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: 1154237
Sex: F
Age: 33
State: MI

Vax Date: 01/08/2020
Onset Date: 01/16/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Received first dose of the Pfizer COVID vaccine on 1/8/2021. On 1/16/2021 developed body aches and headache. Tested positive for COVID-19.

Other Meds: atorvastatin, cholecalciferol, cyanocobalamin/folic acid, glipizide, levonorgest-eth.estradiol, metformin, sitagliptin

Current Illness: none

ID: 1154238
Sex: F
Age: 24
State: PA

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Shellfish, shrimps, Tuna, chicken, nuts

Symptom List:

Symptoms: Hives all over the face

Other Meds: Claravis 60 mg

Current Illness:

ID: 1154239
Sex: F
Age: 64
State: CA

Vax Date: 02/24/2021
Onset Date: 03/12/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Shingles on right butt, hip, groin. Treated with Acyclovar

Other Meds: Rosuvastatin

Current Illness:

ID: 1154241
Sex: M
Age: 46
State: CA

Vax Date: 03/28/2021
Onset Date: 03/29/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Penicillins (all types)

Symptom List:

Symptoms: I already suffer from mild tinnitus. About 14 hours after the 2nd vaccine dose my tinnitus became noticeably worse for a period of about 24 hours. I also experienced the typical flu-cold like symptoms after the 2nd vaccine dose including muscle ache, stiff and achey joints, and general I'll feel for a period of 8 after that began 14 hours after the 2nd dose was administered. I experienced fatigue for roughly 4 days after the 2nd dose. I had no symptoms nor adverse reaction after the 1st dose. My biggest concern was the tinnitus. The cold and flu like symptoms I understand should be expected.

Other Meds: Losartin, hydrocodone, alprazolam, testosterone, lexapro. Multimens vitamin, fish oil, vit b, vit c, wheatgrass, flax seed oil, probiotics, 81mg aspirin

Current Illness: None

ID: 1154242
Sex: F
Age: 69
State: FL

Vax Date: 08/21/2020
Onset Date: 08/21/2020
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: patient received a shot that may have been too low on arm, but ever since has had bruising, pain, swelling, and weakness in her arm. She has seen a MD multiple times and has now reported it to pharmacy.

Other Meds:

Current Illness:

ID: 1154243
Sex: F
Age: 32
State: NY

Vax Date: 03/24/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: rash from amoxicillin

Symptom List:

Symptoms: large red rash around injection site, 8 days later

Other Meds:

Current Illness:

ID: 1154244
Sex: F
Age: 59
State: MD

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: sulfa antibiotics

Symptom List:

Symptoms: unable to sleep / restless sleep. did not seek treatment (yet)

Other Meds: metformin, azopt, latanoprost, pravastatin, lisinopril, levothyroxine, omega 3, glimepiride, cimetidine, dexilant, sucralfate, zyrtec, bariatric vitamins, trulicity

Current Illness: none

ID: 1154245
Sex: F
Age: 40
State: MO

Vax Date: 03/23/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Woke with pink raised skin around shot site, 9 days after getting the vaccine. It is warm to the touch and about 1.5? across by 2? across.

Other Meds: Vitamin D, vitamin B

Current Illness: No

ID: 1154246
Sex: M
Age: 63
State: NY

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: sore arm

Other Meds: none

Current Illness: none

ID: 1154247
Sex: F
Age: 59
State: NY

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Fatigue, achy, sore arm at about 1-2pm progressively worse though the evening by 7:15pm fever, splitting headache fever lasted all night broke 2x

Other Meds: Zestril, Lipitor, Toprol elderberry

Current Illness: no

ID: 1154248
Sex: F
Age: 50
State:

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Durring monitoring period post Pfizer 2nd COVID-19 vaccine, pt experienced "stabbing, mild left sided chest pain". Patient evaluated. Upon assessment, patient reported that she had "left sided chest pain for 2-5 hours after 1st dose". No pain radiation, no shortness of breath noted. Patient heart rate upon palpation 82, regular. Resp rate 14, afebrile to touch. Patient takes female hormones daily, alprazolam (2/25) and ambien (2/25). Patient monitored for 30 mins without signs or symptoms of reaction. Patient ambulatory and went home.

Other Meds:

Current Illness:

ID: 1154249
Sex: F
Age: 60
State: MA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: She got the vaccine and she immediately felt a warm flush in her left arm. She was ok, and waited for a few minutes after. An hour later she felt that her tongue was very heady and the inner sides of her cheeks in her mouth were numb. She did not have problems with her throat, but the tongue was heavy. She was extreme tired, very, very fatigued. About 12 hours later her head started feeling dizzy like she was in a boat. Yesterday morning, 3/31/21 her whole body was aching and in pain, and she took one regular Tylenol that helped her through the day and by the end of the day she was so tired and out of it, and had chills from about noon, so cold that she was trembling. She also had warm feelings in her hand as well. She went to bed early and slept for about 9 hours as she was extremely tired. She feels a little better today, but not back to feeling completely well.

Other Meds: Vitamin C.

Current Illness: None.

ID: 1154250
Sex: F
Age: 63
State: FL

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: INJECTION SITE SWELLING AND REDNESS FOR 10 DAYS NOW

Other Meds:

Current Illness:

ID: 1154251
Sex: F
Age: 48
State: OK

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Drug: Compazine

Symptom List:

Symptoms: Severe and prolonged pain throughout upper arm for almost one month at this point and still persisting. Inability to move the arm without pain. Limited range of motion due to pain. Today is the 27th consecutive day with pain and limited range of motion.

Other Meds: Estrogen 1mg, Lexapro 5mg, Tirosint 100 mcg(Thyroid hormone), Women's Daily Multivitamin, Vitamin D supplement 600mg

Current Illness: None

ID: 1154252
Sex: M
Age: 26
State: OH

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Janssen Covid-19 Vaccine EUA. Severe headache, muscle ache, fever, chills

Other Meds: lexapro, multi vitamin

Current Illness:

ID: 1154253
Sex: F
Age: 41
State: KS

Vax Date: 03/19/2021
Onset Date: 03/22/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Rash on ankles, wrists started about 3 days post vaccination

Other Meds: unknown

Current Illness: unknown

ID: 1154254
Sex: F
Age: 39
State: MA

Vax Date: 03/20/2021
Onset Date: 03/30/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: - Itchy on the place of the shot, a red rash developed around the area in oval shape after 8-9 days of the vaccine. - Brain fog, achy body, trouble taking a walk, tiredness, 1.5 times sleep hours

Other Meds: no

Current Illness: none

ID: 1154255
Sex: M
Age: 72
State: FL

Vax Date: 03/19/2021
Onset Date: 04/21/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: None stated.

Other Meds: None

Current Illness: None

ID: 1154256
Sex: F
Age: 46
State: MI

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Sulfa allergy.

Symptom List:

Symptoms: Ten minutes after receiving first does of .5 ml covid vaccine IM vaccine in left deltoid, patient grabbed her throat and said "I am having trouble swallowing." Healthcare staff assessed airway and breathing and began monitoring vital signs. Airway was patent and breathing unlabored but rapid potentially due to anxiety. B/P at on set was 174/88, heart rate 78 and O2 at 99% saturation. Continued to monitor and between 3:28 and 3:29 pm patient begin to have visible difficulty shallowing and slight red rash began to appear on right forearm (note administration site was in left deltoid) as a result of symptoms .5 epi was administered in outer lateral thigh IM. EMS called. Blood pressure 178/85, heart rate 100, Patient vital signs remained stable throughout and O2% remained at 98 to 99% Blood pressure remained around 170s/ 70s to 80s. EMS at 3:42pm arrived and patient transferred without incident. Patient remained stable after first epi injection but did not improve.

Other Meds: None reported.

Current Illness: None reported.

ID: 1154257
Sex: F
Age: 32
State: IN

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Chills, burning up and hives from head to feet, swollen face

Other Meds: Viibryd L-thyroxine Lamotrigine

Current Illness: No

ID: 1154258
Sex: F
Age: 35
State: MA

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: None that I know of

Symptom List:

Symptoms: that night I felt exhausted and nauseous. Next day in the the morning I felt tired for a few hours but able to go to work. Around noon, the side effects really hit me and I had to take the rest of the day off. I felt extreme fatigue and nausea, I had a migraine (which I am prone to having), felt hot and cold, but no real fever. My temp stayed between 97.9- 98.6. This lasted for the next 24- 36 hours. I also got a red circular rash on the arm I received the shot on but about a few inches under the injection site. About 4-5 day after the vaccine, I got swollen in my right arm pit and then the day after I got swollen in my left arm pit. (I get this reaction usually in the arm of the injection site when I get the flu vaccine). About 5-6 days later, the red rash came back on my left arm and was itchy, not sure if I got bit by a mosquito or if this was a side effect from the vaccine.

Other Meds: Fluoxetine, TriPrevifem (birth control)

Current Illness: NA

ID: 1154259
Sex: M
Age: 64
State: CT

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Around 3.0AM Sunday morning, feverish condition and vigorous urination. It lasted about 24 hours. Took Tylenol 500mg every 8hours to make sure fever under control. Max fever 99.6F. Going bathroom every 15mins minutes for urination. Blisters in mouth and on lips. Can't eat and drink anything.

Other Meds: Attenelol 25mg once/day Crestor 20mg once/day Aspirin 81mg once/ day Fish oil 2/day Centrum 1/day Folic Acid 1 /day Vit D 1 / day

Current Illness: None

ID: 1154260
Sex: F
Age: 40
State:

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Per Observation RN, patient had a complained of hand tingling and stated that she has history of Hashimoto's disease and bilateral upper extremities tingling and anxiety Per RN, patient denied swallowing and shortness of breath. BP 111/79, HR 85,NKDA. per RN was given diphenhydramine 25 mg

Other Meds:

Current Illness:

ID: 1154261
Sex: M
Age: 59
State: MI

Vax Date: 03/29/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Large rash on upper chest, centered and symmetrical half moon shape from clavicle down to bottom of ribs.

Other Meds: None

Current Illness: none

ID: 1154262
Sex: F
Age: 25
State: NC

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Bactrim/sulfa

Symptom List:

Symptoms: Patient received first dose Pfizer at 4:30 pm. Around 6:30 pm she began to experience shortness of breath, weakness, "shaking" in legs, lightheadedness, dizziness, nausea and hives. She presented to the emergency room and her blood pressure was elevated. She was given Zofran and Benadryl in the ER. After administration of the medications, her shortness of breath and hives began to improve. She remained in the ER for 3 hours for observation then was discharged. No epinephrine was administered during her visit.

Other Meds:

Current Illness:

ID: 1154263
Sex: F
Age: 63
State: NC

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Dizziness, heard hurts, throat and nose burn chest is tight, aches and pains

Other Meds: Metformin, Colestipol, Propranol, Atorvastin, Cyclobenzaprine, Clopidogrel, Cymbalta, Isosorbide, Escitalopram, Rexulti, Amlodipine, Telismatan, Trazadone, Pantopaole, Victozia, baby aspirin

Current Illness:

ID: 1154264
Sex: F
Age: 88
State:

Vax Date: 02/09/2021
Onset Date: 02/22/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: weak and fatigued

Other Meds:

Current Illness:

ID: 1154265
Sex: F
Age: 43
State: OK

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Sore arm. Low grade fever and chills. Headaches. Joint discomfort. All lasted 24 hours.

Other Meds:

Current Illness:

ID: 1154266
Sex: F
Age: 27
State: CO

Vax Date: 03/25/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Sulfa-Septra based antibiotics

Symptom List:

Symptoms: Soreness, swollen lymph nodes in left arm and left arm pit.

Other Meds: None

Current Illness: Sinus infection one month prior

ID: 1154267
Sex: F
Age: 26
State: MA

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Severe muscle aches, fever/chills - duration of 12 hours

Other Meds:

Current Illness:

ID: 1154268
Sex: F
Age: 73
State: TX

Vax Date: 02/02/2021
Onset Date: 02/05/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Developed new onset joint pain and stiffness in bilateral hips, knees, shoulders after second vaccination. Referred to rheumatology and currently being evaluated for possible polymyalgia rheumatica.

Other Meds: amlodipine (NORVASC) 10 MG tablet, Take 1 Tablet by mouth daily., Disp: 90 Tablet, Rfl: 1 atorvastatin (LIPITOR) 40 MG tablet, Take 1 Tablet by mouth daily., Disp: 90 Tablet, Rfl: 1 cetirizine,ZYRTEC, (ZYRTEC ALLERGY) 10 MG tablet, Take 1 T

Current Illness: None

ID: 1154269
Sex: M
Age: 77
State: OH

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received both doses of Pfizer COVID vaccine on 1/11/21 and 2/22/21 which completed series. Patient did not need Moderna COVID vaccine on 3/25/21.

Other Meds: amlodipine asa atorvastatin docusate Eliquis fenofibrate finasteride furosemide glipizide Vit D Vit C hydrochlorothiazide isosorbide mononit. lisinopril metformin metoprolol succ ER mucinex ER nitroglycerin PEG potassium chloride tamsulosi

Current Illness:

ID: 1154270
Sex: F
Age: 68
State: IN

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Extreme soreness at injection site, aches, chills

Other Meds: Losartan 100 mg, HydroCHLOROthiaz 25 mg

Current Illness: No

ID: 1154271
Sex: M
Age: 50
State:

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Responded to Nurse Alert in Covid vaccine clinic Department. Interventions: IV NS 0.9% started @ rate: Bolus , time: NA, per instruction (Verbal Order) by Dr. Blood Sugar Reading (per accucheck): 106 mg/dl; Nourishment offered: no Baseline and succeeding Vital Signs: Time Taken 1945 Temperature na Pulse Rate 42 Respiration Rate 16 Blood Pressure 96/62 O2 Saturation 72 Quick Nursing Assessment at the Scene: Pt was dysphoretic, A&Ox3 gray in color. Cold and clammy. Pt reports feeling dizzy and almost falling in the bathroom. During assessment Pt want unresponsive. Pt never lost his pulse. Nurses alert was called than 911. Pt was A&Ox3 when EMS arrived. 2L of O2 NC was placed on Pt and SPO2 increased to 100%. 20G IV was started in the left AC and NS bolus was rendered. EMS ALS took Pt to the nearest hospital. Pt did receive 0.3 second dose of Pfizer vaccine. Patient Disposition: 911 called.

Other Meds:

Current Illness:

ID: 1154272
Sex: F
Age: 19
State: OH

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: hives/rash on lower back and right elbow. didn?t get confirmation until 3:30 that same day there was hives (can?t see my elbow or back, had to have someone else look)

Other Meds: Kirkland AllerClear

Current Illness: No

ID: 1154273
Sex: M
Age: 59
State: NJ

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pain at injection site. Chills. Body aches. Fever (100.1). Chills ended after about 3 hours. Temperature returned to normal by following morning. Body aches similarly went away by following morning.

Other Meds: Atorvastatin Tab 10 Mg, Aspirin 81 mg, Centrum Silver, Vitamin C 500 mg.

Current Illness: None

ID: 1154274
Sex: M
Age: 30
State: IN

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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Allergies: Only Alcohol

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Symptoms: The place where the shot was given experience pretty heavy sore and light pain. And now it's a bit better. Redness and swelling did NOT happen. Feels like after an intense shoulder workout and sore all day long.

Other Meds: Multivitamin, Vitamin D, Fish Oil

Current Illness: Nope

ID: 1154275
Sex: F
Age: 57
State:

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/01/2021
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Symptoms: States that she was feeling dizzy and nausea. Patient states has a history of Vasovagal syncope and usually gets like this after having a shot, and that she was a little anxious getting the second shot since so many people told her is makes them sick. Patient was assessed by nurse and EMT, BP 86/39, P74, R22, was put in lying position on stretcher and BP was monitored closely. 16:19 BP 118/78 P64 R20 patient states feeling well and is ready to go home., was escorted by nurse and EMT to vehicle at 16:25, no problems noted.

Other Meds:

Current Illness:

ID: 1154276
Sex: M
Age: 71
State: OH

Vax Date: 03/04/2021
Onset Date: 03/07/2021
Rec V Date: 04/01/2021
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Allergies: denies on screening form

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Symptoms: 3 days after the 2nd shot of Moderna a rash developed on the back of neck, bilateral shoulders and upper back. rash is itchy and not painful. Patient called facility on 4/1/2021, nearly a month after the 2nd vaccine. reports has not taken anything other than prescribed medications. advised to apply OTC hydrocortisone cream to rash and also take a OTC zyrtec or claritin daily. Instructed to call his physician if does not resolve in 1 week.

Other Meds: denies on screening form

Current Illness: unknown

ID: 1154277
Sex: M
Age: 28
State: NY

Vax Date: 03/23/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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Allergies: Finasteride. No food allergies

Symptom List:

Symptoms: Full body severe rash. Swelling of face and lips. Shortness of break.

Other Meds: Rituxan 5 months prior

Current Illness: None

ID: 1154278
Sex: F
Age: 59
State:

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
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Symptoms: cough, dizzy, headache. Evaluated by EMS-Cleared

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Current Illness:

ID: 1154279
Sex: F
Age: 20
State: MS

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 04/01/2021
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Allergies: LATEX

Symptom List:

Symptoms: SWELLING TONGUE

Other Meds:

Current Illness:

ID: 1154280
Sex: M
Age: 16
State: TX

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 04/01/2021
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Allergies: NKDA

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Symptoms: Patient was 16 years of age at time of Moderna COVID vaccination (med error).

Other Meds: none

Current Illness: none

ID: 1154281
Sex: F
Age: 45
State:

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 04/01/2021
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Allergies: N/A

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Symptoms: I woke up at midnight and could barely move. I had extreme chills, fatigue and body aches and heart palpitations. My heart was beating so fast and hard, it felt like it was going to come out of my chest. I put a heating blanket and a heating pad on me to try to stop the chills. I took 50 mg of metoprolol to slow my heart beat. My heart beat was 75 beats per minute and it is usually 55-60 beats per minute. I went back to bed and woke up at 2:00am and did not feel better, I got some water, but my heart was still beating fast and I felt nauseas. I then vomited. I went back to bed and woke up at 4:30am in a big sweat, I felt even worse. I took my heated blanket off and my heart was beating at 85 miles per hours. I thought about going to have to go to the emergency room at this point but was scared of being exposed to COVID19 but I should have gone to the emergency room. I took 100 mg of metoprolol again and could barely walk due to the muscle aches and fatigue. I woke up again at 8:00am and my heart rate had gone down to 70 beats per minute but I was still fatigued and had muscle aches but at least the chills were gone. It took at least a week for my heart rate to return close to normal but I have been having chest pains ever since the vaccine. I had to stay in bed all of that next day to rest., I did not know that the side effects would be this bad because I would not have taken the vaccine. I would not take this vaccine again.

Other Meds: Metoprolol Tartate 100mg X 2 Isosorbide Mononit ER 120 mg Hydrochlorothiazide 25 mg Olmesartan Medoxomil 40 mg Amlodipine Besylate 5mg Rosuvastatin Calcium 20 mg Aspirin 81mg Novolog/Humulog Mometasone Furoate Nasal Spray 50 mcg Montelukas

Current Illness: N/A

ID: 1154282
Sex: F
Age: 23
State: MA

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/01/2021
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Allergies: NKA

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Symptoms: 23 y.o. female has a past medical history of Anxiety and Depression. Who was a proceed out after receiving her first vaccine for Covid. Patient reports a long history of of fainting with vaccines in the past. She received the first vaccine and about a minute later started to feel diaphoretic and lightheaded. She had to sit herself down and staff at the vaccine clinic lifted up her legs. Ended up doing repeat vitals with initial blood pressure of 60 over palp. She was cool and clammy at that time. She denies any nausea or flushing. At the time of my evaluation in the bouncing clinic, blood pressure had improved to 85 over palp with 2+ radial pulses bilaterally. Patient was then transferred to emergency department for observation. At the time of transfer she started to feel back to baseline. She denies any cardiac history, drug use, decreased p.o. intake, family history of cardiac disease, sudden history of cardiac death, bleeding, black or bloody stools. She is unsure of her last menstrual period.

Other Meds:

Current Illness:

ID: 1154283
Sex: M
Age: 30
State: WI

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 04/01/2021
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Allergies: N/A

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Symptoms: The day following the first shot, I began having chills. With the chills, came a low-grade fever. After about an hour or so, I had immense body aches. My bones felt like glass. This lasted for three and a half days.

Other Meds: One-A-Day Men's Multivitamin, Allegra Allergy

Current Illness: N/A

ID: 1154284
Sex: M
Age: 65
State: IN

Vax Date: 03/29/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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Allergies: none

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Symptoms: swollen left lymph

Other Meds: RX-amelodapine, prevastatin supplements: tart cherry, magnesium

Current Illness: none

ID: 1154285
Sex: F
Age: 43
State: TN

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 04/01/2021
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Allergies: None

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Symptoms: mild nausea (1 hour); moderate fever and chills (24 hours); moderate aches 48 hours; headache 24 hours

Other Meds: Effexor-XR 75 mg

Current Illness: None

ID: 1154286
Sex: F
Age: 26
State: FL

Vax Date: 03/22/2021
Onset Date: 03/28/2021
Rec V Date: 04/01/2021
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Symptoms: Moderna COVID-19 Vaccine EUA On 3/28, I started having occasional, brief, shooting pains up my left arm. It occurred once the first day, three times the next day, and ten or more times each day since. On 3/30, my injection site became mildly itchy, and I noticed that it was warm to the touch. The itching only lasted a few minutes. On 3/31 a splotchy rash appeared around the injection site, appx 5 inches in diameter. It is now hot to the touch, and occasionally itchy. As of 4/1 the rash is still present.

Other Meds: Junel FE 1/20 escitalopram 10mg bupropion 150mg melatonin 3microg zyrtec one-a-daymultivitamin

Current Illness:

ID: 1154418
Sex: F
Age: 63
State: PR

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 04/01/2021
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Allergies: Quinolones, Seafood

Symptom List:

Symptoms: After 4 hours started with Fever, fatigue, articulation discomfort .

Other Meds: Biotin,Vitamin C, DIMM

Current Illness: N/A

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm