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
63,479
AK1,562
AL4,914
AR3,110
AS44
AZ12,730
CA54,886
CO10,464
CT7,347
DC1,568
DE1,561
FL33,514
FM3
GA12,508
GU74
HI2,078
IA4,130
ID2,361
IL18,091
IN22,023
KS4,061
KY6,276
LA4,395
MA13,121
MD11,272
ME2,858
MH8
MI16,697
MN10,689
MO8,360
MP30
MS2,487
MT2,035
NC14,437
ND1,184
NE2,562
NH2,717
NJ16,033
NM3,532
NV3,784
NY30,921
OH17,029
OK5,673
OR7,479
PA21,111
PR1,959
QM2
RI1,833
SC5,601
SD1,087
TN8,048
TX31,896
UT3,791
VA13,180
VI48
VT1,592
WA13,026
WI9,856
WV2,120
WY754
XB5
XL1
XV2

ID: 1226034
Sex: F
Age: 55
State: CO

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: erythromicin

Symptom List:

Symptoms: About 18 hours following the vaccine, I woke up with blurred vision. As the day has progressed, my vision is still blurred. (24 hours after vaccine.

Other Meds: synthroid, fluoxetine, buproprion, trazadone, amoxicillin, cytomel

Current Illness: UTI

ID: 1226035
Sex: F
Age: 32
State: PA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 04/18/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Psychosis, Ataxia, Confusion, headache, mental fog, tremulousness, muscle twitching, muscular weakness 4 days after the second dose of the Pfizer vaccine was given

Other Meds: Albuterol inhaler, Montelukast

Current Illness: None

ID: 1226036
Sex: F
Age: 60
State: IN

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Extreme muscle soreness, low grade temp. Within 30 hours excessive vomiting started & continued for over 12 hours, resulting in dehydration, leading to trip to ER.

Other Meds:

Current Illness: None

ID: 1226037
Sex: M
Age: 30
State: CA

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Rash Cough Fever Muscle Pain Reddish skin Tiredness

Other Meds: None

Current Illness: None

ID: 1226038
Sex: M
Age: 59
State: CT

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

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

Lab Data:

Allergies: Vicadin, CT Scan Dye, E-mycin

Symptom List:

Symptoms: Fever, Chills, Cold sweats, headache, sore arm, general weakness.

Other Meds: Multi-Vitamin, Vitamin D, Lo-dose aspirin, Fish oil supplement

Current Illness: None

ID: 1226039
Sex: M
Age: 64
State: FL

Vax Date: 03/29/2021
Onset Date: 04/06/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Loud and constant tinnitus in left ear for two weeks now.

Other Meds: Multi vitamin

Current Illness: None

ID: 1226040
Sex: F
Age: 66
State: OH

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs Doxycycline Flagyl

Symptom List:

Symptoms: 1/2 hour after shot started having stabbing pain in my heart, ringing in ears. Two days later had nausea. Felt yucky for a whole week. Pain in heart lasted 10 days. Still have ringing in ears but not as loud as earlier. Nausea feeling has stopped.

Other Meds: B12

Current Illness: None

ID: 1226041
Sex: F
Age: 41
State: OH

Vax Date: 03/21/2021
Onset Date: 03/30/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reports red rash, about 2 inches in diameter, became warm to the touch and was slightly itchy. She reports being able to put anti-itch cream on the site for relief.

Other Meds:

Current Illness:

ID: 1226042
Sex: F
Age: 62
State: NY

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/18/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: After initial two days of side effects of temp and fatigue, nausea, continued side effects of extreme fatigue, nausea low grade temp for ten days, fatigue got worse; resulting in extreme shortness of breath. i went to the emergency room where i was diagnosed with AFIB. I spent 6 days in hospital. No previous condition of AFIB. An exam and physical in July did not reveal any health issues.

Other Meds: vitamin D supplement

Current Illness: none

ID: 1226043
Sex: F
Age: 62
State: IN

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: Woke at 4:30 am shivering and cold. Checked my temperature later and had 99.1?.

Other Meds: Calcium 600 mg & D3 800IU, D3 1000 IU, Multi Vitamin, 0.5 my. tab. Estradiol, Flaxseed Oil 1400 my, Red Yeast Rice Plus (1 tablet).

Current Illness: None

ID: 1226044
Sex: F
Age: 29
State: NY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: About 20 minutes: Heart beating faster or louder. I Felt like I got paralysis on my middle finger. Feeling numb. 20 - 30mins: Felt a little drowsy, dizzy? Heart beating faster or louder. 1hour: Tiredness and drowsy. 1st day - 2nd~3rd day: Muscle pain (pretty bad on the arm) and all over the body. Middle finger feeling numb. Evening, April 13th - 16th: Slight shortness of breath. It got much better, but I still feel very very minor shortness of breath. Evening, April 15 - April 17th (until 6am): Hives on neck, under eyes(Right side), Between front of my left eye and nose, near mouth, Forehead. Very itchy. Hives keep appearing and disappearing. It gets better and then all the sudden gets bad. April 17th evening (8:00pm): Face and neck itchy. I had 1 pill of Benadryl after seeing a doctor. I had fever and chills. April 18th: Nose bleeding. Having a little chest pain.

Other Meds: Doxycycline -> Acne About 1week and 5 days before I got the vaccine.

Current Illness:

ID: 1226045
Sex: M
Age: 30
State: PA

Vax Date: 04/18/2021
Onset Date: 04/18/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: RECEIVED VACCINE, STARTED SWEATING, BECAME DIZZY, PALE, LEANED BACK IN CHAIR WITH ASSIST, AND LOST CONSCIOUSNESS FOR ABOUT 45 SECONDS. REGAINED CONSCIOUSNESS, ASSISTED TO WHEELCHAIR AND BROUGHT TO OBS. PLACED IN TRENDELENBERG ON STRETCHER. COLOR RETURNED, FELT BETTER VSS, STATES HR LOW AT BASELINE, SAT UP, GIVEN SNACK/WATER. SYMPTOMS RESOLVED AND ESCORTED TO EXIT WITH NO ISSUES AT 1100. 1035 INTIAL BP 125/68 HR 50 RR 18 SATS 98% ON RA (STATES HR USUALLY THIS LOW) 1055 SITTING UP BP 121/79 HR 62 RR 18 SATS 99% RA 1058 STANDING BP 142/76 HR 51 RR 18 SATS 99%

Other Meds: NONE

Current Illness: NONE

ID: 1226046
Sex: M
Age: 29
State: OK

Vax Date: 04/11/2021
Onset Date: 04/12/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Mild headache and dehydration from approximately 10 PM on 04/11/21 until approximately 4 PM on 04/12/21

Other Meds:

Current Illness:

ID: 1226047
Sex: F
Age: 76
State: MD

Vax Date: 04/13/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt called and said that she has a large red, itchy rash that didn't appear until 3 days after the vaccine.

Other Meds: Lantus, amlodipine, metoprolol,

Current Illness:

ID: 1226048
Sex: F
Age: 47
State: MS

Vax Date: 04/08/2021
Onset Date: 04/01/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: remicade

Symptom List:

Symptoms: four days after receiving the Moderna vaccine I began feeling painful lumps under my right armpit in which is the arm that was vaccinated. I am experiencing these painful lumps under my armpit until this day as well as painful breathing throughout the day.

Other Meds: tirosint 88 mcg atorvastatin 20mg Seroquel 200mg

Current Illness:

ID: 1226049
Sex: F
Age: 82
State: OK

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Iodine, Shellfish

Symptom List:

Symptoms: Chills and headache from 9:30am-3:30am; Lethargy and tiredness through 5pm

Other Meds: Mestinon, Celcept, Lipitor, Norvasc, Desyrel, Singulair, Omeprazole, Azelastine, Epinastine, Trazodone Lutein, Loratadine, Probiotic, Vitamin C, Calcium with D3

Current Illness: None

ID: 1226050
Sex: F
Age: 77
State: TX

Vax Date: 04/12/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: aspirin, penicillins, codeine, sulfa drugs

Symptom List:

Symptoms: Severe sores in mouth

Other Meds: unknown

Current Illness:

ID: 1226051
Sex: F
Age: 38
State: DE

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Fever Headache Dry mouth Body aches

Other Meds: Prenatal vitamins

Current Illness: Gave birth 5.5 weeks ago

ID: 1226052
Sex: F
Age: 40
State: NC

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fatigue, headache, body aches and chills beginning around 8pm day of injection, worsening through the night. Body aches and fatigue still present next day, chills present in the morning but lessened as day progressed. No headache the next day. No fever at any point.

Other Meds: Vitamin D 50mcg daily

Current Illness: None

ID: 1226053
Sex: F
Age: 30
State: VT

Vax Date: 04/05/2021
Onset Date: 04/14/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Ringing in ears, started about day 9 after vaccination and continues at day 13.

Other Meds:

Current Illness:

ID: 1226054
Sex: F
Age: 37
State: TX

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: Cytomel

Symptom List:

Symptoms: 1. Oval shaped red raised bump of 3-4cm in diameter at injection site on right arm and pain. Pain,swell and redness went away after 1 week but redness has become black now. Even today 4/18/21, there is no pain but more like a permanent dark mark like a scar left after bruise. 2. Two weeks after my first vaccine shot(1/20/21), I started having mild throat pain at right thyroid gland. It would come and go several times everday but never had such pain ever before. There were couple of pimple like things on right throat. This went on for 4-5 weeks after which I was concerned and got Thyroid sonogram. Result said no increased nodules and acute-subactue Thyroiditis. 2weeks after my 2nd dose pain went away. Pimple like things are like black marks now.

Other Meds: Levothyroxine

Current Illness: Anemia

ID: 1226055
Sex: F
Age: 51
State: AZ

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List:

Symptoms: Headache, bruising, shortness of breath, nausea, dizzy, extreme fatigue, muscle aches, joint pain going on 11 days

Other Meds: Synthroid, cytomel, , lorazepam, Low dose naltrexone, vit d, turmeric, b12

Current Illness: None

ID: 1226056
Sex: M
Age: 57
State: NC

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Headache, nausea, loss f energy, aches and pains in joints. Loss of appetite. Rash and swelling in arm on day 4.

Other Meds: Metformin, Eliquis, lisinopril,

Current Illness: None

ID: 1226057
Sex: F
Age: 16
State: CA

Vax Date: 04/18/2021
Onset Date: 04/18/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: As patient was in the upstairs lobby the check-in nurse caught that the patient received Moderna as their first dose on 03/21/2021. Patient is 16 years old and was returning today for their second dose. Check-in nurse alerted myself Nurse Co-Lead. Nurse Co-Lead elevated the situation to Clinical Operations Coordinator, whom verified and approved for patient to receive the second dose of Moderna according to CDC interim considerations. Nurse Co-Lead verified that patient received the first dose of Moderna at the health center and on the patient's immunization record. First 0.5 ML IM dose of Moderna lot #046A21A administered on 03/21/2021. Second 0.5 ML IM dose of Moderna lot #042B21A administered on 04/18/2021. Patient denied adverse reaction to both doses of Moderna, only slight soreness at vaccination site for first dose on 03/21/2021. Nurse Co-Lead then spoke to all Moderna vaccinators and ancillary staff assigned for 04/18/2021, I reiterated the correct age groups for both Moderna and Pfizer. Our vaccination sites have today's date for allowing to vaccinate to which age group and for which vaccine on the walls of each nursing station within the vaccinator's view. In addition, our reception desk inside the building and now outside check in table have these daily reminders visibly in front of them. Nurse Co-Lead spoke to the nurse specifically that administered the first dose of Moderna on 03/21/2021 and re-educated the medication rights and agreed to the methods in preventing this error in the future. Nurse Co-Lead spoke to Lead Ancillary to re-educate and reiterate her ancillary staff each day as well. Nurse Lead produced a new nurse station safety checklist that includes medication rights, correct age group for each vaccine, and verbal consent from patient, and the 3 contraindication questions for the vaccinator/nurse to hold the vaccine. Nurse Co-Lead spoke to lead registration table ancillary lead as well as the site manager that oversees the ancillary staff outside the building as initial check in staff. Nurse Co-Lead and Nurse Lead agreed to have end of day huddle to re-iterate today's captured vaccination error and methods to prevent in the future. Patient along with her legal Guardian verbally consented and agreed to complete Moderna series.

Other Meds: Unknown

Current Illness: Unknown

ID: 1226058
Sex: F
Age: 74
State: OR

Vax Date: 04/01/2021
Onset Date: 04/13/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 10days post #2 jab, developed a productive cough and malaise. Productive sputum is clear and thick. Cough wakes me up at night. Using albuterol inhailer .

Other Meds:

Current Illness:

ID: 1226059
Sex: F
Age: 65
State: NY

Vax Date: 03/12/2021
Onset Date: 03/24/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: Rash began 3/24 on left arm, on4/3 went to an urgent care for discomfort,4/8 went to dr. rash was getting worse on all of left arm,on 4/12 rash had begun to spread to other parts of my body

Other Meds: unithroid75mcg,omprezole20mg,losartenhctz50-12.5mg,simvastin20mg,montelukast10mg,potassiumer10meq,advair250-50

Current Illness: none

ID: 1226060
Sex: F
Age: 50
State: OH

Vax Date: 03/21/2021
Onset Date: 04/06/2021
Rec V Date: 04/18/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: About a week and a half after 1st vaccine pt had a pain in her knee that eventually spread up and down to ankle and thigh area. On 3/21 she went to urgent care and was referred to the emergency room because she was also having a pain in her chest. She had a stress test, EKG, chest xray, and Doppler and was diagnosed with a large DVT in the thigh and a small clot near the ankle. She was given Lovenox injections inpatient for 3 days and sent home on Xarelto 15/20mg starter pack and Aspirin 81mg. She was also started on metoprolol tartrate 25mg and atorvastatin 40mg. She saw her PCP 4/6 and sees a cardiologist and hematologist within the next couple of weeks for follow-up.

Other Meds: amlodipine, hctz, omeprazole

Current Illness:

ID: 1226061
Sex: F
Age: 25
State: IA

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Swelling of lymph nodes and skin around shoulder area. Painful underarm and visible nodes around collar bone. Area is hot to the touch. Site looks normal.

Other Meds: Humira, mercaptopurine, doxycycline, budesinide.

Current Illness: None

ID: 1226062
Sex: F
Age: 59
State: FL

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reports cough and severe stomach cramping the following day in the evening. Patient reports rash over entire trunk of body with tiny pimples two days after the vaccine was given.

Other Meds:

Current Illness:

ID: 1226063
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, sorearm, nausea, achey joints, chest discomfort fever . Took tylenol and stayed in bed two days.

Other Meds:

Current Illness:

ID: 1226064
Sex: F
Age: 41
State: CA

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: NSAIDS, bee stings, PCN, ciprofloxacin

Symptom List:

Symptoms: At 1555, RRT was called on a 41 y/o F with c/o lightheadedness, dizziness, and ?feeling cold?. Vaccinated at 1543 on the R arm. She states that some of her symptoms she is experiencing may also be because she has a condition called Chiari malformation. She stated feeling hot and then feeling extremely cold is her baseline and feels dizziness with temperature changes. Head-to-toe assessment completed. Client was cool and clammy. Baseline skin color is pale. BP: 108/62, RR: 21, 0/0 pain. Hx of anemia, asthma, emphysema, and scoliosis. Allergies to NSAIDS, bee stings, PCN, and cipro. Took Megace in the AM. Client stated she wanted to lay down on the floor. Nurses laid a drape on the floor and nurses assisted client to lay on the floor. Client stated she felt better doing that. Throughout monitoring period, client?s condition improved. Client did not want ambulance assistance. At the end of monitoring period, client stated she felt better and opted to go home with her husband. Client left vaccination clinic @ 1620 in stable condition, ambulatory, accompanied by her husband. Husband drove client home.

Other Meds: Not taken at the time of vaccination but client took Megace in the AM on the day of vaccination

Current Illness: No

ID: 1226065
Sex: F
Age: 32
State: FL

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: The early hours of the 16th later in the day and into the 17th I experienced fever (between 100 and 101), chills, fatigue, body aches, stuffy nose, rash over the area around the vaccine site and pain around vaccine site. On the 18th most of the symptoms had subsided but rash moved into horseshoe shape below vaccination site and fatigue continued slightly.

Other Meds: Adderall xr, multivitamin, birth control

Current Illness: None

ID: 1226066
Sex: F
Age: 59
State: IA

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fatique (5 days) Headache (5days) with Tylenol every 4 hours... Nauseated (8 hours) 101 Fever/Temp (Temp for almost 10 hours) Severe Body Aches (8 hours) Bitter/Metal Taste in Mouth & trying to drink Powerade.(8 hours) Light Headed & Dizzy (5 days)

Other Meds: Sprironlolacton-E Metopeolol Vytorin Fluoxetine Bupropion HCL SR Alprazolam Zolpidem Tartrate Culturelle Probiotics Futurebiotics Multi Vitamin Energy Plus Fish Oil with Omega-3 Vitamin D3

Current Illness: None

ID: 1226067
Sex: F
Age: 69
State: HI

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/18/2021
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Allergies: For dental work, I was sensitive to epinephrine administered as a anesthetic so thereafter I requested and always request that my dentist not administer that to me. (Accelerated heart rate)

Symptom List:

Symptoms: On 4/15/21, approx 21 hrs (about 12:30 pm HAWAII TIME)after receiving 2nd vaccine dose, I did not have a headache but had a sudden onset of throbbing on the left side of my forehead...and felt like my breathing was elevated. So I took my pulse reading on a commercial pulse oximeter and my reading was bouncing from 136 to 156...which I told my husband about. I took a Tylenol and sat in a recliner and promptly fell asleep...as my fever was 102 at that time also. I took Tylenol (one tablet) on 2 separate occasions during this period.

Other Meds: Took a Tylenol (regular) tablet for fever

Current Illness: None

ID: 1226068
Sex: F
Age: 59
State: WI

Vax Date: 04/14/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
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Lab Data:

Allergies: Penicillin allergy

Symptom List:

Symptoms: Got tinnitus severely in both ears. I had mild tinnitus in my right ear but now it is very loud, constant static in both ears. Much worse than before.

Other Meds: None

Current Illness: None

ID: 1226069
Sex: F
Age: 44
State: MI

Vax Date: 04/06/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
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Allergies: Shellfish

Symptom List:

Symptoms: Left leg swelling, redness, warm to the touch, diagnosis of edema and thrombophlebitis

Other Meds: Venlafaxine Magnesium Xanax Ambien Claritin Desogestrel-ethinyl estradiol

Current Illness: None

ID: 1226070
Sex: F
Age: 35
State: NY

Vax Date: 04/14/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
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Allergies: none

Symptom List:

Symptoms: erythema around injection site, macular rash to abdomen, back, legs, arm,hands

Other Meds: none

Current Illness: patient reports rash to abdomen after first dose of moderna (3/10/21) which appeared one week after 1st dose. Rash to right abdomen, did not think anything of it, thought it was unrelated

ID: 1226071
Sex: M
Age: 89
State: MI

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 04/18/2021
Hospital: Y

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Allergies: NO

Symptom List:

Symptoms: Arm swelling and visible bruising all up the right arm on 2/15/2021. Bruising all along the armpit down to waist started three days prior to the second shot on 3/9/2021. Contacted his cardiologist who stated it was a spontaneous bleed and not related to the vaccine. Received 2nd vaccine on 3/12/2021 in the left arm this time. The swelling and bruising on the left arm started the next day. Called ems on the 17th after a fall and was unable to get up.

Other Meds: Prednisone 3mg Eloquis until 2/15/2021 Tamsulosin Dorzlomide 2 drops/day each eye Latanaprost 1 drop/day each eye Glucosamine Citracal

Current Illness: Atrial fibrillation Reumatoid Arthritis Glaucoma

ID: 1226072
Sex: F
Age: 54
State: FL

Vax Date: 03/22/2021
Onset Date: 03/27/2021
Rec V Date: 04/18/2021
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Allergies: Factive and sensitivity to aspirin

Symptom List:

Symptoms: Developed a rash/redness in arm where shot was given. It was also swollen. I noticed the symptoms on around Day 5 and they lasted for the next 5 days or so.

Other Meds: only multi vitamin, vitamin D and B-12

Current Illness: none

ID: 1226073
Sex: F
Age: 51
State: FL

Vax Date: 03/31/2021
Onset Date: 04/09/2021
Rec V Date: 04/18/2021
Hospital: Y

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Allergies: None

Symptom List:

Symptoms: Swollen left leg, shortness of breath, painful upper left thigh diagnosed with blood clots

Other Meds: None

Current Illness: None

ID: 1226074
Sex: F
Age: 75
State: TN

Vax Date: 04/01/2021
Onset Date: 04/13/2021
Rec V Date: 04/18/2021
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Allergies: None

Symptom List:

Symptoms: Swollen, badly bruised arm. Fatigue, diarrhea, dehydration.

Other Meds: Chemo treatment, Revlamid and Velcade. Losartan, prilosec, cymbalta, calcium.

Current Illness: Multiple myeloma

ID: 1226075
Sex: F
Age: 17
State:

Vax Date: 04/18/2021
Onset Date: 04/18/2021
Rec V Date: 04/18/2021
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Symptom List:

Symptoms: Patient passed out, no injuries

Other Meds:

Current Illness:

ID: 1226076
Sex: M
Age: 17
State: OH

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
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Symptom List:

Symptoms: Patient started to feel dizzy and lightheaded about 15 minutes post vaccine and became pale. Patient was sitting the entire time. Kept him seated, provided a cold cloth, grabbed some water if needed, and monitored the patient until he felt better.

Other Meds:

Current Illness:

ID: 1226077
Sex: F
Age: 42
State: MI

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 04/18/2021
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Allergies: sulfa

Symptom List:

Symptoms: Chills at night, then the next day body aches, low grade fever, headache, fatigue, jaw/neck pain, ear ache

Other Meds: metoprolol, zyrtec, magnesium

Current Illness:

ID: 1226078
Sex: F
Age: 46
State: MN

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
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Symptoms: Vaccine was given 3 days early due to upcoming surgery on next appointment date. Patient was supposed to receive dose #2 of Moderna on 4/19/21; received it instead on 4/16/21.

Other Meds:

Current Illness:

ID: 1226079
Sex: F
Age: 51
State: FL

Vax Date: 04/18/2021
Onset Date: 04/18/2021
Rec V Date: 04/18/2021
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Symptoms: 10 minutes after administration, patient reported feeling "woozy." She then lost consciousness and urinated while unconscious. She then regained consciousness after 5 minutes. No other symptoms except increased sweating. Blood pressure was taken by paramedics and would not go above 70/50.

Other Meds:

Current Illness:

ID: 1226080
Sex: F
Age: 47
State: OK

Vax Date: 03/23/2021
Onset Date: 04/12/2021
Rec V Date: 04/18/2021
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Allergies: Phinothyzephine

Symptom List:

Symptoms: I have shingles now and my doctor told me to report this.

Other Meds:

Current Illness: NA

ID: 1226081
Sex: F
Age: 35
State:

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
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Allergies: None

Symptom List:

Symptoms: Typical side effects 24 hours later chills, muscle aches, general feeling of being unwell. Strong ache in lower back requiring heating pad. 48 hours: felt fine but had strange pains in organs on lower right side. I?ve been pregnant and have very good sense for strange sensations in my body. Pain was for about an hour and was sharp and on and off for the hour. Pain subsided and hasn?t come back. 72 hours: extremely painful migraine with nausea all day. In bed from the pain. Finally took meds since it?s unbearable. Excedrine. I?m in good health, underweight but other than that my last medical samples when pregnant 2 years ago were all normal. Today is day 3 and unknown what tomorrow will be like. Recovery could come soon but unkown

Other Meds: None

Current Illness: None

ID: 1226082
Sex: M
Age: 36
State: OH

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/18/2021
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Allergies: Penicillin

Symptom List:

Symptoms: A healthcare worker was setting up and approached me and asked if I wanted a free J&J vaccine. I was very hesitant . I told him that I had a flight later that night and didn?t want to have any side effects on the plane. He assured me hardly anyone ever has bad reactions to it and was very salesy, not seeming concerned much for my health or my questions, more like he needed to meet a quota. Against my better judgment, I got the shot and was absolutely miserable on the flight and that whole night. I developed a fever, body aches, headache, chills, and fatigue around 8 hrs after receiving my shot. It was one of the worst nights of my life with a fever reaching 103.5, and that was with Tylenol in my system to try to keep the fever down. I didn?t feel normal for 3 days.

Other Meds: None

Current Illness: None

ID: 1226083
Sex: F
Age: 70
State: FL

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
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Allergies: Percocet and Amoxicillin (taken together making it impossible to know which caused the reaction).

Symptom List:

Symptoms: Began with headache the same day as injection. The following day was the headache, nausea, diarrhea. Went to the Emergency Department because this was accompanied by chest pains. Blood work, X-Ray done and after a time, sent home. Sunday the headache felt like a hot, tight band around my head, then diarrhea (x4 in 3 hours), nausea more pronounced than the day before, chills and exhaustion. Called and was told to report back to Emergency Department. More or less told that this was a bad side effect of the vaccine and that the only thing to do was wait it out. Nothing life-threatening except that I had to leave church because of it and could not go to church that evening. Still have to take the second dose. Not sure if I should.

Other Meds:

Current Illness: None

Total 2021 VAERS Injuries: 559,999

Page last modified: 03 October 2021 5:28pm