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
63,479
AK1,562
AL4,914
AR3,110
AS44
AZ12,730
CA54,886
CO10,464
CT7,347
DC1,568
DE1,561
FL33,514
FM3
GA12,508
GU74
HI2,078
IA4,130
ID2,361
IL18,091
IN22,023
KS4,061
KY6,276
LA4,395
MA13,121
MD11,272
ME2,858
MH8
MI16,697
MN10,689
MO8,360
MP30
MS2,487
MT2,035
NC14,437
ND1,184
NE2,562
NH2,717
NJ16,033
NM3,532
NV3,784
NY30,921
OH17,029
OK5,673
OR7,479
PA21,111
PR1,959
QM2
RI1,833
SC5,601
SD1,087
TN8,048
TX31,896
UT3,791
VA13,180
VI48
VT1,592
WA13,026
WI9,856
WV2,120
WY754
XB5
XL1
XV2

ID: 0961616
Sex: F
Age: 44
State: CA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Mushrooms

Symptom List:

Symptoms: Face numbness on left side.

Other Meds: Birth Control Triocent 150mg

Current Illness: None

ID: 0961617
Sex: M
Age: 63
State: ND

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: seasonal nasal allergies

Symptom List:

Symptoms: Next day, body aches, headache, joint pain, high fever up to 103.

Other Meds: acyclovair, sinemet, cyclosporine, gabapentin, prilosec, promacta,flomax, tylenol PRN seasonal OTC allergy meds

Current Illness: Had Covid 19 11/19/2020 Extreme symptoms. headache,body aches, diarrhea,high fever, (over 102.) Went in for fluid twice.

ID: 0961618
Sex: F
Age: 31
State: MO

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Vancomycin

Symptom List:

Symptoms: Tdap was administered within 2 weeks of the client receiving the COVID-19 vaccine (1/15/2021). Tdap was given to client after sustaining an animal bite. Client reported experiencing nausea and vomiting on the afternoon of 1/20/2021.

Other Meds: Unknown

Current Illness: Recent cat bite to hand - on antibiotics

ID: 0961619
Sex: F
Age: 41
State: MA

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Rare condition GSID ( generic sucroisomaltaise deficiency) , Latex

Symptom List:

Symptoms: On 12-26-2020, I woke up feeling weak, very dizzy and dragged down. I felt generalized malaise, headaches, body aches,. I worked a 12 hour shift, was pale. I had alot of more weakness through my body and was very nauseated and had loss of appetite. On 12-29-2020, I felt a heaviness to my chest, extreme pain with rapid heart beat, I had elevated blood pressure, had numbness to my face and hands (pins and needle sensation) . The day after 12-30-2020 I was seen lower extremity weakness and visible muscle spasms in my knees and legs. I had a hard time ambulating and I was weak for another week. I had shortness of breath and had difficulty going up the stairs. I went home that same day when they ruled out it was not a cardiac event.

Other Meds: Zyrtec 10mg QD, Baby aspirin 81mg QD, Probiotic QD, Magnesium 400mg QPM, Singular 10mg QPM, CoQ10 100mg QPM, Vitamin B complex QAM, Calcium tablet 400 mg 1 tab QAM

Current Illness:

ID: 0961620
Sex: F
Age: 50
State: MA

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

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

Lab Data:

Allergies: Sulfa (rash)

Symptom List:

Symptoms: Developed severe injection site pain extending to head, entire arm, and chest wall the night of the injection. Developed severe fatigue lasting 7 days. Developed severe headache and diffuse joint pain lasting 5 days. Developed toe ulcerations. Developed vertigo and significant word finding issues, as well as sleep disorder. Time course was 8 days in total.

Other Meds: None

Current Illness: Had COVID diagnosed 12/16/2020

ID: 0961621
Sex: F
Age: 66
State: OK

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: dairy allergy, allergic to sulfa drugs

Symptom List:

Symptoms: Upper left arm is red, swollen and warm at injection site. Symptoms did not appear until one week after injection. Treating with ice pack and Tylenol, although neither seems to have much effect.

Other Meds: losartan, estradiol, vitamins B6, C, D, E, fish oil, calcium/magnesium/zinc tablets, low dose aspirin

Current Illness:

ID: 0961622
Sex: F
Age: 30
State: PA

Vax Date: 01/06/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I discussed with Dr and she advised to report to you for data collection. I developed L. sided supraclavicular LAD approx 11 days after my covid vaccine. I received my vaccine on my L. arm

Other Meds:

Current Illness:

ID: 0961623
Sex: F
Age: 25
State: TX

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: GLUTEN

Symptom List:

Symptoms: FATIGUE, ACHEY, JOINTS STIFF, HEADACHE, CHILLS, INJECTION SITE RED/RAISED/HOT

Other Meds: LEXAPRO, BIRTH CONTROL

Current Illness: NO

ID: 0961624
Sex: M
Age: 67
State: OH

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Seizure-Mild

Other Meds:

Current Illness:

ID: 0961625
Sex: F
Age: 53
State: NC

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Corn Soy Palm Tapioca Ginger Apples

Symptom List:

Symptoms: MODERNA COVID19 Vaccine EUA I took my shot on Friday at 1:15pm I had tingling on the roof of my mouth for 2 hours starting about an hour after the shot; this resolved by itself w/o any medication. The tingling (and a bit of discomfort like my mouth had a sunburn) returned about 8 hours after the shot and was accompanied by mild throat swelling (no issues with breathing or any other symptoms). I did a tele-med visit and was instructed to self-medicate at home with Benadryl (50mg) which helped; I took benadryl to lesson the reaction for about 24 hours (q6 hr). Other than these reactions, I was super tired until day 4 and had a slight discomfort where I had the shot on day two.

Other Meds: Zyrtec, armour thyroid, vitamin D, multi vitamin (none on the date of the vaccination prior to the shot)

Current Illness: none

ID: 0961626
Sex: F
Age: 49
State: OH

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: ragweed

Symptom List:

Symptoms: Administration site was sore and somewhat red after injection. Redness a couple of days after the shot, then again noticed redness on 1/19/2021. Dr. assessed the area on 1/20/21 at facility site where received vaccine and was assessed again at facility site of administration on 1/21/2021. The area of redness is not as red as yesterday. Area is continuing to be observed by the patient.

Other Meds:

Current Illness:

ID: 0961627
Sex: F
Age: 44
State: VA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Sulfa and bee stings

Symptom List:

Symptoms: *15 mins. after receiving the shot - short spell of dizziness and a small headache. Lasted approximately 15 minutes. *Within 30 mins. after receiving shot - cold chills/burning up. Lasted off and on throughout the night. Used Tylenol to help. Never registered a fever though. *Within 30 mins. after receiving the shot - soreness in arm of shot from elbow to shoulder. Lasted 2 days. By end of 2nd day only a space of 3 inches tall on arm located around the shot area was sore. *The morning after the shot - diarrhea. Lasted almost 2 days. Anything eaten went straight through. Still loose, but pasty now on day 3 morning. *Right after shot through day 2 - arms felt heavy and weak. *Day 2 and 3 - itching. Started light and only on arm of shot. Then by middle of morning on day 2, whole body itched and stayed that way through day 3. Only occasional itching on day 4. *Day 2 and 3 - Cheeks down to chin would break out in red blotches then fade away. It would resurface again every so often. By day 4 only cheeks would get lightly rosy. *Day 3 and 4 - Nauseous. Forced self to eat, but stomach was very uneasy and felt pressure (like you would throw up ) under chin. *Day 4 - Woke up extremely fatigued and weak. Lessened as day progressed, but still a feeling of tiredness and weakness.

Other Meds: Metformin 500mg

Current Illness: Season allergies

ID: 0961628
Sex: M
Age: 74
State: CA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Ci profloxacin HCL, Famciclover, Septra, Tamiflu, Uribel

Symptom List:

Symptoms: prickly feeling in arms, body, face; slightly fat tongue

Other Meds: Levothyroxine, Omeprazole, Meloxicam, Amlodippine Besylate, Telmisartan, Metoprolol Succinate ER, Rosuvastatin Calcium, Zolpidem Tartrate, Potassium Citrate ER, Metrocidazole, Caffeine, CoQ10, Magnesium, Melatonin, Vitamine D, MegaFood prob

Current Illness:

ID: 0961629
Sex: F
Age: 49
State: CA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: Rapid, irregular heartbeat , dizziness

Other Meds: none

Current Illness: none

ID: 0961630
Sex: F
Age: 39
State:

Vax Date: 12/31/2020
Onset Date: 01/10/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient had been having some unusual medical symptoms, personally, that she had never experienced before. They started last week. Namely, tremendous pain and discomfort in hips and shoulders. It very much mimics polymyalgia rheumatica. The only change in her life within the last three weeks was that I received the Covid vaccine.

Other Meds:

Current Illness:

ID: 0961631
Sex: F
Age: 48
State: SC

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Mild at present, no treatment, just notifying of redness to chest.

Other Meds: Flagyl 500 mg bid started evening of January 08, 2021

Current Illness: Bacterial Vaginosis started Jan.4, got prescription on Jan. 08, 2021 and started that evening. This was my 2nd shot. The variance I?m reporting is a rash to my chest that started Jan. 20, 2021. The rash is only about the size of a quarter to my upper chest on the right side.

ID: 0961632
Sex: F
Age: 48
State: IL

Vax Date: 01/13/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: the injection site on Left deltoid was sore the first few days. However, on day 6, the site became slightly swollen and tender. The 7th day, the area is red, warm to touch, and rigid. The range of motion is normal. My body temperature is 97.7.

Other Meds: None

Current Illness: None

ID: 0961633
Sex: F
Age: 36
State: IN

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Numbness in right arm after 30 minutes, spread to face and head in the next couple hours, lastly tingling feet, seen in ER but dismissed quickly, the numbness was gone by the next morning

Other Meds: Sertraline 100 mg Bupropion 300 mg Omeprazole 40 mg Probiotic

Current Illness: None

ID: 0961634
Sex: F
Age: 68
State: UT

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: About 2 hours after injection, I experienced chills, fever, cough, body ache, site pain was red and swelling. I had muscle ache throughout. I called in sick. My left arm symptoms lasted about 5 days. After the swelling went down, I continued with body aches, fever and cough. I tested negative for COVID on the 30th. My husband tested positive on the 3rd and my job advised me to test again on the 5th and I was positive. Around the 10th, until 2 or 3 days ago, I've had SOB with exhaustion and brain fog. Three days ago, I had a tele appt with and received antibiotics. I now have sinus infection, secondary to COVID.

Other Meds:

Current Illness: I think I had something else was brewing before I had the vaccine. I ended up testing positive for COVID 1/5/21.

ID: 0961635
Sex: F
Age: 57
State: VA

Vax Date: 01/07/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: on day # 6 after 1st dose developed enlarged lymph near clavicle, tender, large and warm to touch

Other Meds: hormone replacement therapy, vitamin D, fish oil

Current Illness: none

ID: 0961636
Sex: F
Age: 51
State: PA

Vax Date: 01/06/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Approximately two weeks post-vaccination, developed slightly raised, red itchy patch around the injection site. Patch is about the size of a half-dollar or larger, and warm to the touch.

Other Meds: Levothyroxine 75, QVAR 85, escitalopram 20, bupropion hcl xl 150, cetirizine, albuterol PRN

Current Illness: N/A

ID: 0961637
Sex: F
Age: 36
State: CA

Vax Date: 01/14/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Nkda

Symptom List:

Symptoms: Tender left axillary lymph node Vertigo

Other Meds: Nuva ring

Current Illness: None

ID: 0961638
Sex: F
Age: 47
State:

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 1/19/2021: 8 days after her 1st vaccine started to have red, raised/hives, warm, raised (1.5 inches) arm. Took benadryl, topical steriods, and advil. It is getting worse now, 2 inches, warm, raised. Today started to have headache.

Other Meds:

Current Illness:

ID: 0961639
Sex: F
Age: 23
State: OH

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: On 12/30/2020, I experienced extreme abdominal pain and cramping, diarrhea that resulted in syncope, severe fatigue, injection site pain and swelling, nausea, dizziness, lethargy, apathy. These symptoms lasted for over a week. The only syncope episode was the morning after the vaccine.

Other Meds: Trintellix 20mg Birth control (Sprintec dose pack) Trazodone 75mg Ferrous Sulfate 325mg Thiamine 50mg Miralax 17g

Current Illness: None

ID: 0961640
Sex: F
Age: 89
State: NM

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 0961641
Sex: F
Age: 58
State: AZ

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Da of Vaccine-1/11/21-at about 7:00 pm in the evening employee started having nausea, left arm (vaccine arm) pain, all left side pain and numbness down to left foot, fever 99-100, diarrhea, joint soreness, stomach cramps. Day 2-1/12/21-headache, diarrhea, left side all felt heavy, left arm remained sore and limited ROM in left arm. Day 3-1/13/21-Mild diarrhea only and on Day 4 1/14/21-nothing, all symptoms gone.

Other Meds:

Current Illness:

ID: 0961642
Sex: F
Age: 70
State: FL

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: First day after the shot my arm was a bit sore and I had a slight headache that went away in a few days. Nine days later in the evening my arm swelled beneath the site of the shot and became feverish, swollen and hard. I had no bodily fever. I took some benedryl after about an hour, but that did not help. The next morning the arm looked and felt the same with a persistent dull ache and in addition to the redness on top of the arm underneath was also red and I have a small lump on my bicep. I also woke with a headache and took ibuprofen. That helped to relieve the hard swelling in the arm. I saw a physician at my provider's office who instructed me to monitor it and if it worsens to return. I am due to have a booster on 2/9/21, but a bit reluctant at this moment.

Other Meds: Fosteum Plus Raloxifene Calcium supplement

Current Illness: None

ID: 0961643
Sex: F
Age: 48
State: GA

Vax Date: 12/24/2020
Onset Date: 12/28/2020
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Days 5-6 after had low grade fever (99.4) resolved with 500mg acetaminophen. Day 7 after had joint pain and swelling, worst in knees to cause trouble walking and bending legs gradually resolved with meloxicam over 5 days.

Other Meds: Atenolol, hydrochlorothiazide, cetirizine, famotidine, diphenoxylate/atropine, cholecalciferol

Current Illness: None

ID: 0961644
Sex: F
Age: 37
State: AL

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Patient was in the 15 minute post vaccination waiting area of drive-thru Covid 19 vaccination clinic and began to have symptoms of intense, uncontrollable, systemic itching, hives and wheezing. Patient given epinephrine injection 0.3mg IM @ 1:14 PM per protocol. Emergency Management System (EMS) notified and responded @ 1:14 PM. Vital Signs per EMS staff were blood pressure 130/86, pulse 110, Respirations 16, Oxygen saturation 100%. Patient transported to Hospital Emergency Department at 1:18 PM via EMS ambulance.

Other Meds: Unknown

Current Illness: Unknown

ID: 0961645
Sex: F
Age: 69
State: NC

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Codeine,Cortisone, Iodine, Nut (hives), Sulindac (rash),

Symptom List:

Symptoms: 74.7kg 69 yo WF with PMH: rheumatoid arthritis, hypothyroidism, fibromyalgia, Sjogrens Syndrome, hyperlipidemia and OSA presented to clinic for Moderna Covid19 vaccination. Patient has multiple allergies. Patient was given 0.5ml dose IM in left deltoid at ~1000. (Lot # 013L20A) Within ~30 seconds, patient complained of oral burning, chest burning 9/10, chest tightness, SOB, flushing and difficulty breathing. Patient complained of palpitations. EKG performed with no significant findings. Treated with aspirin 81mg x 4 at 1025. Described symptoms as similar to those she had in the past when exposed to seafood. Note that BP seemed unstable. EMS called to transfer to ED for rule out ACS.

Other Meds: Acetaminophen po prn Albuterol prn Alprazolam 0.25mg nightly

Current Illness: Recent fall

ID: 0961646
Sex: F
Age: 58
State: MO

Vax Date: 01/06/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: 01/15/2021 9:15AM CALL FROM CLIENT AND REPORTS ON 1/11/21 FELT LIKE HER TONGE WAS NUMB. ON 1/13/21 BOTTOM RIGHT LIP WAS NUMB. ON 1/15/21 TOP RIGHT LIP WAS NUMB AND DROOPING.. DENIED ANY OTHER ADVERSE EFFECTS. INSTRUCTED TO CALL PCP FOR EVEALUATION. TO GO TO ED OR CALL 911 AS NEEDED. CLIENT VERBALIZED UNDERSTANDING. 1/19/21 SPOKE TO CLIENT AND REPORTS CONTINUES TO HAVE NUMBNESS AND NOW HAS TENDER SWOLLEN RIGHT EAR . REPORTS HAS NOT SEEN PCP. ENCOURAGED TO CALL TODAY. TO GO TO ED OR CALL 911 AS NEEDED. CLIENT VERBALIZED UNDERSTANDING. 1/20/21 CALL TO CLIENT TO SEE HOW SHE IS DOING AND SEE IF WAS SEEN BY PCP. LEFT VOICEMAIL TO CALL ME BACK. 1/21/21 CALL TO CLIENT. REPORTS SHE DID CALL PCP AND WAS TOLD IF SYMPTOMS DO NOT IMPROVE OR GET WORSE TO CALL BACK. CLIENT REPORTS SINCE THE EVENING OF 1/19/21 SYMTOMS ARE IMPROVING. TO GO TO ED OR CALL 911 AS NEEDED. CLIENT VERBALIZED UNDERSTANDING.

Other Meds: METTOPROLOL MULTI-VITAMIN ZINC TUMERIC

Current Illness: NO

ID: 0961647
Sex: F
Age: 50
State: MO

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/21/2021
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Allergies: Sulfa/Oranges/clams

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Symptoms: Nausea next morning, Then developed a headache in back of head that lasted several days, went to urgent care on 1/16/2221 due to headache still there. Was treated and sent home, headache continued until 01/19/21. Second shot given on 01/20/21, resulted in fatigue, and headache returning after injection.

Other Meds: Singular, Xyzal, Bupropin 150,

Current Illness:

ID: 0961648
Sex: F
Age: 48
State: SC

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
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Allergies: Dust, Mold

Symptom List:

Symptoms: Flushing accompanied by redness started about 25 minutes after shot while driving home. Chest heaviness without SOB or difficulty swallowing. Itching began starting with face then neck, chest and torso. Itching then spread to the whole body with a patina rash appearing on the face, neck and chest a few hours later. Immediately took dose of liquid Benedryl upon arriving home. Followed up by dose of Zyrtec. Continued monitoring sxs throughout the evening. Took additional 2 doses of Benedryl with a dose of Singular. Sxs severity lessoned though the night and into the next day. Mild itching and a few patches of the rash remained the next day 1/20/21. Continued taking antihistamine and allergy medication. All sxs have resolved as of 1/21/21

Other Meds: Tirosint, Lisinopril, Adderall, Rosuvastatin, Pantoprazole, Excedrin, Flonase, Zyrtec, Singular, Ipratropium bromide

Current Illness: Hashimotos flare up

ID: 0961649
Sex: F
Age: 79
State: NC

Vax Date: 01/12/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
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Allergies: none

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Symptoms: upon arising on 1/21 c/o redness, soreness and swelling measuring 1.5 in. x 2 in. Denies any symptoms following vaccination until 1/21.

Other Meds:

Current Illness: none

ID: 0961650
Sex: F
Age: 57
State: NJ

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
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Allergies: Penicillin (rash)

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Symptoms: Vaccine recipient reported on 1/19/2021 that she developed itching, swelling, discomfort and a large welt at the injection site on her left arm. She went to occupational health and reported that the affected area was (9 cm x 7 cm, raised, and warm to touch). She reported that the provider told her it was a possible cellulitis. The occupational health provider wrote a prescription for doxycycline and allergy medication. She has a follow up appointment on 1/27/2021.

Other Meds: melatonin

Current Illness: None

ID: 0961651
Sex: F
Age: 35
State: NY

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
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Allergies: None

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Symptoms: First 36 hours: arm soreness, fatigue; one ibuprofen taken; symptoms went away on its own in 36 hours. 5 days after: pain/swollen lymph node in left armpit; no treatment. 7 days after: lymph node pain still present, new symptom of half-dollar sized red and raised rash-like reaction at injection site; utilized hydrocortisone for slight itch. Day 8: node pain still present, injection site redness no longer raised, not as red, but quadrupled in size down the arm; virtual doctor visit indicated no sign of infection, known reaction to vaccine that will go away in a few days; no treatment. Day 10: node pain and redness 85% gone; no treatment.

Other Meds: None

Current Illness: None

ID: 0961652
Sex: M
Age: 63
State: NJ

Vax Date: 01/08/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
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Allergies: Shellfish and Iodine

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Symptoms: I am a nurse practitioner working in acute health care. Have always been asymptomatic and remain asymptomatic to date. COVID 19 negative 9/8/20 but tested C19+ yesterday in anticipation of having a dermatological procedure tomorrow. Learned that 3 other employees tested + to C19 after receiving Moderna vaccination. Will remain in quarantine for 10 days and self observe for symptoms.

Other Meds: Losartan 25 mg po qhs Lipitor 10 mg po qhs Melantoin 2.5 mg po qhs Tylenol 1 gram po qhs Ambien 5 mg po qhs Macuhealth one capsule daily Daily multivitamin Calcium/vitamin D supplement 3x/week Fish oil 1200 mg 3x/week

Current Illness: none

ID: 0961653
Sex: F
Age: 34
State: NY

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
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Symptoms: During vaccination it appears we had a faulty syringe-- A droplet of vaccine came out from the hub of the syringe resulting in the patient not receiving the full dose. Moderna did not have a recommendation other than contacting the syringe company.

Other Meds:

Current Illness:

ID: 0961654
Sex: F
Age: 48
State: NY

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
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Allergies: demerol-vomiting Sulfa-rash

Symptom List:

Symptoms: Patient developed a rash 7 days after first dose. Rash present on stomach, back groin, anus, hands

Other Meds: Duloxetine, lorazepam, metoprolol, omeprazole

Current Illness: none

ID: 0961655
Sex: F
Age: 43
State: TX

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
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Allergies: Iodine

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Symptoms: pt called at 18:30 reporting redness and pain to right arm. Received Benadryl. She called back and said the redness had spread to entire body. Advised to go to the ED.

Other Meds:

Current Illness:

ID: 0961656
Sex: F
Age: 56
State: OH

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
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Symptoms: Site: Redness at Injection Site-Mild, Systemic: Generalized Body Aches -Mild, Systemic: Fainting-Mild, Systemic: Patient felt faint then had an overall body flushing sensation, quickly went away shortly after vaccination-Mild

Other Meds:

Current Illness:

ID: 0961657
Sex: M
Age: 64
State: MD

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
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Allergies: Tramadol, Niacin

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Symptoms: Loss of taste, generalized Bodyaches, Dizziness, Nausea, Chills and Congestion

Other Meds: Fluticason/Vilant Inhaler, Tiotropium Inhaler, Albuterol Inhaler, Rosuvastatin, Lotrel, Montelukast, Fexofenadine, ASA

Current Illness: No acute illnesses

ID: 0961658
Sex: F
Age: 63
State: PA

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
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Allergies: Cats, dust, gluten.

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Symptoms: This patient received her first dose of Covid 19 vaccine by Moderna on January 12 at the pharmacy. She tolerated it well. She had a sore right arm at the site of injection for about 2 days. Soon thereafter she developed some right lateral neck pain for several days that required Advil. It was hard to turn her head. That got better. On January 20 in the evening, she noted pain and achiness in the right deltoid at the site of her shot. It was pink allover and slightly swollen and mildly warm. Today, the swelling was slightly more and the redness slightly more. She asked to see me, her PCP, although I did not give the vaccine. She denies any fever, chills, sweats. She has no systemic achiness. She has pain at the site, even if not touched. It is slightly warm to touch. Today the erythema has slightly progressed since yesterday when she marked it with a pen. She has not taken any antipyretics for several days. She has no rash elsewhere on the body. The erythema is 5 x 8 cm and oval in shape. She also has some small right axillary lymphadenopathy. There are no other lesions on the right upper extremity.

Other Meds: Aspirin, calcium, multivitamin, gabapentin, Prolia, Synthroid, vitamin B12.

Current Illness: None.

ID: 0961659
Sex: F
Age: 27
State: PA

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
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Allergies: n/a

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Symptoms: -Pt is an employee in dental. -Reporting reaction at site of vaccine (left deltoid). -Received vaccine 1/8/2021 (Moderna). -No rxn at time of vaccine, was observed. -Presented TODAY (7 days later) 1/15/2021 while at work for rash at injection site and on her face and neck. -Pt denies itchy throat, difficulty swallowing, shortness of breath, chest pain, n/v, abdominal pain, fevers, chills, numbness/tingling. -Denies allergies to food, meds, seasonal allergies. -Denise hx of allergic rxns. -Denies hx of anaphylaxis reactions. -Of note pt also has asthma. Reports she has not seen PCP about it in awhile. -She is using her albuterol inhaler 4x/day. Some dyspnea on exertion. -Not on controller inhaler. -No cough, wheezing, shortness of breath at rest. -Not taking any other medications besides albuterol inhaler. -Pt with itchy rash at site of injection and on face. -Pt without signs of anaphylaxis. -Denies respiratory symptoms. -Gave pt 25mg Benadryl PO. -Observed pt for 1 hour. -Vitals normal besides elevated HR - likely due to reaction/anxiety about situation. -Pt's rash diminished and she was less itchy ~10 minutes after Benadryl. -No worsening of symptoms during observation. -Pt discharged after 1 hour. -Will f/up with patient (she is employee) later today. -ED precautions given.

Other Meds: -Ventolin inhaler

Current Illness: n/a

ID: 0961660
Sex: F
Age: 75
State: GA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
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Allergies: grass allergies= hayfever

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Symptoms: Dizziness that began the morning after the vaccine was taken.

Other Meds: ATORVASTATIN CALCIUM 10 MG; LOSARTAN POTASSIUM 50 MG; m,ultivitamins, zinc 30 mg; calcium w/ vitamin D3; magnesium 500 mg, glucosamine chondroitin

Current Illness: none

ID: 0961661
Sex: M
Age: 35
State: TX

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
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Allergies: PENICILLIN

Symptom List:

Symptoms: FATIGUE, BODY ACHES, HEADACHE, FEVER

Other Meds: NA

Current Illness: NO

ID: 0961663
Sex: F
Age: 74
State: AZ

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
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Allergies: Contrast, Flagyl, Doxycycline, Amlodipine, Lisinopril, Ketotifen, Valsartan, Hydrochlorothiazide

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Symptoms: 30 minutes after immunization, patient complained of "fat tongue", swelling feeling to left side of tongue, scratchy throat-"strep like feeling", and metallic taste, described as nail polish remover taste. 50 mg po was administered and MOD contacted, pt was monitored for 20 minutes at which time patient stated symptoms had improved and was feeling fine. Patient was kept another 30 minutes before patient left. At time of discharge patient stated was feeling drowsy from Benadryl but was doing well otherwise.

Other Meds:

Current Illness:

ID: 0961664
Sex: F
Age: 50
State: IN

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/21/2021
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Allergies: none

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Symptoms: I had headache, dizziness, body aches, vomiting, joint pain. I have to take the day off of work after my first and my second vaccine. I rotated ibuprofen and Tylenol. The first vaccine reaction lasted about 36 hours. The second is going on 48 hours.

Other Meds: Mesalamine, omprazole, levothyroxine, citalopram

Current Illness:

ID: 0961665
Sex: F
Age: 56
State: TN

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
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Allergies: No known allergies

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Symptoms: Patient received Moderna on 1/11/2021 and developed a rash on 01/13/2021. According to the patient, the rash was about the size of an egg and hot to the touch. She had an appointment on 01/20/2021 with the APN for another medical matter and asked her to look at the rash around the injection site which according to the patient, was now a raised area about the size of her hand and still warm to the touch. The APN diagnosed the site as cellulitis and prescribed Keflex.

Other Meds: unknown

Current Illness:

ID: 0961666
Sex: F
Age: 62
State: GA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
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Allergies: patient had no known allergies

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Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 559,999

Page last modified: 03 October 2021 5:28pm