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: 1173688
Sex: F
Age: 20
State: NC

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient fainted after injection. Mom was with her and stated she has done this in the past with vaccines or giving blood. Becomes very anxious and has needle phobia. Mom put cool pack on back of neck and wet cloth on forehead. Also gave water as she was waking up. She was fine and ready to go in about 20 minutes.

Other Meds:

Current Illness:

ID: 1173690
Sex: F
Age: 42
State: KS

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: Latex, shellfish, sulfas

Symptom List: Anxiety, Dyspnoea

Symptoms: Developed headache within an hour of receiving injection that lasted 2 days. Injection site swelled up and became painful and itchy, with the appearance of a hive. Felt exhausted, achey and lymph nodes in my left arm swelled up for 4 days. It has now been 6 days and while the injection site is not painful any longer, It still itches and is still a bit swollen. I did miss a day of work due to feeling ill.

Other Meds: Lyrica, metformin, skelaxin, effexor, vit D, vit B12, calcium, hctz, carvedilol, diltiazem, magnesium

Current Illness: None

ID: 1173691
Sex: F
Age: 26
State: VA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin - urticaria

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

Symptoms: I received my first moderna vaccine on Friday 01/22/21 at 1:20 pm. I woke up at 12:00 a.m. on 01/23/21 with nausea, vomiting, fever, chills, myalgias, severe back pain, and RUQ abdominal pain. I attempted to sleep until 3:00 a.m. but with the nausea and vomiting worsening I decided to go to the emergency room. I received 2 L of LR, IV zofran, IV morphine, and 1g IV ceftriaxone for an asymptomatic UTI. The doctor stated she believed my symptoms to be the result of acute gastritis secondary to the vaccine I received the afternoon before. I was sent home with 500 mg TID PO keflex x 10 days and 4 mg PO Zofran .

Other Meds: Propranolol 10 mg TID prn for essential tremor Buproprion 150 mg QD

Current Illness: None

ID: 1173692
Sex: M
Age: 64
State: AZ

Vax Date: 04/03/2021
Onset Date: 04/04/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: seasonal allergies only

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 1.) Strong soreness in lower back and gut area. Hard to bend over. I don't typically suffer from back pain and didn't exert or do anything that might have strained muscles. Pain seems muscular in back and deep in lower gut/groin area in front. 2.) More concerning is the tinnitus or ear ringing I am experiencing. Very loud and unrelenting. Feels like ears need to be popped such as when air pressure changes. However, can't swallow hard or chew hard enough to clear ears. It's a bit flummoxing as it is unrelenting. Sounds like cicadas in my head.

Other Meds: none

Current Illness: none

ID: 1173693
Sex: F
Age: 55
State: IL

Vax Date: 03/24/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, Sulfa, Sertraline, Amitriptyline, Baclofen, Cyclobenzaprine, Duloxetine, Pregabalin (lyrica),

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

Symptoms: Woke up to intense itching, a round weld was on my upper arm, an hour later the site was red and VERY hot. It started spreading down my arm. it started hurting and I called my doctor's office to see If i should ignore it. They suggested I go to an urgent care to have it looked at. I did and the Doctor said I have a bacterial infection. He prescribed Cephalexin 500 mg 3 times a day for 5 days.

Other Meds: Sharobel, Amlodipine, Fiber pills, Vitamin C, Vitamin D, polyethylene glycol,

Current Illness: Fibromyalgia, Enteropathic Arthritis

ID: 1173695
Sex: M
Age: 54
State: NY

Vax Date: 04/04/2021
Onset Date: 04/04/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Hives/rash on the whole body Fever on second day with headache and weakness

Other Meds: Amoxicillin 500 mg Ibuprofen 600 mg

Current Illness: none

ID: 1173696
Sex: M
Age: 32
State: NV

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient received COVID Janssen injection, saw blood and had a vagal response to which he passed out and was lowered to ground. Did not hit head. Laid supine with legs elevated, profuse sweating, ice packs to chest, water given. After a few minutes assisted to sitting position and then assisted to standing position with no s/s reported. Assisted to monitoring area for continued monitoring.

Other Meds: N/A

Current Illness: N/A

ID: 1173697
Sex: F
Age: 34
State: CA

Vax Date: 03/01/2021
Onset Date: 03/15/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: DVT blood clot in leg. Not able to seek care due to high deductible health insurance. Swelling, pain, discoloration, bruising in lower leg below soleus muscle and deep pain in calf. Using compression, ice, elevation, massage and aspirin regimen.

Other Meds: Levothyroxine 10mcg

Current Illness: None

ID: 1173698
Sex: F
Age: 26
State: IL

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Light headed, near syncopal, NOLOC

Other Meds: Vinsine, Estrella, Fluoxidine

Current Illness: None

ID: 1173699
Sex: M
Age: 45
State:

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: Benadryl

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Within 60 seconds of receiving the injection, I experienced moderate breathing difficulty. After 10-20 minutes, I noticed that my throat felt slightly swollen (slight difficulty swallowing). Due to a hyperallergic event that occurred about 12 years ago, I occasionally run into something that triggers the respiratory effect - although usually the reaction is milder than that caused by the vaccine. However, the throat swelling is new. I took a single puff of an Albuterol inhaler around 5 minutes after the injection, but it had no effect (usually the case for me when the cause is allergic in nature). About 37 minutes after the injection, medical staff advised me to take an antihistamine. I took approximately 6 mg of doxylamine succinate (orally). However, by this point, the breathing had already started to ease slightly. Approximately 30 minutes later, my breathing was back to normal and the throat inflamation was gone. It's uncertain how much of that would have occurred through time alone and how much of it was the antihistamine starting to take effect. My BP was very high when measured during treatment. Partially explained by the albuterol inhaler combined with pseudoephedrine taken earlier in the day, along with anxiety and exertion from the event itself.

Other Meds:

Current Illness:

ID: 1173700
Sex: F
Age: 83
State: AZ

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: The morning after her shot she felt unwell and did not get up for any meals. She said she couldn't lift her legs and she could not tell when she had to go to the bathroom. Prior to this shot she was able to walk with a walker ; she knew when she had to go to the bathroom and she got up by herself in the morning and knew what her routine was. Now she is unable to walk and is totally incontinent. She does not know her routine anymore and is waiting for directions from her caretakers on when to get up, when to go to the bathroom and sits in bed all day or is moved to a chair by caretakers. She needs pillows propped around her in order to sit upright.

Other Meds: Vitamin D B-12 Oxybutynin 10 mg alendronate 70 mg

Current Illness: none

ID: 1173701
Sex: F
Age: 34
State: WV

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Rash, Urticaria

Symptoms: Migraine, chills, fever, nausea, muscle aches

Other Meds: Bcp

Current Illness: N/A

ID: 1173702
Sex: F
Age: 47
State: NV

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: Not known

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

Symptoms: Fatigue; shortness of breath when walking or talking; fast heartbeat; passed out twice (the second time I passed out on the floor, lost consciousness for a few seconds and hit my face and my nose on the floor. My left calf hurts as well.

Other Meds: Not applicable

Current Illness: No

ID: 1173703
Sex: F
Age: 38
State: PA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
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: Pain at injection site immediately and continues soreness in arm Fever, chills, and body aches approximately 6 hours after dose Increased testing heart rate to 96 bpm approximately 6 hours after dose

Other Meds: Propranolol Carbimazole Selenium

Current Illness: Graves Disease

ID: 1173704
Sex: M
Age: 76
State: CA

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/06/2021
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: At 30 mins he began shaking and appeared to pass out for a moment. He became confused. This morning he had fever, oxygen was low, not speaking not walking.

Other Meds: Levothoroxin- 100mg 1 daily Midodrine- 10mg 3 times daily Aspirin 80mg 1 daily Escitalopram 20mg 1 daily Dok 100mg 2 daily

Current Illness: Covid in January and he is having identical symptoms. Cant talk, walk, confused, shaking.

ID: 1173706
Sex: F
Age: 35
State: GA

Vax Date: 03/26/2021
Onset Date: 03/28/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: Thimerosal

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

Symptoms: My breastfed 19 month old son began acting differently. He has started being unable to sit alone and constantly grunts and requires 24/7 adult attention (holding). It changed almost overnight once I was vaccinated and fed him. He was always very content playing on his own but this is no longer the case. The repeating of sounds and constant frustration followed by grunting/yelling is especially concerning.

Other Meds: None

Current Illness: None

ID: 1173707
Sex: M
Age: 60
State: WA

Vax Date: 03/23/2021
Onset Date: 04/04/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: Pollen

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

Symptoms: None stated.

Other Meds: Allergic

Current Illness: None

ID: 1173708
Sex: F
Age: 37
State: MO

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Ear pain, Hypoaesthesia

Symptoms: General malaise, fatigue, arm pain at injection site and lingering intense soreness, body rash on upper torso (looks like a German measles or scarlet fever flush), some itchiness. *No Fever* Have been treating every 4-6 hrs with extra strength Tylenol.

Other Meds: Loratadine tablets, 10 mg (OTC Claritin); Hydroxyzine Pam 50mg - once or twice per day. "Early Bird" morning cocktail - herbal blend.

Current Illness: Slight nasal congestion due to seasonal allergies

ID: 1173709
Sex: M
Age: 80
State: CA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 04/06/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Went to the Medical Center for chest pain, fever, shortness of breath one day after receiving the vaccine.

Other Meds:

Current Illness:

ID: 1173711
Sex: F
Age: 32
State: AK

Vax Date: 04/01/2021
Onset Date: 04/03/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: none that I'm aware of

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

Symptoms: Sever headache a few hours after injection. Chills, body aches, muscle and joint aches, fatigue, nausea, cold sweats, fever. All of these lasted about 24-36 hours. Once those subsided I noticed strong tinnitus in my left ear and a feeling of fullness or stuffyness in left ear, as well as brain fog, mild vertigo and an upset stomach. Stomach doesnt quite feel like nausea but more like sour stomach like from too much alcohol (I Have not had any). These symptoms have continued every day since then. Today I woke up with slight sore throat and fatigue as well

Other Meds: Valtrex 500mg daily, 15mg adderall daily

Current Illness: sinus infection/cold the week before second dose

ID: 1173712
Sex: F
Age: 62
State: PA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: Sulpha

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

Symptoms: Arm became sore on the left arm - I had a lump and my whole arm was like one giant bruise. That lasted about three weeks. I still have a lump but it isn't bruised looking anymore. The incident I went to medical care for - I saw the doctor on 4/2/2021 and he diagnosed I have shingles on my right leg. I thought it was spider bites. I did have the shingles vaccine. It is inflamed and I get nerve pain down my leg. It is very, very sore to the touch. Right now it is kind of dry - like blisters on it. It's a mild case. Doctor put me on Valacyclovir. He put me on it for one week and I have two more days after today.

Other Meds: Synthroid; Asifex; Singulair; Triamterene/HCTZ; Fish oil; Multi-Vitamin; Vit D; Symbicort Inhaler - use daily

Current Illness: Had a sinus infection - that was in late January 2020 - it was over a month of being off antibiotic

ID: 1173713
Sex: F
Age: 45
State: LA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: Percocet

Symptom List: Unevaluable event

Symptoms: Patient returned about 1 hour after getting vaccine complaining of itching and trouble breathing, 25mg diphenhydramine was given and cold compress but on her neck. 15 minutes later a 2nd dose of 25mg diphenhydramine was given and 911 was called. Parmedics checked her vitals and spoke with her, She refused to go with them for medical care, Patient called family member to come pick her up. Paramedics and Pharmacist asked her to seek medical care if breathing issue continued, Continue diphenhydramine for itching.

Other Meds: no names provided

Current Illness: none reported

ID: 1173714
Sex: M
Age: 64
State: CA

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/06/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

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

Symptoms: Patient with severe COPD and respiratory failure on home O2, currently undergoing evaluation for potential lung transplantation. Patient reports feeling "fine" and got his vaccine 4/1. On 4/2 in the evening he developed feeling of malaise and fatigue, fever, and by 4/3 he noted cough productive of brown sputum, and dyspnea which became progressively severe. Presented then to the ED 4/3 where he appeared to be in respiratory distress and was treated with BiPAP, albuterol/atrovent nebs, solumedrol, then prednisone, antibiotics (levaquin in ED, then doxycycline after admission), hypertonic saline . Remains admitted, still on higher O2 requirements than baseline.

Other Meds: Albuterol neb, Alvesco, ECASA 81, Lipitor, Atrovent neb, Hypertonic saline 7% neb, Stiolto respimat

Current Illness: N/A

ID: 1173716
Sex: F
Age: 30
State:

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: Pneumonia vaccine, Tetanus And Diphtheria Tox-pf

Symptom List: Injection site pain, Pain

Symptoms: Hives on neck and hands noted. Alerted MD. PO Benadryl given. VSS. Patient complained of "itchness" related to autoimmune disease. 30 minutes after medication given, MD noted that hives had diminished.

Other Meds:

Current Illness:

ID: 1173717
Sex: F
Age: 53
State: TX

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Injection site pain, Menorrhagia

Symptoms: Client had dry cough and nausea . She was anxious after receiving first dose. Reported not eating or drink any fluids since this morning

Other Meds: n/a

Current Illness: n/a

ID: 1173718
Sex: F
Age: 67
State: NJ

Vax Date: 03/26/2021
Onset Date: 04/02/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: neosporin, doxycycline, phenergan

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

Symptoms: patient stated that a rash and itch appeared at injection site 7 days following the immunization. It got larger over a few days and patient took benadryl to help with the symptoms. She said she did reach out to her doctor at my suggestion but did not get any follow up form her doctors office.

Other Meds: unknown

Current Illness: none

ID: 1173720
Sex: F
Age: 71
State: CA

Vax Date: 03/15/2020
Onset Date: 03/15/2020
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: codeine

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 9:00 Pt c/o abnormal feeling to throat, However, pt couldn't describe feeling clearly. Denies throat itchiness/pain, tightness or tingling; VS: BP 188/80, HR 76, RR 16, Temp 97.7, SpO2 100% RA, Drank 1 cup water 9:06 Drank 8 oz water with swallowing difficulty, Pt verbalized "I am nervous because I'm afraid of needles" 9:15 BP repeat 172/89, HR 70, RR 16, SpO2 100% RA 9:18 Pt left RUH symptom free

Other Meds:

Current Illness:

ID: 1173721
Sex: F
Age: 22
State: WI

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Pt received covid shot. Co immediate nausea, blurred vision, dizziness and feeling cold and sweaty. Skin warm and very diaphoretic. BP 102/73, 101. Pt given water to drink. States all she has ate today is fruit. Resting in chair. Recheck 15 min later and BP 123/84, 64. Drank 16 oz of water and states she feels much better. No medical care required. Advised to contact dr if symptoms return.

Other Meds:

Current Illness:

ID: 1173722
Sex: F
Age: 37
State: LA

Vax Date: 03/29/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: Iodine

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

Symptoms: Mild soreness 8-48 hrs after vaccine. Now, over a week later the injection site is swollen, tender, and itchy.

Other Meds: Adderall- 30mg/day

Current Illness: No

ID: 1173723
Sex: F
Age: 64
State: CO

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: PCN

Symptom List: Nausea

Symptoms: Patient received vaccine and was sent to observation area. She began having altered mental status, slight aphasia, and confusion. Snack was offered and patient was assessed. She had difficulty answering questions and complained of chest feeling abnormal. B/P taken 230/140. 911 services called. Transported to hospital at 12:52

Other Meds: Medications for Diabetes M.

Current Illness: History of hypertension and Diabetes M.

ID: 1173724
Sex: M
Age: 37
State: CA

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: None known, except cats and rabbits.

Symptom List: Injection site pain

Symptoms: Fever, chills, feeling fluish, headache & pulse pounding in head, weakness, exhaustion, joint aches, ?foggy? headed (feel like thinking slower).

Other Meds: Stelara 90 shot taken up January 12th.

Current Illness: None

ID: 1173726
Sex: F
Age: 40
State: CA

Vax Date: 03/23/2021
Onset Date: 03/30/2021
Rec V Date: 04/06/2021
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Allergies: Adhesive tape

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

Symptoms: On Tuesday 3/30 I woke up with a rash on my right quad that got more intense as the day went by. Later that day, I developed a rash around my right elbow, then before bed another rash on my left shoulder. Throughout the night I developed rashes between and under my breasts, and torso. Since then, the rash spread throughout my body, including my head, face, hands and genitals. The rash looks like tiny fluid filled blisters that itch and burn. I had an E-visit on 3/31 and was diagnosed with dermatitis and was prescribed Citirizine 10 mg and Triamcinolone Acetonide 0.5% ointment. I had phone visit on 4/2 as the rash spread and did not improve.

Other Meds: - Mesalamine DR 1.2 gm (3/day) - Sudafed - Nature Made - Calcium, Magnesium, D3 and Zinc pill (2/day) - Zinc 50 mg (1/day)

Current Illness:

ID: 1173727
Sex: M
Age: 43
State: NY

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
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Allergies: none

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

Symptoms: Patient felt dizzy after receiving vaccine. Pharmacist went over to assess patient and patient hands began shaking and eyes were moving erratically. Patient would not respond to verbal commands so called 911. The patient came responsive about 1 minute later and had no recollection of the event. Pharmacist checked bllod pressure and it was low (97/46 ) and upopn recheck in 3 minutes it was high (199/90). Paramedics arrived and patient said he felt fine at that point but he would still go to hospital to get checked out.

Other Meds: unknown

Current Illness: none

ID: 1173728
Sex: F
Age: 20
State: SD

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/06/2021
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Allergies: None

Symptom List: Tremor

Symptoms: Proximal bilateral erythematous rash on thighs one day after vaccine

Other Meds: None

Current Illness: None

ID: 1173730
Sex: M
Age: 52
State: NJ

Vax Date: 04/03/2021
Onset Date: 04/04/2021
Rec V Date: 04/06/2021
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Allergies: No

Symptom List: Erythema, Pruritus

Symptoms: Ringing in my left ear, that is the arm I got the shot in. Happening every couple hours

Other Meds: Valsartan (high blood pressure) Rosnvastin (high cholesterol) Multi vitamin

Current Illness: No

ID: 1173731
Sex: F
Age: 72
State: HI

Vax Date: 04/04/2021
Onset Date: 04/04/2021
Rec V Date: 04/06/2021
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Allergies: Codeine

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

Symptoms: 4/4/2021 7:00 pm vaccine site and arm pain 8:30 pm Chills. Temp 100. 4/5/2021 3:00 am Increased pain vaccine arm, chills, temperature 101.1, severe headache, muscle pain, joint pain, neck and back stiffness, fatigue, nausea, mild diarrhea. No ekes is. 8:00 am. Temperature 101.3. Headache. Entire body aches as though I have Influenza. Neck and shoulders stiffness. Severely fatigued. No appetite. Slept all day. Didn?t eat. 4/6/2021 Tired but pains lessened. Other symptoms mild.

Other Meds: Xarelto, Inderal, Fluoxetine, Evista, Famotidine, Crestor, Clonazepam, Zoldepem

Current Illness: None

ID: 1173732
Sex: F
Age: 60
State: CA

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
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Allergies: Phenothiazines,

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

Symptoms: Approximately 12 hours after receiving the vaccine I experienced severe chills and couldn't get warm. I didn't take my temperature. The chills lasted approximately 5-6 hours. The day after receiving the vaccine I experienced fatigue and minor muscle aches.

Other Meds: Levothyroxine, insulin, metropolol, losartan, bupropion, Gabapentin, atorvastatin, singulair, B12, B6, biotin, CoQ10, Pantothenic acid, probiotic

Current Illness: None

ID: 1173733
Sex: F
Age: 80
State: CA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 04/06/2021
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Allergies: Codeine, Penicillin, Vicodin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 9:20 patient complains of burning of tongue radiating down throat, denies chest pain, tightness, tingling, or difficulty swallowing. 9:44 blood pressure elevated, patient was sent home with daughter. 10:02 patient was given Benadryl 25mg x 1 dose. Patient ate food and at 10:18 reports lip swelling and burning. 10:20 patient was given dexamethasone 4mg x 1 dose and Pepcid 20mg x 1 dose. 11:28 patient verbalized improvement of symptoms, patient was advised to continue with Benadryl 25mg every 8 hours x 1-2 days and to follow up with her primary care provider the next day.

Other Meds:

Current Illness:

ID: 1173735
Sex: F
Age: 34
State: FL

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
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Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Patient was sitting after the vaccine. About 15 minutes later, she stated she felt light headed and dizzy and started feeling clammy and sweating. She was also pale in color. She stated she did not feel well. We gave her Gatorade while we checked her blood pressure. It was 85/60 with a pulse of 57. after a couple minutes and some sips of Gatorade she said she was feeling a little better. She sat for another 10 minutes and went to the restroom. After she came back to the restroom, we took her blood pressure again and it was 93/68 with a pulse of 60. She stated she felt much better and decided she would go home with her companion. We called her at 7:30 pm to check in on her and she stated she felt much better, only pain in the arm, as expected.

Other Meds:

Current Illness:

ID: 1173736
Sex: F
Age: 35
State: AK

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
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Allergies: Codine

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

Symptoms: Felt dizzy, hives, chest pain/SOB; taken to hospital, .5 epi IM, 50 Benadryl IV, 125 mg solumedrol IV

Other Meds: Baclofen Lyrica Nortriptyline

Current Illness: n/a

ID: 1173737
Sex: F
Age: 68
State: FL

Vax Date: 04/02/2021
Onset Date: 04/04/2021
Rec V Date: 04/06/2021
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Allergies: None

Symptom List: Pain in extremity

Symptoms: Bloody nose three days in a row. April 4, 5, 6, 2021. Chills, fever, aches and pains, tired. Administered for 2nd COVID vaccination. Administration was at supermarket

Other Meds: Zinc, coq10, vitamin d3, tylenol, After taking second dose of COVID-19 moderna vaccine, had bloody nose 3 days in a row April 4, 5 and 6th

Current Illness: None

ID: 1173738
Sex: F
Age: 52
State: MA

Vax Date: 01/24/2021
Onset Date: 04/05/2021
Rec V Date: 04/06/2021
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Allergies:

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

Symptoms: Covid + with symptoms on 4/5/21

Other Meds:

Current Illness:

ID: 1173740
Sex: F
Age: 61
State: NY

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 04/06/2021
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Allergies: sussenta, oxycodone, Augmentin,

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

Symptoms: heart rate and breathing slowed down, shaking, cold, random words, headache

Other Meds: metformin 500mg, Lipitor, alolopril, singular, baby aspirin

Current Illness: covid pneumonia

ID: 1173741
Sex: F
Age: 61
State: MO

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/06/2021
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Allergies: Sulfa medication, Codeine, Botox, Gabapentin, Hydrocodone, Morphine, Oxycodone, Penicillin antibiotics

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

Symptoms: Swelling in ankles and feet, Muscle aches and pain, Shortness of breath Fatigue, Headache, and Blood Blisters on legs, arms and tops and bottoms of feet. All started around 12am 04/02/21 and have improved only slightly. Patient reported symptoms 04/06/2021 said that she was going to her doctor and that she still had shortness of breath and the blisters all over.

Other Meds: Unknown

Current Illness: Unknown

ID: 1173742
Sex: F
Age: 67
State: VA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
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Allergies: latex rash, formaldehyde =lung issues, GMO's, possibly gluten

Symptom List: Vomiting

Symptoms: 11:05 injection-burning sensation at site, assumed to be normal, sat down, within 17 min. top of hand began to prickle. Drawing cramping pain followed in forearm, prickling turned to numbness. Mentioned this to one attendant, who recommended sitting longer. Sensations continued, another nurse/attendant checked on me, also mentioned I sit at least 30 min. All other sensations normal-no nausea, no headache, etc. Small finger, finger next to it,-and their part of the hand to the wrist -were first numb, with occasional tingles, now still numb.[7:30 pm.] Slight cramp from top of arm to neck, is off -and- on from injection wait-time til now. I left at 11:55, took temperature at 12:20, =99.4 (my usual basal is 97.6).

Other Meds: Losartan Potassium 50 mg, HCTZ 25 [Bp is 142/83 now]

Current Illness: --

ID: 1173743
Sex: F
Age: 57
State: CA

Vax Date: 03/29/2021
Onset Date: 04/01/2021
Rec V Date: 04/06/2021
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Allergies: Penicillin Bee Stings

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 2 1/2 days later I broke out in a large rash/hive on the right side of my neck. It started behind by ear and ran down about 4 inches. It was raised and while not painful, it was uncomfortable. It started to dissipate 3 days later (today)

Other Meds: Ibuprofen and acetophenomin

Current Illness: n/a

ID: 1173744
Sex: M
Age: 41
State: TX

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
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Allergies: None

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

Symptoms: Noticed all dairy had different metallic taste. Drank milk at approx 2:30pm same day of vaccine, and noticed a very metallic taste. Also ate macaroni and cheese at approx 6:30 pm same day, and metallic taste was still prevalent. All other foods tasted normal.

Other Meds: Escitalopram 20mg POD LANSOPRAZOLE 60mg POD

Current Illness: None

ID: 1173745
Sex: F
Age: 46
State: FL

Vax Date: 03/31/2021
Onset Date: 04/04/2021
Rec V Date: 04/06/2021
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Allergies: Mushrooms

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Sore arm 5 days later threw up for 3 hours straight

Other Meds: Hydrochlorothiaziode 25mg Lisinopril 20mg Garlic 2000mg Vitamin D3 1000 IU Fish oil 1200 mg

Current Illness: None known

Date Died: 03/26/2021

ID: 1173746
Sex: M
Age: 61
State: NC

Vax Date: 03/20/2021
Onset Date: 03/26/2021
Rec V Date: 04/06/2021
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Allergies: NKDA

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

Symptoms: Received first dose 2/27/21 and received second dose 3/20/21 and died 3/26/21.

Other Meds: Losartin 100 mg Aspirin 81 mg Duller a Asthma inhaler

Current Illness: Asthma Hypertension

ID: 1173748
Sex: F
Age: 56
State: OH

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
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Allergies: Sulfa

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

Symptoms: Received vaccine at 3:25. At midnight I began have restless legs, pain in joints and muscles. Headache, diarrhea, chills and fever.

Other Meds: Rayos Hydrocortisone Xeljanz Plaquinil Cymbalta Trazadone Zanaflex Buspar Spirolactone Lisinopril Metoprolol Np thyroid

Current Illness: N/A

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am