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: 1235101
Sex: F
Age: 39
State: DE

Vax Date: 03/11/2021
Onset Date: 04/09/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Gluten sensitivity

Symptom List:

Symptoms: Delayed menstruation (by 5 days)

Other Meds: Metformin, thyroid hormone, vitamins (prenatal, d, b12, fish oil)

Current Illness: None

ID: 1235102
Sex: M
Age: 30
State:

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt stood up about 10 minutes after receiving his vaccine. he felt dizzy and light headed and then lost consciousness for about 5 seconds.

Other Meds:

Current Illness:

ID: 1235103
Sex: F
Age: 16
State: MN

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: patient experienced lightheadness, followed by passing out for approximately 2-5 minutes, during which pulse was weak and patient difficult to arouse. pale color. ems and pharmacist contacted and watched patient. Patient fine after 15 minutes more of observatio

Other Meds: none

Current Illness: none

ID: 1235104
Sex: F
Age: 28
State: LA

Vax Date: 04/01/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: penicillins; PPD test

Symptom List:

Symptoms: received first dose of vaccine on 4/17 and was seen in urgent care by me on 4/19 with nausea/vomiting/headache and dizziness for 3 days. she was diagnosed with covid by rapid POC on 4/19.

Other Meds: none

Current Illness: exposure to COVID the week before by a COVID+ coworker who came to work despite being + and didn't disclose to office mates.

ID: 1235106
Sex: F
Age: 45
State: CA

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Started within a few minutes after vaccine was administered. Accelerated heart palpitations, elevated high blood pressure and nausea. Stabilized about 30 minutes after. Since then heart palpitations have been up and down (over a month). March 30 - Doctor appointment. Dr notes: Patient presents with PALPITATIONS x 2 weeks, the last 2 days have been really bad per patient. Patient states she started getting the palpitations post covid vaccine on 3/6/21. Moderna vaccine received. Patient received Moderna Vaccine 3 weeks ago 10 min after vaccine started with palpitations , nausea Cold feeling , BP was high HR was 115 about , waited x 40 min felt better , BP 135/ Patient did not have pain with injection 1 we 1 week later Went to store to buy food had Had palpitations For no reason, no chest pain short of breath dizziness + Mild cold sweat ,+ nausea, unable to drive , had to take mask off, husband drove her home, once She was home felt better . Lasted 10 min . Was good for 1 week , and today At home Started with palpitations At 6 Am Drank water , felt better no associate symptoms This time , lasted 15 min and had small Feelings of palpitations Lasting seconds during the day Never had palpitations before , patient worries about everything , whole family is home Patient thinks she worried about the vaccine once she got it No drugs , no weight loss , usually hydrating No caffeine No history heart disease Review of Systems Constitutional: Negative for chills, diaphoresis and fever. Cardiovascular: Positive for palpitations. Negative for chest pain and leg swelling. Respiratory: Negative for cough and shortness of breath. Gastrointestinal: Negative for diarrhea and nausea. Neurological: Negative for dizziness. Psychiatric/Behavioral: The patient is nervous/anxious. Physical Exam Constitutional: She is well-developed, well-nourished, and in no distress. No distress. Neck: No thyromegaly present. Cardiovascular: Regular rhythm. Tachycardia present. No murmur heard. ER Visit on Apr 2, 2021 CHIEF COMPLAINT: PALPITATIONS TRIAGE NURSE PRESENTING HISTORY Information provided by: PATIENT History of Present Illness: Palpitations off and on x two weeks. Denies chest pain. General Appearance-DistressLevel: MILD Industrial Related: NO Patient is a 45 year old female with off and on palpatations x 1 week. Patient denies fever, chills, chest pain, SHORTNESS OF BREATH, headache, nausea, vomiting, diarrhea, abdominal pain, dysuria, hematuria, cough, rash or flank pain. Patient also feeling anxiety during this time. Initial VS: BP: 132/83 / Pulse: 132 / Temp: 97.6 ?F (36.4 ?C) / / SpO2: 100 % Physical Exam Vitals signs and nursing note reviewed. Constitutional: General: She is not in acute distress. Appearance: She is well-developed. She is not diaphoretic. HENT: Head: Normocephalic. Eyes: Conjunctiva/sclera: Conjunctivae normal. Neck: Musculoskeletal: Normal range of motion. Cardiovascular: Rate and Rhythm: Tachycardia present. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: No stridor. Musculoskeletal: Normal range of motion. Skin: General: Skin is warm and dry. Neurological: General: No focal deficit present. Mental Status: She is alert and oriented to person, place, and time. Psychiatric: Thought Content: Thought content normal. ASSESSMENT:Plan Anxiety and palpitations. Work up pos for UTI. Patient non toxic with no fever, leukocytotic or lactic acidosis. Patients hr improved with fluids and ativan. Patient pending tyroid panel. Patient discharged with rx for keflex and ativan. Patient agrees with plan and understands strict return precautions. Additional information for Item 19: CO2 22 mEq/L 21 - 31 mEq/L More details on Labs for Apr 2 does not fit in the form. Lab result from April 2

Other Meds: None

Current Illness: None

ID: 1235107
Sex: F
Age: 45
State: NC

Vax Date: 03/12/2021
Onset Date: 03/28/2021
Rec V Date: 04/20/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: I was hospitalized on April 1 for pyosalpinx of unknown origin (not STD related). Symptoms included fever, chills, fatigue, soreness, abdominal and back pain, and headaches. I was hospitalized for four days, and on IV antibiotics for three of those days, followed by two weeks of oral antibiotics.

Other Meds: Methotrexate, allegra, metformin, multivitamin, folic acid, Sertraline, Humira

Current Illness: Dental abscess in February

ID: 1235108
Sex: F
Age: 83
State: NM

Vax Date: 03/03/2021
Onset Date: 03/07/2021
Rec V Date: 04/20/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: Amoxicillin, azithromycin

Symptom List:

Symptoms: Patient developed pain in her left calf 4 days after the 1st Pfizer COVID-19 vaccine. She was sent for venous doppler and found with an extensive superficial venous thrombosis in the left great saphenous vein that was only cm from the deep system. The clot extended from the upper calf to the thigh. She was and is being treated for DVT as the clot was so extensive. She has no history of clots. She does have varicose veins and has not been as active as usual. She is currently still in treatment .

Other Meds: Levothyroxine, Losartan, Simvastatin, Metoprolol, Vit d, Amlodipine, baby aspirin, vitamin B-12.

Current Illness:

ID: 1235109
Sex: F
Age: 51
State: VA

Vax Date: 03/10/2021
Onset Date: 03/24/2021
Rec V Date: 04/20/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: Severe bruising of legs. Did not have any event that would have caused bruising.

Other Meds: Losartan Prozac Trazadone Ashwaghanda Probiotics

Current Illness: no

ID: 1235110
Sex: M
Age: 76
State: AL

Vax Date: 04/06/2021
Onset Date: 04/18/2021
Rec V Date: 04/20/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Dizziness most of the time pressure on back of neck ringing in both ears

Other Meds: Lantus solostar metformin multivitamin vitamin C

Current Illness: None

ID: 1235111
Sex: M
Age: 51
State: CA

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Voltaren, MRI contrast dye.

Symptom List:

Symptoms: Ringing very loud day after injection, then dropped to moderately loud, continuous, persisting into at least 3rd week post vax.

Other Meds: Multivitamin.

Current Illness: None.

ID: 1235113
Sex: F
Age: 69
State: KY

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: binders in medication

Symptom List:

Symptoms: shortly after receive shot patient began to feel light headed. she stated her tongue started to tingle. Symptoms progressed to chest pain and throat itching. Pt was given 25mg of diphenhydramine at vaccination site. Pt started to improve. Pt declined emergency care. Followed up with pt next day and pt stated taking diphenhydramine every 6 hours but was feeling much better.

Other Meds:

Current Illness:

ID: 1235114
Sex: M
Age: 30
State: NE

Vax Date: 04/12/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: One week later a painful rash appeared around the area of the injection. Been having a mild headache beginning around noon on the 20th of April.

Other Meds: None

Current Illness: None

ID: 1235115
Sex: F
Age: 43
State: SC

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/20/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Route:
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Lab Data:

Allergies: Sulfa & rolapitant

Symptom List:

Symptoms: My shot was at 3:30p last Wednesday; I started feeling sick (nausea & generally cold) around 11:30 am on Thursday. By 1pm on Thursday my fever was ratcheting up & I couldn?t control the chills (had on thermals & in bed under 3 blankets)?.that lasted until about 7-8 pm and then my fever shot up to 101.5 (but chills went away) and stayed there until Friday morning around 6am. By 1 pm on Friday, I was 100% better.

Other Meds: Tamoxifen

Current Illness: Food poisoning (4/11/2021)

ID: 1235116
Sex: F
Age: 46
State: WA

Vax Date: 04/12/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Anaphylactic allergic to eggs and chicken/poultry products

Symptom List:

Symptoms: Blotchy red and tender, slightly itchy, at injection site 8 days after injection. I traced it with a pen to check if the swelling increased throughout the day, 8 hours later it has not increased or decreased.

Other Meds: Metformin, Larin (birth control), Vitamin D, Vitamin B Complex, Osteo-move (vitamins), Omega-3 capsule, Claritan chewable, Tylenol, One-A-Day multivitamin for women

Current Illness: Hayfever

ID: 1235117
Sex: F
Age: 39
State: PR

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/20/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Yodo

Symptom List:

Symptoms: At 17 hours after the 2nd dose. I started with a fever, back pain, hips to the bones, followed by chills and a bit of a headache. The acetaminophen was taken every 4 hours but as the day passed before 4 hours the fever and all the symptoms began. I felt as if I had fire inside my body. In the mouth and eyes. Then that fire continued and after 79 hours I noticed large welts on my legs, very intense itching and burning all over my body, I consulted a Dr on the phone and he told me to take Benadryl 50 every 8 hours, low a little the hives with the first dose but continued the same. I feel the allergy the same as when they administer Iodine and I feel acid or fire through my veins. I have not been to the hospital since I do not have the facility (the means or capability) to leave my children and be able to go with someone to the hospital. At this moment I write 4/20/2021 9:20 pm I am with these symptoms.

Other Meds: Synthroid 137 L carnitine 500

Current Illness:

ID: 1235119
Sex: F
Age: 69
State: FL

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/20/2021
Hospital:

Vax Type:
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Lot:
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Vax Route:
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Lab Data:

Allergies: PENICILIN, LEVAQUIN, BACTRIM, TARKA, CIPROFLOXACIN,

Symptom List:

Symptoms: LOW TEMPERATURE 96.5 - 95.6 TO 95.9 FOR 5DAYS AND THEN FROM 95.8 TO 97.00. OXYGEN WAS 93-95. FEEL WEAKNESS , HIGH BLOOD PRESURE

Other Meds: LOSARTAN - 100MG; ALLEGRA, VIT B-12, FISH OIL, ASPIRIN 81 MG

Current Illness: ON 4/8/21 HAD ENDOSCOPY, 4/9/21 HAD COLONOSCOPE

ID: 1235120
Sex: F
Age: 17
State: CA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient is 17 years old and received her second dose of MODERNA COVID-19 vaccine. Patient is under the appropriate age to receive this particular COVID vaccine. A previous incident report was made after the first dose was given.

Other Meds: Unknown

Current Illness: None

ID: 1235121
Sex: M
Age: 53
State: TX

Vax Date: 04/18/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Corn Tomato Celery Citrus fruit Trees Weeds Grasses

Symptom List:

Symptoms: Bad headache Dehydration Significant fatigue (I slept 17 hours) Short term memory loss

Other Meds: Vitamin C Allergy drops

Current Illness: None

ID: 1235122
Sex: M
Age: 26
State: WA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List:

Symptoms: About 5 minutes after administration, patient experience brief syncope (recovery within 10 seconds). When sitting, patient experienced confusion and pallor. Patient denied history of DM, but mentioned history of hypoglycemia. Provided 15 grams glucose tablets and water. Monitored patient until cleared by EMS. No additional ADRs.

Other Meds:

Current Illness:

ID: 1235123
Sex: F
Age: 31
State: TX

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

Vax Type:
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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Started menstrual cycle

Other Meds: Na

Current Illness: Na

ID: 1235125
Sex: F
Age: 56
State: MA

Vax Date: 03/27/2021
Onset Date: 03/30/2021
Rec V Date: 04/20/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Shrimp allergy, clomid allergy

Symptom List:

Symptoms: Several days after vaccination I experienced chronic diarrhea. It has been ongoing for 3 weeks.

Other Meds: Lisinopril

Current Illness: None

ID: 1235126
Sex: M
Age: 68
State: CA

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: 04/09/2021 Covid-19 Vaccine shot 04/10/2021 Wake-up I had a red oval were they injected me, Light headache (Take an acetaminophen pill), Chills all day and I started sweating at night 04/11/2021 Very Light headache (Take an acetaminophen pill), light chills

Other Meds: ATORVASTATIN 40 mg. (Generic for Lipitor)

Current Illness: N/A

ID: 1235127
Sex: M
Age: 24
State: IL

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Within 5 minutes after the shot, patient had a seizure-like episode that last about 5 seconds while sitting in the lobby chair. On duty rph, Bright, questioned pt to check mental status, vision affected. The patient stated he was fine, remained in the lobby for another 30 minutes, No other reaction was seen nor reported within this time frame.

Other Meds: none

Current Illness: none

ID: 1235128
Sex: M
Age: 45
State: CO

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 04/20/2021
Hospital:

Vax Type:
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Vax Route:
Vax Site:

Lab Data:

Allergies: codeine

Symptom List:

Symptoms: I had mild pain radiating in my arm within 2 minutes of the vaccine. 1-2 hours later I developed unusual and intermittent pain on the volar surface of my wrist. 8 hours after the vaccine I developed chills, severe fatigue, myalgias, loss of appetite, and a fever up to 101. I was bedridden for 36 hours and then the symptoms gradually subsided by day 3. I then developed a sense of chest tightness intermittently for the next 4 days usually at night. I did not have chest pain, but had tachypnea at times with a respiratory rate up to 22/min. At day 7 this resolved.

Other Meds: prilosec OTC, zinc and vitamin D supplements

Current Illness: none

ID: 1235129
Sex: M
Age: 48
State: WA

Vax Date: 02/25/2021
Onset Date: 04/09/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Diagnosed with shingles.

Other Meds: None

Current Illness: None

ID: 1235131
Sex: M
Age: 53
State: FL

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: none known of

Symptom List:

Symptoms: Received first dose in arm on 4/13/2021 at approximately 1 A.M. on 4/14/2021 woke in pain all over, freezing chills (shaking),extremely weak, nauseous , went to bathroom a lot---lots of gas. Did not want to eat or anything. Stayed in bed. By 4/16 was a little better, couldn't eat much, still weak. Was better on 4/17/2021. I tried to report to medical , they didn't seem to think it was important.

Other Meds: sinus medication sometimes

Current Illness: sinus problems

ID: 1235132
Sex: F
Age: 21
State: IL

Vax Date: 04/18/2021
Onset Date: 04/18/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Fever by 10:30pm (100.7) on first day, chills, body aches, nausea Same symptoms minus fever on second day Body aches, nausea, severe headache today

Other Meds: Pristiq, Ambien, Lo Estrin

Current Illness: None

ID: 1235133
Sex: M
Age: 28
State: PA

Vax Date: 04/09/2021
Onset Date: 04/13/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Large red rash appeared on my arm below where I received the shot. The rash was a little larger than a baseball. It was very itchy and felt like a bruise if I applied pressure. The rash felt similar to a bug bite.

Other Meds: None

Current Illness: None

ID: 1235134
Sex: F
Age: 52
State: OR

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/20/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: amoxicillin, Macrobid, Sudafed, metrogel, prilosec

Symptom List:

Symptoms: diarrhea 4/9/21 to current, still occurring

Other Meds: lansoprazole,loratidine, vivelle

Current Illness:

ID: 1235136
Sex: F
Age: 69
State: CA

Vax Date: 03/11/2021
Onset Date: 03/24/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: pt work in the morning 2 weeks after second shot with L facial paralysis without evidence of CVA, diagnosed with Bells Palsy

Other Meds: methimazole, atorvastatin, acetaminophen, all long term

Current Illness: no

ID: 1235137
Sex: F
Age: 37
State: NC

Vax Date: 04/17/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: First it was a strong pain in the arm, from the moment of the vaccination (4/17), and 4 days later (4/20) I began a strong pain in the left leg, the pain is similar to when the leg falls asleep after sitting on the leg for a long time, but it is stronger, a tingling, as if the leg was immobile. it's a very ugly feeling.

Other Meds: acetaminophen

Current Illness: no

ID: 1235138
Sex: M
Age: 27
State: CA

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Fainting (laid head on table) within seconds after vaccine administration. Assessed and aroused patient. Took blood pressure, put cool wet towels on neck, kept patient alert and put in supine position with legs elevated on chair. Continued to monitor blood pressure and when able to sit up was given food and water. Patient was observed for approximately 1 hour

Other Meds: unknown

Current Illness: none

ID: 1235139
Sex: F
Age: 31
State:

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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Symptoms: Pt fainted after injection. Pt was pale and weak. Pt was brought to medical area and laid down with feet elevated. Pt vital signs were taken and hr was 49-40, bp was 104/72, resp 18, spo2 was 98% ra. Pt rested with feet elevated for 20mins. Pt felt better vs improved. Hr increased to 71. No was increased to 113/77. Resp 18. Spo2 98% ra. Pt felt better and was released to observation area. Pt checked herself out w/o incident.

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Current Illness:

ID: 1235140
Sex: M
Age: 62
State: FL

Vax Date: 03/01/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
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Allergies: none

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Symptoms: Pharmacist contacted me and said she gave him his 2nd dose of Moderna and realized after that he had received J&J dose on 3/11/21. He received his 1st dose of Moderna here on 3/22/21 and on the consent form stated he had not received a dose of COVID 19 vaccine. Pharmacist spoke with the patient and asked why he got another COVID-19 vaccine after he received J&J vaccine 3/11/21 he stated he didn't think it worked. He was not truthful on the consent form that he had already received a COVID 19 vaccine. Pt told pharmacist he is fine when she spoke to him today.

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Current Illness:

ID: 1235141
Sex: F
Age: 60
State: TX

Vax Date: 03/27/2021
Onset Date: 03/30/2021
Rec V Date: 04/20/2021
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Allergies: None known

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Symptoms: Small lesion appeared under right shoulder blade on back, thought it was a bite and put triple antibiotic cream on it, radiating pain through right breast - took 200mg Advil every 6 hours for 3-4 days. Made dr appt after a photo taken looked to me like shingles. Dr diagnosed herpes/varcella zoster. No further treatment.

Other Meds: Vitamin C and Vitamin D; no prescrpitions

Current Illness: None

ID: 1235142
Sex: M
Age: 51
State: FL

Vax Date: 04/17/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
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Allergies: No

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Symptoms: Loud bilateral tinnitus

Other Meds: Finasteride 1mg

Current Illness: No

ID: 1235143
Sex: F
Age: 50
State: MD

Vax Date: 03/31/2021
Onset Date: 04/08/2021
Rec V Date: 04/20/2021
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Allergies: no allergies

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Symptoms: I have numbness and tingling in my entire left thumb. It is constant numbness that has not gone away. I feel tingling in my wrist all the way up my arm to my elbow.

Other Meds: Losartan Potassium 100mg Famotidine 40 mg Hydrochloriazide 25 mg

Current Illness: acid reflux

ID: 1235144
Sex: F
Age: 59
State: MD

Vax Date: 04/18/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
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Allergies: opioids

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Started about 13 hours after injection Nausea - Severe Vomiting/dry heaves - Severe Exhaustion - Severe Chills - moderate Body aches - mild/moderate Arm pain - moderate (and getting worse and spreading 48 hrs. + later) Headache - mild Symptoms were as listed above for about 12 hrs. The next 24 hours I mostly slept from total exhaustion. The following day (about 36 hrs after symptoms started) was MUCH improved - maybe 85%. Arm pain is getting worse and redness/soreness is spreading. This was the first time I can remember EVER staying in bed for an extended period like that.

Other Meds: Vitamin C Thera Tears capsules Perfect Multi- super green multi vitamin Osaplex - calcium

Current Illness: none

ID: 1235145
Sex: M
Age: 40
State: FL

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
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Allergies: N/A

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Symptoms: No signs, no symptoms reported >24 hrs after receiving expired lot. Merck states vaccine is viable 6 months post-expiration.

Other Meds: N/A

Current Illness: N/A

ID: 1235146
Sex: M
Age: 66
State: CA

Vax Date: 03/26/2021
Onset Date: 04/11/2021
Rec V Date: 04/20/2021
Hospital: Y

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Allergies: nkda

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Symptoms: He developed a left pontine stroke resulting right sided paralysis . He remains hospitalized.

Other Meds: lipitor coreg metformin plavix

Current Illness: none

ID: 1235148
Sex: F
Age: 76
State: CA

Vax Date: 03/10/2021
Onset Date: 03/12/2021
Rec V Date: 04/20/2021
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Allergies: Adhesive tape, naproxen, aspirin, latex, Percocet

Symptom List:

Symptoms: Whole body hives

Other Meds: Amlodipine, biotin, calcium, carvedilol, levothyroxine, lisinopril, melatonin, montelukast, pantoprazole, tizanidine, vitamin D3, warfarin, zolpidem

Current Illness: None

ID: 1235149
Sex: F
Age: 18
State: KY

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/20/2021
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Symptoms: shortly after vaccination patient began to feel light headed and dizzy and became flushed and hot. Patient broke out in splotches over chest. Pt was given 25mg of diphenhydramine. Pt began to feel better after 30 minutes of observation .

Other Meds: sertraline 50mg, cryselle (oral contraceptive)

Current Illness:

ID: 1235150
Sex: M
Age: 72
State: PA

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/20/2021
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Allergies: none

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Symptoms: On April 16, 2021 I received My second dose of the Pzier Covid shot in my left arm around 12:15 pm Wednesday. Approximately around 2:00 am that night (early morning) I started to experiencing severe heart palpitations and could not sleep. These lasted until 6:00 am that morning. I believe this was an adverse reaction to my second dose of the Covid shot. I notified clinic where I received the shot to inform them of the problem as well as my primary health physician. I have not had any issues since then.

Other Meds: High blood pressure medication, acid reflux medication, asthma medication

Current Illness: none

ID: 1235151
Sex: M
Age: 57
State: IL

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital: Y

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Symptoms: After 8 minutes I broke out in a cold sweat and immediately passed out for 30-45 seconds. I woke up laying on my back not knowing how I got there.

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Current Illness:

ID: 1235152
Sex: F
Age: 35
State: MO

Vax Date: 03/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
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Allergies: Seasonal allergies only

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Symptoms: I received the vaccine at about 9:30 AM. From about 8:00 pm - 8:45 pm I experienced a pattern of 30-90 seconds of normal vision, then 1-2 seconds of only being able to see light/colors/shapes (I had lasik in 2016, my prescription was -4.75, the 1-2 seconds of bad vision I experienced was like when I removed my glasses before having lasik correct my vision). This pattern of 30-90 seconds normal vision then 1-2 seconds of bad vision repeated for about 45 minutes. During this time I was also very dizzy and lightheaded. My other side effects were as expected (fever of up to 102, chills, VERY sweaty, did not have energy to remove my sweatshirt when I was hot, headache). I am only reporting this in case it is important/helpful for further studies/development of the vaccine and public health.

Other Meds: Nuva Ring, Arnuity Ellipta inhaler, Escilatopram, vegan B12 vitamin

Current Illness: None

ID: 1235153
Sex: F
Age: 27
State: RI

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 04/20/2021
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Symptoms: I got the vaccine at 7:30 pm, the next day at 9am my legs began to itch, then my arms began to itch a few hours later. The next day my neck and some parts of my stomach are also itchy. There a small little bumps in the areas where I am itchy. I took Benadryl at 10pm, and the the itch subsided for the most part but some areas were jot effected. Today, the areas have progressively spread through out my body, I took more Benadryl and it helped for a few hours and then took another one. After 4 hours I took another Benadryl. Yet I am still itchy all over again.

Other Meds: Lamotrigine 150mg Celexa 30mg

Current Illness:

ID: 1235155
Sex: F
Age: 30
State: MA

Vax Date: 04/17/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
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Allergies: Unknown

Symptom List:

Symptoms: Strong stomach pain about five days after first shot. Lasted a couple days. On third day after second shot, painful cold sores all over lower lip.

Other Meds: Allergy pill... multi vitamins... biotin... fish oil.. tumeric curcumin

Current Illness: None

ID: 1235156
Sex: F
Age: 60
State: NY

Vax Date: 04/10/2021
Onset Date: 04/12/2021
Rec V Date: 04/20/2021
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Allergies: gluten, soy, latex

Symptom List:

Symptoms: Tenderness in right breast

Other Meds: None

Current Illness: None

ID: 1235157
Sex: F
Age: 57
State: WI

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/20/2021
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Allergies: none

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Symptoms: mild aches, fever, lethargy. Woke in the night with pain in my legs. Took tylenol and later ibuprofen. Felt ok by afternoon of the next day.

Other Meds: multi-vitamin, calcium supplement

Current Illness: none

ID: 1235158
Sex: M
Age: 28
State: TX

Vax Date: 03/30/2021
Onset Date: 04/03/2021
Rec V Date: 04/20/2021
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Allergies: None

Symptom List:

Symptoms: 104* fever, chills, headache for two full weeks after vaccination. Had to take two weeks off work just due to vaccine side effects

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm