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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1146327
Sex: F
Age: 53
State: ME

Vax Date: 03/11/2021
Onset Date: 03/19/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Oval raised, red, itchy spot at site of injection about 2 inches wide and 3 inches long beginning 8 days after injection. Three days later it tripled in size. Two days after that it was the entire upper arm. Cleared up 8 days after it started.

Other Meds:

Current Illness:

ID: 1146328
Sex: F
Age: 55
State: IA

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: fever, headache, chills

Other Meds: lipitor, vitamin D, Calcium

Current Illness: none

ID: 1146329
Sex: M
Age: 43
State: PA

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Syncope-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Additional Details: Bradycardia

Other Meds:

Current Illness:

ID: 1146330
Sex: M
Age: 37
State: WI

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: clyndamicin

Symptom List:

Symptoms: insomnia and headache

Other Meds: sertraline, fish oil, biotin, vitamin c, selenium

Current Illness: none

ID: 1146331
Sex: F
Age: 63
State: IN

Vax Date: 03/16/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: Rash developed on right arm at inside of elbow and right side of midsection. Just putting on antibiotic and itch creams.

Other Meds: Collagen peptides, aspirin, benefiber

Current Illness: none

ID: 1146332
Sex: F
Age: 29
State: TX

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Fainting / Unresponsive-Mild, Additional Details: PATIENT IS AFRAID OF NEEDLES AND AFTER GETTING THE VACCINE SHE FAINTED. SHE WAS RESPONSIVE THE WHOLE TIME. WE PUT A COLD TOWEL ON HER FOREHEAD AND GAVE HER SOME WATER. AFTER 20 MINUTES SHE FELT FINE AND SHE LEFT. WE CALLED LATER IN THE DAY AND PATIENT IS FEELING FINE

Other Meds:

Current Illness:

ID: 1146333
Sex: F
Age: 75
State: PA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: aspirin

Symptom List:

Symptoms: After finishing her 15 minute monitoring period she was in car when her throat began to feel tight and eyes began to swell. Returned into clinic- administered epinephrine 0.3mg and diphenhydramine 50mg IM with symptom improvement, called 911, taken via ambulance to ER.

Other Meds: amlodipine, levothyroxine, metoprolol, Vitamin D

Current Illness:

ID: 1146334
Sex: M
Age: 29
State: MI

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Cats

Symptom List:

Symptoms: Janssen COVID-19 Vaccine EUA was given at 11am and symptoms began around 9pm. Mild fever, tiredness, achiness, nausea, and headache were the worst between 9pm and 11am the next day. Beyond the first 24 hours, mild nausea and tiredness have persisted for the first week after vaccine was administered.

Other Meds: Loratidine

Current Illness: None

ID: 1146335
Sex: F
Age: 21
State: CA

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Shakiness-Mild

Other Meds:

Current Illness:

ID: 1146336
Sex: F
Age: 38
State: FL

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: SULFA, CODEINE, HYDROCODONE, ADHESIVE

Symptom List:

Symptoms: FEVER UP TO 100.7 DF, LETHARGY, BODY ACHES, CHILLS, HEADACHE LASTING FROM FRIDAY UNTIL WEDNESDAY

Other Meds: ATENOLOL, HYDROCHLOROTHIAZIDE, SPIRANOLACTONE, LEVOTHYROXINE, HYDROXYZINE, ZYRTEC, MELATONIN

Current Illness:

ID: 1146337
Sex: F
Age: 32
State: TN

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: antihistamines

Symptom List:

Symptoms: At 11:47 patient notified monitoring personnel that she was not feeling well. She states her nose and sinuses are burning, she feels tired, her back is hurting, she is nauseous, the left side of her face and her left arms are tingling, her ear is hurting. Blood pressure is 120/74 and pulse is 88 beats per minute. 911 is called at 11:57 due to left sided numbness and tingling. Patient reports her ear pain is getting worse. Fire department arrives on scene at 12:06. Ambulance arrives for patient evaluation at 12:10. Patient refuses to be transported by ambulance and leaves with her mother at 12:25.

Other Meds: unknown

Current Illness: unknown

ID: 1146338
Sex: M
Age: 61
State: AZ

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: My left after 5 hours or so got really sore and just got worse during the day. It also got me really tired and had to go to bed early and slept for 10 hours. Got up and felt good. The soreness in my arm was almost gone. By mid day no more soreness. I did take 800 mg of Ibuprofen twice in a 24 hr period. I don't believe it did any good.

Other Meds: 150mg stool softener and 2 tablespoons of fiber. Both are daily.

Current Illness: None

ID: 1146339
Sex: M
Age: 42
State: CA

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Mild

Other Meds:

Current Illness:

ID: 1146340
Sex: F
Age: 50
State:

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Seasonal

Symptom List:

Symptoms: For approx 36 hours I was disoriented, panicked and in emotional distress. I cried often and felt my heart racing. My arm was in significant pain and I felt sick to my stomach. My cognitive ability was diminished, and I struggled to understand situations. For example, my husband had placed a glass of water on the floor beside him and I couldn?t figure out how to move around it. The cognitive/emotional symptoms passed in about 36 hours. However, 3 weeks later my arm is still tender if I touch the injection site.

Other Meds: Livalo Motegrity LDN Praluent Vitamin D

Current Illness: No

ID: 1146341
Sex: M
Age: 58
State: AL

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Bell's Palsy-Medium

Other Meds:

Current Illness:

ID: 1146342
Sex: F
Age: 54
State: IL

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Received second vaccine dose. Lay on cot and began to have a seizure. Vitals obtained and rolled on side. EMS called Complained of headache dizziness fatigue after woke from first seizure. Then had another seizure.

Other Meds: unknown

Current Illness: Lupus

ID: 1146343
Sex: M
Age: 51
State:

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Beginning 8:00pm of date of injection - extreme pain in injection site... later that evening around 11:00pm joint and muscle pain all over body similar to COVID symptoms. Skin, especially face felt like extreme sunburn and that the skin on my face was going to split it was so hot. Fever. Day after injection had fatigue and muscle joint soreness throughout the day. In the evening of the day after injection around 6:00pm had chills and shaking so badly it hurt. The chills/shaking lasted about an hour. I continued to be sore in muscles and joints until the soreness ebbed throughout the following day.

Other Meds:

Current Illness:

ID: 1146344
Sex: F
Age: 57
State: FL

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 3/26-rash on body, puffy eyes 3/27-Pt has hives all over her body. She called her md on Friday and they were closing. She has been taking Benadryl. Getting worse. Recommend f/u with md. Urgent care or ed. She had her shot on Monday and noticed it and it has gotten worse. Recommend that you go in and be seen as the sx are worsening. 3/28-caller stated rash has not improved after taking benadryl. recommended zyretec or claritin and to see her pcp for prescription meds if symptoms are not resolving. informed her to go to an ED if any swelling of the throat, difficulty breathing, etc. caller verbalized understanding.

Other Meds: hydrochloroquine levothroxine

Current Illness:

ID: 1146345
Sex: M
Age: 16
State: CA

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Seizure-Medium

Other Meds:

Current Illness:

ID: 1146346
Sex: F
Age: 50
State: PA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Aspen vitamin K Sulfur

Symptom List:

Symptoms: It started with chills then my body got completely stiff and sore I had to get help to the bed when I got in the bed I was there for four days during that. I had extreme body pain from the feet to the top of the head my eyes hurt I started sweating about three days in to the point where I mean my mattress was soaking wet my sweat smelled horrible I started having Hallucinations about two times seeing things that were not there my vision was very very cloudy and blurry I can hardly speak I have cramps in my feet on the fifth day I woke up yeah my body didn?t hurts I was no longer sweating but I had a headache. I also did not eat anything and could not eat anything for all those days it wasn?t until six days later that I was able to move around And feel somewhat back to normal my vision is still cloudy

Other Meds: Hydrochlorothiazide Metoprolol Oxycodone with acetaminophen

Current Illness: None

ID: 1146347
Sex: M
Age: 59
State: NY

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1146348
Sex: M
Age: 34
State: TX

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 03/30/2021
Hospital: Y

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

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: arrhythmia; bradycardia; tachycardia; weird sensations in heart accompanied with light-headiness. Sharp pain in chest and pressure. Diagnosed with pericarditis and inflammation. Mostly resolved 8 weeks after receiving vaccine.

Other Meds: Nexium, Zyrtec, Asmanex

Current Illness:

ID: 1146349
Sex: F
Age: 59
State: IN

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Lisinopril related cough leading to med change to Chlorthalidone.

Symptom List:

Symptoms: Mild dizziness beginning in late afternoon on day of vax. Mild dizziness morning after vax lasting 3-4 hours only. Minor soreness in upper arm muscle at site of vax lasting a day and half after vax.

Other Meds: Chlorthalidone 25 mg 1/2 tablet daily; Atorvastatin 20 mg daily; Vitamin D3 5000 IU daily.

Current Illness: N/A

ID: 1146350
Sex: F
Age: 56
State: TX

Vax Date: 03/15/2021
Onset Date: 03/22/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Bell's Palsy (Right side of face)

Other Meds: B12 Multiple Vitamin Collagen

Current Illness: None

ID: 1146351
Sex: F
Age: 44
State: NY

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1146352
Sex: F
Age: 61
State: FL

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 3/26-Caller states her 61 yo F mother had her vaccine 2nd dose yesterday and today at 3 AM developed tooth and ear pain but denies inability to open and close her mouth. Her mom also had multiple episodes of vomiting which have subsided. The caller doesn't have all available information with regards to the patients current medication list for review and or entire PMH.. Caller states that her mom was administered an initial pfizer dose and her second dose was also from pfizer. First dose 3/3/21 EN6199 Second dose 3/25/21 EN6199 Both doses were received on the above dates.

Other Meds:

Current Illness:

ID: 1146353
Sex: F
Age: 51
State: GA

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin as a child

Symptom List:

Symptoms: I remained in vaccination site for 15 minutes. Upon leaving and walking to vehicle I felt itchiness and tingling in throat. Upon visual inspection there was a quarter inch red ring around throat. I did not experience any shortness of breath or chest pain of difficulty speaking. I drove down the street to Pharmacy and bought Benadryl and took 50mg PO. There were no further side effects other than a normal expected sore arm.

Other Meds: None

Current Illness: None

ID: 1146354
Sex: F
Age: 43
State: NY

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1146355
Sex: M
Age: 71
State: VA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: 1st dose given by another provider. Second dose given 20 days after first and a different brand.

Other Meds: None known

Current Illness: None known

ID: 1146356
Sex: M
Age: 56
State: NC

Vax Date: 03/22/2021
Onset Date: 03/24/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: PCN

Symptom List:

Symptoms: Patient felt weak , dizzy, nauseated, unable to walk and went to ER 3/34/21 two days after vaccine. In ER he was noted to have a potassium of 2.8. He was treated with potassium and fully recovered. There have been no medication or supplement changes. No prior history of hypokalemia. No recent GI illness or explanation for low potassium.

Other Meds: Losarten potassium HCTZ 100-25 daily, Potassium chloride 99mg 3 times a week, Amlodipine, trazodone, doxazosin, Citalopram, fentanyl patch

Current Illness: none

ID: 1146357
Sex: F
Age: 86
State: FL

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: penicillin, Phenergan

Symptom List:

Symptoms: 02/03/2021 EXPERIENCING CHEST PAINS. 911 CALLED. TRANSPORTED TO HOSPITAL . ALL HEART TESTS (ECHO, BLOOD TEST) CAME BACK NORMAL. CHEST XRAY SHOWED CONGESTIVE HEART FAILURE AND ADMITTED TO HOSPITAL TO REDUCE SWELLING IN LEGS 02/03/2021 EVENING. HOSPITAL DR'S STARTED 80MG LASIX BY IV. DISCHARGED 02/05/2021 @ 12:00PM. TOOK HOME - PASSED OUT X4 BEFORE CALLING 911 AGAIN. TRANSPORTED BACK TO SAME HOSPITAL. ER DR. ASKED IF POSSIBLE FOR HER TO LOOSE 21.6 LBS IN LESS THAN 48 HRS. RE-ADMITTED INTO HOSPITAL 02/05/2021 @ APPROX 9:30PM FOR RE-HYDRATION ORALLY. DISCHARGED 02/10/2021

Other Meds: Jantovan (A-Fib), AmLODIpane, Bisoprolol Fumarate, Bumetanide, Ezetimibe, Levothyroxine, Losartan Potassium, Potassium Chloride, ICAP's, Centrum Silver, Vitamin-B Complex, CoQ10

Current Illness: Bi-lateral lymphedema (both legs), A-Fib

ID: 1146358
Sex: F
Age: 53
State: NY

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1146359
Sex: F
Age: 81
State: FL

Vax Date: 03/10/2021
Onset Date: 03/18/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List:

Symptoms: Date and time of vaccination: (list both if they received both shots): 2-12-21 @2pm , 3-10-21 @ 2pm. Brand and lot of vaccine: Moderna LOT # 010N20A; Moderna LOT # (was not written on card as per caller). Date and time adverse event started: 3-18 rash to back which resolved. On 3-25-21 noticed a rash to the chest/breast area. 3/26-recommended antihistamine (claritin, benadryl, zyrtec) and informed of life threatening symptoms such as SOB, CP, difficulty breathing or diffuse rash to the body; if any lift threatening symptoms began to go to their local ER. Caller verbalized understanding.

Other Meds: Norvasc 5mg Daily, Crestor 10mg Daily, metformin 500 Daily, Mucinex PRN Benadryl PRN

Current Illness:

ID: 1146360
Sex: F
Age: 68
State:

Vax Date: 03/28/2021
Onset Date: 03/30/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: After the first vaccine on February 28 within 30 minutes my face was flushed, for about 30 to 45 minutes. My face turned red but no swelling or itching or discomfort. Just a flushed face. After the second vaccine on March 28, two days later I now have a red area a few inches below the injection site. No rash , just red and perhaps slightly swollen. Slightly painful if I slept on that side last night, then noticed the red this morning. It is red on top of my outer upper muscle but below the injection site.

Other Meds:

Current Illness:

ID: 1146362
Sex: M
Age:
State: VA

Vax Date:
Onset Date: 02/28/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The left ear is a little weird, less hearing than usual; I lost hearing on my right ear completely; A spontaneous report was received from a consumer,concerning himself, a 63year-old, male patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced a new side effect. That he lost hearing on right ear completely and the left ear is a little weird,less hearing than usual. The patient's medical history was not reported. Concomitant drug Lipitor is ongoing. On 27-Feb-2021, prior to the onset of event, the patient received their second of two planned doses of mRNA-1273 (Lot number: 022M20A) intramuscularly in the left non-dominant arm for prophylaxis of COVID-19 infection. On 28-Feb-2021, the second day after receiving mRNA-1273, the patient experienced hear loss on right ear completely, so far there is no change and his left ear is a little weird and less hearing than usual. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not applicable. The outcome of events lost hearing on right ear completely and the left ear is a little weird, less hearing than usual was not resolved at the time of report.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds: LIPITOR

Current Illness:

ID: 1146363
Sex: M
Age: 24
State: FL

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 03/30/2021
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Allergies: Testosterone Cipionate

Symptom List:

Symptoms: Severe joint pain, swelling around joints, specifically complete swelling of both ankles. Difficulty bending knees. Pain putting weight on either leg

Other Meds:

Current Illness:

ID: 1146365
Sex: F
Age: 75
State: NC

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/30/2021
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Allergies: Azithromycin

Symptom List:

Symptoms: Day four, after 2nd dose of moderna vaccine, arm is still red, burning and swollen

Other Meds: Losartan, oxybutynin, hydrchlorithiazide, atorvastatin, trazadone Calcium, D2, B50?s, silica, multi-vitamins, indole carbinol-3, folic acid, beta carotene

Current Illness: High b/p, high cholesterol, controlled my medications

ID: 1146366
Sex: M
Age: 53
State: MI

Vax Date: 02/26/2021
Onset Date: 03/01/2021
Rec V Date: 03/30/2021
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Symptoms: Tinnitus (ringing in both ears)

Other Meds: Multi-vitamin, fish-oil supplement, vitamin D

Current Illness:

ID: 1146367
Sex: F
Age: 43
State: IN

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/30/2021
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Allergies: None

Symptom List:

Symptoms: Stomach cramps,, Diarrhea and body aches for 48 hours

Other Meds: None

Current Illness: None

ID: 1146368
Sex: F
Age: 46
State: NY

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
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Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1146369
Sex: M
Age: 53
State: MI

Vax Date: 03/27/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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Lab Data:

Allergies: tetanus, normal Flu vaccines

Symptom List:

Symptoms: Sore everywhere. Lower stomach & groan is very sore. I can't hardly sit. Motrin is giving me some relief. I was running a fever yesterday 3-29-21. Hands are very stiff and ache.

Other Meds: Vascepa 1gm, Montelukast 10mg, pioglita/met 15-850, multi vitamin, Vitamin D.

Current Illness: None

ID: 1146370
Sex: F
Age: 61
State: FL

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/30/2021
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Symptom List:

Symptoms: Date and time adverse event started: 3/26/21, 0800 Adverse events experienced and are they still occurring now: syncope, headache What happened as a result of the adverse event? (doctor visit, ED or urgent care visit, hospitalization, life threatening illness, disability/permanent damage, death, none of these): Recommended Tylenol or ibuprofen for headache and to stay hydrated as well as continuing to rest. In addition, if symptoms worsen, advised to see primary provider.

Other Meds: hydralazine, oxycodone, water pill

Current Illness:

ID: 1146371
Sex: M
Age: 43
State: WI

Vax Date: 03/24/2021
Onset Date: 03/27/2021
Rec V Date: 03/30/2021
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Allergies: none know allergies

Symptom List:

Symptoms: redness and swelling around both eyes. the swelling became visually evident 3 days after the vaccine was administered and has gotten progressively worse since then.

Other Meds: multivitamin, vitamin D, colloidal silver, elderberry

Current Illness: none

ID: 1146372
Sex: F
Age: 49
State: NY

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1146373
Sex: F
Age: 47
State: FL

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 03/30/2021
Hospital:

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Allergies: n/a

Symptom List:

Symptoms: n/a

Other Meds: n/a

Current Illness: n/a

ID: 1146374
Sex: M
Age: 83
State: CO

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 03/30/2021
Hospital:

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Allergies: Sulfa

Symptom List:

Symptoms: Extreme soreness, stiffness in right side of body, hip, leg. Same side of injection. Pain relented slightly after a few days, has now returned, making walking or lying difficult.

Other Meds: Amlodipine, simvastatin, Tylenol, levothyroxine, lisinopril

Current Illness: none

ID: 1146375
Sex: M
Age: 41
State: NY

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
Hospital:

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Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1146376
Sex: M
Age: 60
State: IN

Vax Date: 03/28/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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Allergies: no

Symptom List:

Symptoms: Started being cold around 11:00 on 3/29 - less energy throughout day - goose bumps from being cold around 9:45PM. Woke up throughout night with lower back/neck pain and headache. Now (7:18AM) experiencing headache, nausea, neck ache, chills and lower back pain. Feels like a hangover.

Other Meds: Pantoprazole, low dose aspirin, Loratadine and multi-vitamin

Current Illness: no

ID: 1146377
Sex: F
Age: 51
State: FL

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/30/2021
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Allergies: Acifex, penicillin/amoxicillin (full body hives)

Symptom List:

Symptoms: 3/24/2021--4pm began feeling weak 3/24/2021--6pm severe dizziness and close to passing out; weak, hands and thighs began to tingle 3/24/2021--6:30pm severe dizziness; started to black out again; extremely cold, weak, hands numb, began shaking uncontrollably 3/24/2021--7:00pm above symptoms continued, vitals taken at home: pulse normal, 100/60 bp (normal for me), temp 98.4 (high for me) 3/24/2021--8:00pm above symptoms continued except hands no longer numb and not shaking; temp 100.4 (very high for me) 3/24/2021--9:00pm above symptoms continued and bad headache began 3/25/2021--1:00am cold, weak and raging headache 3/25/2021--4:45am same and extreme thirst 3/25/2021--above continued all day 3/25/2021--8:00pm less cold, headache became more mild 3/26/2021--7:00am mild headache, extreme thirst, mild weakness (but ok enough to do light workout) 3/26/2021--12:00pm extreme thirst continued all day 3/27/2021--back to normal

Other Meds: Valtrex Tri-Lo Sprintec (birth control) Elderberry gummy Vitamin C Vitamin D3 Biotin Multi-Vitamin

Current Illness: None

ID: 1146378
Sex: F
Age: 28
State: MI

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 03/30/2021
Hospital:

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Allergies: No

Symptom List:

Symptoms: UTI symptoms began rapidly around 5:30am with mild blood in urine. Treating with AZO maximum strength 95mg 3x a day until symptoms have improved.

Other Meds: Nexplanon subdermal implant (birth control)

Current Illness: No

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm