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
69,170
AK1,597
AL5,144
AR3,289
AS44
AZ13,044
CA56,646
CO10,729
CT7,566
DC1,606
DE1,619
FL35,045
FM3
GA12,998
GU79
HI2,134
IA4,224
ID2,413
IL18,821
IN22,314
KS4,174
KY6,655
LA4,590
MA13,529
MD11,621
ME2,924
MH8
MI17,340
MN11,006
MO8,620
MP30
MS2,594
MT2,089
NC14,923
ND1,210
NE2,645
NH2,800
NJ16,697
NM3,627
NV3,954
NY31,891
OH17,591
OK5,821
OR7,741
PA21,919
PR2,048
QM2
RI1,860
SC5,833
SD1,110
TN8,359
TX33,151
UT3,922
VA13,570
VI49
VT1,643
WA13,474
WI10,145
WV2,169
WY792
XB5
XL1
XV2

ID: 1251064
Sex: F
Age: 68
State: CA

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

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

Lab Data:

Allergies: sulfa

Symptom List:

Symptoms: chills, fatigue/lethargy, headache, anorexia

Other Meds: Bupropion HCL XL300 300mg Escitalopram 20 mg multi vitamin Calcium + D3 600 mg D3 50 mcg

Current Illness:

ID: 1251065
Sex: F
Age: 51
State: CA

Vax Date: 01/26/2021
Onset Date: 02/24/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Tinnitus, loud ringing in my ear is non stop and causing insomnia, headaches, and loss of concentration.

Other Meds: none

Current Illness: none

ID: 1251066
Sex: M
Age: 76
State: TX

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Developed a runny nose and very frequent sneezing that I had never had before; helped a little by anti-allergy pills. This had almost stopped before the second shot when they started again.

Other Meds: none

Current Illness: none

ID: 1251067
Sex: F
Age: 58
State: IN

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Arm pain, fatigue, cold chills and fever (100.8), dizziness, migraine, nausea, "brain fog"

Other Meds: N/A

Current Illness: N/A

ID: 1251068
Sex: M
Age: 61
State: TN

Vax Date: 04/02/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: PT STATED HE WENT TO THE CLINIC AND THEN THE ER WITH A BUMP ON THE BACK OF HIS LEG. PT WAS TOLD IT WAS A BLOOD CLOT.

Other Meds:

Current Illness:

ID: 1251069
Sex: M
Age: 26
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Tiredness

Other Meds:

Current Illness:

ID: 1251070
Sex: F
Age: 55
State: FL

Vax Date: 04/09/2021
Onset Date: 04/13/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Head aches, numbness in legs, pressure elevated and left arm soreness.

Other Meds: Hydrochlorothiazide, aspirin, ibuprofen

Current Illness: None

ID: 1251071
Sex: M
Age: 44
State: MI

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Headaches, chilling, nasal congestion

Other Meds: None

Current Illness: None

ID: 1251072
Sex: M
Age: 51
State:

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Client had appointment with a date that appeared (looked like) to be 4/24/2021. Administration personnel cleared the Client to receive the dose. The vaccinator did not follow policy and get the clinical director to verify the second dose. The vaccinator did not wait for the admin personnel to look up the patient in the system and the vaccine was given. The administrator at the station recognized the error based on the date and the Client card was looked again. The Client's card actually states 4/29/2021 however as the 9 was not closed off and crossing through the lines on the card, the Vaccinator as well as the Client himself thought this represented a 4.

Other Meds: None

Current Illness: N/A

ID: 1251073
Sex: F
Age: 52
State: IN

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills, fever, loss of appetite, body aches

Other Meds: Lozartine, iron, fish oil, cholereroff, zyrtec

Current Illness: None

ID: 1251074
Sex: F
Age: 58
State: MI

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: fetanyl, iodine

Symptom List:

Symptoms: rash/hives, itchiness, throat/lunch itchiness, cough, draining within 6 hours, still persistant, taking benadryl Q6h

Other Meds: multi vitamins, xanax, cymbalta, adderall XR, topamax, diclofenac patch, omeprezole

Current Illness:

ID: 1251075
Sex: F
Age: 50
State: WA

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: 100.1 fever at 2am. Received Pfiezer shot at 6pm the previous day. Also had a sore arm for about 24 hours. Pain when lifting the arm up to put on and off a shirt.

Other Meds:

Current Illness:

ID: 1251076
Sex: F
Age: 41
State:

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received first dose of Moderna COVID-19 vaccine on 3/27/2021. She complained of "thickening in her throat" and lips tingling. She was evaluated by doctor and another doctor. She was given Benadryl. EMS also gave nebulized albuterol x1. Patient observed for 30 min and sent home. Recommend patient get second dose in monitored setting

Other Meds:

Current Illness:

ID: 1251077
Sex: F
Age: 45
State: CT

Vax Date: 01/09/2021
Onset Date: 02/18/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Severe menstrual bleeding with clotting causing severe anemia. Hemoglobin level 9. Received first dose of Iron transfusion through IV yesterday on 4/23/2012

Other Meds: Synthroid and cytomel

Current Illness: No

ID: 1251078
Sex: F
Age: 57
State: OH

Vax Date: 04/09/2021
Onset Date: 04/13/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Sulfa antibiotics, penicillin, latex

Symptom List:

Symptoms: While I already had mold tinnitus and occasional vertigo that I resolved with self- positional otolith reset, after 2nd dose have had very loud tinnitus and changes in the sounds that make it hard to concentrate on computer programming work and hard to sleep. I have been adjusting white noise and using meditation to cope. Vertigo also is requiring more frequent otolith settling techniques. I hope the loudness of tinnitus ringing in my ears decreases. I am working to adjust my attitude and expectations, since I had to do this to deal with my initial tinnitus development after starting ACE inhibitor medication (a known ototoxic med lisinopril).

Other Meds: Lisonopril Hctz

Current Illness:

ID: 1251079
Sex: M
Age: 74
State: TX

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Pcn, statins, pork

Symptom List:

Symptoms: Extremely sore shoulder continually for over 3 months now.

Other Meds: Amlodipine, Lisinopril, loratadine, pantoprazole, Fluoxetine, Fish Oil, Vitiman B3

Current Illness: None

ID: 1251080
Sex: F
Age: 66
State: WA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: The night of the first dose, my abdomen broke out with a red, raised, fine rash that came and went throughout the night, and all the other nights to this date. I got hot/ cold when the rash would appear. The rash only appeared at night. My left knee become a bit swollen, with fluid above the joint. It would get tight feeling with activity. The night of my 2nd dose, I broke out with a red, raised, bigger rash with open sores. This was on my abd, back, chest, thighs. It got worse with hot outside temperatures, and it was present day and night. This rash itched. My Left knee also got noticeably more swollen the night of my 2nd dose. I still have this and it is not getting better. It gets worse with movement. I just got my rash calmed down and very lessened, but it is still present to this day, but is not bad now.

Other Meds: Faslodex, D10,0000, Violet Daily, Tetracumin, Osteo-Nutrients

Current Illness: None

ID: 1251081
Sex: F
Age: 57
State: PA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Azithromycin (nausea and vomiting) Codeine (nausea and vomiting) Penicillins (rash/dermatitis) Latex (rash/dermatitis) Sulfa drugs (rash/dermatitis) Gabapentin (nausea, vomiting, dizziness)

Symptom List:

Symptoms: Received the first dose of hte Pfizer COVID19 vaccine on 4/8/2021. Developed cold-like symptoms on Friday, 4/9/2021, including: congestion, headache and right ear pain. On Saturday, 4/10/2021, had persistent headache, congestion and right ear pain. Also develoepd tingling on the right side of her face. She was evaluated at Urgent Care on 4/10/2021 and recommended supportive care for right ear pain. On Sunday, 4/11/2021, developed complete paralysis of the right side of her face. She was evaluated in office on 4/12/2021 and diagnosed with Bell's Palsy based on exam - patient with complete right sided facial paralysis. She was treated with prendisone taper (prendisone 60 mg for 7 days, then 40 mg for 3 dyas, then 20 mg for 3 days) and Valtrex 1000 mg three times daily for 1 week.

Other Meds: Allegra 180 mg, 1 tablet daily Flonase 50 mcg/act, 1 spray into each nostril daily Lisinopril 10 mg, 1 tablet daily

Current Illness:

ID: 1251082
Sex: M
Age: 31
State: IN

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chills, aches, fever, headache, tiredness

Other Meds: Vyvanse

Current Illness:

ID: 1251083
Sex: M
Age: 36
State: CO

Vax Date: 02/09/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: NKA.

Symptom List:

Symptoms: PATIENT IS POSITIVE FOR COVID-19 AFTER BEING FULLY VACCINATED, UNKNOWN LOT # AT THIS TIME, THIS PATIENT BELONGSTO MILITARY AND THERE IS NO DOCUMENTATION OF LOT/EXPIRE DATE IN MEDICAL RECORD AT THE TESTING FACILITY, ONLY INFORMATION IS THAT THE MODERNA SERIES IS COMPLETED AS OF 9 FEB 2021.

Other Meds: NONE.

Current Illness: NONE.

ID: 1251084
Sex: F
Age: 38
State: IL

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: My period came 7 days earlier than normal. I started cramping and bleeding the day after dose 2, which was 7 days earlier than normal. My cycle is usually exactly 28 days.

Other Meds: 75 mg venlafaxine Multi-vitamin Fish oil Magnesium Vitamin D

Current Illness: None

ID: 1251085
Sex: F
Age: 52
State: CA

Vax Date: 02/27/2021
Onset Date: 03/03/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Moderate to severe Food allergies

Symptom List:

Symptoms: ?Covid toes? like symptoms on the right foot only, started a few days after the first vaccine, went away within days. Then a few days after the second dose again and more severely - purple/blue middle and second toes, painful snd tingly, I had difficulty walking and/or wearing shoes for about a week. I took aspirin daily and anti histamines because I read a case study where they hypothesized that it could be micro blood clots and treated the patient with anti-coagulants. Didn?t think at the time that it was serious enough to report to my primary care physician but I think I should have. I still have dark patches of skin on those toes. Here?s the paper I read: ?Blue toes? following vaccination with the BNT162b2 mRNA COVID-19 vaccine

Other Meds: Wellbutrin 100mg/day

Current Illness: None

ID: 1251086
Sex: F
Age: 73
State: OH

Vax Date: 02/03/2021
Onset Date: 03/24/2021
Rec V Date: 04/24/2021
Hospital: Y

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

Lab Data:

Allergies: Allergies Aspirin reactions are ? vomiting, stomach pain and swelling of the lips Codeine -Nausea & Vomiting Amitriptyline- Swelling and a hard time swallowing Trazodone & Nefazodone Escitalopram Oxalate- Nausea & Vomiting Metformin & Related- Shaking, impaired vision Sertraline- Shaking, nausea Cephalexin- Diarrhea

Symptom List:

Symptoms: 1st Dose of Covid-19 Covid-19 Moderna/ 013M20A 02/03/2021 2nd Dose of Covid-19 Covid-19 Moderna/012A21A 03/03/2021 Since having the second vaccine I have issues with running noticeably short of breath. On April 6th I was admitted because my hemoglobin had drop to 6.9. They had to give me a blood transfusion. They also ran a scope on my upper GI, and I swallowed a camera to see if there was any blood being loss in my GI tract. None was found. The next test was to get a biopsy of my bone marrow. The results showed that the erythropoietin anti-bodies were destroying my red blood cell. My hemoglobin is still at 7.3 and the shortness of breath is still having it?s toll on me. I is my believe that the Moderna Covid-19 maybe the cause of my health issues, that I am experiencing. My breathing issues stating after getting the vaccine. I really think this information should be noted in case others may have the same problem. Please know that I had no breathing issue before getting the vaccine.

Other Meds: Prescript Medications Atenolol 25 MG -1 tab ? qam Zolpidem Tartrate CR ? 10 MG (Ambien) ? 1 tab ? at bed time Spiriva Respimat 2.5 MCG/ACT AERS 2 puffs daily Omeprazole ? 40 MG ? 1 tab ? qam half hour before breakfast Valsartan/hctz -160 /

Current Illness: none

ID: 1251087
Sex: F
Age: 52
State: CA

Vax Date: 04/09/2021
Onset Date: 04/19/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Swollen right foot. The big toe is the most swollen area.

Other Meds:

Current Illness:

ID: 1251088
Sex: F
Age: 57
State: TX

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: SHRIMP

Symptom List:

Symptoms: 1750 PATIENT COMPLAINS OF NAUSEA AND DIZZINESS. BP 165/71, HR 78, RR 18 1755 ATE SANDWICH, DRANK WATER, STATES SHE IS FEELING BETTER. NO OTHER COMPLAINTS 1820 STATES SHE IS BETTER. INSTRUCTED TO CALL EMS IF SYMPTOMS RETURN . PATIENT VERBALIZE UNDERSTANDING OF INSTRUCTIONS. DROVE SELF HOME

Other Meds: AMOX-CLAV TYLENOL

Current Illness: 02/12/2021 SINUS SURGERY

ID: 1251089
Sex: F
Age: 59
State: FL

Vax Date: 04/02/2021
Onset Date: 04/12/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Delayed lower leg rash on both legs - more on the right. Very itchy. Still continues to be uncomfortable on the lower right leg with flare ups every day since. The bumps have not gone away on both legs. No treatment recommended by the CDC - should go away on its own.

Other Meds: Celebrex

Current Illness: None

ID: 1251090
Sex: M
Age: 18
State:

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received first dose of Moderna COVID-19 vaccine on 4/7/2021. After vaccine was given, patient complained of lightheadedness, numbness in hands, light sensitivity, and nausea. Doctors and an RN evaluated patient. BP 96/64, not tachycardic. Mother was driving vehicle. No meds given but patient sent with EMS to ED.

Other Meds:

Current Illness:

ID: 1251091
Sex: M
Age: 39
State: AZ

Vax Date: 04/15/2021
Onset Date: 04/17/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tinnitus in both ears, sudden hearing loss

Other Meds: Pepcid AC, Tylenol

Current Illness: None

ID: 1251092
Sex: F
Age: 32
State: TN

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 04-23: Headache, Nausea, Aches like the flu and overall tiredness. 04-24: Woke with facial swelling and redness, unable to move parts of face due to amount of swelling

Other Meds: Bupropion, Cetrizine, Cycloenzaprine, Dymista, Hyoscyamine, Montelukast, Naltrexone, Rizatriptan, Solifenacin, Spironolactone, Topiramate, Vitamin D2

Current Illness: Asthma, GERD, IBS, OAB, Acne, Migraines, Fibro, Allergies

ID: 1251093
Sex: F
Age: 35
State: FL

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Difficulty breathing; swelling of my face and thoat; a fast heartbeat; bad rash all over my body;

Other Meds:

Current Illness:

ID: 1251094
Sex: F
Age: 73
State: AL

Vax Date: 04/16/2021
Onset Date: 04/19/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The first two days I felt achy and ran a temperature of 101.3. I also had like my equilibrium was off a bit. On Monday morning around 8:00 am I realized I could no longer hear out of my right ear. I made an appointment to see am ENT specialist on Wednesday April 21st. Through a series of audio tests it was confirmed that I had lost all sense of hearing in my right ear; left ear was 100% hearing. The doctor place me on a 10 day series of DEXAMETHASON 1.5MG. S So far I haven't regained any hearing in my left ear. I have an appointment May 6, 2012 to have a re-test for my hearing in the right ear.

Other Meds:

Current Illness:

ID: 1251095
Sex: F
Age: 19
State: SC

Vax Date: 04/19/2021
Onset Date: 04/20/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Peaches and Oranges

Symptom List:

Symptoms: Swelling in face, arms, and throat closed. Then took Benadryl.

Other Meds: Unknown

Current Illness: No

ID: 1251096
Sex: F
Age: 21
State: WI

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

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

Lab Data:

Allergies: Latex and penicillin

Symptom List:

Symptoms: Redness in the face an neck, slight swelling. Mouth going numb. Both lasting only 30 seconds to a minute. Happened 20 minutes after the shot.

Other Meds:

Current Illness:

ID: 1251097
Sex: F
Age: 57
State: PA

Vax Date: 03/30/2021
Onset Date: 04/16/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List:

Symptoms: I was asleep and awoken by burning and itching of my torso! I had a rash starting on my left side of abdomen then spread to the right and over the next few days, spread, less densely though, to my thighs and inner arms and some on my back.

Other Meds: GABA 750 mg Ashwanghanda 300mg Estradiol patch .0375mg Progesterone 100 mg

Current Illness: none

ID: 1251098
Sex: F
Age: 59
State: NM

Vax Date: 03/14/2021
Onset Date: 03/21/2021
Rec V Date: 04/24/2021
Hospital:

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Symptoms: Severe wrist and hand pain and numbness

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Current Illness: Alcoholism

ID: 1251099
Sex: F
Age: 63
State: TX

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 04/24/2021
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Symptoms: First 3 days - eyes burning, throat burning, fever, painful lymph nodes under chin, arm pits, chest. Increased tinnitus. As those got better, dizziness increased. As of 4th day and still continuing, have vertigo with visual swirling and intense spinning. Spinning worse when laying down or turning head quickly. I have contacted my doctor to schedule an appt but have not gone to ER

Other Meds: Synthroid 100 mcg 1/day Citalopram 10 mg 1/day for migraines AREDS vitamin 1/day Vitamin D 2000 per day

Current Illness: Migraines, intermitent

ID: 1251100
Sex: M
Age: 66
State: PA

Vax Date: 03/30/2021
Onset Date: 04/05/2021
Rec V Date: 04/24/2021
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Allergies: None

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Symptoms: About 5 days after receiving my first shot I was in the ER and diagnosed with chronic insomnia. I have trouble sleeping ever since.

Other Meds: Blood Pressure

Current Illness: None

ID: 1251101
Sex: F
Age: 71
State:

Vax Date: 03/18/2021
Onset Date: 04/13/2021
Rec V Date: 04/24/2021
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Symptoms: Skin rash, later determined by dermatologist to be shingles.

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ID: 1251102
Sex: F
Age: 40
State: MD

Vax Date: 04/21/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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Allergies: Pineapple

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Symptoms: Vertigo, presyncope, migraine, menstruation, back ache, nausea, tingling In the fingers, tinnitus

Other Meds: DHA prenatal, prenatal multivitamin

Current Illness: No illness, but breastfeeding

ID: 1251103
Sex: F
Age: 39
State: MI

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
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Allergies: Skin irritation to liquid cipro

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Symptoms: Received 2nd Moderna shot on 4/21 at 1pm (it is currently almost 60 hours later). I was pretty out of it just a few hours after injection, so while I dont have specific times, here are some of the side effects I've been experiencing. Note: I had a pretty significant reaction to the first shot so expected to have the same with the second. Arm pain - pain radiated from injection site to fingers and fluctuated from uncomfortable to almost unbearable off and on throughout the next 48 hours. Felt better if I slept with pressure on the arm itself, but once I took it off, it throbbed relentlessly. Still have swelling, redness, and tenderness almost 60 hours later. Fever - consistent low grade fever; spiked to 103.8 and plateaued between 99 and 101 for some time. Broke after 36 hours, but returned after 48. Brain fog and confusion - consistent for first 24 hours. Nausea/vomiting - was not able to keep most foods down, but alleviated after 24 hours. Returned after 48 hours and continued on to 60 hours. Swollen foot - unsure if this is direct result of vaccine, but important enough to note. Left foot was very swollen after 48 hours (same side of injection). This was after returning to work and being on my feet. Kidney pain - experienced pain similar to passing a stone in lower left kidney area a few hours after the shot. Continued until about 24 hours after. Joint pain - all joints tender for the first 24 hours (all knuckles, elbows, knees, ankles, wrists). I experienced this with the 1st shot as well. Itching - whole body, moderate level itching for almost 24 hours. No rash, just sensation. Returned at 60 hour mark. General flu like symptoms- have carried over past 48 hour mark 60 hour mark. 39/F

Other Meds: Hydrocodone

Current Illness:

ID: 1251104
Sex: M
Age: 17
State: IN

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
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Allergies: None

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Symptoms: Fever, headaches, chills, following morning after vaccine administered.

Other Meds: None

Current Illness: None

ID: 1251105
Sex: F
Age: 60
State: IL

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
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Allergies: Possible mild reaction to penicillin; mild contact allergy to grasses

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Symptoms: minor headache, all-over body aches, slight nausea, brief bout of diarrhea

Other Meds: None

Current Illness:

ID: 1251107
Sex: F
Age: 31
State: FL

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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Allergies: Corn, alpha-gal

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Symptoms: Within a matter of seconds around 5:45 on April 23, 2021 I got nauseous, then dizzy, then passed out while I was sitting. I came to about 5 minutes later. The rest of the day I had the usual side effects such as body aches, chills, and a fever.

Other Meds: Nuvigil, abilify, lexapro

Current Illness: None

ID: 1251108
Sex: F
Age: 56
State:

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
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Symptoms: Patient was complaining of swelling in face and an itchy throat.

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ID: 1251109
Sex: M
Age: 53
State: SC

Vax Date: 04/09/2021
Onset Date: 04/17/2021
Rec V Date: 04/24/2021
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Allergies: Steroids

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Symptoms: Feet swelled, blistered turned red and purple too the point I couldn?t walk

Other Meds: None

Current Illness: None

ID: 1251110
Sex: M
Age: 33
State:

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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Symptoms: Approximately 10 mins post vaccination, patient experienced vertigo, diaphoresis and decreased mental status. Evaluated by staff and found to be diaphoretic, hypotensive and tachycardia. Patient observed and recovered with no further intervention. Discharged home 45 mins later. Also evaluated by EMS.

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ID: 1251111
Sex: F
Age: 43
State: CT

Vax Date: 04/01/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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Allergies: None

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Symptoms: Severe ringing in left ear and I was vaccinated in left arm.

Other Meds: Advair, Welbutrin xl ,floanase,iron supplement and biotin

Current Illness: Athsma

ID: 1251112
Sex: F
Age: 26
State: IL

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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Allergies: NKA

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Symptoms: Lighheaded, anxietyresolved. Vitals stable. history of vaso vagal with vaccine

Other Meds: ADHD and Depression meds

Current Illness: Pregnancy loss 7 days ago

ID: 1251113
Sex: F
Age: 62
State: TN

Vax Date: 03/26/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
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Allergies: none reported to vaccination team

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Symptoms: Husband reports that pt was taken to local hospital by EMS & transferred to facility following a seizure at home around 22:00. She has had seizure type activity prior to this event she was admitted to medical center and treated (he didn't go into detail). She was released and is home she is still having issues with severe weakness and fatigue and sleeping most of the time. The events were reported to our hospital on 4/14/21.

Other Meds: unknown to vaccination team

Current Illness: none reported to vaccination team

ID: 1251114
Sex: M
Age: 48
State: IN

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
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Allergies: Lyrica

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Symptoms: 102? fever, extreme muscle aches (sharp pain, pressures, cramps), chills, lethargic and soreness at injection area. Most symptoms began approximately 12 hours after the shot and lasted approximately 18 hours. Took Tylenol for fever and pain.

Other Meds: Gabapentin, Advil, Zanaflex

Current Illness: None

Total 2021 VAERS Injuries: 582,673

Page last modified: 03 October 2021 5:28pm