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: 1274620
Sex: F
Age: 52
State: NC

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

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

Lab Data:

Allergies: sulfa drugs bee/wasp stings lactose intolerant

Symptom List: Dysphagia, Epiglottitis

Symptoms: I felt tired after about 4 hours and achy all over after 6 hours. I took 800mg ibuprofen (my usual dosage for arthritis pain). After 9 hours, the pain in several of my "usual" RA joints was clearly worse than my body aches. By the 11th hour after injection, it was clear I was in a full-blown RA flare (extreme pain in warm, reddened, visibly inflamed joints) involving each of the joints that had ever had a flare. At this point, I took 5-325 hydrocodone-acetaminophen & 800mg ibuprofen, and was helped to bed by my husband. I slept through most of day 2. I took 800mg ibuprofen every 6 hours and when the pain was such that I couldn't sleep, I took another 5-325 hydrocodone-acetaminophen. I slept through most of day 3, only needing to take the ibuprofen. Days 4 & 5 I spent on the couch, napping lightly, taking ibuprofen. These days felt like "normal" flare days. By day 6, things felt like a "normal" bad day.

Other Meds: For RA: 15mg/week methotrexate 20mg/day leflunomide 1mg/day folic acid ibuprofen as needed 1 drop 2xday Restasis 0.05% 10mg/day escitalopram daily multivitamin w/o iron

Current Illness:

ID: 1274621
Sex: M
Age: 22
State: TX

Vax Date: 04/20/2021
Onset Date: 04/24/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: One seizure experienced during sleep

Other Meds:

Current Illness:

ID: 1274622
Sex: M
Age: 36
State: CA

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

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

Lab Data:

Allergies: unknown

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: The dose for the Moderna vaccine is .5 mL. The patient inadvertently received an extra 0.01 to 0.02 mL. The manufacturer instructed us to contact the patient to inform them that the increased dosage could potentially lead to side effects that could be local or systemic. No adverse events were reported by the patient.

Other Meds: unknown

Current Illness: unknown

ID: 1274623
Sex: F
Age: 65
State: NJ

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: pt stated low blood pressure after shot and sugar levels rose but have begun to come down

Other Meds: n/a

Current Illness: unknown

ID: 1274624
Sex: F
Age: 32
State: OR

Vax Date: 04/25/2021
Onset Date: 04/26/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Ceclor, Suprax, Ampicillan, Valtrex

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: I had bad brain fog and was mildly delirious for 3 days after vaccination.

Other Meds: multi vitamin

Current Illness: None

ID: 1274625
Sex: F
Age: 34
State: CA

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

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

Lab Data:

Allergies: unkwown

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: Patient had vagal response after being given second dose of Pfizer biotech. Patient's vitals were taken and hypotensive. Systolic Blood pressure 80s and patient reporting feeling weak and dizzy. Directed to Urgent Care for further evaluation.

Other Meds: no

Current Illness: no

ID: 1274626
Sex: M
Age: 29
State: CA

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

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

Lab Data:

Allergies: NONE

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: PATIENT GOT unconscious FOR 15 SECOND , AND WE CALLED 911 , HIS BLOOD PRESSURE WAS ON THE LOW NORMAL

Other Meds: NONE

Current Illness: NONE

ID: 1274627
Sex: F
Age: 38
State: MA

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
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Lab Data:

Allergies: Gluten, Egg White, Egg Yolk

Symptom List: Pharyngeal swelling

Symptoms: Extreme anxiety, agitation, and suicidal ideation. Patient self administered 30 mg diazepam 1 hour after onset. Symptoms have not yet resolved. Patient is currently under outpatient psychiatric care.

Other Meds: Wellbutrin, Lamotrigine, Rituxan, Euthyroid, Trintellix, Nuvigil, Methotrexate, Naltrexone

Current Illness: None

ID: 1274628
Sex: F
Age: 54
State: MA

Vax Date: 04/18/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Caller states she received her first vaccine on 4/18@ 12 noon, Noted today a red rash at injection site and another rash directly under the injection site. Denies swelling, fever or pain at site. Encouraged to apply cold compresses, Benadryl for itching if applicable, and if symptoms worsen, contact PCP or go to ER for evaluation. , RN

Other Meds:

Current Illness:

ID: 1274629
Sex: F
Age: 47
State: HI

Vax Date: 04/02/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Wellbutrin, caused a seizure in 2005.

Symptom List: Diarrhoea, Nasal congestion

Symptoms: First day and night, sore arm. Within past week up until today slight headache/migraine. Noticed today 10 days after vaccine, red patches on left arm where injection was given. Note: vaccine given not by health clinic.

Other Meds: Vitamins/supplements: Naturemade Multi Daily 1 x/day, GNC Women?s collagen 1 x/day, Naturemade Fish Oil 2400mg 1 x/day, Magnesium Citrate 250mg 1 x/day.

Current Illness: Microadenoma/pituitary cyst. Just saw Endocrinologist yesterday, suspects possible thyroid issues. Bloodwork to be taken tomorrow to confirm diagnosis, then will possibly be prescribed medication for thyroid issue.

ID: 1274630
Sex: M
Age: 63
State:

Vax Date: 03/28/2021
Onset Date: 03/29/2021
Rec V Date: 04/30/2021
Hospital: Y

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

Lab Data:

Allergies: Bee Venom, Aloe Vera, Latex

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Presented for decreasing LOC that progressed to unresponsiveness after 1st Covid vaccine that day-- >CTH w/cerebellar hemorrhage, intubated, transferred to hospital

Other Meds: None

Current Illness: HTN, ETOH use, ETOH withdrawal seizures

ID: 1274631
Sex: F
Age: 54
State: PA

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

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: NKDA

Symptom List: Rash, Urticaria

Symptoms: Shortly after vaccine patient developed tachycardia, and high blood pressure. Felt unwell. Symptoms persisted beyond 30 minutes therefore she was escorted to the emergency.

Other Meds: Prilosec, Q Var, Simbacort

Current Illness: Seasonal asthma

ID: 1274632
Sex: F
Age: 40
State: TX

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

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

Lab Data:

Allergies: doxycycline, tramadol, hydrocodone-acetaminophen

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: patient reports feeling unwell after vaccine and then development of chest pain. chest pain persisted until office visit on 4/28/2021. also with headache that improved with ibuprofen. chest pain worse with breathing. patient was subsequently advised to go to ER on 4/28/2021 given persistent and worsening chest pain after COVID vaccine.

Other Meds: albuterol, ibuprofen, nortriptyline, inderal, sumatriptan, pred forte opthalmic suspension

Current Illness: none

ID: 1274633
Sex: M
Age: 64
State: NC

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

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

Lab Data:

Allergies: NKA

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: Client received Pfizer on 3/19/21 as a first dose, but then received the above Moderna vaccine on 4/13/21 (medication error)

Other Meds: unknown

Current Illness: unknown

ID: 1274634
Sex: M
Age: 30
State: CA

Vax Date: 04/23/2021
Onset Date: 04/25/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Breast tissue swelling/growth on side of body where shot was administered.

Other Meds:

Current Illness:

ID: 1274635
Sex: M
Age: 60
State: WI

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Tylenol

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Nausea & a 102.2? fever chills

Other Meds: None

Current Illness: 0

ID: 1274636
Sex: M
Age: 21
State: TX

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Ibuprofen

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: Fever, Chills, Nausea, Vertigo

Other Meds: Zyrtec

Current Illness: None

ID: 1274637
Sex: F
Age: 57
State: IN

Vax Date: 04/22/2021
Onset Date: 04/26/2021
Rec V Date: 04/30/2021
Hospital:

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

Allergies: meds: cell-cept, IV solumedrol adhesive tape, prolene suture

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Started with diarrhea, nausea, severe fatigue & headache on 4/26/21. On 4/27 & 4/28/21, severe pain in back and radiating down legs. Increased numbness in hands & legs, legs heavy and hard to walk, severe headache. Pain unrelenting despite percocet , tylenol & compazine. I had stopped my SQ immune globulin (SCIG) infusions a week prior and a week after the vaccine - as recommended by my neurologist. I was in this second week when these symptoms exacerbated. It was very similar to a CIDP relapse.

Other Meds: protonix, gralise, oxycodone, lisinopril, xifaxan, otc probiotic, zyrtec, multi-vitamin, glucosamine, fish oil

Current Illness: none

ID: 1274638
Sex: F
Age: 52
State:

Vax Date: 04/12/2021
Onset Date: 04/17/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Post menopause period and extremely sore breast tissue

Other Meds: Calcium floride

Current Illness: None

ID: 1274639
Sex: F
Age: 90
State: OR

Vax Date: 03/26/2021
Onset Date: 04/09/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: keflex metoprolol clindamycin codeine sulfa cipro

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: swelling and pain in feet

Other Meds: Eliquis estrace flonase digox diltiazem docusate immodium ipratropium levetiracetam levothyroxine loratadine losartan melatonin potassium chloride proair torsemide trospium spironolactone

Current Illness: none

ID: 1274640
Sex: M
Age: 31
State: GA

Vax Date: 02/24/2021
Onset Date: 02/27/2021
Rec V Date: 04/30/2021
Hospital: Y

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

Lab Data:

Allergies: Carrots, watermelon, food of the peach family (mild)

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Heart attack symptoms resulting from cardiac event, leading to hospitalization for 4 days. Diagnosed with Myocarditis.

Other Meds: None

Current Illness: None

ID: 1274641
Sex: F
Age: 28
State: PA

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

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

Lab Data:

Allergies: Penicillin

Symptom List: Unevaluable event

Symptoms: Post vaccine pt became dizzy and felt lightheaded. Pt was instructed to lay supine on floor and was transferred to med obs via litter. Pt reported feeling better after laying on stretcher. Vitals obtained and monitored. Pt had no complaints of chest pain. Pt had no complaints of SOB. Pt released at 17:49. Vitals as follows: 1738 LYING BP 114/73 HR 86 RR 18 SpO2 100% 1747 SITTING BP 105/73 HR 80 RR 18 SpO2 98%

Other Meds: Doxepin

Current Illness: N/A

ID: 1274642
Sex: F
Age: 48
State:

Vax Date: 04/24/2021
Onset Date: 04/26/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: novocaine penicillin

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: eye swelling, pain irregular menstruation admitted to hospital with htn urgency - however also reports not taking her meds

Other Meds: Proventil prinzide Procardia XL

Current Illness: no

ID: 1274643
Sex: M
Age: 2
State: CA

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

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

Lab Data:

Allergies: No Known allergies

Symptom List: Injection site pain, Pain

Symptoms: Vaccine was administered at approximately 2:30pm 4/27...later that evening at approximately 10pm when my son was resting i felt his arms and legs start spasming/twitching. Both arms, hands, legs and feet continued to do so throughout the night and are still doing so as of this moment. These twitches are noticed more while he is calm and at rest, both awake and asleep. I immediately contacted our pediatrician the morning after 4/28 and was told "it was nothing to worry about, to call back if it persists". I called back the following day for another appointment and seen "Dr." who said my son is having a bad/allergic reaction to the vaccine" . Besides the spasms and twitching my sons left arm is bruising and red near the injection site. The only treatment that was suggested by the second doctor (he was taking the place of our regular pediatrician who was out of the office) was benadryl which has not changed the twitching. Blood work/labs have been drawn today 4/30 from my son but we do not yet have results.

Other Meds: N/A

Current Illness: No know illnesses

ID: 1274644
Sex: M
Age: 41
State: IN

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

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Felt extremely tired around 7:30pm. Went to bed. Woke up at 6:00am to get kids ready for school, felt intense headache joint pain, and intense cold feeling to the point of shaking. Went to bed again around 7:45 am. Slept most of the day with headache getting worse. Next day symptoms lessened slightly still bad headache and brain fog which I still have as of today but getting better.

Other Meds: Effexor, Advair Singular, zyrtec

Current Illness: None

ID: 1274645
Sex: M
Age: 50
State: IN

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: High fever 101+ Discomfort Muscle stiffness and soreness

Other Meds: Atorvastatin 80 MG Amlodipine benazepril 5-20 Multi vitamin Vitamin D Aspirin 81mg Fish oil

Current Illness: None

ID: 1274646
Sex: M
Age: 28
State: CO

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: nkda

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 28 y/o male with hx of papular rash starting after receiving 2nd dose of Moderna Covid 19 vaccine. Rash located to the bilateral chest and around the left cheek and eye. No hive, no urticaria, no angioedema

Other Meds: none

Current Illness: None reported

ID: 1274647
Sex: F
Age: 34
State: MI

Vax Date: 04/23/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: One day following the initial vaccine, experienced fatigue, nausea, painful swelling below the injection site, loss of appetite, and acne. One week following the vaccine, arm broke out in a rash in the same area where swelling was present the week prior.

Other Meds: Zyrtec over the counter allergy medication

Current Illness: None

ID: 1274648
Sex: M
Age: 43
State:

Vax Date: 04/22/2021
Onset Date: 04/24/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: painful, itchy rash on arms and legs

Other Meds:

Current Illness:

ID: 1274649
Sex: F
Age: 27
State: CA

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

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

Lab Data:

Allergies: unknown

Symptom List: Nausea

Symptoms: The dose for the Moderna vaccine is .5 mL. The patient inadvertently received an extra 0.01 to 0.02 mL. The manufacturer instructed us to contact the patient to inform them that the increased dosage could potentially lead to side effects that could be local or systemic. No adverse events were reported by the patient.

Other Meds: unknown

Current Illness: unknown

ID: 1274650
Sex: F
Age: 35
State: CA

Vax Date: 04/01/2021
Onset Date: 04/16/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Shingles treated with anti-virals. Lasted for one week from 4/16 through 4/23.

Other Meds: Birth control

Current Illness: None

ID: 1274651
Sex: F
Age: 17
State: TX

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Stiffness around nech and pain in Jaws

Other Meds: None

Current Illness: None

ID: 1274652
Sex: M
Age: 37
State: MN

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: 10 minutes post innoculation I became very dizzy and lightheaded. Nurses layed me down and took my pulse. It was between 40 and 46BPM. Nurses provided me water and checked my blood sugar which was approximately 140mg/dl. I layed for about 30 minutes before nurses checked my pulse and determined it was back to normal. I felt no pain, no soreness, or other symptoms than nearly passing out.

Other Meds: Insulin(novolog), atorvastatin, levothyroxine

Current Illness: NA

ID: 1274653
Sex: M
Age: 72
State: NY

Vax Date: 04/08/2021
Onset Date: 04/12/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List: Tremor

Symptoms: Early morning of 4/12/21 (4th day following second shot of Moderna vaccine), I woke to be very dizzy. I had to lean against the wall to reach the bathroom. I had to be very careful sitting down and standing up from the toilet. That day dizzyness was severe. Next day moderate, Third day mild. Fourth day slight. Fifth day, recovered. Looking online, I found a couple of sites where other people reported similar symptoms? only for some of them, the dizzyness persisted for days and weeks. Since that fifth day, I've had no recurrence.

Other Meds: Latanoprost, Metoprolol, Eliquis

Current Illness: none

ID: 1274654
Sex: M
Age: 26
State: VA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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Symptom List: Erythema, Pruritus

Symptoms: Patient immediately felt dizzy after injection. He then passed out in his chair and we put him down on the floor. He then had a seizure lasting a couple seconds. The entire episode lasted less than a minute and he then regained consciousness and was responsive. Emergency services was contacted at the first sign of the seizure and upon arrival, they checked that he was alert and oriented x4. Patient did not go to the hospital but he did go home with a family member.

Other Meds:

Current Illness: Patient was fasting for Ramadan

ID: 1274655
Sex: M
Age: 39
State: IN

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: hot, flush, dizzy, and briefly fainted roughly 5 min after shot was administered, gave ice pack and pt felt better after 10 minutes

Other Meds:

Current Illness:

ID: 1274656
Sex: F
Age: 50
State: CA

Vax Date: 04/20/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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Allergies: Macrobid

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Redness and swelling started 9 days after injection at injection site.

Other Meds: Calcipotriene, Dexamethasone cream and lotion, Xiiadra, Vag Estrogen, Benadryl, Taurune, Vit D, Calcium, Magnesium

Current Illness: Seborrhea, Excema, Insomnia, Dry Eye, Hashimotos

ID: 1274657
Sex: F
Age: 20
State:

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: significant enlarge axillary and supracervical lymph node swelling on injection side left

Other Meds:

Current Illness:

ID: 1274658
Sex: F
Age: 64
State: RI

Vax Date: 03/20/2021
Onset Date: 03/24/2021
Rec V Date: 04/30/2021
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Allergies: Shell fish, contrast dye, tetracycline , erythromycin , papaya, mango

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Immediately post injection severe stinging occurred. Three days later night sweats bodyaches low-grade fever diarrhea intense headache which lasted three weeks. Headache and bodyaches continued with night sweats for an additional two weeks.

Other Meds: HRT

Current Illness: None

ID: 1274659
Sex: F
Age: 34
State: WA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/30/2021
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Allergies: Sulfa, amoxicilin

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Muscle pain in shoulder of injection site that often radiates to the elbow. Continued through the month wait between injections, and continues to linger after shot #2 (4/22/21).

Other Meds: Ritalin, prozac

Current Illness: None

ID: 1274660
Sex: F
Age: 68
State: NY

Vax Date: 04/19/2021
Onset Date: 04/20/2021
Rec V Date: 04/30/2021
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Allergies: Not known

Symptom List: Pain in extremity

Symptoms: Itching and hives on body one day after. Took Benadryl. Symptoms have continued to present.

Other Meds:

Current Illness:

ID: 1274661
Sex: M
Age: 58
State: TX

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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Allergies: None

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Received my second shot on the late morning of yesterday (Thursday). My arm was getting pretty sore by the time I went to bed (I could not sleep on my left side). When I woke up, started feeling fuzzy and got the chills. Took three 325 mg Acetaminophen in the morning. Was running a low grade fever by lunch time (99.9 degrees) and was feeling like I had the flu. Joints are sore, head still fuzzy, feel a little light headed when I move around too much. Took three more 325 Acetaminophen after lunch. No appetite, stomach feels queasy. Tired but can't sleep. Intend to take more acetaminophen this evening before bed. Hopefully tomorrow my symptoms will start to go away.

Other Meds: Trazadone (100 mg nightly for sleep) Montelukast (10 mg daily for severe seasonal allergies) Miconazole Nitrate 2% Topical (apply small amount daily to toenails) Loratadine (10 mg daily for seasonal allergies) Fish Oil (2000 mg daily) Diclo

Current Illness: Sleep apnea with CPAP, trouble sleeping and depression being treated at time of vaccine.

ID: 1274662
Sex: F
Age: 80
State: TX

Vax Date: 03/06/2021
Onset Date: 03/27/2021
Rec V Date: 04/30/2021
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Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: reports having severe headache

Other Meds:

Current Illness:

ID: 1274663
Sex: F
Age: 31
State: IA

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/30/2021
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Allergies: anectin

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Nausea/Dizziness, Lightheaded, Muscle and Joint pain. Next morning with severe muscle and joint pain. Fever and racing heart along with Nausea and Joint Pain.

Other Meds: none

Current Illness: none

ID: 1274664
Sex: M
Age: 49
State: CA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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Allergies: none stated

Symptom List: Vomiting

Symptoms: Patient received 2nd dose in Moderna COVID19 vaccine series late as per FDA EUA/Manufacture guidance. Original dose in series received on 1/18/21 from another agency (102 days between doses)

Other Meds: none stated

Current Illness: none stated

ID: 1274666
Sex: F
Age: 38
State: PA

Vax Date: 04/22/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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Allergies: penicillins

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: patient says her arm is red, warm, and painful, has talked to her doctors office already, i assured her it is a common reaction but both i and her doctors office advise that she follow up with them if it continues to worsen or doesnt get better. i advised and doctors office already advised her to take ibuprofen and benadryl, and she has been using those.

Other Meds: unknown

Current Illness: unknown

ID: 1274667
Sex: F
Age: 59
State: CO

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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Allergies: Shellfish, seasonal allergies

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Mild rash (fewer than 50 tiny blisters) on front/back of torso, plus one in the crook of left elbow. They're mildly itchy. Also had fatigue, headaches and body aches which started about the same time (morning of April 29, 2029) The head/body aches and tiredness lasted about 12 hours.

Other Meds: Aleve, Tylenol, Cetirizine, Vit D3, B Complex, Welchol(cont'd), Omeprazole, Aspirin, Garlic, Iron, Magnesium, Vitamin A, Potassium, Trazadone, Biotin.

Current Illness: None

ID: 1274668
Sex: M
Age: 37
State: CA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/30/2021
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Allergies: unknown

Symptom List: Injection site swelling, Limb discomfort

Symptoms: The dose for the Moderna vaccine is .5 mL. The patient inadvertently received an extra 0.01 to 0.02 mL. The manufacturer instructed us to contact the patient to inform them that the increased dosage could potentially lead to side effects that could be local or systemic. No adverse events were reported by the patient.

Other Meds: unknown

Current Illness: unknown

ID: 1274669
Sex: F
Age: 21
State: LA

Vax Date: 04/09/2021
Onset Date: 04/24/2021
Rec V Date: 04/30/2021
Hospital: Y

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Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: She developed red dots (petechiae) and bruising on Saturday. She also developed vaginal bleeding on Saturday that was heavy and had clots. Her period was ending on Saturday and had been normal up to that point. She continues to have heavy vaginal bleeding. Went to PCP and routine labs revealed thrombocytopenia. She has never had thrombocytopenia before. Was sent to ED for blood transfusion and was admitted to hospital. Dishcarged home 4/27 after platelet infusion.

Other Meds: otc fish oil, collagen peptide powder

Current Illness: athralgia of wrist

ID: 1274670
Sex: F
Age: 30
State: PA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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Allergies: NONE

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: pt feeling anxious and nervous prior to coming for her vaccine c/o lightheadedness, tunnel vision immediately after vaccination. pt was place in trendelenburg with significant improvements. pt sat up with no symptoms. started eating graham crackers and water. pt dispo home with husband and child and walked outside with no distress. vitals: T-burg 1749 118/79; rr 18; 77; 118/79; 98% sitting 1753 125/81; rr 18; 71; 100% standing 1803 134/92; 72; 100%

Other Meds: BP CONTROL,

Current Illness: NONE

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am