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: 1156006
Sex: F
Age: 70
State: OH

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

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

Lab Data:

Allergies: Shellfish Bactrim

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fever. Shingles. Urgent Care. Antiviral drug. Pain med. Still have shingles almost a month later. Back pain, stomach pain, itch.

Other Meds: Vitamin c, multivitamin

Current Illness: None

ID: 1156007
Sex: M
Age: 45
State: WA

Vax Date: 04/01/2021
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: PCN

Symptom List: Anxiety, Dyspnoea

Symptoms: Near Syncopal

Other Meds: None

Current Illness: None

ID: 1156008
Sex: F
Age: 46
State: CT

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: wheat, dairy, nuts, nickel

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

Symptoms: profusely sweating and Raynouds Syndrome and extreme tiredness

Other Meds: none

Current Illness: None

ID: 1156009
Sex: F
Age: 65
State: FL

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Cipro- Rash Pcn- Rash Sulfa drugs - rash Eggs - GI upset

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 20 minutes after receiving the vaccine she began to feel itching in her face and neck and became very dizzy.

Other Meds: None

Current Illness: Barretts esophagus Colitis , Gastroparesis , GERD , Htn

ID: 1156010
Sex: M
Age: 78
State: FL

Vax Date: 03/25/2021
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: none

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

Symptoms: Approximately 36 hours after vaccination was administered experienced mild confusion & memory failure. There was mo pain or other physical manfestations. Confusion resolved itself overnight; mild memory lapses continue. It seemed to be a very specifc event -- perhaps a TIA?

Other Meds: losartan

Current Illness: none

ID: 1156011
Sex: F
Age: 64
State: NC

Vax Date: 03/25/2021
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: Citric acid

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

Symptoms: It?s been a week since my second vaccine and I am still feeling very tired and I?m having trouble sleeping

Other Meds: Anastrozole for breast cancer.

Current Illness:

ID: 1156012
Sex: F
Age: 50
State: FL

Vax Date: 03/15/2021
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: Pyrexia, White blood cell count decreased

Symptoms: Racing heart rate, hot flashes, head ache

Other Meds: Synthroid, noritryptolyne, ajovy, Flonase, melatonin, vitamin B2, vitamin C

Current Illness: None

ID: 1156013
Sex: M
Age: 38
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: None that I know of.

Symptom List: Pharyngeal swelling

Symptoms: I began having cold chills in the evening about 6-7 hours after I got my vaccine shot. Got a headache soon after. Woke up the next day with a migraine headache, feeling very woozy and running a fever. Had to call off work to recover from flu-like symptoms.

Other Meds: Just a daily men's multivitamin that I sometimes forget to take.

Current Illness: Seasonal allergies. That is all.

ID: 1156014
Sex: F
Age: 61
State:

Vax Date: 04/01/2021
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:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: itching of the arm. Evaluated by EMS-Cleared

Other Meds:

Current Illness:

ID: 1156015
Sex: F
Age: 40
State: CO

Vax Date: 03/06/2021
Onset Date: 03/07/2021
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: Diarrhoea, Nasal congestion

Symptoms: Fever, chills, body aches. Fever would break during sleep and come back by 3 pm next day for five days straight

Other Meds: Wellbutrin Viibryd

Current Illness: None

ID: 1156016
Sex: F
Age: 34
State: MA

Vax Date: 03/27/2021
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: penicillin

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

Symptoms: Body rash or broken blood vessels under skin

Other Meds:

Current Illness:

ID: 1156017
Sex: F
Age: 22
State: CA

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: Rash, Urticaria

Symptoms: PATIENT WAS GIVEN PFIZER VACCINE ON 2ND DOSE INSTEAD OF MODERNA AND IT WAS AFTER 28 DAYS.

Other Meds:

Current Illness:

ID: 1156018
Sex: F
Age: 29
State: KS

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: When I received the injection, I had a metallic taste in my mouth, felt a little dizzy, had a cold sweat, and a funny feeling in my throat. This lasted only a couple of minutes. On around March 25th, I noticed a round rash around the injection site. I still have the rash as of April 1, 2021.

Other Meds:

Current Illness:

ID: 1156019
Sex: M
Age: 66
State: FL

Vax Date: 02/27/2021
Onset Date: 03/01/2021
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: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: Monday 2/29 in the morning felt a little dizzy Tuesday 2/30 in the morning felt something was not right. Felt a little more dizzy Wednesday morning had full blown vertigo. So bad I could hardly stand up. Never in my like had I ever had vertigo. At 3:00 pm Two Doctors adjusted the left ear twice to get the crystals right. No issues with the right ear. The left ear is the one I have ringing in. Had to use a neck brace for 2 days and slept in a chair for two night. No more dizziness. But for 4 weeks was not myself

Other Meds: Multiple vitamin tablet Magnesium 2 tablets 100 mg B and C complex 1 tablet took Tylenol Arthritis 2 capsules Saturday 3/27 at 7:00 pm D3 1,000 units 1 tablet

Current Illness: no

ID: 1156020
Sex: M
Age: 74
State:

Vax Date: 02/14/2021
Onset Date: 02/17/2021
Rec V Date: 04/01/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: shortness of breath

Other Meds:

Current Illness:

ID: 1156021
Sex: F
Age: 21
State: UT

Vax Date: 01/28/2021
Onset Date: 01/29/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: The first dose my arm got red and swollen for about three weeks. It has a big bump in the center that was hot to the touch. I got it checked out by a covid reaction physician who said it was a mild allergic reaction. The second dose my left eye swelled shut and both lips swelled up about 24 hours after administration. My throat started to close and I couldn?t breathe. I ended up having to go to the emergency room where they were able to control the allergic reaction. They said it was an allergic reaction to the vaccine and have recommended not getting any more covid vaccines in the future if there were more produced.

Other Meds: None

Current Illness: None

ID: 1156022
Sex: F
Age: 31
State: OK

Vax Date: 04/01/2021
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:

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

Symptoms: Patient started experiencing a headache and back/neck pain, started to have numbness feeling in opposite arm from injection. gave bendadryl and felt better after about 15 min

Other Meds:

Current Illness:

ID: 1156023
Sex: F
Age: 44
State: FL

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: none

Symptom List: Ear pain, Hypoaesthesia

Symptoms: head aches, fewer, chills, body aches for 2 days.

Other Meds: none

Current Illness: none

ID: 1156024
Sex: F
Age: 46
State: TX

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: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Symptoms started 30 min after the shot, and lasted for about 20 hours: fatigue, bad headache, muscle and joint pain - especially in both legs and ankles and left arm and elbow joint; chills, nausea, weakness in legs, upset stomach.

Other Meds: Levothyroxin 75 mcg. But it was taken at 9am, and the vaccine shot was 7pm

Current Illness: hypothyrodism

ID: 1156025
Sex: F
Age: 51
State: NY

Vax Date: 04/01/2021
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: Pineapple

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

Symptoms: Numbness to face and lips, chest tightness and sensation of swelling to back of tongue. Given Benadryl 50 mg PO and subsequently EpiPen .

Other Meds:

Current Illness:

ID: 1156026
Sex: F
Age: 17
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: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Had tightness in her throat after COVID vaccine and patient was give Epinephrine and sent to ED

Other Meds:

Current Illness:

ID: 1156027
Sex: M
Age: 66
State: MN

Vax Date: 12/28/2020
Onset Date: 01/21/2021
Rec V Date: 04/01/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Hospitalization within 6 weeks after receiving vaccine

Other Meds:

Current Illness:

ID: 1156028
Sex: F
Age: 65
State: TX

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

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

Lab Data:

Allergies: Sulfa, iodine, penicillin

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Patient reports heart palpitations starting immediately after the vaccine was administered and lasted 2 to 2 1/2 hours. She also reports breathing problems but is unsure if it is related to her asthma. Patient reports no chest pains.

Other Meds: Metformin, Losartan

Current Illness: No

Date Died: 03/28/2021

ID: 1156029
Sex: F
Age: 67
State:

Vax Date: 02/23/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: Patient death within 60 days of receiving the COVID vaccine series

Other Meds:

Current Illness:

ID: 1156030
Sex: M
Age: 73
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:

Symptom List: Injection site pain, Menorrhagia

Symptoms: I was feeling OK earlier that day but 2 hours after the shot I started hurting and feeling bad. I couldn't sleep that night. Next day I got a ride to a emergency hospital room. They checked me out and sent me back to my facility room. The next day I started feeling better. I feel better today.

Other Meds: Dutasteride Centirizin Lisinoprin Pantoprazole Tamsulosin Centrum Silver Hydrocodone Acetamin

Current Illness:

ID: 1156031
Sex: F
Age: 23
State: VA

Vax Date: 03/25/2021
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: Penicillin

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

Symptoms: Swollen and tender lymph nodes under the armpit of the injection site arm

Other Meds: Birth control, Spironolactone, Restasis eye drops

Current Illness: None

ID: 1156032
Sex: F
Age: 49
State: WI

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: Seasonal allergies

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Lightheaded and left arm numbness

Other Meds: None

Current Illness: None

ID: 1156033
Sex: F
Age: 41
State: SC

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: acetaminophen, cefixime, ciprfloxacin, yeast, mold, grape seed oil

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: At 1555 participant walked back into Vaccine Site covid monitoring area and c/o SOB & tongue edema; was post 1st Pfizer Covid vaccine at about 1525. At time participant escorted to monitoring cot and laid down. She explained experiencing chest tightness and feeling of tongue swelling upon exiting building post vaccine; she attempted to sit in car until s/s ended but no improvement. 1555 B/P 151/ 85, P 79, O2 Sat 99% with noted tongue edema / SOB. 1558 Called 911 and on site clinical assist alerted. 1559 Benadryl 50 mg IV given via left deltoid by RN. 1600 BP 140/82, P 71, R 18, O2 sat 99%. Noted allergy hx; yeast, mold, grape seed oil. 1603 Participant voiced feels decrease in tongue swelling and more relaxed feeling; no noted skin redness - BP 122/89, P 70, O2 sat 99%. At time EMS arrived on scene and began assessment. 1610 EMS assessment completed and participant declines transport to hospital; voiced will monitor self at home & call 911 if s/s return. 1614 BP 140/83, P 73, R 18, O2 sat 99% with visible noted decrease in tongue edema. 1615 Participant remains semi reclined on cot and making attempt to contact husband for transport home. 1619 took few sips of H2O with no difficulty swallowing. 1626 BP 115/91, P 62, O2 sat 99%. 1629 Attempted to stand participant and noted c/o dizziness, HA and feeling that tongue edema was returning; returned to cot in lying position. Assessed; clear lungs, noted increase in edema, no SOB - O2 sat 99%. 1630 EMS called to site; BP 148/96, P 62, O2 sat 99%. 1637 EMS arrived on scene and resumed care. 1641 Participant leaves site via stretcher with EMS for transport to hospital. Participant's husband arrived on scene and given participant's purse and car keys per her approval.

Other Meds:

Current Illness:

ID: 1156034
Sex: F
Age: 63
State: MA

Vax Date: 04/01/2021
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:

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

Symptoms: Patient came for her second dose and told us when she got her first dose on 3/11/21 Lot number EN6206 she has severe muscle cramps that day. It was so bad it turned black and blue. We asked if her doctor was okay with her second dose she said yes.

Other Meds:

Current Illness:

ID: 1156035
Sex: F
Age: 67
State: PA

Vax Date: 04/01/2021
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:

Symptom List: Nausea

Symptoms: following vaccination patient noticed redness about two inches below the injection site. She also had some localized itchiness. She came to the observation area about 1340 HR 75 BP 99/54 oxygen sat 91%. Which she states are normal vitals for her. She was observed for 25 minutes with no extension of the redness and itchiness.

Other Meds:

Current Illness:

ID: 1156036
Sex: M
Age: 70
State:

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Cranial nerve VI palsy

Other Meds:

Current Illness:

ID: 1156037
Sex: F
Age: 24
State: IL

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: Shellfish

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

Symptoms: Nausea Vomiting Chills Fever Aches Headache

Other Meds: Synthroid Lexapro Vitamin B

Current Illness: None

ID: 1156038
Sex: F
Age: 52
State: OH

Vax Date: 03/19/2021
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: N/A

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

Symptoms: pain when receiving injection. Sore/stiff arm for 3 days after. A week or so later noticing pain similar to when I received the injection at the injection spot. Feels kinda like burning sensation. My arm is not swollen or red. Does not appear to be infected on the surface. No other side effects.

Other Meds: Lisinoprol Metroprolol Vitamin D3

Current Illness: N/A

ID: 1156039
Sex: M
Age: 64
State: MI

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: Tremor

Symptoms: Rash, Mild Lip swelling Patient called Allergist she told him to take Benadryl and predasone also NOT to get the second dose in 4 weeks. she did tell him to get J and J vaccine in 4 weeks

Other Meds:

Current Illness:

ID: 1156040
Sex: F
Age: 53
State: TX

Vax Date: 04/01/2021
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: Indicated a history of reaction to vaccines at the second (con at the second vaccine appointment but did not indicate such at her first appointment.

Symptom List: Erythema, Pruritus

Symptoms: Per EMS, arm turned red and was itchy - possible uricartia. 25 mg oral Benadryl given, patient monitored and reported relief felt. She declined transport, was advised to speak to her MD. On her first vaccine dose she did not indicate she had any allergic reactions to vaccine, while at this appointment she checked that she had an allergic reaction to "another" vaccine; she was sent to the 30 minute observation lot.

Other Meds:

Current Illness:

ID: 1156041
Sex: M
Age: 66
State: CO

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

Symptoms: Muscle soreness, fatigue, stuffy head No treatment Better within 2 days

Other Meds: Atorvastatin Vit D CoQ10

Current Illness: None

ID: 1156042
Sex: M
Age: 68
State: NY

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

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

Lab Data:

Allergies: bee stings, shellfish

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

Symptoms: Pfizer-BioNTECH Covid 19 vaccine EUA , side effect was a stroke affecting loss of vision in both eyes

Other Meds: amolodopine, baby aspirin

Current Illness:

ID: 1156043
Sex: F
Age: 38
State: LA

Vax Date: 03/24/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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Allergies: Shellfish allergy; intolerance/negative reactions to Hydrocodone and Naproxen

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: One week (approximately 7.5 days) after my first injection (in my left arm) of the Moderna COVID vaccine, I noticed a large, swollen, red lump at the injection site at bedtime. No pain, but a lot of itching and warm to the touch. The next morning/this morning, my left armpit is tender and somewhat achy.

Other Meds: Sertraline (50mg), daily multivitamin (Smarty Pants for Women), Calcium + Vitamin D supplement

Current Illness: None

ID: 1156044
Sex: F
Age: 54
State: MO

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 04/01/2021
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Allergies: Penicillin, Z-pack, Doxycycline, Neosporine

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

Symptoms: About 4 hours after receiving my first shot my hands and feet started tingling. It then progressed to feelings of needles sticking my hands and feet. The next day if felt better so I thought nothing of it. But by the day following my hands were beginning to tingle again and my toes felt tingly/numb when I would walk. I finally decided to contact my doctor's office. They suggested I come in to see my Doctor. My doctor said they have been seeing this at times. She suggested I double up on my Zyrtec and start taking B complex. She said it my take a few weeks to subside. Luckily by day seven all tingling and needle pricking sensation was gone. She told me I should still get my 2nd shot, which I will receive on April 5. She also told me to report my reaction to the CDC.

Other Meds: Zyrtec, vitamin C

Current Illness: Strep Throat - prior

ID: 1156045
Sex: F
Age:
State: AR

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 04/01/2021
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Allergies: none

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

Symptoms: SEVERE MUSCLE PAIN in arm shoulder weakness numbness on left side where vaccine injected SEVERE MUSCLE SPASMS

Other Meds: Losartan 100mg,Brio 125mcg,Tylenol 500mg

Current Illness: Hospitalization for dehydration, sepsis ,pheunomia,uti,heart attack 2-21-21 through 2-24-21 had first vaccine 2-25-21 with no adverse reaction

ID: 1156046
Sex: F
Age: 34
State: AK

Vax Date: 03/29/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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Allergies: Amoxicillin, Benadryl

Symptom List: Pain in extremity

Symptoms: Hives all over body

Other Meds: Methymizol

Current Illness:

ID: 1156047
Sex: F
Age: 56
State: NC

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 04/01/2021
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Allergies: sulfa drugs kenelog dexamethasone

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

Symptoms: I started having shortness of breath within one week of taking the first of two vaccines of the Moderna vaccine. The shortness of breath became worse and a dry cough developed. I have not had COVID19 prior to or after taking the vaccine. I do not have any personal history or family history of respiratory illness. I now have an ongoing dry cough that occurs early morning and late evening. I also have fluctuating O2 saturation percentages that range from high of 100% to a low of 79%. My O2 saturation rate can drop from high 90's to low 80 percentage ranges in 3-5 mins of moderate paced walking or if trying to talk and do an activity or work related task at the same time. Some mornings my O2 saturation rate is in low 80's which makes it very difficult to get ready for work due to SOB and coughing. This has affected my general endurance drastically.

Other Meds: caltrate calcium +D3 OTC probiotic

Current Illness: none

ID: 1156048
Sex: F
Age: 32
State: FL

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

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

Symptoms: Vasovagal syncope 14 minutes after receiving vaccine. Hx of vasovagal syncope after IUD insertion

Other Meds: Vitamin D3, buspirone 5mg

Current Illness: None reported

ID: 1156049
Sex: F
Age: 22
State: IL

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

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

Symptoms: Blurred Vision. Hx of Fainting when she sees needles84/56 54 18 O2 sat 100% . Refused Transport

Other Meds: none

Current Illness: none

ID: 1156050
Sex: M
Age: 64
State: NC

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 04/01/2021
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Allergies: None

Symptom List: Vomiting

Symptoms: Around 9:15pm while watching tv, I felt a quick kick in my chest. My heart rate increased to 153 bpm, according to my watch. My chest felt tight and heavy. I went to a Trauma Center around 10:30pm. I sat in the Waiting Room after triage until 6am Saturday 3/6/2021. I started to feel my pain subside, never saw a doctor and I left. Notified my Family Doctor and he referred me to see a Cardiologist. I have an appointment for 4/13/2021 at 8:30am.

Other Meds: None

Current Illness: Went to the doctor with an unknown pain in my left side.

ID: 1156051
Sex: F
Age: 52
State: TX

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

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Woke up the next morning (Tuesday 3/30/21) and the left side of my face is frozen.

Other Meds: Took an Aleve at 07:00am in anticipation of a sore arm at the time of shot

Current Illness: None

ID: 1156052
Sex: F
Age: 65
State: NY

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

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

Symptoms: Occurrence Date: 03/22/2021. Following Covid-19 vaccine administration, patient reported feeling dizzy. V/S: BP: 172/91, P: 76, and o2 sat: 99%. Patient stated that she has a history of HTN. A bottle of water was given, and emotional support was provided. Second set of vitals: BP: 161/98, P: 72, RR: 18, and o2 sat: 98%. At that point, patient stated that her dizziness had lessened. At 15:20, Patient stated that she wanted to go home. Patient walked to the bathroom, and back. Patient then stated that she was not feeling well. V/S: BP: 172/101, and P: 96. Patient was taken to the ED.

Other Meds:

Current Illness:

ID: 1156053
Sex: F
Age: 74
State: CA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/01/2021
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Allergies: None Except, I do not eat dairy or gluten because it seems to cause skin dryness and breakouts

Symptom List: Injection site swelling, Limb discomfort

Symptoms: About 3 hours after receiving the vaccine, I felt extremely tired and heavy as if I weighed 300 pounds. I needed to sit down because I felt I would faint or pass out and would have not been able to get the rest of the way home had my sister not been with me. She had also just received the same vaccine and was feeling the exact same. Once home I went to sleep with a what felt like a slight fever . (My sister had shivering chills and chattering teeth.) I am now on day five after the vaccine and still have a feeling of extreme fatigue, sluggishness, inability to concentrate fully without a dizzy or spacey feeling that is accompanied by nausea. My sister feels the same. The symptoms are diminishing daily but only slightly. Throughout the past few days I?ve been so excessively tired I?ve slept 15- 12 hours a night. I realize these symptoms are not as serious as others might have but they could have led to injury had I not been accompanied by another. Thank you, I am a strong supporter of the vaccine and remain so.

Other Meds: None

Current Illness: None

ID: 1156054
Sex: M
Age: 66
State:

Vax Date: 01/11/2021
Onset Date: 01/25/2021
Rec V Date: 04/01/2021
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Allergies:

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

Symptoms: chest pain, nausea, and shortness of breath

Other Meds:

Current Illness:

ID: 1156055
Sex: F
Age: 60
State: IA

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

Allergies: Tetracycline; Morphine; some bug bites and stings; some bandage adhesives

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

Symptoms: Moderns COVID-19 Vaccine EUA Aches, chills, low temperature, diarrhea, sore muscle at the injection Rest, warm blanket, Aleve, and liquid and light meal

Other Meds: Levethyxoine 75 mcg; Multivitamim; glocosame and chronditan; calcium with D3; Tums anticid

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am