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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1263871
Sex: F
Age: 50
State: IA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Numbness in left side of face/lips beginning 15-20min. after injection. Called health provider after an hour, who recommended taking an antihistamine. Took a 10mg antihistamine pill. The numbness subsided in about 30min.

Other Meds: Nadolol, calcium, vitamin D

Current Illness:

ID: 1263872
Sex: F
Age: 23
State: TX

Vax Date: 04/25/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, Penicillin

Symptom List:

Symptoms: Large (approx. 3" diameter), raised, red welt around injection site. Fever, chills, fatigue

Other Meds: Citalopram

Current Illness: Stomach bug, 3 weeks prior

ID: 1263873
Sex: F
Age: 34
State: MI

Vax Date: 04/01/2021
Onset Date: 04/03/2021
Rec V Date: 04/27/2021
Hospital: Y

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

Lab Data:

Allergies: Amoxicillin, Methylphenadate

Symptom List:

Symptoms: Patient got 1st shot on 4/1/2021. Patient was feeling sick and abdominal pain on 4/3/2021. She went to the ER and was admitted for 5 days. She was diagnosed with colitis with no problems prior to the vaccine. Patient was anemic with a hemoglobin of 8.

Other Meds: ARIPiprazole 10 mg tablet TAKE 1 TABLET BY MOUTH EVERY DAY cyanocobalamin (vit B-12) 1,000 mcg/mL injection solution dextroamphetamine-amphetamine 30 mg tablet TAKE 1 TABLET BY MOUTH TWICE A DAY dicyclomine 10 mg capsule TAKE 1 TO 2 CAP

Current Illness:

ID: 1263874
Sex: F
Age: 42
State: VA

Vax Date: 04/19/2021
Onset Date: 04/27/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Compazine

Symptom List:

Symptoms: Delayed arm rash- 8 days after 1st shot

Other Meds:

Current Illness:

ID: 1263875
Sex: F
Age: 22
State: IL

Vax Date: 03/30/2021
Onset Date: 04/13/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Highly aggressive rash in armpits, cause an extreme facial break out of ache,

Other Meds:

Current Illness:

ID: 1263876
Sex: F
Age: 41
State: DC

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: pollen

Symptom List:

Symptoms: Fever of 101.3 degrees and headache the day following the vaccination. Fatigue continues after 3 days.

Other Meds: zyrtec, welbutrin, trintellix

Current Illness: none

ID: 1263877
Sex: F
Age: 19
State: WI

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Client received first COVID vaccine on 04-19-2021 at 10:00 or 11:00 am. Adverse reaction slightly noticed later that day but more noticeable a day or two after vaccination. This is a reaction noticed on chest of a red mark above left breast. This went away but came back with a rash noticed over her body of arms, legs, back and chest. This rash stings, is itchy and has a burning sensation. The rash looks somewhat like hives, but has big red, patchy areas, and warm to touch. Client has taken Benadryl and used Hydrocortisone cream with no improvement. Client has an appointment to see medical provider today (04-27-21).

Other Meds: None

Current Illness: None

ID: 1263879
Sex: F
Age: 78
State: PR

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Family member indicates that after the administration of the second dose of Moderna, in the following days started to have difficulty breathing.

Other Meds:

Current Illness:

ID: 1263880
Sex: F
Age: 47
State: GA

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Right jaw joint pain, very sensitive if I yarn, noticed morning after 2nd covid vaccine shot on 4/22/21 and currently still painful 4/27/21

Other Meds: Gabapentin 300mg, otc allergy relief 25mg

Current Illness:

ID: 1263881
Sex: F
Age: 68
State: AZ

Vax Date: 04/23/2021
Onset Date: 04/25/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: amoxicillin, ampicillin, codeine, doxycycline, PCN, Sulfa

Symptom List:

Symptoms: erythema, swelling of arm, rash (rough texture), and arm pain all the way to the elbow which started 2 days after vaccination. Vaccine received on 4/23/21.

Other Meds:

Current Illness:

ID: 1263882
Sex: M
Age: 69
State: MD

Vax Date: 03/23/2021
Onset Date: 04/01/2021
Rec V Date: 04/27/2021
Hospital: Y

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

Lab Data:

Allergies: patient said none known

Symptom List:

Symptoms: Patient said that he called 911 with SOB, and he was admitted to the hospital and he stayed in the hospital for about 2 weeks. He is unsure of the date that he went into the hospital. Pt said he had a blood clot in both lungs.

Other Meds: per patient: potassium, amlodipine, benzonatate, eliquis, tramadol, vitamin B6

Current Illness: patient said no

ID: 1263883
Sex: F
Age: 62
State: IA

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: CVA causing right hand weakness starting 1 day after vaccine

Other Meds: Bupropion, ASA, Amlodipine, Celebrex, lisinopril, trazadone, Aldactone

Current Illness:

ID: 1263884
Sex: M
Age: 70
State:

Vax Date: 03/05/2021
Onset Date: 03/07/2021
Rec V Date: 04/27/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt had an ED visit and/or hospitalization within 6 weeks of COVID vaccine

Other Meds:

Current Illness:

ID: 1263885
Sex: F
Age: 43
State: MA

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Shoulder/arm pain

Other Meds: Levothyroxine, Flovent, Proair inhaler

Current Illness:

ID: 1263886
Sex: F
Age: 34
State: KS

Vax Date: 04/05/2021
Onset Date: 04/12/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Allergic to penicillin and shellfish

Symptom List:

Symptoms: Itchy hives throughout body.

Other Meds: Multivitamin

Current Illness: None

ID: 1263887
Sex: M
Age: 31
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: lightheadedness, nausea, sweaty; resolved after 5 minutes

Other Meds:

Current Illness:

ID: 1263888
Sex: F
Age: 60
State: NC

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

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Have had had pretty constant headaches and neck ache. it has been a week today and still happening. Our Medical Director where I work (Rose Research Center) suggested I report it.

Other Meds:

Current Illness: N/A

ID: 1263889
Sex: F
Age: 20
State: PA

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

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

Lab Data:

Allergies: AMOXCILLIN

Symptom List:

Symptoms: 20 YO FEMALE WITH HX OF ANXIETY WHICH MANIFESTS WITH INCREASE HR P/W CHEST STIFFNESS, INCREASE HR, LUMP ON THE THROAT 2 MINS AFTER RECEIVING 1ST DOSE OF COVID VACCINE. HER LAST ANXIETY ATTACK WITH SIMILAR SYMPTOMS OCCURRED APPROX 1 YR AGO WHICH LASTED FOR HOURS AFTER FALLING ASLEEP. SYMPTOMS WERE SELF LIMITING WITHOUT MEDS. PT FELT IMPROVEMENTS UPON ARRIVING TO OBS 1 AREA. NO LONGER HAVING CHEST TIGHTNESS OR LUMP ON THE THROAT HOWEVER STILL WITH INCREASE HR. DENIES CHEST PAIN, SOB, DIZZINESS, SYNCOPE, RASH, HA, WEAKNESS, LIGHTHEADNESS, OR VERTIGO. VITALS: 1430 LAYING 143/83; 109; 98% 1437 1223/80, 97, 100%, RR 15 1504 SITTING 121/83; 103; 98% 1518 STANDING 124/84; 102; 99% HEART- RRR; NO MURMUR; LUNGS- CTA; NO WHEEZING; CN2-12 INTACT; 5/5 MOTOR BUE AND BLE; PT ABLE TO STAND AND AMBULATE WITHOUT ASSISTANCE. FEELS MUCH BETTER BUT CAN STILL FEEL INCREASE HR; PT AND MOM DID NOT WANT TO GO TO THE ED/URGENT CARE; STATES SHE FEELS BETTER AND ANTICPATES TO IMPROVE MORE AT HOME WIHT FURTHER REST. PT WAS ADVISED TO GO TO ED IF SYMPTOMS PERSISTS AT HOME OR WORSENS. ADVISED TO ALSO CALL PCP IMMEDIATELY FOR THEIR GUIDANCE. PT WALKED WITH HER MOM AND YOUNGER SISTER TO THE CAR WITH NO CONCERNS RELEASED TIME 1520

Other Meds: NONE

Current Illness: NONE

ID: 1263890
Sex: F
Age: 44
State: MN

Vax Date: 04/06/2021
Onset Date: 04/20/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Tinnitus in both ears, worse in the left ear. The condition began as a periodic whooshing sound in one ear that lasted for a day or two, after which it became a constant ringing in both ears. I have not had tinnitus previously. Prior to the condition, I was not exposed to any loud sounds. I work from home at a desk in a quiet room and have done so for years.

Other Meds: None

Current Illness: None

ID: 1263891
Sex: M
Age: 42
State: TX

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: DATA ENTRY SHOWED 1ST DOSE 4/14/2021 BUT CAME IN FOR A DOSE ON 4/17/2021 TOO.

Other Meds: NONE REPORTED

Current Illness: NONE REPORTED

ID: 1263892
Sex: F
Age: 85
State: IL

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: sulfa, dairy, soy, gluten intolerant

Symptom List:

Symptoms: pt says she developed tremors and difficulty with her balance. She has exhaustion, brain fog and fatigue. On 4/23/21 she went to her PCP. Pt was referred to a Neurologist. Pt has to scheduled this appt.

Other Meds: glucosamine, cbd oil, chondroitin, 5 HTP, Gingerforce, tumeric, ibuprofen,

Current Illness:

ID: 1263893
Sex: F
Age: 16
State: PA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Soreness in the left arm with slight swelling. patient was complaining of hot flashes. Patient said only had a muffin and coffee to eat and drink all day. No aberrations Vitals- HR: 55 - RESP: 14 - BP: 129/85 Sp02: 99%

Other Meds: None

Current Illness: None

ID: 1263894
Sex: M
Age: 56
State:

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Difficulty breathing, going to the hospital.

Other Meds:

Current Illness:

ID: 1263895
Sex: F
Age: 56
State: MI

Vax Date: 01/29/2021
Onset Date: 04/14/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin: vomiting

Symptom List:

Symptoms: Pt tested positive after both Covid vaccines.

Other Meds: Multi-Vitamin - Tablet Taking; Triamcinolone Acetonide 0.1 % Cream Taking ; Allopurinol 100 mg Tablet Taking; Wellbutrin XL 150 MG Tablet Extended Release 24 Hour Taking; Crestor 5 MG Tablet Taking; Lavazza 1 GM Capsule Taking; Zestril 10 m

Current Illness:

ID: 1263896
Sex: F
Age: 40
State: CO

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: seafood

Symptom List:

Symptoms: Severe headaches

Other Meds: metformin, synthroid

Current Illness: n/a

ID: 1263897
Sex: F
Age: 67
State: AZ

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: second dose given before 24 days

Other Meds:

Current Illness:

ID: 1263898
Sex: F
Age: 59
State: AK

Vax Date: 04/06/2021
Onset Date: 04/27/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Aspirin

Symptom List:

Symptoms: Headache for 1 hour after vaccination for 7 days. Nausea for the first day 1 hr after injection. Pain and swelling at injections site 1 hr after injection x 1 week. Body aches, flu sx, weakness and fatigue started 6 hrs after injection lasted 4-5 days in duration. HA resided for 1 week then returned and pt continue to have the HA. For the last 3 week pt has had flu like symptoms. along with rn

Other Meds: Ibuprofen 200mg tab PRN

Current Illness: None noted

ID: 1263899
Sex: M
Age: 59
State: VA

Vax Date: 04/01/2021
Onset Date: 04/04/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient indicated that approximately 3 days after receiving J&J COVID-19 vaccination that he experienced chest tightness which would not resolve. He visited a cardiologist who explained that he has seen this side effect in patients after receiving the vaccine and explained that there was inflammation in the heart muscle causing chest tightness.

Other Meds:

Current Illness:

ID: 1263900
Sex: F
Age: 58
State: NJ

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

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

Lab Data:

Allergies: azithromycin, neosporin, molds, pollens

Symptom List:

Symptoms: lymphedema: stiff neck, nearly 0 degrees ROM, neck spasms and pain mainly on Left side, severe headache that felt like clenching of the back of my skull, couldn't open mouth more than 25%, trouble swallowing, sometimes choking; swelling lumpiness and pain to the touch of Right lower breast, face, clavicle area and neck; hoarse voice. Starting 4-7 shot of Toradol, Naproxen, cyclobenzaprine, 4-9 stopped Naproxen started Prednisone 20mg for 7 days. I was incapacitated for 2 1/2 weeks, I'm still getting spasms Left side of neck if I try to move my head to far, still don't have full ROM.

Other Meds: Vit. B complex, Vit. D, essential Omega oil, OXA-Blox, SynovX DJD, chlorella

Current Illness: none

ID: 1263901
Sex: F
Age: 82
State:

Vax Date: 03/14/2021
Onset Date: 04/01/2021
Rec V Date: 04/27/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt had an ED visit and/or hospitalization within 6 weeks of COVID vaccine

Other Meds:

Current Illness:

ID: 1263902
Sex: M
Age: 45
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccinated for 2nd dose to early(14 days)

Other Meds:

Current Illness:

ID: 1263903
Sex: F
Age: 5
State: CA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Started with urticaria all over body within 45 min post vaccination.

Other Meds: none

Current Illness: none

ID: 1263904
Sex: F
Age: 32
State: IN

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Codeine allergy

Symptom List:

Symptoms: Menstral cycle: heavier than normal and two weeks late. No possibility of pregnancy. Dizziness, sore arm, slight nausea for two days after.

Other Meds: Tylenol

Current Illness: None

ID: 1263905
Sex: M
Age:
State: KY

Vax Date: 04/01/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: ALCOHOL, LEVAQUIN

Symptom List:

Symptoms: PATIENT IS PAST THE 14 DAY MARK OF GETTING THE SECOND PFIZER COVID VACCINE AND TESTED POSITIVE FOR COVID ON PREADMISSION TESTING LABS.

Other Meds: Acetaminophen 650 mg Oral Every 8 hours PRN Allopurinol 300 mg Oral Daily Apixaban 5 mg Oral 2 times daily Ascorbic Acid 500 MG 1 capsule Oral Daily Diaper Rash Products Apply externally Daily as needed Donepezil HCl 5 mg Oral Nightly

Current Illness: GOUT,

ID: 1263906
Sex: M
Age: 41
State: CA

Vax Date: 03/23/2021
Onset Date: 03/25/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Difficulty breathing and chest pain. Elevated CRP. ON STEROIDS NOW. Suspect potential heart (or peri) inflammation.

Other Meds: Colchicine; Beta blocker; Prozac; Statin

Current Illness:

ID: 1263907
Sex: F
Age: 93
State: MS

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Codeine, Keflex

Symptom List:

Symptoms: Patient received Pfizer COVID Vaccine for first dose on 4/6/2021 and received Moderna COVID vaccine on second dose. Patient and patient's son (Caregiver) were notified immediately of this event. Supervising provider, Patient's PCP, and consulting primary care physician were made aware of this event and advised patient be monitored for 30 minutes post vaccination for any side effects or reactions. Patient was also evaluated by PCP post vaccination for further evaluation and additional follow-up if needed.

Other Meds: Albuterol , Colace, Ferrous Sulfate, B Vitamins, Multi-Vitamin, Melatonin, Seroquel

Current Illness: None

ID: 1263908
Sex: M
Age: 67
State: TX

Vax Date: 04/13/2021
Onset Date: 04/23/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: PENICILLON

Symptom List:

Symptoms: On April 24, 2021, a vein in my arm swole up like a blood clot, the a cephalic vein. I started experiencing nerve burning and tingling in hands, arms and shoulders. The blood clot was in an area that I had damaged years ago and is now clogged. Today is 4/27/2021 and I still have the blood clot and tingling, sometimes in my face also, burning in the shoulder blades, very similar to symptoms of brachial neuritis. I am scheduled for my second shot on 5/4/2021, but thinking I may not get the shot since I am having so much trouble. I have an appointment schedule with a vascular doctor to have an arterial dopler on 5/6/2021, and have the vascular doctor advise.

Other Meds: LEVETIRACETAM 750 MG

Current Illness:

ID: 1263909
Sex: U
Age: 35
State:

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 04/27/2021
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Symptoms: Pt c/o dizziness 15 mins after receiving vaccine. She noted that her last meal was at 8pm last night and she had a cup of black coffee at 7am this morning. She reported no other complaints and noted that she has no past medical history.

Other Meds:

Current Illness:

ID: 1263910
Sex: M
Age: 43
State: MI

Vax Date: 01/27/2021
Onset Date: 04/21/2021
Rec V Date: 04/27/2021
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Allergies: none

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Symptoms: none

Other Meds: none

Current Illness: elevated BP

ID: 1263911
Sex: F
Age: 37
State:

Vax Date: 04/13/2021
Onset Date: 04/22/2021
Rec V Date: 04/27/2021
Hospital: Y

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Symptoms: Presents to ED after her second COVID-19 vaccination on 4/13/2021. Immediately thereafter she had fever, body aches, headaches, and her feet felt tight. The symptoms gradually declined. On 4/19/2021 she developed stocking glove numbness that began to ascend up her legs. Her calf's feel like they are being squeezed. She has paresthesia's currently, she describes them as prickly and needlelike. Labs, urinalysis, CBC, and chemistries unremarkable, troponin negative. Probable AIDP given history and examination. IVIG and steroids given. Guillain Barre syndrome suspected. MRI brain and cervical spine performed to eval for CNS pathology. MRI brain: No acute intracranial formalities. No evidence of mass or infarct. However noted to several bilateral Supratentorial T2/FLAIR hyperintense foci mostly in the centrum semi vale and optic radiations. These are nonspecific foci and should be correlated for demyelinating disease, small vessel disease, traumatic brain injury, Lyme disease, chronic migraine etiologies. MRI cervical spine was unremarkable. Patient DC'ed in stable condition and told to F/U with neurology clinic.

Other Meds:

Current Illness:

ID: 1263912
Sex: M
Age: 50
State: TX

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/27/2021
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Allergies: penicillin, ibuprofen

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Symptoms: itchy hives appeared for 3 days. took benedryl and they would reside

Other Meds: olmasartin, bisoprolol ,rosuvastatin

Current Illness: gastritis

ID: 1263913
Sex: F
Age: 41
State: NV

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
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Allergies: none

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Symptoms: after vaccination , patient felt she had bumps on her forhead, pt said she does not have any other problem , just bumps, so i gave her 2 benadryl with water, after that we watched her for any other sign, per pt she felt fine after benadryl, and bumps stopped , i called her on 04/27/21 followed up with pt ,m, per pt she had to take another benadryl at bedtime and she is doing ok now , i did call and left message at her drs office about the event

Other Meds: none

Current Illness: none

ID: 1263914
Sex: F
Age: 24
State: FL

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
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Allergies: None

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Symptoms: Fever of 102.5, vomiting, nausea, chills, sweating, stomach and back pain, body aches, muscle pain, sore arm, headache

Other Meds: Birth control, iron supplement, B vitamin complex

Current Illness: None

ID: 1263915
Sex: F
Age: 35
State: IL

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
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Allergies: Latex

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Symptoms: 8:00pm Chills began, 9:00pm Fever of 100.3, muscle aches and joint pain began during the night, 3:30am 100.7 fever. Most of 4/27/21 fatigue and occasional chills. Took Tylenol and Ibuprofen, water/Gatorade

Other Meds: lo loestrin

Current Illness: None

ID: 1263916
Sex: M
Age: 30
State: MN

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/27/2021
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Allergies: None

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Symptoms: Patient reported feeling dizzy after the shot once he was sitting down in the waiting room for his observation period. Pharmacist went over to patient, he reported feeling more and more light headed and passed out. He remained upright in the chair and still was breathing with pulse. EMS was called at this time. He came to after about 10-15 seconds and was initially confused but easily reoriented. Got patient water and stayed with him in the chair until EMS arrived. EMS evaluated and took vitals. Recommended patient go to ER. Patient declined ride in ambulance. Patient's mother came about 20 minutes later to pick him up and drive him to the hospital. Pharmacist walked patient and mother out to parking lot and observ

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Current Illness:

ID: 1263918
Sex: F
Age: 64
State: AZ

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/27/2021
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Symptoms: second dose given before 24 days

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Current Illness:

ID: 1263919
Sex: F
Age: 50
State: NE

Vax Date: 04/06/2021
Onset Date: 04/11/2021
Rec V Date: 04/27/2021
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Allergies: N/A

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Symptoms: Lymphadenopathy and lymphatic cording limiting use of the arm and severe pain all the way to the wrist. Pain is constant, limiting sleep, and more severe with raising the arm above the head. Continuous pain three weeks after 1st shot.

Other Meds: N/A

Current Illness: N/A

ID: 1263920
Sex: F
Age: 50
State: NJ

Vax Date: 04/09/2021
Onset Date: 04/17/2021
Rec V Date: 04/27/2021
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Symptoms: Whole body arthritis and muscle pain.

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Current Illness:

ID: 1263921
Sex: F
Age: 36
State: CA

Vax Date: 04/18/2021
Onset Date: 04/23/2021
Rec V Date: 04/27/2021
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Allergies: n/a

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Symptoms: Five days after the vaccine, started having tingling/pins and needles in both lower legs and feet. Seven days after the vaccine, started also having tingling/pins and needles in lower left arm and hand and a bit in left shoulder. So far the symptoms are continuing and it is day nine since I was vaccinated.

Other Meds: Pantoprazole, Loratadine, multi vitamin and elderberry.

Current Illness: n/a

ID: 1263922
Sex: F
Age: 58
State: IN

Vax Date: 04/17/2021
Onset Date: 04/19/2021
Rec V Date: 04/27/2021
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Allergies: Penicillins, hydrocodone,bell peppers

Symptom List:

Symptoms: Broke out in rash.

Other Meds: Vitamin D, carvedilol, entreaties, fenofibrate, venlafacine, multi vitamin, B complex vitamin, CoQ10

Current Illness: None

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm