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: 1131964
Sex: F
Age: 72
State: PA

Vax Date: 03/19/2021
Onset Date: 03/22/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: IVP dyes; Most Asthma medications; Adhesives

Symptom List: Dysphagia, Epiglottitis

Symptoms: Nausea, fatigue, diarrhea, headaches, chills, muscle pain, diarrhea, and headaches continues as of this report being completed(3 days later).

Other Meds: Verapamil; Triatomine; Omeprazole; Robistatin; Xyzal

Current Illness: none

ID: 1131965
Sex: M
Age: 69
State: TX

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: My body became very cold. I took two Tylenol, and took a 2 hour nap. When I woke up I was back to normal again, feeling great. No other issues

Other Meds: None

Current Illness: None

ID: 1131966
Sex: M
Age: 51
State: FL

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: caller reports skin red "like a sunburn" and is peeling/shedding; also c/o severe chapped/burning lips

Other Meds: folic acid lactulose furosemide nadolol protonix sprironolactone sleep aid mednadolol

Current Illness: Caller states he was treated with Otezla for psoriais prior to recieving vaccine. Psoriasis had cleared up with medication; now he states since receiving the vaccine, his skin is "worse than ever". Recommed caller contact his dermatologist to have skin condition evaluated; Caller agreeable

ID: 1131967
Sex: F
Age: 63
State: NY

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Swollen Arm, Redness, Pain, Itchy at site. Iced the site, started day after vaccination and has gotten better as of 3/25/21 swelling is less and redness has gone down considerably.

Other Meds: Iberasartan with water pill. Generic Celexa and vitamins.

Current Illness: None

ID: 1131968
Sex: F
Age: 30
State: IL

Vax Date: 03/13/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Acute vomiting and diarrhea 12 days after injection. Episode lasted two hours.

Other Meds: Wellbutrin, methylphenidate, synthroid, Lexapro, Junel, Nitrofurantoin

Current Illness: Urinary tract infection.

ID: 1131969
Sex: M
Age: 65
State: VT

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Sudden onset of shortness of breath, chest tightness and coughing. His usual rescue inhaler didn't help symptoms. Up all night long. Unable to lay down as it made his breathing worse. The next day, he did a nebulizer treatment and that helped his symptoms. Unfortunately, he has had an acute asthma attacks nearly every day since. Starting 1 week ago, symptoms have gradually improved. He is still having to use his nebulizer, but not as often, as his usual inhalers have not been ineffective.

Other Meds: Pantoprazole, Flaxseed Oil, Vitamin C, Ventolin HFA, Buffered Aspirin, Ipratropium/Albuterol Solution, Multi-vitamin, Lisinopril, Metoprolol Succinate, Simvastatin, Hydrochlorothiazide, Metformin, Symbicort and Zinc.

Current Illness: None

ID: 1131970
Sex: F
Age: 57
State: SC

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Approximately eight hours after receiving my second dose of Moderna, I began having a sore throat, high fever, and general malaise. This lasted about 24 hours, after which I am experiencing low-grade fever and general malaise.

Other Meds: zoloft 100mg wellebutrin Emergen-/c multivitamin

Current Illness: none

ID: 1131971
Sex: F
Age: 60
State: TN

Vax Date: 03/10/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pharyngeal swelling

Symptoms: Arm was a little sore after injection but exploded into searing stabbing pain at the 2 week mark. The pinpoint soreness was vague and lingering until the middle of the night last night when the intense pain woke me from my sleep. It isn't bursa pain it is deltoid pain more intense than I ever imagined it could be especially at the two week mark post vaccine!! It is pretty terrible.

Other Meds: none

Current Illness: none

ID: 1131972
Sex: F
Age: 78
State: LA

Vax Date: 03/12/2021
Onset Date: 03/22/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient described a rash on arm which occured around 2 weeks after vaccination.

Other Meds:

Current Illness:

ID: 1131973
Sex: M
Age: 56
State: KY

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Felt fine all day after vaccination. Adverse event(s) onset around 11pm day of vaccination and lasted through 4:30pm the day following the vaccination. Symptoms included a flushed feeling in head and face. I experienced joint pain and muscle pain throughout the body. I experienced a headache for most of the period. I took Tylenol (acetaminophen) that provided relief for the headache and muscle and joint pain. Besides that I basically slept for the period from 11pm day of vaccination through 4:30pm day after vaccination.

Other Meds: None

Current Illness: None

ID: 1131974
Sex: M
Age: 44
State: NC

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: SHELLFISH, LATEX

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

Symptoms: fevers, nausea, local reaction on day 1. However day 14 patient now has large patch of erythema about 12cm across centered around medial elbow. Erythema from local reaction has traveled down patient's arm.

Other Meds: APIXIBAN

Current Illness: DIAGNOSED WITH COVID 3/2/2021

ID: 1131975
Sex: F
Age: 41
State:

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Arm pain.

Other Meds:

Current Illness:

ID: 1131976
Sex: F
Age: 46
State: OH

Vax Date: 12/21/2020
Onset Date: 03/22/2021
Rec V Date: 03/25/2021
Hospital: Y

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Shortness of breath, Diffuse Pulmonary Embolism with Ground glass opacities, happened over course of 1 week

Other Meds:

Current Illness: none

ID: 1131977
Sex: F
Age: 35
State: OH

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Body aches. Brain fog. Headache. Slightly feverish, feeling warm.

Other Meds: Generic of Prozac and Wellbutrin. Levothyroxine. Bijuva. Nuvigil. Vitamin D3-K2/MK7

Current Illness: No

ID: 1131978
Sex: F
Age: 50
State: FL

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: sea food, penicillin, advair, grass

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

Symptoms: evening around 4p.m. after the vaccine Adverse effect- lethargy, sleepy 03/23/21 felt cold, swollen lip and face, lethargy, sleepy Ever have a reaction to a previous vaccine? If yes, what? no- usually gets 3 vaccines each month for allergies she didnt take the third dose this month because she was getting the COVID vaccine, area of injection usually gets swollen when she gets these vaccines and it goes away within a few hours Recommendations: please contact your PCP for recommendations since he has your medical records available, see what he recommends for you to take whether it be your prescribed allergy medication or any OTC items. If you are currently experiencing any Shortness of breath please visit your nearest Emergency Department, otherwise inform your PCP that you are experiencing swelling on your lips and that you experienced a swollen face that subsided. Consult with him on whether you should or shouldn't get the second dose vaccine, one of the contraindications for the vaccine is anaphylaxis so its better to take precaution.

Other Meds: albuterol -proair -dulera (hasn't used it in a while)

Current Illness:

ID: 1131979
Sex: M
Age: 42
State: NC

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

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

Lab Data:

Allergies:

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

Symptoms: High fever with chills. Measured 101.7 F at 12:30 am on 3/25/21 with non touch thermometer. Took 1300 mg of slow release Tylenol at 1:30 am. Fever and chills subsided in couple of hours.

Other Meds:

Current Illness:

ID: 1131980
Sex: F
Age: 21
State: SC

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/25/2021
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: Headache the day of the vaccine and the following day. Sore arm starting on the day I received the vaccine and lasting for 2-3 days.

Other Meds:

Current Illness:

ID: 1131981
Sex: M
Age: 64
State: IL

Vax Date: 03/23/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Bee Stings, Coconut (in all forms), Humalog, Omnipod Adhesive, penicillin's, Tramadol

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Upon self exam, discovered an oval nodule about 1" long and 1/2" wide resting on the area of my right collarbone. It was not there yesterday. There isn't any pain when touching it unless I do so repeatedly and that is only a soreness. I had a liposarcoma removed from my right thigh in 2013 so I'll need to report it to my oncologist and PCP.

Other Meds: Tylenol, Gabapentin, Amlodipine, Melatonin, Probiotics, Vitamins B12, C & D, Alpha-Lipoic Acid, Crestor, Lisinopril, Plavix, baby aspirin, Hydrocholorothiazide, CoQ10, Magnesium, Tumeric, Slow Fe, Insulin.

Current Illness: NA

ID: 1131982
Sex: F
Age: 49
State: WA

Vax Date: 03/14/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Swollen lymph node left armpit, swollen arm, pain in armpit and left shoulder blade

Other Meds: none

Current Illness:

ID: 1131983
Sex: F
Age: 58
State: IN

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Nka

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

Symptoms: Severe arm pain, chills, body aches, severe fatigue

Other Meds: Losartin, vitamin d, calcium magnesium zinc

Current Illness: None

ID: 1131984
Sex: F
Age: 53
State: PA

Vax Date: 03/09/2021
Onset Date: 03/17/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Constant moderate tinnitus started about 1 week after vaccine. Never had tinnitus or hearing loss before this. Did test COVID positive in September 2020 and lost sense of smell and taste but that has since recovered. Tinnitus is new and constant....just since vaccine. Not going to get second dose.

Other Meds: None

Current Illness: None

ID: 1131985
Sex: F
Age: 52
State: FL

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

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

Lab Data:

Allergies: none

Symptom List: Unevaluable event

Symptoms: I received the shot at 4:00 pm. Over the next two hours, my entire arm and shoulder muscles became extremely sore. After that, the pain had become so intense that I could not move my arm without assistance. I went to bed around 10:00 pm with a headache and slight nausea. I woke up three times during the night with extreme pain in my shoulder, arm, and hand. At 9;00 am, the pain is not as intense, but I am still unable to move my arm up or down without assistance. The headache and nausea are gone.

Other Meds: none

Current Illness: none

ID: 1131986
Sex: F
Age: 55
State: IA

Vax Date: 03/16/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
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: Red, swollen , itchy circle (approx 5?) at injection site.

Other Meds: Plavix, biotin, 81 mg aspirin, Atorvastatin, Levothroxine

Current Illness: None

ID: 1131987
Sex: F
Age: 19
State: PA

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

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Pain

Symptoms: pt was having fainting spelling

Other Meds: none

Current Illness: faint spells

ID: 1131988
Sex: M
Age: 63
State: IN

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Temperature 104+ and need to keep taking Tylenol following days to maintain safe temperature.

Other Meds: Losartan, Hydrochlorothiazide, atorvastatin, dexamethasone, taxotere

Current Illness: Prostrate cancer stage 4. Cu

ID: 1131989
Sex: F
Age: 23
State: NV

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

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

Lab Data:

Allergies: zithromax, Sulfa

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

Symptoms: Throwing up, chills, hot then cold,

Other Meds: Mitigare,, Nexplanon

Current Illness:

ID: 1131990
Sex: F
Age: 54
State: NH

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

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

Lab Data:

Allergies: none

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Pt developed a flushed feeling along with lightheadedness. She notes that it feels similar to prior episodes of vertigo. Symptoms came on almost immediately after vaccination. BP 120/80, HR 73, SP02 98%. She ate a snack and felt slightly better and elected to go home with her husband driving. She declined EMS services and ER evaluation,

Other Meds: none

Current Illness: none

ID: 1131991
Sex: F
Age: 50
State: FL

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Mushroom Clindamycin Lisinopril Victoza Kenalog

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Date and time adverse event started: 3-5-21 @ 8:15PM, ITCHING TO HANDS. AT 10PM ITCHING STOPPED AND A BURNING SENSATION STARTED. 3-6-21 OPEN WAKENING, BODY IS ENTIRELY RED AND BURNING. 3-8-21 THROAT AND TONGUE STARTED TO NUMB INTO THE MOUTH. LUMP IN THROAT THAT RESULTED IN AN ER VISIT. PREDNISONE, BENADRYL, PEPCID IV WAS GIVEN. MEDS HELPED WIKTH MOUTH AND THROAT ISSUES. WAWS GIVEN A 3 DAY SUPPLY OF PREDNISONE, PEPCID, AND TO BENADRYL & TOLD TO SEE HER PCP. 3-9-21 CALLED PCP, WHO REFERRED HER TO HER ALLERGIST. ALLERGIST SAW HER THAT SAME DAY 3-9-21 REPORTED TO CONTINUE MEDS MINUS BENADRYL AND TO TAKE ZYRETC BID. CALLER REPORTS IF SHES LATE ON THE ZYRETC HER SENSATION IS FROM STINGING TO BURNING. ALLERGIST SENT HER BACK TO THE ED WHERE THEY RAN BLOOD WORK. WAS TOLD EVERYTHING WAS NORMAL WITH THE EXCEPTION OF "ELEVATION OF INFLAMMATION" MARKERS. WAS DSICHARGED AND TOLD TO F/U WITH PCP. SPOKE WITH ALLERGIST WHO THEN REFERRED HER TO healthcare facility. PCP TOLD HER TO HOLD OFF ON healthcare facility AND MADE CHANGES TO MEDS; PREDNISONE TAPERED DOSE FOR 18 DAYS, ZYRTEC & PEPCID BID FOR 4 WEEKS. APRIL 8TH FOLLOWING UP WITH PCP AFTER MEDS.

Other Meds: tigio insulin gardian metformin ER singular protonix sucralfate Synthroid clairin Valtrex cholesteolmine atorvastatin b12 iron omgea-3 flax seed oil vit d3 cranberry extract glucosamine

Current Illness:

ID: 1131992
Sex: F
Age: 54
State: KY

Vax Date: 01/27/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: UK

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

Symptoms: Pt was positive for COVID in October 2020. Pt received both doses of COVID Moderna vaccine as noted above. Pt became symptomatic again on 03/23 and tested positive for COVID again on 03/24/21.

Other Meds: UK

Current Illness: No

ID: 1131993
Sex: F
Age: 34
State: CA

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

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

Lab Data:

Allergies: NSAIDs

Symptom List: Nausea

Symptoms: Itchy face hours after vaccination took Benadryl, Less then 12 hours after vaccination woke up with ongoing body aches and pain, soreness at vaccinated arm

Other Meds: Probiotic 10 Vitamin C 1000mg Apple Cider Vinegar pill Calcium, Magnesium, Zinc pill Women?s one a day vitamin

Current Illness: None

ID: 1131994
Sex: F
Age: 65
State: FL

Vax Date: 03/04/2021
Onset Date: 03/14/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: I do not have the time to fill this out. I have a rash all over my body .that started about 10 days after I got Moderna Covid-19 shot #2

Other Meds: Lactalose, Xifaxan, Propanalol, omeprazole, Cymbalta

Current Illness: Liver disease.

ID: 1131995
Sex: M
Age: 57
State: IN

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Severe headache during the night. Solved with Tylenol.

Other Meds: None

Current Illness: Hernia

ID: 1131996
Sex: F
Age: 32
State: NC

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: . No history of allergy or intolerance to any foods medications, natural rubber latex or stinging insects.

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

Symptoms: The patient is a healthy 32 yo with a history of AE after Pfizer Covid vaccine #2 (lot #EL1284, receipt 06 January). She reports receipt of vaccine at about noon. She developed nausea about 30 minutes later. She developed headaache about 1-1 1/2 hours later. She fetl lethargy and fatigue about 4-5 pm and was asleep by 18:00. She slept through until noon the next day when her mother awoke her due to concern for her breathing pattern. She said she felt exhausted and unwell like 'a terrible hangover'. She could not stand and her limbs felt weak and flaccid. Family called the nurse help line who instructed to call EMS. She was soaked in sweat, but no fever and reports she was told her BP was elevated, her extremities were numb but tingled as they improved, and she recalls very severe headache and breathing was hard due to feeling 'heavy'. She felt better as she got near the hospital. She notes her recall of the events is hazy. She was treated with IVF and Toradol and discharged with tylenol, motrin and zofran. She denies emesis, but recalls severe myalgias, knee arthralgias which continued with fatigue for about 10 days, and still has discomfort to her right knee. She reports chest tightness with exertion, which resolved. She denies cough, diarrhea, or any immediate reaction suggestive of IgE. She reports local site reaction of erythematous plaque with smaller peripheral macules, centrally located at the injection site with smaller macules peripherally down her arm. She denies history of AE with other vaccines. Per ER notes, states EMS report HR 114, diaphoretic, HTN,, febrile, tachypneic, received 500 cc bolus. Triage states crying, anxious and tachypnic, guided in deep breathing, BP 95/65, HR 100, RR 26 sat 97%, T 98.3; documented as ill appearing. cc: fatigue, weakness, sweating, nausea, malaise, headache. Only diagnostic is EKG which was normal. She was treated with Ofirmev, in addition to IVF and Torrodol.

Other Meds: Topamax 25 mgs po bid Prozac 40 mgs po daily Zyrtec 10 mgs po daily claritin 10 mgs po daily.

Current Illness: none

ID: 1131997
Sex: M
Age: 33
State: IL

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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Allergies: PCN, amoxicillin

Symptom List: Tremor

Symptoms: HYPOTENSION, DIAPHORESIS, LIGHTHEADED

Other Meds: none

Current Illness: none

ID: 1131998
Sex: F
Age: 64
State: FL

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/25/2021
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Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: Dizziness, disorientation, very bad headache on the top of my head, confusion, problems with concentrating and comprehending, lightheaded, fatigue, sensitivity to light. I had a concussion 5-years ago from a car accident and recovered after one year. The symptoms of my concussion have returned within 30 minutes of receiving the Covid vaccine.

Other Meds: Amlodipine 5mg. NP Thyroid 40 mg. Pantoprazole 40 mg.

Current Illness: None

ID: 1131999
Sex: F
Age: 93
State: MA

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/25/2021
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Allergies: latex, Lisinopril,

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

Symptoms: pt has CTCL and has developed more intense itching than usual. Pt has dementia but has had more severe episodes of aggression, confusion and delirium. Her upper left arm is red and has developed more defined lesions around the injections site and on her lower back. Her arm pain and back pain seemed to be heightened more than usual and she also has some fatigue. Pt saw her cancer Dr. on 3/24/21. Dr. made notation in her chart about her symptoms and was instructed to continue the using the cream that she was currently using. Pts PCP is aware of the increased episodes of confusion and being argumentative since taking the vax. Pts daughter is her full time care giver and is dealing w/ her increased intensity of the patients symptoms.

Other Meds: acetaminophen, low dose aspirin, escitalopram, amlodipine, potassium chloride, warfarin, maxide-25, gabapentin, senna, melatonin, miralax, metoprolol, torsemide, multivitamin, buspirone, losartan, acitretin, COQ 10, Vitamin C, D, valchlor,

Current Illness: no

ID: 1132000
Sex: F
Age: 63
State: NC

Vax Date: 03/04/2021
Onset Date: 03/12/2021
Rec V Date: 03/25/2021
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Lab Data:

Allergies: Macrobid

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

Symptoms: Over last two weeks have developed terrible ringing in the ears. Ringing is high-pitched buzz and occurs 24/7.

Other Meds: Phentermine

Current Illness: None

ID: 1132001
Sex: F
Age: 55
State: MI

Vax Date: 03/04/2021
Onset Date: 03/11/2021
Rec V Date: 03/25/2021
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Allergies: Allergic to Bactrim (sulfabased drugs)

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Redness/rash around shot site with itching and soreness a week after I received the vaccine. The redness/rash got about three inches wide. I took antihistamines and applied over the counter anti-itch lotion. The redness/rash faded, but spread to about five inches wide. It was gone about a week after it started.

Other Meds: Prescriptions: Yuvafem 10 mcg Over the counter: loratadine 10 mg, daily multivitamin, biotin, fish oil, vitamin D3,probiotics.

Current Illness: none

ID: 1132002
Sex: F
Age: 54
State: NY

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/25/2021
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Allergies: No

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

Symptoms: Since the vaccine on that date I have been experiencing a feeling of my finger on my left hand feeling swollen, and when I bend my fingers they sometimes get lock in that bend position., for a short period. Systems are still goi g on today.

Other Meds: No

Current Illness: No

ID: 1132003
Sex: F
Age: 70
State: FL

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/25/2021
Hospital:

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Allergies:

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

Symptoms: Extreme fatigue, N/V, body aches, chills, dry cough, eyeballs hurt...flu like symptoms; She stated that she was very close to going to the ER yesterday but didn't. Getting a covid test.

Other Meds: Synthroid Atorvastatin Lisinopril MVI

Current Illness:

ID: 1132004
Sex: F
Age: 24
State: NH

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

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Allergies:

Symptom List: Pain in extremity

Symptoms: Transient dizziness 5 minutes after vaccine administration: PT remained A&0x4, VS stable Transient dizziness, sat down immediately, no injury, resolved wihtin 10 minutes PT placed supine, passive leg movement encouraged, PT drank water, VS taken and WNL PT reported feeling "back to normal" within 10 minutes, signed refusal of treatment & transport form from EMS

Other Meds:

Current Illness:

ID: 1132005
Sex: F
Age: 67
State: AR

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
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Allergies: keflex, ceclor, naproxen, and lisinopril

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

Symptoms: swelling, soreness, fever, chills, aches

Other Meds: losartan and hydrochlorothiazide for high blood pressure

Current Illness: none

ID: 1132006
Sex: F
Age: 53
State: IN

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
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Lab Data:

Allergies: Penicillin

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

Symptoms: Similar to flu

Other Meds: None

Current Illness: None

ID: 1132007
Sex: F
Age: 33
State: TX

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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Allergies: Ceclor

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

Symptoms: Severe muscle pain, chills, headache, nausea. Chills and nausea lasted about 4 hours but the headache and muscle pain are still on going at the 9 hour mark.

Other Meds: Loloestrin

Current Illness: None

ID: 1132008
Sex: F
Age:
State: IN

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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Allergies: Garlic Acidic vegetables and fruits

Symptom List: Vomiting

Symptoms: Pain in the arm Body aches Headache Chills

Other Meds: Neurontin Colchicine Progesterone Aldactone Vitamin D3, C, B, Biotin Potassium Folic Acid Magnesium

Current Illness: None

ID: 1132009
Sex: F
Age: 50
State: TX

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/25/2021
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Allergies: Biaxin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Began with injection site, head, neck pain, nausea. Progressed to total body pain especially in head, small joints and large muscles. Pins and needles in extremities. Extreme fatigue and heaviness. Occasional chest pain.

Other Meds: Cetirizine

Current Illness:

ID: 1132010
Sex: M
Age: 57
State: NJ

Vax Date: 03/16/2021
Onset Date: 03/21/2021
Rec V Date: 03/25/2021
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Allergies: Cipro

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

Symptoms: Tinnitus

Other Meds: Glucosamine -though not regularly

Current Illness: None

ID: 1132011
Sex: F
Age: 58
State: IN

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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Allergies: gluten, dairy, penicillin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Elevated temp, body aches, headache, rash, fatigue, sore arm. Lasted 36 hours.

Other Meds: thyroid med

Current Illness: none

ID: 1132012
Sex: F
Age: 79
State: IL

Vax Date: 03/19/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital: Y

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Allergies: nka

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

Symptoms: To er for eval of seizure activity at hospital . Nurse reported that seizure activity lasted 1.5 min and took approx. 30 minutes for her to start " coming around" to her self. Patient was bradycardic en route to hospital. er hpi: "79 y.o. female who presents with seizure activity. Patient is brought to the ER via EMS from nursing home with new onset seizure. Nursing home staff reports patient had tonic-clonic seizure which lasted approximately 1 min. Patient was apneic. Patient is slightly postictal but no urinary incontinence. Patient has no known history of seizure disorder. Patient is resident of nursing home and is a DNR comfort care. Patient with underlying dementia. In speaking with patient she denies any current headache, chest pain, shortness of breath, abdominal pain, nausea, vomiting, diarrhea, fevers, or chills. She is alert only to name." Inpatient admission to hospital 3/24/21 dx acute hepatic encephalopathy, new onset seizure without head trauma

Other Meds: Current Outpatient Medications: ? acetaminophen (TYLENOL) 500 MG tablet, Take 1,000 mg by mouth every 6 hours as needed for Pain (Not to exceed 3,000 mg per day) , Disp: , Rfl: ? amLODIPine (NORVASC) 5 MG tablet, Take 5 mg by mouth dai

Current Illness:

ID: 1132013
Sex: F
Age: 44
State: CA

Vax Date: 03/16/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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Allergies: None

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

Symptoms: Itching, Redness, swelling, hot on injection site. ?Moderna Arm?

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am