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: 1259683
Sex: F
Age: 22
State: MO

Vax Date: 04/15/2021
Onset Date: 04/17/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Skin rash

Other Meds:

Current Illness:

ID: 1259684
Sex: M
Age: 81
State: MA

Vax Date: 02/26/2021
Onset Date: 02/28/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: history is a bit complex. I had had occassional r shoulder pain in the past without a diagnosis or specific Rx. 2 days before 2nd dose, i b raised upper L ulna. 2 days post 2nd dose, rather severe olecranon pain developed dwith expuisite tenderness and mild swelling, but no fever. Subsequently over a period of days and weeks, I developed worsening right and then left shoulder and some neck pain and some additional hip and other pain. Shoulder tyenderness was diffuse and mostly muscular, Siginficant limitations of ROM withinability to raise arms. Pain was worst at night and on awakening with some relief with acetaminophen (no NSAIDS as on Xarelto).

Other Meds: propafenone, nifedipine, HCTZ, Olmesartan, finesteride, Xarelto, Preservision, lansoperazone, famotidine

Current Illness: bruise left elbow

ID: 1259685
Sex: F
Age: 59
State: CO

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Broken blood vessel at the corner On the lid of my right thigh starting from the corner up on the top eyelid. I had to strange dizzy spells about a week out from having my second shot and again about a week and a half another dizzy spell. Today is 23 days out from getting my second shot. There?s no soreness at the eye area and my eye ball is totally unaffected. No redness in the eye at all.

Other Meds: None

Current Illness: None

ID: 1259686
Sex: M
Age: 17
State: MA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: pt got lightheaded and passed out. pt informed us he had not eaten all day so we are not sure if the lightheadness is from that or the vaccine

Other Meds:

Current Illness:

ID: 1259687
Sex: M
Age: 22
State: GA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: NDKA

Symptom List:

Symptoms: Patient received the first Moderna vaccine. After receiving the vaccination and while waiting 15 minutes, the patient became extremely light-headed and passed out out of the chair. Patient immediately regained consciousness and was helped back into chair by myself and his brother. Patient was still dizzy. I immediately told one associate to call 911 and another associate was able to call for management. Afterwards, I told an associate to go grab the patient a water and some hard candy to elevate his blood glucose. I confirmed that the patient has not had seizures in the past. The patient stated that he had not eaten very much today (just a smoothie) and wasn't adequately hydrated. I stayed with the patient the whole time until the paramedics arrived and were able to test his vitals. The patient was eventually cleared to go home and went home with his brother.

Other Meds: N/a

Current Illness: N/a

ID: 1259688
Sex: M
Age: 17
State: OR

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

Vax Type:
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Vax Site:

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: bp 128/76 pt w syncope 5 mins into monitoring. hit head on front left. monitored for s/sx of concussion. denies blurred vision head ache. monitored for 15mins post fall 09:07 am pt c/o blurring in right eye peripheral vision pt to check with pcp if symptoms continue or worsen.

Other Meds: unknown

Current Illness: unknown

ID: 1259689
Sex: F
Age: 32
State: SD

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: Tide Laundry pods

Symptom List:

Symptoms: Rash, metallic taste in mouth, pruritis

Other Meds: Iron, Calcium, prenatal

Current Illness: None

ID: 1259690
Sex: F
Age: 34
State: TX

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/26/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Thirst, itchy/tingly sensation throat, numbness and tingly sensation in left side of body (including face, arm, leg). Symptoms started 20-30min after vaccine, while I was driving. 3-4hours later numbness was gone; left side still feels "weird". Went to clinic, EMS to the ER and admitted to hospital, discharged the following day in the afternoon. Discharge Diagnosis: TIA secondary to adverse effect of Moderna vaccine Microangiopathic changes on MRI brain 4/15/2021

Other Meds:

Current Illness:

ID: 1259691
Sex: F
Age: 42
State: PA

Vax Date: 03/22/2021
Onset Date: 03/28/2021
Rec V Date: 04/26/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List:

Symptoms: 6 days after shot, I got what seemed like an Aura migraine, unable to see well out the front of my eyes, sides of my eyes had lights and line of geometric patterns. No pain in my head at this time. Lasted for 1-2 hours. For the next 2 weeks, I had light sensitivity and felt light headed on and off throughout the day with some fatigue. I had a headache a few times.

Other Meds: Vitamin D, Women's vitamins.

Current Illness: Urinary tract infection

ID: 1259692
Sex: F
Age: 18
State: MT

Vax Date: 03/31/2021
Onset Date: 04/07/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: nka

Symptom List:

Symptoms: Patient received the first dose of Moderna on 3/31/2021. 1 week later, patient experienced an extremely sore arm and enlarged breast without pain on the side patient received vaccine. According the patient, she received an ultrasound that showed enlarged lymph nodes without clogs. Patient is currently still experiencing an enlarged breast and has a follow up appointment for an ultrasound in 2 months.

Other Meds: abilify; lexapro; seroquel

Current Illness:

ID: 1259693
Sex: M
Age: 33
State: TX

Vax Date: 04/10/2021
Onset Date: 04/16/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever, chills, headache and rash covering entire body. Lasted 2-3 days.

Other Meds: Vitamin C Vitamin D3 Vitamin B12 Probiotic Calcium Magnesium Zinc

Current Illness: None

ID: 1259694
Sex: F
Age: 69
State: WA

Vax Date: 02/16/2021
Onset Date: 03/01/2021
Rec V Date: 04/26/2021
Hospital: Y

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

Lab Data:

Allergies: ALLERGIES: CODEINE, SULFA DRUGS.

Symptom List:

Symptoms: Patient is a 69-year-old woman with newly diagnosed pericarditis in March 2021, hypertension, hyperlipidemia, and hypothyroidism, who presented to the Emergency Department (ED) with progressively worsening chest pain, dyspnea, and fatigue. Patient was in her usual state of health until 3/1/2021, when she developed sudden-onset pain "across the entire chest". She shares that her symptoms "came out of the blue", as "suddenly one day, everything just hurt". She saw her primary care physician, who initially felt her symptoms were due to acid reflux. As such, the patient started "eating antacids and omeprazole like candy". However, her chest pain persisted, prompting her to follow up with her primary care physician on 3/16/2021. At that time, ECG reportedly showed normal sinus rhythm and no acute changes. CT of the chest, abdomen, and pelvis with contrast showed abnormal enhancement and thickening of the pericardium with trace pericardial fluid, consistent with pericarditis. The patient was therefore started on colchicine and an ibuprofen taper. On 4/5/2021, Patient sent a myVM portal message to her primary care physician and cardiologist, expressing her belief that her chest pain has remained unchanged over the past month. She continues to experience a constant burning sensation throughout her chest, aggravated by deep inspiration and alleviated by lying flat on her back. She shares that walking up the stairs at home leaves her "breathless". Associated symptoms include subjective fevers, chills, and night sweats. Given these symptoms, Patient underwent a chest x-ray, which showed findings consistent with an enlarging pericardial effusion. Patient was then advised to present to the ED for further workup as an inpatient. At time of hospital admission, patient endorses persistent chest pain during inspiration. Prior to 3/1/2021, she has never experienced these symptoms and reports no history of pericarditis. The most strenuous physical activity she has undertaken in the last month include working in the garden and caring light boxes down the stairs. She is most concerned about the fluid around her heart. Patient reports no nausea, vomiting, palpitations, constipation, diarrhea, or abdominal pain. Of note, the patient developed pericarditis 10 days after her second COVID-19 vaccine. Hospital Course # Sub-acute pericarditis with enlarging pericardial effusion Pericarditis initially diagnosed in March 2021, thought to be potentially from her COVID-19 vaccine given time course as no other clear etiology apparent. Pt was hemodynamically stable with an elevated jugular venous pressure at time of admission, with CXR consistent with an enlarging pericardial effusion. Echo 04/05 with small circumferential pericardial effusion but no tamponade physiology. Cardiac MRI on 4/7 with enlargement of moderate-sized pericardial effusion but otherwise negative exam, with no evidence of myocarditis or infiltrative myocardial process. ANA screen negative, rheumatoid factor and anti-CCP not elevated Blood cultures x 2 with no growth - CRP continued to remain > 160 with ibupofen and colchicine. Prednisone 20 mg PO daily was added on 4/7, with subsequent improvement in patient's symptoms. - Discharged on regimen of prednisone 20 mg PO daily and colchicine 0.3 mg PO daily (reduced from 0.6 mg daily that she was taking prior to admission). She will also continue using ibuprofen 800 mg BID. - Follow-up with Dr (cardiology) next week to follow-up on hospitalization and decide upon tapering plan for her medications

Other Meds: As of Jan 28 2021 1. Flonase 1 spray b.i.d. as needed. 2. Levothyroxine 100 mcg daily. 3. Lisinopril 20 mg a day. 4. Omeprazole 40 mg daily. 5. Sumatriptan 25 mg p.r.n. 6. Pravastatin 40 mg daily. 7. Cetirizine 10 mg daily.

Current Illness: Hypertension Alergies Rash

ID: 1259695
Sex: M
Age: 43
State: CA

Vax Date: 01/28/2021
Onset Date: 02/01/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient experienced left neuralgic amyotrophy. He got the 1st dose of the Moderna COVID-19 vaccine on Thursday 1/28/2021. He got the 2nd Moderna shot on 2/26/2021. Symptoms started on 2/1/2021. That morning, he awoke with severe localized left shoulder/shoulder blade pain. No weakness or numbness at that time. Left shoulder pain lasted for a week then resolved on 2/7/2021. However, that same day that the left shoulder pain resolved, he started to experience constant tingling paresthesias at the left digits 4-5 and the medial palm/hypothenar eminence. He was recommended physical therapy and went there for 2 weeks then went to occupational therapy who noticed some left hand weakness. He does notice some mild difficulty manipulating left digit 5. Since then, symptoms are present but improving.

Other Meds: Lisinopril-hydrochlorothiazide 10-12.5mg

Current Illness: none

ID: 1259696
Sex: F
Age: 63
State: MI

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: Sulfa-rash

Symptom List:

Symptoms: Chills, achey muscles & joints, tired. Lasted about 8 hours.

Other Meds: Amiloride-Amlodipine-Metformin-81mg aspirin-simvastatin-probiotic-zinc-prozac

Current Illness:

ID: 1259697
Sex: F
Age: 28
State: RI

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None known

Symptom List:

Symptoms: shortly after receiving the vaccine, the patient reported shortness of breath, scratchy throat, and tingling of the face and lips for which she was administered an adult epipen and 50mg benadryl by mouth. Vital signs obtained simultaneously demonstrated normotension and oxygen saturation greater than 98%. Her symptoms improved, vital signs remained stable, and she was transferred to the local ED by EMS. At the ED, her symptoms did not recur and she was discharged from the ED. She followed up late in the afternoon in the base clinic and reported resolution of her previous symptoms with only a lingering headache.

Other Meds: None reported

Current Illness: None reported

ID: 1259698
Sex: U
Age:
State: CA

Vax Date: 10/20/1977
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: RIGHT FACIAL/CHEEK NUMBNESS WITH RADIATING TO RIGHT CHEST AND SHOULDER/NERVOUS, REFUSED TRANSPORT.

Other Meds:

Current Illness:

ID: 1259699
Sex: M
Age: 17
State: TX

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: Parents came made appt for 3 persons and came in and received the shots after filling the paper works. They did not disclose that their son was not 18 years. After the paperwork was being data entered, we realized he was not yet 18 yrs. We contacted parents and verified that patient was doing ok with the 1 dose of moderna the following day of the shot.

Other Meds: none, patient was not 18yrs yet

Current Illness: none

ID: 1259700
Sex: F
Age: 47
State:

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient fell/sat down on the floor and dizziness. BP 200/94; pulse 141; O2 100%, glucose 119. Fully responsive. Observing fast. Rapid Response Team called. Directed to ED.

Other Meds:

Current Illness:

ID: 1259701
Sex: F
Age: 16
State: MI

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: cephalosporins

Symptom List:

Symptoms: Patient was vaccinated and left with her mother to sit in her car for 30 minute monitoring period. Patient's mother stated patient was experiencing extreme anxiety getting the vaccine and after 20 minutes was wheezing. She brought patient inside and a Pharmacist came to check on her and her mother stated that she has had a reaction to a medication in the past and just needed Benadryl. Benadryl was given to her and she took it orally. Her pulse and blood oxygen were measured with a finger pulse oximeter and were both normal. Shortly after she was panicking more and had a seizure. Her mother reported that she has frequent seizures when she has anxiety/panic episodes. Her seizures were persisting so 911 was called. Paramedics arrived shortly after and took patient to the hospital. A few hours later the patient's mother came back to us to inform us that she was released from the hospital and was feeling fine and back to normal.

Other Meds: none

Current Illness: none

ID: 1259702
Sex: F
Age: 50
State: MS

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

Vax Type:
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Lab Data:

Allergies: Sulfa drugs/bactrim

Symptom List:

Symptoms: Started about 35 minutes after shot with ringing in both ears. At first with low muffled ringing and then after a couple of hours increased to severely loud ringing to screeching sounds.(also with slight headache) As the time went on this continued to get louder and louder in tone. I started having palpitations and a lot of anxiety all related to the constant sounds. Later the same nite started with neck pain, continued headache, left clavicle and left shoulder pains , and to general aches. After midnight same symptoms with the addition of chills and fever(only 99.8-100.5).didn?t Last but abt 6 hrs. The ringing is still continues today. Constant only goes away briefly but always returns.

Other Meds: Otc Claritin daily

Current Illness: None

Date Died: 04/01/2021

ID: 1259703
Sex: M
Age: 65
State: WA

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

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: DEATH, HAEMORRHAGIC STROKE

Other Meds:

Current Illness:

ID: 1259704
Sex: F
Age: 48
State: WA

Vax Date: 04/02/2021
Onset Date: 04/09/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Percocet

Symptom List:

Symptoms: Went to er on April 11 th for cough and shortness of breathe they said nothing was wrong and sent me home. Did a virtual apt on 21st because my leg hurt and shortness of breathe. They told me to go see doctor in person . Went to Er April 23rd and was diagnosed with a massive blood clot in my lower right leg.they prescribed xarelto.

Other Meds: None

Current Illness: None

ID: 1259705
Sex: F
Age: 60
State: IL

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Vax Route:
Vax Site:

Lab Data:

Allergies: Codiene, seafood, Clinimyicine

Symptom List:

Symptoms: Extreme swelling 2 weeks after vaccine. A lot of bruising. Left hard very sore size of quarter place on right arm. Blood a lot when injection was done.

Other Meds:

Current Illness:

ID: 1259706
Sex: F
Age: 17
State: IL

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Vax Name:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: pt has a history of fainting almost every time she has a needle stick , she did again. Patient was faint and light headed for 20-30 minutes at 30 minutes her bp was 96/69 63 pulse. she left on her own feet with mother at her side.

Other Meds: none

Current Illness: prior to immunization, mother explained that patient faints every time she gets a shot ,

ID: 1259707
Sex: F
Age: 31
State: OH

Vax Date: 04/05/2021
Onset Date: 04/10/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient stated she had a rash on her neck that started about 1 week after vaccine was given. The rash lasted about 1 week.

Other Meds:

Current Illness:

ID: 1259708
Sex: M
Age: 42
State: WI

Vax Date: 04/05/2021
Onset Date: 04/25/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Bell's Palsy - predniSONE 40 MG for 7 days valACYClovir Take 1 tablet (1,000 mg total) by mouth 3 times daily

Other Meds:

Current Illness: Chromophobe renal cell carcinoma (1.2 cm) with cystic architecture Removed 4/19 with partial nephrectomy

ID: 1259709
Sex: F
Age: 58
State: FL

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

Vax Type:
Manufacturer:
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Vax Route:
Vax Site:

Lab Data:

Allergies: Scallops (slight allergy), Demerol (adverse reaction)

Symptom List:

Symptoms: Local swelling (arm bled quite a bit when she injected the vaccine - nurse said, "well, we have a bleeder." Arm pain spread to shoulder and then up neck to occipital lobe under skull. Resembles feeling of pinched nerve. Massive headache and unable to rotate head in normal range.

Other Meds: Vitamin D, Vitamin B complex

Current Illness: None

ID: 1259710
Sex: F
Age: 57
State: MA

Vax Date: 03/19/2021
Onset Date: 04/12/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: amoxicillin

Symptom List:

Symptoms: tinnitus started some time close to second dose received april 16

Other Meds: Hydrochlorothiazide

Current Illness:

ID: 1259711
Sex: M
Age: 16
State: CA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Patient was inadvertently administered first dose of Moderna vaccine. Second dose administered April 26, 2021 per CDC guidelines and parental consent given.

Other Meds: Unknown

Current Illness: Unknown

ID: 1259712
Sex: M
Age: 31
State: CA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List:

Symptoms: Sweaty, flushed, warm, dizzy, blurred vision.

Other Meds: coreg, propanol

Current Illness: none

ID: 1259713
Sex: F
Age: 24
State: IL

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Diziness, vitals 79/46 HR 56 water given , pt reported feeling better . repeat BP 101/60 Pulse 74 Alert and oriented x4 . Uber ride given.

Other Meds: none

Current Illness: none

ID: 1259714
Sex: M
Age: 75
State: CA

Vax Date: 01/25/2021
Onset Date: 03/13/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 3/13, 26 days after receiving second vaccine Two entire fingers went white, looked bloodless, slightly numb and tingly. After about 10 minutes it returned to normal

Other Meds: Calcium Vitamin D

Current Illness: None

ID: 1259715
Sex: F
Age: 39
State: PA

Vax Date: 01/28/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
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Allergies: None

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Symptoms: Dose 1 admin 1/7/21. Dose 2 admin 1/28/21. Covid symptoms started on 4/22. Confirmation of covid infection on

Other Meds: Fluoxetine, vitamin c, women?s vitamin

Current Illness: None

ID: 1259716
Sex: M
Age: 45
State: NY

Vax Date: 04/25/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
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Allergies: Allergic to NSAIDs

Symptom List:

Symptoms: Outbreak of 3 cold sores on upper lip. Substantially sore arm.

Other Meds: Generic Zyrtec allergy medication. MegaRed krill omega-3 pills

Current Illness:

ID: 1259717
Sex: F
Age: 20
State: CA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
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Symptoms: NUMBNESS AND TINGLING OF HANDS AND LIGHTHEADACHE, HX OF ANXIETY, PASSED DURING FIRST COVID VACCINE, SYMPTOMS RESOLVED, REFUSED TRANSPORT TO HOSPITAL

Other Meds:

Current Illness:

ID: 1259718
Sex: F
Age: 37
State: FL

Vax Date: 04/17/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
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Allergies: amoxicillin, erythromycin, penicillin, benzyol peroxide, pineapple

Symptom List:

Symptoms: I got COVID arm. My left arm was itchy and painful. There was a rash and swelling. The rash was not circular but it was noticeable. There was also a noticeable difference in temperature between the impacted area and the rest of my body. I felt fatigued on Sunday (4/25/21). I used an ice pack on it 3 times and yoga to stretch it out. The situation seems to be resolving on its own but there is still slight itching and slight swelling.

Other Meds: women's multi-vitamin

Current Illness: n/a

ID: 1259719
Sex: F
Age: 16
State: IN

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
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Allergies: None known

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Symptoms: After RN administered vaccine she spoke to my daughter for some time afterwards 5-6 minutes and my daughter was fine answering her questions and just visiting with her. She directed us to the table to schedule her second vaccine which was directly in front of us. We went to this table and spoke with two other ladies choosing a date and time and she was also fine talking with them and answering questions of eat time offered and then suddenly she went straight back with warning passed completely out and struck the back of her head on the concrete floor. EMS and RN?s who were there went to her aid immediately and she was unconscious for a little over a minute. They initially couldn?t get her to respond and finally she came to and had no idea what happened and no recollection of falling. She had blurred vision and bleeding a bit from the back of her head and they wanted her to have CT of her head after hitting it that hard. They took her by ambulance to hospital and they assessed her and ordered a CT. The CT thankfully came back clear and she has follow up appointment with concussion doctor first thing in the morning. On discharge she was describing her pain from hitting head a 7/10 It was very scary and everyone around us was visibly upset as well. She has never fainted or had a reaction to any other shot, vaccine or needle before today so that was a very unusual reaction.

Other Meds: Ibuprofen

Current Illness: None

ID: 1259720
Sex: F
Age: 60
State: SC

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/26/2021
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Allergies: None

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Symptoms: Chills,fever, generalized body aches lasting approx. 36 hours

Other Meds: None

Current Illness: None

ID: 1259721
Sex: F
Age: 17
State: RI

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
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Allergies: N/A

Symptom List:

Symptoms: Patient from unauthorized age group was given Moderna vaccination. Called patient on Monday, April 26 and she did not complain of any adverse side effects outside the normal range. Guardian (father) was notified as well.

Other Meds:

Current Illness:

ID: 1259722
Sex: F
Age: 44
State: OR

Vax Date: 04/07/2021
Onset Date: 04/11/2021
Rec V Date: 04/26/2021
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Allergies: Sulfa

Symptom List:

Symptoms: My period is 2.5 weeks late. I?m not pregnant. I?m not on birth control. My periods are usually 28-32 days apart. I have had uterine cramps for 2 weeks. No period.

Other Meds: Vitamins, thyroid Rx, HCTZ Rx

Current Illness: None

ID: 1259723
Sex: M
Age: 34
State: CA

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/26/2021
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Allergies: None

Symptom List:

Symptoms: Tingly fingers in both hands going for about a month now

Other Meds: None

Current Illness: None

ID: 1259724
Sex: F
Age: 51
State: NH

Vax Date: 04/23/2021
Onset Date: 04/25/2021
Rec V Date: 04/26/2021
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Symptoms: Pt received second dose of Moderna vaccine Friday AM, pt presented today stating that Saturday AM she awoke to a diffuse, maculopapular, erythematous rash over her entire body. Pt states rash is very itchy and has not been relieved with OTC Zyrtec or Benadryl. Pt given prescription today for 50mg Benadryl every 6-8 hours x 1 day and prescription for Prednisone taper x 12 days should rash continue despite treatment with Benadryl and Zyrtec.

Other Meds:

Current Illness:

ID: 1259725
Sex: F
Age: 28
State: PA

Vax Date: 12/22/2020
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
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Allergies: n/a

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Symptoms: contracted COVID 4/22/21

Other Meds: motrin 600mg 4 hours post 2nd vaccine (1st vaccine 12/22/20, 2nd 1/10/21)

Current Illness: n/a

ID: 1259726
Sex: F
Age: 47
State: CA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
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Allergies: Hay fever allergies, cats, dust etc allergies. None that I knew of medication or food.

Symptom List:

Symptoms: Shortness of breath, couldn?t walk (legs felt like in cement), lightheaded, and hard to keep eyes open.

Other Meds:

Current Illness: No. Some hay fever sniffles common for me daily.

ID: 1259727
Sex: F
Age: 51
State: ME

Vax Date: 01/23/2021
Onset Date: 02/16/2021
Rec V Date: 04/26/2021
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Allergies: Latex, dogs, maple trees

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Symptoms: Left frontal lobe focal headache all day, at 7:30pm, feeling of overwhelming doom, followed by sudden onset uncontrollable crying, culminating in a seizure without loss of consciousness. Legs, arms, abdomen jerking in contraction and release. Extreme fatigue following event.

Other Meds: Lisinopril hydrachlorothiazide, trazadone, melatonin

Current Illness: None

ID: 1259728
Sex: F
Age: 77
State: HI

Vax Date: 02/19/2021
Onset Date: 02/26/2021
Rec V Date: 04/26/2021
Hospital: Y

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Allergies: None

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Symptoms: Laparoscopic Appendectomy 2/27/2021 (Miniperforation) Never had any previous trouble with appendix symptoms came on (mild) 1 week after first Moderna vaccination, to ER for CT scan following evening: surgery 1:30am. No idea I?d this is related. Only reaction to first vaccination was sore arm.

Other Meds: Alprazolam, Irbesartan, Hydrochlorothiazide, Zolpidem Vit C, Vit B12, Vit E

Current Illness: None

ID: 1259729
Sex: F
Age: 65
State: TX

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 04/26/2021
Hospital: Y

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Allergies: penicillins cephalosporins

Symptom List:

Symptoms: March 31, I woke up with very stiff joints, making walking and doing household chores exceedingly difficult. This lasted for 5 days. Beginning on April 5th I felt like I could not catch my breath, so I called my doctor?s office for an appointment; I saw the PA and she felt I needed to have an EKG. I called them and the earliest I could see them was the 20th. I contacted my Doctor?s office, and they sent an order for the testing ASAP, I never received a call from them to reschedule. As the week continued, I got worse and went to the ER. After numerous tests and blood draws, I was admitted to the hospital. I spent 2 days in the hospital, 24 hours on oxygen.

Other Meds: Pantoprazole sodium Celecoxib Amitriptyline Lisinopril Levothyroxine Atorvastatin Sumatriptan Gabapentin Potassium chloride

Current Illness: none

ID: 1259730
Sex: M
Age: 30
State: OR

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
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Symptoms: Moderna dose #2 given 1 week after dose #1 due to patient rescheduling appointment. Vaccinator did not verify first dose date.

Other Meds:

Current Illness:

ID: 1259731
Sex: M
Age: 32
State: CO

Vax Date: 04/18/2021
Onset Date: 04/19/2021
Rec V Date: 04/26/2021
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Allergies: N/A

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Symptoms: Woke up the following day with mild fever (100 degrees), aches/muscle soreness, and headache. Took fluids and rest then Motrin around mid day and throughout rest of the day. Woke up the following day feeling fine. Basically 1 day of feeling terrible/flu-like symptoms and then back to 100% right after.

Other Meds: cetirizine (zyrtec off brand active ingredient)

Current Illness: 1 month prior - reaction to first vaccination = arm pain and arm pit pain on injection side

ID: 1259732
Sex: F
Age: 27
State: IL

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 04/26/2021
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Symptom List:

Symptoms: Fever 99.1 F morning after vaccination, fatigue and malaise the first day, myalgia and arthalguia the first day, injection site site for two days following vaccination, redness and swelling at injection site beginning on the second day after dose, diarrhea the second day after dose

Other Meds: Venlafexine 37.5 mg, bupropion 150 mg, adderall 15 mg

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm