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: 1170480
Sex: M
Age:
State: CT

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

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

Lab Data:

Allergies: Ativan, Hydrocodone, Oxycodone

Symptom List:

Symptoms: After 2 days, fever began at 100.4, ranged up to 102.8 for 5 days, headache, dizziness. Followed fever protocol for secondary adrenal insufficiency, and increased hydrocortisone to 30mg

Other Meds: Solucortef 15mg, Xanax XR 1.5mg, losartan potassium 50mg, lexapro 30mg, allopurinol 300mg, zyprexa 2.5mg, seroquel 100mg, depo-testosterone 0.6mg, finesteride 100mg, hydromorphone 12mg, clonidine 0.2mg

Current Illness:

ID: 1170481
Sex: F
Age: 42
State: CA

Vax Date: 04/02/2021
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:

Symptoms: I had the first dose of the Pfizer COVID Vaccine on Friday, April 2nd. I had a headache a few hours after, which still hasn't subsided. I woke up at 4 am on the 5th itching all over, hives all over my abdomen, calves and arms. Nausea followed soon after. I went to my doctor today and was given steroids, allegra and Zofran for the nausea.

Other Meds: Metroprolol, Nuvaring, Oxybuteron, pantoprazole, zoloft, losartan

Current Illness:

ID: 1170482
Sex: F
Age: 55
State: GA

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: erythamyicin amoxicillin Augmentin

Symptom List:

Symptoms: Heart palpitations severe headache shortness of breath lasted about 15 minutes after I left the site once I stood up. Had headache and shortness of breath and dizziness for 2 days after but not as severe took aleve drunk lots of floods and rested for 3 days

Other Meds: carvediloL 25 MG tablet hydroCHLOROthiazide 25 MG tablet olmesartan 40 MG tablet

Current Illness:

ID: 1170483
Sex: F
Age: 61
State: WA

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: Latex, PCN (rash)

Symptom List:

Symptoms: Tinnitus, dizziness

Other Meds: None

Current Illness: None

ID: 1170484
Sex: M
Age: 38
State: NY

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: Penicillin , pollens, not a fan of dairy (not necessarily an allergy)

Symptom List:

Symptoms: Swelling 1-3 days, fatigued all week with interspersed bouts of lots of energy (that could just be me); sore all over ( L arm / L neck / back - but again that could just be me and caused by carrying around a toddler); the injection site was sore last night, a little itchy this morning (3/5) and now I have a red bumpy rash (possibly in part from scratching). Also, bouts of diarrhea all week (not too unusually, hence possible dairy allergy referenced above).

Other Meds: Levothyroxine

Current Illness: None

ID: 1170485
Sex: F
Age: 38
State: CO

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: Benadryl, penicillin

Symptom List:

Symptoms: 101.5 fever, six hours after Extreme lower back pain, five-six hours later Nausea, about six hours later I feel like I?ve been hit by a truck. Feels like the flu. Can only lay down with blankets.

Other Meds:

Current Illness:

ID: 1170486
Sex: F
Age: 60
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: Levaquin

Symptom List:

Symptoms: Fever (100.6), Headache, Body Aches. Duration 24 hours.

Other Meds: Estradiol, progesterone, testosterone

Current Illness: None

ID: 1170487
Sex: F
Age: 68
State: CA

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: NKDA

Symptom List:

Symptoms: Patient was seen in the urgent care for rash all over body. Vaccine was not given by us.

Other Meds: omeprazole

Current Illness:

ID: 1170488
Sex: F
Age: 43
State: PA

Vax Date: 03/09/2021
Onset Date: 03/10/2021
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:

Symptoms: Tinnitus of left ear

Other Meds: None

Current Illness: None

ID: 1170489
Sex: F
Age: 23
State: IL

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: -Lactose Intolerant

Symptom List:

Symptoms: -Fever, chills/feeling of being cold, fatigue, soreness of arm -Treated via taking Tylenol and Advil

Other Meds: -Metformin -Junel Fe -Armodafinil -Rexulti -Viibryd

Current Illness:

ID: 1170490
Sex: F
Age: 24
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: Augmentin Cefdinir

Symptom List:

Symptoms: At around 9:15 PM I started to feel nauseous and got out of bed to go to the bathroom. While using the bathroom I felt a very strong chill come over my whole body and started shivering and got directly back into bed and wrapped myself up in a thick blanket. For 45 minutes I laid wrapped up and was shivering constantly. At 10 pm I was brought extra blankets and a heating pad but moving to get situated caused dizziness. It was about 10:30 when the shivering stopped. I was able to sleep but got up to go got the bathroom around midnight and my entire body was drained of energy and I felt that I could barely stand and walk on my own. I was dizzy and my head hurt as well. I could barely hold my arms up to look at my phone briefly. Between 11 PM and 2 AM I had 5 or 6 high heart rate alerts (over 120) according to my Apple Watch but I did not wake up to them. In the morning (Sunday 4/4/21) around 9-10 am my head still hurt and my body was very achy and I felt very hungover. All day I continued to feel achy almost with a bad cold or a minor flu. Today has been better but I have still felt pretty drained. I?ve had continuous arm soreness in the arm I got the injection - but nothing too severe. 15 minutes after my vaccine on Saturday 4/3/21 I took 600 mg of ibuprofen and around midnight of that night I took 2 of pain relief PM acetaminophen (1000 mg of acetaminophen total snd 50 mg of diphenhydramine HCI total)

Other Meds: Ashlyna 20 mg dicyclomine once a day

Current Illness: N/A

ID: 1170491
Sex: F
Age: 63
State: CT

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: Compazine, Reglan, doxycycline, peanuts, cats

Symptom List:

Symptoms: Shingles. I'm not sure if the shot contributed to the breakout or expedited it but it was a very large breakout on Thursday on my left side causing me to go to my gynecologist. I thought I may have been getting a rash from my bra. I was advised by a family to report to vaers to see if the shot was related. I do not want to report any false information just wanted make you aware.

Other Meds: Crestor 20 mg 3 x week. Naproxen. Cyclobenzaprine 10 mg. Vitamins B6, C, D, Fish oil, One a Day women's vitamin.

Current Illness: Pulled muscle in back

ID: 1170492
Sex: F
Age: 52
State: MD

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: Amoxicillin Percussets Oxycodone-Acetaminophen Lisinopril

Symptom List:

Symptoms: I feel pain and weakness on my whole left side. Nausea Intermittent deafness on the left side Ears popping at times Numbness at times Headache Fatigue Sleeping Napping Lost trains of thought Lightheadedness

Other Meds: Losartan 100 mg - hydrochlorothiazide 25 mg tablet (all in one) Claritin 24 - Over the counter Biotin - 10,000 mg

Current Illness:

ID: 1170493
Sex: M
Age: 63
State: KY

Vax Date: 03/30/2021
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: None

Symptom List:

Symptoms: Had first COVID vaccine dose in right deltoid 3/30/21. On 4/2/21 started having soreness in his back and right breast. Was seen in urgent care 4/3/21 after noticing some bumps, and was diagnosed with shingles (noted to be located in right shoulderblade area).

Other Meds: Metformin XR, gabapentin, atorvastatin, testosterone cypionate

Current Illness: None

ID: 1170494
Sex: F
Age: 41
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: NO

Symptom List:

Symptoms: left arm muscle pain. lower fever, a litter headache.

Other Meds: NO

Current Illness: NO

ID: 1170495
Sex: F
Age: 19
State: FL

Vax Date: 03/17/2021
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:

Symptoms: Late period

Other Meds: Kyleena IUD

Current Illness: None

ID: 1170496
Sex: F
Age: 39
State: AZ

Vax Date: 03/29/2021
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: Codeine

Symptom List:

Symptoms: Itchy lump under the skin at injection site. Painful and tender when touched.

Other Meds: Omeprazole

Current Illness: Eczema

ID: 1170497
Sex: F
Age: 45
State: CO

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

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

Lab Data:

Allergies: Citric acid

Symptom List:

Symptoms: Itchy tongue and throat. Hot flashes. Raised heart rate and blood pressure

Other Meds: Lisinopril

Current Illness: High blood pressure; SVT

ID: 1170498
Sex: F
Age: 65
State: TX

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: penisiline, peanuts

Symptom List:

Symptoms: Second dose: Fever: 105 F. for 14 hours Headached 14 hours Sore, swaloow, stiff and red arm

Other Meds: high blood preasure cholesterol

Current Illness: none

ID: 1170499
Sex: F
Age: 58
State: LA

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: Aluminum when used as a preservative in an injection

Symptom List:

Symptoms: Approximately 18 hours after receiving the second Pfizer COVID-19 injection, I experienced chills, fever, extreme tiredness, and nausea. Approximately 24 hours after receiving the injection, I experienced swelling, extreme tenderness and slight pain under my left armpit. After about two days, I didn't experience symptoms any longer.

Other Meds: Vit B12, Vit D, Fiber

Current Illness: None

ID: 1170500
Sex: F
Age: 59
State: MI

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: None

Symptom List:

Symptoms: Terrible headache, body aches, slight fever, exhaustion for 2-3 days. kicked in about 20mhours after the vaccine shot. I had no problem with the first shot I received 3 weeks earlier but this one was difficult.

Other Meds: Paxil 10mg

Current Illness: None

ID: 1170501
Sex: F
Age: 36
State: CA

Vax Date: 04/02/2021
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: No

Symptom List:

Symptoms: Started with slight nausea and loss of appetite. Within an hour turned into chills that became so violent I was shaking. Then fever (101.6) and body aches and headache. Fever and chills broke about 8 hours after symptoms started. Could not get out of bed due to aches and fatigue for 21 hours.

Other Meds: N/A

Current Illness: No

ID: 1170502
Sex: F
Age: 47
State: TX

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:

Symptoms: Excessively heavy menstrual cycle started following 2nd dose of Covid vaccine. Just had finished cycle two weeks prior and cycles are lengthened- not shortened. Bleeding was excessive.

Other Meds: None

Current Illness: None

ID: 1170503
Sex: F
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: Anaphylaxis to Bee Sting

Symptom List:

Symptoms: Nausea - Not Diaphoretic Reports being "lightheaded" No Emesis No Syncope No rash Reports being cold Reports tightness in throat - EMS activated

Other Meds:

Current Illness: GERD HTN

ID: 1170504
Sex: F
Age: 30
State: TN

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: N/A

Symptom List:

Symptoms: Dizziness, fatigue, chills, body aches, muscle achces, nausea, vomiting, upset stomach, headache. I'm also nursing and baby has been significantly more fussy-he is 9 weeks old.

Other Meds: Prenatal, Pre/Probiotic, Zoloft 75mg

Current Illness: N/A

ID: 1170505
Sex: F
Age: 69
State: TX

Vax Date: 03/24/2021
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: none

Symptom List:

Symptoms: She first developed body aches and the early morning on her first day Post vaccination,she complained of pain on her L gum area, ( like a toothache), in a few hours she had a severe swelling on all her gum area, more swelling on the lower jaw., its accompanied with pain. No fever. the swelling lasted for 3 days and just subsided on the fourth day. She took Ibuprofen 400 mg, alternating with Tylenol 500 mg at 6 hours interval.

Other Meds: Lisinopril, Atorvastatin. Calcium, Omega 3, Vitamin C

Current Illness: none

ID: 1170506
Sex: F
Age: 71
State: MO

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: Cipro,sulpha

Symptom List:

Symptoms: Floating Hives

Other Meds: Synthroid, vitamin omega3,6

Current Illness:

ID: 1170507
Sex: F
Age: 19
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: n/a

Symptom List:

Symptoms: Patient experienced just lightheadedness after receiving the vaccine within 15 minutes after receiving the vaccine. No swelling; no rash; no bronchospasms; no trouble breathing. Patient laid down and drank some water. Patient felt better and left after 15 minutes of resting and gathering herself. When checking up on the patient, she stated that she generally gets lightheaded after any vaccination. Patient was offered water on site, monitored, and felt fine afterwards.

Other Meds: n/a

Current Illness: n/a

ID: 1170508
Sex: F
Age: 26
State: MD

Vax Date: 04/02/2021
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:

Symptom List:

Symptoms: I developed a Severe rash (blotchy, red, itchy ) all over both arms and back 36 hours post 2nd dose Pfizer vaccine. I had a high fever of 103 and massive headache too and body aches

Other Meds:

Current Illness:

ID: 1170509
Sex: M
Age: 39
State: TX

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

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

Lab Data:

Allergies: Fire Ants

Symptom List:

Symptoms: Severe headache lasted a couple of weeks Working memory issues that are still ongoing weeks late such as mental fog, exhaustion, trouble focusing, trouble with attention

Other Meds: Vyvanse, Allegra D, OTC Nasal Spray

Current Illness:

ID: 1170510
Sex: F
Age: 69
State: KY

Vax Date: 03/12/2021
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: Penicillin, sulfa, shellfish

Symptom List:

Symptoms: Received 1st COVID vaccine dose on 3/12/21 in the left deltoid. On 4/4/21, developed itchy/burning pain and rash on left shoulder/back area. Was seen by NP at PCP's office on 4/5/21 and diagnosed with shingles.

Other Meds: Tresiba insulin, levothyroxine, rosuvastatin, metformin, fish oil, multivitamin, acetaminophen

Current Illness: None

ID: 1170511
Sex: M
Age: 35
State: TX

Vax Date: 03/29/2021
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 that aware of.

Symptom List:

Symptoms: I was working on a fence about 5-5:30 pm and suddenly developed blurry vision. I continued working for another 5-10 minutes, then I went inside for dinner with my wife kids and in-laws. I complained I couldn?t see in my periphial to my wife and mother n law. I ate dinner, salad and spaghetti. While eating my brother in law asked if I got a new car and that he hadn?t see the white one before. I tried to tell him what happened to my old car but got caught and couldn?t think clearly about the old car, the problems it had and the story. After dinner I want out to help on the fence again and my son was handing my brother in law boards and I tried to tell him the board wasn?t cut with a bevel yet. But couldn?t come up with any words to describe the board. I went to my wife explained my that my brain wasn?t working right and I clearly had a problem. I developed some tingling in my right hand. She took me to local ER referenced. My symptoms subsided on their own and they weren?t able to see anything on a cat scan. As I felt better I didn?t take the next step to the larger ER with and MRI.

Other Meds: None / coffee

Current Illness: None

ID: 1170512
Sex: F
Age: 34
State: MO

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

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

Lab Data:

Allergies: To morphine

Symptom List:

Symptoms: Vaccinated arm was sore pretty quickly afterwards. Started with chills for 2 hours along with body aches. Next, developed a fever of 102 degrees F. I was restless when trying to sleep. I was tired the next day.

Other Meds: NuvaRing, magnesium glycinate, Claritin, Vitamin D, multivitamin

Current Illness: Springtime allergies

ID: 1170513
Sex: F
Age: 70
State: VA

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: None known

Symptom List:

Symptoms: Day 1 - Extreme weakness, dizziness, nausea. Could not eat and limited intake of fluids. Injection site felt like it was burning along with a very sizable lump. Could not get out of bed for more than 15 minutes at a time. Day 2 - Still extremely weak. Dizziness not as bad. Still no appetite. Still spent most of the day in bed asleep.

Other Meds: Lithium Carbonate Lamotrigine Ibuprofen

Current Illness: None known

ID: 1170514
Sex: U
Age: 33
State: WA

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: na

Symptom List:

Symptoms: pain in right arm, intense, towards the end of the shot. Extremely sore arm for about 36hrs after

Other Meds: na

Current Illness: na

ID: 1170515
Sex: F
Age: 40
State: NY

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

Vax Type:
Manufacturer:
Vax Name:
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Allergies: latex

Symptom List:

Symptoms: chills, nausea, vomiting, shortness of breath, diarrhea, chest tightness, skin discoloration of the fingers

Other Meds: hyroxiyzine and sertraline

Current Illness: none

ID: 1170516
Sex: F
Age: 51
State: MD

Vax Date: 02/10/2021
Onset Date: 03/26/2021
Rec V Date: 04/05/2021
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Allergies: Benadryl-fast heart beat, PCN-Rash, tylenol with codeine, percocet, vicodin-cause palpitations and extreme drowsiness. Aspertame-headaches, latex-rash/itching, and animal fur

Symptom List:

Symptoms: Few weeks later had itchy rash with bumps that started on face-treated with 5 days of oral steroids, rash spread to arms, chest, upper back, and legs-treated with 1% hydrocortisone cream. Facial skin then became extremely dry, white and flaky, also bilat skin on ears dry white and flaky

Other Meds: Tylenol ES, MultiVites daily chewable vitamins

Current Illness: None

ID: 1170517
Sex: F
Age: 31
State: FL

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/05/2021
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Symptoms: The arm that received the vaccine shot was very sore and I experienced fatigue day of vaccination and the following day.

Other Meds:

Current Illness:

ID: 1170518
Sex: F
Age: 39
State: PA

Vax Date: 03/19/2021
Onset Date: 03/26/2021
Rec V Date: 04/05/2021
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Allergies: N/A

Symptom List:

Symptoms: Numbness in injection arm down to fingernails. Sporadically occurs but mostly at night. Does occur randomly throughout the day.

Other Meds: Wellbutrin XL, Levothyroxine, Clonodine, Propranzole, Famotidine, Reglan

Current Illness: Common allergies to dog

ID: 1170519
Sex: F
Age: 22
State: PR

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/05/2021
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Allergies: n/a

Symptom List:

Symptoms: Muscle pain, fever, and headache the day after the vaccine was administered and this lasted 2 days. Also I got inflammation in the injection area which is red, inflamed and causes a lot of pain as much as the movement of the arm as the touch of the area. It's like a "bump". This effect originated since the same day that vaccine was applied to me and even 6 days later I still have this symptom or adverse event in my left arm which is where I received the "shot."

Other Meds: Wellbutrin XL 300mg

Current Illness: n/a

ID: 1170520
Sex: M
Age: 32
State: NC

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/05/2021
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Symptoms: Very strong headache and muscular pain all over the body.

Other Meds:

Current Illness:

ID: 1170521
Sex: F
Age: 44
State: CA

Vax Date: 03/26/2021
Onset Date: 04/01/2021
Rec V Date: 04/05/2021
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Allergies: N/A

Symptom List:

Symptoms: Broke out in hives and rashes all over my body on 04/01/2021, 6 days after receiving the 1st dose of the Moderna vaccine on 03/26/2021.. Over the next 4 days after first breaking out in hives, my rashes became worse and turned into welts and blisters and antihistamines such as Benadryl, Zyrtec, and Claritin would not prevent itching. The worse inflammation was concentrated on both of my wrists, knuckle areas, and fingers. I also felt some tenderness around my armpit area on my left side, where I received the initial vaccine shot. I went to urgent care to seek medical care and guidance on the 4th day (04/05/2021) and was seen by a Physician's Assistant who prescribed Triamcinolone and a 6 day regimen of Methylprednisolone.

Other Meds: Amlodipine/Benazepril Hcl 40mg/day Metoprolol 50/mg day Omazeprol Omega 3 Krill Oil Women's probiotic Chaga/Reishi/Cordyceps/Lion's Mane/Shitake mushroom blend supplement

Current Illness: N/A

ID: 1170522
Sex: M
Age: 66
State: IN

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

Symptom List:

Symptoms: TIRED CHILLS THIRSTY SLIGHT FEVER ACHES PAINS VERY SLEEPY (2 HR NAP IN AFTERNOON) (1 HOUR NAP AFTER DINNER) 9 HOURS OVERNIGHT SLEEP

Other Meds: ALLOPURINOL 300 MG DICLOFENAC SOD EC 75 MG MULTI VITAMIN

Current Illness: NONE

ID: 1170523
Sex: F
Age: 26
State: CO

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/05/2021
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Allergies: Mangos. Amoxicillin, robituson

Symptom List:

Symptoms: Fever & chills. Headache

Other Meds: Birth control - Blisovi Fe 1/20, vitamins daily

Current Illness:

ID: 1170524
Sex: M
Age: 46
State: TX

Vax Date: 03/01/2021
Onset Date: 04/03/2021
Rec V Date: 04/05/2021
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Allergies: N/A

Symptom List:

Symptoms: Inflammed, tender, painful lymph nodes on right side of body, facial drooping, constant eye watering, difficult to close mouth and to speak clearly, challenging to shut eye.

Other Meds: Seroquel, Trazodone, Insulin, Metformin, Klonopin, Gabapentin, Ozempic

Current Illness: None

ID: 1170525
Sex: F
Age: 45
State:

Vax Date: 03/14/2021
Onset Date: 03/30/2021
Rec V Date: 04/05/2021
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Symptoms: Started having hives at random times on my wrists and forearms. One time each day Tue, Wed, Thur then Friday morning I woke up with my whole forearm on the arm I got the vaccine covered in hives. After an hour the other arm started having hives then on my stomach. After Benadryl it stopped. Sun morning at 5:00 am I woke up with hives covering from my elbow to my shoulder on the vaccinated arm. I took Benadryl immediately and it did not spread

Other Meds:

Current Illness:

ID: 1170526
Sex: F
Age: 32
State: MA

Vax Date: 07/12/2019
Onset Date: 07/13/2019
Rec V Date: 04/05/2021
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Allergies: None

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Symptoms: The day after the vaccine my left ear became extremely swollen. Two days later the left side of my tongue become numb and I couldn't taste anything on the left side of my tongue. Then by the fourth day after the shot, the left side of my face drooped. I called my OBGYN's office and they instructed me to go to the ER at the local hospital. While I was there they diagnosed me with Bell's Palsy. I was given a prescription for a steroid (predniSONE 5 MG Oral Tablet) and an antibiotic (Cephalexin 500 MG Oral Capsule).

Other Meds: Prenatal Vitamin

Current Illness: None

ID: 1170527
Sex: F
Age: 33
State: TX

Vax Date: 03/23/2021
Onset Date: 04/02/2021
Rec V Date: 04/05/2021
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Allergies: None

Symptom List:

Symptoms: Left arm hurt a lot for the first 4 days, all the way down my arm, past my elbow, then it went away. Still felt tender. Then around a week ago I started to feel weird tenderness around my elbow and now the whole arm is starting to go numb down to my fingers.

Other Meds: None

Current Illness: None

ID: 1170528
Sex: F
Age: 27
State: CA

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/05/2021
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Allergies: None

Symptom List:

Symptoms: 2 day post vaccination, fatigue and right arm soreness Day 4 fatigue Day 5 full body ache, low fever, diarrhea, nausea and headache

Other Meds: Birth control pills. Probiotics.

Current Illness: None

ID: 1170529
Sex: F
Age: 56
State: CO

Vax Date: 03/26/2021
Onset Date: 03/31/2021
Rec V Date: 04/05/2021
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Symptoms: Immediately after the vaccination, I felt dizzy, slightly nauseous, and like a rush of adrenaline. That lasted about 30 minutes. A little later I started to feel sick and it lasted for about 30 hours. Symptoms included headache, lethargy, aches and pains. Then for about three days I seemed normal. However, starting about mid-week I noticed that I smelled smoke all of the time. I kept searching for sources of smoke or trying to find something that might smell similar to smoke. It has now been about five days since the phantosmia started and I am still smelling smoke. It hasn't gotten any worse, but it hasn't gotten any better either. It is starting to drive me crazy. I know that smell and taste issues can be a symptom of Covid and this made me realize that perhaps the vaccine could also cause such symptoms. That's when I decided I should probably file this report in case others were having a similar side effect. I'd also love to know when it will go away and if the second dose is going to make it worse.

Other Meds: T3/T4 bioidentical compounded thyroid Low Dose Naltrexone 3 mg Whole Food Multi w/ Minerals Vitamin E Vitamin A Omega 3 Fish Oil (High Concentrate) CoQ10 Probiotic Selenium Vitamin D3 Vitamin B-1 Vitamin K-2 Vitamin C Glucosamine Calcium (

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm