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: 1223294
Sex: F
Age: 40
State: IL

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Tree nuts, sesame seeds

Symptom List:

Symptoms: Within 4 minutes of getting her second dose she complained of tingling from head to toe, feeling as if something was caught in her throat, chills and shaking

Other Meds: Unknown

Current Illness:

ID: 1223295
Sex: F
Age: 51
State:

Vax Date: 02/09/2021
Onset Date: 03/10/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chronic muscle aches, joint pain, fatigue, "foggy" thought process

Other Meds: None

Current Illness: None

ID: 1223296
Sex: F
Age: 37
State: NJ

Vax Date: 04/08/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: 0 symptoms on day 1-6. Day 7 I felt a little weak, thought it was due to lack of eating. Ate. Around 1pm, right arm started to get itchy. Around 3pm, arm started to hurt and began to get hot to touch as well as hurt. Around 4pm weakness increased, body went numb and it was hard to walk. The only way I can explain it is when your arm or leg falls asleep and it tingles and it's hard to move; that's what happened through my entire body. Only lasted 15min. Blood pressure increased (but may have been to the stress). After about 1.5-2 hours later, my body felt better, blood pressure was normal. I slept at my parents, as per the doctor's recommendation as a precaution. Two days after this event the slight tingling in my right leg and left hand is dissipating. Redness on my arm went from: Day 1-6, nothing. Day 7, small red spot at injection site. Day 8, a perfect circle on my arm. Day 9, gone as well as any pain or itchiness. I am in the process of following up with my neurologist.

Other Meds: Tri-Sprintec Rizateiptan

Current Illness: No

ID: 1223297
Sex: M
Age: 57
State: OH

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

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Headache, chills and fever of 101.9 for 24 hours

Other Meds: Actos, clonazepam, lisinopril , atorvostatin, oxycodone/acetaminophen

Current Illness: None

ID: 1223298
Sex: F
Age: 55
State: NE

Vax Date: 03/24/2021
Onset Date: 04/09/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: I had severe dizziness/vertigo and lightheadedness on the afternoon of April 9th, 16 days after my 1st dose of Moderna Covid vaccine. The room appeared to be spinning very fast. I was either standing or walking when it started. I made my way to bed and tried sitting and lying down for a few minutes. That didn't help so I finally laid down, closed my eyes, and took a nap for about an hour. When I woke up my symptoms were gone. I don't know how long it took because I fell asleep. I have NEVER felt like this before. I really hope this doesn't happen again, or worse, after/if I get my second Moderna shot in a few days. I was so unnerved by this that I did some online research afterward and found a forum with a lot of people reporting that it is much worse after the second shot (lasts longer, vertigo is worse, hasn't gone away after weeks).

Other Meds: over the counter chewable antacid nightly, B12 5000 mcg weekly

Current Illness:

ID: 1223299
Sex: F
Age: 44
State: AZ

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

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: I had the vaccine shot at around 8:30 am on 4/15/21 and I was ok after the 15 mins they made me wait. I had some general achiness and thats about it for the first 2 days. Then at about midnight on 4/17/21 before I went to bed, I noticed my arm was a little sore. I looked at it and it was red and swollen. There is a spot about 2 inches down my arm from the injection site. The spot is swollen and sore and a little itchy. It is about 2 or 3 inches in diameter. I have had it that for about 10 hours, that I am aware of.

Other Meds: N/A

Current Illness: N/A

ID: 1223300
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 04/10/2021-abdominal, low back and legs ached and cramped really bad with headache. This continued on 4/11 and overnight. 4/12--muscle cramping and aching stopped. 4/13--nasal congestion, headache, sinus pressure, no temp. 4/14-continued 4/15-worse today. Thick green sputum. A little worse. Feel a lil sick. 4/16 & 4/17---Worse today. Really feel sick. Still no temp. Sinus pressure, body aches, sore throat, sinus drainage.

Other Meds:

Current Illness:

ID: 1223301
Sex: F
Age: 53
State: TX

Vax Date: 03/16/2021
Onset Date: 03/24/2021
Rec V Date: 04/17/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reports tear in esophagus on 3/24/21 in the evening whenever she felt sick to her stomach. She did not feel well, drank one beer, and ate a packet of tuna. She continued to not feel well and felt the food did not go down correctly, so she reached into her throat and noticed blood. She called her doctor and the doctor recommended monitoring for increased bleeding. Later that night, she reports not feeling well again, made herself throw up, and noticed the vomit was all blood. The patient then called 9-1-1, and presents to the hospital. During the hospital visit she noticed that she saw 'blood clots about the size of a quarter' when she went to the bathroom. Patient reports the hospital gave her 4 pints of blood, 4 bags of 'yellow stuff' (patient assumes its plasma), protonix, antibiotics, and NS. Patient was in the ICU and reports being in the hospital for about 5 days total, whenever the doctor recommended being put on hospice. The patient did want to be put on hospice and wants to be treated, so she contacted her heart doctor and is waiting on an appointment with him on the 28th of April. Patient reports that doctor told her that she 'needs a new heart', but that she is not a good candidate, and that the Dr. told her this just a day or two ago. Patient reports that she did not know it was a tear in her throat (esophagus) until they "stuck a scope down there".

Other Meds: Atorvastatin 40mg, one tablet once daily. Carvedilol 3.125mg, one tablet twice daily Furosemide 40mg, one tablet twice daily Spironolactone 25mg, one tablet once daily Tranxene, Entresto, Trazodone 50mg, Warfarin5mg, once daily Aspirin Ph

Current Illness:

ID: 1223302
Sex: F
Age: 35
State: VA

Vax Date: 04/07/2021
Onset Date: 04/13/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Rubella vaccination Estrogen

Symptom List:

Symptoms: Stiff arm...raised red itchy area at injection site

Other Meds: Metaforic acid

Current Illness: Na

ID: 1223303
Sex: M
Age: 29
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Arm sore/pain, tiredness, tight throat, Poor appetite, slightly chilling but no fever

Other Meds:

Current Illness:

ID: 1223304
Sex: M
Age: 70
State: MA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Significant vomiting most of the night, Chills for severl hours. a headache lasting 2 days.

Other Meds: simvastatin, omeprazole, lisinopril, hydrochlorothiazide, sildenafi[. aspitin.

Current Illness: none

ID: 1223305
Sex: M
Age: 39
State: FL

Vax Date: 04/01/2021
Onset Date: 04/13/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Non

Symptom List:

Symptoms: A rash of round, red welts on the skin of my arms and a few in other parts of my body. A little feeling of rash.

Other Meds: Non

Current Illness: Non

ID: 1223306
Sex: M
Age: 46
State: IL

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Joint pain, injection site pain, extreme fatigue, and a 101.4 fever for roughly 12 hours.

Other Meds: None

Current Illness: None

ID: 1223307
Sex: F
Age: 61
State: TN

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

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

Lab Data:

Allergies: NO KNOWN

Symptom List:

Symptoms: PATIET'S ARM IS VERY SWOLLEN AND IT IS VERY PAINFUL.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1223308
Sex: F
Age: 64
State: CA

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

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Started with chills lasted 3 hours Fever lasted 12 hours took aspirin every fours Headache lasted 12 hours took aspirin every 4 hours The worst side effect was muscle aches. Lasted 12 hours. I am currently taking physical therapy ony right shoulder. The paid was very bad in my right shoulder. I used a massager, used ice and took aspirin. Nothing helped. Iy lasted 12 hours. It is as if the vaccine attacked the weakest muscle in my body.

Other Meds: Niaspan Raberazole Synthroid Vacepa Simvastatin Caltrate Align 81 mg aspirin

Current Illness: None

ID: 1223309
Sex: F
Age: 62
State: IN

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Vomiting x 18 hours, migraine and chills x 36 hours

Other Meds:

Current Illness:

ID: 1223310
Sex: F
Age: 59
State: OH

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Zocor Penicillin bee stings

Symptom List:

Symptoms: GI bleed resolved on its own on 3/12/21

Other Meds: magnesium multi vitamin iron vitamin D

Current Illness:

ID: 1223311
Sex: F
Age: 48
State: AZ

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

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

Lab Data:

Allergies: codine

Symptom List:

Symptoms: I had diarrhea approximately 4 hours after my second dose. I also experienced dizziness and a feeling like I was going to faint at about midnight. My face felt a little numb in the morning, around 6:00 am. I also am experiencing fatigue.

Other Meds: Flonase, daily multi-vitamin, omeprosal

Current Illness: None at time of vaccination; had a stomach bug 5 days prior

ID: 1223312
Sex: M
Age: 42
State: CO

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I developed a small hydrocele (smaller than a fingernail) on my right testicle following my first dose of the Pfizer COVID-19 vaccine. I experienced no other adverse effects. My symptoms lasted about 4 days and self resolved.

Other Meds: Escitalopr?m

Current Illness: None

ID: 1223313
Sex: F
Age: 47
State: CA

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Uka

Symptom List:

Symptoms: Dizzy emission times two

Other Meds: Methaltrexate

Current Illness:

ID: 1223314
Sex: F
Age: 55
State: IN

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Flu like symeoms

Other Meds: Yes

Current Illness: None

ID: 1223315
Sex: M
Age: 49
State: IN

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List:

Symptoms: Flu-like symptoms: headache, achy body, extreme fatigue lasting 24 hrs Ibuprofen

Other Meds: Antacid Proteolytic enzymes

Current Illness:

ID: 1223316
Sex: M
Age: 60
State: IN

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Patient had the vaccine in the arm for approximately 1 minute before becoming pale and beginning to shake. The patient had a representative that stated he was a diabetic and did not eat before the vaccine, believing that his glucose was dropping. He was given a shot of glucose before having an episode similar to a seizure. Diphenhydramine and an Epipen were obtained but were not needed to be administered as the side effects subsided. The patient wanted EMS to be called. EMS arrived at the facility and the patient was assessed. Patient left on his on will.

Other Meds: N/A

Current Illness: No

ID: 1223317
Sex: F
Age: 21
State: FL

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: Mother of patient called Pharmacy around 9 am (04/17/21) to report daughter's condition and possibly adverse reaction of the first dose of COVID vaccine given 11:00 am 04/15/21 (Thursday); Primary Care Physician was contacted as well to report what may be symptoms of Bells Palsy. Symptoms were: drooping of one side of face and part of lips. According to the mother, the PCP had prescribed Prednisone and other medications.

Other Meds: Yes, but mother did not disclose.

Current Illness: None

ID: 1223318
Sex: F
Age: 46
State: MD

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Sulfas, Hydrocodone, Steroids, Shellfish, Gluten,

Symptom List:

Symptoms: Within 2 hours started itching from head to toe. Inside ears, back, everywhere. My skin is sensitive so I saw mild hive like rash but it was very faint.

Other Meds: Allegra, Furosemide, Ambien, Magnesium, Potassium, Vitamin D, Restasis, Progesterone

Current Illness: None

ID: 1223319
Sex: F
Age: 84
State: WI

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: We are not sure if these are related, to the vaccine but are reporting them anyway. Six hours after the vaccine, pt had a very rapid heartbeat that lasted an hour. Three days after the vaccine, patient had hours of extreme high blood pressure (190/100) but the pulse rate was normal.

Other Meds: Metropolol (12 mg)

Current Illness: none

ID: 1223320
Sex: F
Age: 52
State: FL

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Dizziness, sweating profusely, shaking, the feeling I was gonna pass out & complete loss of skin color. Shaking so bad I couldn?t hold a cup of water with 2 hands. This lasted for about 15 or 20 minutes. Then off & on for about the next week I would get moments of dizziness & feeling of I might faint, but not so severe as right after the shot.

Other Meds: None

Current Illness: None

ID: 1223321
Sex: F
Age: 53
State: FL

Vax Date: 04/07/2021
Onset Date: 04/14/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: After 4/7 first dose, injected place itches swollen, around 4/14 there is a rash and itchy on the arm not at the injection site but on the arm close to the injection place, until today 4/17 it still there but it light up a bit however when wake up feels a bit headache not sure whether it relates or just didn?t sleep well ...saw website has similar case, thought I should report as a vaccine receiver

Other Meds: No

Current Illness: No

ID: 1223322
Sex: F
Age: 60
State: WA

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Penecillin

Symptom List:

Symptoms: Hives all over entire body

Other Meds: levothyroxine, Liothyronine, sublingal B-12, Vitamin D

Current Illness: none

ID: 1223323
Sex: F
Age: 49
State: NJ

Vax Date: 04/10/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Restasis eye drops

Symptom List:

Symptoms: ON 4/15 had an anaphylactic reaction and went to the ER at medical center (throat closing and body swelling) saw MD, no admittance sent home, provided bendadryl, steroids and Pepcid . No blood work or scans. On 4/16 had collapsed/fainted at home. Went to ER at different medical center. Saw MD Just gave fluids, CT scan and chest X-ray and blood work. sent home.

Other Meds: Synthroid 112 mcg over the counter yeast kill pill (a yeast infection started on 4/15/21)

Current Illness: None

ID: 1223324
Sex: F
Age: 64
State: OH

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Sensitive to medications

Symptom List:

Symptoms: dizzy, red neck and arm. Next day - tired, body aches, headache - lasted 3 days, itchy skin, BP was elevated, chest heavyness, racing heart all symptoms lasted for 2 to 3 weeks. Seventh day full body rash, neck, ears, chest, arms, legs, swollen right ear and psoriasis was flared up badly.

Other Meds: None

Current Illness: None

ID: 1223325
Sex: F
Age: 32
State: CA

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

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

Lab Data:

Allergies: Allergy to sulfa drugs

Symptom List:

Symptoms: Facial numbness on left side of face including forehead, cheek, jaw, ear, lips, and tongue. I had a slight droop on the l eft side of my face, mostly noticeable around the corner of my mouth. I also experienced itchiness around the injection site. The symptoms started with numbness in the tip of my tongue about 20 minutes after receiving the vaccine and slowly spread to the rest of my face. Approximately 5 hours after receiving the vaccine the entire left side of my face was numb. I called a nurse hotline to find out if I should seek medical care that night or wait until morning. They urged me to go to the ER. I went to the ER, underwent a plethora of tests, received positive results on all of them, and was sent home with instructions to return if my condition worsened. The doctors said I had Bell?s Palsy but had little insight as to why it had occurred. a nurse hotline

Other Meds:

Current Illness: None

ID: 1223326
Sex: F
Age: 61
State: VT

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: PCN, Morphine, Demerol, Gluten, Nuts

Symptom List:

Symptoms: COVID-19 2nd dose given at 1240. Patient sat in the monitoring area for 15 minutes following injection without incident. She left clinic and returned at 1330. At this time she stated she felt "itchy". Red patchy areas noted to mid chest and forehead. Patient denies shortness of breath and no swelling to tongue and throat stated or noted upon inspection. Patient also denies shortness of breath. patient advised to come back to our first aid monitoring area. At 1345 patient noted to begin clearing her throat and was asked again if she felt short of breath-patient stated "yes a bit". EMS was dispatched and patient was transported to ED.

Other Meds: Unknown

Current Illness: None per patient

ID: 1223327
Sex: F
Age: 50
State: OR

Vax Date: 04/06/2021
Onset Date: 04/11/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Nil known.

Symptom List:

Symptoms: I'm having severe joint and muscle pain, chills, slight headaches and tiredness. I'm sleeping for more than 14 hours a day. I'm taking Asprin and Ibuprofen but it's not effective.

Other Meds: Atenolol Metformin Aspirin

Current Illness: Nil

ID: 1223328
Sex: F
Age: 59
State: OH

Vax Date: 03/20/2021
Onset Date: 03/27/2021
Rec V Date: 04/17/2021
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Symptoms: patient stated rash started on arm 1 week after shot and lasted 1 week

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Current Illness:

ID: 1223329
Sex: M
Age: 27
State: CA

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/17/2021
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Symptoms: High grade fever, multi hour severe migraine, light sensitivity, sharp abdominal pain, confusion, coordination/balance problems and severe flu like symptoms. Treatment was self administered and comprised fluids and bed rest.

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Current Illness:

ID: 1223330
Sex: F
Age: 64
State: NH

Vax Date: 04/01/2021
Onset Date: 04/13/2021
Rec V Date: 04/17/2021
Hospital: Y

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Allergies: None

Symptom List:

Symptoms: DVT left leg and bilateral pulmonary embolism (PE)

Other Meds: None

Current Illness: None

ID: 1223331
Sex: F
Age: 73
State: AZ

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/17/2021
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Allergies: PENICILLIN, CODEINE, THIMEROSAL, MERCURY, PPH

Symptom List:

Symptoms: PATIENT REPORTED SWOLLEN FACE (JAWS) STARTING ON 04/09/2021. TREATED WITH BENADRYL AND SWELLING WAS GONE AFTER A 2 OR 3 DAYS. PATIENT REPORTED AFIB LASTING A 2 OR 3 DAYS STARTING ON 04/09/2021. PATIENT REPORTED ROUND RAISED RED CIRCLE ON SKIN OF RIGHT LEG WITH WHITE CRUST IN MIDDLE. START DATE NOT GIVEN. STILL PRESENT AS OF 04/17/2021.

Other Meds: HYDROCHLOROTHIAZIDE 25MG, ATORVASTATIN 40MG,PANTOPRAZOLE 40MG,BETAMETHASONE DIPROPIONATE 0.05% CREAM,FUROSEMIDE 20MG, POTASSIUM CHLORIDE 10MEQ ER CAPSULE,OLMESARTAN 40MG, METOPROLOL ER 100MG,

Current Illness:

ID: 1223332
Sex: M
Age: 48
State: IN

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
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Allergies: none

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Symptoms: Had a fever of 100.3, chills, headache, severe fatigue. Aproximately 24 hours after vaccination

Other Meds: Sertraline

Current Illness: Tested positive for Covid March 3, 2021

ID: 1223333
Sex: M
Age: 48
State: KY

Vax Date: 03/27/2021
Onset Date: 04/14/2021
Rec V Date: 04/17/2021
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Allergies: Tree nuts, augmentin, erythromycin

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Symptoms: Development of Bells Palsy. At approximately 11 pm on 4/14/2021 noticed limited lip movement left side. By next morning, left side of face paralyzed. Evaluated at ER approximately 8:30 am on 4/15/2021 who diagnosed episode of Bells Palsy. Advised to follow up with Primary first of next week and also follow up with Nuerologist in approximately 3 weeks.

Other Meds: Multivitamin

Current Illness: None

ID: 1223334
Sex: F
Age: 73
State: NJ

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/17/2021
Hospital: Y

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Allergies: none

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Symptoms: severe rash developed progressively spreading from neck and arms to whole body. Started on Saturday night April 10th probably 8 hours after vaccination showing a few dimples small enough that we just monitored. Sunday showed more rash and took benadryl 25mg every 6 hours until Monday morning when we saw physician who prescribed medicine to treat the rash. Rash did not improve and spread even more and more pronounced by Tuesday morning at which time we called physician to let her know we would take patient to the hospital. Patient is currently at hospital and is day 3. A physician evaluated her in the er and hours later patient was admitted to the hospital. A specialist was supposed to see mom the next day but never showed up and after complaining and insisting they finally had another specialist see patient this morning (name will have to confirm once I see the nurse in charge this afternoon during visiting hours, but doctor was the name I was given that was on the schedule to see patient the day before)

Other Meds: list to be provided later

Current Illness: diabetes 2, high blood pressure, cholesterol

ID: 1223335
Sex: F
Age: 48
State:

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
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Symptoms: The patient complained of nausea. was given juice and the issue resolved.

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Current Illness:

ID: 1223336
Sex: M
Age: 23
State: IN

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
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Symptoms: Headache, body aches and fever

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Current Illness:

ID: 1223337
Sex: F
Age: 57
State: NJ

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/17/2021
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Allergies: I am allergic to codeine and reported to the nurse who provided first Moderna dose to me at CVS.

Symptom List:

Symptoms: 1. Very mild joint pain in my right ring finger. This is the one I would like to report as it is kind of rare. It started same day after my first dose, but I did not pay much attention to it. I thought it will go away. However two weeks have passed since my first dose, this mild joint pain in my right ring finger is still there. So I think I should report it. 2. Injection /shot area in right arm is a little sore which I consider normal.

Other Meds: I take the following supplements: 1. Move free Joint Health (Schiff), one tablet per day 2. Supper B-Complex (Nature Made), one tablet per day 3. Biotin 5000 mcg (Natrol), one tablet per day

Current Illness: None

ID: 1223338
Sex: M
Age: 47
State: HI

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/17/2021
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Allergies: NKDA

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Symptoms: 47-year old male c/o frontal headache since Friday, 4/9/2021. Received his Johnson & Johnson vaccine on Thursday, 4/8/2021. Still having his headache now. 9/10 pressure-like on the frontal head - constant States, "I never had this kind of headache before". 6/10 burning epigastric pain. Also has bodyaches. Has mild dizziness. Denies any photosensitivity, fever, flu-like sx, nausea/vomiting, chest pain, dyspnea, numbness, tingly sensation, slurred speech, back pain, rectal bleeding.

Other Meds: Atorvastatin 20mg 1 tab PO daily Duexis PO PRN pain with food Losartan 25mg 1 tab PO daily Meclizine 12.5mg 1 tab PO every 8hr PRN dizziness Metformin 500mg 1 tab PO daily

Current Illness: Fatty liver, difficulty sleeping, hypertension, class 3 obesity, type 2 diabetes mellitus, hyperlipidemia, hypertriglyceridemia,

ID: 1223339
Sex: F
Age: 27
State: PA

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
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Allergies: EGGS, DAIRY

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Symptoms: FEW MINS AFTER VACCINE, FELT COLD, DIZZY, "UNDER WATER" FEELING, TUNNEL VISION, ASSISTED TO GROUND FEET PLACED UP ON CHAIR. FELT SOME RELIEF. BROUGHT TO OBS VIA WHEELCHAIR, PLACED IN TRENDELENBERG, FELT BETTER. SAT UP FOR SNACK AND WATER, HELPED BUT STATES TOOK BENADRYL PRIOR TO COMING PER PCP INSTRUCTION DUE TO FOOD ALLERGIES, SO GROGGINESS THATS REMAINING PROBABLY RELATED TO THIS. SOME DIZZINESS REMAINS SITTING UP BUT MUCH IMPROVED PER PATIENT. STANDING UP PATIENT STATES STILL FEELS BETTER, JUST GROGGY FROM BENADRYL. ESCORTED WITH SIG OTHER VIA WHEELCHAIR TO EXIT WITH NO FURTHER ISSUES AT 1228. 1155 INITIAL BP 125/86 HR 114 RR 18 SATS 98% RA (SITTING, AND PATIENT STATES HR USUALLY OVER 100 WITH ANXIETY) 1210 BP 130/82 HR 110 RR 20 SATS 99% RA 1225 STANDING BP 145/94 HR 106 RR 20 SATS 99% RA

Other Meds: BIRTH CONTROL, PRISTIQ, XANAX PRN, BENADRYL PRIOR TO VACCINE PER PCPP INSTRUCTION

Current Illness: NA

ID: 1223340
Sex: M
Age: 40
State: VA

Vax Date: 03/03/2021
Onset Date: 03/10/2021
Rec V Date: 04/17/2021
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Allergies: Nuts, carrots, avocados, coconuts

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Symptoms: Event: 3/10: itching, swelling, soreness, redness on arm ("COVID arm") around injection site. Treatment: Begin taking Zyrtec. 3/12: Itching, scratchy feeling spread to upper back. 3/12-3/15: Itching on back accompanied by tenderness, burning sensation like sunburn that spread to entire back, neck , head, and upper arms. Itching spread to legs, arms, groin, around eyes. Scratching raised occasional welts on legs and arms but didn't on back, just created more intense pruritus. Saw dermatologist 3/19 who recommended upping dose of antihistamine. Saw allergist 3/23 who gave similar direction. Treated with 1 Zyrtec twice a day until 4/12, then ceased because of excessive fatigue, and started treated with hydrocortisone OTC 3x/day. Outcome: Itching, burning, stinging sensation remains, especially on back, but also on neck and arms and legs.

Other Meds: Cymbalta 50 mg/day, Clonazepam .5 mg/day, Zyprexa .2 mg/day, Gabapentin 700mg/day, Topiramate 50mg/day, Dicyclomine 20mg/day, omeprazole 40mg/day, Sucralfate 1g/day, Aimovig 140mg self-injection 1x/month, Florastore, Vitamine d3 1000mcg/day

Current Illness: N/A

ID: 1223341
Sex: F
Age: 48
State: IN

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
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Allergies: Penicillin

Symptom List:

Symptoms: Tired, really sore injection site (that started upon injection), next day both tired and injection soreness. plus muscle aches, general fatigue, onset about 2 hours after injection lasted about 36 hours

Other Meds: Amlodipine Calcium, vitamin d, otc allergy med, baby aspirin, prenatal vitamin with DHA, eye promise restore Eye vitamin, vitamin c

Current Illness: No

ID: 1223342
Sex: F
Age: 21
State: NY

Vax Date: 03/22/2021
Onset Date: 03/29/2021
Rec V Date: 04/17/2021
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Allergies: None

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Symptoms: Joint pain in my wrists and ankles.

Other Meds: Birth Control

Current Illness: None

ID: 1223343
Sex: F
Age: 48
State: IN

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/17/2021
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Allergies: N/A

Symptom List:

Symptoms: Approx. 12 hours after shot....pain, redness, swelling at injection site. Lasted 3 days. Developed redness with warm to touch on skin about two inches below injection site two days after shot-lasted about three days. 12 hours after shot, chills lasting about three hours with fever (101). Temp up and down with ibuprofen for about 12 hours. Continued to have higher than normal temp-not fever- for four days. Extreme fatigue from 12 hours after shot lasting about three days. One week after shot, all side effects have stopped except slight fatigue. Did not seek medical attention-nothing was severe enough for that.

Other Meds: Lorazepam, multiple vitamins

Current Illness: N/A

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm