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: 1184683
Sex: F
Age: 59
State: IN

Vax Date: 03/15/2021
Onset Date: 03/17/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Sulfa and penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: After not having a sinus infection for over 6 years 2 days after the vaccine I started getting a sinus infection which turned severe and let into bronchitis. I'm on my second round of antibiotics now. I was treated in the emergency room and I went to the Urgent Care. I was visiting my son and not at home so it's not able to go to my family physician

Other Meds: Women's vitamins over 50, C, E12, Biotene, folic acid.

Current Illness: Arthritis, COPD, emphysema

ID: 1184684
Sex: M
Age: 57
State: WA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Within 12 hours of shot, 100.9 fever. 24 hours after shot, 100.0 fever.

Other Meds: None

Current Illness: None

ID: 1184685
Sex: F
Age: 59
State: NC

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, codeine, Demerol, sulfa,

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

Symptoms: Fever 103, body aches, migraine

Other Meds: Estradiol patch

Current Illness: None

ID: 1184686
Sex: F
Age: 22
State: UT

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: fainted. she faints with most shots however. about 5 minutes after shot

Other Meds:

Current Illness:

ID: 1184687
Sex: F
Age: 57
State: NE

Vax Date: 03/31/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: I have celiac disease. Allergic to corticosteroids, nickel, cinnamon.

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

Symptoms: On day 9 my arm started to itch and swell at the injection site. Redness surrounds the site. Feels warm to touch and tender. Today is the first day of the irritation.

Other Meds: Levothyroxine Vitamins D3, magnesium, B2, calcium, K2, B12 and Zinc

Current Illness: No

ID: 1184688
Sex: F
Age: 61
State: PA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
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: 40 minutes after receiving shot, patient was home and felt swelling of the tongue, slight difficulty breathing. She called 911, EMS did full evaluation on her (vitals included) and said maybe she was just having an anxiety attack. EMS instructed her to take Benadryl. Patient did not want to. Patient called pharmacy and explained symptoms to me, the pharmacist who administered the shot. I told her it sounds like it was related to the vaccine and that I would report her reaction to VAERS. I told her it might be a good idea to take Benadryl.

Other Meds: Unknown

Current Illness: None

ID: 1184689
Sex: M
Age: 75
State: VA

Vax Date: 03/01/2021
Onset Date: 03/15/2021
Rec V Date: 04/09/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient receive J&J vaccine on 3/1/21, two weeks following vaccine patient noted bilateral leg weakness, bilateral LE parasthesias, and bilateral hand parasthesias. Patient admitted to Hospital on 4/5 with 2 weeks of symptoms. Evaluted by Neurology and underwent MRI Brain, Cervical, Thoracic and Lumbar spine. Patient underwent Lumbar puncture on 4/7/21. CSF results revealed Protein 46.9, glucose 69, WBC 1, RBC 1. Etiology of symptoms with mild elevated protein were concerning for Guillen Barre Syndrome (GBS).

Other Meds: Vitamin D Lexapro 10mg daily Hydralazine Lovastatin Metformin Niaspan Phenteramine Irbeartan Metoprolol XL

Current Illness:

ID: 1184690
Sex: F
Age: 68
State: MI

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Allergy status to other drugs,medicaments and biological sub

Symptom List: Pharyngeal swelling

Symptoms: Patient had general malaise unknown cause. Onsite EMS was called vitals HR 99 BP 136/82 100% O2 BG 116. Patient refused evaluation or care.

Other Meds: Lisinopril

Current Illness:

ID: 1184691
Sex: F
Age:
State: NE

Vax Date: 02/23/1921
Onset Date: 03/22/1921
Rec V Date: 04/09/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin and sulfa

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Moderna Shot on February 23, 2021. Tired, sluggish and headache along with some ringing in the head. March 22, 2021 I had second Moderna shot. My arm was very swollen, fatigue and bad headache with loud ringing in the head. My blood pressure accelerated to nearly 200/88 and had to be admitted to the ER three days after shot. I was in the hospital for two days and had a series of CAT scans and ultrasounds. Loud ringing in my head has not stopped. Never had a history of high blood pressure, but now they put me on high blood pressure medication along with the baby aspirin. I was a relatively healthy woman until I had these vaccinations.

Other Meds: Tetracycline, Omeprazole

Current Illness: None

ID: 1184692
Sex: F
Age: 24
State: IN

Vax Date: 04/01/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Rash at injection site 8 days after first injection

Other Meds:

Current Illness:

ID: 1184693
Sex: F
Age: 27
State: FL

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: nka

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

Symptoms: Client returned after 15 minutes observation. Client reported chest pain, warmth and fatigue. Fire Rescue First Responded. Client was further observed and client stated that she felt good. Per Fire Rescue, no further evaluation was needed. Client was released to go home at 2:35pm.

Other Meds: n/a

Current Illness: none

ID: 1184694
Sex: M
Age: 32
State:

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

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

Lab Data:

Allergies: N/a

Symptom List: Rash, Urticaria

Symptoms: Sore arm, light headed, stomach ache.

Other Meds: Lisinopril and Citalopram

Current Illness: N/a

ID: 1184695
Sex: F
Age: 46
State: OH

Vax Date: 02/25/2021
Onset Date: 03/18/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Metallic taste and smell on EVERYTHING since ive received second dose on 02/25/2021

Other Meds: Lisinopril, Lovastatin, Zoloft, Hydrochlorothiazide, Vit. C, Vit. D, Magnesium Calcium Zinc, Potassium, Prilosec, Claritin

Current Illness: Covid-19 11/29/2020

ID: 1184696
Sex: F
Age: 35
State: NY

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Body aches, muscle and skeletal, headache, fever

Other Meds: Abilify

Current Illness:

ID: 1184697
Sex: F
Age: 26
State: IL

Vax Date: 04/01/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Swollen red rash that is itchy

Other Meds: Birth control

Current Illness:

ID: 1184698
Sex: F
Age: 71
State: VT

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Penicillin and sulfur drugs

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

Symptoms: Red swollen hot itchy arm that goes to almost the bend in my arm. I have fibromyalgia but do not take medication for it. I have had much more fibromyalgia pain and spent 2-3 days in Bed . That seems better today except for the covid arm.

Other Meds: Milk Thistle, probiotic, omeprazole 20mg. Lisinopril 10 mg

Current Illness: None

ID: 1184699
Sex: M
Age: 34
State: UT

Vax Date: 02/03/2021
Onset Date: 03/19/2021
Rec V Date: 04/09/2021
Hospital: Y

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

Lab Data:

Allergies: None

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

Symptoms: Heart attack (blood clot in major artery) approximately 6 weeks post 2nd Moderna dose. Surgery done in cath lab to address blockage. Released from hospital several days later.

Other Meds: None

Current Illness: None

ID: 1184700
Sex: F
Age: 36
State: NV

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Pineapple, Erythromycin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Hot Skin at Injection Site. 2 weeks later and still occcuring at Injection Site.

Other Meds: Ibuprofen

Current Illness:

ID: 1184701
Sex: F
Age: 28
State: CA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: After 10 min waiting she felt tightness in the throat, as if something was stuck in her throat, she went to the bathroom to throw up, the nurse went to check her and she realized it was the allergic reaction, she was taking to the nurse's room, by then which she was showing symptoms of difficulty breathing, that was when the epi pen was administered. A nurse stayed with her for observation. EMT came into the building bringing more equipment. Once her condition improved, the nurses suggested her that the next step should be going to a hospital to follow up and to be under care and observation. She declined, then the EMT offered her to take her in the ambulance to the hospital, which is the protocol, but she declin

Other Meds:

Current Illness:

ID: 1184702
Sex: F
Age: 49
State: WA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: CT contrast

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

Symptoms: Intense heavy crushing feeling in entire body, as if gravity was suddenly ?10. Slight tightness in throat

Other Meds: Synthoid for thyroid

Current Illness: No

ID: 1184703
Sex: F
Age: 56
State: OH

Vax Date: 04/01/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Penicillin and Demerol

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

Symptoms: Arm is red, sore, and feels hot. This started one week after the shot. Arm was sore previously, but was not swollen or red until one week after. Also, my throat started to hurt right after the shot.

Other Meds: Famotidine, Calcium, Iron, multi-vitamin, collagen

Current Illness: Had Gall bladder surgery

ID: 1184704
Sex: M
Age: 65
State: WA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: fish, nuts

Symptom List: Unevaluable event

Symptoms: Chills for 10 hours with mild aches and lethargy.

Other Meds: none

Current Illness: none

ID: 1184705
Sex: M
Age: 20
State: MI

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/09/2021
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: Headaches, tiredness, soreness, nausea.

Other Meds: None

Current Illness: None

ID: 1184706
Sex: F
Age: 63
State: VT

Vax Date: 03/31/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: sulfa drugs

Symptom List: Injection site pain, Pain

Symptoms: Seven days after administration I experienced swelling and a strange feeling that was almost like itching at the vaccination site. It was about 3 inches in diameter, swollen and red with some surface blotches. I took a Benedryl, and the next day the site was much better.

Other Meds: none

Current Illness: none

ID: 1184707
Sex: F
Age: 58
State: CA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Injection site pain, Menorrhagia

Symptoms: Violently ill, Threw up for 2 Days. Felt like food poisoning. Low grade fever for 2 days.

Other Meds: None

Current Illness: None

ID: 1184708
Sex: F
Age: 31
State:

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Latex allergy

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

Symptoms: Numbness in chin and jaw area

Other Meds: Probiotic and prenatal vitamins

Current Illness:

ID: 1184709
Sex: F
Age: 43
State: NY

Vax Date: 03/12/2021
Onset Date: 04/06/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Cefuroxime Axetl

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Blood clot greater saphenous vein. Diagnosed 4/6/21

Other Meds: Probiotic Cats Claw Vitamin C Zine Picolinate Artemiesia Glutathione

Current Illness: None

ID: 1184710
Sex: F
Age: 48
State: GA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: blue dye, skelaxin, grifulvin v

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Woke up with severe itching on right arm and when I got the lights on, saw that I was covered in hives (there were large red welts). I took 2 benadryl and within about 15 minutes the itching was subsiding and the hives started to go away. Within the hour, both were completely gone and 8 hours later still ok. I had taken benadryl prior to the injection as a precaution (maybe why I didn't experience anything for several hours). DId not experience any itching or hives anywhere else other than the injection arm.

Other Meds: warfarin, synthroid, cymbalta, lisonopril, metformin, neurontin, multivitamin, salmon oil, neolife tre-en-en, neolife carotinoid complex, vitamin d

Current Illness: n/a

ID: 1184711
Sex: F
Age: 41
State: NY

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Crab, clam, appricot, apples, amoxicillin

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

Symptoms: Gave shot sat at office 15 mins, 1 hour after shot throat became scratchy the swelling up stopped got Benadryl started to feel better then 2 hours later started to swell up again took another dose of Benadryl called Dr. wanted me to go to hospital I couldn't asked what is stronger then Benadryl she said to take another Zyrtec can take up to 4 day if needed if effects me worse or breathing no choice hospital call 911 hives on neck and chest, became itchy all over even with all this allergy medicine.

Other Meds: Zyrtec, singular, 2 nasual sprays

Current Illness: None

ID: 1184712
Sex: F
Age: 16
State: MD

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: none listed

Symptom List: Nausea

Symptoms: Moderna vaccine was administered to this patient, who is 16 years old . WICHD Doctor was notified. State was notified. Patient did not have any adverse effects.

Other Meds: none listed

Current Illness: none at time of vaccination

ID: 1184713
Sex: F
Age: 37
State: FL

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, azithromycin, shrimp, polen, dust

Symptom List: Injection site pain

Symptoms: I took the vaccine at 4:25pm on April 7. On April 8 at 4am, I started feeling sick, chills, feet was cold, a lot of pain on my body, headache, couldnt sleep. I took Ibuprofen 800 and 1 hour later I was feeling a little better. I was able to sleep. When I woke up I was fine. Around 11am on April 8 I started feeling very sick again. I had diarrhea all day. Evacuated about 10 times during the day. I felt dizzy, nauseas, no fever, pain on my arm, heavy shoulders, back pain, head was lightweight. I took ibuprofen at 12pm and then 8pm. I was able to sleep from April 8 to April 9 and woke up without severe symptoms, only arm pain.

Other Meds: Venlafaxine HCL 150mg (1 per day) / drospirone/ethy est 3/0.02mg T 28 / Vitamin D / Vitamin C

Current Illness: none

ID: 1184714
Sex: F
Age: 20
State: NY

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Last night (around 9:00 pm) I became very nauseous and had a severe headache, chills and nausea. I took 2 Tylenol pills and went to bed. At 11:00pm I became extremely ill with a fever of 103 F and vomited 4 times consecutively. I went back to bed, still with a fever and chills. At 12:30 am (April 9th) I again started vomiting again (around 3 times). I then went back to bed and fell asleep. I woke up around 8am (April 9th) still feeling feverish, with chills and a severe headache. I have no appetite and no energy to get out of bed as of right now (11:00am).

Other Meds: - 200 mg Sertraline (Zoloft) daily - Vitron-C Iron plus Vitamin C high potency iron supplements daily -

Current Illness: N/A

ID: 1184715
Sex: F
Age: 38
State: CA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Peanuts, nifedipine

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

Symptoms: Tachycardia episodes with heart rate over 200 at times even when resting; severe headache and episodes of high blood pressure. This lasted for approx. 3 days after shot

Other Meds:

Current Illness: None

ID: 1184716
Sex: F
Age: 37
State: CA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Tremor

Symptoms: Muscle ache, head ache, nausea, fever

Other Meds: Vitamin D, Mirena IUD

Current Illness: N/A

ID: 1184717
Sex: M
Age: 20
State: MI

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Im still experiencing all side effects.

Other Meds:

Current Illness:

ID: 1184718
Sex: F
Age: 61
State: IN

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/09/2021
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Allergies: none known

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

Symptoms: Chills, aches at all joints, hyper sensitive to emotions, nauseous and then finally diarrhea the next day... general malaise and couldn't get warm... Did not check for a fever, but I did have chills ? Felt very flu like.

Other Meds: Synthroid 100mcg

Current Illness:

ID: 1184719
Sex: F
Age: 43
State: AZ

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/09/2021
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Allergies: MIDOL

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

Symptoms: IMMEDIATE METALLIC TASTE IN MOUTH RIGHT AFTER VACCINE. THE FOLLOWING DAY WOKE UP STILL WITH TASTE BUT HAD A FAINTING SPELL AROUND 9AM THEN ANOTHER AROUND 530PM. THE METALLIC TASTE LAST LIKE 5 DAYS BUT THE FAINTING SPELLS HAVE CONTINUED SINCE. HAVE DECIDED TO SET UP APPOINTMENT WITH A FAMILY DOCTOR DONT KNOW IF ITS NORMAL FOR THIS TO BE ONGOING.

Other Meds: NONE THE DAY OF VACCINE. BUT NORMALLY TAKE TURMERIC,GINGER, CHLOROPHYLL SPIRULINA SUPPLEMENTS

Current Illness: NONE

ID: 1184720
Sex: M
Age: 29
State: TN

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
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Allergies: Reactions to Ginger Root and Eggs

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Horribly severe headache. Incredible muscular pain and body aches, severe dehydration, extreme chills , and a high fever. I have never been so ill in my entire life. All of these symptom started out mild, but grew more severe into the night. The duration was about 8-9 hours.

Other Meds: One-a-day men's multivitamin

Current Illness: N/A

ID: 1184721
Sex: F
Age: 33
State: VA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital: Y

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Allergies: Mango, lamictal, sulfa, keflex, and tapes-adhesives

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

Symptoms: Bells Palsy. Started 1 hour and 20 minutes after my second vaccine dose was administered. Currently hospitalized and having tests run.

Other Meds: Wellbutrin, Adderall, Prenatal Vitamins, metformin and Claritin

Current Illness: None

ID: 1184722
Sex: F
Age: 57
State: NY

Vax Date: 03/26/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
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Allergies: pollen and other unknown

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

Symptoms: 2.5 inch x 3 inch red rash and swelling at the injection site on my left arm, feel warm and little pain.

Other Meds: fish oil, Probiotics, MultiVites Gummy Vitamins, Claritin

Current Illness: no

ID: 1184723
Sex: F
Age: 57
State: MI

Vax Date: 03/01/2021
Onset Date: 04/05/2021
Rec V Date: 04/09/2021
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Allergies: None

Symptom List: Pain in extremity

Symptoms: Left upper back: Initially itching, day 2 redness and itching, day 3 itching, redness, swelling, raised pustules, day 4 same as day 3 with spreading.

Other Meds: Alleve Hydrochlorothiazide

Current Illness: Neck and Shoulder pain Fatique

ID: 1184724
Sex: F
Age: 45
State: TN

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
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Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Had fever and chills and body aches. Hurt to walk in my feet and my hands were so cold they were numb. Felt nauseous but never threw up Lips are swollen ( have lip filler volbella) and continue to swell after 36 hrs. Fever broke after 36 hours and feel better now.

Other Meds: N/a

Current Illness:

ID: 1184725
Sex: F
Age: 55
State: ME

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/09/2021
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Allergies: adhesives, gluten sensitivity(will induce pancreatitis)

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

Symptoms: Eight hours post injection very rapid of fever, severe headache, aches and nausea. At 12 hours, I awoke with HR above 150. After it not resolving within 5 minute, I went to the ER. Rate had gone down by arrival but EKG showed depressed ST waves. By second EKG, two hours later., it looked normal. I since have had bouts of a racing heart both during day and awaking from sleep.

Other Meds: Multivitamin 50+, digestive enzymes

Current Illness: No

ID: 1184726
Sex: F
Age: 43
State: MD

Vax Date: 03/14/2021
Onset Date: 03/22/2021
Rec V Date: 04/09/2021
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Allergies: possibly shellfish

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

Symptoms: pt says that on day 8 when she woke up that her right arm was hot to touch. She had about a 1x1 red spot around the injection site that became worse during the day. Within 2 days it turned into a painful 6' red rash that went down to the elbow. She did not have an itching but had alot of pain. She had joint pain in her left arm. Pt has only taken Advil for her arm pain. Symptoms started getting better after the second day and lasted for about a week. On the nights of 4/5/2021 and 4/6/2021 she would wake up with her heart racing. These episodes would last a couple of minutes before heart race would get back to normal. She contacted her PCP and he thought she may have had an allergic reaction to the vaccine due to her allergy to shellfish.

Other Meds: Pravastatin, buspirone, Advil,

Current Illness:

ID: 1184727
Sex: F
Age: 47
State: NY

Vax Date: 03/28/2021
Onset Date: 04/01/2021
Rec V Date: 04/09/2021
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Allergies: Iodine

Symptom List: Vomiting

Symptoms: I have been having body ache moving around my joints, bloating; causing stomache ache that extends to my pelvic area like a labor pain and making me uncomfortable when i sit.

Other Meds: Non

Current Illness: NA

ID: 1184728
Sex: F
Age: 41
State: OR

Vax Date: 03/31/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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Allergies: none

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Week after vaccination, my arm is swollen, hard as a rock, and skin is red at the place where I received the shot. Swelling is the size of a golf ball. Painful.

Other Meds: none

Current Illness: none

ID: 1184729
Sex: F
Age: 82
State: MI

Vax Date: 02/15/2021
Onset Date: 04/05/2021
Rec V Date: 04/09/2021
Hospital: Y

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Allergies:

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

Symptoms: Pt received Moderna COVID-19 vaccines on 2/15/2021 and 3/15/2021, subsequently admitted to hospital and diagnosed on with COVID with positive COVID test on 4/5/2021

Other Meds:

Current Illness:

ID: 1184730
Sex: F
Age: 77
State: IL

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
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Allergies: nka

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Reports dizziness immediately following vaccine inject. She reports same symptom with first vaccine, and was transported to Rush ER. VS 130/78, 68, O2 sat 99 %

Other Meds: Metropolol

Current Illness: none

ID: 1184731
Sex: M
Age: 17
State: NY

Vax Date: 04/04/2021
Onset Date: 04/04/2021
Rec V Date: 04/09/2021
Hospital:

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Allergies: No

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

Symptoms: Moderna inadvertently administered to a child under 18.

Other Meds: No

Current Illness: No

ID: 1184732
Sex: F
Age: 21
State: MA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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Allergies: No

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

Symptoms: Fatigue , headache. Fever greater than 101F starting roughly ten hours after injection.

Other Meds: Wellbutrin, Lexapro, synthroid,

Current Illness: No

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am