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: 1207380
Sex: M
Age: 48
State: OH

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: I started sweating profusely within 30 min of the shot. Was light headed and dizzy for approximately 4-5 hrs. Once the sweating stopped I felt severe pain in both knees and ankles. If felt as if you were trying to snap my knees and ankles in half. That lasted 4-5 hrs. After I slept for a few hrs over night I woke up and felt pretty good. Approximately 3-4 hrs after I woke up I felt light headed and nauseated for approximately 3-4 hrs. I felt pretty much back to normal into the third day after the shot. I was slightly light headed and fatigued for approximately 8 days after the shot. After about the 8th day I felt normal again. I said I will never get that shot again. Approximately 25 years ago I had gotten my first flew shot and I was very sick for a week. Never received another flew shot again. Besides the stress and anxiety issues I am a healthy guy. Every 2 years we get full blood work up and my blood levels have always been spot on of where they should be.

Other Meds: I take 150 MG of Sertraline daily

Current Illness: None

ID: 1207381
Sex: F
Age: 37
State:

Vax Date: 04/01/2021
Onset Date: 04/11/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Moderna COVID-19 Vaccine EUA Developed a large rash that would often itch in several places on upper arm where the vaccine shot was given. It first appeared more than a week after the first round of the vaccine.

Other Meds:

Current Illness:

ID: 1207382
Sex: F
Age: 49
State: OH

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: Allergic to sulfa drugs, penicillin and clindamycin

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

Symptoms: Anaphylactic Reation. everything swelled and rash appeared, couldn't swallow, throat constricting. Epinephrine injection, Racepinephrine, diphenhydramine methlprednisolone, famotidine Day after feel like run over by a truck and nausea, feel sick, headache, joint pain not sure how long everything will last or if more will appear

Other Meds: multi vitamin, ultram

Current Illness: ulcerative colitis flair as I stopped my medication due to covid

ID: 1207383
Sex: F
Age: 49
State: CT

Vax Date: 02/18/2021
Onset Date: 03/15/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Rash on left arm approximately 5-7 days after first dose. Missed menstrual cycle for the month of March after the second dose in February. Menstrual cycle returned in April.

Other Meds: Bisoprolol

Current Illness: n/a

ID: 1207384
Sex: F
Age: 34
State: MA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies: None

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

Symptoms: Headache five minutes after getting vaccine. Woke up the next morning with full body aches. Tylenol helped relieve the symptoms. All symptoms abated after 24 hours. This was my first of the two-part vaccination.

Other Meds: birth control pill, duloxetine

Current Illness: None

ID: 1207385
Sex: F
Age: 37
State: WA

Vax Date: 03/18/2021
Onset Date: 03/23/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Swollen and painful lymph node in left arm pit. Red and hot injection site diameter of softball on left arm. Night sweats and chills 11 hours after injection.

Other Meds:

Current Illness:

ID: 1207386
Sex: F
Age: 39
State:

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: severe headache on left side, mild dizziness, moderate to severe jaw and neck tightness on left side, severe fatigue, mild nausea, moderate left arm soreness.

Other Meds: omeprazole, DMV, Vit D, Celebrex, Lexipro, Lamotrogine, gabapentin

Current Illness: none

ID: 1207387
Sex: F
Age: 41
State: PA

Vax Date: 03/14/2021
Onset Date: 04/02/2021
Rec V Date: 04/14/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Severe back pain and shooting pain down both legs beginning on 4/2/21 Severe shoulder pain beginning on 4/2/21 Migraine headache beginning on 4/5/21 uncontrolled by medication Loss of facial muscle use on 4/7/21. Went to emergency room on 4/7/21 Conditions treated: facial nerve palsy likely in the setting of Johnson and Johnson COVID vaccine, elevated CSF protein, headache, unspecified, parenthesis of hand

Other Meds: Oral contraceptives

Current Illness: None

ID: 1207388
Sex: F
Age: 43
State: FL

Vax Date: 04/10/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: No

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Arm pain on the first and second day Acute waist on the second to the third day and other spontaneous body aches, weakness. Allergic reaction in feet and legs on the fifth day as if they were insect bites.

Other Meds: Amitriptyline 25 mg

Current Illness: Fibromyalgia migraine high pressure

ID: 1207389
Sex: F
Age: 68
State: IN

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Fish, nuts.

Symptom List: Diarrhoea, Nasal congestion

Symptoms: She got her vaccine and woke up at 2:35 AM with the urge to use the restroom and before she could get up she found out that her head was hurting real bad. She used the wheelchair and when she came back she fell down and was on the floor. They called and they put her in the bed and thought she was scooting into the middle of the bed and she scooted to the end of the bed and fell to the floor again. They called again and they put her back in the bed. She still had the excruciating headache, took some Tylenol and it relieved her pain. Her legs seemed weak but is unable to stand for long. She does use a wheelchair on a regular basis as she cannot walk.

Other Meds: Raloxifene, Methotrexate, Turmeric, vitamin D3, Vitamin E, Glipizide, Prednisone.

Current Illness: None.

ID: 1207390
Sex: M
Age: 16
State: TX

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies: Allergies to cats, dirt, and oak trees

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

Symptoms: Shaking violently when awoken, migraine, nausea, difficulty walking straight and fever

Other Meds: Tylenol

Current Illness: None

ID: 1207391
Sex: F
Age: 55
State: WI

Vax Date: 03/20/2021
Onset Date: 03/28/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Eight days after patient received her vaccine, she developed a rash that per her statement, "covered 90% of my body". She consulted with her primary clinics and then was seen by a dermatologist. Tests were all negative and she was started on a steroid taper along with Zyrtec and loratadine. At this time, she is still on these medications and states the rash if still present but much better.

Other Meds: Multivitamin daily

Current Illness: none

ID: 1207393
Sex: F
Age: 49
State: PR

Vax Date: 03/31/2021
Onset Date: 04/09/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

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

Symptoms: On April 9 in the afternoon, a severe headache began, which I had never experienced. This led me to vomit and even then the pain was unbearable. The pain persisted despite taking an analgesic and the next day still felt throbbing that was reflected in the head in general and in the eye area.

Other Meds: synthroid.25

Current Illness: Hypothyroidism

ID: 1207394
Sex: F
Age: 60
State: TX

Vax Date: 04/07/2021
Onset Date: 04/11/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: No Known Drug Allergies

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

Symptoms: On the evening of 04/11/21 patient states she began to have some vaginal blood spotting, on Monday 04/12/21 patient reported vaginal blood flow. Patient reports she is post menopausal and has not had a period, spotting, or blood flow in years.

Other Meds: Vivelle-Dot (Estrogen) Transdermal Patch Progesterone 200mg capsule Spironolactone 50mg tablet

Current Illness: None Reported

Date Died: 01/24/2021

ID: 1207395
Sex: F
Age: 95
State: PR

Vax Date: 01/13/2021
Onset Date: 01/24/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None reported

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

Symptoms: On 1/24/2021 the patient was discharged from the hospital due to swelling in the body, when they proceeded to infuse medications. She herself had passed away.

Other Meds: Levothyroxine, Labetalol, Mecobalamin, Amlodipine, Fenofibrate, Aspirina, Zolpidem, Pravastatin

Current Illness: None reported

ID: 1207396
Sex: F
Age: 43
State: TX

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Cipro and Clavulatic Acid

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

Symptoms: Extreme pain in joint, difficulty waking, and full body aches for 24 hours. Exhaustion and difficulty waking, going on day four. It does seem to be improving each day, though day 3 had dizziness also.

Other Meds: Zyrtec, Lexapro, singulair, estrogen, and contrave.

Current Illness: Asthma and severe seasonal allergies

ID: 1207397
Sex: F
Age: 63
State: MA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: latex, HCTZ clindamycin- caused c-diff

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

Symptoms: Back pain in left scapular area from 4/8- to present. Pain was 10/10 on 4/12, has become less intense, now more mild. Took Advil and Tylenol , which helped but upset stomach. Called RN at PCP office to discuss 4/12/21. Called nurse Covid hotline 4/14 because had J+J vaccine 4 wks ago.

Other Meds: lisinopril, citalopram, lorazepam, levothyroxine, vitamin D, atorvastatin, multiple eye drops for glaucoma.

Current Illness: none

ID: 1207398
Sex: F
Age: 54
State: GA

Vax Date: 02/26/2021
Onset Date: 03/20/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Gabapentin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Severe pain in left shoulder starting in March. Progressed to right shoulder, then to wrist and knee. Been to urgent care twice for medical assistance. Pain levels vary from 5-10 depending on movement and has not fully resolved.

Other Meds: Synthroid, Gilenya, Vitamin D3, Biotin, and Multivitamin.

Current Illness: Graves disease MS

ID: 1207399
Sex: F
Age: 37
State: DE

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: ? injection site pain - continue as of 9:30AM 04/14/2021 ? tiredness - continue as of 9:30AM 04/14/2021 injection hand (left), knees, legs. ? headache - continue as of 9:30AM 04/14/2021 ? muscle pain - continue as of 9:30AM 04/14/2021 ? chills - continue as of 9:30AM 04/14/2021 ? joint pain - continue as of 9:30AM 04/14/2021 ? fever - was present on 04/13/2021. Gone as of 9:30AM 04/14/2021 ? injection site swelling - continue as of 9:30AM 04/14/2021 ? injection site redness - none. ? nausea - was present 04/13/2021. Gone as of 9:30AM 04/14/2021 ? feeling unwell - continue as of 9:30AM 04/14/2021 ? swollen lymph nodes (lymphadenopathy) - none ? diarrhea - continue as of 9:30AM 04/14/2021 ? dizziness - continue as of 9:30AM 04/14/2021

Other Meds: Colchicine, Prednisone

Current Illness: Gout, Arthritis

ID: 1207400
Sex: M
Age: 53
State: NE

Vax Date: 04/09/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
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: Left armpit lymph node sore, soreness in left rib cage, and swelling on left side all the way down to hip.

Other Meds: Ibuprofen

Current Illness:

Date Died: 04/10/2021

ID: 1207401
Sex: F
Age: 64
State: FL

Vax Date: 03/30/2021
Onset Date: 04/10/2021
Rec V Date: 04/14/2021
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: SUDDEN DEATH - PULMONARY EMBOLUS DUE TO DEEP VEIN THROMBOSIS RIGHT POPLITEAL VEIN

Other Meds: NONE

Current Illness: NONE

ID: 1207402
Sex: F
Age: 53
State: NC

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: none

Symptom List: Unevaluable event

Symptoms: Very sore arm; rash from shoulder to elbow around injection site; slightly raised and very warm

Other Meds: Progesterone Daily Vitamin Mega Foods Women over 40 Emerg - C

Current Illness: none

ID: 1207403
Sex: M
Age: 22
State: PA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/14/2021
Hospital: Y

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: ON 4/7 PATIENT RECEIVED A JANSSEN COVID VACCINE AT OUR PHARMACY. THURSDAY AND FRIDAY HE HAD NORMAL REACTIONS TO A VACCINE (LOW GRADE FEVER, SORE ARM, HEADACHE). BY SATURDAY HE HAD A HIGHER FEVER AND WAS NAUSEATED. ON MONDAY HE STARTED WITH VOMITING AND SEVERE CHEST PAIN. PT WAS ADMITTED TO HOSPITAL ON TUESDAY WITH HIGH TROPONIN AND FLUID ON THE LUNGS. THEY ARE RUNNIGN MORE TESTS TODAY (WEDNESDAY). MOM CALLED ME TO REPORT.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1207404
Sex: M
Age: 57
State: FL

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: PCN

Symptom List: Injection site pain, Pain

Symptoms: Skin became very itchy with small raised bumps, lasted for 5 hours and then subsided, Mild Fatigue.

Other Meds: None

Current Illness: None

ID: 1207405
Sex: M
Age: 51
State: IN

Vax Date: 04/06/2021
Onset Date: 04/08/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Medications

Symptom List: Injection site pain, Menorrhagia

Symptoms: Raised rash on right wrist, chest, and lower abdomen.

Other Meds: Amlodipine 10 mg, Omeprazole 40 mg, Sertraline 150 mg, Ipratropium Bromide nasal spray, Vit D, B-complex, Fish Oil, Multivitamin

Current Illness: none

ID: 1207406
Sex: F
Age: 29
State: MD

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Bad headache, can?t stand my leg are wobbly, shivering, sleeping all day Fatigue

Other Meds: N/A

Current Illness: Shivering, feeling cold and hot at the same time, bat headache. And Wobbling when standing. Can?t stand for more that 2 min I feel Dizzy

ID: 1207407
Sex: F
Age: 44
State: VA

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Iodine, compazine, phenergran

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: About 10 minutes after vaccination- developed numbness on left side of face. Resolved within 15 minutes. Intermittent over next 2 months. On Jan 12- noted new lymphadenopathy left supraclavicular region into left axillary. On Jan 16- left hand became dusky/ blue- seen in ED. Abnormal Allen?s test, CTA left arm no occlusion. New diagnosis HTN and EKG with intermittent a fib/ a flutter. Subsequently seen by PCP (new HTN), Vascular (tests normal), Neuro (left arm EMG) and cards EP (28 day monitor pending). Symptoms of left face numbness and arm numbness persisted through January. Resolved by mid Feb. in addition, was started on HCTZ for HTN with new SBP max 160s and DBP 100s. By March, SBP down to 100s and HCTZ stopped. BP since normal. No recurrence of face or arm numbness. Persistent left supraclavicular LAD , although decreased since January.

Other Meds: Naproxen prn

Current Illness: None

ID: 1207408
Sex: M
Age: 50
State: WA

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Gout flare - only one previous incidence of gout. Generalized inflammatory response lasting 3 days.

Other Meds: Atorvaststin, calcitriol, lisinopril, NAC, CoQ, herbal tincture including aspersions & etc

Current Illness: None

ID: 1207409
Sex: M
Age: 16
State: MO

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies: IV MEDS

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

Symptoms: NO ADVERSE EVENT BESIDES, PT IS UNDER AGE FOR VACCINE

Other Meds: UKNOWN

Current Illness: UKNOWN

ID: 1207410
Sex: F
Age: 46
State: NJ

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Post vaccination: patient reports nausea/dizziness, and tingling of the fingers. Patient was sent for observation at 10:30am Pulse 84 BP 94/62 RESP 18. Patient reports feeling better and released from facility by self.

Other Meds:

Current Illness:

ID: 1207411
Sex: M
Age: 63
State: NM

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: 5 hours after had mild stroke like effects to include blurred vision followed by headache. 5 days after had muscle and joint aches in the night which are continuing.

Other Meds: Latanoprost eye drops

Current Illness: Glaucoma

ID: 1207412
Sex: F
Age: 52
State: UT

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Tinnitus ongoing

Other Meds: Turmeric, fish oil, iron, calcium

Current Illness:

ID: 1207413
Sex: M
Age: 72
State: FL

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
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Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: tinnitus

Other Meds:

Current Illness:

ID: 1207414
Sex: F
Age: 53
State: PA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/14/2021
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Lab Data:

Allergies: Flagyl Septicaine

Symptom List: Tremor

Symptoms: Side effects increased rapidly. Began with a rash on the hand of the arm which received the injection. Rash emerged quickly and began to diminish within an hour. Joint pain came with intensity, from elbow to feet. Then shortness of breath. Was panting trying to breath normally. I would succeed in breathing normally for awhile, then pant again. Nausea led to repeated vomiting overnight. I could not get out of bed to vomit, though I was able to lean over the side of the bed (bucket placed there) and eventually to sit up in bed to vomit. The joint aches began to subside but the nausea lasted for 24 hours. Walking I tripped/stumbled on four occasions the next day. (Am athletic; that was an anomaly.) Speech was affected; I used the wrong words and found it challenging to find the correct one. Short term memory is a little odd to date. The physical symptoms subsided within 48 hours.

Other Meds: None

Current Illness: Healthy

ID: 1207415
Sex: M
Age: 36
State: MO

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 04/14/2021
Hospital: Y

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Lab Data:

Allergies: Penicillin, CIPRO, alcohol

Symptom List: Erythema, Pruritus

Symptoms: Experienced chest pain, neck pain, general muscle pain, joint pain, some abdominal pain, headaches, fatigue, some shortness of breath, lightheadedness, some vision change in left eye, severe heartburn flare up, nausea, digestive issues (urgent, but small stools), increased heartrate, irregular tachycardia responses and heart palpitations. The pain and heartburn were treated with over the counter medications - ibuprophen, Tylenol, Pepcid and Prilosec at advice of my primary care doctor. Most all of the symptoms resolved after about two weeks past vaccine except my heartrate/palpitations and heartburn. My primary care doctor prescribed Protonix to help with the heartburn. Three and half weeks past vaccine I visited the ER thinking I was having a heart attack.

Other Meds: NA

Current Illness: NA

ID: 1207416
Sex: F
Age: 17
State: MD

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies:

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

Symptoms: moderna vaccine was given to pt no major side effect just sore arm

Other Meds:

Current Illness:

ID: 1207417
Sex: F
Age: 27
State: OH

Vax Date: 04/02/2021
Onset Date: 04/11/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies:

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

Symptoms: 9 days after the vaccine, my arm at the injection site became red and swollen. Pain began the next day with increased redness. 3 days later and redness is still present but swelling and pain have subsided.

Other Meds: Atenolol Amitriptyline

Current Illness:

ID: 1207418
Sex: M
Age: 49
State:

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Body aches Headache Joint pain Chills Fever (99-100.4) Fatigue

Other Meds:

Current Illness:

ID: 1207419
Sex: F
Age: 64
State: FL

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies: Air borne allergies pollen and lactose sensitivity

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

Symptoms: Weakness and leg tingling 20 minutes after shot. Headache developed and became aggravated during the night. Next am shaking, chills and fever five degrees over normal (100.8)

Other Meds: None

Current Illness: None

ID: 1207420
Sex: M
Age: 38
State: FL

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies:

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

Symptoms: PATIENT PRESENTS WITH C/O FEELING DIZZY WITH VOMIT/NAUSEA. PATIENT SLIGHTLY DIAPHORETIC . NO PAIN NOTED. NO SOB. PATIENT BEING EVALUATED BY EMS. VITALS ASSESSED. ADVISED TO HYDRATE. REFUSES TRANSPORT TO ER. FOLLOWING FURTHER ASSESMENT STATES FEELING MUCH BETTER.

Other Meds:

Current Illness:

ID: 1207421
Sex: M
Age: 36
State: FL

Vax Date: 03/24/2021
Onset Date: 04/04/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies: Amoxicillin, sulfates, propylene glycol

Symptom List: Pain in extremity

Symptoms: Headache began appx. one hour after injection lasting into the following day. On April 4th, numerous hair follicle size red bumps appeared. Bumps itched. Several bumps subsequently grew in size into a noticeable, small rash. Rash/bumps are mostly located in armpits, neck, inside of elbow and other "pit" skin areas. No topical cream or itch relief treatment is effective. Rashes continue to grow slowly in size but greater in number.

Other Meds: Velafaxine, 75mg 3x daily

Current Illness: Seasonal allergies

ID: 1207422
Sex: F
Age: 67
State: PA

Vax Date: 02/25/2021
Onset Date: 03/05/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies: No

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

Symptoms: Initially, after receiving my 2nd COVID shot, I was fine. A week later I shaved my underarms. The following morning I woke up with a rash under both arms. Thinking it was from shaving I was not real concerned about it. However, the rash began to spread. It traveled from my underarms around to my back, halfway down my left and right sides, to my breasts, and my stomach. I started to become concerned as this was the first time I ever got a rash from shaving my underarms, let alone it spreading around my upper body. I researched the vaccine for side effects and discovered that a rash is one of them. My rash has raised, reddened pustules that itch, bleed and resulted in some discoloration of the skin.

Other Meds: Lisinopril, Spiriva, Zinc, Vit D3, Vit C, Calcium, Fish Oil

Current Illness: None

ID: 1207423
Sex: F
Age: 49
State: AL

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies: none

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

Symptoms: chills, fever up to 103.4, headache, muscle aches, tiredness, nausea and vomiting

Other Meds: multivitamin, vit. E, benadryl

Current Illness: none

ID: 1207424
Sex: F
Age: 79
State: IN

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies:

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

Symptoms: Five minutes after vaccination, patient c/o "coldness" in throat and chest. A few minutes later, pt state he felt like his throat was swelling. Heart rate was normal, and patient did not appear to be in distress. Taken to the ER for further evaluation. Lot # ER2613, 1st dose. In review of hospital system, patient was brought to ED for evaluation on 3/30/21 and per ED Provider; "Patient has no signs of a true allergic reaction. No hives or rash. No intra oral or perioral swelling. Uvula is not swollen. We observed the emergency department for an hour no symptoms. On my evaluation through her recent with a complaint him on sign some her that in signs and symptoms that would warrant return to the emergency department. I staffed this patient supervising physician. He agrees to follow-up with his PCP or return if he worsens. He is discharged in good condition"

Other Meds:

Current Illness:

ID: 1207425
Sex: F
Age: 55
State: IN

Vax Date: 04/12/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies: Sulfa, penicillin, erythermicin

Symptom List: Vomiting

Symptoms: Lower and upper lips on left side swollen Rash on torso Headache

Other Meds: Turmeric, Aller-zyr, Vitamin D3

Current Illness:

ID: 1207426
Sex: F
Age: 31
State: OH

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: N/a

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Got a headache soon after shot. But woke up the next morning with a sore arm, and a knot and redness at injection site. With my head feeling a little hazy with slight headache

Other Meds: Prenatal vitamins

Current Illness: N/a

ID: 1207427
Sex: F
Age: 54
State: IN

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fever of 100.7. Chills. Body aches. Nausea. Happened

Other Meds:

Current Illness:

Date Died: 04/07/2021

ID: 1207428
Sex: F
Age: 89
State: KS

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: No Known Drug Allergies

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient declared deceased the day after receiving second Moderna COVID vaccine. not her regular pharmacy to our knowledge. Have attempted to contact last known PCP with no response. Son notified pharmacy of patient passing away.

Other Meds: Unknown

Current Illness: Unknown

ID: 1207429
Sex: F
Age: 20
State:

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 04/14/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies:

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

Symptoms: acute appendicitis requiring appendectomy

Other Meds:

Current Illness:

ID: 1207430
Sex: F
Age: 37
State: KS

Vax Date: 03/12/2021
Onset Date: 04/09/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: none

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

Symptoms: I am not really sure if its related, and do not want to give false information. I have never experienced a hormonal change the way I did when my period began. This would have been the first cycle after receiving the vaccine. The first day it started, (4/9/21), I felt like I was having a panic attack, anxiety attack or something similar. Now, I do not actually know what these attacks feel like, I am just stating that I assume this is what it feels like. I was not able to focus, felt like I was freaking out, almost as if I had taken some sort of pill that sped up my heart and made me jittery. I just wanted to report, incase others were experiencing the same issue. It lasted only the one day.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am