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: 1118699
Sex: F
Age: 46
State: GA

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

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

Lab Data:

Allergies: Codeine No known food allergies

Symptom List:

Symptoms: This was the second dose. No immediate reactions after injection. Approximately 6 hours later, internal itching began throughout my entire body. I also had a slight tingling of the tongue and lips. Benadryl did not ease the itching or mouth tingling. The internal itching by the next day and increased doses of Benadryl still did not help. Intense itching by day 3 as well as fever of 99.5. Saw an online doc who prescribed Hydroxyzine for itching. It is now day 9 after the second vaccine. Itching internally has worsened. Still have tongue and lip tingling as well. I saw another online doc to tell them symptoms have continued and have worsened a bit and that I have been 24 hours without the Hydroxyzine. The prescription ran out the day prior. Doctor prescribed more Hydroxyzine. This time around the Hydroxyzine does not seem to be as effective. While it helps a bit with me sleeping, the itching is still quite severe. The severe internal itching has been going on for 9 days and has affected my quality of life. The itching is nonstop and is happening in all parts of my body. No other antihistamine is effective and is able to be taken during the day except the Hydroxyzine which causes grogginess and has become less effective.

Other Meds: Junel Fe (hormone/birth control pill) Multivitamin Vitamin C

Current Illness: None

ID: 1118700
Sex: F
Age: 31
State: AZ

Vax Date: 03/15/2021
Onset Date: 03/17/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Celiac Disease - Gluten

Symptom List:

Symptoms: The day I received the vaccine, I had the typical symptoms of sore arm and exhaustion. The next day, I slept most of the day and had an awful headache that would not go away with ibuprofen/tylenol. Day 3 after receiving the vaccine, about an inch down from my vaccine sight I had a warm, welt looking rash about the size of a tennis ball. It is just now starting to fade and it has been 6 days since I received the vaccine.

Other Meds: Prozac & Wellbutrin

Current Illness: None

ID: 1118701
Sex: F
Age: 19
State: CA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None that I know of.

Symptom List:

Symptoms: The day of vaccination my top lip started to swell and small rashes formed on my arms, neck and butt around 8:30 pm. The following day my bottom lip started to swell and so did my left cheek at 8:30pm. Around 11:30 pm I started to develop a fever, feel soreness and weakness throughout my whole body, and a migraine. In the morning at around 8 am I noticed that I broke out in a severe rash all over my body. It has continues to spread all over.

Other Meds: Birth control

Current Illness:

ID: 1118702
Sex: M
Age: 66
State: TN

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/20/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Had a stroke 36 hours after getting second vaccine. Lost ability to speak and see clearly, had word salad. Was identified quickly by my wife and was taken by ambulance to hospital where they gave me TPA clot buster infusion after identifying a clot in my left back side of brain and luckily I responded well and have all speech function back we believe so far.

Other Meds: None

Current Illness: None

ID: 1118703
Sex: F
Age: 31
State: CA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Gluten- celiac

Symptom List:

Symptoms: Headaches Nauseated Left arm pain at inject site Upset stomach Fatigue

Other Meds: Naproxen Zyrtec Omeprozole Tizanidine Setraline Probiotics Vitamin d Turmeric capsules Women?s daily vitamin Digestive enzymes Magnesium Vitamin c Norethindrone Malic acid Krill oil

Current Illness:

ID: 1118704
Sex: F
Age: 62
State: TX

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Headache, body aches, fever up to 100.9

Other Meds: Vitamin D3 and B12

Current Illness: None

ID: 1118705
Sex: M
Age: 51
State: TN

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: Fever (100?), shaking chills (severe), body aches, site soreness.

Other Meds: None

Current Illness: None

ID: 1118706
Sex: F
Age: 49
State: WA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Within one minute of injection c/o left arm warmth and burning, left elbow pain 3 out of 10.

Other Meds:

Current Illness:

ID: 1118707
Sex: F
Age: 62
State: IN

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Right ear ache, outside back ear sore to touch, ache went down neck and slightly swollen. began at 11:30 a.m Got home from work at 4:00 took 2 Tylenol and slept for an hour and a half and pain was starting to ease. Pain gone 8:00 p.m

Other Meds:

Current Illness:

ID: 1118708
Sex: F
Age: 28
State: NY

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient seemed to have fainted 1 minute after vaccination, then had a seizure, and then had an episode of syncope following the seizure.

Other Meds: ferrous sulfate

Current Illness: none

ID: 1118709
Sex: M
Age: 42
State: CA

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Pollen, Cats

Symptom List:

Symptoms: Moderna COVID?19 Vaccine A fever comes and goes for a week after the shot

Other Meds: N/A

Current Illness:

ID: 1118710
Sex: F
Age: 69
State: VA

Vax Date: 02/11/2021
Onset Date: 02/23/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Codeine - drop in blood pressure Penicillin - rash

Symptom List:

Symptoms: Feb 13-22 racing heart and irregular heart beat for 10 days. Feb 23, 7:30-10:30 am, woke feeling jittery with steady racing heart and irregular heart beat. Red, slightly raised welt (2.5" x 1.5") appeared at injections site. Called PCP and was advised to go to ER

Other Meds: Rosuvastation 5mg Montelukast Sod 10mg Calcium 800 mg Vitamin D 5000 IU Aspirin 81 mg

Current Illness: None

ID: 1118711
Sex: F
Age: 61
State: NY

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Liver problems when I take antibiotics

Symptom List:

Symptoms: Temp of 100.0, body aches, nausea, migraine lasting 24 hours. I took 2 500mg Tylenol and it helped

Other Meds: None

Current Illness:

ID: 1118712
Sex: F
Age: 40
State: PA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tired Body aches Headaches

Other Meds: Tylenol

Current Illness: Multiple sclerosis

ID: 1118713
Sex: F
Age: 64
State: OH

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: cephalosporins, iodide, penicillin, sulfa

Symptom List:

Symptoms: patient had a seizure within 10 minutes of receiving vaccine.

Other Meds: Aspirin, simvasatin, fentanyl, norco, vimpat, protonix, klonopin, seroquel, lasix, baclofen, dicyclomine, docusate, keppra

Current Illness:

ID: 1118714
Sex: F
Age: 70
State: MN

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

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

Lab Data:

Allergies: Flagyl, lamictal

Symptom List:

Symptoms: Two Seizures and 5 migraine headaches

Other Meds: None

Current Illness: None

ID: 1118715
Sex: F
Age: 67
State: OK

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reported swelling in right side of face down jaw and into neck.

Other Meds:

Current Illness:

ID: 1118716
Sex: F
Age: 48
State: TN

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Latex, penicillin, sulfa, aspirin, bees and wasps, crabmeat

Symptom List:

Symptoms: Flushing given large dose of benadryl

Other Meds: None

Current Illness: None

ID: 1118717
Sex: U
Age:
State: GA

Vax Date:
Onset Date:
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Contrast dye

Symptom List:

Symptoms: Low grade fever and sub normal temperature since 1st shot

Other Meds: Evoxac Omeprazole Ropinirole Xiidra Multivitamin Force Factor Prostate Low dose aspirin Bupropion Metoprolol Olemasartan medoxomil Atorvastin

Current Illness: High blood pressure(controlled) High cholesterol Reflux

ID: 1118718
Sex: M
Age: 60
State: IN

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever chills body aches headache tired. Sleep excedrin migraine and cold was cloth on forehead. Fever and chills lasted 12 hours. Aches and tired lasted much longer

Other Meds: Niaspan simvastatin restasis burdock root Bayer 81 mg

Current Illness:

ID: 1118719
Sex: F
Age: 24
State: CA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Severe nut allergy -cashews, pistachios, walnuts, etc. with a history of anaphylaxis and sesame seeds and other foods.

Symptom List:

Symptoms: Minor allergic reaction. Mouth lips and tounge tingling and feeling weird similar to nut allergy reactions. Bumps on lips. Started about 20minutes after and went away after an hour and came and went though the rest of the day.

Other Meds: Vyvanse, adderall, Heather, Advil, Sudafed

Current Illness: No

ID: 1118720
Sex: F
Age: 44
State: WA

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: Full body rash approximately 20 hours after injection. Chills without fever beginning afternoon after injection and continuing into next day. Fatigue.

Other Meds: Lyrica, Neomysin, Gabapentin, Sulfamethoxazole-Trime, Turmeric, NAC, Zyrtec, Lemon Balm

Current Illness: SIBO

ID: 1118721
Sex: F
Age: 24
State: NY

Vax Date: 03/11/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: marble sized bump, one inch above left collar bone.

Other Meds: sertraline 25mg, birth control levrerol .15/.30 mg

Current Illness: NA

ID: 1118723
Sex: M
Age: 60
State: MD

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe shoulder and pelvic girdle pain, swollen left knee Suspected polymialgia rheumatica

Other Meds: Amlodipene, synthroid, metoprolol, multi vitamin

Current Illness: None

ID: 1118724
Sex: F
Age: 42
State: MI

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: vicodin

Symptom List:

Symptoms: Within minute of the injection, patient had severe headache. She had dizziness and became very fatigued. She could not stand up and it was hard to understand her. Within 10 minutes of the injection, patient became very nauseated. They brought her a trash bucket and she hd dry heaved twice. Pharmacist called the EMT around 6pm. The two EMTs took her blood pressure and pulse. Both were extremely high. Blood pressure was 172/96. They recommended that patient should be transported to local ER at the hospital. They put her in the ambulance andtransported her to hospital. She remained at the hospital for 5 hours. Once blood pressure and pulse came down, she was allowed to leave.

Other Meds: cetirizine 10mg, clonidine 0.2mg, cyclobenzaprine 10mg, diltiazem CD 240mg, duloxetine 60mg, etanercept 50mg, famotidine 20mg, levothyroxine 100mcg, naltrexone-bupropion 8-90mg, pantoprazole 40mg, sunosi 150mg, zolpidem 10mg

Current Illness: none

ID: 1118725
Sex: M
Age: 55
State: PA

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Hay fever. Allergic to potatoes, onions, soy, peaches, nectarines, almonds, peas,

Symptom List:

Symptoms: Body aches, tiredness, headache since the day after treatment. It's been 6 days since the injection and I am still feeling bad. Body aches worse in the afternoon. Headache for 2 days now (Friday and Saturday). Not as tired as I was Tuesday through Thursday and body aches are better with Acetaminophen. Headache does not improve with medication.

Other Meds: Beta Prostate Vitamin C Zinc Vit D Claritin

Current Illness: None

ID: 1118727
Sex: F
Age: 46
State: AZ

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Woke up with a moderate rash up and down on my right arm (injection arm). Rash was itchy and started near the injection site and traveled down to my wrist. Rash remained active for 24 hours but was controlled by Betamethasone Dipropionate that I had on hand for Psoriasis flare-ups. Took 3-4 days to completely go away.

Other Meds: Levetiracetam, Lorazepam, Biotin, Vitamin D

Current Illness:

ID: 1118728
Sex: F
Age: 46
State: CA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Keflex

Symptom List:

Symptoms: Metallic taste

Other Meds: Lisinopril/HCTZ

Current Illness:

ID: 1118729
Sex: F
Age: 35
State: KY

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: only known allergy is to demerol

Symptom List:

Symptoms: Patient called pharmacy via telephone to discuss that she thought she was having an allergic reaction to the moderna vaccine that she received on thursday (2 days ago). She described that it started as tingling roughly 10-20 minutes after the vaccine resulting in swelling around her lips characterized by an odd tingling, dry, itchy area with tiny hard to see bumps - I discussed with patient the possibility of cold sore - pt states they have had cold sores before but it has never felt like this before - she stated this started after receiving the moderna vaccine on thursday - I advised follow up w MD to evaluate need for exam / diagnosis of possible allergy to vaccine vs symptoms being unrelated to the vaccine, and to do this sooner rather than later and definitely before she receives the next dose of moderna vaccine just to be sure. I advised discussing with the MD the need for epi-pen prescription or discuss risk vs benefit of getting the second vaccine, before she gets the next dose of vaccine, due to facial swelling and possible allergy - advised if facial swelling continued to get worse or began to compromise breathing to seek medical care, although it seems unlikely this would occur due to the shot being administered days ago and symptoms do not appear to be progressing. I advised using an antihistamine (claritin or zyrtec during the day and benadryl at night) to see if this helps with swelling/reaction - advised that if this helps that it may indicate higher likelihood of this being an allergic reaction to the shot and to report this to the MD as well. patient confirmed that she will be following up with MD to discuss.

Other Meds: takes pantoprazole for GERD

Current Illness: none

ID: 1118730
Sex: M
Age: 57
State: IN

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Received 3 vaccines of Moderna Covid 19 vaccination 1/21/21, 2/17/21, and 3/17/21. No signs or symptoms reported at this time.

Other Meds:

Current Illness:

ID: 1118731
Sex: F
Age: 39
State: OH

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

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

Lab Data:

Allergies: No known drug allergies

Symptom List:

Symptoms: Pt started with a rash (small irregular bumps that were not clustered) on her legs. It spread the next day to her torso and arms. In the beginning she had mild itching that she treated with Allegra, but got no relief. The second day the itching increased and was treated with Benadryl, with little to no relief. It was suggested that hydrocortizone cream may give her relief and that if the symptoms continue or worsen she should contact her physician. She went to urgent care and was given 10mg prednisone and instructed to take Benadryl continuously. She report the rash is not improving.

Other Meds: unknown

Current Illness: unknown

ID: 1118732
Sex: F
Age: 65
State: IN

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, latex, codeine Wheat, dairy

Symptom List:

Symptoms: Major joint pain Headache 3 days later still a problem

Other Meds: Ventolin

Current Illness: None

ID: 1118733
Sex: F
Age: 55
State: NY

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Unknown: patient questioned extensively and cannot recall reaction to anything.

Symptom List:

Symptoms: Patient reports feeling unwell, collapsed on floor, skin tone became grey, 911 called, epinephrine 0.3 mg IM autoinjector administered, patient put in recovery position, BP monitored, vomitted X 3 or 4, EMT's arrived and transported patient to Hospital. Call from MD at hospital confirming anaphylaxis and patient recovery. Spoke with patient at 15:50 and confirmed recovery.

Other Meds:

Current Illness:

ID: 1118734
Sex: F
Age: 53
State: IN

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Topiramate Sulfa Augmentin

Symptom List:

Symptoms: Fever, dizziness and nausea from around 6pm the day of vaccine. This persisted through the following day. The dizziness has persisted through the entire week

Other Meds: I took Tylenol after

Current Illness: Chronic lung disease

ID: 1118735
Sex: F
Age: 20
State: VA

Vax Date: 03/09/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: UNKNOWN

Symptom List:

Symptoms: RASH NEAR INJECTION SITE THAT BEGAN 9 DAYS POST ADMINISTRATION

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1118736
Sex: M
Age: 30
State: TX

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

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

Lab Data:

Allergies: *Amoxicilin - rash

Symptom List:

Symptoms: *Bruising at injection site *Slight subcutaneous swelling distal from injection site

Other Meds: *Montelukast *Multi-vitamin

Current Illness: n/a

ID: 1118737
Sex: F
Age: 42
State: NJ

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/20/2021
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Symptoms: After the first injection on February 25, about 45 minutes after injection, my lips and throat started to tingle and I had slight trouble swallowing. Around 20 minutes later, all symptoms dissipated. After the second injection on March 18, other than the standard sore arm, I was very achy and fatigued the next day. My right armpit was also sore- I didn?t notice any swelling, just soreness.

Other Meds:

Current Illness:

ID: 1118738
Sex: F
Age: 95
State: NY

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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Symptoms: Patient reported GI distress, overheating, and tremor after approximately 5 minutes post vaccination.

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Current Illness:

ID: 1118739
Sex: F
Age: 25
State: CA

Vax Date: 03/07/2021
Onset Date: 03/14/2021
Rec V Date: 03/20/2021
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Allergies: None.

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Symptoms: Redness, hot to touch, itchiness at injection site, with a diameter of about 4 inches. Lasted for about 6 days, went away, and came back 14 days after only not as big of an area.

Other Meds: Birth control pills.

Current Illness: None.

ID: 1118740
Sex: F
Age: 62
State: KY

Vax Date: 03/15/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
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Allergies: Penicillin

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Symptoms: 3/19/2021 horrible chest pains hard to breath Itching all over my body Right eye lid red and swollen 3/20 4-5:00 am up sitting in the side of the bed . Very uncomfortable to lay down can?t breathe properly Taking pantoprazole again 3/19- 9:00 pm 3/20- 9:05 am 3/20 - 9:04 blood pressure 130/87 9:15 am extreme itching and rash on both arms Took a warm bath felt horrible. Took temperature 100.5 Main concern is breathing

Other Meds: Vitamin D2, candesartan 16 mg x 2, famotidine 40mg, amlodipine 5 mg

Current Illness: None

ID: 1118741
Sex: F
Age: 73
State: MN

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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Allergies: ALENDRONATE, LISINOPRIL

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Symptoms: WEAKNESS, FATIGUE

Other Meds: ASA, AMLODIPINE, VICTOZA, CALCIUM, VITAMIN D, VITAMIN B12, GLIMEPIRIDE, LOSARTAN, METFORMIN, PRAVASTATIN

Current Illness: NONE

ID: 1118742
Sex: F
Age: 65
State: TN

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 03/20/2021
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Allergies: None

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Symptoms: Throughout 2020 and prior to injection clean bill of health even though I continued to fly and stay overnight in hotels. Once I was vaccinated, experienced fever, chills, sore muscles and achy joints. On or about 2 March 2021 started experiencing intense diahrea, and vomiting, which is ongoing even today. Although the vomiting had stopped.

Other Meds: Synthyroid, 125 mcg/day

Current Illness: None

ID: 1118743
Sex: F
Age: 42
State: IL

Vax Date: 03/17/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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Allergies: No allergies to food, medicines or vaccines.

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Symptoms: Pt received her 1st Pfizer Covid vaccine on 3/17/21, but two days later she reported hives. Patient reported hives on both of her wrists, Later that day she noticed she had hives on her abdomen and back. That same day in the evening she took some Benadryl and the next day the hives had cleared.

Other Meds: None known

Current Illness: None known

ID: 1118744
Sex: F
Age: 71
State: OH

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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Symptoms: While in observation area patient reported being light headed . Several minutes later she reported tingling on tongue . I gave her a diphenhydramine 50mg injection and observed for about 7 minutes when she reported tightness in her chest . I injected epinephrine .3mg intramuscularly in the right thigh. I proceeded to call 911 for transportation to medical facility.

Other Meds:

Current Illness:

ID: 1118745
Sex: F
Age: 17
State: WA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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Allergies: N/A

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Symptoms: Patient received dose of moderna when she is not yet 18 years old. She is 17 1/2. No adverse reactions were noted while she waited after her shot at the pharmacy.

Other Meds: N/A

Current Illness: N/A

ID: 1118746
Sex: F
Age: 69
State: AZ

Vax Date: 03/08/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
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Allergies: penicillin, cephalosporins

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Symptoms: Multiple large bumps, like insect bites; large red swollen patch on arm, very hot, itchy, and sore. Some swelling and pain in lymph gland on left side near ear/throat. Appeared nine (9) days after vaccination. Woke up in morning with condition, not present the night before. Took claritan for two (2) days; thought it was an insect bite, but now believe it to be an adverse reaction to the vaccination. Have photographs of adverse reaction on arm.

Other Meds: levothyroxin, bayer aspirin

Current Illness:

ID: 1118747
Sex: F
Age: 75
State: MD

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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Symptoms: Pt with some tingling lips noted with mild swelling no tongue involvement or problems speaking . Felt better after Benadryl

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Current Illness:

ID: 1118748
Sex: F
Age: 34
State: TN

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/20/2021
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Symptoms: patient reporting 3 weeks night sweats, fatigue, 2 cold sores following Moderna vaccine. Diarrhea developed 3 weeks post vaccination (once daily diarrhea)

Other Meds: Vit D, Magnesium, probiotics

Current Illness:

ID: 1118749
Sex: F
Age: 74
State: CA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/20/2021
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Allergies: MSG, caffeine, chocolate, tyramine

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Symptoms: Moderna COVID-19 Vaccine EUA: muscle aches, slight fever (1.5 degree), fatigue, chills

Other Meds: Melatonin, COQ10, Calcium, Vitamin D

Current Illness:

ID: 1118750
Sex: F
Age: 61
State: DE

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
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Allergies: sulfa allergy; previous reaction to Xolair

Symptom List:

Symptoms: I developed burning across my chest and felt as though I swallowed a golf ball. The burning occurred approximately 30 minutes after injection and the feeling in my throat occurred approximately 1.5 hours later. I called the pharmacy that administered the injection and they advised me to call my physician. Since I had not yet had my first visit with a new primary care physician, I opted to go to the local emergency room later the same evening.

Other Meds: Lovaza, vitamin D3, multivitamin

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm