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: 1182893
Sex: M
Age: 38
State: IL

Vax Date: 04/05/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Numbness in left side of face, unable to close left eye completely, numbness in left side of mouth. He went to the ER and the Doctor diagnosed as Bells Palsy and prescribed medicine. He was put on Prednisone, Valacyclovir, and Genteal Tears.

Other Meds:

Current Illness:

ID: 1182894
Sex: F
Age: 37
State: TX

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Seasonal Allergies

Symptom List: Anxiety, Dyspnoea

Symptoms: I am confined to my bed for a large part of the day. It is hard to do my daily activities. I am 27 weeks pregnant currently. After the first dose of the vaccine, I had a burn like rash on my upper lip. It burned and I had red patches on my upper lips. I had been on antibiotics, but I do not have lip fillers or anything. The day after the vaccine I had really bad, body aches and severe joint pain. It was my entire body every muscle and every joint. It was a little better the next day but on the second day my back was really sore. I am currently on muscle relaxers and narcotics, but the pain is really bad. Currently back pain is on the left side between my tailbone and my hip. I have had a problem with a torn muscle in that area during a previous pregnancy. I did not have any issue with my back during this pregnancy before the vaccine. I have been doing some physical therapy. I am very limited in my activities and on bed rest for most of the evening after the pain gets too bad. There has been no problem with the baby so far. Due Date 07/04/2021 Seventh Pregnancy- Fifth Pregnancy.

Other Meds: Thyroid medications-2 Inhalers-Asthma-2 Antihistamines Reflux Medications Vitamins

Current Illness: Sinus Infection

ID: 1182895
Sex: F
Age: 41
State: TN

Vax Date: 03/30/2021
Onset Date: 03/31/2021
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: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: Shingles outbreak on right side, rash that spread, itching, pain at rash site and under the arm, rash still present 9 days after vaccine

Other Meds: phentermine

Current Illness: none

ID: 1182896
Sex: M
Age: 68
State: FL

Vax Date: 02/08/2021
Onset Date: 03/30/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Seafood

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Small blisters on fingers and hands appeared about six weeks after second shot. Blisters have white heads and are filled with clear liquid. They are still popping out about 2 weeks after first appearance. Blisters repture and dry up. No itch, but can be painful.

Other Meds: Remicade; Omeprazole; Multiple Vitamin

Current Illness:

ID: 1182897
Sex: F
Age: 69
State: IN

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: SOB, tachycardia, dizziness, headache - I did not alert a medical professional about my symptoms at the time. I watched the clock knowing my wait time was 15 minutes hoping the symptoms would resolve within that time. The SOB and tachycardia resolved in 20 minutes. I had a headache and flu-like symptoms for 24 hrs.

Other Meds: Lisinopril Metformin Wellbutrin Celebrex Metoprolol Levothyroxine Prevacid

Current Illness: N/A

ID: 1182898
Sex: F
Age: 70
State: CA

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

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

Lab Data:

Allergies:

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

Symptoms: Patient complained of tingling mouth, throat and tongue. Administered 10 mg Cetirizine orally per Doctor at 1255. Patient stated feeling better 1305. Patient released at 1308 per doctor.

Other Meds:

Current Illness:

ID: 1182899
Sex: M
Age: 29
State: CT

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

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Within 2 minutes: trouble breathing (tight chest), light headed, nausea, feeling flush. All symptoms subsided about a minute later.

Other Meds: Multivitamin, citirizine, Flovent, finasteride

Current Illness:

ID: 1182900
Sex: F
Age: 38
State: WA

Vax Date: 04/01/2021
Onset Date: 04/02/2021
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: Pharyngeal swelling

Symptoms: Chills the night I received the shot. Then fever of 99.6, rotated from very hot to chills and very cold. Muscle aches and tingles from fingers to toes. Overwhelming tiredness.

Other Meds: None

Current Illness: None

ID: 1182901
Sex: M
Age: 60
State: NY

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

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

Lab Data:

Allergies: bactrim sulfa

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: chills 4am 4/8 fever noon - 4/8 achiness noon 4/8

Other Meds: Omeprazole, tagamet, famotidine,

Current Illness: Sjogrens syndrome; rheumatoid arthritis

ID: 1182902
Sex: F
Age: 65
State: UT

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Faint at 1:20 p.m. 40 minutes after vaccination including shaking, headache that lasted a week. Back pain (whole back) two days, low grade fever 3 days late afternoon, chills 2 days, no appetite. Worst symptom was a headache that I have never experienced before. It stayed with me morning, noon and night.

Other Meds: Levothyroxine, Zocor, lexapro, omeprazole, estradiol, medroxyprogesterone. Calcium, multi vitamin, cosamin.

Current Illness: Bladder/ kidney infection

ID: 1182903
Sex: F
Age: 17
State:

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

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

Lab Data:

Allergies: Nkda

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

Symptoms: Pt became nauseated and lightheaded. Pt vomited x2. Pt stated symptoms improved. Pt declined transport to ED

Other Meds: None

Current Illness: None

ID: 1182904
Sex: F
Age: 18
State: MD

Vax Date: 03/31/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Rash, Urticaria

Symptoms: Very large hives formed on my right shoulder, underneath both of my buttocks, behind my knee, and on my thumb. All of the hives were painful. My thumb swelled up a couple of hours after I noticed the one on my shoulder and thighs, and I watched and felt as my thumb swelled up. The next morning I woke up and they were still there, but no new hives formed.

Other Meds:

Current Illness:

ID: 1182905
Sex: F
Age: 42
State: TX

Vax Date: 04/07/2021
Onset Date: 04/08/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Vomiting, headache, severe body aches, chills, fever 101.6 at highest

Other Meds: None

Current Illness: None

ID: 1182907
Sex: M
Age: 81
State: WI

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

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

Lab Data:

Allergies: Metformin, Lipitor

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

Symptoms: Slight fever 1 point elevated. Muscle, body aches, fatigue, tiredness, slight headache, joint pain, sore Rt. arm, sore injection site. Side effects have subsided after approximately five (5) days. None of the side effects were considered severe!

Other Meds: Verapamil 240mg, Omeprazole 20mg, Losartan 100mg, Pravastatin NA 40mg, Proglitazone 30mg, Levothyroxine 112mcg. Tylenol 500mg x 2, Probiotic 2 tabs

Current Illness: Sinusitis

ID: 1182908
Sex: F
Age: 61
State: GA

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/08/2021
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: severe arm pain 3 days, dizziness, nausea, irritated urination, severe stomach pain, pinching in bladder, double vision, chills

Other Meds: Januvia, glipizide, Synthroid, carzedilol, biotin

Current Illness: eye bleed in left eye 2 weeks ago

ID: 1182909
Sex: M
Age: 41
State: FL

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

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

Lab Data:

Allergies:

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

Symptoms: Patient received vaccine and went in the waiting area for the 15 minute observation. He passed out and fell on the floor. He was sweating but was conscious. We put a bag of frozen blueberries on his neck and wiped his face with a damp towel while waiting for EMS to arrive. He did not require CPR.

Other Meds:

Current Illness:

ID: 1182910
Sex: M
Age: 55
State: KS

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: None known.

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

Symptoms: None stated.

Other Meds: One A Day multi vitamins.

Current Illness: Dizziness about 15 after shot was administered. About 1pm the next day, patient noticed an earache that in His left ear that had been persistent since the 1st shot was given.

ID: 1182911
Sex: F
Age: 28
State: WI

Vax Date: 03/31/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Pain, Itching, redness at injection site one week after injection No treatment - observation

Other Meds: citalopram synthroid

Current Illness: n/a

ID: 1182912
Sex: F
Age: 44
State: VA

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: NO ALLERGIES

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: ABOUT 3 HOURS AFTER VACCINE, PATIENT NOTICED RED RASH ON HANDS, RASH DID NOT ITCH. THE PATIENT PRESENTED TO THE PHARMACY, WE GAVE HER HYDROCORTISONE 1% CREAM TO APPLY 3-4 TIMES DAILY TO RASH, OVER THE NEXT COUPLE OF DAYS THE RASH LINGERED . ON DAY 8 HER HANDS WERE SWOLLEN AND THE RASH WAS WORSE, THE PATIENT CAME TO THE PHARMACY AND WE GAVE HER LORATADINE 10MG TO TAKE DAILY ALONG WITH HYDROCORTISONE CREAM. THE RASH APPEARED A LITTLE LESS RED AND HANDS WERE NOT SWOLLEN ON DAY 9, TODAY.

Other Meds: BEACH BODY WORKOUT PROGRAM, DRINK MIXES TAKEN AS A MEAL REPLACEMENT , ENERGIZE DRINK, HYDRATE DRINK.

Current Illness: NONE

ID: 1182913
Sex: F
Age: 53
State: LA

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Lymph node under armpit, swollen size of egg.

Other Meds:

Current Illness:

ID: 1182914
Sex: F
Age: 44
State: CA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: throat swelling, tongue swelling

Other Meds: N/A

Current Illness: NONE

ID: 1182915
Sex: M
Age: 39
State:

Vax Date: 04/07/2021
Onset Date: 04/08/2021
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: Unevaluable event

Symptoms: Arm pain, elevated temperature 99.5, head ache, light sensitivity. I couldn?t work or sleep and had to stay in a dark room the entire day after

Other Meds: None

Current Illness: None

ID: 1182916
Sex: M
Age: 43
State: WI

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

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

Lab Data:

Allergies: PENICILLIN-RASH

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

Symptoms: PATIENT RECIEVED VACCINE 9:49 AM, MOVED TO POST VACCINATION AREA. BECAME DIZZY AND FAINT, WAS MOVED TO FLOOR FROM CHAIR. PASSED OUT AT 9:50 AM. CAME AROUND 9:55AM WITH NAUSEA THAT DID NOT RESULT IN VOMITTING. PATIENT SAT FOR AN ADDITIONAL 30 MINUTES WITH WIFE UNTIL FELT FINE TO LEAVE POST VACCINATION AREA AROUND 10:30AM. NO INJURY RESULTED. PATIENT ADMITTED AFTER VACCINATION THAT THIS IS A COMMON REACTION TO VACCINATION AND NEEDLES IN GENERAL.

Other Meds:

Current Illness:

ID: 1182917
Sex: F
Age: 56
State: MO

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

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

Lab Data:

Allergies: Ibuprofen, Trazodone, Amoxicillin, Cephalosporins, Benadryl Oranges, Spinach

Symptom List: Injection site pain, Pain

Symptoms: Minutes after receiving the vaccine, the patient broke out in a rash. The rash spread throughout her body. She did not have any other symptoms. Baseline vitals were taken, all normal except for elevated BP. Patient seemed normal cognitively. Patient stayed around for 30 minutes but did not progress symptomatically. She was escorted home by her husband.

Other Meds: Levothyroxine 0.375mg, Sertraline 200mg, MVI, Calcium Citrate

Current Illness: n/a

ID: 1182918
Sex: M
Age: 31
State: TX

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 04/08/2021
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: was diagnosed with high-frequency hearing loss and tinnitus BEFORE vaccine. My tinnitus was not bad the day of or had flared up before taking the vaccine. 1-2 days after having the first dosage of the vaccine I noticed my tinnitus was a lot worse, more noticeable, extremely high pitched, and unbearable for most of the time, on top of the "sickness" and "sore arm" symptoms. This lasted a couple of days (about 3-4 days) after the vaccine. This also happened for the second dose I received on 4/1/21. I did check in my symptoms on the v-check application (first dose only).

Other Meds: hCG injections anastrozole

Current Illness: low testosterone High-frequency hearing loss tinnitus

ID: 1182919
Sex: M
Age: 62
State: KY

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: flu shot, and tetanus

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

Symptoms: Fever, muscle aches, weakness, injection site and right wrist hurt for 48 hours

Other Meds: no

Current Illness: Afib, tooth extraction,

ID: 1182920
Sex: M
Age: 62
State: MD

Vax Date: 03/26/2021
Onset Date: 03/27/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: sore arm to touch and move at injection site for 2 days

Other Meds: multiple vitamin, vitamin c 2000mg, vitamin d 2000iu, coenzyme q10 100mg, glucosamine and chondroiten sulfate 500mg, probiotic, metagenics phytoganics

Current Illness: none

ID: 1182921
Sex: M
Age: 28
State: NC

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

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

Lab Data:

Allergies: NO

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Initial symptoms included fatigue, chills, fever, mild aches (quad, hip flexor), and mild headache. Required additional clothing due to chills without improved symptoms. Fever progressed to highest at 104 degrees. Required additional effort for moving in bed and short household distances. Progressed to extreme fatigue, mild nausea, and extreme dyspnea ("very deliberate breathing" "I felt like if I didn't concentrate on my breathing I would just stop breathing"). Noticed increased restlessness and increased discomfort. Took 400 mg ibuprofen and after ~30 minutes there was a gradual decrease in symptoms, particularly fever and dyspnea. Symptoms resolved after taking ibuprofen. 24 hours following initial symptoms onset, noted to have fever (101 degrees), achiness return, face was flush, and transient chills/sweats.

Other Meds: NO

Current Illness: NO

ID: 1182922
Sex: F
Age: 39
State: WA

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

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

Lab Data:

Allergies:

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

Symptoms: Patient received a Pfizer shot on 3/12/21 as her first COVID vaccination. on 4/8/21, she received Moderna as the 2nd shot in the series. Upon leaving the clinic, the patient had not experienced any reported adverse events.

Other Meds:

Current Illness:

ID: 1182923
Sex: M
Age: 43
State: RI

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

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

Lab Data:

Allergies: Penicillin

Symptom List: Nausea

Symptoms: Numbness on left side, mainly in lips, tongue, face and arm. No treatment sought. Seems to have resolved next day.

Other Meds: None

Current Illness: None

ID: 1182924
Sex: F
Age: 29
State: AL

Vax Date: 03/29/2021
Onset Date: 04/08/2021
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: Injection site pain

Symptoms: Warmth and redness at injection site. Fatigue.

Other Meds: Birth control

Current Illness: None

ID: 1182925
Sex: F
Age: 39
State: KS

Vax Date: 04/06/2021
Onset Date: 04/08/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: swollen red arm at the injection site. Aprox. 4 inches in diameter appeared on day 2 after receiving the vaccine. Achy, headache, tired, and thirsty aprox. 12-16 hours after injection. Symptoms subsided aprox. 24 hours after showing.

Other Meds: Vitamin D Zyrtec Allergy

Current Illness: None

ID: 1182926
Sex: F
Age: 61
State: MD

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

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

Lab Data:

Allergies: N/A

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

Symptoms: Pt. developed difficulty breathing and dizziness 10 min after receiving the vaccine. 1 dose of EpiPen 0.3mg auto-injector was administered by the pharmacist. 911 was called and pt. transferred to hospital for treatment. we checked on the pt. she was discharged from the hospital, she stated that she received IV antihistamine and steroids.

Other Meds: N/A

Current Illness: N/A

ID: 1182927
Sex: M
Age: 17
State: AK

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Patient arrived at Covid Vaccine Clinic for his 2nd dose of Covid Vaccine. It was discovered upon arrival that he was 17 and was presenting for his 2nd dose of Moderna. Chart review revealed he had received Moderna dose 1 on 3/10/21. Patient reported no issues with Moderna dose 1 and stated understanding of why we were reviewing appropriateness of dose 2 for him. Discussed case with Dr. Dr supported patient receiving dose 2 of Moderna and cited the CDC reference ?If age 16 to 17 years and a vaccine other than Pfizer-BioNTech was inadvertently administered: If Moderna vaccine administered as the first dose, may administer Moderna vaccine as the second dose (as off-label use, because Moderna vaccine is not authorized in this age group0

Other Meds:

Current Illness:

ID: 1182928
Sex: F
Age: 39
State: CA

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

Symptom List: Erythema, Pruritus

Symptoms: at 9 pm after getting J and J covid vaccine, started getting a fast heart rate aound 130bpm, some shortness of breath and tingling. seen by me in urgent care next day, EKG with juntional tachycardia, sent to ED

Other Meds: multivitamin

Current Illness: none

ID: 1182929
Sex: F
Age: 43
State:

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Patient provided information regarding history of asthma, previous allergic reations to animal, perfume, dust, pollen. Also, reported anxiety when she see needle or syringe. When staff asked patient whether she is comfortable to complete her vaccination, patient replied that as long as she do not see the procedure she will be fine. After vaccine administration patient reported discomfort in her throat. Dr. and EMT team were notified. Patient's vital signs were BP 116/72 HR 103 O2 98% RR 18. Patient was monitored for forty minutes, no medications were administered. Patient left in stable condition (vita signs BP 121/70, HR 95, O2 99% RR 18). No hospitalization required.

Other Meds:

Current Illness:

ID: 1182930
Sex: F
Age: 25
State: IL

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

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

Symptoms: PATIENT COMPLAINED OF TERRIBLE SORENESS IN ALL OF HER JOINTS

Other Meds:

Current Illness:

ID: 1182931
Sex: F
Age: 43
State: WA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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Allergies: Sulfa, Erthymiocin, Tegratol, Lamictal, bee stings

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Could feel that I went into AFIB about 10 minutes after shot administration. Nearly 5 hours later at time of submitting this report I am still in AFIB.

Other Meds: Oxycodone, Metoprolol, Levothyroxine, Buspirone, Bupropion, Clonidine, Simvastatin, Spironolactone, Quetiapine, Pantoprazole, K-Tab, Acyclovir, Gabapentin, Furosemide, Melatonin, multivitamin, Vitamin C, Calcium, Magnesium, Zinc

Current Illness:

ID: 1182932
Sex: F
Age: 33
State: LA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/08/2021
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Allergies: None

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

Symptoms: Hives/welps/open wounds about 30 mins after shot. Still today have hives that itch on neck and face with blistering welps (4/8/21). Covid arm very painful still today.

Other Meds: None

Current Illness: None

ID: 1182933
Sex: F
Age: 59
State: VA

Vax Date: 01/04/2021
Onset Date: 01/28/2021
Rec V Date: 04/08/2021
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Allergies: No known allergies to medication, food or other substances.

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

Symptoms: Fever and chills, night sweats, and myalgias / arthralgias following both Moderna vaccines (within weeks) and lasting more than a week each time. Also nausea, diarrhea, and one episode of vomiting.

Other Meds: calcium, vitamin D, glucosamine, multivitamin

Current Illness: First Moderna injection 01/04/21. Symptoms started 24 days later and lasted 38 days. Second Moderna injection 02/11/21. Symptoms started 11 days later and lasted 4 days. Had 20 days symptom free , then started again and lasted 8 days.

ID: 1182934
Sex: M
Age: 20
State: WA

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

Symptom List: Pain in extremity

Symptoms: Headaches,Back Pain, Chills down my body, Dizziness

Other Meds: none

Current Illness: none

ID: 1182935
Sex: M
Age: 40
State:

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

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

Symptoms: bump on tip of tongue. unsure of it was there before. no numb, no tingle, no angioedema, no sob, no stridor. no acute distress. declined further assistance and ER.

Other Meds:

Current Illness:

ID: 1182936
Sex: F
Age: 62
State: OH

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

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

Symptoms: Fever (1.5 to 3.5 degrees fever) for at least 24 hours following the 2nd dose of vaccine, muscular body aches, joints aching, headache, inability to work or conduct normal activities

Other Meds: Estradiol, calcium, vitamin D, vitamin C

Current Illness: None

ID: 1182937
Sex: M
Age: 36
State: IN

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/08/2021
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Allergies: None

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

Symptoms: 103.5 temp for first 4 days. Coughing and chest congestion. Blood with coughing. Urgent Care administered XRay, and listened to lungs, was told unusual sounds coming from bottom of left lung. Temp stayed 102-102.5 even after taking 600 mg ibuprofen for every 6 hours. It has been almost 2 weeks, temp is now 99.4-100.

Other Meds: None

Current Illness: None

ID: 1182938
Sex: F
Age: 22
State: NC

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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Allergies: Blueberries

Symptom List: Vomiting

Symptoms: Severe nausea and vomiting for 12 hours. Extreme fatigue that lasted 24 hours. High fever (over 100) that's lasted about 36 hours.

Other Meds: Birth Control

Current Illness: None

ID: 1182939
Sex: F
Age: 34
State: WI

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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Allergies: Only to environmental factors such as grass, trees, pets

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fever, chills, nausea, worst headache I have ever had, body aches, fatigue

Other Meds: Oral birth control, fluoxetine

Current Illness: None

ID: 1182940
Sex: F
Age: 57
State: TN

Vax Date: 03/30/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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Allergies: Mango, Mold, Feathers, Codeine

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

Symptoms: April 8, 2021 (9 days after 1st dose of Moderna Covid-19 vaccine), I saw a large, red rash/discoloration at the site of my vaccine injections. Discoloration is oval in shape, longer vertically than horizontally, and around 3 inches by 2 inches. The rash/discoloration is hard to the touch, slightly painful, but does not itch or hurt in any signicant way.

Other Meds: Claritin, Benedryl, Women's Multi-Vitamin, Fish Oil supplement, Liver supplement

Current Illness: None.

ID: 1182941
Sex: M
Age: 47
State: PR

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

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient stated he was feeling "heavy", dizzy, nauseated and feeling chills prior to fainting. Once he was attended to, he was evaluated and taken to the local SEARHC ER. He was released a few hours later when his symptoms resolved. This patient had worked over two weeks straight with Herring as a seafood processor with little sleep and exhaustion.

Other Meds: None Declared

Current Illness: None Declared

ID: 1182942
Sex: M
Age: 27
State: NY

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

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Allergies: Pollen

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

Symptoms: Dizziness, fatigue, light-headedness, aches, dull pains throughout body, and difficulty composing thoughts

Other Meds: None

Current Illness: None

ID: 1182943
Sex: F
Age: 22
State: FL

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

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Allergies:

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

Symptoms: Complained of throat swelling and discomfort. Benadryl 50 mg given IM. Placed on 2L of O2. Symptoms improved with Benadryl. Patient transported via ambulance to Medical Center.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am