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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1210127
Sex: F
Age: 42
State: CA

Vax Date: 04/02/2021
Onset Date: 04/06/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Decadron

Symptom List:

Symptoms: 3 days after receiving vaccine patient began feeling numbness to side of the face and leg numbness and basically all left side numbness . Patient is still having the same symptoms they have been on going and did see a doctor and was placed on neurontin medication and is closely being followed by a doctor.

Other Meds:

Current Illness: patient does have a pacemaker

ID: 1210128
Sex: F
Age: 17
State: IN

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: Penicillin, sulfa

Symptom List:

Symptoms: Fever, chills, achiness

Other Meds: Famotidine, vitamin d, ibuprofen

Current Illness: Cancer

ID: 1210129
Sex: F
Age: 65
State: TN

Vax Date: 04/13/2021
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:

Symptom List:

Symptoms: Extreme pain and swelling at injection site, pain into lower arm and arm pit. Extreme exhaustion, body aches and slight headache.

Other Meds:

Current Illness:

ID: 1210130
Sex: F
Age: 68
State: FL

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

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

Lab Data:

Allergies: Aspirin

Symptom List:

Symptoms: 0930: Sudden onset of dizziness and nausea. Immediate evaluation by onsite EMS and NP. VS@ 0932: 148/69; p 76; O2 Sat 98% on RA. Offered water and a cereal snack - nausea subsided. VS 10:07: BP 136/56; p 77; R 18. Sat 98%. Discharged home at 10:10 with resolution of s/s.

Other Meds: None

Current Illness: None

ID: 1210131
Sex: F
Age: 20
State: OH

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Side effects of the injection site were supposed to go away after a few days. It's been almost 4 days since my injection, and the area is still red and inflamed. The soreness is still present, and the skin around the area feels hot to the touch and tight. Sometimes the area has a slight throbbing to it. Other than that, I feel no other symptoms, but I was a bit concerned with this.

Other Meds:

Current Illness:

ID: 1210132
Sex: M
Age: 48
State: FL

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

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

Lab Data:

Allergies: Slight lactose allergy

Symptom List:

Symptoms: Headache, fairly bad, leg aches and shortness of breath

Other Meds: Crestor, trazadone, trintellix

Current Illness: None

Date Died: 04/12/2021

ID: 1210133
Sex: F
Age: 71
State: MO

Vax Date: 04/09/2021
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:

Symptom List:

Symptoms: Patient had her Johnson and Johnson Covid 19 vaccine on Friday April 9, 2021. Prior to the vaccine patient displayed no noticeable signs of deteriorating health. Over the next two days, friends of the patient attempted to contact her with no success. Finally after several hours of no contact, the grandchildren of the patients friend went to her apartment and found the patient lying on the couch unresponsive. When the patient was found, her leg was swollen. She was cold and not breathing. She passed away after receiving the Johnson and Johnson vaccine.

Other Meds:

Current Illness:

ID: 1210134
Sex: F
Age: 41
State: CA

Vax Date: 03/24/2021
Onset Date: 04/11/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Na

Symptom List:

Symptoms: Very low energy sore muscles

Other Meds: Vitamin C

Current Illness: Na

ID: 1210135
Sex: M
Age: 48
State: OH

Vax Date: 03/06/2021
Onset Date: 03/20/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Remicade

Symptom List:

Symptoms: Noticed a severe uptick in my hidendrinitis. Lot more bloody discharge, growth in infected areas.

Other Meds: Riphamim, Losatrin, Gilpizide, amlopidine, duloxceyt, Magnesium, metformin, iron, ibuprofen, acetaminophen, oxycodone, and turmeric.

Current Illness: No illnesses.

ID: 1210136
Sex: F
Age: 52
State: IA

Vax Date: 03/06/2021
Onset Date: 03/10/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: was found to have a blood clot in my left leg .

Other Meds: lasinapril glemapride

Current Illness:

ID: 1210137
Sex: M
Age: 62
State: GA

Vax Date: 04/07/2021
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: Benadryl

Symptom List:

Symptoms: First 72 hrs....Extreme joint stiffness, cramping, lower extremities ( both legs to feet) felt extremely hot, chills, , disoriented, weakness in legs while standing, and extreme fatigue. The fatigue and weakness has continued and now experiencing headaches and blurred vision with brain fog since the vaccine.

Other Meds: None

Current Illness: None

ID: 1210138
Sex: F
Age: 46
State: AK

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

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

Lab Data:

Allergies: latex, iodine, cypro & related, amoxacilin,

Symptom List:

Symptoms: No typical symptoms after first shot. Four weeks after first shot noticed fluid/non-boundary lump at base of neck on left side, behind collar bone. (Almost perfectly circular, about one and a half to two inches in diameter, pushing up about one half to one inches above normal surface of skin. Very soft and pliable - no noticed boundaries, sacks, "lumps", etc.

Other Meds: Trulicity 1.5 mg/.05ml pen, Synjardy XR 25/1000, Atorvistatin 80 mg, Candesartan Cilexetil 16 mg, Cetirizine HCI 10 mg

Current Illness: No illness prior to vaccine. Sinus infection/impacted tooth which ended in root canal 3/23 - week prior to issue showing up.

ID: 1210139
Sex: M
Age: 55
State: CA

Vax Date: 03/25/2021
Onset Date: 04/01/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: No Known Drug Allergy

Symptom List:

Symptoms: Deep Vein Thrombosis of Right Leg

Other Meds: Metformin Amlodipine Atorvastatin Lisinopril

Current Illness: Knee pain

ID: 1210140
Sex: M
Age: 58
State: GA

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:

Symptoms: Moderna COVID?19 Vaccine EUA, Approx 18 hours after the shot I experienced intense chills, overall fatigue, fever, burning eyes and joint pain for the next 18 hours. I took no pain relievers and awoke on the second day with no ill effects.

Other Meds: none

Current Illness: none

ID: 1210141
Sex: F
Age: 47
State:

Vax Date: 04/10/2021
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: Sulfa drugs, Tylenol with codeine

Symptom List:

Symptoms: About two hours after injection, experienced nausea. Four hours after injection, experienced extreme fatigue and a slight headache. Experienced overall slight fatigue for 4 days. On the fourth day after shot (4/14/21), experienced a full body "buzzing" sensation and also nausea.

Other Meds: Vitamin D and iron supplements, CBD oil, Levothyroxine.

Current Illness:

ID: 1210142
Sex: F
Age: 20
State: TX

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was working and fell on the job due to what was perceived to be a seizure. Paramedics were called, and patient was taken to the emergency room. Initial reports from the hospital are that patient has clotting in the arm around the injection site. Patient is still at the hospital at the time of this report.

Other Meds:

Current Illness:

ID: 1210144
Sex: F
Age: 37
State: NY

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:

Symptoms: First 36 hour period, ending approximately 1:00am on Wednesday 4/14, dizzy feeling, very tired requiring 2 naps on 4/13, headache, mild sore throat. chills, then sweating at night. On Wed 4/14 from 7:00am - time of this submission (8:00pm same day) red looking rash which feels sore and tender, appeared 1 inch below the vaccination site.

Other Meds: None

Current Illness: None

ID: 1210145
Sex: M
Age: 64
State: ME

Vax Date: 03/08/2021
Onset Date: 03/22/2021
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:

Symptoms: 03/22/2021, severe right back pain. 03/23/2021 visited Urgent Care (severe right back pain). 03/26/2021 visited Emergency Care (severe lower right side pain).

Other Meds: Olmesartan (blood pressure, 20mg) and Prilosec.

Current Illness: None

ID: 1210146
Sex: F
Age: 51
State: MD

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

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

Lab Data:

Allergies: Penicillin Sulfa

Symptom List:

Symptoms: Shingles

Other Meds: Plaquenil 400 mg. Restaisis eye drops.

Current Illness:

ID: 1210147
Sex: F
Age: 60
State: VA

Vax Date: 04/13/2021
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: Sulfa antibiotics

Symptom List:

Symptoms: Headache, fever, fatigue

Other Meds: Metformin, Lexapro, lisinopril, vitamin D

Current Illness:

ID: 1210148
Sex: F
Age: 43
State: CO

Vax Date: 04/01/2021
Onset Date: 04/05/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Depression, exhaustion, insomnia, edema, brain fog, bloating, constipation, lower back pain, muscle fatigue, muscle cramping

Other Meds: Liothyronine Levothyroxine Methylene Blue Itraconozole Corteph

Current Illness:

ID: 1210149
Sex: F
Age: 93
State: WA

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

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

Lab Data:

Allergies: No allergies reported

Symptom List:

Symptoms: The patient is a resident of a memory care facility. The facility contacted Walgreens to schedule 2nd doses of Pfizer vaccine for several of their residents. The patient came to the pharmacy and we asked if this was the 2nd dose and when the resident had gotten their first dose. The caregiver said the resident got their first dose at another facility before she came to them in January and this would be the 2nd dose. We asked if they had a vaccination card and the caregiver said no. The caregiver was asked about which dose this would be and when the first one was received multiple times at check-in and immediately prior to administration. The vaccine was administered. The facility called several hours later and said the patient had actually already received a 2nd dose in the hospital so the dose we gave was actually a 3rd dose. The facility said that medical personnel were aware she had already had a second dose but that front desk staff did not know.

Other Meds: Unknown

Current Illness: None reported

ID: 1210150
Sex: F
Age: 51
State: CA

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: Penicillin ? rash Bee stings ? body aches and swelling Shell fish ? sometimes swelling of moth and lips Hay fever allergies

Symptom List:

Symptoms: Nausea and dizziness by evening. Nausea increased. Woke up at 11:45 pm and went to the bathroom. Could not get up from toilet. Too dizzy. Called husband to help. Threw up three times. Body aches and chills came on very quickly. Body aches became severe. Returned to the bathroom about 30 mins later and had bowel movement and some diarrhea. Difficulty sleeping due to the pain from body aches and chills. Fever developed by morning. At 6:00 am fever was 99.8. Took one Advil. Fever subsided. Slept off and on all day. Body aches and chills lasted most of the next day on 4/13. By 4/14 symptoms lessened. Still feeling queasy in the stomach and weak. Headache in the afternoon around 3:45 pm after waking up from a 30 min nap.

Other Meds: None

Current Illness: None

ID: 1210151
Sex: F
Age: 22
State: MI

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

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

Lab Data:

Allergies: Cinnamon

Symptom List:

Symptoms: Woke up with really bad vertigo this morning, was very difficult to walk, and vomited multiple times as a result. It has gotten better over the course of the day but not totally gone. If I am still experiencing this tomorrow I will go to an urgent care.

Other Meds: Birth control pill

Current Illness:

ID: 1210152
Sex: F
Age: 28
State: CA

Vax Date: 04/01/2021
Onset Date: 04/09/2021
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:

Symptoms: Got "covid arm", arm was itchy, red, and swollen/raised at the injection site. Probably at least 2-3" in size. This subsided after ~24-48hr.

Other Meds: Aurovela FE 1/20 , Multivitamins, Vitamin C, Collagen

Current Illness: N/A

ID: 1210153
Sex: F
Age: 40
State: AZ

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

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

Lab Data:

Allergies: Non

Symptom List:

Symptoms: I start with cough and temperature then all the symptoms of the COVID-19 for 3 days then i make appointment to test

Other Meds: Vitamin D3 Biotin Melatonin

Current Illness: Non

ID: 1210155
Sex: F
Age: 42
State: NV

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Minor food allergies - peanuts wheat corn shellfish. Thats why I take cetirizine

Symptom List:

Symptoms: Extended minor menstrual flow since first dose. Continued thru second dose. My cycle is usually first week of month only and only 1 to 3 days regular flow. This is just a minor flow. Not spotting but not regular either

Other Meds: Cetirizine 10mg twice daily Omeprazole 20 mg twice daily

Current Illness: None

ID: 1210156
Sex: F
Age: 27
State:

Vax Date: 03/22/2021
Onset Date: 03/29/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, egg, melons, banana, treenuts, peanuts, soy

Symptom List:

Symptoms: Received vaccination 2 days prior to expected menstrual period start date. After a week of the vaccination, I started experiencing menstrual symptoms...extreme bloating, very swollen breasts, and stomach cramps, but I have not gotten my cycle. I am now 3 weeks late and have had very consistent periods prior to my vaccination. I took three negative at-home pregnancy tests.

Other Meds: 10 mg Adderall

Current Illness: None

ID: 1210157
Sex: F
Age: 41
State: CA

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

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

Lab Data:

Allergies: None known.

Symptom List:

Symptoms: Store technician administered 1st COVID-19 Moderna vaccine shot into left arm of "Patient". Upon disposing the syringe in the Sharps container, employee shortly notifies patient that the syringe was empty with air and says that she needs to administer again. Patient was uncomfortable with any possibility of potentially getting a second dose of the vaccine by accident since Patient not only reported feeling sensations in her body shortly after the first administration but more so because employee already disposed and delayed momentarily before notifying the Patient of the error. Patient considered that the only way to confirm for a fact that the shot was empty or not was to look through each of the syringes within the Sharps container to check for evidence of residue (or lack thereof). Employee managed to retrieve a few syringes and stopped further inspection upon finding a syringe without any evidence of residue from the vaccine. Employee then proceeded to administer the shot a second time. Witnesses (store Employees) were present. Patient proceeded to file a report with the pharmacy manager who stated that she will file a (same day) Quality Assurance report to document the event which will go into their files and a copy will also go to store Corporate. Patient mentioned to Manager about retrieving and inspecting each syringe for evidential confirmation and peace of mind that employee had not given any other empty shots that day. However, after Manager spoke to her supervisor Patient was told it was not possible without the proper tools to handle the biohazardous materials. Patient remained past her monitoring/observation time for side effects around 12:00PM.

Other Meds: N/A

Current Illness: N/A

ID: 1210158
Sex: M
Age: 64
State: CA

Vax Date: 04/13/2021
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: Nuts

Symptom List:

Symptoms: 9 hours later and continuing through the next day: Fever, chills, headache, body aches, could not sleep

Other Meds: Ambien, omeprazole, avortstatin

Current Illness: Hiatel hernia, possible ulcer. Hi thyroid of 4 .774 but Freet4 normal. Just found out that I have a low red blood cell count but hemoglobin is normal.

ID: 1210159
Sex: M
Age: 36
State: CA

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

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: This patient was vaccinated with the vaccine at approx 1530, in the left arm. He was sitting in the observation area for his allotted 15 minutes. At approx 1540 this nurse was called over by a staff member and was told that this patient was feeling dizzy, hot and nauseous. This patient presented as diaphoretic and pale. RN's, came over to the patient and began asking basic demographic info questions, and started to measure his vital signs. This patient denied any heart issues or past medical history. His father was present and was seated next to the patient. We had the patient move onto a cot and we had the patient lay down and we elevated his feet. The patients initial vital signs were: 110/70, HR 56 and O2 99% at 1543. He stated that he felt some shortness of breath but was able to speak to us without difficulty. No wheezing or rhonchi present. We kept the patients legs elevated and provided a cold pack to his head and neck. After approx 10 minutes the patient stated he felt better, but he felt cold and his legs and upper body were shaking. Once we sat him up into a sitting position he stated he wasn't feeling dizzy. We kept him there for another 10 minutes until he felt better. His vital signs were measured again and his bp was 140/90, HR 91 and O2 level was 99%. The patient denied any difficulty breathing. This nurse advised for the patient and his father to go to the Emergency Room if another episode of this occurs. The patient understood and he walked with his father to their car without any difficulty.

Other Meds: Unknown

Current Illness: Unknown

ID: 1210160
Sex: M
Age: 54
State: MN

Vax Date: 04/10/2021
Onset Date: 04/11/2021
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:

Symptoms: Headaches, body aches, cough

Other Meds: Methocarbamol, chanca Piedra, Tylenol 8 hr arthritis pain

Current Illness: None

ID: 1210161
Sex: F
Age: 56
State: GA

Vax Date: 04/07/2021
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: Environmental Allergies

Symptom List:

Symptoms: Headache, fatigue, joint pain, leg weakness and numbness, concentration issues, shortness of breath. Conditions improved by Saturday but are still ongoing as of today 4/14/2021

Other Meds: None

Current Illness: None

ID: 1210163
Sex: M
Age: 52
State: MS

Vax Date: 03/09/2021
Onset Date: 03/09/2021
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:

Symptoms: Had very cold chill starting about 6:30 pm, about 1:15 am starting to feel better, but arm was still sore and the injection site. soreness site stayed sore for about another 3 to 4 days, but total top arm around site still sore and aching. Arm is hard to lift up at some times and weak to lift anything up sometimes. Arm feels week for about 2 to 3 days and then starts to fill better. Then after a day of the soreness or no weakness in the arm, it starts back hurting again. It now getting worse at night time and sometimes during the day. Some days it hurts so bad that I can't even move it. I don't bother to tell my wife, because it just last for about a 2 to 3 hours. I have been to my doctor yet. But if it keeps bothering me I will make an appointment to see him. It just my arm and hand be very weak to use at sometimes every other day.

Other Meds: Lotrel Blood Pressure (5-10 MG per Capsule)

Current Illness: None

ID: 1210164
Sex: F
Age: 44
State: NC

Vax Date: 04/01/2021
Onset Date: 04/06/2021
Rec V Date: 04/14/2021
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Allergies: None

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Symptoms: Symptoms of TMJ, including extreme bouts of jaw pain and difficulty opening the mouth fully. Patient has never before had TMJ. Symptoms have this far continued for 8 days and persist even after a 5-day course of 400mg ibuprofen (Motrin) thrice daily.

Other Meds: None

Current Illness: None

ID: 1210165
Sex: F
Age: 38
State: NY

Vax Date: 04/06/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
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Allergies: Orphenadrine (muscle relaxer), latex

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Symptoms: "Covid arm". Mid- morning 4/13 arm started to hurt/ slightly itch. After work (~3pm) noticed arm had 3inch diameter red spot, hard lump and hot to the touch. 4/14- less painful, but affected area is nearly double in size.

Other Meds: Tylenol later in the evening.

Current Illness: None

ID: 1210166
Sex: M
Age: 16
State: WA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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Symptoms: Patient under the age of 18 received the second dose of Moderna on 4/14/21.

Other Meds:

Current Illness:

ID: 1210167
Sex: F
Age: 56
State: CA

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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Allergies: Penicillins, Sulfa drugs

Symptom List:

Symptoms: Chills, fever up to 102 degrees, fatigue, body aches, nausea.

Other Meds: Lexapro, Wellbutrin, Levothyroxine, Gabapentin, Tetracycline. Vitamin C, B-complex,Vitamin D-3

Current Illness: None

ID: 1210169
Sex: F
Age: 57
State: GA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 04/14/2021
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Allergies: Aspirin, MSG

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Symptoms: Fatigue, very sore at and around injection site

Other Meds: Atenolol, rosuvastatin, Omeprozol, multivitamins, Gabapentin, Tramadol, Tylenol

Current Illness: None

ID: 1210170
Sex: F
Age: 56
State: IL

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 04/14/2021
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Allergies: Tetracyclin, Augmentin, Iodine

Symptom List:

Symptoms: Dose 1 Extreme pain and swelling at injection site and then moving down arm and underneath arm down right side of body. Right leg hot an painful in front thigh area. This whole effect lasted 10 days Fever up to 101 approximately 3 hours later lasting 2 days (up and down fever) Chills lasting 2 days starting late the night of injection Migraine headache - Debilitating for 3 days and still have daily migraines. Painful lower neck that has not gone away Shoulders and legs hot and feel numb at times - Leggs lasting approximately 14 days; arms still feel this way Blurry vision off an on for 13 days Dose 2 So far same as above although legnth unknow as I just recieved the shot on 4/13/2021

Other Meds: Shaklee Vitamins - Vitamin D3; Ledithin, Vivix, Carotomax, Stomach Soothing, Glucose Regulation, Nutrifuron

Current Illness:

ID: 1210171
Sex: M
Age: 83
State: AZ

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 04/14/2021
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Allergies: NKA

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Symptoms: approximately one day following the event. noticed that his left upper arm (vaccine injection site) deltoid area and elbow are purple in color, the area is swollen and raised and tender to the touch, especially around the elbow. there are also pale raised bumps in the area.

Other Meds: Aspirin 81 mg, Coumadin 3 mg, Zocor, lisinopril, and hydrochlorthiazide

Current Illness: none

ID: 1210172
Sex: F
Age: 48
State: AZ

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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Allergies: Shrimp, with a history of anaphylaxis

Symptom List:

Symptoms: 1425-vaccine administered. Client and husband were requested to stay on site for observation for 30 minutes due to history of anaphylaxis and car was moved close to staff tent. 1445-check in by vaccinator, client denied any problems. 1455-vaccinator went to check on client prior to discharge to home. Vaccinator noted flushing of the right side of the client's face. Call for help placed. 1457-BP 140/80, HR regular, lungs clear to auscultation bilaterally. Right-sided facial edema and erythema noted, along with right neck and shoulder hives. Client denied itching of the throat, difficulty breathing, or any other problems. Oropharynx was visualized, skin was pink and intact, with no hives or edema noted. Close and constant observation provided. 1502-client reported feeling like her throat was itchy and it was more difficult to get air in. Is scratching here and there to the right face and shoulder. Close and constant observation provided, emergency medication prepared. Epinephrine auto-injector given to right lateral thigh due to continued report of itchy throat and difficulty breathing. EMS was called. 1507-BP 150/90, HR regular. Client reports she is throat itching has improved, it is easier to breathe. 1508-facial flushing and hives are clearing and facial edema is less. 1515-EMS on site, they took over care, then client was transported to the hospital with husband following in the car.

Other Meds:

Current Illness:

ID: 1210174
Sex: F
Age: 17
State: IL

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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Symptoms: Pt with a history of asthma and anxiety started to c/o dizziness, tightness in the chest. VS were as follows: 1750 HR 79, O2 sat 97% on RA, BP 109/62 - 50mg of Benadryl given 1755 HR 74, O2 sat 99% on RA, BP 110/67 1800 HR 76, O2 sat 99% on RA, BP 115/72. At 1800 Patient reported that she was feeling much better, tightness in the chest had resolved and was not dizzy. Through out she was able to hold a conversation, no wheezing, and no SOB noted. Pt discharged home with father. Spoke to father to call PCP to advise on second dose.

Other Meds:

Current Illness:

ID: 1210175
Sex: F
Age: 50
State: DC

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

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Symptoms: Effect of April 3rd I became incapacitated I was not able to get up and stand by nyself I was not able to move without excruciating pain in my lower back going all the way down my leg the pain into my feet ..the pain that I experience already intensified and magnified to about a 15-18... i was not able to lay in my bed until April 11th due to the pain that was shooting up and down my right leg my right leg became very swollen I experienced chills with fatigue.... but I still try my best not to sit around because I knew that the pain would increase so any chance that I was able to get up and move about I would do so and drink plenty of water take the came to the point that I didn't even want to eat

Other Meds: Calcium magnesium zinc folic vitamin D3 vitamin C echinacea asthma inhalers pain medication but after the shot was taken i continues all medicines above except the pain medication because I had to take Gabapentin and Tizanidine but stop pa

Current Illness: Down below

ID: 1210176
Sex: F
Age: 28
State: WA

Vax Date: 04/07/2021
Onset Date: 04/11/2021
Rec V Date: 04/14/2021
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Symptoms: Patient had miscarriage with 5 month stillborn baby

Other Meds:

Current Illness:

ID: 1210177
Sex: F
Age: 22
State:

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
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Allergies: Penicillin

Symptom List:

Symptoms: Dizziness, hot flashes, muscle cramps throughout arm

Other Meds:

Current Illness:

ID: 1210178
Sex: F
Age: 50
State: TX

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 04/14/2021
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Symptoms: The day after the first dose I developed a headache that lasted three days. If I took NSAIDS it did not help the headache and it became a migraine for three days. I saw my doctor and she prescribed migraine medication. I have not had any more migraines since the initial two weeks. but I still have constant headaches. The headaches were constant all day for the first two weeks. Currently I have headaches two to three times a week for the whole day. I feel the headache mostly on the front part of my head and on the left side. My scalp also feels tingly. I am unable to take any NSAIDS because of my condition. Before my vaccines I had rarely had headaches.

Other Meds: Montelukast Levocetirizine Advair Flonase Multivitamin Vitamin D Calcium Allergy shots weekly

Current Illness:

ID: 1210179
Sex: F
Age: 62
State: OR

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/14/2021
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Allergies: Sulfa drugs, penicillin, legumes and peanuts

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Symptoms: Within 15 minutes of receiving vaccine, massive headache, slight nausea, flushing of face, rapid heart rate double the normal heart rate for myself (120 beats per minute, as opposed to 60 BPM), heat in right hand. Adverse effects lasted 20 hours after injection. Slight headache on and off from 4/11/2021 to 4/14/2021. Also noted jaw pain, felt like slight swelling around eustachian tubes of both ears.

Other Meds: Vitamins B/C/D/E, CoQ10, Alpha Lipoic Acid, Multivitamin, Turmeric and Black Pepper, Cinsulin (Cinnamon), Tart Cherry Extract, EPA & DHA, Glucosamine & Chondroitin w/MSM.

Current Illness: None

ID: 1210181
Sex: F
Age: 43
State: FL

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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Allergies: Aspirin

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Symptoms: 09:50. Reported feeling lightheaded, dizzy. Diaphoretic. 09:52 VS BP 136/94; P 65; Sat/ 98% on RA 10:25: BP 107/61; p. 63; Sat 98% Offered water and a cereal bar snack. Felt better 30 minutes later. All s/s resolved. Discharged @10:30

Other Meds: None

Current Illness: Denies

ID: 1210182
Sex: F
Age: 27
State: FL

Vax Date: 04/06/2021
Onset Date: 04/11/2021
Rec V Date: 04/14/2021
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Allergies: Latex

Symptom List:

Symptoms: Rash all over body

Other Meds: None

Current Illness: No

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm