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: 1120315
Sex: M
Age: 45
State: WA

Vax Date: 03/01/2021
Onset Date: 03/16/2021
Rec V Date: 03/21/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: After about 30 minutes he said his throat felt weird. That night. Later he said he didn?t feel good and he said these are just normal reactions. I with pneumonia, or he thought he was catching pneumonia from me. Not possible he had the vaccine. Then the next morning he was still having difficulty breathing. Then Saturday 03/20/2021. afternoon he couldn?t catch his breath. I ran to get my phone and came back and he was dead. Called 911 and did CPR. They arrived and got a heart beat and put him on a breathing machine. He is in a medical induced coma. With a 50/50. Chance of survival.

Other Meds: Vraylar, albuterol inhaler

Current Illness: Mild COPD, Asthma, HIP C.

ID: 1120316
Sex: F
Age: 73
State: CA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Freezing hands. Two weeks after second shot there is still a stinging feeling on the backs of my hands.

Other Meds: Prozac Mevacor Zanaflex

Current Illness:

ID: 1120317
Sex: F
Age: 51
State: IL

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Slightly hard to swallow but patient states it's not bad at all

Other Meds:

Current Illness: SVT, asthma

ID: 1120318
Sex: F
Age: 27
State: IN

Vax Date: 02/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Fever and body aches for 12 hours, worse than when I had covid in November. A week-long migraine with nausea and sensitivity to light.

Other Meds: Escitolopram, multivitamin

Current Illness:

ID: 1120319
Sex: F
Age: 44
State: CA

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: vicodin

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

Symptoms: About 24 hours after shot, started having a headache. Took Tylenol, it helped Around 28 hours after shot, had fatigue, flu like symptoms- chills, felt warm feeling throughout body, nausea, headache. It lasted for about 8 hours. Had a taste in my mouth for about 12 hours after shot.

Other Meds: none

Current Illness: none

ID: 1120320
Sex: M
Age: 34
State: MA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Allergic to: fin fish, avocado, some slight nut allergies, pollen

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

Symptoms: lethargy at 7 ish pm, followed by a runny nose at 7:45 pm, chills set in around 8:45 pm, temp at 99.9 F at 9:15 pm, temp at 101.1 F at 10:30 pm accompanied by severe chills temp up to 102.0 at 11:19 pm Nausea at about 12:15 am temp stayed around 102 for the next few hours (101.8 at 12:30 am then back up to 102.1 a bit later) fever came down to about 100 at 4 am Headache persisted through the early morning and has not disappeared by 12:04 pm on 3/21/2021

Other Meds: Singulair, men's vitamin pills, albuterol (as needed), epipen prescribed but never used

Current Illness: none

ID: 1120321
Sex: F
Age: 33
State: CO

Vax Date: 03/06/2021
Onset Date: 03/15/2021
Rec V Date: 03/21/2021
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: Night of second dose, I had involuntary twitching in my arms and legs throughout the night that caused me to not be able to sleep. On 3/15, I began to feel pain on my skin. I developed a shingles rash on 3/16. I was diagnosed with shingles on 3/18.

Other Meds: Lamotrigine, fluoxetine, nexplanon

Current Illness: None

ID: 1120322
Sex: F
Age: 46
State: FL

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Seafood, antibiotics

Symptom List: Pharyngeal swelling

Symptoms: Facial swelling noticed about and hour and a half after shot. Swelling is through entire face but more noted on right hand side. Noted massive headache and dizzy spell twice lasting no more than a minute each time. Taken Benadryl every 6 hours after noticing facial swelling.

Other Meds: Collegen Peptides

Current Illness: stomach virus 4 days before

ID: 1120323
Sex: M
Age: 23
State:

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Individual presented at the mass vaccination site for a COVID vaccination. Stated needing the first dose. After receiving the shot remembered this was the second dose and presented his vaccination card. Recorded both vaccinations in system, and provided a new vaccination card. Kept for 30 minutes, no adverse reactions, education on symptoms to monitor and seek medical help if needed. First dose on 03/04/2021. If that day is included in counting days to second dose, then it was administered on day 17 which falls within the grace period. If the count begins on 03/05/2021, then the event is reportable.

Other Meds:

Current Illness:

ID: 1120325
Sex: M
Age: 19
State: CA

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Felt little headache and tired. Experience very minor aching in my legs.

Other Meds: None

Current Illness: None

ID: 1120326
Sex: F
Age: 73
State: PA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: penicillin latex pollen from trees, grass, flowers; pet dander, dust mites; scented products--perfume, laundry soap, candles, certain cleaning products etc.

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

Symptoms: 2/25 evening--chills, fever 2/26 afternoon-chills, fever. IIn bed til 2pm next day. Ate lightly 2/27-weak and tired. Rested all day. Fever & chills again overnight 2/28-Achy, rash/inflammation at injection thru sight 2" below and around circumference of arm almost meeting (like one giant hive)

Other Meds: Advil for chills and fever Allegra/Singular (generic) for allergies and asthma Valtrex (generic) for Herpes Crestor for High LDL cholesterol Multi-Vitamin/Vitamin B complex/calcium

Current Illness: arthritis allergies

ID: 1120328
Sex: F
Age: 58
State: NJ

Vax Date: 03/19/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Rash, Urticaria

Symptoms: Low grade fever, 100.8, aches and pains in joints, Headache and pressure, felt like parts of my body were being zapped at onset of symptoms. Very tired the entire next day. I took tylenol throughout the day and woke up the next morning feeling fine.

Other Meds: vayvanse ,lexapro, multi vitamin

Current Illness: None

ID: 1120329
Sex: F
Age: 68
State: TN

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Fever - 101; Muscle aches; Joint aches; Headache; Sinuses hurt; Chest hurt; Tired (All side effects were gone the next day with the exception of fever - I keep running a very low-grade fever 99.5 into day 3) 2nd day after injection - Injection site had redness going down to my elbow, very warm, and felt swollen

Other Meds: .0325 mg Estradiol Patch Zinc 50mg Iron 65mg B12 1000mcg Multivitamin

Current Illness: None

ID: 1120330
Sex: F
Age: 61
State: PA

Vax Date: 03/17/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Cat scan dye

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

Symptoms: After taking a hot bath. Redness at vaccine site and down the left arm on both sides. Some itchiness at the vaccine site. Took 1 benadryl and the redness and itchiness disappeared rather quickly. Some mild redness at the site.

Other Meds: Plaquenil, Restasis, Turmeric, Magnesium Malate, D, B

Current Illness:

ID: 1120331
Sex: F
Age: 72
State: NY

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient had one of her typical seizures on 3/14/21. She did not seek care. She managed at home and called 2 days later to notify my office that the seizure had taken place . She was feeling well.

Other Meds:

Current Illness:

ID: 1120335
Sex: F
Age: 71
State: IL

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Allergic reaction to Gel One HA knee injection x2 @ orthopedic treatment center in August 2020 Sensitive to latex, adhesive NKMA other than above Environmental sensitivities to fragrance, etc.

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

Symptoms: Rash to trunk and hives x 4 days

Other Meds: Famotidine 40 mg 1-2 tabs HS; Topiramate 50-100 mg daily; Pantoprazole 40mg 1-2 tabs daily Vitamin C, D3

Current Illness: N/A

ID: 1120336
Sex: F
Age: 26
State: IN

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Morphine, reglan

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

Symptoms: Vomiting, diarrhea

Other Meds: 200mg Zoloft, 2 pepto bismol tablets

Current Illness: None

ID: 1120337
Sex: F
Age: 67
State: NY

Vax Date: 03/13/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient reported to pharmacy that injection site is red, warm, and itchy. "Seems to be getting better." Advised patient to take Benadryl and inform primary physician to see if follow-up is needed.

Other Meds:

Current Illness:

ID: 1120339
Sex: F
Age: 69
State: IN

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Nausea, headache, sweating, overall body aches

Other Meds: Levothyroxin, lisinipril, CA+D, Macuhealth, spironolactone, B complex,

Current Illness: None

ID: 1120340
Sex: F
Age: 24
State: IN

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Cold, fever, chills, muscle aches, runny nose, sneezing, tiredness, diarrhea Occurred 1 day following vaccine Continued for 2 days

Other Meds: B12 supplement Calcium supplement

Current Illness: No

ID: 1120341
Sex: F
Age: 49
State: PA

Vax Date: 03/11/2021
Onset Date: 03/16/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Stadol Augmentin

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

Symptoms: Extreme pain in shoulder, muscle weakness, immovable arm

Other Meds: Levothyroxin Sertraline Allegra Atorvastatin

Current Illness: None

ID: 1120342
Sex: F
Age: 69
State: NC

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: penicillin, sulfa, bancomycin, gentomycin, garamycin, contrast dye(?),

Symptom List: Unevaluable event

Symptoms: Trigeminal surgery had left sensitivity to my right lower lip and small part of my tongue. After the shot, I experienced swelling in those two areas. By the next morning, everything was back to normal. No medications were taken nor treatments applied to the area.

Other Meds: multi-vitamin, D3, atentolol, prevacid, simvanstatin, CoQ10, Vitamin B6, Zinc, Vitamin C, baby aspirin, glucosamine, biotin, probiotic, calcium

Current Illness: None

ID: 1120343
Sex: F
Age: 81
State: NJ

Vax Date: 03/15/2021
Onset Date: 03/17/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Fever x 3 days with left upper arm circumferential cellulitis and swelling and streaking down left lateral chest wall and breast.

Other Meds: Ecotrin, simvastatin, Zetia

Current Illness: Nope

ID: 1120344
Sex: F
Age: 34
State: FL

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: No known drug allergies.

Symptom List: Injection site pain, Pain

Symptoms: After the injection mild symptoms of pain at the injection site began. Then progressive Muscle fatigue and weakness along with a headache occurred within 4 hours of the vaccine. These symptoms were mild. Was awoken 12 hrs after vaccine administration with sever chills and fatigue, fever (peak 101.2 F). Took Tylenol with mild relief. Still with intermittent chills and ongoing fatigue.

Other Meds: Prenatal medication and vitamin D

Current Illness: None

ID: 1120345
Sex: F
Age: 63
State: FL

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Injection site pain, Menorrhagia

Symptoms: Swelling and rash at injection site, pain Chills and body aches, headache

Other Meds: Vitamin C, Probiotic, Levothyroxine, Liothyronine, Metoprolol

Current Illness:

ID: 1120346
Sex: F
Age: 73
State: FL

Vax Date: 03/10/2021
Onset Date: 03/15/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Swelling of the lips and feeling very very chapped

Other Meds:

Current Illness:

ID: 1120347
Sex: F
Age: 28
State: CA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Metaclopramide

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Painful arm from 2 hours after shot. Headache, nausea, vomiting, body aches, fever onset approximately 9 hours after second vaccination. Lasted approximately 24 hours with only residual headache for a further 24 hours. Only took alka seltzer which reduced some vomiting

Other Meds: 5MTHF

Current Illness: None

ID: 1120348
Sex: M
Age: 61
State: PA

Vax Date: 12/22/2020
Onset Date: 01/05/2021
Rec V Date: 03/21/2021
Hospital: Y

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

Lab Data:

Allergies: unknown

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: cardiac arrhythmia tachycardia 220 BPM, an operation to install An implantable cardioverter-defibrillator (ICD)

Other Meds: vascepa

Current Illness: no

ID: 1120349
Sex: F
Age: 84
State:

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/21/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Moderna Covid vaccine at 10:30 AM and by 8:30 PM she had chills, and difficulty staying awake. Went to ER the next day. Admitted for 26 hours with orthostatic hypotension, due to COVID vaccine.

Other Meds:

Current Illness:

ID: 1120350
Sex: F
Age: 26
State: AZ

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin and wellbutrin

Symptom List: Nausea

Symptoms: Sudden drowsiness, fatigue and headache. Extreme thirst and dry mouth for more than 24 hours.

Other Meds: Warfarin, lamotrigine, gaunfacine, azo women's daily probiotic, iron supplement 65mg

Current Illness: N/A

ID: 1120351
Sex: F
Age: 97
State: CA

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Injection site pain

Symptoms: The following morning, grandma woke up with right wrist pain, mild swelling, and skin temperature is hot to touch. Sign and symptoms got worst for the next three days and up till today sign and symptoms are still evident.

Other Meds: Coreg 12.5 mg PO BID ASA 81 mg PO Daily Lasix 20 mg PO Daily Vitamin for Hair, Skin, & Nails PO Daily

Current Illness: None

ID: 1120353
Sex: F
Age: 65
State: PA

Vax Date: 03/11/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: None. Must be careful when taking NSAIDS for bleeding (right kidney bleeds if taking too much NSAIDs per Urologist)..

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

Symptoms: about 8 days after first shot my right arm at injection site was itchy, swollen and red. It's day #3 since the itching started. Seems a little bit better, but thought I should let someone know about this since it didn't happen until 8 days of having the shot. Will get my 2nd shot on April 1st but will tell them to put it in the left arm this time. Please notify me if I should do or not do anything else.

Other Meds: None. Vitamin D twice a week.

Current Illness: None

ID: 1120354
Sex: F
Age: 35
State: LA

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Ibuprofen, insect bites, seasonal allergies

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

Symptoms: Dizziness with nausea started 20 minutes after the second shot on 3/8/21. As of writing this, 13 days after the shot, dizziness has continued. I cannot drive, walk, or work on the computer.

Other Meds: Albuterol inhaler, Symbicort inhaler

Current Illness: I got my period the day I received the second Moderna vaccine on 3/8/21. Twenty minutes after receiving the second vaccine, I started feeling dizziness. Two weeks later I am still experiencing dizziness. I can?t drive or walk around without feeling dizzy.

ID: 1120355
Sex: M
Age: 66
State: CA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Tremor

Symptoms: sore throat, severe cough, severe pain inner thighs, severe pain both shoulders, sciatica right leg

Other Meds: Losartan 100 mg,/Amlodipine Besylate 5 mg/ simvastatin 20 mg

Current Illness: none

ID: 1120356
Sex: F
Age: 48
State: IN

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, levaquin

Symptom List: Erythema, Pruritus

Symptoms: Around Noon the day following my 1st vaccination dose, I started to feel hot at work but, I wasn't sweating. My eyelids burned, my cheeks were flushed. I started to have pain in every joint in my body shortly after that. Aching, throbbing pain. I was moving slowly, sluggishly, felt exhausted. I took an Aleve to help with symptoms. By 3pm, I was in bed trying to sleep through it. My temp was 100.8. Anytime I left my bed, I got chills and the joint pain did not stop until morning. The following day, I developed a swollen lymph node in my left arm pit that is tender still. My joint pain and fever were gone by the morning of the 20th. I still have tenderness in the lymph node under my left armpit. Injection site is still tender to the touch but, not noticeable otherwise.

Other Meds: Vitamin D supplements, prenatal vitamins, Zyrtec

Current Illness: none

ID: 1120357
Sex: M
Age: 79
State: MA

Vax Date: 03/07/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
Hospital:

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Allergies: NKA

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

Symptoms: Patient had dermatological event/dermatitis to chest, left arm, shoulder and neck areas.

Other Meds: Amlodipine, Pravastatin, Zolpidem, ASA

Current Illness: None

ID: 1120358
Sex: M
Age: 42
State: TX

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/21/2021
Hospital:

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Lab Data:

Allergies: None

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

Symptoms: Fatigue, slight fever, chills, tender eyeballs

Other Meds: fluticasone propionate nasal spray

Current Illness: None

ID: 1120359
Sex: M
Age: 25
State: TN

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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Lab Data:

Allergies: Don't know

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: First day night with inflammation in my deep nose and feeling chills. Second day the mucus start to come out and had sore throat. At night, I had the fever and the headache that I couldn't even sleep. I took the coughing syrup and barely slept.

Other Meds: No

Current Illness: No

ID: 1120360
Sex: F
Age: 47
State: MI

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 03/21/2021
Hospital:

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Allergies: None

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

Symptoms: Full body joint pain and fatigue for 4 weeks. Ibuprofen helps at times. I am able to work at my profession at a school by pushing myself; although it has been consistent joint pain and fatigue since the 2nd dose of Moderna. I work and come home to sleep and rest my body due to the pain.

Other Meds: None

Current Illness: None

ID: 1120361
Sex: M
Age: 46
State: PA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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Lab Data:

Allergies: None

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

Symptoms: Within two minutes of receiving the shot, began to feel very nauseous. Inside of ears then felt very hot and body below neck felt very chilled. After five minutes these symptoms intensified, feeling hot flushed in face and vision darkened, feeling like a black out may occur. Pharmacist provided water. Symptoms began dissipating after 20 minutes after injection. After 30 minutes, symptoms ended.

Other Meds: Fluticasone Propionate Nasal Spray, USP 50 mcg per spray

Current Illness: None

ID: 1120362
Sex: F
Age: 58
State: PA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: undetermined none

Symptom List: Pain in extremity

Symptoms: Two hours after receiving vaccine, I experienced sudden onset extremely painful throat, swollen gooey uvula, followed by hives on face, neck, chest, and underarms, moderately swollen lips and eye areas. I took Benadryl 1/2 hour after onset, eventually resolving hives and face swelling. 25 hours later, I'm still experiencing the painful throat/swollen uvula issue. Appetite is fine, though swallowing is painful. Injection sight became painful 18-20 hours after vaccination.

Other Meds: none

Current Illness: none

ID: 1120363
Sex: F
Age: 63
State: IN

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: No

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

Symptoms: The following morning and throughout that day I experienced extreme fatigue and mild chills.

Other Meds: 1200 mg Calcium 50+ multivitamin

Current Illness: None

ID: 1120364
Sex: F
Age: 63
State: TX

Vax Date: 01/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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Lab Data:

Allergies: Wellbutrin, penicillin

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

Symptoms: Cramping in intestines. Loose stool 6:30 til 3 am on 3/19/21, 7:30 am on 3/21/21 cramping still at 11:30 while completing this form. Lack of appetite.

Other Meds: Lemon essential oil in bottle water. Vitamin C

Current Illness: N/A

ID: 1120365
Sex: F
Age: 47
State: NH

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/21/2021
Hospital:

Vax Type:
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Vax Name:
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Lab Data:

Allergies: PCN

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

Symptoms: Within a few hours I got a spontaneous black eye (right side) upper lid - very dark bruise (looks like it will last a few weeks) Following day I had severe aches and exhaustion By second day still exhausted

Other Meds: Ginseng, escitalopram, probiotic, ASCOMP WITH CODEINE(for migraines), Tylenol, vit d, magnesium, CLONAZEPAM, PROGESTERONE, ESTRADIOL,

Current Illness:

ID: 1120366
Sex: F
Age: 60
State: NY

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/21/2021
Hospital:

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Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: nausea & lightheadedness (10 minutes), diarrhea (one instance), fatigue (2 days), headache (1,5 days), sore injection site (1 day)

Other Meds: altace, maxide, allegra, calcium, vitamin d, niacinimide, glucosamine

Current Illness:

ID: 1120367
Sex: F
Age: 17
State: LA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/21/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: unknown

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: unknown

Other Meds: unknown

Current Illness: unknown

ID: 1120368
Sex: F
Age: 45
State: AZ

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies: Not know allergies

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

Symptoms: Numb feeling on left side of face like 3 hours after the shot , and a little after left ear and left part of head . Got better on the Next morning

Other Meds: Amlodipine

Current Illness: N/A

ID: 1120369
Sex: F
Age: 67
State: IL

Vax Date: 03/05/2021
Onset Date: 03/08/2021
Rec V Date: 03/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies: NKDA

Symptom List: Injection site swelling, Limb discomfort

Symptoms: On day 3 post vaccination, patient noted itching in left palm of hand, then the next day noted erythematous blisters appeared that worsened over a 24 hour period. Blisters are now stable and slowly improving without treatment.

Other Meds: Losartan, HCTZ, Potassium chloride, Prevacid

Current Illness: None

ID: 1120370
Sex: F
Age: 63
State: OH

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 03/21/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

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

Symptoms: My mother was getting her covid vaccine. The nurse administering the shot was unfamiliar and uncomfortable with the syringe type she was using. It was a "retractable syringe" according to the nurse. She consulted with another nurse about how the syringe functioned. She said it was a new syringe and she was used to the old one. She placed the needle in my mother's arm. She withdrew the needle and vaccine fluid sprayed on the curtain. She attempted to change the needle on the syringe unit to administer the remaining fluid, but was unsuccessful. My concern is: Is my mother fully vaccinated> When she asked they said "probably enough got in. Don't worry about it." This answer is not acceptable. Does she need a booster? Should she start the whole vaccination process over again? Are their tests to determine her level of protection? Should she be behaving as though she is not vaccinated. Any guidance or information would be appreciated. The center recommended I fill out this form.

Other Meds:

Current Illness:

ID: 1120371
Sex: F
Age: 68
State: MO

Vax Date: 03/03/2021
Onset Date: 03/06/2021
Rec V Date: 03/21/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

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

Symptoms: 1st night: arm pain peaked in the middle of the night, but better by morning 3 days after injection: had pain in left shoulder blade and about 5-6" radius of very tender scalp that hurt to barely touch 4 days: left shoulder blade pain better....tender scalp remains 5 days: pain has moved up toward shoulder..lesser pain on scalp 6 days: left shoulder pain gone, but now have arthritis type pain in left shoulder and back area and neck area...still some scalp pain 7 days: continued arthritis type pain in left shoulder and back area and neck area...still some scalp pain 8 days: still a little arthritis pain in left shoulder and back area and still a little scalp pain for the shoulder blade, shoulder, back and neck pain, I used ice

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am