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
63,479
AK1,562
AL4,914
AR3,110
AS44
AZ12,730
CA54,886
CO10,464
CT7,347
DC1,568
DE1,561
FL33,514
FM3
GA12,508
GU74
HI2,078
IA4,130
ID2,361
IL18,091
IN22,023
KS4,061
KY6,276
LA4,395
MA13,121
MD11,272
ME2,858
MH8
MI16,697
MN10,689
MO8,360
MP30
MS2,487
MT2,035
NC14,437
ND1,184
NE2,562
NH2,717
NJ16,033
NM3,532
NV3,784
NY30,921
OH17,029
OK5,673
OR7,479
PA21,111
PR1,959
QM2
RI1,833
SC5,601
SD1,087
TN8,048
TX31,896
UT3,791
VA13,180
VI48
VT1,592
WA13,026
WI9,856
WV2,120
WY754
XB5
XL1
XV2

ID: 1142711
Sex: F
Age: 67
State: WA

Vax Date: 03/01/2021
Onset Date: 03/20/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: vicodin lisinopril

Symptom List:

Symptoms: top lip swollen and as of 03/28/21 lip is still slightly swollen. I called my dr's office on 3/22 and reported my symptom and I was scheduled an appt to see a dr on 03/23. I went and was examined and she could see that my lip was swollen. After she consulted with another dr they concluded that I shouldn't get the second dose.

Other Meds: amlodipine ergocalciferol hydrochlorothiazide Multi vitamin B complex

Current Illness: none

ID: 1142712
Sex: F
Age: 81
State: CA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Drugs Prednisone

Symptom List:

Symptoms: 2/18/21 11 pm Weak, aches 2/18/21 11:30 pm Chills, Shaky, Fever 101* Tylenol 2/19/21 12:55 am Fever 101.6 2/19/21 6:20 am Fever 102.4*, Weak, Headache Tylenol 2/20/21 12:45pm 12:45pm Fever 101.4, Weak, Headache, Tylenol 2/21/21 Through 2/24/21 All day Weak, Shaky, Muscle Cramps in Neck, Left Shoulder to Shoulder Blade X-Strength Tylenol 2/25/21 Weak

Other Meds: Levothyroxine Estrace Aspirin Low Dose Vitamin D3 Evening Primrose Oil

Current Illness:

ID: 1142713
Sex: M
Age: 32
State:

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Within 24 hrs of receipt of the vaccine, he developed a diffuse, nonpruritic, erythematous rash on his bilateral upper extremities and front and back of his trunk. No mouth/airway involvement or difficulty breathing/wheezing. Pt had no known allergies or history of past drug reactions. He otherwise felt well. Pt was given Claritin to take twice daily for suspected urticarial and advised to return immediately if he developed any airway symptoms. The patient has not returned in the last 48 hours.

Other Meds: None

Current Illness: None

ID: 1142714
Sex: F
Age: 59
State: NY

Vax Date: 03/24/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Painful, swollen lymph node under the jaw, left side Painful lymph node near armpit, left side Extreme fatigue

Other Meds: Zoloft Aspirin Oxycodone Metoprolol Hydralizine

Current Illness: None

ID: 1142715
Sex: F
Age: 38
State: IN

Vax Date: 03/26/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: tomatoes bananas

Symptom List:

Symptoms: developed chills and a fever sunday developed muscle aches

Other Meds: Trulicity 1.5 Metformin 1500 daily Valsartan/HTC Iron 45 mg Breo 100 elderberry vitamin C Vitamin D3 Zyrtec

Current Illness:

ID: 1142716
Sex: M
Age: 66
State: WA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tingling in left arm and hand (arm that received the vaccination) comes and goes. This started a few minutes after the vaccination. I assumed it was just temporary and didn't mention it. But it has continued off and on since the time of my 2nd vaccination almost 2 weeks ago. I feel it for a few seconds to perhaps a minute or so, then it's gone for a while. This repeats multiple times throughout the day. I have had no other side effects from the vaccination, no temperature of flu-like symptoms.

Other Meds: Lisinopril

Current Illness: Hypertension

ID: 1142717
Sex: F
Age: 79
State: WA

Vax Date: 03/01/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Pollens

Symptom List:

Symptoms: Itchy red swollen large area

Other Meds: Estradiol, meloxicam, gabapentin, bacloven, Allegra, Tylenol, amitriptillin, wixela inhaler, omeprazole

Current Illness: None

ID: 1142718
Sex: F
Age: 67
State: CA

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Oddest thing, I know how bizarre this sounds. About 8 hours after my injection, I had moderate pain in my left (injection) arm. However, I also developed the same or greater level of pain in my right (non-injection) arm. The pain was located in my upper arm, exactly the same area where I experienced pain in my injection arm. The pain lasted about 18 hours, fading away after that. I had the same reaction to the second dose of the vaccine, given three weeks following the first. I had less pain after the second shot, and the "mirror" pain in the other arm was also less. This lasted between 12 and 18 hours, and then the pain in both arms faded away.

Other Meds: None

Current Illness: None

ID: 1142719
Sex: F
Age: 30
State:

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: About a day or two after receiving the shot, I would experience intermittent headaches throughout the day. This lasted for about 4-6 days after the initial injection. No other noticeable effects occurred.

Other Meds: Blood pressure medication

Current Illness: none

ID: 1142720
Sex: M
Age: 48
State:

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Increase in intensity of my tinnitus of my left ear noticed after receiving the injection. First noticed it the next morning, but did not think too much of it, but it has been consistently of greater intensity that before the injection.

Other Meds: None

Current Illness: none

ID: 1142721
Sex: F
Age: 70
State:

Vax Date: 03/19/2021
Onset Date: 03/22/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Iodine based dyes

Symptom List:

Symptoms: March 19 day of shot sore arm,some aches. March 22 severe tinnitus in both ears,face cheeks hot to touch...kMarch 26 tinnitus was better,March 28 severe tinnitus back..

Other Meds: Atvorstatin,lisonopril,calcium,vit d, vit b12,zinc, ambient

Current Illness:

ID: 1142722
Sex: F
Age: 57
State: FL

Vax Date: 03/26/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: iodine contrast, Avonex, Rebif, Copaxone, Celebrex, Imitrex, Aspirin, Sulfur and Sulfites, Linzess, Voriconcazole, Doxcycline, Decadron, Morphine, Dialudid, Gadolinium contrast

Symptom List:

Symptoms: Normal muscle aches, chills, fever, and headache as explained as a possible side effect. The widespread rash did not start until almost 48 hours after the vaccine.

Other Meds: cymbalta, valtrex, zyrtec, flovent, probiotics, miralax, magesium, calcium, biotin, advair, flonase and astelin

Current Illness: none. completely healthy

ID: 1142723
Sex: F
Age: 31
State: SC

Vax Date: 03/20/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Only pollen

Symptom List:

Symptoms: Immediately after and the next day, I just had arm soreness and a bit of fatigue. Then 7 days after receiving the vaccination, I developed "covid arm" - an itchy, hard, circular rash at the vaccination site. Two days after developing it, it is still red and slowly growing.

Other Meds: None

Current Illness: None

Date Died: 03/16/2021

ID: 1142724
Sex: F
Age: 71
State: IA

Vax Date: 03/11/2021
Onset Date: 03/13/2021
Rec V Date: 03/29/2021
Hospital: Y

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

Lab Data:

Allergies: NO FOOD OR MEDICATION ALLERGIES

Symptom List:

Symptoms: PATIENT RECIEVED FIRST SHOT ON FEBRUARY 18TH AND SHOWED NO OBVIOUS SIGNS, SYMPTOMS, OR ISSUES. PATIENT RECIEVED THE SECOND SHOT ON MARCH 11TH SHOWED NO IMMEDIATE SIGNS OR SYMPTOMS UNTIL A DAY AND A HALF LATER ON MARCH 13TH WHEN PATIENT SUDDENLY STOPPED BREATHING AND WENT INTO CARDIAC FAILURE FOR NO APPARENT REASON.

Other Meds: IRON 65mg, B12 50 mcg, OMEPRAZOLE 40mg CAPSULE, SUCRALFATE 1 gm TABLET, CALCIUM CITRATE + D3, IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE INHALATION SOLUTION 0.5 mg/ 3 mg PER 3 ml, SYMBICORT INHALER, HYDROCHLOROTH IAZIDE 12.5 mg TABLET, ARTH

Current Illness:

ID: 1142726
Sex: F
Age: 44
State: PA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Headache started 3 hours after vaccine was administered. Extreme fatigue, nausea, low grade fever (100.2), extremely sore arm and slight shortness of breath followed. Symptoms lasted 3 days (missed a day of work) and I still have a sore arm 9 days later. If my arm is bumped or touched at all still quite painful.

Other Meds:

Current Illness:

ID: 1142727
Sex: M
Age: 65
State: KS

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Compazine, propofol

Symptom List:

Symptoms: Feeling of malaise and some hives...took alieve and benadryl

Other Meds: Levothyroxine. 75mg

Current Illness: None

ID: 1142728
Sex: F
Age: 31
State: FL

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Clyndomyocin, lactose

Symptom List:

Symptoms: Tingling all over throat, face, arms legs, swollen throat, redness all over neck and chest

Other Meds:

Current Illness:

ID: 1142729
Sex: F
Age: 24
State: FL

Vax Date: 03/24/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Dizziness that began about 5 days after the first dose of the vaccine. The room felt like it was spinning. I went to sleep, and woke up this morning with the same feeling.

Other Meds: Levothyroxine Atorvastatin Blisovi-Fe birth control

Current Illness: None

ID: 1142730
Sex: F
Age: 53
State: NY

Vax Date: 03/23/2021
Onset Date: 03/29/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: Started period 2 weeks early.

Other Meds: Birth control pill

Current Illness: None

ID: 1142731
Sex: F
Age: 51
State: VA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Epistaxis not lasting longer than 5 minutes

Other Meds: none

Current Illness: None

ID: 1142732
Sex: F
Age: 44
State: OH

Vax Date: 03/20/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I developed a extremely itchy, red and hot to touch rash on my arm at the injection site 8 days after the shot. My biological sister also had this same delayed reaction on the same day post vaccine and she received the Moderna vaccine on a different date and location than I did. I have photos of my rash and she has photos of her rash. I wanted to report this so that the scientists can determine if there is a genetic link given that my sister and I both had the reaction on the same day post vaccine but got our vaccines on different days and different locations.

Other Meds: Levothyroxine 75 mcg

Current Illness: None

ID: 1142733
Sex: F
Age: 60
State: NY

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Blisters to injection site

Other Meds: None

Current Illness: None

ID: 1142734
Sex: M
Age: 50
State: VA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Epistaxis not lasting longer than 5 minutes

Other Meds: none

Current Illness: none

ID: 1142735
Sex: M
Age: 75
State:

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: diazepam, morphine.

Symptom List:

Symptoms: presented to ED with complaints of shortness of breath x 2 days. Associated with subjective fever, chills, and nonproductive cough. Denies known sick contacts. Reports adherence to mask wearing in public. Smokes 1ppd. Drinks 6 beers every Friday. Received 1st COVID vaccine dose on 3/26.

Other Meds: Norvasc, Tylenol, lioresal, klonopin, synthroid, Glucophage, nitrodur, Prilosec, paxil, Flomax,

Current Illness:

ID: 1142736
Sex: F
Age: 34
State:

Vax Date: 03/19/2021
Onset Date: 03/29/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Covid Arm - 9 days after vaccination

Other Meds:

Current Illness:

ID: 1142737
Sex: M
Age: 53
State: NE

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Moderna COVID-19 Vaccine Overall aches, mainly in hips and legs. Aches lasted for whole day (Starting the day after the initial shot, first dose) , resolved around 10 am the following day. About 30 hours of a feeling of being "worn out."

Other Meds: none

Current Illness: none

ID: 1142738
Sex: F
Age: 31
State: NJ

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Confusion-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Shakiness-Mild, Additional Details: PATIENT DID NOT DISCLOSE SHE HAS A BLOOD/NEEDLE PHOBIA AND USUALLY PASSES OUT AFTER A SHOT. BOYFRIEND WAS ALSO AWARE OF THIS CONDITION AND DID NOT DISCLOSE TO RPH OR TECHNICIAN

Other Meds:

Current Illness:

ID: 1142739
Sex: M
Age: 25
State: CA

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: vasovagal reacion-Mild

Other Meds:

Current Illness:

ID: 1142740
Sex: M
Age: 61
State: NY

Vax Date: 03/16/2021
Onset Date: 03/29/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The patient received the vaccine on 3/16. He developed fever and cough on 3/24 and he tested positive for SARS-CoV2 on 3/25/2021 by PCR of nasal swab.

Other Meds:

Current Illness:

ID: 1142741
Sex: M
Age: 25
State: CA

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: vasovagal rxn-Mild

Other Meds:

Current Illness:

ID: 1142742
Sex: M
Age: 70
State:

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: PMH COPD not on supplemental oxygen therapy, CPAP, HTN, DMII, former tobacco abuse presented to the ED with SOA. Symptoms began 3/26 after 2nd COVID vaccine. No fever, chills, CP, palpitations. Patient was hospitalized here in the fall with acute resp failure due to COVID, and developed PE for which he was on eliquis until recently

Other Meds: Tylenol, albuterol, eliquis, aspirin, Lipitor, periactin, allegra, Flonase, folvite, Glucotrol, atarax, Mobic, Lopressor, Ditropan, protonix, zanaflex, zincate,

Current Illness:

ID: 1142743
Sex: M
Age: 26
State: VA

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Visual Changes/Disturbances-Medium, Systemic: Weakness-Medium, Additional Details: While sitting in waiting area after vaccine: client became weak, and walked towards assistance saying he did not feel well and could not see well. Responded yes to question about sensation in the lips, tounge or throat so 1 epipen was administered. He reported feeling better within 1-2 mnutes. He sat for observation for 30 more minutes and left asymtomatic.

Other Meds:

Current Illness:

ID: 1142744
Sex: M
Age: 53
State: VA

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Epistaxis not lasting longer than 5 minutes

Other Meds: none

Current Illness: none

ID: 1142745
Sex: F
Age: 88
State: VA

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Rash Generalized-Mild

Other Meds:

Current Illness:

ID: 1142746
Sex: F
Age: 26
State: CA

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Pain at Injection Site-Mild, Error: Wrong Dose of Vaccine - Too Low, Additional Details: upon administration vaccine squirted out of syringe instead of entering patient, leur lock of the syringe was faulty, prior to administration leurlock was tightened, pt was revaccinated with a quarter of the 0..5 ml dose.

Other Meds:

Current Illness:

ID: 1142747
Sex: F
Age: 39
State: OK

Vax Date: 03/18/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Flagyll

Symptom List:

Symptoms: Moderna shot 1, sore arm, headache, fatigue, muscle aches. 9 to 10 days later covid arm. Red and swelling at injection site, painful to touch.

Other Meds: Levothyroxine 88mg

Current Illness: N/A

ID: 1142748
Sex: F
Age: 52
State: MO

Vax Date: 03/19/2021
Onset Date: 03/21/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Started with nausea at 1:30AM on 3/20/2021 and feeling unwell. At 10:00AM ON 3/21/2021 started having pain in/behind left ear. This continued up to the time when on 3/24/2021 at 6:45AM my left eye was blinking slower than the right eye and the left-side of my mouth showed signs of drooping. I was admitted to the ER for possible stroke due to symptoms I was having but test results showed Bell?s Palsy. Treatment is acyclovir, ketorolac, prednisone and artificial tears ointment

Other Meds: Synthroid, mirapex

Current Illness: No

ID: 1142749
Sex: M
Age: 30
State: TX

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1142750
Sex: F
Age: 43
State: TX

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1142751
Sex: M
Age: 63
State: NC

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1142752
Sex: F
Age: 33
State: NY

Vax Date: 03/21/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies: Amoxicillin

Symptom List:

Symptoms: 1 week, 7 days after receiving the vaccine I noticed a red hard bump that was itchy on my left arm near the injection site. I googled and saw a lot of reports about ?covid arm?

Other Meds: Birth control, women?s multi-vitamin

Current Illness: No

ID: 1142753
Sex: F
Age: 52
State: KS

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Pain at Injection Site-Mild, Systemic: Patient reports painful blisters breaking out on face-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild

Other Meds:

Current Illness:

ID: 1142754
Sex: F
Age: 53
State: IN

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever chills through the night. ?Hangover? feeling next day. Fine by 3rd day.

Other Meds: None

Current Illness: None

ID: 1142755
Sex: F
Age: 43
State: IN

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies: Penicillins

Symptom List:

Symptoms: Had to leave work with Fever, terrible muscle cramps, couldn?t hold my head up, splitting headache

Other Meds: Tamoxifen Effexor

Current Illness: No

ID: 1142756
Sex: F
Age: 71
State: FL

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Joint Pain-Medium

Other Meds:

Current Illness:

ID: 1142757
Sex: F
Age: 64
State: OH

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium

Other Meds:

Current Illness:

ID: 1142758
Sex: F
Age: 19
State: FL

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Body Aches Generalized-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: difficulty hearing-Medium, Systemic: Joint Pain-Medium, Systemic: Weakness-Medium, Additional Details: We called 911. EMT came in. All the vital signs were normal. After 30 minutes, the patient recovered.

Other Meds:

Current Illness:

ID: 1142759
Sex: F
Age: 64
State: MO

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Additional Details: Patient complains of tenderness at injection site as well as itching. She also complains of a knot in her shoulder at the injection site.

Other Meds:

Current Illness:

ID: 1142760
Sex: F
Age: 56
State: NC

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies: Mild lactose intolerance

Symptom List:

Symptoms: Significant redness at the vaccination site, still a large red circle around the injection point now, even 3 days later. Low grade fever onset approximately 24 hours after injection, followed by chills, an generally feeling unwell - lasted for approximately 30 hours. Treated with ibuprofen every 4-6 hours to control fever. Caused me to be home, in bed, for approximately 30 hours. I have recovered from the fever and related symptoms. The red, sore injection site remains. I experienced the red, sore injection site with the first dose of the Zoster vaccine and it took ~1 week to resolve.

Other Meds: Vitamin B12, Vitamin D

Current Illness: None

ID: 1142761
Sex: M
Age: 45
State: MN

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Fainting / Unresponsive-Medium

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 559,999

Page last modified: 03 October 2021 5:28pm