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: 1178906
Sex: F
Age: 29
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: None

Symptom List:

Symptoms: Excruciating headache, body aches, chills, fever 102. Overall feeling unwell

Other Meds: None

Current Illness: None

ID: 1178907
Sex: F
Age: 67
State:

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: None

Symptom List:

Symptoms: On the 8th day a rash developed about 10 cm in diameter around the injection site. Extreme itching. Area warm to the touch.

Other Meds: None

Current Illness: None

ID: 1178908
Sex: F
Age:
State: AZ

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

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

Lab Data:

Allergies: Medications containing sulfa Gluten

Symptom List:

Symptoms: Chills and body aches throughout the day. Headache began around 4pm with a worsening of chills and body aches. Took some Advil and went to sleep for the night at 9pm. Woke up at 7am feeling great with no additional concerns to report.

Other Meds: Multivitamin for women over 50 Magnesium supplement (400 mg) Vitamin D supplement (2000 IU) Horsetail (880 mg)

Current Illness: None

Date Died: 04/07/2021

ID: 1178909
Sex: M
Age: 75
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: He complained Fever and after that shortness of breath, and when I tried to see a Doctor he suddenly collapse and died

Other Meds:

Current Illness:

ID: 1178910
Sex: M
Age: 33
State: PA

Vax Date: 04/05/2021
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:

Symptoms: Grand mal seizure, 2:30 a.m. , second night after injection, 3-5 minutes.

Other Meds: depakote, fluoxetine, seroquel, clonazepam

Current Illness:

ID: 1178911
Sex: M
Age: 68
State: AZ

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: toradol, peanuts

Symptom List:

Symptoms: Three-day fever, average 100.2 F, listlessness, fatigue, myalgias, headache

Other Meds: Adderall, clonazepam, lorazepam, sertraline, Nexium, Pepcid, propranolol, metoprolol, rosuvastatin, ambien, losartan, magnesium, zinc, vit.d, vit k2, mva, ocrevus, evinity

Current Illness: MS stable

ID: 1178912
Sex: F
Age: 53
State: WA

Vax Date: 04/04/2021
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: Sulfa

Symptom List:

Symptoms: Woken up in the middle of the night with a pounding fast heart beat aprox 14 hers after injection. Other symptoms that were not as serious for the next day were a left side armpit lymph node with swelling and pain, soreness at injection site, chills, head swimming, eye puss , and intermittent nausea.

Other Meds: L-glutamine

Current Illness: Ulcer undiagnosed?

ID: 1178913
Sex: M
Age: 61
State: PA

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

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

Lab Data:

Allergies: Keflex. Grass, Ragweed

Symptom List:

Symptoms: Intermittent Arm and Hand Tingling, Numbness, Occasional shocking and minor loss of grip. Right hand more severe than left. Increasing frequency as time passes. Duration 10 minutes to several hours. I have not seeked medical help yet. Hoping this is a temporary issue.

Other Meds: Lantus 49 units, Atorvastatin 20mg, Losartan Potassium 25mg,Metformin HCL ER 1000MG, Fexofenadine Hydrocloride 180mg

Current Illness:

ID: 1178914
Sex: F
Age: 40
State: MI

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:

Symptoms: Headache started in the evening progressing to migraine by 11pm or so. General muscle aches and loss of appetite same evening.

Other Meds: Multivitamin, vitamin D

Current Illness: None

ID: 1178915
Sex: M
Age: 37
State: CA

Vax Date: 04/02/2021
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:

Symptoms: Severe eye irritation, swollen face, bell's palsy, and hives.

Other Meds:

Current Illness:

ID: 1178916
Sex: F
Age: 59
State: AZ

Vax Date: 03/12/2021
Onset Date: 03/22/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Bees Celiac's disease

Symptom List:

Symptoms: This may be nothing as it's pretty weird and unusual. My sense of smell seems to have increased quite a bit after I received the Moderna shot and has not yet gone away. I'm just reporting this in case others notice this also. It's not a bad symptom unless I smell something unpleasant.

Other Meds: Vitamins Estrogen Progesterone

Current Illness: None

ID: 1178917
Sex: M
Age: 22
State: AZ

Vax Date: 04/02/2021
Onset Date: 04/03/2021
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:

Symptoms: Vomiting, fever, chills starting at 2am (apprx 9 hours after vaccination) Vomiting continued for 5 days. Prescribed Zofran at urgent care for nausea.

Other Meds: Humalog Daily as needed to manage T1d Lexapro 20 mg daily 1 Daily Multivitamin 1000mg Fish Oil

Current Illness: N/A

ID: 1178918
Sex: F
Age: 38
State: CA

Vax Date: 03/26/2021
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:

Symptom List:

Symptoms: Itchy, red, raised, circular rash at injection site

Other Meds:

Current Illness:

ID: 1178919
Sex: F
Age: 24
State: NY

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 04/07/2021
Hospital: Y

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

Lab Data:

Allergies: Wheat, gluten, corn, rice, peanuts, tree nuts

Symptom List:

Symptoms: I had a spontaneous case of foot drop due to acute compartment syndrome in the lower left leg that required immediate surgery. The onset of symptoms had no cause and occurred two days following the first dose of the vaccine. I had a similar event occur 10 years prior on the right leg, with no obvious cause, requiring surgery. And since have been diagnosed with Mast Cell Activation Disorder in 2015.

Other Meds: Montelukast Levothroxine Allegra Low dose aspirin Lo Loestrin Fe Multi vitamins Sodium chromolyn

Current Illness: None

ID: 1178920
Sex: F
Age: 53
State: AL

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:

Symptoms: Nausea, Foggy Brain. Started about 12 minutes after injection & lasted about 4 hours.

Other Meds: Levothyroxine, voltaran, cymbalta,janumet XR

Current Illness: Seasonal allergies

ID: 1178921
Sex: F
Age: 32
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: unknown

Symptom List:

Symptoms: 6:30 pm an RN reported to me that patient complained of tingling and numbness sensation on the left arm which the covid 19 vaccine was given at 6 pm. RN was by the side of the patient, was instructed to check VS: BP 140/70, T 97.9, O2 Sat 98% RA, RR 20, HR 87. Patient was awake and alert in the sitting position with her husband. 6:42 pm, unable to contact command center (1-888-634-1130), 911 was called. Per EMT instructions, patient was able to life her both arms in the air, able to smile, and ale to repeat the sentence as stated y the EMT staff on the phone. EMT arrived at 7 pm, he explained to patient that she would not be charged since patient was nervous of the charges that might be imposed to her. He performed assessment and VS: BP 154/101, HR 98, O2 Sat 100% RA, RR 20, patient stated her tingling and numbness sensation on her left arm was gone and she would not want to be escorted to the hospital for further assessment and treatment. Patent signed the form for further treatment with EMT staff. Patient was able to ambulate with steady gait without any issues with her husband to the parking lot. A nurse educator reported with the incident. Suggestion was made to have a form that patient/family can sign to refuse further treatment and able to be discharged with their decision.

Other Meds: antidepressants

Current Illness:

ID: 1178922
Sex: F
Age: 24
State: CA

Vax Date: 03/27/2021
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: Nickel

Symptom List:

Symptoms: Red ring around vax site

Other Meds: Birth control combination pill

Current Illness: No

ID: 1178923
Sex: M
Age: 31
State: UT

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: none

Symptom List:

Symptoms: As expected from any vaccine I've received, I have a sore arm that is lasting over 3 days (again, this is expected). What I wasn't quite expecting: -Fever at 101 for 48 hours -Extreme fatigue for 48 hours -Alternating chills and hot flashes/sweating for 48 hours -Quite strong aches and pains (hurt to lay down, sit, stand, just existing hurt) for 48 hours -Headache for 48 hours -Itchy/sore throat around the 24 hour mark, lasting to the 36 hour mark from time of injection Treatment: I took 400 mg of Ibuprofen around the 12 hour mark from vaccination (about 5 hours after fever spiked at 101--fever rose no higher than 101). I continued 400 mg of Ibuprofen the next morning and once more that same evening (two does of 400 mg Ibuprofen). Each of those doses brought fever down to around 99 for about 4 hours, and I felt considerably better (though definitely still quite sick--just not contained-to-lying-in-bed sick). I took 200 mg of Ibuprofen around the 36 hour mark, and that was it. Fever then back to normal range (approx 98) and feeling 95%-100% recovered all day. Obviously none of those are life-threatening, but they sure knocked me out. Definitely way worse than the "mild" symptoms advertised. I'm definitely not complaining, as I'm overjoyed to now be vaccinated, and I'm so grateful for the scientific community, the CDC, and you people reading this right now for all your work in making it happen, and doing it as safely as possible. Thank you!

Other Meds: none

Current Illness: none

ID: 1178925
Sex: F
Age: 69
State: NY

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: Codiene Theophylline

Symptom List:

Symptoms: I believe that my 2nd shot for covid19 was given improperly. It was given up at the top of my left arm where my shoulder is. When the alcohol was rubbed on my arm, I mentioned to the shot giver that I thought it was too high on my arm. I pointed to where I had gotten my first shot which was into my deltoid muscle, perfectly. She rubbed her finger on my arm and reapplied more alcohol and gave me my shot at the top of my arm above the deltoid muscle where my first shot had been properly given. This second shot was noteable in its discomfort, opposite of what was felt with my first vaccine shot 3 weeks prior. I remarked shortly after to my husband that my shoulder was indeed becoming painful. By 5:30 pm, it was quite painful and I couldn?t move it normally without extreme discomfort.

Other Meds: Atorvastatin Synthroid

Current Illness:

ID: 1178926
Sex: F
Age: 51
State: NC

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: Bee Allergies, Benadryl, Sulfa meds

Symptom List:

Symptoms: Approximately 2.5 hours after vaccination, I experienced difficulty breathing, overheating, and a sensation of my head, neck, and chest swelling up. Emergency inhaler was used. Ice packs were applied to head and chest areas for 45 min. Breathing eased up slightly after about an hour. Tightness in chest and neck for next 4 hrs. Continued bouts tightness in chest and neck with labored breathing, lightheadedness, and vertigo over next 8 days. Took Zyrtec 2 times daily, inhaler 3 times daily, and Flexeril 2 times daily. Went to Urgent Care on day 8 after calls to allergy dr and gp dr were not returned. Prescribed Prednisone to help with inflammation.

Other Meds: Zyrtec, Trazadone

Current Illness:

ID: 1178927
Sex: F
Age: 63
State: FL

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: Seasonal, dust mites, mold, scallops, eggs, dairy, afrin, neospotin, sulfa drugs, astilin, ultram, lovenox

Symptom List:

Symptoms: Within 15 minutes-Itching mouth, by 30 minutes-face and lip swelling, blood pressure 210/110 for several hours.

Other Meds: Eliquis,

Current Illness: None

ID: 1178928
Sex: F
Age: 71
State: MI

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: SULFA DRUGS, ALL ACE INHIBITORS

Symptom List:

Symptoms: I'm not sure this was the cause, I blacked out from standing to the floor. Woke up on floor, hurt back, took Motrin 800 mg, used Ice and Heat for Pain. Did not report to Dr., just though I brused Back Badly

Other Meds: HCTZ 25 MG,NORVACE 5MG,PROZAC 80MG,COZZAR 25G,NEXIUM25MG,SYNTHROID 125 MCG,FOLIC ACID 1MG,ALLOURINAL 100MG,BIOTIN 1 MG, CRANBERRY 25,000,VIT D 10,000UNITS,

Current Illness: NONE

ID: 1178929
Sex: M
Age: 58
State: GA

Vax Date: 03/30/2021
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: No known.

Symptom List:

Symptoms: Ringing in right ear. Onset 4 hours after injection. Ringing persists until now.

Other Meds: Allopurinol

Current Illness: Gout.

ID: 1178930
Sex: F
Age: 65
State: CA

Vax Date: 03/10/2021
Onset Date: 03/11/2021
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:

Symptoms: Patient stated her vaccinated arm became red and itchy the day after receiving the vaccine. It gradually grew to be the size of her palm. It went away on its own after 4-5 days.

Other Meds: UNKNOWN

Current Illness: N/A

ID: 1178931
Sex: F
Age: 36
State: NY

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: Bee stings, walnuts, dust

Symptom List:

Symptoms: Lasting 3 days: Severe migraine, loss of appetite, nausea, dizziness, chills, fever, myalgia, arm pain/tingling/severe stiffness in both arms, severe fatigue and joint pain. Lasting 7+ days: joint pain, fatigue, headache.

Other Meds: lialda (mesalamine), multivitamin, vitamin D, magnesium

Current Illness:

ID: 1178932
Sex: F
Age: 44
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: None

Symptom List:

Symptoms: Patient reported severe dizziness, raised temperature, increased heart rate, and dry mouth. She had trouble sitting up the chair and came close to falling over several times. Pharmacist stood by the patient in case emergency attention was needed. Instructed spouse to provide water. Pharmacist provided patient with a handheld fan to cool her down. Spouse later told the pharmacist he would take the patient home. Denied epinephrine and ambulance.

Other Meds: None

Current Illness: None

ID: 1178933
Sex: F
Age: 51
State: CO

Vax Date: 02/13/2021
Onset Date: 03/17/2021
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:

Symptoms: Tinnitus, ringing in ears since second vaccination, possibly since the first.

Other Meds: none

Current Illness: none

ID: 1178934
Sex: F
Age: 47
State: CA

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

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

Lab Data:

Allergies: None Reported

Symptom List:

Symptoms: Pt recieved the Janssen vaccine. Roughly ten minutes after administration of vaccine pt states that she has left arm knumbness and tingling. Pt evaluated and vitals stable. Pt states she has not other means to get to hospital and would like transport by ambulance. Pt states she has never had an adverse reaction or any issues with her left arm.

Other Meds: None Reported

Current Illness: None Reported

ID: 1178935
Sex: M
Age: 62
State: MT

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: None. though did react to Pneumonia vaccine with similar reaction, but malaise lasted three days with that. This time it was only chills for 45 minutes and malaise for ten hours.

Symptom List:

Symptoms: After 17 hours: Uncontrollable chills, though temperature was only slightly elevated at 99 degrees. Malaise lasted 10 hours. Pain at arm lasted 40 hours. Slight pain with pressure continues now. (about 60 hours)

Other Meds: Fiasp, Farxiga, Semistatin

Current Illness: none

ID: 1178936
Sex: F
Age: 73
State: OR

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Quinine Cipro Codeine

Symptom List:

Symptoms: Immediate histamine reaction after shot (post nasal drip, sore throat, feeling of lump in throat). Immediate soreness in arm at injection site. Symptoms lasted 3 days. Rash and itching at injection site 2.5 weeks after vaccine. Symptoms lasted 3 days

Other Meds: Levothyroxine 88mcg Gabapentin 900mg

Current Illness: Graves Disease

ID: 1178937
Sex: F
Age: 19
State: AR

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:

Symptom List:

Symptoms: I had an incredibly fast heart rate, even while laying down for a long time. I fainted after walking less than a half mile to get food

Other Meds:

Current Illness:

ID: 1410511
Sex: U
Age: 50
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: DEMEROL; BEE VENOM; DARVOCET; VANCOMOCIR

Symptom List:

Symptoms: THROAT TIGHTNESS HEADACHE SOB

Other Meds:

Current Illness: DIABETES, OSA

ID: 1413822
Sex: F
Age: 39
State: FL

Vax Date: 03/30/2021
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: nkda

Symptom List:

Symptoms: 3/31 her L Arm was sore, raised, quarter-sized redness in area BELOW her deltoid /POSTERIOR to deltoid; then it got better; then on 4/6 it became itchy, painful , large area of redness (18cmx10cm)in area where vaccine was administered

Other Meds: benadryl

Current Illness: none

ID: 1178938
Sex: F
Age: 58
State: GA

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills (possibly before I realized I was having side-effects) Extreme Fatigue Extreme Muscle Soreness (hurt to touch my own body, to sit, to lay) Extreme Joint Pain (swollen hands from trying to use computer)

Other Meds: Spirinolactone

Current Illness: none

ID: 1178939
Sex: F
Age: 49
State: CA

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Nka

Symptom List:

Symptoms: Fever, muscle ache in entire body, chills, headache

Other Meds: Diltiazem. Prylosec

Current Illness:

ID: 1178940
Sex: F
Age: 55
State: CA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
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Allergies: Sulfa

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Symptoms: Sore muscle at injection site. Started mildly right away, increased noticeably throughout the day and faded the next day, April 7, 2021. Only minor soreness at present (4/7/21, 9:00 pm)

Other Meds: 50 mg losartan 5 mg Lexapro Black cohosh 5,000 mg vitamin D3

Current Illness:

ID: 1178941
Sex: F
Age: 45
State: TX

Vax Date: 03/31/2021
Onset Date: 04/02/2021
Rec V Date: 04/08/2021
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Allergies: None

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Symptoms: Rash, itchiness at injection site , worsened at 7 days

Other Meds: None

Current Illness: None

ID: 1178942
Sex: F
Age: 79
State: AZ

Vax Date: 04/01/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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Allergies: none

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Symptoms: Large Red Circle around injection site, tender and warm to the touch, lasted 10 hours then went away.

Other Meds: none

Current Illness: none

ID: 1178943
Sex: F
Age: 75
State: OH

Vax Date: 02/22/2021
Onset Date: 03/05/2021
Rec V Date: 04/08/2021
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Allergies: Aleve

Symptom List:

Symptoms: I don't know if this is related to the COVID-19 vaccine, but about two weeks after I received the second dose of my Pfizer vaccine, I developed swelling and pain in my hand joints. took ibuprofen for the pain, and eventually went to my internist who did blood tests to rule out rheumatoid arthritis. The two tests (Rheumatoid factor and CCP Antibody were both positive. She sent me to a rheumatologist. He concurred that I have rheumatoid arthritis and gave me a prescription for hydroxychloroquine. I am to go back to see him in 3 months. He commented that it is unusual that the first sign of rheumatoid arthritis would occur at age 75 (although I do have some family history of arthritis -- an uncle and a cousin).

Other Meds: Glucosamine, citracal, pepcid

Current Illness: None

ID: 1178944
Sex: M
Age: 71
State: CA

Vax Date: 02/17/2021
Onset Date: 02/22/2021
Rec V Date: 04/08/2021
Hospital: Y

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Allergies: Penicillin

Symptom List:

Symptoms: COVID 1 vaccine on 1/20/21 then 14 days later Shingles 2 shot 2/3/21 (102.2 fever) and then 14 days later COVID 2 vaccine (102 fever). Started seeing behavior shift week of 2/21/21- 3/4/21. Three different business associates reported patient acting out of the ordinary. 3/5/21 started hallucinating. Been in hospital 4 times between 3/6/21- present. Been in hospital continuously since 3/27/21. Has been tested for everything and only main abnormality is that CSF barrier shows signs of injury and CSF protein was elevated (3/7 - 60, 3/15- 68, 3/27 - 73, then back to normal 4/1/21 - 42). Started treatment for autoimmune encephalitis on 4/2/21 and did 5 days of steroid drip. Did not improve with that treatment so doctors decided not to do plasma exchange at this point. Neurologist now indicating that psychiatrist will treat for psychotic symptoms. Healthy 71 year old male, no medications, no history of mental illness, no existing health conditions, no history of depression or anxiety, worked out 3 times a week with personal trainer, very involved in community, sharp mind. Complete personality change directly after vaccines.

Other Meds: No prescriptions or over the counter medications taken at time. Multi vitamin, Protandim ( NrF1, NRF2, NAD).

Current Illness: None

ID: 1178945
Sex: M
Age: 69
State: IL

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/08/2021
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Allergies: None

Symptom List:

Symptoms: Continuous pain in the injection area

Other Meds: Fish oil, glusomine chondroitin, vitamin e, vitamin b complex, beta carotene, vitamin c, alpha lipoid acid, l-carnitine hci, quercetin, magnesium, coq10, dhea, vitamin d3, potassium, Tumeric Curcumin, zinc

Current Illness: None

ID: 1178946
Sex: F
Age: 53
State: WA

Vax Date: 03/23/2021
Onset Date: 03/01/2021
Rec V Date: 04/08/2021
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Allergies: Penicillin

Symptom List:

Symptoms: About a week after my COVID-19 shot my arm became very itchy, red and warm. There was a swollen hard bump where the injection had been given that was a bit tender. It remained that way for a couple of days. Now, more than two weeks out from the injection I still get itchy from time to time.

Other Meds: N/A

Current Illness: N/A

ID: 1178947
Sex: F
Age: 50
State: CA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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Allergies: None Reported

Symptom List:

Symptoms: Pt recieved the Janssen vaccine in her left arm. Pt was in observation and pt reported shortness of breath. Pt stated she felt anxious. Pt was vitals stable. Pt was coached and no longer felt SOB. Pt had no other complaints and signed up AMA.

Other Meds: None Reported

Current Illness: None Reported

ID: 1178948
Sex: F
Age: 58
State: AZ

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 04/08/2021
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Allergies: Sulfa

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Symptoms: The day after my 2nd vaccine, I was in excruciating pain in my right arm, hand and fingers. It felt like someone had driven a nail into my hand (and I'm not a Christian). As of today, my hand and fingers are almost completly numb and my fingers tingle all the time. I was given a sterioid treatment, prescriptions for Gabapentin, Tizanidine, and Hydrocodone after days of being in bed with debilitating pain. I am no longer on the steriod, and can function without the Hydrocodone. However, I continue to take the Gabapentin and Tizanidine because I have a completely numb right hand with painfully tingling fingers. Every day is a challenge for me to function because I often feel stinging pain at the injections site along with shoulder pain, in addition to the pain in my hand and fingers.

Other Meds: Multi-vitamin, B12 supplement, Vitamin B, vitamin K2 and D3 (combo), Preser Vision, Zoloft, Xanax, Meloxicam, Lorsartin, Amlodipine Besylate, Omega 3 and Calcium gummies.

Current Illness:

ID: 1178949
Sex: F
Age: 64
State: AZ

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
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Allergies: No

Symptom List:

Symptoms: Head felt like it was on fire. Shivering , but not cold. Tremendous headache. Throwing up, huge lump on my neck painful. Hard time lifting my left arm. Body aches. Started 730 p.m.4/5-4pm 4/7

Other Meds: Zoloft .50mg

Current Illness: None

ID: 1178950
Sex: M
Age: 48
State: TX

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
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Allergies: Severe allergy to Penicillin as a child. Apparent food intolerance to tomatoes and/or onions.

Symptom List:

Symptoms: Muscular soreness in injection site starting a couple/few hours after injection, persisting 30 hours later. Soreness is not extraordinary. It is no worse than soreness from a workout and it radiates out no greater than 2 inches from injection site. No noticeable discoloration of the skin near the injection site. No rash. Starting in the morning prior to afternoon vaccination I developed a headache. I drank caffeine and a lot of water so I presume it was not caffeine withdrawal or dehydration. The night before I moved a large number of heavy boxes in my garage. Pain appeared to originate in back of neck, likely muscle strain induced headache. I did not want to take advil prior to the vaccination. After surviving the day with a headache I took two advil (normal adult dosage) around 7pm or so. Last night around 8pm - 8:30pm (approximately 5 - 5 1/2 hours after injection) I began feeling the onset of a low grade fever. Confirmed low grade fever using digital thermometer in both ears/multiple readings. Low temperature 99.0/high temperature 99.2. Low grade fever felt like it subsided after about an hour to hour and a half. Did not retake temperature. Has not recurred. I AM PROVIDING THIS INFORMATION SOLELY TO PROVIDE DATA FOR THIS NEW VACCINE. ORDINARILY I WOULD NOT EXPECT TO REPORT SOMETHING LIKE THIS.

Other Meds: Testosterone - daily, but none applied on day of vaccination. Testosterone is normally applied topically to upper arms (i.e. anticipated injection site)

Current Illness: None

ID: 1178951
Sex: M
Age: 33
State: CO

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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Allergies: n/a

Symptom List:

Symptoms: Flu-like fever, body aches

Other Meds: Keppra 500mg twice daily.

Current Illness: n/a

ID: 1178952
Sex: F
Age: 26
State: FL

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
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Allergies: None

Symptom List:

Symptoms: Fatigue, fever, chills, muscle soreness, nausea, loss of appetite, discoloration in lips and toes.

Other Meds: None

Current Illness: None

ID: 1178953
Sex: F
Age: 36
State: KY

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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Allergies: None known

Symptom List:

Symptoms: Elevated blood sugar. Blood sugar close to 400. (This also happened with dose 1)

Other Meds: Topamax, birth control, lexapro, celexa, atorvastatin, Zyrtec, vitamin d, b complex, magnesium, coq10, naproxen, zomig, ajovy.

Current Illness:

ID: 1178954
Sex: F
Age: 62
State: CA

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/08/2021
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Allergies: None

Symptom List:

Symptoms: The day after my second dose of Moderna COVID-19 vaccine, I had sudden onset tinnitus in both ears. It persists one week later. Never louder, never softer. Always there. No OTC medicine helps. The noise level is moderate (6 out of 10). I also have stuffy sinuses since the vaccination, but relieving sinus pressure using cold medicine does not stop the tinnitus. My blood pressure is now measuring "low hypertension," whereas before it was reliably normal. The soonest an ENT doctor can see me is in 3 weeks. I'm very concerned about possible hearing loss, but at this time, I would guess any hearing loss is mild.

Other Meds: Synthroid Klonopin Estodial

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm