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: 1344072
Sex: F
Age: 58
State: NY

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies: Iodine (severe), Erythromycin, Sulfa drugs, Ibuprofen, Wellbutrin, some red dyes, shellfish

Symptom List:

Symptoms: I waited 30 minutes after the shot, then left the building to head home. About 10 minutes after that, I developed hives on face, neck, chest & arms. I had a very bad headache, swollen glands, stiff neck and some upper back and abdominal pains, slightly blurry vision. I went back to the facility and was checked out there. Was advised "not to worry" and sent home. I took Benedryl that I had brought from home which helped with the hives. Took Tylenol after coming home.

Other Meds: Metoprolol 75MG, One a Day multi-vitamin, Apple Cider Vinegar supplement, Vit. D3 supplement.

Current Illness: none

ID: 1344073
Sex: F
Age: 58
State: MD

Vax Date: 05/12/2021
Onset Date: 05/12/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient experienced nose bleeding starting about 4 hours after getting second shot and continued for 24 hours straight. Patient denied experiencing this after the first shot.

Other Meds:

Current Illness:

ID: 1344074
Sex: F
Age: 24
State: CA

Vax Date: 05/20/2021
Onset Date: 05/22/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: Tamiflu, amoxicillin

Symptom List:

Symptoms: Severe fatigue, starting one day after 2nd dose on may 21st, worrisome brain fog starting on may 22nd, constantly waking up in the middle of the night since may 20th, dry mouth and eyes since may 20th, slight irritation around lips

Other Meds:

Current Illness:

ID: 1344075
Sex: F
Age: 44
State: MI

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: 4 hours after shot experienced extreme fatigue, achy body and headache. 8 hours after shot experienced green colored stool - still had green colored stool up to 36 hours after shot. Injection site still sore 3 days after shot.

Other Meds: Claritin-D, Linzess, Sumitriptan, womens multi-vit, vit d, magnesium, vit c, flax seed

Current Illness: N/A

ID: 1344076
Sex: F
Age: 40
State: MA

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: KNDA KNA

Symptom List:

Symptoms: Injection was entered in Bicep Swelling , Edema ,Itching rash pain

Other Meds: Amlpodipine 10mg Vit D3 25MCG HCTZ 25mg

Current Illness: denies

ID: 1344077
Sex: M
Age: 19
State: MA

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: The patient received his vaccine and 5 minutes later complained of feeling dizzy. He was instructed to sit and before we could help him into a chair he lost consciousness and fell. His fall was somewhat controlled by the technician. I then assessed the patient and determined he had a vasovagal episode and lifted his legs, he returned to consciousness within 10 seconds of raising his legs. I then allowed the patient to lie on the floor for approximately 20 minutes after which he felt better and returned to sitting . He then sat for about 15 more minutes until a family member was able to arrive. The patient reported no other adverse effects other than dizziness, lightheadedness, some trouble hearing and tingling fingers.

Other Meds: None

Current Illness: None

ID: 1344078
Sex: F
Age: 57
State: VA

Vax Date: 04/24/2021
Onset Date: 04/29/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: Dairy, wheat/gluten (intolerance s), latex (mild allergy)

Symptom List:

Symptoms: Big splash rash on right calf. Still resolving now. It got pretty ugly, but didn't hurt, and itched only a little. No other possible causes could be found. It was so strange.

Other Meds: Timolol, dorzolamide-timolol, lumigan (all eyedrops),

Current Illness: No

ID: 1344079
Sex: F
Age: 86
State: WI

Vax Date: 04/20/2021
Onset Date: 05/02/2021
Rec V Date: 05/24/2021
Hospital: Y

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

Lab Data:

Allergies: diclofenac (swelling), cephalexin (rash), penicillin (rash), prednisone (anxiety), tetracycline (confusion)

Symptom List:

Symptoms: Covid-19 vaccine administrations (Moderna) 3/23/21 lot# 013A21A 4/20/21 lot# 013A21A Admission to Hospital (5/2/21 ? 5/10/21) for hypertension and acute on chronic back pain requiring ICU admission, hyponatremia thought to be due to SIADH. CT of abdomen done at hospital noting no significant lumbar abnormalities and a plain film of her lumbar spine with no obvious compression fracture. Outside hospital notes do not further outline why she could no longer ambulate. Brain MRI done and negative during that admission. Discharged to a rehab facility for ongoing weakness. On 5/13/21, patient?s son requested admission to hospital for further evaluation. She states that she feels confused and her legs are very heavy and she can barely move them. Notably she lives alone in her own home, used to drive, did not use any assistive device to walk, and paid her own bills until 2 weeks ago. The symptoms did occur approximately a week after receiving her last Covid vaccine. Pt also notes around April 1, 2021 having taken an engorged deer tick off her head. 5/14/21 Lyme serology IgM & IgG = negative. Neurology was consulted. She had an MRI of her thoracic and lumbar spine, as well as an LP. She had had an MRI brain at a hospital. Her MRIs did not reveal a source of her weakness and pain. Her CSF revealed albuminocytologic dissociation. Given this finding and the constellation of symptoms and LP findings, it was thought she had Guillain Barre Syndrome, presumably due to her COVID vaccine. She was given IVIG for 5 days. She improved with this. As above, she had a recent admission for hyponatremia and hypertensive urgency. Here, her blood pressure was somewhat labile, but at times was low. She was started back on amlodipine and carvedilol, but at much lower doses with plan for ongoing monitoring. In terms of her hyponatremia, her salt tabs were stopped, and eventually her fluid restriction was able to be lifted. Her sodium was 136 at discharge.

Other Meds: acetaminophen (TYLENOL) 325 MG tablet Take 650 mg by mouth every 4 (four) hours as needed for Pain. acetaminophen (TYLENOL) 650 MG suppository Place 650 mg rectally every 4 (four) hours as needed for Fever. amLODIPine (NORVASC) 10 MG

Current Illness:

ID: 1344080
Sex: F
Age: 17
State: OH

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: sulfa drugs, amoxicillin

Symptom List:

Symptoms: After receiving dose, pt experienced Vasovagal response which she never had before when receiving a shot. When they woke her she had a lot of jerky arm movement. About half an hour to 1hr after injection she said she had an odd taste in her mouth and her tongue was numb. Her chest felt tight but was not wheezing. About an hour later when she was home (~6pm) gave her "click it albuterol" and it relieved the tightness in the chest. She had pain in her left breast area. Around 6:30pm she continued to comment about her tongue being numb and pain in her breasts. She fell asleep right away and the next afternoon around 1pm she had a temperature of 99F. After motrin the temperature went back to normal and she felt better. No further chest tightness after that and she is feeling normal.

Other Meds: probiotic, multi vitamin

Current Illness: pre-existing asthma

ID: 1344081
Sex: M
Age: 44
State: NJ

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 05/24/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List:

Symptoms: Fever with distinct bone pain. A year earlier (Jan 2020) I was a bone marrow donor that required a heavy course of Filgrastim in preparation for the donation. As expected, the Filgrastim made me feel sick with a lot of bone soreness and pain, especially in my hips and legs. It lasted a few days after the donation and then was gone. Upon getting my second shot of the Moderna vaccine, the second day brought back the exactly soreness/pain that I felt under the filgrastim with distinct bone pain, especially in my legs/hips.

Other Meds: Lisinopril, Hydrochlorothiazide, rosuvastatin, bupropion

Current Illness: none

ID: 1344082
Sex: F
Age: 44
State: MI

Vax Date: 04/20/2021
Onset Date: 05/22/2021
Rec V Date: 05/24/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: patient tested covid positive by pcr on 5/22/2021, asymptomatic, tested routine for surgery

Other Meds:

Current Illness:

ID: 1344083
Sex: M
Age: 38
State: WI

Vax Date: 05/08/2021
Onset Date: 05/09/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: High fever that Tylenol wouldn't help, chills, uncontrollable shivering, muscle cramps/spasms, extreme fatigue/lethargy, loss of appetite, swollen glands, earache and congestion in right ear, acute joint pain, arm pain at injection site. All symptoms went away after 5-6 days.

Other Meds: Turmeric/curcumin, Natrol ImmuneBoost

Current Illness:

ID: 1344084
Sex: F
Age: 73
State: HI

Vax Date: 05/13/2021
Onset Date: 05/15/2021
Rec V Date: 05/24/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: HISTORY - Had major vein stripping surgery on both legs at age 28 and again at age 57. In between surgeries had sclerotherapy on both legs. Have experienced phlebitis before and know how to manage it. ADVERSE EVENT - The first day after vaccination sore arm and general malaise. The next day inflammation on both legs in multiple locations. (One outbreak is from ankle to knee.) Pain is worse when walking or standing. Legs are hot and sore to touch. Never experienced anything to that extreme degree before. Concern about blood clots. After 10 days it is finally starting to subside.

Other Meds: SYNTHROID 100 MCG

Current Illness:

ID: 1344085
Sex: M
Age: 28
State: NY

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 05/24/2021
Hospital:

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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Almost immediately after injection was given, patient complained of chest pain, light-headedness and sweating. He admitted to a previous history with past vaccinations although inconsistently. Chest pain resolved, per patient. Patient transported by wheelchair to paramedic area with brief loss of consciousness, spontaneously resolved. Patient able to transfer from wheelchair to cot, reporting improvement when lying down. Paramedic and EMT monitored vitals, paramedic advised transport to hospital to rule out cardiac event, patient consented. Tranported to Hospital

Other Meds: Lisinopril 10 mg qd. unknown "mood" medication

Current Illness: Hypertension anxiety/depression morbid obesity

ID: 1344086
Sex: U
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 05/24/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: not enough diluent was withdrawn to reconstitute the pfizer vaccine as a result patient received higher concentration of vaccine than the normal dose . no unusual side effects were reported

Other Meds: no

Current Illness: none

ID: 1344087
Sex: F
Age: 20
State:

Vax Date: 05/18/2021
Onset Date: 05/23/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Swollen feet and joint pain

Other Meds: Remeron Bupropion

Current Illness:

ID: 1344088
Sex: M
Age: 70
State: CA

Vax Date: 05/06/2021
Onset Date: 05/08/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: Lexapro

Symptom List:

Symptoms: Patient was actually being seen in our hospital as an outpatient for Procrit injection and lab work. The Top care nurse felt the patient should be seen in the ER so she directed him to sign in as an ER patient. Patient had a mass on the right deltoid that started on 5/8 after receiving the second Moderna vacation on 5/6. The swelling peaked a few days later and now it has been getting better for the last week. No fevers, no nausea or feeling ill. Patient stated he would not have signed in to the ER if not for being asked to do so by the top care nurse. He receives weekly Procrit and lab work.

Other Meds: Buspirone 10 mg tablet, prednisone 10 mg tablet, Vitamin D 2000 IU Oral Capsule, Vitamin Deficiency Injectable System - B12 1000MCG/1 ML injection solution, Orencia 250 MG Intravenous Powder for solution Procrit 10000U/1ML Injection Soluti

Current Illness: None

ID: 1344089
Sex: F
Age: 13
State: KS

Vax Date: 05/20/2021
Onset Date: 05/22/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Child's mom calls on 05/24/2021. States her daughter developed a rash to her torso and had a fever of 101.0 F post vaccination. States they visited her physician today and their physician said it looked like a viral rash, but, recommended calling and reporting the event to the health department (VAERS Reporter). Went to physician office to get started on birth control. Mom says she just decided to mention the rash to the physician, but, wasn't concerned.

Other Meds: Protein Powder

Current Illness: Denies any.

ID: 1344090
Sex: M
Age: 19
State: CO

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: none reported

Symptom List:

Symptoms: Janssen COVID-19 Vaccine EUA: patient reports within one hour after receiving vaccine developing muscle twitching in upper extremity on the same side as immunization. Since that time patient noted symmetrical bilateral mostly lower extremity muscle twitching that is worse at night. Patient has been trying over-the-counter vitamin D and magnesium with minor relief but not resolution. No symptoms of neuropathy or myelopathy documented on physical exam and vital signs within normal ranges. Prescribed tizanidine and cyclobenzaprine as needed.

Other Meds: albuterol

Current Illness: none reported

ID: 1344091
Sex: F
Age: 25
State: AZ

Vax Date: 04/10/2021
Onset Date: 04/28/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: I have sincehad random purpura bruises covering my legs and arms. These bruises are occuring without any injury. Each morning I wake up to 1-2 new bruises. Older bruises are healing but very slowly.

Other Meds: duloxetine 30mg daily lamotrigine 200mg daily "Ritual" brand vitamins daily

Current Illness: None

ID: 1344092
Sex: F
Age: 39
State: WA

Vax Date: 05/22/2021
Onset Date: 05/23/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: Adverse reactions to Flagyl and caffeine

Symptom List:

Symptoms: Moderate side effects of headache, stomach ache, nausea, heat and redness at injection site, chills, diaphoresis, muscle aches and joint pain, significant fatigue

Other Meds: Multivitamin and Wellbutrin 300 mg daily (been taking this medication for over a year now)

Current Illness: None

ID: 1344093
Sex: M
Age: 15
State: TN

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: THE PATIENT WAS NOT 16 YR OLD YET

Other Meds:

Current Illness:

ID: 1344094
Sex: M
Age: 27
State: TX

Vax Date: 04/05/2021
Onset Date: 04/15/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Superficial Thrombophlebitis Developed within 2 weeks of second vaccine

Other Meds: none

Current Illness: None though was diagnosed with DM 2 during workup

ID: 1344095
Sex: F
Age: 47
State: CA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
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Vax Route:
Vax Site:

Lab Data:

Allergies: Mild allergy to a couple of antibiotics - Penicillin - hives; Erythromycin - stomach pain; Inhalation form of peanuts in peanut butter- breathing problem from that three days.

Symptom List:

Symptoms: Within 5 minutes, I felt soreness in my arm right away and my arm started throbbing. I got warm all over my body. My airway (not my throat or tonsils) in my chest area started to close and constrict. But it only went so far - it didn't finish closing. I got the sensation that I was going to faint. I was in my car. I yelled for help and went out of my car. I had no energy or ability to walk. I went down to ground and could barely lift my head up. I got very lethargic and was extremely tired and nauseous and I could hardly think. The person who gave me the injection and another lady who was helping out came to help me. My intuition told me I needed Benadryl and my hands were kind of moving to try to get Benadryl. But I could hardly get up. I wanted to call 9-1-1 but my toddler had my phone. I couldn't kneel up even to get my phone to from my toddler. I couldn't walk. They took my blood pressure and heart rate and noticed during the episode that they both had spiked. They said they couldn't give me Benadryl because then they told I wouldn't be able to drive. Then I had a second episode - where I started feeling like I was going to pass out again and a feeling of doom was coming over me and I think I asked for Benadryl again. I could barely hold up the pulse oximeter - I think I was dragging it on the ground; I was on the ground on the parking lot. I thought I was going to faint but I was able to finally get my phone and call my sister. My sister showed up and got dropped off. The ladies didn't help out at all and my sister was going to drive me away. My limbs were really cold and feet were really cold all the way to my knees. I asked for a heating pad. I couldn't get up for 30 minutes, and then for an hour. My tried to get better and I could barely stand up. It took me awhile to get into the car; my sister had to help me. The next day, I was still in the same predicament. I couldn't get up and walk around. After a really long time of resting, I could go a short distance to go to the bathroom alone. My sister (I was staying at her house since I couldn't take care of myself) finally said that my intuition had told me to take Benadryl and she said I should take one. I took a half of child's of Benadryl because the people at the vaccine site had not thought I should have one and that it would just go away. That 1/2 dose gave me hope that I could get better but I still didn't know if I should have a full dose. The Benadryl would help for a little while. I finally went home the the next day. I went to ER and I couldn't still walk very well on my own. On January 23, 2021 - t he ER. The doctor thought if she gave me an EPI pen but thought I might have more problems with it. She said that if Benadryl was helping than to keep taking it. The doctor didn't give me a dosage. I went back to ER on the 27th because I still was not getting better. I was taking Benadryl and I was taking inhalers and at first I thought I felt like my airway felt more open when I took these but it didn't last for long. I didn't know, without guidance, how to take the medication - how much and how often. I couldn't think straight. On the 27th, that doctor listened but he wanted to help me. He gave me Steroids for 5 days and Benadryl on top of that. And gave me Ativan to help me sleep. I had been going without sleep - I didn't have any other adult watching over me after the 3rd or 4th day when I left my sisters' house. Before the second ER visit, I didn't know when my airway was going to close. I could feel my heart racing/beating even when I wasn't doing anything. My heart rate would spike up to 119 or 120 randomly. I felt like my heart was beating out of my chest. About 5 or 6 hours after the Steroids there was popping sound out of my ears. It was loud and happening a long time, I wasn't sure I could sleep but I wasn't as aware of my heart beating out of my chest either. I could finally walk that next morning after the Steroids. I was trying to play with my toddler even though I felt fatigue and felt like crud - but I could walk without feeling I would collapse. So I over did - I tried to take a walk to the end of the street and I couldn't do it. My back hurt so bad after that. When I would lay down, I could not get the heaviness in my back to go away. It hurt so bad. I had a lump in my throat ( a little lower than my throat). That was scaring me. I went to ER again (third visit) - 28th or 29th - tests came back normal. I think it was the 28th. On that night, I was still on prednisone and I couldn't sleep with the pain. They gave me aspirin in case it was a heart thing. The aspirin may have helped with back pain. I took my Steroid pill and Ativan and that was my first night's sleep. The next morning, I could walk and I started to get a lot more hope at that point. I think I took Ativan for a couple of nights and got some good night's sleep. I took the Prednisone for 5 days and I didn't feel anymore like I couldn't stand up or that I was going to fall or that I needed supervision anymore. After about a month, I had enough energy to finally drive and go to the store. I had been scared to drive because of my symptoms before that. By mid February, I was able to drive out and I went to a couple of stores. At that point, I felt like I was going to get better. I'm a single mom and have been doing everything on my own for 20 years. I was talking to the doctor's office and to the nurse almost every day when I was sick. I don't get sick and I don't ever have to ask for help. I was disappointed with the lack of help I received.

Other Meds: Zyrtec - the night before possibly

Current Illness: No

ID: 1344096
Sex: M
Age: 34
State: OK

Vax Date: 03/23/2021
Onset Date: 04/21/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Went into Afib at 3:00AM on 4-21-21. 911 was called. Diltiazem was administered IV. ER performed EKG and CT. I received Eliquis, Diltiazem and Lovenox. Released from ER at 9:00am still in Afib. Referred to cardiologist.

Other Meds: NP Thyroid 60mg daily

Current Illness: None

ID: 1344097
Sex: F
Age: 62
State: FL

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Date of shot-May 20, 2021 (Thurs) injection site right arm slightly sore. Had chemical taste in mouth within 30 minutes after shot; urine had chemical odor after shot. May 21, 2021 (Fri) injection site right arm more sore and could not turn my head to the right as my right neck (lymph nodes) were all swollen. Had chills, headache, fatigued and threw up after eating light breakfast. I iced and took Advil. PM/Bedtime-could not get deep breaths through nose breathing/had to mouth breath-hardly slept. May 22, 2021 (Sat) called emergency room and Pharmacist (primary Pharmacist still on vacation) was told to switch to HEAT pad on my neck, take Advil. Right arm injection site, up the arm, across collar bone, up the right neck to ear lobe all swollen and painful since Friday-hardly any change. May 23, 2021 (Sun) so tired from not sleeping well (could not lay on right side since the shot) and slept mostly all day. May 24, 2021 (Mon) feel a little better but neck is still swollen and sore. 50% motion back to turn my head to the right. Breathing better when laying down through my nose as well. I would like to talk with a Doctor at the CDC as I do not have a Primary Doctor, and was just referred to one, but cannot schedule to see him until mid June. I am nervous if the 1st Moderna shot is causing internal swelling, bleeding, etc. ? And I am not planning on getting a 2nd Moderna shot after this severe reaction caused by the 1st shot. I am healthy, never take drugs, get flu shots, etc. and my body felt like it was fighting a battle...and I am not 100% myself. I want to know WHEN my neck will heal, WHEN my motion will be back to 100% as it is making driving challenging, and what next steps you recommend. Please advise.

Other Meds: none

Current Illness: none

ID: 1344098
Sex: M
Age: 73
State: TX

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 05/24/2021
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Allergies: penicillin, strawberries, tree nuts

Symptom List:

Symptoms: severely elevated high blood pressure; severe ongoing headache; neck and costo-sternal pain and muscle stiffness

Other Meds: levothyroxine 137 mcgm

Current Illness: none

ID: 1344099
Sex: F
Age: 25
State: TX

Vax Date: 05/22/2021
Onset Date: 05/24/2021
Rec V Date: 05/24/2021
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Symptoms: rash on arm and leg, patient believes to look like hives, did not appear until Monday (2 days later)

Other Meds:

Current Illness:

ID: 1344100
Sex: M
Age: 57
State: NJ

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
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Allergies: None noted

Symptom List:

Symptoms: About 2 hours after vaccination, patient reported headache and numbness/pain in right arm. Blood pressure elevated to 254/110. Patient also described white " floaters" in view and shortness of breath. Patient also had anxiety and tension.

Other Meds: None noted

Current Illness: None noted

ID: 1344101
Sex: M
Age: 36
State: AR

Vax Date: 04/12/2021
Onset Date: 05/02/2021
Rec V Date: 05/24/2021
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Allergies: Allergies to pollen and normal things in the air.

Symptom List:

Symptoms: The first symptoms were noticed Sunday at around 3 am. I woke up with violent shaking. I had an upset stomach and nausea. The worst of all is I couldn't concentrate. This caused anxiety. I felt like I was spinning and couldn't make it stop. I've had 3 weeks of hell. It's gotten so bad that I was not even understanding tasks like driving. I didn't even understand why I was driving but felt like I had to do something to make the feelings subside.

Other Meds: Claritin

Current Illness: None.

ID: 1344102
Sex: F
Age: 51
State:

Vax Date: 05/23/2021
Onset Date: 05/23/2021
Rec V Date: 05/24/2021
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Symptoms: Pt vomited. BP 142/73, HR 54, RR 17 -- > 136/68, 50, 16. Pt in stable condition after one emesis episode. Pt stayed for 25mins observation and ambulated out with family at her side. Vitals WNL. Pt A&O x3. Pt stable and released from the vaccination site.

Other Meds:

Current Illness:

ID: 1344103
Sex: F
Age: 74
State: IA

Vax Date: 05/14/2021
Onset Date: 05/17/2021
Rec V Date: 05/24/2021
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Allergies: codeine, gabapentin, ibuprofen, pantoprazole, sutures

Symptom List:

Symptoms: Patient initially called on May 21st with complaints of an itching sensation 3 days following vaccine. No visible hives or swelling at that time. Was given instructions for topical cream to relieve symptoms. Patient was then seen on May 24th with itchy hives of the lower abdomen and vagina areas along with facial and orbital swelling. Was started on a Medrol Dose Pack

Other Meds: MVI. Vitamin C, Excedren ES, Nitro subling, Miralax, diclofenac gel, ambien, mag-ox, lantus, cyclobenzaprine, tricor, losartan, metformin, amlodipine, atorvastatin, Vitamin D, celebrex, amitriptyline, endocet, vaginal cream, xanax

Current Illness: None

ID: 1344104
Sex: F
Age: 51
State: IN

Vax Date: 02/02/2021
Onset Date: 02/22/2021
Rec V Date: 05/24/2021
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Allergies: NKDA

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Symptoms: Since receiving the vaccine, I have experienced 4 cold sores as of 5/24. I typically experience 1-2 per year and I'm dealing with one about every 3 weeks. This may not seem like an "adverse" event, but this is not normal for me and the only variable is the vaccine.

Other Meds:

Current Illness: None

ID: 1344105
Sex: F
Age: 59
State: WY

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/24/2021
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Symptoms: ** Client asked that name or identifying contact info not be reported in Vaers report 05-21-21 Client called and reported that the morning of 05-06-21 after recieving vaccination on 05-05-21 they started to experience projectile vommiting and profuse diarrhea. Vommiting subsided after approximately 24 hrs but nausea is still endured. Diarrhea has continud since initial onset but is still observed. Client had a prescription of promethazine readily available but stated it helped very minimally. Consulted PCP who evaluated symptoms and advised to wait on second dose of vaccine due to side effects-

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Current Illness:

ID: 1344106
Sex: F
Age: 50
State: OR

Vax Date: 05/21/2021
Onset Date: 05/23/2021
Rec V Date: 05/24/2021
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Allergies: All "-cillins", including penicillin, ampicillin, amoxycillin, etc.

Symptom List:

Symptoms: Commonly called "COVID Arm". Raised welt approx 4 inches in diameter. Site is hot, flushed, slightly itchy. Very sore (enough to wake me up from sleep).

Other Meds: Buprioprion 350 mg/day

Current Illness: none

ID: 1344107
Sex: M
Age: 59
State: NC

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 05/24/2021
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Allergies: none

Symptom List:

Symptoms: Patient reports immediate pain and burning with receiving injection. Continues to experience pain and burning that is continuous almost 3 months later. He has concerns that his injection was given interarticular rather than IM.

Other Meds: amlodipine, atorvastatin, lisinopril-HCTZ, metformin XR

Current Illness: none

ID: 1344108
Sex: F
Age: 46
State: AZ

Vax Date: 03/05/2021
Onset Date: 05/15/2021
Rec V Date: 05/24/2021
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Allergies: Shellfish

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Symptoms: Exacerbation of arthritis pain in injection shoulder. Seems to have increased overall joint pain. Missed menstrual cycle - negative pregnancy test.

Other Meds: None

Current Illness: None

ID: 1344109
Sex: F
Age: 13
State: NY

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 05/24/2021
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Symptoms: Vaccine administered to a recipient under the age of 18 years old

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Current Illness:

ID: 1344110
Sex: M
Age: 80
State: OR

Vax Date: 05/20/2021
Onset Date: 05/24/2021
Rec V Date: 05/24/2021
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Allergies: None

Symptom List:

Symptoms: Patient reported an episode of lightheadedness, and loss of balance resulting in a fall with injuries. He required a trip to the ED for stiches and follow-up examination.

Other Meds: Allopurinol, Atorvastatin, Bupropion, Clopidogrel, Propranolol,

Current Illness: None

ID: 1344111
Sex: M
Age: 58
State: MT

Vax Date: 04/06/2021
Onset Date: 05/13/2021
Rec V Date: 05/24/2021
Hospital: Y

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Allergies: tetanus vaccines and toxoid, bee venom

Symptom List:

Symptoms: Patient was hospitalized for COVID treatment. 5/19/21 - 5/20/21

Other Meds: lisinopril, albuterol aerosol, sildenafil

Current Illness: none documented

ID: 1344112
Sex: U
Age:
State: MO

Vax Date:
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Rec V Date: 05/24/2021
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Symptoms: High pitched constant tinnitus primarily out of left ear starting about two days after vaccination. The tinnitus lead to generalized anxiety and difficulty sleeping. ER prescribed sleeping aide when it first started. ENT prescribed a round of methylprednisone which did not fix. Still ongoing and has not resolved.

Other Meds:

Current Illness:

ID: 1344113
Sex: F
Age: 30
State: PA

Vax Date: 05/17/2021
Onset Date: 05/18/2021
Rec V Date: 05/24/2021
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Allergies: N/a

Symptom List:

Symptoms: Myokymia in right lower eyelid (Constant twitches in lower eyelid) May 18- current

Other Meds: Adderal 10mg Estradiol (Lessina)

Current Illness: n/a

ID: 1344114
Sex: F
Age: 73
State: NC

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 05/24/2021
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Allergies: codeine, Advil

Symptom List:

Symptoms: shaking, fever, passed out, muscle weakness, lost muscle control

Other Meds: Ambien

Current Illness:

ID: 1344115
Sex: M
Age: 58
State: NY

Vax Date: 04/09/2021
Onset Date: 04/13/2021
Rec V Date: 05/24/2021
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Allergies: no

Symptom List:

Symptoms: Stomach pain very constant for about a week Nonstop liver pain all day and night Dizzy and could not keep balance

Other Meds: vitamin D, C Immune formula Natural remedies with herbs

Current Illness: no

ID: 1344116
Sex: F
Age: 70
State: VA

Vax Date: 05/22/2021
Onset Date: 05/22/2021
Rec V Date: 05/24/2021
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Allergies: nkda

Symptom List:

Symptoms: 70 year old female complaining of headache ,nausea.No chest pain or SOB.BP 110/72, Pulse 74 Pulse ox 98%.Patient has not taken any oral fluids or eaten since last night .Pt started feeling better with being reassured and resting.Feels comfortable going home.advised to increase oral fluids and eat well in the next 24-48 hours.

Other Meds: b12,magnesium,calcium,vitamin d,zinc

Current Illness: h.pylori

ID: 1344117
Sex: F
Age: 23
State: WA

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 05/24/2021
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Allergies: None

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Symptoms: Fibromyalgia pain at all joints flared up to severe (level 10 of 10) pain for approximately 24 hours. Use of Cyclobenzaprine (muscle relaxer) had no affect in the first 12 hours. Aggressively treated with Tylenol and continued use of daily medications. Attempted to call doctor's office but was unable to receive further help. Resorted to attempting to sleep until pain levels decreased.

Other Meds: Duloxetine, Diclofenac Sodium, Drospirenone-Ethinyl Es, Multi-vitamin, Calcium, D-3, B-12

Current Illness: None

ID: 1344118
Sex: F
Age: 52
State: SC

Vax Date: 05/10/2021
Onset Date: 05/11/2021
Rec V Date: 05/24/2021
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Allergies: none

Symptom List:

Symptoms: I developed a tightness in my throat that is still present today (May 24, 2021) The same arm that I received the vaccine in has now developed a soreness all the way down to the elbow. This developed on May 23, 2021- 2 weeks after the vaccine. There has been no know injury to this arm other than receiving the shot which caused extreme soreness for two day afterwards. I also had severe chills and body aches for 24 hours afterwards. The most concerning is the lump in my throat and when I swallow now for going into the 3rd week, I have had this ailment. I'm very concerned.

Other Meds: zoloft 100 mg. 1 time per day crestor 10 mg. 1 time per day

Current Illness: none

ID: 1344119
Sex: F
Age: 63
State: PA

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 05/24/2021
Hospital: Y

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Allergies: Sulfa, Environmental, Perfume

Symptom List:

Symptoms: Within 5 hours after 2ND Moderna vaccine, I developed really severe flu symptoms along with chest & back pain.

Other Meds: Allegra, Famitodine, Zinc, Glucosamine Chondroitin complex, Turmeric

Current Illness: NONE

ID: 1344120
Sex: F
Age: 52
State: VA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 05/24/2021
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Allergies: Gluten, penicillin and latex

Symptom List:

Symptoms: 1/15/2021 @5:00 Red at the injection site unbearable pain, swelling and hot it lasted 4-6 weeks and very exhausted

Other Meds: HBP medication, allergy medication, thyroid medication, heart burn medication I don't have the names or dosage but they are taken everyday once a day.

Current Illness: None

ID: 1344121
Sex: M
Age: 30
State: ME

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 05/24/2021
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Symptoms: Patient was seated in waiting area after vaccination. Patient seemed to be in obvious distress while being in and out of consciousness. The pharmacist was able to get patient safely to the ground, elevate his feet, and apply a cold compress. When consciousness was regained, he was able to drink water and eat some apple slices within about 10 minutes of initial incident. Patient was kept for additional observations and was able to verbally attest to feeling stable before leaving.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm