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
28,942
AK1,099
AL2,410
AR1,584
AS31
AZ7,422
CA28,746
CO5,521
CT3,760
DC699
DE773
FL15,630
FM3
GA6,227
GU48
HI1,037
IA2,350
ID1,286
IL9,332
IN14,271
KS2,349
KY3,106
LA2,142
MA6,790
MD5,861
ME1,524
MH5
MI8,428
MN5,758
MO4,521
MP10
MS1,223
MT1,277
NC7,515
ND678
NE1,509
NH1,578
NJ7,543
NM1,972
NV1,747
NY15,674
OH9,316
OK2,535
OR3,804
PA9,889
PR1,093
QM1
RI1,061
SC2,761
SD674
TN3,981
TX15,518
UT2,192
VA7,059
VI22
VT910
WA6,444
WI5,461
WV1,200
WY432
XB4
XL1
XV1

ID: 1244235
Sex: F
Age: 41
State: MA

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

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

Lab Data:

Allergies: Bactrim

Symptom List:

Symptoms: COVID arm, started feeling soreness, swollen, red rash on day 8 after getting 1st shot.

Other Meds:

Current Illness:

ID: 1244236
Sex: F
Age: 40
State: WV

Vax Date: 03/25/2021
Onset Date: 04/07/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Cefzil

Symptom List:

Symptoms: A rash appeared at the injection site. It was red and itchy. It covered a large portion of the upper, left arm and it went around the arm. The rash was larger than my hand. This appeared 2 weeks after the first injection.

Other Meds: Stelara, Ativan, Potassium, Magnesium, Cymbalta, Hydroxyzine, Seroquel

Current Illness:

ID: 1244237
Sex: F
Age: 38
State: CA

Vax Date: 03/16/2021
Onset Date: 03/19/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: My period started early and I bled heavier than usual. Muscle pain for 3 days, flu like symptoms.

Other Meds: N/A

Current Illness: N/A

ID: 1244238
Sex: F
Age: 36
State: NC

Vax Date: 04/20/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Full body rash, started 36 hours after the vaccine was administered.

Other Meds: Motrin

Current Illness: None

ID: 1244239
Sex: M
Age: 64
State: AR

Vax Date: 04/19/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Angioedema of lips

Other Meds:

Current Illness:

ID: 1244240
Sex: F
Age: 78
State: VA

Vax Date: 03/22/2021
Onset Date: 04/17/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: About 5 or 4 days ago my scalp towards the top of the head hurt while going to sleep on my back. I assume that I probably scratched my head while shampooing my hair. Then next day my right eye started to bother me. I thought I had bumped my eye while trying to clean the discharge I have in the mornings with q-tips. But finally it got worse until it hurt me. So I went to the ophtlamologist today who according to his diagnosis I had shingles. I just got an antiviral medication for the next seven days and drops to help clean my eyelids. This is so bothersome, sometimes while trying to read I see blurry.

Other Meds: creon, levothyroxine and caltrate

Current Illness:

ID: 1244241
Sex: M
Age: 25
State: IL

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received first pfizer dose at 1040 AM. At 1050 the patient complained of breathing issues. Patient called mom who was in car and she brought in her epipen. She also called 911 from the car. Patient kept saying no to the EpiPen but when he said he was throat was getting worse, pharmacist administered the dose. Paramedics arrived within minutes and assisted the patient. Breathing was better and patient was taken to local hospital

Other Meds:

Current Illness:

ID: 1244242
Sex: F
Age: 52
State: WA

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: sulfa, clindamycin - caused hives tetracycline - racing thoughts

Symptom List:

Symptoms: This was the second Pfizer Covid shot, at 9:45 am. By 4 pm I had a very slight headache. By 5 pm I was starting to feel pretty tired/fatigued (I would call this moderate - fatigue has now continued to the next day). At 1 pm I had some period spotting and by 5 pm my period had started. This is highly unusual as I am taking NuvaRing and it has only been two weeks since I put the NuvaRing in. I am 52, have been taking NuvaRing for 2.5 years and do not get regular periods. I switch out NuvaRing every three weeks in order to ensure I skip any periods.

Other Meds: synthroid, cytomel, celexa, vitamin D, vitamin K2, melatonin, fish oil, turmeric, zinc, quercetin, iron

Current Illness: none

ID: 1244243
Sex: F
Age: 40
State: FL

Vax Date: 03/27/2021
Onset Date: 03/29/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Several days after 2nd dose of Pfizer I started experience increased pain in my jaw as well as my right thumb. I do have TMJ though it is controlled/mild and haven?t had issues with it in a few years. After 2nd dose experience pain and discomfort throughout the day. I have also been experiencing increased pain and discomfort in my right thumb where I believe I have some signs of arthritis since receiving the 2nd dose.

Other Meds: Singular Ibuprofen LoLoEstrin B12 Biotin

Current Illness: None

ID: 1244244
Sex: F
Age: 40
State: FL

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: LATEX ALLERGY PINEAPPLE ALLERGY PEANUT ALLERGY

Symptom List:

Symptoms: -LIMP ARM WITHIN 30 MINUTES OF VACCINATION -LEFT ARM, NECK, AND FACE SWELLING WITHING AN HOUR OF RECEIVING VACCINE - LASTED FOR 6 DAYS -UNABLE TO MOVE LEFT ARM, RAISE IT, OR LIFT ANYTHING FOR THE PAST 18 DAYS -UNABLE TO GRASP OBJECTS WITH LEFT ARM FOR THE PAST 18 DAYS -UNABLE TO SLEEP ON LEFT SIDE - CAUSES EXTREME PAIN -TINGLING AND NERVE SHOOTING PAIN ON LEFT ARM FROM FINGERS TO NECK, FRONT AND BACK CHEST LEFT SIDE -MUSCULAR NODULE DEVELOPED ON LEFT SHOULDER UP TO MY KNECK - CAUSING SEVERE EAR PAIN -EXTREME FATIGUE - LETHARGIC FOR THE PAST 18 DAYS -SEVERE JOINT/PAINT THROUGH OUT ENTIRE BODY -LOST OF TASTE -NIGHTSWEATS FOR PAST 18 DAYS -FEVERS RANGING BETWEEN 99.0 - 103 F FOR PAST 18 DAYS -NAUSE FOR PAST 18 DAYS -LOST OF APPETITE -DIARRHEA AND LOOSE STOOLS FOR THE PAST 8 DAYS (NO BLOOD) -BRAIN FEELS FOGGY ALL THE TIME - FEELING AS IN A DAZE FOR PAST 18 DAYS -SHORTNESS OF BREATH - JUST FROM WALKING OR MOVING AROUND -SKIN IS SUPER SENSITIVE AND ITCHY -UNABLE TO DRIVE BECAUSE OF THE FATIGUE AND UNABLE TO USE LEFT ARM. -UNABLE TO WORK - RELYING ON OTHERS TO TAKE CARE OF ME.

Other Meds: NONE

Current Illness: NO ILLNESSES

ID: 1244245
Sex: M
Age: 57
State: VT

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Severe cold chills, headache, entire body is sore

Other Meds: none

Current Illness: none

ID: 1244246
Sex: F
Age: 59
State: WA

Vax Date: 04/01/2021
Onset Date: 04/12/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Medicines, Amoxicillian, Penicillin, Oxycodone, Hydrocodone, Hydrmorphone, Ciproflaxin, mold, tress, grasses, weeds, fiberglass

Symptom List:

Symptoms: Lump under right arm pit in lymph node. It is tender, especially when stretching arm.

Other Meds: Enbrel, Diclofenac, Folic Acid, Methotrexate, Levothyroxine, Omeprazole, Xyzal, Glucosamine w/Chondrotin, B12, D3, Hair Skin & Nails, Turmeric,

Current Illness: None

ID: 1244247
Sex: F
Age: 70
State: SC

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: sun penicillin sulfa

Symptom List:

Symptoms: I felt dizzy 45 mins after having my vaccine and i had a headache for 7 days straight and now it comes and goes. i have had fatigue and my blood pressure shot up and my cholesterol went up after having vaccine and now I am having to be on meds to control it

Other Meds: blood pressure meds Tylenol Advil cholesterol meds acid reflux meds

Current Illness:

ID: 1244248
Sex: M
Age: 52
State: GA

Vax Date: 03/25/2021
Onset Date: 04/04/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Completely lost hearing in my right ear. Previously had some hearing loss but now I have complete loss in right ear. Happened within 2 weeks of first dose.

Other Meds: Xarelto, ibuprofen, matzim, Claritin or zyrtec

Current Illness: None

ID: 1244249
Sex: F
Age: 55
State: MA

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Ceftriaxone

Symptom List:

Symptoms: Tingling in lips and mouth and a very odd and comfortable feeling in chest and abdomen after about 15 mins of receiving injection. Symptoms waxed and waned throughout day. Took Benadryl after getting home and again at bedtime. 4/22 /21: woke up feeling better initially but symptoms returned at 0800 and waxed and waned throughout day though less intense than on 4/21..... Benadryl has been helpful. Headache has been intermittent.

Other Meds: Cellcept Levothyroxine Aleve

Current Illness: None

ID: 1244250
Sex: F
Age: 41
State: NC

Vax Date: 03/17/2021
Onset Date: 03/31/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: None that I know of

Symptom List:

Symptoms: I was diagnosed with shingles on my left thigh and across my left buttocks two weeks after dose one of the COVID-19 (Moderna) vaccine. Itching, redness/bruising, burning skin, scaly bumps and marks, feeling of worms crawling underneath my skin, feeling of needles constantly sticking into my skin. Unable to work, unable to sleep, unable to wear clothing, walked with a cane for a full week and was pushed in a wheelchair to my doctor's appointment. Medications - lidocaine ointment, prednisone (5mg tablet), valacyclovir (HCL 1 gram tablet), gabapentin (300 mg capsules). To date (as of 4/22/21) as I complete this report, I still have shocking sensations of pain running up and down my legs and scaly and crusty skin that has not healed from my shingles.

Other Meds: amlodipine and one-a-day vitamin for women

Current Illness: None

ID: 1244251
Sex: F
Age: 62
State: WA

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Malaise, chills and fever.

Other Meds:

Current Illness:

ID: 1244252
Sex: M
Age: 32
State: CA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Nausea 14 minutes after first vaccine. Brief loss of consciousness. Given crackers, water. Uses CPAP.

Other Meds:

Current Illness:

ID: 1244253
Sex: F
Age: 39
State: MA

Vax Date: 03/17/2021
Onset Date: 03/20/2021
Rec V Date: 04/22/2021
Hospital: Y

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

Lab Data:

Allergies: Topiramate.

Symptom List:

Symptoms: Severe vertigo beginning the morning of 3/20 (three days after vaccination). Anomic aphasia on the morning of 3/22. Consulted a doctor; per doctor's advice, went to ER. Aphasia resolved by itself after several hours; it had been progressively improving over the course of the day. Vertigo was treated with diazepam and resolved completely. Admitted to hospital overnight for testing. Discharged from hospital on 3/23; several hours after that, had a severe migraine (with no previous history of severe migraines). Migraine eventually resolved a week later.

Other Meds: Hydroxyzine, bupropion, loratadine, clonazepam.

Current Illness:

ID: 1244254
Sex: F
Age: 65
State: OR

Vax Date: 03/25/2021
Onset Date: 03/28/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: penicillin, sulfa, aspirin

Symptom List:

Symptoms: Chest pain, fast heart beat - painful lasted for 3 day. Couldn't fall asleep

Other Meds: Insulin

Current Illness: No

ID: 1244255
Sex: M
Age: 61
State: UT

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: C/O N/V, SOB, Chills, funny taste in month.

Other Meds: Lipitor, Carvedilol, Lisinopril, Metformin, Glipizide

Current Illness: None

ID: 1244256
Sex: M
Age: 40
State: OH

Vax Date: 04/15/2021
Onset Date: 04/18/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: none.

Symptom List:

Symptoms: 2nd dose of the vaccine was given on Thursday April 15 , Three days after the Injection. On Sun the 18 , I started have painful rash and deep nerve pain on my upper forehead and left ear. After a visit to the doctors On Tuesday the 20 It was announced I had Shingles. It has been slowly spreading over my scalp and on my face.

Other Meds: levothyroxin, Singulare, Lisinopril,Jenuvia,Metforman,

Current Illness: none

ID: 1244257
Sex: F
Age: 41
State: WI

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Tingling in hand

Other Meds:

Current Illness:

ID: 1244258
Sex: F
Age: 44
State: IA

Vax Date: 04/08/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: When patient left the facility in her car, she passed out at the wheel. Regained consciousness after a few minutes. Husband came in today, 3 weeks later and said "she is still not herself, dizzy, etc"

Other Meds: Desmopressin nasal spray Montelukast 10mg

Current Illness:

ID: 1244259
Sex: M
Age: 58
State:

Vax Date: 04/01/2021
Onset Date: 04/08/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Extreme tightness in neck muscles and pain in hips and left leg

Other Meds: Bactrim, omeprozole

Current Illness:

ID: 1244260
Sex: M
Age: 25
State: UT

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: None, administered too soon

Other Meds: None

Current Illness: None

ID: 1244261
Sex: F
Age: 57
State:

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt. c/o "feeling funny" and of palpitations after 2nd dose of Covid vaccine. Pt has a history of A. Fib and HTN. Vital signs taken, EKG completed and reviewed by provider. Provider noted palpitations likely due to anxiety related to vaccine. Pt. discharged to home and given ER precautions.

Other Meds:

Current Illness:

ID: 1244262
Sex: M
Age: 75
State: LA

Vax Date: 02/19/2021
Onset Date: 02/01/2021
Rec V Date: 04/22/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The right leg gradually became weaker causing him to drag his right leg while walking. The dragging progressed to the right leg "giving out" causing him to fall. Three days later the left leg "gave out", again causing him to fall only this time he was unable to pick himself up. The next day he used a walker to move throughout his home but was able to hold himself up enough to move a couple of feet independently. The following morning he was unable to stand independently at all. On April 5th he got an emergency appointment with his GP who sent him to the ER. After multiple diagnostic tests, he was diagnosed with Gillian Barre Syndrome and admitted.

Other Meds:

Current Illness:

ID: 1244263
Sex: F
Age:
State: CA

Vax Date: 04/06/2021
Onset Date: 04/17/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Nausea and vomitting with the inability to keep in food and water

Other Meds: Levothyroxine Zofran Unisom

Current Illness: none

ID: 1244264
Sex: F
Age: 38
State: IL

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Shellfish and PCN

Symptom List:

Symptoms: At 17:32 pt reported to staff that she felt her lips were numb and swelling, in addition felt her cheeks were flushed. Pt taken to tx area, vitals taken (all within normal range) and pt given 50mg of Benadryl at 17:32 to treat symptoms. Pt denied any difficulty breathing. Pt stated she had sensation back in her lips at 17:43. Pt spouse arrival tx area @17:50 and agreed to drive patient home. Pt states she was much improved prior to departure @17:54. Pt was made aware of symptoms that would require her to respond to the Emergency Department, understanding verbalized. Patients' PCP, made aware. Aside from flushed cheeks, pt did not show apparent signs of allergic reaction aside from subjective symptoms, pt was in no acute distress, color within normal limits for ethnicity and pt was conversant. Lung sounds clear. Pt awake alert and oriented to self, situation, time and place.

Other Meds: no known meds

Current Illness: denies

ID: 1244265
Sex: F
Age:
State: WA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Fever 102.5 within 30 min SEVERE Chills at 3 am (4/2) Vomiting at 5 am Continued fever on 4/2 and 4/3 Slept 12 hours Severe diarrhea on 4/3 Fever broke at 3 pm on 4/3

Other Meds: None

Current Illness: None

ID: 1244266
Sex: M
Age: 51
State: IL

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Patient indicated that this was his first dose of any COVID-19 vaccine. Therefore, we gave him the vaccine we were dispensing at this clinic. However after further investigation after administration, it was discovered that he received the Moderna vaccine at another facility on 03/30/21. Confirmed with other facility and reached out to patient.

Other Meds:

Current Illness:

ID: 1244267
Sex: F
Age: 34
State: PA

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Right arm redness, swelling, firmness, raised area 1/2 inch below injection site

Other Meds: Labetalol 100 mg

Current Illness:

ID: 1244268
Sex: M
Age: 29
State: UT

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: none listed

Symptom List:

Symptoms: Patient fainted, started having seizures, EMTs were called but patient refused recommendation to go to hospital for evaluation

Other Meds: none listed

Current Illness: none listed

ID: 1244269
Sex: F
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 04/22/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: fever chills ache dizzy a dizzy spell caused her to fall and break her back. still recovering after 7 weeks

Other Meds: thyroid

Current Illness: none

ID: 1244270
Sex: F
Age: 32
State: TX

Vax Date: 04/08/2001
Onset Date: 04/09/2001
Rec V Date: 04/22/2021
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Allergies: PCN

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Symptoms: Body ache, horrible head ache, sciatic and leg pain

Other Meds: BC powder, prilosec, miraplex

Current Illness: Crohns disease

ID: 1244271
Sex: M
Age: 68
State: WA

Vax Date: 04/12/2021
Onset Date: 04/14/2021
Rec V Date: 04/22/2021
Hospital: Y

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Allergies: penicillins

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Symptoms: ITP with platelet count of 2K. Presented with subdural hematoma. Platelets recovered with dexamethasone 40mg PO daily and IVIG 400mg/m2 daily x 4 days. No further brain bleed.

Other Meds: ibuprofen 600mg PO BID

Current Illness: none

ID: 1244272
Sex: F
Age: 31
State: CA

Vax Date: 04/14/2021
Onset Date: 04/16/2021
Rec V Date: 04/22/2021
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Allergies: Sulfa, amoxicillin, soy, peanuts

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Symptoms: Muscle twitching and spasms mainly in feet but also throughout entire body, starting 2 days after vaccination and still present a week later. Slight Facial/ neck numbness 2 hours after vaccination that went away within an hour.

Other Meds: No

Current Illness: None

ID: 1244273
Sex: F
Age: 61
State: GA

Vax Date: 03/23/2021
Onset Date: 03/31/2021
Rec V Date: 04/22/2021
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Allergies: bee stings

Symptom List:

Symptoms: Moderna Covid -19 Vaccine EUA rash and inflammation around injection site; this lasted for about three days

Other Meds: asprin, vitamin c, vitamin d, zinc

Current Illness: n/a

ID: 1244274
Sex: F
Age: 43
State: MN

Vax Date: 04/18/2021
Onset Date: 04/18/2021
Rec V Date: 04/22/2021
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Symptoms: The syringe or the plunger broke mid-dose. At least 2 large drops ran down my arm while the needle was still in my arm. It was reported that more than half the dose went in. However, I'm not a small person and wondered if it'd be better to "slightly overdose" me than "slightly underdose" me? Or if/when boosters are needed, should I get one sooner?

Other Meds: lunesta, prilosec, multi-vitamin, iron, celebrex

Current Illness:

ID: 1244275
Sex: F
Age: 56
State: MI

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
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Allergies: Augmentin, biaxcin, ceftin, doxycycline hyclate, ibuprofen, lorabid, multihance - MRI contrast solution, neosporin, prednisone, septocaine, sulfa drugs, sulfites, Tylenol, Trojan, chamomile, echinacea, eggs, chocolate, and raspberries.

Symptom List:

Symptoms: Immediate: body flushing, racing heart (about 40-50 bpm higher than normal), and lightheaded/dizzy Same day: tongue felt funny/slightly swollen Same day evening & next day: hives on upper and lower torso

Other Meds: Advair, Claritin, cabergoline, estradiol/north tabs, calcium, Vit D, Vit B12, magnesium

Current Illness: None

ID: 1244276
Sex: M
Age: 72
State: FL

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/22/2021
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Symptoms: trouble breathing when laying down

Other Meds:

Current Illness:

ID: 1244277
Sex: M
Age: 25
State: CO

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/22/2021
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Allergies: NKA

Symptom List:

Symptoms: A tick/twitch in the right eyelid that started shortly after shot. Is somewhat on and off and off but does consistently come back.

Other Meds: None

Current Illness: Sore throat morning of vaccine

ID: 1244278
Sex: M
Age: 73
State: AR

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 04/22/2021
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Allergies: No

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Symptoms: Next Day woke up and was very weak could barely make it to bathroom or put one foot in front of the other also had trouble breathing . Laid in a reclining position most of day. Thereafter within a few days began having allergic reaction mainly consisting of Hives, Swollen Lip, right eye became very red. This went on often for a month then began to tapper by the end of second month became very infrequent. Note: I had Covid back in August, spent 3 weeks in hospital

Other Meds: Metformin, Amlodipine, Gemfibrozil, aspirin 81Mg

Current Illness: None

ID: 1244279
Sex: F
Age: 64
State: CA

Vax Date: 04/01/2021
Onset Date: 04/09/2021
Rec V Date: 04/22/2021
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Allergies: shell fish, oranges, corn, soy

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Symptoms: April 2 -3 felt tired and achey and chills April 8 - 10 tingeling of face, left eye hurt. April 11 no energy, left eye watering, lips swelling April 13 more swelling of face - Night of 13 wanted to rip my face off!!! April 14 swelling of eyes, lips, cheeks, hives on face and eyes. Felt miserable Zoom call with Doctor put on Medrol dose pack, Allegra, AM Zyrtec,PM Pepcid AC, purchased Epinephrine, Benadryl during day April April 19 more hives on chest

Other Meds: Synthroid Simvastatin Asprin Potassium Chloride Vitamin D-3

Current Illness: NO

ID: 1244280
Sex: M
Age: 31
State: MD

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 04/22/2021
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Allergies: NONE

Symptom List:

Symptoms: The BNT 162 B2 vaccine was administered on the morning of Monday January 4th 2021 at approximately 11:08am, via intramuscular route. Within the next 24 hours, I started having myalgia and Paresthesia to my right leg and foot on 1/5/21, this progressively worsened. On the 6th January, the paresthesia worsened and started to occur on the left foot- anterior and dorsal surfaces. In addition, at about 21:45hrs, I started having lower back pain- severe, rated about 6/10 in severity. This progressively worsened to 10/10 in pain severity. On the 7th an, all my symptoms had worsened, despite taking Tylenol. On the 8th January 2021, I started having difficulty lifting my right foot and visited emergency room for further care. At that time I have had a series of investigations and lab work done, in addition to PCP and specialist referral including Neurologist, Physiatrist and for Physical therapy. I am still undergoing physical therapy with improvement in the weakness but I still have persistent and on going lower back pain and paresthesia in my legs and foot three months later.

Other Meds: NONE

Current Illness: NONE

ID: 1244281
Sex: M
Age: 21
State: CA

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/22/2021
Hospital: Y

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Allergies: None

Symptom List:

Symptoms: Patient developed fever after vaccine and chest pain for 2 days. Findings concerning for acute pericarditis

Other Meds: None

Current Illness: None

ID: 1244282
Sex: M
Age: 35
State: CA

Vax Date: 04/17/2021
Onset Date: 04/19/2021
Rec V Date: 04/22/2021
Hospital: Y

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Allergies: no

Symptom List:

Symptoms: chest pain, myocarditis

Other Meds: one Advil

Current Illness: no

ID: 1244283
Sex: F
Age: 27
State: TX

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/22/2021
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Allergies: Penicillin

Symptom List:

Symptoms: Body aches, fever, high blood sugars, diarrhea & extreme nausea-could not eat or drink for 2 days No clotting during menstrual cycle, EXTREMELY heavy and long flow

Other Meds: No

Current Illness: No

ID: 1244284
Sex: F
Age: 35
State:

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
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Symptoms: Nausea Vomiting Chills Fever Body aches

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 286,759

Page last modified: 03 October 2021 5:28pm