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: 1170175
Sex: F
Age: 48
State: CA

Vax Date: 03/28/2021
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: Dysphagia, Epiglottitis

Symptoms: Even a week later my arm is swollen and warm, I was in bed for a week with all kinds of symptoms, diareaha, swollen right lymphnode, sore throat, lost voice, congestion in lungs, and ended up being treated for a sinus infection

Other Meds: celexa, prilosec, soma, klonipin

Current Illness: none

ID: 1170176
Sex: F
Age: 73
State: WA

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: No

Symptom List: Anxiety, Dyspnoea

Symptoms: The morning of April 3, staff at the Community Vaccination Clinic discovered a discrepancy in the preparation of Pfizer vaccine doses. It was discovered that several undiluted vaccine doses were administered. Staff accounted for all unused undiluted vaccine doses. Unfortunately, 10 undiluted vaccine doses had been administered to patients and were not able to be retrieved. This patient received one of the undiluted doses. The medical team contacted the CDC to determine the potential side effects and observation requirements of receiving an undiluted vaccine. The CDC confirmed that the recipients of the undiluted doses may experience stronger side effects and symptoms than someone who received the diluted dose (sore arm, flu-like symptoms, etc.). The site public health officer spoke with suspected recipients of the undiluted vaccine to explain potential medical side effects. The Health District will follow up to monitor their status.

Other Meds:

Current Illness: No

ID: 1170177
Sex: M
Age: 24
State: TX

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

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

Lab Data:

Allergies:

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

Symptoms: After receiving vaccine pt felt dizzy. On site EMS came over to assess. BP:160/80, P:70, RR:18, T:97.3, Spo2:98% RA, FSBS:96. Pt alerst and oriented x4, no acute distress, dizziness resolved, Sent home Ambulatory.

Other Meds:

Current Illness:

ID: 1170179
Sex: F
Age: 68
State: OH

Vax Date: 04/01/2021
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:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: The patient's arm is swollen and itchy. It started about 2 days after her vaccine administration.

Other Meds:

Current Illness:

ID: 1170180
Sex: F
Age: 43
State:

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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Both of my hands went numb and tingled for about 24 hours after I received the Moderna vaccine. It started about 2 hours after I had the vaccine. I did not seek treatment from a doctor. It went away on it's own.

Other Meds: Ondansetron HCl - 4mg 2x per day Losartan Potassium - 50mg 1x per day Pepcid - 40mg 2x per day Escitalpram Oxalate - 20mg 1x per day

Current Illness: Heartburn/Dyspepsia

ID: 1170181
Sex: F
Age: 43
State: MD

Vax Date: 03/30/2021
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: Bactrim

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

Symptoms: Extreme nausea to the point of not being able to eat or drink much without getting super nauseous. When upright and walking, experienced periods of lightheadedness and dizziness. First day temp 99 treated and gone with advil.

Other Meds: Seroquel, Klonopin, Cymbalta, Prozac, Remeron, Olopatadine HCI, corlanor

Current Illness: N/A

ID: 1170182
Sex: F
Age: 61
State: CA

Vax Date: 03/19/2021
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: Iodine contrast

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: On 3/30 PM, I experienced very severe nerve pain in lower extremities and muscle weakness that last over 48 hours. I was initially very unstable walking for first 24 hours. Symptoms were very similar to severe reaction in 2018 with yellow fever vaccine (Sanofi) but not as severe. Home treatment with Aleve 200 MG every 3 hours. Recovery on 4/4

Other Meds: Synthroid 88 mcg B12 500 mcg D3 50 mcg Centrum Silver Aspirin 81 mg Glucosamine 1500 mg Chondroitin 1200 mg

Current Illness: None

ID: 1170183
Sex: F
Age: 57
State: MI

Vax Date: 03/30/2021
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: n/a

Symptom List: Pharyngeal swelling

Symptoms: "Moderna COVID-19 EUA" Event: Rash,hardness, heat and swelling around injection site, headache, chills, fever, fatigue Treatment: Tylenol, ice and rest Outcome: 48hrs plus all clear

Other Meds: n/a

Current Illness: n/a

ID: 1170184
Sex: M
Age: 61
State: AL

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: sulfonamides

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Pfizer BioNTech COVID-19 Vaccine EUA Patient experienced a seizure 9 hours after receiving his first dose of COVID-19 Pfizer vaccine. Patient has a history of seizures but has been well controlled with levetiracetam and has been seizure free for several years. Patient's wife called the pharmacy to report the event 6 hours later, and the pharmacist recommended the patient to follow up with primary care physician as soon as possible. Patient was evaluated by his physician and had dosage of levetiracetam increased. Patient was referred for further testing.

Other Meds: atorvastatin, levetiracetam, allopurinol

Current Illness: none

ID: 1170185
Sex: F
Age: 21
State: TX

Vax Date: 12/27/2020
Onset Date: 12/28/2020
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Around the time of receiving the first dose, I began experiencing hives in a linear pattern. I have been getting hives everyday since I got the shot in my thighs, chest, abdomen, arms, and back. Begins by feeling the urge to itch and once I start itching, raised bumps in a linear pattern will appear every where. Symptoms are only alleviated by taking Zyrtec daily. If I go more than one day without taking a Zyrtec, I begin to break out in hives at random time throughout the day every day. I have no previous allergies to food, no changes in my lifestyle or diet either.

Other Meds: Ferrous sulfate 325 mg (OTC iron supplement)

Current Illness: n/a

ID: 1170186
Sex: M
Age: 42
State: CA

Vax Date: 03/31/2021
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: Penicillins

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

Symptoms: fever/chills, headache, myalgia, knee joint pain, lower back pain.

Other Meds: Lisinopril, Amlodipine, Tacrolimus, Atorvastatin, Cellcept, Prednisone, labetalol, Acyclcovir, vitamin D

Current Illness:

ID: 1170187
Sex: F
Age: 50
State: NY

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: Rash, Urticaria

Symptoms: Chills, headache and extreme fatigue

Other Meds: Advair, Synthroid, losartan

Current Illness: None

ID: 1170188
Sex: F
Age: 20
State: AR

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: Penicllin Sulfa Drugs

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

Symptoms: I first began to form a rash where I received my vaccine. Over the course of an hour, it quickly began to swell and turn red. It was very sore, sensitive, and hot to the touch. By the end of the day, a raised lump formed and was about 4 inches in diameter. The swelling lasted for about 3 days. I then decided to take Benadryl to help with the itchiness and swelling. Since taking that medication, the swelling has significantly gone down but is still present.

Other Meds: Noreth/Ethin-Fe (Larin 24) Sertraline

Current Illness: N/A

ID: 1170189
Sex: F
Age: 35
State: NC

Vax Date: 04/04/2021
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

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

Symptoms: Fever, chills, headache, body aches, and upset stomach. Took ibuprofen and the fever went down but the aches persisted

Other Meds: None

Current Illness: None

ID: 1170190
Sex: F
Age: 53
State: MI

Vax Date: 03/27/2021
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: Coconut, sulfa based drugs, seasonal

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

Symptoms: 7 days after infection, vaccine shot area is red, warm to the touch, sore and a lump is present under the skin. Each day red area has grown larger.

Other Meds: Zrytec, blood pressure meds, daily vitamin

Current Illness: None

ID: 1170191
Sex: M
Age: 30
State: VA

Vax Date: 03/19/2021
Onset Date: 03/20/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Immune reaction diary: Vaccinated at 2:58 PM, 3/19/21 Started feeling sleepy after I got home around 5 PM, T+2 hours, as I expect with a flu shot. I took a melatonin to boost this effect, and was cozily asleep by 6 PM, T+3. 5:00 AM, T+14: woke up chilly and overall mildly sore. Normal temperature. Very mild headache behind the eyes. No Tylenol yet for anything. Chills compounded by the fact I was wearing the same T-shirt from the day. I changed into a long-sleeve pajama turtleneck, pull-over sweater, and put on socks, and went back to sleep. 7 AM, T+16: Soreness and chills fading. Arm still a bit sore but less than shot #1. 8 AM, T+17: Headache and soreness comparable to a rough hangover. Moving slow today. No Tylenol needed yet. 11:30 AM: Mild fever of 100.7. Headache and soreness have remained mild. 2:30 PM (T+23.5): Fever of 101.0 (peak) 6:30 PM (T+27.5): Fever reduced to 99.5. 8:00 PM (T+29): Finally took some Tylenol with dinner for bedtime. 8:30 PM: temperature back to my normal baseline. 11:00 PM (T+32): Feeling back to normal, though worn out from the day.

Other Meds: Mega Men Whole Body Dietary Supplement from GNC

Current Illness: None

ID: 1170192
Sex: M
Age: 67
State: PA

Vax Date: 10/24/2020
Onset Date: 10/30/2020
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: No known drug or food allergies

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

Symptoms: Patient reports a number of dermatologic conditions following about a week after his vaccination - rash down unilateral arm, spread across back, side of torso and chest. Rash characterized by swelling, redness, and itchiness. After 48 - 72 hours rash dries and flakes off, only to reappear later. Arms showed blistering and swelling at the joints, which the patient characterized as "like poison ivy."

Other Meds: albuterol HFA 2 puffs every 6 hours as needed

Current Illness: No illnesses at time of vaccination per himself

ID: 1170193
Sex: F
Age: 71
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: Erythromycin ( stomach issues)

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Chills Sweats Muscle aches Fatigue

Other Meds: Lisinopril Amlodipine Glimepiride Anastrozole Metropol Succinate Atorvastatin Metformin Jardiance Loratadine Vitamin E Vitamin D Calcium

Current Illness: None

ID: 1170194
Sex: M
Age: 67
State: MN

Vax Date: 03/26/2021
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: Allergic to sea food Poison ivy

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Started itching on various parts of body on Monday or Tuesday. Every day got worse. Noticed rash on arms and feet on Tuesday. By Friday the 2nd, red rash all over body. Went to clinic and doctor prescribed Prednisone. Also taking Benadryl and using Hydrocortisone cream. Today better as long as I continue taking Benadryl.

Other Meds: None

Current Illness: None

ID: 1170195
Sex: M
Age: 29
State: CA

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: n/a

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

Symptoms: After arriving at home after getting the shot, I began to have flu-like symptoms. This included an extremely sore throat with very swollen glans. My throat is/has been red with pus-like pockets on the inside of my throat. In addition to the throat issues, I have been extremely lethargic, with sensitivity to light and sound. I have had all of these symptoms for 6 days now. I also have had lots of diarrhea but that cleared up after 3 or 4 days.

Other Meds: n/a

Current Illness: n/a

ID: 1170196
Sex: M
Age: 18
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: NONE

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Patient experienced vasovagal reaction, no loss of consciousness and was monitored for 30 minutes. He recovered after 30 minutes and was discharged home.

Other Meds: NONE

Current Illness: NONE

ID: 1170197
Sex: F
Age: 21
State: NV

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: none reported

Symptom List: Unevaluable event

Symptoms: Patient stated she felt like fainting post immunization. Pharmacists quickly grabbed adverse event protocol and followed directions as stated. Called code white on intercom to alert store management. Asked patient about symptoms and she reported symptoms of sweating, coldness, dizziness and nausea. Assessed patient blood pressure and asked patient if she wanted us to call 911. Patient did not want us to call 911. Patient never lost consciousness but had low blood pressure on initial reading. Instructed patient to lay down with feet elevated. We gave patient a pillow to assist in elevation of feet and gave her cold compresses to apply to neck and face. After a few minutes, patient blood pressure was normal and patient stated that she was feeling better. We requested that she sit for an addition 15 minutes before she can leave. After 15 minutes patient, patient was feeling ok and left with her boyfriend. She was exhausted from work and this was likely the main factor for the feeling of syncope.

Other Meds: none reported

Current Illness: none reported

ID: 1170198
Sex: F
Age: 27
State: MD

Vax Date: 04/04/2021
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

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

Symptoms: 7 hours after vaccine I experienced flu like symptoms: fever, chills, body aches, headache, extreme fatigue.

Other Meds: None

Current Illness: None

ID: 1170199
Sex: F
Age: 34
State: KY

Vax Date: 03/30/2021
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

Symptom List: Injection site pain, Pain

Symptoms: Pt was diagnosed with Bell's Palsy on 4/4/21. Pharmacy was notified 4/5/21. Treatment is oral prednisone and acyclovir.

Other Meds: MAXALT, IBUPROFEN,

Current Illness:

ID: 1170200
Sex: F
Age: 33
State: NH

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 pain, Menorrhagia

Symptoms: Patient became dizzy and fainted

Other Meds:

Current Illness:

ID: 1170201
Sex: M
Age: 34
State: NY

Vax Date: 04/01/2021
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: N/a

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

Symptoms: Bells Palsy. On April 4, I started feeling my mouth move funny while talking. By the next day, the right side of my face is largely unresponsive. When I raise my eyebrows, the right barely moves. When I try to smile wide and show all my teeth, the right side misty closed.

Other Meds: N/a

Current Illness: N/a

ID: 1170202
Sex: F
Age: 75
State: PA

Vax Date: 03/29/2021
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: Trimethoprim

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient stated her arm became red and hot to the touch April 2 (vaccine was administered March 29). The rash appeared to spread over time and was still very visible when she presented to the pharmacy April 5. She stated it was not itchy or painful. Patient had been applying ice which she said helped some. I recommended she continued icing her arm and take an antihistamine (pt bought loratadine 10mg) and call her doctor. Spoke with patient later in the day - she stated the loratadine and ice seemed to reduce the redness and she was improving. She had not yet called her doctor (as of 8 PM on 4-5-21).

Other Meds: Aspirin DR 81mg daily; Ketoconazole 2% cream prn; Ketoconazole 2% shampoo daily; Caltrate + D 600/400 1bid; Lisopril/HCTZ 20/12.5mg 2qday

Current Illness: None

ID: 1170203
Sex: F
Age: 56
State: MD

Vax Date: 03/24/2021
Onset Date: 03/24/2021
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: Chills, Fatigue, Headache, Myalgia

Symptoms: Immediately felt dizzy, light headed and heart palpitations Today the area of the injection is red, swollen, hot to touch and itchy. Have been very tired with chills all day

Other Meds: None

Current Illness: None

ID: 1170204
Sex: F
Age: 50
State: GA

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: Mild allergy to bananas

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

Symptoms: Swelling of upper lip after 2nd Moderna vaccine.

Other Meds: Amlodipine-Benaz 5/20MG Hydrochlorothiazide 12. 5 mg

Current Illness:

ID: 1170205
Sex: F
Age: 31
State: WI

Vax Date: 04/04/2021
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: Sulfa drugs

Symptom List: Nausea

Symptoms: Fever beginning at 3:00AM (100.3-102.4 degrees), nausea and vomiting (1 epsiode) at 3:30AM. Low-grade fever (99.4-100.3 degrees) lasting all day on April 5th. Stomach cramping, chills and nausea lasting all day April 5th. Very sore arm beginning 3 hours after injection and lasting all day April 5th

Other Meds:

Current Illness:

ID: 1170206
Sex: F
Age: 17
State: VA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
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: Injection site pain

Symptoms: Vaccine given to 17 year old

Other Meds: unknown

Current Illness: unknown

ID: 1170207
Sex: F
Age: 17
State: OR

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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Gave Moderna to a 17 year old patient-did not realize they were under 18 until after vaccinating-patient is doing fine.

Other Meds:

Current Illness:

ID: 1170208
Sex: M
Age: 18
State: NY

Vax Date: 04/02/2021
Onset Date: 04/04/2021
Rec V Date: 04/05/2021
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Allergies: Penicillin, shellfish

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

Symptoms: Diarrhea

Other Meds: NONE

Current Illness: NONE

ID: 1170209
Sex: M
Age: 52
State: WA

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/05/2021
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Allergies: no

Symptom List: Tremor

Symptoms: The morning of April 3, staff at the Clinic discovered a discrepancy in the preparation of Pfizer vaccine doses. It was discovered that several undiluted vaccine doses were administered. Staff accounted for all unused undiluted vaccine doses. Unfortunately, 10 undiluted vaccine doses had been administered to patients and were not able to be retrieved. This patient received one of the undiluted doses. The medical team contacted the CDC to determine the potential side effects and observation requirements of receiving an undiluted vaccine. The CDC confirmed that the recipients of the undiluted doses may experience stronger side effects and symptoms than someone who received the diluted dose (sore arm, flu-like symptoms, etc.). The site public health officer spoke with suspected recipients of the undiluted vaccine to explain potential medical side effects. District will follow up to monitor their status.

Other Meds:

Current Illness:

ID: 1170210
Sex: F
Age: 23
State: WA

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 04/05/2021
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Allergies: Sulpha drugs

Symptom List: Erythema, Pruritus

Symptoms: I woke up at 1;00 with a rapid heart rate - it was up to 140. I got up and took my temperature - 102.8. I started with taking ibuprofen. I went back to bed. Got really nauseous; started vomiting; started having diarrhea. By 5:00 am, my fever still had not gone down and I took some Tylenol. Temperature still hadn't gotten down at all at 08:00. I went to my Urgent Care clinic - I was really dehydrated and My vital signs were not looking well 101.9. They gave me two liters of fluid with IV Zofran to help with nausea. I was there for four hours with the IV the whole time. They released me with a prescription for Zofran. I went home and slept the rest of the day. I continued to take Tylenol. I didn't have any vomiting and nausea after that. I was completely fine on the 25th. I was having at least one headache a day for two weeks after that which is not normal for me. I started having heart palpitations and chest pressure within a few days of being in the URGENT CARE. Once I went back to work (after a couple of days off) I started having 3 - 6 occurrences of heart palpitations and chest pressure a day- I saw a 2/22/2021 cardiologist - 140's that day - the heart monitor came back and everything seemed fairly normal. I have a follow up appt with cardiologist on 4/26/2021. I am still having heart palpitations and chest pressure but very few - not as often at all as it use to be.

Other Meds: Birth Control

Current Illness: No

ID: 1170211
Sex: F
Age: 53
State: NE

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/05/2021
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Allergies: Penicillin, cephalosporins

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

Symptoms: Tired, slept almost 14 hours, woke and in 15 minutes had a horrible headache and nausea. Very weepy and felt horrible. As of today I still have a dollar coin sized warm red/pink circle at the injection site.

Other Meds: Levothyroxine Lexapro

Current Illness: None

ID: 1170212
Sex: F
Age: 67
State: CA

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

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

Symptoms: Patient reported having symptoms of nausea Patient provided with Gatorade Patient seen by medical team Refused medical transport and signed AMA form Patient stated symptoms resolved

Other Meds: Met Formin Benazepril Adderall Lamictal Trazodone

Current Illness:

ID: 1170213
Sex: M
Age: 62
State: NC

Vax Date: 04/01/2021
Onset Date: 04/03/2021
Rec V Date: 04/05/2021
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Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Severe Tinitus and hearing loss in one ear.

Other Meds: Escitalipram, Maloxicam

Current Illness: Slight Tinitus

ID: 1170214
Sex: F
Age: 38
State: CO

Vax Date: 04/03/2021
Onset Date: 04/04/2021
Rec V Date: 04/05/2021
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Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Swollen armpit on left arm, shakes, headache, sweats, cold, lack of appetite, body pains, severe arm pain around injection site. Most symptoms subsided after 36 hours except armpit is still swollen and arm hurts but not as bad.

Other Meds: Zyrtec, sprintec, Flonase, biotin

Current Illness:

ID: 1170215
Sex: F
Age: 64
State: IL

Vax Date: 02/24/2021
Onset Date: 03/28/2021
Rec V Date: 04/05/2021
Hospital: Y

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Allergies: Nkda

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

Symptoms: Meningo-encephalitis Pt started having fever, chills, altered mental status, drowsiness, confusion.

Other Meds: Bystolic, metformin, januvia

Current Illness: None

ID: 1170216
Sex: M
Age: 40
State: AZ

Vax Date: 03/23/2021
Onset Date: 04/01/2021
Rec V Date: 04/05/2021
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Allergies: No

Symptom List: Pain in extremity

Symptoms: Red rash near the place of the shot was noticed at 4/1/2021, around one week after the first dose of Moderna COVID-19 Vaccine been admitted. The size of the rash was about 2 inches by 3 inches, with no feeling of itchy or pain.

Other Meds: Centrum Daily Vitamins

Current Illness: No

ID: 1170217
Sex: M
Age: 56
State: CA

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/05/2021
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Allergies: minor allergy to Shell Fish and season hay fever

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

Symptoms: occasional dizziness; room spins

Other Meds: Aspirin Lipitor (Atorvastatin)

Current Illness: Received Tetanus shot on 27 Mar 2021 after cutting finger on jagged metal Sleep Apnea High Cholesterol

ID: 1170218
Sex: F
Age: 58
State:

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/05/2021
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Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Pt. received a second dose of Pfizer today, 14 days after her first dose. Pt. received er first dose at the race track and was instructed to make her own appointment for a second vaccine. Pt. made the appointment online for today and went through the process to include vaccination. It was after the vaccination that a staff member recognized that she had her second dose a week earlier than recommended. No adverse outcome.

Other Meds:

Current Illness:

ID: 1170219
Sex: F
Age: 35
State: MO

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

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

Symptoms: Shaking, chills, nausea, headache, extreme fatigue/tiredness, loss of appetite.

Other Meds: Liothyronine, levothroxine, Claritin, Flonase

Current Illness: None

ID: 1170220
Sex: F
Age: 30
State: CA

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/05/2021
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Allergies: Sulfa

Symptom List: Vomiting

Symptoms: Patient presented in obs area after receiving 2nd dose, started complaining of left arm injection site numbness that radiated down to left hand, also complained of tongue numbness, vitals: 156/101 right arm, HR 91, SpO2 98% room air, respiratory rate 22, 0/10 pain. Pt began feeling worse, assessed lung sounds, expiratory wheezing noted, pt had home dose inhaler on hand, self-administered 2 puffs of albuterol HFA inhaler, states relief, pt did not complained of respiratory distress at any time. EMS left with patient at 1140 to local hospital, pt alert, oriented and cooperative at all times. Left alert and oriented, in no apparent distress. No epi or benadryl administered.

Other Meds:

Current Illness: Bell's Palsy, botox on Friday (4/2/21) multiple sites face and neck

ID: 1170221
Sex: F
Age: 53
State: PA

Vax Date: 04/01/2021
Onset Date: 04/03/2021
Rec V Date: 04/05/2021
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Allergies: Amoxicillin, Percocet, Demarol, maybe other antibiotics; some turkey/chicken sensitivity; maybe oysters and clams

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Swollen lymph nodes- left underarm area and left groin area

Other Meds: Arnuity inhaler; Zinc/Vit C, etc. naturemade powder

Current Illness:

ID: 1170222
Sex: F
Age: 64
State: UT

Vax Date: 03/25/2021
Onset Date: 04/01/2021
Rec V Date: 04/05/2021
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Allergies: Flu vaccine

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

Symptoms: In the afternoon of April 1, 2021, my head began to itch. It was very uncomfortable. I noticed welts were formed on my head. They soon were on the back of my neck and upper back with itching. The welts on my neck and head were very large. My daughter put Benadryl cream on my head, neck and back. I took one generic brand Benadryl. Before I went to bed, we applied more Benadryl cream on the welts and I took two Benadryl type tablets. The next day, the welts weren't as bad but there were some new ones on my neck. They have eventually all gone away with some residual itching that may or may not be associated.

Other Meds: L-Thyroxine 137mcg Hydrochlorothiazide Tabs 25mg Caltrate 600+D3 Vitamin D Lutein 40mg Ginkgo 120mg Potassium 99mg Sambucus Standardized Elderberry

Current Illness: none I was aware of

ID: 1170223
Sex: F
Age: 50
State: CA

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/05/2021
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Allergies: Simvastatin, Methylphenidate, Imdur, Nsaids, vaccine adjuvant solution cpg 1018

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 1612 patient started having shortness of breath, throat swelling. Patient received 0.3mg of epinephrine at 1615 with minimal relief. Transported to ER at approximately 1616 and was given a 2nd dose of epinephrine, solumedrol, benadryl, famotidine and Lactated Ringers with immediate improvement.

Other Meds: Cholecalciferon Vitamin D3 50mcg, Trazodone 50mg, Vitamin C 500mg, Ferrous Sulfate 325mg, Aspirin 81mg, Brilinta 90mg, Pantoprazole 40mg, Lisinopril 2.5mg, Carvedilol 3.125mg, Atorvastatin 80mg, Nortripltyline 10mg,

Current Illness:

ID: 1170224
Sex: F
Age: 36
State: NY

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

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Allergies: NKDA

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

Symptoms: A few minutes after vaccination the pt had what appeared to be a seizure with momentary loss of consciousness. Profuse sweating, tunnel vision and syncope also present. EMS was called and patient was transported to hospital directly from the pharmacy.

Other Meds: None stated by pt.

Current Illness: None.

ID: 1170225
Sex: F
Age: 50
State: FL

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 04/05/2021
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Allergies: Aspirin, Sulfa drugs, tetracycline, cipro, keflex, lortab, codeine , percacet Sensitivities - anything in pill form- OTC and Rx, peanuts, gluten

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

Symptoms: Along with headache, injection site pain, body aches and joint pain, I experienced crippling anxiety, increased heart rate and paranoia with suicidal thoughts. I thought the tv was sending me messages and could hear the voice of my dead father in my head trying to communicate with me. There was also another voice that was telling me to kill myself. This lasted for 10 days. I have never experienced anything like this before I had the shot.

Other Meds: Estradiol patch, Med MJ

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am