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: 1144928
Sex: M
Age: 46
State: NY

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: Shellfish, macadamia nuts, walnuts

Symptom List: Dysphagia, Epiglottitis

Symptoms: Left arm lymph nodes are swollen and painful. My entire arm hurts down to my fingers. Diarrhea, body pain and fatigue.

Other Meds: Metformin, synthroid, lisinopril, Flonase, protonix, lamictal, abilify, Lipitor, klonopin, vitamin D 50000 ui, cosentyx, testosterone

Current Illness:

ID: 1144929
Sex: F
Age: 53
State: GA

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: Penicillin

Symptom List: Anxiety, Dyspnoea

Symptoms: 6 hours post injection my lower lip began to have spasms. This continued intermittently for 33 hours post injection.

Other Meds: Vit D3 Omega 3 B12 B Complex Magnesium ProBiotic

Current Illness: Diagnosed with Vestibular Neuritis January 27, 2021

ID: 1144930
Sex: F
Age: 42
State: TX

Vax Date: 03/29/2021
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: Unknown. I have reacted to two other drugs in my history with the same allergic response of having my airways feel constricted.

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

Symptoms: Reported to ER within one hour with sensation of airway constriction in throat. Monitored for two hours, administered prednisone and Benadryl, released and told not to work for 2 days.

Other Meds:

Current Illness: None

ID: 1144932
Sex: M
Age: 54
State: IL

Vax Date: 03/24/2021
Onset Date: 03/24/2021
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: Dizziness, Fatigue, Mobility decreased

Symptoms: Several hours after vaccination I began to experience significant ringing in my ears. This continued until the 4th day when the ringing became more of a humming sound and there seems to be a decrease in volume that can be heard with the left ear. There was also a sensation of the ears being plugged up.

Other Meds: Prevacid 30mg, Olmesartan Medoxomil 20mg, Aspirin 81mg, Omega-3 2000mg, Vitamin D3 1000 I.U., Lutein 25mg, Zeaxanthin 5mg, Latanaprost

Current Illness:

ID: 1144933
Sex: M
Age: 52
State: FL

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 known

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

Symptoms: Bright red rash on both legs beginning mid-calf, continuing down to feet. Mild irritation; looks worse than it feels.

Other Meds: Ibuprofen

Current Illness: None

ID: 1144934
Sex: F
Age: 58
State: CO

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

Symptoms: Injection site soreness (including lymph nodes under that arm), low grade fever, chills, headache, nausea, body/joint aches as well increased tinnitus symptoms/volume (both ears). All symptoms EXCEPT the increased tinnitus symptoms were gone by noon the next day, Saturday, March 27th. As of today, the tinnitus continues to be almost unbearable it has increased in volume so much.

Other Meds: None

Current Illness: None

ID: 1144935
Sex: F
Age: 68
State: ME

Vax Date: 03/29/2021
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: advair ancef ciprofloxacin clindamycin doxycycline erythromycin fish iodide penicillin prednisone shellfish shingrix sulfa tetracycline tigecycline vancomycin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: scratchy throat, cough

Other Meds: citralopram meloxicam calcium acetate fexofenadine rosuvastatin Vit D3 Hydralazine Aspirin levothyroxine losartan pantoprazole

Current Illness: None

ID: 1144936
Sex: F
Age: 66
State: KY

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

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

Lab Data:

Allergies: nonone

Symptom List: Pharyngeal swelling

Symptoms: lightheaded/dizzy with some nausea Also tingling feeling on lips andleft side of face Headaches Still going on after 3 weeks

Other Meds: no

Current Illness: none

ID: 1144937
Sex: M
Age: 57
State: NM

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:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Evening of the second vaccine, I started developing flu like symptoms. By 2 o?clock in the morning I had a 103 fever and a rash all over my torso. Over the course of the next week, I developed fever blisters and swollen lymph nodes in my armpit on the side of the injection. I have some presently undiagnosed Nuro immune disease that may be transverse myelitis. The Covid vaccine exacerbated all of the symptoms of the Neuro immune condition.

Other Meds: Gabapentin, taurine, acetyl cystine, Klonopin, zolpidem, atorvastatin

Current Illness:

ID: 1144938
Sex: F
Age: 47
State: IL

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: fruits, vegetables, seafood, tree nuts, iodine

Symptom List: Diarrhoea, Nasal congestion

Symptoms: flush face, ears red and hot to the touch, scratchy throat, red rash in both armpits, eczema flared over the next few days on right hand.

Other Meds: Meds: zyrtec, flonase, estarylla, doxycycline, metronidazole, clindamycin, olopatadine, Vitamins: magnesium glycinate, orthobiotic, Vit D, Mitocore multi vitamin, ovex P, tuna omega 3

Current Illness: none

ID: 1144939
Sex: F
Age: 41
State: IN

Vax Date: 12/17/2019
Onset Date: 12/19/2019
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: I received a Diptheria, Pertussis and Tetanus shot. (Note that I selected the first DTAP option above, unsure if correct brand). I merely had a sore arm within a few hours. However, when i woke up on 12.19.19 I suddenly felt paralyzed and could barely breathe. I could not leave my bed the entire day aside from one trip to the bathroom and it took all of my energy. Due to the feeling of near paralyzation, I was unable to eat the whole day or even move to use my phone or tv. I had a few sips of water. Bc of my shallow breathing, I was fearful that each next breath would not happen. Amazingly, woke up mildly fatigued but normal the AM of 12.20.21. Didn't call 911 due to insurance coverage.

Other Meds: n/a

Current Illness: n/a

ID: 1144940
Sex: F
Age: 60
State: MA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
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: Rash, Urticaria

Symptoms: I experienced severe pain in arm and shoulder that worsened over 3 days leaving my arm unusable....and blistering of my skin or bubbles or welts around shoulder area.... Received shot on Thursday... symptoms began getting better on Sunday and Monday

Other Meds: tirosint, advil

Current Illness: none

ID: 1144941
Sex: M
Age: 73
State: NV

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Iodine, Tegaderm, eggplant, cantaloupe, green beans, peas, various other foods which only cause increased congestion, hay fever (grasses and tree pollens).

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

Symptoms: Chills, mild headache, lowered oxygen levels to 85 SpO2. Gone after 24 hours. But this is episodic. I don't recall when it happened again. Same pattern and gone after 24 hours. But on 3/22/2021, it started in the evening and lasted for 36 hours. This time the additional symptom of non-productive cough appeared for the first time. COVID test during that same day (in anticipation of angiogram on the 24th) was negative. Oxygen levels continued to be low while in hospital for angiogram which resulted in two stents being emplaced and the following day for a TEE to get a better look at the valve. No chills or cough until evening of the 25th. Chills lasted for 24 hours, but non-productive cough and low oxygen levels persist up through the present time (March 29th). This is the first time one of these episodes has lasted for more than 24-36 hours. Without supplemental oxygen, my oxygen levels are 82 (walking) and 85 (resting). Supplemental oxygen at 2 lpm brings the SpO2 up to 89-90.

Other Meds: renaxa, eliquis, baby aspirin, allopurinol, zinc, vitamin D, B-complex, multivitamin, quercitin, co-Q 10, fiber con, glucosamine, montelukast, benedryl, melatonin, metformin, celebrex.

Current Illness: None.

ID: 1144942
Sex: F
Age: 39
State: CA

Vax Date: 03/29/2021
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: History of severe allergies, anaphylaxis to unknown food, hives with Rituximab infusion

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

Symptoms: itching of skin and face, numbness of left arm, throat itching

Other Meds:

Current Illness:

ID: 1144943
Sex: F
Age: 32
State: VA

Vax Date: 03/29/2021
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: UNKNOWN

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

Symptoms: 5/10 SUBSTERNAL CHEST PAIN FOR APPROX 10 MIN. BP 146/86 HR 73

Other Meds: NONE

Current Illness: UNKNOWN

ID: 1144944
Sex: M
Age: 53
State: NJ

Vax Date: 03/29/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: ***16:40 Patient reported red rash and swelling on both arms, mildly itchy. L

Other Meds:

Current Illness:

ID: 1144945
Sex: F
Age: 36
State: FL

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: Amoxicillin

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

Symptoms: Approximately 30 hours after receiving my second dose, I developed a rash over my entire body. As of today 3/29/2021, it has minimized, but is not completely gone.

Other Meds: Wellbutrin Multi-vitamin

Current Illness: None

ID: 1144946
Sex: F
Age: 44
State: HI

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 03/29/2021
Hospital: Y

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

Lab Data:

Allergies: amoxil, bactrim, keflex, penicillin G

Symptom List: Ear pain, Hypoaesthesia

Symptoms: patient received dose #2, then had a total of 5 ED visits for dyspnea and other symptoms including overnight admission. patient with bilateral, sub segmental pulmonary emboli. no prior history of PE, is a long distance runner. received at outreach clinic due to being a teacher

Other Meds: unknown

Current Illness: unknown

ID: 1144947
Sex: M
Age: 30
State: OH

Vax Date: 03/29/2021
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: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Arm soreness Nausea Anxious feelings Ear ringing Syncope

Other Meds: Wellbutrin Discovee Lamictal Multivitamin Ativan

Current Illness: None

ID: 1144948
Sex: F
Age: 58
State: TX

Vax Date: 03/29/2021
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: iodine

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

Symptoms: Patient began to experience nausea, followed by chest tightness, sweatiness, tingling in mouth and toes. Vitals were taking by nurse on sight BP was elevated, heart rate was normal, and respiration was labored. Patient also began to experience difficulty breathing once EMS arrived.

Other Meds: Medication for thyroid issues

Current Illness:

ID: 1144949
Sex: F
Age: 59
State: MA

Vax Date: 03/29/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: PATIENT BECAME SHORT OF BREATH WALKING FROM BUILDING TO CAR.

Other Meds:

Current Illness:

ID: 1144950
Sex: F
Age: 65
State: NJ

Vax Date: 03/25/2021
Onset Date: 03/25/2021
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: Unevaluable event

Symptoms: Moderna COVID?19 Vaccine EUA- given 6 hours and 36 minutes post vial puncture (vial was punctured at 830am, Use by time was 230pm).

Other Meds: Aspirin, Buspirone, Clonidine, Eliquis, Fluticasone, Alprazola

Current Illness: CA of Pancreas, COPD

ID: 1144951
Sex: F
Age: 48
State: TX

Vax Date: 03/29/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Subconjunctival hemorrhage, eye

Other Meds: Hormones, pristiq, buspirone, vitamin D

Current Illness: None

ID: 1144952
Sex: F
Age: 27
State: NC

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: yeast, dairy

Symptom List: Injection site pain, Pain

Symptoms: right arm went numb and fingers and right foot and leg burning. tongue swelled. then the next day i had chest pain and rib pain for a long time-5 hours

Other Meds:

Current Illness:

ID: 1144953
Sex: M
Age: 72
State: OH

Vax Date: 03/03/2021
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: Injection site pain, Menorrhagia

Symptoms: ESTEMI

Other Meds: benedri1 tab daily; citalopram, 40 mg; finstreride 5mg; fishoil; folic acid; levothyroxin 175mg; magnesium citrate; omeprazole 20mg; pasterone 25mg; vitamin d3 250 mg daily; zinc.

Current Illness: none

ID: 1144954
Sex: F
Age: 72
State: MN

Vax Date: 03/01/2021
Onset Date: 03/08/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Shingles on face

Other Meds: Simvistatin, lexapro

Current Illness: None

ID: 1144955
Sex: F
Age: 40
State: MT

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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Signs/Symptoms: Macular rash on face, upper arms and chest; "tickling" in throat. Treatment: Benadryl PO @ 14:10.

Other Meds:

Current Illness:

ID: 1144956
Sex: F
Age: 64
State: TN

Vax Date: 03/20/2021
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 listed

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: patient's arm swollen slightly around injection site, and warm to touch, no other symptoms, believed to be normal immune response, advised to see a dr and let her know we would report

Other Meds: not available

Current Illness: none reported

ID: 1144957
Sex: M
Age: 63
State: VA

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: none

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

Symptoms: Ringing in both ears, like high pitch electronic whine, continuous 24 hrs per day non-stop

Other Meds: Metformin, Glyburide, Simvastatin, multi-vitamins

Current Illness:

ID: 1144958
Sex: M
Age: 57
State: NH

Vax Date: 03/27/2021
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: Nausea

Symptoms: Woke up with a consistent ringing in both ears (4:00 am Monday 3/29/2021 - vaccine received 11:50 am Saturday 3/27/2021) No previous history of tinnitus or hearing loss.

Other Meds: Multivitamin (Centrum - Men) Low dose aspirin (Bayer - 81 mg) Vitamin D (Spring Valley - 1000 IU)

Current Illness: None

ID: 1144959
Sex: F
Age: 81
State: MI

Vax Date: 02/04/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital: Y

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

Lab Data:

Allergies: no known

Symptom List: Injection site pain

Symptoms: patient received full course of pfizer vaccine, and approximatly 7.5 weeks later developed COVID-19 requiring hospital care.

Other Meds: tyleonl, albuterol, eloquis, aspirin 81 mg, lipitor, lasix, neurontin, pentasa, toporol XL, Multiple vitamin, trileptal, potassium, rythmol, zocor, spiriva, vitamin b 12, vitamin D,

Current Illness: none known

ID: 1144960
Sex: F
Age: 68
State: IL

Vax Date: 03/29/2021
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: CT contrast dye amoxicillin shellfish

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

Symptoms: numbness on lips and appeared flushed in the face. 174/82, 195/85, 87, 98%. Transported to assess hypertension

Other Meds: metformin metoprolol

Current Illness: HTN, DM, COLON CANCER, PANCREATIC CANCER

ID: 1144961
Sex: F
Age: 43
State: GA

Vax Date: 03/16/2021
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: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: Started as a small nodule at vaccination arm site a little itchy. Next day nodule has gotten bigger maybe the size of a nickel. It is red and very itchy.

Other Meds:

Current Illness:

ID: 1144962
Sex: F
Age: 54
State:

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: Tremor

Symptoms: Terrible headache within 6 hours. Lasted until 14 hours after shot. Injection site pain next day and worse on day after that (2nd day after shot).

Other Meds:

Current Illness: None

ID: 1144963
Sex: F
Age: 32
State: MT

Vax Date: 03/29/2021
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: severe anaphylaxis to penicillin

Symptom List: Erythema, Pruritus

Symptoms: Patient started to feel itchy, had "burning" sensation shortly after injection. Patient was given initial dose of Benadryl and walked to the on-site urgent care clinic. In urgent care following IVs were administered: Pepcid, Benadryl, Solumedrol. Patient was monitored for about 2 hours. Symptoms mostly resolved in that time, still had some residual itching but felt comfortable for discharge. Discharged with outpatient medications of prednisone, famotidine, and Benadryl.

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Current Illness:

ID: 1144964
Sex: F
Age: 61
State: FL

Vax Date: 03/15/2021
Onset Date: 03/20/2021
Rec V Date: 03/29/2021
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Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: On or about 3/20/2021 I noticed a small red spot on my upper left arm. It was itchy and about the size of a quarter. I thought it was an insect/mosquito bite. It was not continuously itchy, only about 4 times per day. A couple of day later it was a little bigger and becoming slight raised around the outer edge. It was irregular in shape and only itching about 4 times per day. On 3/26/2021, it was noticeably bigger. I looked up the possible reactions to the Moderna vaccine, and saw that the area on my arm now matched what they described as ?delayed cutaneous hypersensitivity?. My husband said to report it as a reaction.

Other Meds: Zolpidem tartrate 12.5 mg Cod liver oil Cetirizine hydrochloride 10 mg

Current Illness:

ID: 1144965
Sex: M
Age: 47
State: TX

Vax Date: 03/17/2021
Onset Date: 03/21/2021
Rec V Date: 03/29/2021
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Allergies: no

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

Symptoms: Slight lower back pain on March 21st that turned into extreme lower back pain from March 22nd to March 28th. Finally had some relief and improvement on March 29th. The pain was unlike any other back strain. It included intense pain during certain movements from standing, sitting, getting out of bed, etc.

Other Meds: liprinosil and testosterone injections

Current Illness: no

ID: 1144966
Sex: F
Age: 54
State: NJ

Vax Date: 03/27/2021
Onset Date: 03/29/2021
Rec V Date: 03/29/2021
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Allergies: penicillin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Swollen fillers in face

Other Meds: Effexor XR, Synthroid, Metformin, Plaquenil, Nexium

Current Illness: no

ID: 1144967
Sex: F
Age: 52
State: CA

Vax Date: 03/24/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
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Allergies: None. However I did have an allergic reaction to the flu vaccine 10 yrs ago but was tested for allergy to it in 2019 and no reaction. They think the reaction was to the preservative.

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

Symptoms: Woke up in the middle of the night with tingling pins and needles feeling on my tongue. My voice was very hoarse and had some nasal congestion. I could breathe but my throat felt a little swollen. I had a similar but much worse reaction to a flu vaccine 10 yrs ago but during that incident my face/lips swelled in addition, so I went to the ER.

Other Meds: Trazadone, Zoloft, aspirin, Simvastatin, multivitamin, vitamin D

Current Illness: None

ID: 1144968
Sex: F
Age: 42
State: SD

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/29/2021
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Allergies: triptans

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

Symptoms: Patient complaint of cough, chest tightness after vaccine. Lungs clear, heart rate regular 80, respiratory rate at 20-24, with spo2 at 96-100%. Moist mucus membranes with no redness or edema to post pharynx, noted mild cobble stoning to post pharynx. Oxygen applied at 2 L per NC. Appears to have bronchial spasm, from URI, which she verbalized she had, with a large fire in area. Benadryl 25 mg given along with solumedrol 40 mg IM and sent home to use albuterol inhaler. Husband here to take patient home. Patient was in waiting area with myself for 30 minutes, with stable condition. To follow up with PCP later this eve or am. Patient called a few hours later and doing fine.

Other Meds: Trintellix 20 mg daily.

Current Illness: Had URI, for the past week. Had postponed vaccine from last week to this week, due to URI. No fevers or chills. Positive for non productive cough.

ID: 1144969
Sex: F
Age: 66
State: AZ

Vax Date: 03/13/2021
Onset Date: 03/23/2021
Rec V Date: 03/29/2021
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Allergies: none

Symptom List: Pain in extremity

Symptoms: 3-13-21 Shot, soreness in arm and knot nothing else notable except maybe mild headache 3-23 start with itchy rash mid back, arm still sore knot smaller 3-24 Rash continued to spread up back extremely itchy 3-25 Rash continue to spread to stomach area , major head ache, vomiting (one time) temperature 97.1 3-26 Rash continue to spreading to left breast headache, no appetite 3-27 Rash continued spreading to buttock cheeks, apatite improving 3-28 Rash continued to spread arms, Knott in arm getting small feeling itchy all over. 3-29 Rash continued to spread to lower limbs. knot in arm almost gone, visit to doctor . Prescribed steroids for 7 days follow up in one week.

Other Meds: atorvastatin 20mg 1xd hydrochlorothiazide 12.5 mg 1xd losartan 100 mg 1xd

Current Illness: none

ID: 1144970
Sex: F
Age: 49
State: CO

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/29/2021
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Allergies: gluten sensitivity but not celiac disease

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

Symptoms: 5 clusters of 2-3 itchy red bumps, with small amount of pus. Lasted 4 days so far.

Other Meds: vitamin B and vitamin D

Current Illness: none

ID: 1144971
Sex: M
Age: 34
State: FL

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
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Allergies: None

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

Symptoms: Severe flu like symptoms. Chills, fever of 102.1, fatigue, muscle soreness; onset began at approx 12.5 hours after injection. At 16 hours past injection, severe joint pain inhibiting ability to walk. By following morning, most symptoms had reduced somewhat. Treated with 1000 mg Tylenol every 6 hours for 24 hours. By day 2, only fatigue remained. No symptoms on day 3.

Other Meds: Desvenlafaxine, omeprazole

Current Illness: None

ID: 1144972
Sex: F
Age: 61
State: GA

Vax Date: 03/16/2021
Onset Date: 03/21/2021
Rec V Date: 03/29/2021
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Allergies: ampicillin, penicillin, codeine, dramamine, doxycycline, viaxin,

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

Symptoms: lump on injectuion site

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Current Illness:

ID: 1144973
Sex: F
Age: 39
State: WA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
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Allergies: Penicillin

Symptom List: Vomiting

Symptoms: Felt drunk within 2.5 hours of getting vaccine. By 4pm same day, I spiked 100.7 fever. By 10pm, I had severe muscle and joint pain. Woke up next day, still had fever. I was very fatigued. Two days post vaccine, I was nauseas. By 11:30am, my face went numb. Followed by numbness in my arms and legs. Dr said parenthesis and post injection inflammatory reaction.

Other Meds: Citalopram

Current Illness:

ID: 1144974
Sex: F
Age: 52
State: WI

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
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Allergies: Sulfa, Penicillin, Morphine, phenergan, Percocet, Oxycontin/Oxycodone

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: vomited profusely for about 6 hours Friday evening. Had a low grade temp 100.0, headache, fatigue, muscle aches and weakness.

Other Meds: tylenol 1000mg, Zetia 10mg

Current Illness: none

ID: 1144975
Sex: F
Age: 37
State: MO

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/29/2021
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Allergies: None

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

Symptoms: Elevated heart rate, shortness of breath, tingling in hands, muscle cramping in hands, ears throbbing

Other Meds: Valtrex, lo lo estrin

Current Illness: None

ID: 1144976
Sex: M
Age: 63
State:

Vax Date: 03/28/2021
Onset Date: 03/29/2021
Rec V Date: 03/29/2021
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Allergies: none known

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Chills about 12 hours after the dose. Woke up with slight headache and body ache and it worsened throught the day. I napped for 3 hours and still feel the same. I haven't taken andy additional meds. for symptons yet. Will likely take tylenol.

Other Meds: omiprozol, low dose aspirin and amlodipine

Current Illness: none however 2 months ago tested positive to covid 19 with symptoms

ID: 1144977
Sex: F
Age: 72
State: AZ

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
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Allergies: Kflex antibiotic

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

Symptoms: Fever,chills, tired, thirsty,headache lasting 2 days Rash appeared on arm at injection site on 3rd day. Sore, itchy, red and warm

Other Meds: Lantus, humalog, victoza, metoprolol, provastatin, lisinopril, levothyroxine, furosemide, baby aspirin, iron, vitamin d3, famotadine

Current Illness: None

ID: 1144978
Sex: F
Age: 68
State: MT

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/29/2021
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Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: Signs/Symptoms: Tingling in lips and legs; Slightly light headed; Blurry vision. Treatment: Benadryl PO at 13:42.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am