21 & 2nd dose given on 3/15/21. No adverse reactions were noted.

Other Meds:

Current Illness:

ID: 1102456
Sex: F
Age: 39
State: NY

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: environmental and cat dander

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

Symptoms: Per patient, at approximately 2pm patient received first pfizer vaccine for covid EN608 EXP 6/30/21 in her left deltoid muscle. Approximately, 10 mins. later patient c/o "tingling of lips and tip of tongue". Per patient use to have a "book" of numerous allergies, unable to recall all allergies this day. Stated she has "environmental and cat dander allergies". C/O of history of anxiety. Offered patient to send to hospital via ems for evaluation and higher level of care and refused. Patient signed refusal and it was witnessed. After symptoms resolved 30-45mins in EMS area, patient left in stable condition. This provider instructed patient to call her primary and obtain a clearance from primary to obtain send dose of covid vaccine in 3 weeks. Patient verbalized understanding.

Other Meds: unknown

Current Illness: unknown

ID: 1102457
Sex: F
Age: 52
State: CA

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

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

Lab Data:

Allergies: None

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

Symptoms: Woke up at 2 am with body aches, severe headache. Symptoms increased throughout the day, developed a fever that evening. Fever broke about 2am 3/11 and symptoms were improving.

Other Meds: Vitamin b12, Elderberry, Multi Vitamin, Vitamin D, Zinc, Magnesium, Biotin

Current Illness: None

ID: 1102458
Sex: F
Age: 63
State: FL

Vax Date: 03/10/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: nausea and vomiting, severe back and leg pain, difficulty walking

Other Meds: clonazepam ,cyclobenzaprine, naproxen, metoprolol, vit. D, calcium, lovastatin, fluticasone, gabapentin, , cetirazine, duloxetine, asa, acetaminophen

Current Illness: fibromyalgia, hypertension, spinal stenosis, COPD

ID: 1102459
Sex: F
Age: 75
State: IL

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
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Lab Data:

Allergies: Cat dander

Symptom List: Pharyngeal swelling

Symptoms: Dizzy, lightheaded, nauseous

Other Meds: Armour thyroid 60 mg / d Magnesium 250mg /d D3 125 mg /d

Current Illness: None

ID: 1102460
Sex: F
Age: 61
State: TX

Vax Date: 12/29/2020
Onset Date: 01/12/2021
Rec V Date: 03/15/2021
Hospital: Y

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

Lab Data:

Allergies: Malarone

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: I started with a headache,nausea that progressively got worse on Tues. I went to ER exp sharp pain behind left eye ear, left jaw was tightening during pain of the headache.

Other Meds: Blood pressure medication

Current Illness: No

ID: 1102461
Sex: F
Age: 66
State: NY

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

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

Lab Data:

Allergies: FOOD: CORN, SOY, OATS, MALT MEDICATIONS; STATINS CAUSE MUSCLE PAIN. DIOVAN, ATACAND, AVAPRO- CAUSE PHARNGITIS, WHEEZING, FEELING OF A LUMP IN THE THROAT. BENICAR CAUSES SWOLLEN LIPS, FACIAL ITCHING AND SORE THROAT. RAMAPRIL CAUSES A HARSH COUGH. HCTZ AND BACTRIM CAUSES FACIAL RASH, ITCHING, FLUSHING. CODEINE CAUSES SWOLLEN, RE AND ITCHY HANDS. ELIQUIS AND XARELTO CAUSES SEVERE LEGS CRAMPS AND FASICULATIONS OF THE CALF MUSCLES.

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I took Benadryl and used my inhaler several times over the next 3 days I had the feeling Of swollen lips, tongue, throat, sore throat. Rash , itching and swelling of the cheeks and wheezing. It has resolved. I also had a sore throat for 3 days and headache.

Other Meds: Synthoid, Omeprazole, Diltiazem CD, Metoprolol Succinate, Fish Oil, Azelastine nasal spray, Fluticasone nasal spray, Nattokinase, Align, Vitamin D, Zinc Picolinate, Ventolin Inhaler - very seldom when I have a cold or seasonal allergies ac

Current Illness: None

ID: 1102463
Sex: F
Age: 71
State: MA

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: vancomycin

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

Symptoms: significant increase in Rheumatoid Arthritis symptoms; extreme fatigue and exhaustion; feeling ill These symptoms lasted 6 days

Other Meds: Accupril ; Spironolactone; Hydroxychloroquine; Hctz ; Labetalol ;Felodipine ; Omeprazole; Symicort; Praluent (alirocumab) ;

Current Illness: None

ID: 1102464
Sex: F
Age: 65
State:

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: bee venom, amoxicillin, cephalexin, latex

Symptom List: Rash, Urticaria

Symptoms: itching

Other Meds: ciclesonide, albuterol, fluticasone, omeprazole

Current Illness:

ID: 1102465
Sex: F
Age: 31
State: CA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: no known drug allergies, no known food allergies

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

Symptoms: Reports nausea and dizziness about 8:13 am post vaccination. Sat on bench just outside vaccine station. Medical staff summoned and patient taken by wheelchair to Triage 1 and monitored by on site EMTs. Initially with low blood pressure but improved quickly from initial BP of 72/27, then 99/50. Last BP was taken standing at 107/72. Heart rate was initially then 48, then 78 and 82 in that order. Patient's color went from pale to pink and she reported that nausea and dizziness resolved over the course of 15 minutes, continued to monitor for another 15 minutes with improvement and resolution of symptoms continuing. She was released to her significant other who agreed to insure she reached her next destination safely.

Other Meds: None

Current Illness: No active illnesses at time of vaccine and one month prior

ID: 1102466
Sex: F
Age: 63
State: FL

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Aspirin, augmentin, levoflaxocin

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

Symptoms: The same night after getting my second dose, I woke up about 3:00 AM to go to the bathroom. I couldn?t sit up. So I slid down to the floor and tried to get up using my arms to push myself up but I couldn?t. It was like I was paralyzed. I had to call to my husband who was in another room to pick me up. I wet myself. Had absolutely no control. He literally had to pick me up amd practically carry me to bathroom using his legs and kinda dragging me. No leg muscles working and arms barely. Then he had to pick me up off toilet and drag me back to bed using his legs. I took a Tylenol and went back to bed and in the morning muscles worked and I could walk again. So I never did call the dr because side effect went away but thought I should report it to you because I never heard of this happening. Second day (yesterday) I was just tired and kinda weak and not very hungry, little nauseous but today, knock wood, seem back to normal.

Other Meds: Took temazepan before bed as I normally do.

Current Illness: Eye lymphoma went thru radiation for eye orbital area and finished about 10 days prior to second shot

ID: 1102467
Sex: M
Age: 21
State: NY

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: 3:42 pm Pt received vaccination, stood up and c/o of feeling light headed, dizzy and body tingles. He became diaphoretic, pale and warm. Vaccinator put ice pack to back of neck, brought to recovery area in wheel chair VS 120/78, HR 81 reg, resps 16 regular non labored, 96% O2 sat. gave water to hydrate. no c/o N/V Monitored for 30 min Pt state he felt better, tingles diminished, color came back to face, no more diaphoresis. Provided reassurance. Encourage hydration. V-safe site. Ok'd to leave site. RN 3/9/21 - called pt to check condition he stated he is doing very well. RN

Other Meds: Paroxetine 10mg 1/day

Current Illness: Anxiety

ID: 1102468
Sex: F
Age: 66
State: OH

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: got my first dose at 12:45 pm on Friday the 12 th of March. At 12:30 am Saturday morning i started throwing up. I threw up every hour for a total of 3 times. last time was 2:30 am. My stomach was gurgling and it hurt to press on it. and i kept belching. Had no energy. On Saturday was able to sleep 3 hours in my rocker until 2:15pm when i threw up again. Had no energy. Had chills the first day starting about 4 pm Friday after my shot. Called the emergency room to see if I could take antinausea pills I had . Talked to my doctor and he said I was allowed. It was ondansetron 4 mg. I took one at 3 pm and started feeling less weak.

Other Meds: none

Current Illness: tested positive for covid Jan 14 2021.

ID: 1102469
Sex: F
Age: 48
State: FL

Vax Date: 02/16/2021
Onset Date: 02/26/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Covid arm-delayed cutaneous hypersensitivity

Other Meds:

Current Illness:

ID: 1102470
Sex: F
Age: 66
State: GA

Vax Date: 02/28/2021
Onset Date: 03/04/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Severe muscle pain in the left side upper. Severe muscular pain upper back to shoulders.

Other Meds: Valsartan, Levothyroxin, Amlodipine,Metoprol,Clopidogrel.....Multivitamin,calcium,Nexium, Aspirin,Lutein, Vitamin C

Current Illness:

ID: 1102471
Sex: F
Age: 78
State: OH

Vax Date: 03/03/2021
Onset Date: 03/08/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient called stating four days after shot, started to have pain in arm and was black and blue. Had been taking pain relievers and ice pack around the clock. Referred patient to PCP for follow - up and to continue until seen.

Other Meds:

Current Illness:

ID: 1102472
Sex: F
Age: 34
State: CA

Vax Date: 03/08/2021
Onset Date: 03/10/2021
Rec V Date: 03/15/2021
Hospital: Y

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

Lab Data:

Allergies: Sulfa allergy (sulfasalazine caused Stevens Johnson Syndrome)

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

Symptoms: Pulmonary embolism: vaccine shot 2 administered 3/8, symptoms (shortness of breath, rapid heart beat) began 3/10, diagnosed at medical center 3/12. (Also experienced typical"flu like" symptoms beginning 12 hours after vaccine and lasting ~48 hours.) Being treated with anticoagulants.

Other Meds: Jolessa birth control, fluoxetine, women's multi vitamin, omeprazole

Current Illness:

ID: 1102473
Sex: F
Age: 74
State: TX

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, pork, latex, sometimes anaesthesia

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

Symptoms: Approximately 90 minutes after the injection, patient had an urgently to have a bowel movement. This urgency continued until approximately 10 PM that same same day. Anus was very raw and stool very watery. This urgency continued for 7 days after eating food and drinking water. The urgency lessened daily with the drinking of water but with the intake of solid food, the need for an urgent bowl moment continues after 7 dayds.

Other Meds: Amlodipine 5mg - night before vaccine Gabapentin 100 mg - night before vaccine Pantoprzaole SOD - morning of vaccine Vitamin C - morning of vaccine

Current Illness: Gerd, torn roto cup

ID: 1102474
Sex: F
Age: 37
State: CA

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Some arm soreness, redness, and warmth at injection site by next day (2/27/21). Then areas of redness began to appear at other locations on the body and allergist put patient on antihistamine and prednisone. Symptoms have been increasing even while on the antihistamine and prednisone. On 3/5/21 when this report was made she reports continued pain at injection site, rashes moving from one body area to another, overall arthralgia, fatigue, tingling in hand, and dizziness. Temperature and heart rate normal and blood pressure low normal on 3/5/21.

Other Meds: pre-treated with antihistamine

Current Illness:

ID: 1102475
Sex: M
Age: 52
State: OH

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: NONE

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

Symptoms: 3-11-21 5:25PM FEELS 'LIGHTHEADED'. A/O, PINK, W/D, RESP REG WITH EASE. 5:35PM 'FEELS A LITTLE BETTER'. 'FEELS BETTER'. A/O, PINK, W/D, RESP REG WITH EASE AMBULATORY TO EXIT - GAIT BRISK AND STEADY. NO SOB, NO PAIN. 3-12-21 2PM TC: STATES 'NO LIGHTHEADEDNESS, DOES HAVE A HEADACHE'.

Other Meds:

Current Illness:

ID: 1102476
Sex: F
Age: 67
State: MA

Vax Date: 02/28/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Pain

Symptoms: Slightly red area (3-4 inches diameter) around vaccination spot. Spot is much more pronounced after showering. Somewhat itchy.

Other Meds: none

Current Illness: none

ID: 1102477
Sex: F
Age: 30
State: MN

Vax Date: 03/03/2021
Onset Date: 03/11/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Injection site pain, Menorrhagia

Symptoms: Described as "COVID toes" a little over a week from the first dose of Pfizer COVID vaccine, the three small toes on my left foot started to itch like I had gotten a mosquito bite in between my toes. Within 12 hours, the itching got much worse and my three toes started to swell. The itch was bad enough that I couldn't sleep, but I wouldn't say there was much pain. I noticed a cut in between a couple of my toes and a small blister. I thought it was Athlete's foot until a colleague told me about COVID toes. I've been taking Benadyrl and using athlete's foot products (Lotrimin) that have been helping with the itch. Going on day 5 with some reduction in swelling.

Other Meds: Biotin vitamin

Current Illness: N/A

ID: 1102478
Sex: F
Age: 75
State: IL

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/15/2021
Hospital: Y

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

Lab Data:

Allergies: Latex

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

Symptoms: Received the second dose of COVID 19 on Feb. 24, 2021, at 2:20 pm. After the injection, I sat for 15 minutes, felt fine, then left, went home. The next morning at 5 am, woke with right arm throbbing and a huge swelling where the vaccine was injected. I got up, felt dizzy, and went the the bathroom, took my temperature, which was 101 F, then got the chills and had chest pains across my entire chest. Tried to go back to bed but the symptoms got worse. Called my neighbor and asked him to take me to the ER. He took me to the ER and I was checked for fever, had a chest x-ray, urine test, blood pressure checked and at 5 PM was admitted.

Other Meds: Atrovastatin 10 mgs. Aspirin 10 mgs. Calcium + Vit D

Current Illness: None

ID: 1102479
Sex: M
Age: 28
State: GA

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

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

Lab Data:

Allergies: None known.

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: About 40 mins after I felt my throat closing and felt like I couldn't breathe. Since then I have had several other instances of feeling similar (though none of them went to full anaphylaxis. I went to the ER Saturday and my PCP today, still for shortness of breath.

Other Meds: Zyrtec for allergies

Current Illness: None

ID: 1102480
Sex: F
Age: 41
State: NC

Vax Date: 03/05/2021
Onset Date: 03/07/2021
Rec V Date: 03/15/2021
Hospital: Y

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

Lab Data:

Allergies: no

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Got the shot Friday March 5th. Sore arm and muscle aches like the first dose on 2/5. Woke up March 7th with swollen lips/throat/tongue. went to urgent care and received an EpiPen and steroid. Monitored for a couple of hrs and went home for a nap. (refused the ER at this time as I felt better). Woke up around 2:30 and my symptoms worsened . We to ER and received another Epipen for anaphylactic shock. Remained at the hospital for 5 days. Had 5 episodes while there. Also, had tightening in chest and what felt like a heart attack. Been resting, still very tired and swollen nodes in my neck and sore throat as well as aches. Also, might be developing thrush. Didn't run a fever and Ive never had an allergic reaction before this.

Other Meds: Sertraline 50mg, Vitamin C, D3, Multi gummies, Mirlax.

Current Illness:

ID: 1102481
Sex: M
Age: 17
State: AZ

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: too young (age 17)

Other Meds: no

Current Illness: no

ID: 1102482
Sex: F
Age: 0
State:

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

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Symptom List: Nausea

Symptoms: 12 minutes floowing vaccination (16:07) patient presents with swollen lips, hives on neck and complaint of mouth numbness. Patient denied difficulty breathing, swollen throat or SOB. Pharmacist adminsted 25 mg diphenhydramine po at 16:08. Patient transferred to ED where she received Solumedrol 125 mg IV x1, Famotidine 20mg IV x1 and DIphenhydramine 25 mg IV x1. Patient stabilized and discharged home at 18:00.

Other Meds:

Current Illness:

ID: 1102483
Sex: F
Age: 93
State: NJ

Vax Date: 09/10/2020
Onset Date: 09/10/2020
Rec V Date: 03/15/2021
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Allergies: nka

Symptom List: Injection site pain

Symptoms: Patient still states she is experiencing arm pain from the vaccine

Other Meds:

Current Illness:

ID: 1102484
Sex: M
Age: 83
State: AR

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 03/15/2021
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Allergies: None

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

Symptoms: Received first dose on afternoon of 1/22/2021. No apparent side effects initially. Then in early morning hours of 1/25/2021 he woke up throwing up, then dry heaving. Found some Tums (only thing we had) and gave that to him. He went back to bed and went back to sleep - nothing further for 3 days. Then on 1/28/2021 he again began feeling nauseous and ran to the bathroom and vomited. Again, it lasted a short time and was over. Since then there have been 2 other episodes of random nausea, but this time without vomiting. This is from a man who does not throw up EVER. Then, sometime after the first shot, which was received 2 days after we returned from a trip to see family, he began having explosive diarrhea. Up until this time he had been suffering (for months or years) with chronic constipation - which we had been working with the doctor with to alleviate. I do not know the exact date this started, as it is not the kind of info Dad was keen to share, but I do know that it was NOT happening before the vaccine, as we were traveling and I would have had to make emergency stops for him (this has been so bad he has at times had to change clothes because he could not get to the restroom from his living room). As I became aware of it I began gradually taking him OFF stool softeners and osmotics we had him on, to the point that he now takes NOTHING and yet he still has explosive diarrhea DAILY and multiple times.

Other Meds: Aldactone 25 mg once daily, Coreg 6.25 morning and night, lisinopril 10 mg morning and night, 325 mg aspirin, 1600 mg Omega 3, 1000 mg buffered Vit C morning and night, Preservision Eye vitamins for macular degeneration - 1 morning and 1 n

Current Illness: None

ID: 1102485
Sex: F
Age: 76
State: TX

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/15/2021
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Allergies: CIPRO

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

Symptoms: Fell; Severe Stiffening and Cramping up of all muscles for hours; Worse Severe Unbearable pain in body ever felt; Stiffening of muscles; Worse pain in neck and head ever. Went to the ER twice and finally got an appt at primary care, now seeking another primary care Dr.

Other Meds: Calcium 600 mg 1x Daily; Atorvastatin Oral 80 mg 1x Daily; Fluoxetine Oral 40 mg 1x Nightly for Depression; Gabapentin Oral 300 mg 3x Nightly for leg twitching at night; Levothyroxine Oral 112 mg 1x Daily for Thyroid; Pantoprazole Oral 40

Current Illness: None, In fact the day prior to the Moderna vaccine being given I was given a clean bill of health by my heart doctor, Dr. The Day of the Moderna Vaccine my primary care doctor, Dr. once again asked if I had it and suggested I get it.

ID: 1102486
Sex: F
Age: 38
State: TN

Vax Date: 03/06/2021
Onset Date: 03/10/2021
Rec V Date: 03/15/2021
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Allergies: Allergic to Penicillin, allergic to TB test

Symptom List: Tremor

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Systemic , severe hives began three days after shot. Did not go away with Benadryl. Got a prescription for Prednisone, and the hives went away within 48 hours.

Other Meds: Tri-sprintec

Current Illness: Had a UTI directly after the first vaccine on 2/13/21. Treated with antibiotic

ID: 1102487
Sex: M
Age: 34
State: CT

Vax Date: 03/06/2021
Onset Date: 03/10/2021
Rec V Date: 03/15/2021
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Allergies: Amoxicillin

Symptom List: Erythema, Pruritus

Symptoms: Tinnitus in both ears at all hours of the day.

Other Meds: None

Current Illness: N/A

ID: 1102488
Sex: F
Age: 72
State: FL

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
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Allergies: Macrobid

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

Symptoms: Began with sore arm and body discomfort from the neck down to the bottom of feet, including shoulder blades in back, 2:30 a.m., Saturday. Increasing discomfort and needing to move every few minutes in bed. Then on arising, was hot and light-headed, with aches continuing. About 12:30 p.m. after a trip to the mailbox, I came in the house and collapsed in a chair. Tried to get to the bedroom and had to go down to the floor due to weakness, light-headedness and heavy sweating. Laid on the floor an hour and with husband's help, made it back to bed. I experienced no more pain! Spent most of the time in bed until about 11:00 a.m. on Sunday. I gradually improved in strength over the next 24 hours. I'm doing much better today with limited activity. I don't have much appetite yet.

Other Meds: Lisinopril/Htcz 10-12.5 Levothyroxine 50 Taken before breakfast on the 12th

Current Illness: None

ID: 1102489
Sex: F
Age: 47
State: NC

Vax Date: 03/05/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
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Allergies: NA

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

Symptoms: Developed red rash, approximately 3 inches round, on the morning of 3/15/21. Also had mild headache for 5 days post vaccination.

Other Meds: NA

Current Illness: NA

ID: 1102490
Sex: F
Age: 38
State: OH

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 03/15/2021
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Allergies: Fluoxetine, sertraline

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: The patient reports not long after her Covid vaccine, she she began experiencing persistent daily headaches, lower extremity bone pain, easy fatigability, palpitations, heart rate variability which she says have persisted 6 weeks post vaccine (the time of this visit and report)

Other Meds: Fluticasone, lorazepam, venlafaxine

Current Illness: Reports none

ID: 1102491
Sex: F
Age: 63
State: CA

Vax Date: 03/04/2021
Onset Date: 03/10/2021
Rec V Date: 03/15/2021
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Allergies: Penicillin

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

Symptoms: Approximately 6 days after receiving the vaccine, the site of the injection became itchy, swollen, red and a little tender. The area was oval in shape and approximately the size of a large avocado. It was itchy though I did not take anything to alleviate the itch or swelling. I considered taking Benadryl but decided not to.

Other Meds: Synthroid, Valacyclovir, vitamin E, vitamin C, vitamin B complex, multi, calcium, pro & pre-biotics, fish collagen, trans-resveratrol, CoQ10

Current Illness: none

ID: 1102492
Sex: M
Age: 84
State: LA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 03/15/2021
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Allergies: Lipitor (burning in feet) & Lotensin (hives) Diclofenac Sodium 75mg 2x a day for swollen foot (as needed) Welchol (colesevelam HCI) 3.75g (started 12/8/12) Stopped after 3 weeks ? sharp pains in stomach. Hydrochlorothiazide 12.5mg ? caused extreme cramping

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

Symptoms: extreme dizziness, unable to stand without assistance.

Other Meds: 81 mg Bayer Aspirin @ nite Vit D3 2000 units a day & Mature Multi Vit Tricor (Fenofibrate) 160 mg Ezetimibe 10mg Irbesartan ? 300mg started 7/17/18 Pantoprazole 40mg Metropolol Succ ER Tab 100mg 1 tablet @ nite Amlodipine 5mg tab a day in

Current Illness: Covid 12/3/2020, cleared by Dr on 12/16/2020

ID: 1102493
Sex: M
Age: 77
State: FL

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 03/15/2021
Hospital: Y

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Allergies: Sulfa, contrast dye.

Symptom List: Pain in extremity

Symptoms: He had the injection, had the sore arm and approximately 3 hours after the vaccination he began to experience severe chest pain across his entire chest and into his jaw, which was exacerbated upon taking a deep breath. He called his cardiologist who advised him to go to the ER. He was worked up, subsequently admitted from 2/8/21 to 2/11/21, a lot was ruled out but no specific diagnosis made at that time. They did note some pleural effusion and pericardial effusion at that time. Upon discharge on 2/11/21, starting Thursday evening he continued to have pain in the chest, but not as severe as when he entered into the hospital. Every evening including last night has began with severe night sweats, low grade fever and the chest pains have continued. Went to see his PCP, Cardiologist and his Electrophysiologist several days later the following after discharge, he does have a pacemaker, and was told by all three of them that he has pericarditis and that the reaction could have been related to the vaccination. It seemed more than coincidental that the symptoms did not appear until 3 hours after the vaccine. Was put on Colchicine to treat the pericarditis and then received a 2nd opinion and has reinstituted the colchicine. His low grade fever has finally dissipated. During the day he feels okay, but still continues with the chest pains and the night sweats. His hemoglobin dropped in the hospital possibly related to the heparin and then put on Eliquis postop, and now discontinued, and received an iron infusion to boost his hemoglobin. He is scheduled for another iron infusion this Wednesday. He went to see GI physician and feels that he may have a bleed due to the infusion. He has had an anastomosis due to Crohn's disease and feels that's where the bleed may have been coming from as he did have an ulceration at last colonoscopy. He did have atrial flutter due this and was advised to have an ablation, and trying to reduce the pericarditis and FU later with other heart related problems.

Other Meds: Flecainide, Metoprolol, Pentasa, Six MP, Lexapro, Welchol, Budesonide, Famotidine, Trazodone, Hematenic/folic acid, Colchicine, Carafate, multivitamin, Vitamin D3, B12 injection.

Current Illness: None.

ID: 1102494
Sex: F
Age: 53
State:

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
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Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Patient received 1st dose of Moderna vaccine on 3.15.2021. Approximately 3 minutes after receiving the vaccine, the patient had what appeared to be an epileptic seizure. Patient lowered to the ground with a pillow, provider called, nursing and pharmacy present. O2 sat 99%, pulse 73, and BP 116/42. Patient continued to have seizure, EMS called. Ambulance arrived shortly thereafter, BP 146/58, sats 99%, and pulse 72. Patient quit having epileptic activity at this point. Patient does have a history of non-epileptic seizures from stress, bright flashing lights, etc. Patient assisted to wheelchair and taken to private room with staff. Patient discharged from clinic at 1200, refused transfer via EMS, given warning precautions for when to seek emergency care.

Other Meds:

Current Illness:

ID: 1102495
Sex: F
Age: 75
State: GA

Vax Date: 02/15/2021
Onset Date: 02/26/2021
Rec V Date: 03/15/2021
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Allergies: penicillin, clindamycin

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

Symptoms: On February 26,(eleven days after the second shot), I felt tingling and numbing in both hands. On February 27, I had pain and swelling in both hands and arms from the elbows to the fingertips. On February 28th, I had severe pain, stiffness, and swelling in both hands and arms from the elbows to the fingertips. I called my primary care physician who told me to go the the ER at the hospital. I was treated in the hospital by doctor and given prescriptions for prednisone, pain medication, and nausea. Doctor said that the second shot could have triggered my symptoms. I was referred to rheumatology provider. I saw a doctor on March 10th. The pain was gone at the time of my appointment, but it returned on March 13th.

Other Meds: synthroid, liothyronine, acyclovir (for eye), minivelle patch, vitamins C, D

Current Illness: none

ID: 1102496
Sex: F
Age: 75
State: KY

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 03/15/2021
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Allergies: ciprofloxacin

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

Symptoms: patient stated that around 24 hours after the shot she got a fever and it lasted 3 days then on day 4 after the shot she felt a lot of pressure on her chest that lasted about 1 day then 3 or 4 days later she broke out in rash/sores on her face, chest and arms and some sores are still present

Other Meds: Synthroid 50mcg tablet every other day alternating with Synthroid 75mcg tablet every other day, aspirin 81mg, vitamin D 1000

Current Illness: no

ID: 1102497
Sex: F
Age: 61
State: IL

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
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Allergies: Penicillin never taken due to older siblings adverse reactions

Symptom List: Vomiting

Symptoms: Severe chills, fever highest 101.4?, Pulse ran 80-100, fell to do that I think I fainted Blood pressure 93/49,94/41,99/50,77/46,92/44,

Other Meds: Telmisartin /hctz 40/12.5 1/2 tablet 1 time per day Citalopram 40 mg. 1/2 tablet 1 time per day 1-81 mg. Aspirin 1 per day Vitamin D3 1000 IU 2 per day Centrum silver for women 1 per day Live Well Collagen Peptides 1 serving per day Atorvas

Current Illness: None

ID: 1102498
Sex: F
Age: 68
State: TX

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
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Allergies: answered no to the questionaire

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Lightheadedness and tachycardia noted 20 minutes after administration of Covid Vaccine. Emergency drugs available. Airway assessment done, vital signs obtained, cold, damp cloth placed on patient's head and neck. Husband requested EMS to transport patient to ER for further evaluation. Patient stable when EMS arrived.

Other Meds: Did not mention

Current Illness: Did not mention

ID: 1102499
Sex: F
Age: 19
State: FL

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/15/2021
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Allergies: None

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

Symptoms: Swelling of the face and eyes, high fever, loss of appetite, rapid heart rate. The swelling of the eyes has lasted 5 days now but the face swelling went away after 3 days. I still have a high fever on and off and the rapid heart rate went away a few hours after injections

Other Meds: Multivitamin, Flonase for allergies, probiotic, vitamin D

Current Illness: I didn?t know it at the time but I had mononucleosis at the time of vaccination

ID: 1102500
Sex: F
Age: 55
State: MA

Vax Date: 03/08/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
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Allergies: Allergy to nickel

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Just about one week after I got my first dose of the Moderna Covid vaccine, my arm developed an itchy rash at the injection site.

Other Meds: Claritin

Current Illness: N/A

ID: 1102501
Sex: F
Age: 74
State:

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 03/15/2021
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Allergies: nkda

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

Symptoms: Patient reports after the 1st dose of Moderna, she experienced mild adverse reactions: arm soreness. Lack of energy and chills that lasted about 30 hours. Patient reports after the 2nd dose of Moderna she experienced injection site reactions 6 days after the injection. She reports of a highly itchy/hot injection site, that was 5 inches around. She did not take any medication or apply topically aids. She did use a cold compress. Her injection site reaction has since been resolved.

Other Meds: Rinvoq

Current Illness: RA

ID: 1102502
Sex: F
Age: 47
State:

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
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Allergies: Codeine

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

Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds: Prozac (20mg) , Vitamin B2, Magnesium Oxide, Propanelol (80mg), Multi-Vitamin for Women

Current Illness: N/A

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am