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: 1178393
Sex: F
Age: 59
State: NM

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Asprin, peaches

Symptom List: Dysphagia, Epiglottitis

Symptoms: 102 fever, body aches, chills, headache, nausea

Other Meds: Benicar, Wellbutrin

Current Illness: allergies

ID: 1178394
Sex: F
Age: 63
State: OR

Vax Date: 04/04/2021
Onset Date: 04/04/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Not reported

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient with facial flushing and itching after vaccination. Patient self administered her own home Benadryl 50mg PO. With close monitoring, the patient returned to baseline and was returned home with a friend as a driver.

Other Meds: Not on File

Current Illness: Not on file

ID: 1178395
Sex: F
Age: 70
State: WI

Vax Date: 03/04/2021
Onset Date: 03/10/2021
Rec V Date: 04/07/2021
Hospital: Y

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

Lab Data:

Allergies: HCZ Morphine

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

Symptoms: Rapid heart rate requiring hospitalization and cardioversion (and planned cardiac ablation) six days after administration of first vaccine dose.

Other Meds: Eliquis; Enalopril; Carvedilol; Metformin; Trulicity; Myrbetriq; Oxybutynin; Imipramine.

Current Illness: None

ID: 1178396
Sex: F
Age: 40
State: PA

Vax Date: 03/28/2021
Onset Date: 03/30/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Period started 2 days later and lasted for 7 days (it wasn?t due for another 3 weeks)

Other Meds: Cymbalta Spironolactone

Current Illness:

ID: 1178397
Sex: F
Age: 45
State: CA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Pt requested medical consultation and I and paramedics arrived to assess. Pt has hx mast cell activation, in consultation with allergist took Benadryl, cromolyn sodium and Pepcid 1 hour prior to vaccination. 20 minutes after vaccination had pink puffiness of lower eyelids bilat and had GI bloating, no SOB/wheeze/tongue or throat swelling but elected to self-administer own Epi-Pen to prevent progression to anaphylaxis that has started with similar sxs in past. Exam: CV RRR no M slight tachycardia, bp 150/73 HR 107 RR 99. Pt observed for 10 minutes with no progression of sxs and advised to wait additional 15 minutes to ensure she was feeling well enough to drive home.

Other Meds:

Current Illness:

ID: 1178398
Sex: M
Age: 32
State: CA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
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: Severe headache and fever lasted about 12 hours. Max fever was 102.7 until otc acetaminophen was taken. Moderate symptoms continued to the next day and was unable to work or manage daily routine. Other moderate/mild symptoms included chills, joint and body pains.

Other Meds:

Current Illness:

ID: 1178399
Sex: M
Age: 35
State: MO

Vax Date: 03/15/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Tested positive for Covid 19 04/07/2021

Other Meds: Pantoprazole 40mg daily

Current Illness: N/A

ID: 1178400
Sex: F
Age: 49
State: AZ

Vax Date: 03/30/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: After about 10-12 hours of receiving the Covid Vaccine, I ran a fever and began to feel achy. My body aches continued for another 24hours.

Other Meds:

Current Illness:

ID: 1178401
Sex: M
Age: 16
State: NJ

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Pollen

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: This patient has a history of epilepsy. He received the vaccine approximately 1pm. This is a minor who was here with his father. At approximately 1:10pm we were alerted that he started to seize. 911 was called. The father had him on the floor. He came out of the seizure prior to EMS arriving. Once they arrived, the parent declined ambulance transportation to the hospital and said he would call his physician.

Other Meds: Levetiracetam

Current Illness:

ID: 1178402
Sex: F
Age: 61
State: NC

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Large Swelling in left arm upper muscle tissue. Warm to touch. Describe by urgent care physician (3/1/21) as "grapefruit size". Pain and limited mobility lasting for 5 days. Initially treated with ice compress and Tylenol. Large mass is still present 6 weeks later. When I went for my 2nd dose, the doctor on site recommended seeing physician. I saw my doctor 3/31/21. She recommended tests listed below. The recommendation from MRI results is surgical removal of the mass which measures 7.6x8.0x10cm

Other Meds: fish oil, Vitamin B12, Vitamin D, Daily multi-vitamin, Vitamin C

Current Illness: none

ID: 1178403
Sex: F
Age: 65
State: NV

Vax Date: 03/02/2021
Onset Date: 03/08/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Tetracycline

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

Symptoms: Tinnitus (severe) and extreme dizziness with nausea. The worst of it was on 3/8/21 and 3/9/21. I went to ENT doctor on 3/10/21 and was prescribed prednisone for 2weeks. That steroid had very little effect. I am able to function only if I take over the counter motion sickness pills every day. The tinnitus has not diminished but the dizziness is at manageable levels.

Other Meds: HRT and Spiriva

Current Illness: None

ID: 1178404
Sex: F
Age: 25
State: AL

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Nausea (30mins later, duration: 15 hours), low grade fever (24 hours later, duration: 7 hours), aches and joint pain (5 hours later: duration: 24 hours), arm soreness (15 minutes later, duration: roughly 48 hours)

Other Meds: Zyrtec, Nikki, Align Probiotic

Current Illness: None

ID: 1178405
Sex: F
Age: 35
State: NV

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Slight allergy to shellfish

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

Symptoms: Day of vaccine: I noticed about an hour after receiving vaccine that a couple areas on tongue felt like it had been burned (like it would feel if it had been burned on hot food or hot coffee). This lasted for a few hours. Two days after receiving vaccine: slight, very subtle tingling spots over body in morning. In afternoon, some slight tingling on right side of lips and area just above lips.

Other Meds: Tri-Sprintec birth control

Current Illness: N/A

ID: 1178406
Sex: M
Age: 37
State: FL

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
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: Patient lost consciousness for a couple of minutes approximately 5 minutes after receiving vaccine. Fell to the floor hitting his head. Pharmacist had tech call 911. Patient remained on the floor lying on his belly but talking and was sweating profusely. EMS took the patient by ambulance.

Other Meds: Unknown

Current Illness: Unknown

ID: 1178407
Sex: M
Age: 65
State: MT

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: nausea/vomiting, lack of apetite, sweats at night for more than 10 days post vaccination

Other Meds:

Current Illness:

ID: 1178408
Sex: F
Age: 61
State: TX

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/07/2021
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: Massive headache. Body aches. 102 fever. Hurt to walk. Touching skin pain. Very tired.. slept 18 hours. 4/2/21 . 4/3/21 still had previous symptoms but not as severe. Note: had covid in October 2020. Hospitalized 4 days only. Still feel certain effects of that.

Other Meds: Basaglar, victoza, Spiriva

Current Illness: None

ID: 1178409
Sex: M
Age: 27
State: MO

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Patient got home after vaccination and said he was having abdominal cramping. He is getting a CT at the hospital and will report results

Other Meds: None

Current Illness: No other illnesses at the time

ID: 1178410
Sex: F
Age: 55
State: MN

Vax Date: 03/17/2021
Onset Date: 03/19/2021
Rec V Date: 04/07/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I began developing pain in my left leg Friday, March 19th - two days after receiving my second injection. My early Monday morning I was in so much pain that I went to the ER. I was diagnosed with acute DVT in my entire left leg from the Iliac vein in my abdomen down to the ankle. The entire leg was occluded.

Other Meds: Lamictal, Escitalopram, Bupromium

Current Illness: none

ID: 1178411
Sex: F
Age: 34
State: CA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient began complaining of an itchy and tingling throat about 2-3minutes after vaccine given. A minute later stated it had stopped. Her HR was found to be 150 and B/P 140/ 98 with O2 sat of 97% on RA. Had patient deep breath with mask off and after about two minutes complained her throat was tingling again and Benadryl 50 mg was given IM. Stat team was called and took her to treatment area. Pt. talked on her phone throughout the incident and denied shortness of breath or discomfort.

Other Meds:

Current Illness:

ID: 1178412
Sex: F
Age: 35
State: OR

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Not on file

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

Symptoms: The patient presented with significant true vasovagal syncope. After evaluation, aggressive hydration, positional maneuvers, and close monitoring, she returned to baseline and was discharged home with her husband as the driver.

Other Meds:

Current Illness: Not reported

ID: 1178413
Sex: F
Age: 32
State: CA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient was vaccinated at 1125 on 03/20/2021, in the left bicep. Presented to the observation area at 1135 with progressively worsening throat and ear discomfort described as "itching." EMTs immediately placed patient on the monitor and collected a set of vital signs. Patient denies having LOC, syncopal episode, confusion, visual changes, generalized weakness, n/v, lightheadeness, dizziness, changes in vision, respiratory distress, sob, abdominal pain, n/v/d, swelling to the tongue or throat, feeling clammy or other associated symptoms at this time. Patient reported history of IV benadryl anaphylaxis. Provider administered 50 mg of Benadryl, by mouth, with water, at 1148. Patient tolerated medication well. Sister at bedside. Paramedics notified at 1145 and arrived at patient's bedside at 1158. Patient left at 1215 on stretcher with all personal belongings.

Other Meds:

Current Illness:

ID: 1178414
Sex: F
Age: 36
State: CO

Vax Date: 03/31/2021
Onset Date: 04/02/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Gluten allergy

Symptom List: Unevaluable event

Symptoms: Red swollen toes on my left foot with small clear bumps that severely itched. Put cortisone on the toes and covered loosely with a bandage. Was gone by next day.

Other Meds: Adderall XR; Spironolactone

Current Illness: None

ID: 1178415
Sex: M
Age: 37
State: NC

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
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: Starting at 11 PM (roughly 7 hours after injection), I developed severe flu-like symptoms. Fever, nausea, chills, and headache. I was unable to sleep for most of the night. I had a fever of over 100 degrees. The symptoms were the worst from 11 PM - 4 AM. They persisted throughout the next day (thus far), but have lessened in severity. They are still present, however, 28 hours after initial injection - although roughly 50% less severe. Acetaminophen seems to help.

Other Meds: Vyvanse, Pristiq, Adderall

Current Illness: None

ID: 1178416
Sex: F
Age: 33
State: OR

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Nickle

Symptom List: Injection site pain, Pain

Symptoms: Chills - 6 hours Fever - 8 hours High heart rate (sleeping average 83, wake average 103 when normal is in 60s) - 20 hours Headache - 4 hours

Other Meds: Daily vitamin, Flonase

Current Illness: N/A

ID: 1178417
Sex: M
Age: 86
State: TX

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: na

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient was given the second dose of Pfizer vaccine 16 days after the first dose, 1 day earlier than the grace period.

Other Meds: na

Current Illness: na

ID: 1178418
Sex: M
Age: 18
State: NC

Vax Date: 04/01/2021
Onset Date: 04/04/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

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

Symptoms: I have a sort of rash that is spread around my entire torso, under both armpits, and is partially on my neck and upper legs. I noticed it about three days after I received the vaccine, and then went to the doctor's office the next day to have it looked at. They addressed it as dermatitis, and I recieved doxycycline and predniSONE to take/use for the following 12 days, which I have been using since the morning of the 6th.

Other Meds: Holy Basil (herbal suppliment) Sudafed Ibuprofen clobetasol external solution ketoconazole shampoo

Current Illness:

ID: 1178420
Sex: M
Age: 75
State: MO

Vax Date: 03/02/2021
Onset Date: 03/09/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Headaches began a week after the 2nd Pfizer dose. They have now persisted for a month and counting.

Other Meds:

Current Illness:

ID: 1178421
Sex: F
Age: 43
State: TX

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Extremely high resting heart rate for the entire day 5/6/21. Average heart rate was 100. Highest rate was 154. It was over double my normal heart rate. No medications except the allowed amount of Advil every 6 hours. Other symptoms were fever, stuffy nose, body aches, skin soreness, and extreme fatigue.

Other Meds: None

Current Illness: None

ID: 1178422
Sex: F
Age: 70
State: IL

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: NONE

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

Symptoms: JANSSEN COVID-19 EUA. ADMINISTERED VACCINE TO PATIENT AT APPROXIMATELY 10:30 AM. PATIENT WALKED OUT TO THE WAITING AREA AND WAS SITTING WHEN REPORTED THAT SHE WAS FEELING DIZZY AT ABOUT 10:45 AM. OFFERED PATIENT AN ICE PACK AND WATER - SHE DECLINED; SHE DRANK SOME TEA SHE HAD. BY 11:00 AM HER SYMPTOMS WERE RESOLVED AND PATIENT LEFT OF HER OWN ACCORD.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1178423
Sex: F
Age: 56
State: NM

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Feeling dizzy after 24 hours of receiving the first shot of the MODERNA COVID vaccine. Ater three days, felt the house was spinning when waking up.

Other Meds: High blood pressure

Current Illness: None

ID: 1178424
Sex: F
Age: 61
State: CA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: a 61 yo female who presents today for her first Moderna vaccination. Vaccine was administered at 1312 in the left deltoid. After receiving the vaccine, the patient was sent to the observation area where she reports that she, ?began to feel her throat closing.? At 1315, she was brought to the medical tent area with worsening complaints of ?throat closing? and ?difficulty breathing.? EMT's immediately placed the patient on the monitor for vital signs monitoring. Patient denies feeling lightheaded, dizzy, confusion, loss of consciousness, shallow breathing, wheezing, increased heart rate, swelling to the tongue, n/v/d or clammy skin. Provider administered 50 mg of PO Benadryl at 1318, with water. Medications tolerated well. Patient also self-administered own albuterol MDI, as directed and prescribed. EMS notified at 1305 and at bedside by 1315. Patient transferred to Hospital for further evaluation. Patient left with all personal belongings and medications.

Other Meds:

Current Illness:

ID: 1178425
Sex: M
Age: 69
State: NJ

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: day after shot ,sore arm ,very tired then entire body sore for the next 5 days plus a minor headache felt better on 6th day

Other Meds:

Current Illness: none

ID: 1178426
Sex: F
Age: 22
State: CA

Vax Date: 04/02/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Relafen, keflex

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

Symptoms: Broke out in round patchy rash on face and body about four days after after receive first dose of Maderna Covid vaccine. Also exacerbated existing eczema on arms.

Other Meds: Zyrtec, gabapentin, vitamin D, synthroid, pain medicine, generic ortho tri cyclone lo, Prevacid, iron supplement

Current Illness: Mast cell activation syndrome, Rheumatoid arthritis, fibromyalgia, positional orthostatic hypertension, disautonomia, pain amplification syndrome (genetic scn9a), migraines, poly cystic ovarian syndrome

ID: 1178427
Sex: F
Age: 37
State: OR

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
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Lab Data:

Allergies: Azithromycin

Symptom List: Tremor

Symptoms: The patient presented with a moderate vasovagal reaction.VS remained stable. The patient improved with oral hydration and close monitoring. The patient did have nausea at the time of discharge, though she notes this is common for her. She was discharged home with her husband as a driver.

Other Meds: not reported

Current Illness: Not reported

ID: 1178428
Sex: F
Age: 62
State: CA

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/07/2021
Hospital:

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Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Witnessed syncopal episode that occurred approximately 5-10 mins s/p Moderna vaccine @ 12:05 pm. LOC lasted approx 30 seconds, pt regained full consciousness without painful stimuli. Pt was placed on cardiac monitor, and in trendelenburg position and vital signs obtained,BP 102/60, (see below). Pt initially reported improvement of symptoms however would experience worsening of symptoms nausea/vomiting, shakiness, and lightheadeness with any mild movement even after 30 mins observed. Pt had two episodes of vomiting total. Since Symptoms of lightheadedness, shakiness nausea worsen with very minimal movement pt states unable to even get out of medical bed. Plan was discussed with patient and patients husband for further evaluation in ER due to persistent symptoms and inability to ambulate on her own without experiencing worsening symptoms. . Therefore EMS was called for transport @ 12:57pm. Pt alert and oriented x 4 , VSS throughout entire observation. Denies CP/SOB/ lip swelling. Outcome of the adverse event (if paramedic please list hospital taken to): EMS called at 12:57pm for transport to ER. EMS arrived on seen at 13: 32pm Pt transported to hospital @ 13:40.

Other Meds:

Current Illness:

ID: 1178429
Sex: F
Age: 57
State:

Vax Date: 02/24/2021
Onset Date: 03/06/2021
Rec V Date: 04/07/2021
Hospital:

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Lab Data:

Allergies: None

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

Symptoms: 9days after shot my arm became very soar, puffy and a red rash developed around the injection site. The red rash spread over my arm down to my elbow. It took about a week to go away.

Other Meds:

Current Illness: None

ID: 1178430
Sex: F
Age: 48
State: NC

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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Lab Data:

Allergies: Amoxicillin

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

Symptoms: Approximately 40 minutes after administration of the medication, general statement to another staff member that she was feeling itchy. This other staff member reported it to me. I assessed staff member and her complaints were that her throat was feeling tight and that her arms were itchy and she felt anxious and hot. No rash noted. Staff member was given a fan to cool off and she kept insisting that she was fine. Benadryl 50mg was given po at her request at approximately 50 minutes after vaccine. About 75 minutes later, she states she feels like it may be getting worse. I phoned NP and called EMS. Staff member had her own Epi pen (states she asked for it when she had a reaction to Amoxicillin a while back). While on the phone with EMS dispatcher, and staff member was answering questions, it was decided to have staff member to go ahead and do her Epi pen auto inject. It was injected by herself in her Right outer thigh. Almost immediately staff member states that she felt better. EMS arrived a short time later, approximately 12 minutes, staff member states felt better, with no further feelings of her throat being tight or itchy. BP was elevated at 170/90 as per EMS. Staff member refused to go to ER to be evaluated as she states "I am much better now." Staff member continued to stay at work for another 30 mins and allowed a fellow staff member to follow her home. I also checked on her at 745pm via phone and she states that she is just sleepy.

Other Meds:

Current Illness:

ID: 1178431
Sex: M
Age: 41
State: PA

Vax Date: 03/30/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Inflamation and slight soreness at injection site after 8 days. No symptoms prior to day 8.

Other Meds: Amazing grass supergreens powder

Current Illness: None

ID: 1178432
Sex: M
Age: 48
State: MD

Vax Date: 04/05/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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Lab Data:

Allergies: Neosporin

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

Symptoms: Rash on right arm for shot 2. Rash on chest and stomach for shot 2.

Other Meds: Allegra, Sudefed, Rhinocort

Current Illness:

ID: 1178433
Sex: F
Age: 42
State: MD

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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Lab Data:

Allergies: Unknown at this time.

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

Symptoms: Severe headache; left arm soreness; dizziness

Other Meds: Lisinopro 5mg; Zirtec; Munsinex

Current Illness: None at this time

ID: 1178434
Sex: F
Age: 86
State: CA

Vax Date: 02/01/2021
Onset Date: 03/24/2021
Rec V Date: 04/07/2021
Hospital:

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Lab Data:

Allergies: Penicillin, beta blockers

Symptom List: Pain in extremity

Symptoms: Body Rash. Both upper arms, lower back, back of legs, mouth. Significant itching and discomfort. Right upper arm developed Cellulitis. Treatment - Cephalexin 500mg, Triamcinolone acetonide 0.025% cream, hydrOXYzine 50mg.

Other Meds:

Current Illness: None

ID: 1178435
Sex: F
Age: 48
State: CA

Vax Date: 03/17/2021
Onset Date: 03/21/2021
Rec V Date: 04/07/2021
Hospital:

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Lab Data:

Allergies: Sulfa

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

Symptoms: ?Moderna arm? Hard, very large lump that took up my entire arm. Hot and itchy. Lasted 1-2 days.

Other Meds: None

Current Illness: N/a

ID: 1178436
Sex: F
Age: 40
State: VA

Vax Date: 03/31/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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Lab Data:

Allergies:

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

Symptoms: Swelling, redness and itchiness at injection site after 7 days.

Other Meds:

Current Illness:

ID: 1178437
Sex: M
Age: 39
State: CA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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Lab Data:

Allergies: None

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

Symptoms: Pt noted to have Syncopal episode, pale skin and diaphoretic, unable to arouse at this time, verbal stimuli attempted with no response, sternal rub successful ( patient responded with a audible groan). MD notified for evaluation. Paramedic summoned, 911 EMS summoned on scene for transportation. Pt alertness increased, pt became combative when onsite staff attempted to escort to ambulance, . Pt agreed to be evaluated. Hospital contact made by medic. Pt refused care. Scene cleared by vaccine site.

Other Meds: None

Current Illness: None

ID: 1178438
Sex: M
Age: 18
State: MI

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
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Lab Data:

Allergies: Eggs Seasonal Dogs, cats, etc

Symptom List: Vomiting

Symptoms: Soar throat, headache, tiredness, weakness

Other Meds: Entyvio by IV Singular Inhaler Vitamin d Iron Flovent inhaler

Current Illness:

ID: 1178439
Sex: F
Age: 63
State: CA

Vax Date: 03/26/2021
Onset Date: 04/05/2021
Rec V Date: 04/07/2021
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Lab Data:

Allergies: NONE KNOWN

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: red, itchy welts all over back and left side of body - same side as arm where vaccine was administered. Started feeling itchy around 9 p.m. on 4/5/21, awoke around 1 a.m. on 4/6/21 with extreme itchiness, got up and put Benedryl cream on rash area, and fell asleep again. Awoke 7:30 a.m., 4/6/21 and rash and welts were warm to touch, welts raised. Took a Benedryl and drank lots of water. Itchiness subsided within an hour - welts disappeared within 2 hours, redness disappeared by end of day.

Other Meds: SINGULAIR, 10 MG SYNTHROID VIT D, B, MAGNESIUM

Current Illness: NONE

ID: 1178440
Sex: M
Age: 57
State: NV

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/07/2021
Hospital:

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Lab Data:

Allergies: Morphine

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

Symptoms: FATIGUE/LOSS OF ENERGY-2 DAYS (BEDREST/LIGHT DUTY ACTIVITYS) RESTLESSNESS-6 HOURS (NO REMEDY TAKEN) HEADACHE-3 DAYS (TYLENOL) ALTERED SENSE OF SMELL (METALIC/MECIDINAL BASED-OVERWELMING) 36 HOURS (NO ACTION TAKEN)

Other Meds: Acetaminophen 500mg

Current Illness: None

ID: 1178441
Sex: F
Age: 37
State: CA

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/07/2021
Hospital:

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Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 37 y/o female with known hx of epilepsy c/o 2 episodes of witnessed grand mal seizure over a 2 minute period s/p receiving 1st dose of Moderna. Time of Moderna dose unknown. 1st witnessed seizure while sitting in chair in observation room @ 15:34, lasted approximately 30 seconds. Assisted patient to wheelchair and placed on cardiac monitor in med bay bed. Turned patient on side and @15:35 had second witnessed grand mal seizure. Lasted approximately 50 seconds, 911 called during this time and patient placed on oxygen. Pt post-ictal until 15:42, not alert or oriented to person place or time. Pt slowly became A & O x 4, states curently on Keppra and Diltiazem, no skipped doses. Informed pt 911 was called and on their way, pt stated that she did not want to go to ER. EMS arrived at this time @ 15:52 and took over evaluation of patient. Per EMS, long discussion with patient and is signing out AMA. Pt informed EMS she will go by private transport, husband will drive her to nearest ER. Upon dc, pt alert and oriented x 4. EMS transported patient to outside of the center to join husband. Vital Signs: Time: 15:34 BP: 124/56 P: 98 O2 Sats: 100% on 3L Time: 15:52pm BP: 127/62 P: 98 O2 Sats: 100% on no oxygen Labs/tests done: none Medications given: none Outcome of the adverse event (if paramedic please list hospital taken to): EMS arrived on scene at 15:52 and took over care of patient. Informed pt EMS their rec is to transport to ER for further evaluation however pt refusing. Pts husband contacted and states will drive patient to nearest ER at the hospital.

Other Meds:

Current Illness:

ID: 1178442
Sex: F
Age: 62
State: CA

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/07/2021
Hospital:

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Lab Data:

Allergies: Keflex and sulfur

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

Symptoms: Within 3 hrs I started experiencing severe hip and leg pain. on left side. Excruciating pain during nighttime hours to the point you could not sleep. After 3 days it moved to knee. Went to emergency room at 3am April 4th. Discharged with no relief

Other Meds: Synthroid 75mcg Lipitor 10mg Probiotic Vitamin c Womens multi vitamin Tumeric Calcium

Current Illness: No

ID: 1178443
Sex: F
Age: 43
State: CA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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Lab Data:

Allergies:

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

Symptoms: Dizziness. Felt faint, likely dehydrated - resolved with water. Vitals wnl.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am