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: 1169256
Sex: F
Age: 45
State: CA

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

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Headache, could not move arm due to pain, nausea, low temp, cold sweat, rash on face and neck, tiredness and muscle pain

Other Meds: None

Current Illness: COVID exposure through child at school and co-workers

ID: 1169257
Sex: F
Age: 50
State: CA

Vax Date: 03/31/2021
Onset Date: 04/03/2021
Rec V Date: 04/05/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List: Anxiety, Dyspnoea

Symptoms: I had the shot on weds afternoon. On Thursday I felt ill with flu-like symptoms, mainly body aches and headache. These symptoms were gone by Friday and I felt great. I woke up Saturday morning at 4:30am and needed to use the bathroom/, which is about 10 steps from my bed. As I entered the bathroom I completely blacked out, causing me to fall and break my ribs. This has never happened to me, and there was nothing else wrong with me (I spent 2 days in the hospital checking heart, brain, inner ear, etc). In addition to the 4:30am blackout, it also happened again several hours later at 11am, saturday morning. This time I again got so dizzy I couldn't stay on my feet, and while my husband was right there lowering me to the floor I was in a daze, a cold sweat, and absolutely no control over it.

Other Meds: Estrogen & progesterone, calcium, vit d, vit b, collagen, magnesium

Current Illness: none

ID: 1169258
Sex: M
Age: 72
State: VA

Vax Date: 03/22/2021
Onset Date: 03/29/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: None.

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

Symptoms: Pain in left hip and lower left back, after usual physical therapy session, acute 3 days & lasted 6 days.

Other Meds: Usual for BP, Cholesterol, Allergies, Asthma, Viramin D.

Current Illness: None.

ID: 1169259
Sex: F
Age: 28
State: NC

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: Benadryl, sulfa drugs

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Fever, fatigue, headache, body aches, weakness the day after injection. Fever lasted for two days. Arm soreness and fatigue was present for three days following injection.

Other Meds: armour thyroid, Trulicity, singular, Nuvaring

Current Illness:

ID: 1169260
Sex: F
Age: 47
State: OH

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/05/2021
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, Injection site warmth

Symptoms: Patient became diaphoretic and pale, c/o some nausea approx. 10 min after receiving vaccination in clinic. Denied rash itching or shortness of breath. B/P was 80/40 pulse 55. O2 Saturation was 99 to 100 %. Was escorted to nearby Emergency room for evaluation

Other Meds:

Current Illness:

ID: 1169261
Sex: M
Age: 60
State: CA

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

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

Lab Data:

Allergies:

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

Symptoms: Patient was receiving second dose of Moderna. Upon injecting the vaccine, the vaccine came out of the hub of the syringe. Per nurse, most of the vaccine came out and barely anything was administered. Pharmacist aware and gave the nurse the ok to redose the patient. Patient aware and comfortable with administration.

Other Meds:

Current Illness:

ID: 1169262
Sex: M
Age: 20
State: TX

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

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

Lab Data:

Allergies: NKA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: LIGHTHEADED NAUSEA

Other Meds: NONE REPORTED

Current Illness: NONE REPORTED

ID: 1169263
Sex: F
Age: 68
State: AZ

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

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

Lab Data:

Allergies: Nickel, tape, Vicodin, Percocet, codeine, morphine, sulfa, Hydrochlorothiazide, gabapentin, venlafaxine

Symptom List: Pharyngeal swelling

Symptoms: A lump and rash formed to the right of the injection site causing numbness on the back of the left hand including the thumb and first two fingers and palm of the left hand. Initial impression is that swelling is placing pressure on the radial nerve.

Other Meds: Montelukast, azelastine, famotidine, Estrace, Restasis, topiramate, amoxicillin, B12, multivitamin, probiotic, magnesium, calcium, AREDS 2, Aleve, Tylenol

Current Illness:

ID: 1169264
Sex: M
Age: 66
State: MA

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Approx. 5 min after receiving vaccine, patient lost consciousness, fell out of the chair and hit his head. Patient was moved to a stretcher and regained consciousness, was able to say where he was. HR and BP were low, patient given apple juice and water. When EMS arrived they gave additional fluid and patient was transferred. Patient was admitted to cardiology for observation, Cardiology diagnosed patient with syncopal episode 2/2 vasovagal reaction. Patient has history of vasovagal syncope related to needles.

Other Meds:

Current Illness:

ID: 1169265
Sex: F
Age: 18
State: TX

Vax Date: 02/11/2021
Onset Date: 03/22/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: Fosphenytoin, Ketamine (seizure), Benadryl (phlebitis)

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Acute DVT in left LE. Patient presented to ED on 3/22/21. She had 2 day h/o leg discomfort and leg was taught and painful on the day she went to the ED. Study was limited due to pt lack of cooperation. Lovenox started.

Other Meds: Depo-Provera (started 11/30/20), cholecalciferol, Briviact, diazepam, Diastat PRN, Epidiolex, felbamate, folic acid, Keppra, melatonin, norethindrone, pregabalin, Vitamin B6

Current Illness:

ID: 1169266
Sex: M
Age: 61
State: CA

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

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

Lab Data:

Allergies: None known

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

Symptoms: Dizziness. Noticeable / moderate on 4/5/21 lying in bed and for hours after waking, slight on days prior. On morning after injection there was just some fatigue and soreness at injection site.

Other Meds: Many dietary supplements. famotidine

Current Illness: None

ID: 1169267
Sex: M
Age: 89
State: OH

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List: Rash, Urticaria

Symptoms: Patient presented for second COVID vaccination and had a golf ball sized lump where previous COVID vaccine was administered. Lump was soft and movable.

Other Meds: Pravastatin, Torsemide, sulfasalazine, levothyroxine, misoprostol, preservision

Current Illness:

ID: 1169268
Sex: F
Age: 55
State: OH

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

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

Lab Data:

Allergies: IVP DYE

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

Symptoms: 4-3-21 APROX 11:15AM PT SHAKING, VERY ANXIOUS WITH REDNESS AND ITCHING ALL OVER - PT PLACED IN WHEELCHAIR AND TAKEN TO MEDIC TENT PER, RN. PT STATES SHE HAD A RASH LAST TIME SO SHE TOOK BENADRYL AT 6:30AM AND 10:30AM TODAY (PT TOOK 2 MORE OF HER OWN BENADRYL AT 11:15AM). RAPID BREATHING, 'BAD HEADACHE'. SQUAD CALLED FOR TRANSPORT. PT W/D. HUSBAND AT HER SIDE. COMFORT GIVEN. 11:27AM TO ER PER SQUAD, HUSBAND TO FOLLOW IN AUTO. 4-5-21 11:23AM TC: PT STATES SHE HAD A 'GRAND MAL SEIZURE IN THE SQUAD'. THEY TOLD HER SHE HAD LACTIC ACIDOSIS, ELEVATED POTASSIUM AND WAS DEHYDRATED. 'CT WAS NEG.' STATES HIVES/RASH IS GONE TODAY.

Other Meds:

Current Illness:

ID: 1169269
Sex: F
Age: 34
State: IN

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

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

Lab Data:

Allergies:

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

Symptoms: Heaviness in chest within 30 mins of shot Headache starting two hours after shot Within 24 hours: fever, aches, weakness, tired, along with headache . Treatment: rest and Tylenol.

Other Meds: Levothyrozine, amolopine, monukust, htcz-linsinopril, escitolopram, Zyrtec , allergy shots

Current Illness: Menstrual cycle day 1 began on same day as shot

ID: 1169270
Sex: F
Age: 68
State: OR

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: None.

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

Symptoms: 2 hours after receiving the vaccine my heart started racing, my blood pressure was 177/77, pulse was 110, & I had a massive headache. I've had a headache every day since then, my blood pressure & pulse have been going up & down everyday.

Other Meds: Euthyrox, Bupropion, Rosuvastatin, melatonin, zinc, coq10, D3, loratadine, B6, omega 3, baby aspirin, C.

Current Illness: None.

ID: 1169271
Sex: F
Age: 57
State: NY

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: Reported allergy to PCN, soy as anaphylaxis

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Client reported minor itching after vaccination. Advised to remain for 30min in obs. Refused medical aid.

Other Meds:

Current Illness:

ID: 1169272
Sex: F
Age: 69
State: IL

Vax Date: 01/24/2021
Onset Date: 01/27/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: Biaxin, oysters, clams, and the blue liquid used post surgery on the wound

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

Symptoms: Seven days after first dose, I got a raised, hot, itchy swelling on my left arm, approx. 5 1/2" x 3. " It took about a week to lighten, although still left shadow for a couple weeks. In addition, the lymph nodes in my underarm and up my neck enlarged. The ones on my underarrm are no longer apparent, however, I still have some swelling in my neck --- after more than 2 months. On the advice of my doctor, I took Allerclear just prior to and for a week after my second dose on 2/20/2021 (which I got in my right arm, not the left one as with initial dose). After 11 days, I got a hot, raised swelling on the cheek on the right side of my face and a smaller on on the left side. They took about 5-7 days to lighten. I also got flu light symptoms, including fatigue, chills and significant sweating during the night, beginning 12 hours after the second dose. These symptoms resolved after approximately 3 days.

Other Meds: Pulmicort, nadalol, crestor, exforge, vitamin D

Current Illness: none

ID: 1169273
Sex: F
Age: 84
State: MA

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

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

Lab Data:

Allergies: codeine, omeprazole, losartan, propofol, lisinopril

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Local Reaction mild soreness that resolved in few hrs Systemic Reaction 4/4/2021 1d post vac: BP 284/101 decreased to 160s/70 1 hr later. 4/5/2021 today: 171/80 BP (which is high, as her BP usually is 140/60) 150/70 on phone with me(usual reading).

Other Meds: albuterol, allopurinol, apixaban, vit C, atorvastatin, calcium gluconate, Vit D3, plavix, ferrous sulfate, flonase, advair, folic acid, plaquonil, synthroid, toprol, protonix, mirapex, verapamil

Current Illness: htn,

ID: 1169274
Sex: F
Age: 48
State: LA

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: sulfur medication

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: right arm swollen were the injection was given, redness, warm to the touch and itching.

Other Meds: Tyllenol,

Current Illness:

ID: 1169275
Sex: F
Age: 88
State: MI

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

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

Lab Data:

Allergies: Sulfa

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

Symptoms: PT has a diffuse maculopapular rash over much of her body consistent with urticaria. She was on no new medications and had no new topical exposures or new medications.

Other Meds: Amlodipine,, Lasix

Current Illness: none

ID: 1169276
Sex: M
Age: 34
State: MO

Vax Date: 03/23/2021
Onset Date: 03/28/2021
Rec V Date: 04/05/2021
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, Lymph node pain, Lymphadenopathy

Symptoms: Vertigo and loss of balance. When remaining seated became dizzy until vomiting. Remained in bed the rest of the day and as long as I was lay on left side was ok. Next day vertigo was gone however, remained light headed with light dizziness. Has remained for the past week.

Other Meds: None

Current Illness: None

ID: 1169277
Sex: M
Age: 37
State: NY

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

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Patient reported dizziness. Was with sister. ALS assessed, hypotension determined. Transported ALS to Hospital [Run #39684, Transport #39722]

Other Meds:

Current Illness:

ID: 1169278
Sex: F
Age: 60
State: OH

Vax Date: 03/26/2021
Onset Date: 04/04/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: None known

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

Symptoms: Large red, hardened, swollen, warm. painful spot on injection arm. Appeared yesterday, no better today

Other Meds: Collagen/Protein powder daily in a.m., Vitamin D-3 tablets, chewable calcium tablets

Current Illness: None

ID: 1169279
Sex: F
Age: 42
State: CT

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

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Soreness and Pain on injection site, Chills / cold feeling all day 4/2/21,

Other Meds: Valsartan Levthyroxin

Current Illness: None

ID: 1169280
Sex: F
Age: 72
State: SC

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: swelling, rash, bump, achy arm, chills

Other Meds: metformin, lisinopril

Current Illness: none

ID: 1169281
Sex: M
Age: 17
State: TX

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: unknown

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

Symptoms: Administered vaccine to pt. who was under EUA designated age

Other Meds:

Current Illness:

ID: 1169282
Sex: F
Age: 59
State: NY

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: arm pain and low-grade fever went away after 2-3 days, weakness and dizziness persist.

Other Meds:

Current Illness:

ID: 1169283
Sex: F
Age: 20
State: MD

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

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

Lab Data:

Allergies: None that are none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Following the vaccine, I was perfectly fine and was able to go about my day as normal. However, while doing dishes at 11:30 at night (about 10 hours after I received my second dose of the Moderna vaccine) exhaustion and dizziness suddenly hit me, and my vaccine went black and my ears started ringing. I managed to lie down but I fainted and blacked out for a minute. After I regained consciousness, I had these muscle contractions/shivers (although I took my temperature and had no fever). I felt really exhausted, and went to sleep after that. However, other than that I had no other vaccine side effects. I was told by my doctor to report this though since they had not heard of anyone else fainting, and I have no history of fainting (other than once following blood donation). I also was not thinking about anything remotely related to the vaccine at the time of fainting, and I had no qualms with being vaccinated so I highly doubt it was psychological, especially considering I have no history of fainting, and I had an injectable medication so I have no issues with injections.

Other Meds: Humira, Standard Multivitamin/Vitamin D supplement

Current Illness: None

ID: 1169284
Sex: M
Age: 66
State: LA

Vax Date: 03/03/2021
Onset Date: 03/19/2021
Rec V Date: 04/05/2021
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: PT SAYS HE GOT MODERNA VACCINE on 3/3/2021, PT SAYS HE WAS EXPERIENCING HIVES, URGENT CARE DIGNOSED HIM ON 3/19TH AS having DERMATITIS, AND WAS GIVEN CLOTRIMAZOLE-BETAMETHASONE, PT SAYS HE WAS SNEEZING a lot as well

Other Meds:

Current Illness:

ID: 1169285
Sex: F
Age: 39
State: PA

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/05/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: 12 hours after receives the vaccine I experienced heart palpatations, high blood pressure, hives inside mouth (on tongue and throat), numbness in arm, numbness in left side of face, numbness in left neck and ear. Primary care doctor advised I was having a reaction and to go to the ER/Hospital. I was admitted and treated for reaction at the hospital.

Other Meds: Synthroid

Current Illness: None

ID: 1169286
Sex: F
Age: 51
State:

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

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

Lab Data:

Allergies: Penicillin, Sulfa morphine

Symptom List: Injection site pain

Symptoms: 8:45-Vaccinated 9:20- C/O lightheadedness, tingling-throat/dry throat, facial swelling Vital signs within normal, O2 sat 98-99 Symptoms improved after given water and observed in recumbent position. 9:50 discharged home.

Other Meds:

Current Illness:

ID: 1169287
Sex: F
Age: 44
State: IN

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

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

Lab Data:

Allergies:

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

Symptoms: Diarrhea, severe fatigue, nausea and headache

Other Meds:

Current Illness:

ID: 1169288
Sex: F
Age: 52
State: MO

Vax Date: 02/01/2021
Onset Date: 02/18/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: penecillin and derivatives, kephlex, morphine, spiriva, neosporin, ambien

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

Symptoms: Moderna COVID-19 Vaccine EUA Fever - kept at 102 degrees Farenheit with alternating ibuprophen and acetaminophen round the clock, chills, headache, fatigue, all-over excruciating body aches, joint pain, beginning 12 hours after shot and resolving 36 hours after shot

Other Meds: benicar, gabapentin, quetiapine, estradiol/progesterone/MTHF, Ibuprophen, multivitamin, vit B complex, B12, vit c, zinc, D3, taurine, protease, monolaurin, sambucol,

Current Illness: none

ID: 1169289
Sex: F
Age: 78
State: PR

Vax Date: 02/23/2021
Onset Date: 03/31/2021
Rec V Date: 04/05/2021
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Lab Data:

Allergies: Sulfur, Latex, Ciprofloxacin

Symptom List: Tremor

Symptoms: The patient received the second dose of the COVID19 vaccine. There were rather normal symptoms the week after receiving it. However, a few weeks later the patient acutely developed shingles (as determined by her primary care provider). Symptoms experienced: numbness in the mouth and tongue, red, enlarged bumps at the tip of the tongue, itchy skin and bumps in the skin surrounding the mouth, pain in and behind the left ear, tiredness, drowsiness. The symptoms developed all within the same day and still persist at the writing of this report. The doctor does not know if this was a result of the vaccine, but says we should not discard the possibility. The patient did have varicella in her youth

Other Meds:

Current Illness:

ID: 1169290
Sex: M
Age: 73
State:

Vax Date: 02/11/2021
Onset Date: 03/22/2021
Rec V Date: 04/05/2021
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Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Patient tested positive for COIVD-19 on 3/22/21

Other Meds:

Current Illness:

ID: 1169291
Sex: F
Age: 36
State: NC

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/05/2021
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Lab Data:

Allergies: Penicillin

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

Symptoms: Patient had hives several hours after her first vaccination. They appeared on her right shoulder and upper back. She also had itching on her scalp. She experienced nausea for the first 12-24 hours.

Other Meds: Diabetes medications Anti-anxiety

Current Illness: None

ID: 1169292
Sex: F
Age: 35
State: SC

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 04/05/2021
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Lab Data:

Allergies: None known

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

Symptoms: Less than 2 hours after receiving the vaccine I began feeling completely exhausted, could barely keep my eyes open, this continued through the evening until about 10 PM. The next morning I felt extremely achy and had chills. Those symptoms continued through the next two full days before they subsided. I took over the counter medications to manage the symptoms and visited a doctor early the next week. Doctor tested for Strep, negative, no other tests run.

Other Meds: None

Current Illness: mild sore throat symptoms beginning the day before, no fever or other symptoms

ID: 1169293
Sex: M
Age: 62
State: IN

Vax Date: 03/30/2021
Onset Date: 04/03/2021
Rec V Date: 04/05/2021
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Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: sweating, diarrhea, chills

Other Meds:

Current Illness:

ID: 1169294
Sex: F
Age: 26
State: ME

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

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Lab Data:

Allergies: penicillin, coconut

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

Symptoms: Approximately 25 minutes after vaccination the patient reported starting to feel itchy all over. 50 mg of Benadryl was administered to the patient. The patient was monitored for another 30 minutes to ensure the Benadryl was working. After the 30 additional minutes the patient reported feeling much better and left the store.

Other Meds: none

Current Illness: none

ID: 1169295
Sex: M
Age: 70
State: AK

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 04/05/2021
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Allergies:

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

Symptoms: achy bones, low grade fever.

Other Meds:

Current Illness:

ID: 1169296
Sex: M
Age: 70
State: WA

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

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Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Patient was receiving second dose of Moderna. Upon injecting the vaccine, the vaccine came out of the hub of the syringe. Per nurse, most of the vaccine came out and barely anything was administered. Pharmacist aware and gave the nurse the ok to redose the patient. Patient aware and comfortable with administration.

Other Meds:

Current Illness:

ID: 1169297
Sex: M
Age: 55
State: OH

Vax Date: 03/25/2021
Onset Date: 03/28/2021
Rec V Date: 04/05/2021
Hospital:

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Allergies:

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

Symptoms: 4-5-21 11AM: PT STATES 'PAIN RT ARM (DESCRIBES DELTOID) WHEN HE PUTS HIS ARM ABOVE HIS HEAD.', SINCE 3-28-21. DENIES ANY PAIN TO SHOULDER OR ELBOW. HAS NOT USED HEAT, COOL PACK OR ANY PAIN MED TO RELIEVE PAIN. HAS NOT SEEN PCP. NO CHANGE IN PAIN SINCE ONSET.

Other Meds:

Current Illness:

ID: 1169298
Sex: F
Age: 66
State: TX

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 04/05/2021
Hospital:

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

Symptoms: Pt received shot and, after about 20 min began complaining of dizziness and headache. VS: BP 230/90, P 58, O2 98% RA. Pt states that her BP normally runs around 130/80 for which she takes losartan at night. Last dose was last night. Pt requested EMS evaluation. EMS called and came to evaluate pt. Hospitalization offered. Dr. notified. Pt declined hospitalization. Per RN, EMS rechecked BP and it was 180/90. Per RN, pt signed AMA form with EMS. RN called pt?s PCP (with pt?s permission) to notify them of her BP. PCP scheduled a follow up appt for pt for 3/24/21. PCP also told RN that they will call patient at home tonight to make BP medication adjustment for tonight?s dose. Pt?s son-in-law came to pick up pt so pt did not have to drive. Pt remained A&O x4 and fully conscious. No breathing difficulties. Skin warm and dry. RN

Other Meds:

Current Illness:

ID: 1169299
Sex: F
Age: 69
State: CA

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

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Lab Data:

Allergies: Advil

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

Symptoms: Severe joint pain knees ankles hips fingers wrists and shoulder blades. Unable to walk or hold things. Started 3hrs after second shot. Gone by Monday 4/05/2021 when I woke up.

Other Meds: Allerga

Current Illness: None

ID: 1169300
Sex: F
Age: 59
State: CA

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

Symptom List: Vomiting

Symptoms: I started getting joint aches about 7:00pm of the day of the injection. By the time I went to bed at 11:00 pm, all my joints hurt and my arm was very sore at the injection site. When I woke up the next day, I was nauseous, had the chills, my joints hurt even more and couldn't move my right arm without a lot of pain. The injection site was also very swollen but not red. I was very exhausted and slept on and off until about 4pm. About 6:00 pm of the day following the injection, some of the nausea and joint pain began to subside. I had a slight headache and still felt exhausted.

Other Meds: None

Current Illness: None

ID: 1169301
Sex: F
Age: 66
State: MA

Vax Date: 03/28/2021
Onset Date: 03/29/2021
Rec V Date: 04/05/2021
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Lab Data:

Allergies: latex

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: The day following the injection (day 2): extreme fatigue (slept 18 hours in a row), muscle aches, headache, lightheadedness Days 3-6: headache, muscle aches, rash, mild fatigue

Other Meds: Letrozole (daily)

Current Illness:

ID: 1169302
Sex: F
Age: 57
State: MT

Vax Date: 03/26/2021
Onset Date: 04/03/2021
Rec V Date: 04/05/2021
Hospital:

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Lab Data:

Allergies: Sulpha drugs, sulphates Onion, garlic, most preservatives, canned foods, pre-packed foods, wine, smoked foods strong odors or smell cause an allergic asthma, as does the smell of onion and garlic

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

Symptoms: Red swelling at injection site 8 days after vaccination. Almost like a bug bite. Treated with antihistamine, bactine for itching and cold compress for swelling. Preceded by sharp pain at the injection site, then intense itching and swelling.

Other Meds: Multi-Vitamin (Vitafusion Simply Womens) Vitamin D3 Supplement (Natures Bounty) B-12 Supplement (Vitafusion Simply B-12) Calcium Supplement (Natures Bounty) Probiotic (Natures Bounty)

Current Illness: none

ID: 1169303
Sex: F
Age: 49
State: NJ

Vax Date: 03/31/2021
Onset Date: 04/02/2021
Rec V Date: 04/05/2021
Hospital:

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Lab Data:

Allergies: codeine and season allergies

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 2nd and 3rd day experience upset stomach and on the 3rd day had diarrhea.

Other Meds: Levothyroxine - 25mcg

Current Illness: None

ID: 1169304
Sex: F
Age: 36
State:

Vax Date: 03/01/2021
Onset Date: 03/08/2021
Rec V Date: 04/05/2021
Hospital:

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Allergies:

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

Symptoms: Arm is still painful to lift and put pressure on 5 weeks later

Other Meds:

Current Illness: 2 weeks recovering from c section

ID: 1169305
Sex: F
Age: 53
State: WI

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

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Lab Data:

Allergies:

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

Symptoms: The second vaccination pinched more than the first one, my arm was sore like it was with the first vaccination, but the following day I noticed a twingeing sensation almost like a zapping electrical shock on the inside of the injection ar m just below my armpit when I move my arm

Other Meds: Ibuprofen

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am