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: 1112525
Sex: F
Age: 26
State: VA

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: A minor dairy intolerance.

Symptom List:

Symptoms: Developed a large, itchy rash on my left arm on the 17th. It covers the majority of my bicep and is hot to the touch. It is painful to the touch and hot. It has continued until the 18th. Additionally, I started menstruating suddenly on the 18th of March.

Other Meds: I take Sprintec continuously for 3 months before taking the placebo. Was on the last week of first month. B-12 spray supplement.

Current Illness: N/A

ID: 1112526
Sex: F
Age: 71
State: GA

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/18/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: While training a student, the student administered a vaccine to a couple (husband and wife). After administering the vaccine the student completed the vaccine card for the couple. The first dose on the vaccine card stated "Pfizer vaccine" given on 02/10/2021, and the student told them they would be receiving the second dose of Pfizer vaccine, they agreed. The consent form that was completed showed they were there for the second dose. After vaccines were administered, when entering vaccines into computer, it was noted that their first vaccine was Moderna. Meaning, they received Moderna as the first vaccine and they received Pfizer as the second dose.

Other Meds:

Current Illness:

ID: 1112527
Sex: F
Age: 72
State: MI

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Levofloxacin, Meclizine (oral), Effexor pill, Benadryl, Aciphex DR, Fluconazole, Cod Liver Oil

Symptom List:

Symptoms: Very smelly gas followed by diarrhea/loose stools for 2 days.

Other Meds: Vitamin B complex, Flaxseed Oil, Potassium, Lutein, Multivitamin, Green Papaya, CBD Oil,

Current Illness:

ID: 1112528
Sex: F
Age: 56
State: TX

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: NKDFA

Symptom List:

Symptoms: Severe intractable nausea vomiting, aches pains, fever of 102 F day after vaccination, went to ER after a few days due to dehydration

Other Meds: Synthroid

Current Illness: none

ID: 1112529
Sex: F
Age: 64
State: CA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: 64 yo female with PMHx of HTN, DM2, CAD, reactive airway disease Complains of sudden onset of left sided facial numbness and "room spinning" dizziness that started ~ 20 mins ago after receiving her first covid vaccine. Dizziness worse when looking to the right. +nausea Took all her medications this morning. No extremity weakness or numbness, no slurred speech, no headache. No chest pain, no SOB. No rash, no wheezing. O: BP 190s/60s HR wnl SpO2 wnl Subjectively decreased sensation to left face. Otherwise negative stroke assessment. Vertiginous symptoms provoked with EOM to the right. No slurred speech. Normal facial movement, no paralysis. Normal finger to nose. A/P: Needs eval in ED, EMS called

Other Meds: Insulin NPH Human (HumuLIN N NPH U-100 Insulin) 100 unit/mL SubQ Susp buPROPion (WELLBUTRIN XL) 300 mg Oral 24hr XL Tab syringe-needle,insulin,0.5 mL (BD Veo Insulin Syringe UF) 1/2 mL 31 gauge x 15/64" Misc Syringe Carvedilol (COREG)

Current Illness: none

ID: 1112530
Sex: F
Age: 56
State: PA

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Approximately 30 minutes after my injection I experienced tinnitus. It is very loud and has not stopped since the vaccine.

Other Meds: None

Current Illness: None

ID: 1112531
Sex: M
Age: 77
State: NJ

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: since morning today all my fingertips felt numb and frozen. not able to button my shirt. went back to normal after 6 hours. very scary no treatment done-just warmed up with mittens and gloves, but why did this happen. what should i do if it happens again?

Other Meds: metoprolol-50mg metformin-1000mg gabapentin-800mg lisinopril/hctz-20-25mg glimepiride-1mg ropinirole-1mg

Current Illness: none

ID: 1112532
Sex: F
Age: 60
State:

Vax Date: 03/08/2021
Onset Date: 03/15/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: PCN allergy

Symptom List:

Symptoms: Week after receiving vaccine: Extreme bout of dizziness Aggravated existing tinnitus (left ear only) Appeared to be further hearing loss in left ear Sensations in face

Other Meds: Restasis; Vitamin D

Current Illness:

ID: 1112533
Sex: F
Age: 61
State: CA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: C/O of difficulty to swallow saliva and throat dryness after covid -9 vaccine. Vitals taken: B/P 140/80, P79, R18, Ox 98% RA Doctor checked pt's mouth, no swelling. 10 minutes after pt states "I can fee my tongue now, feel better." Pt was observe for 30 more minutes. Pt was rechecked and vitals taken: B/P 138/85, P77. Pt discharged home in stable condition.

Other Meds:

Current Illness:

ID: 1112534
Sex: F
Age: 43
State: GA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Conch, hydrocodone or codine

Symptom List:

Symptoms: Day off and day following-soreness at vaccination site, exhaustion, inability to concentrate, muscle/joint aches. Day after was chilled, confirmed slight fever 99.89 in early evening.

Other Meds: DIM, Tumeric, Krill fish oil, BComplex, Prenatal multivitamin, Zinc, Chromium?

Current Illness: No

ID: 1112535
Sex: F
Age: 42
State: IL

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Errhomyacin

Symptom List:

Symptoms: Fever of 103.5 for several hours. Chills, body aches, nausea and diarrhea

Other Meds: Buspar Vistaril

Current Illness: None

ID: 1112536
Sex: M
Age: 70
State: MN

Vax Date: 03/16/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Shingrix vaccine, Cephalosporins. Both resulted in extensive hives.

Symptom List:

Symptoms: Severe fatigue, severe muscle aches, severe to moderate periodic itching\ pin prick sensations especially in palms of hands, soles of feet, and occasionally elsewhere on my body (e.g., inner ear, trunk, arms). The muscle aches and pin prick sensations have awakened me repeatedly for the past two nights, resulting in poor sleep. After 2 1/2 days, the fatigue and muscle aches are mostly gone, but the itching\pin prick sensations (somewhat like the sensations one gets with a case of shingles, which I had once 25+ years ago, or when warming extremities after being exposed to extreme cold) are still intermittently present.

Other Meds: Tamsulosin 0.8 mg, Finasteride 5 mg, Meloxicam 15 mg, Men's 45+ Multi-Vitamin one tablet, Lutein 20 mg, ReliefBiotic IB one capsule, Melatonin 2 mg.

Current Illness: None.

ID: 1112537
Sex: M
Age: 58
State: CA

Vax Date: 02/09/2021
Onset Date: 02/12/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Arthritis flare up all joints worse in hands and joints

Other Meds: Metformin, Victoza, Meloxicam, Benicar

Current Illness: Arthritis

ID: 1112538
Sex: M
Age: 62
State: MI

Vax Date: 03/13/2021
Onset Date: 03/15/2021
Rec V Date: 03/18/2021
Hospital: Y

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

Lab Data:

Allergies: Bee stings

Symptom List:

Symptoms: Left side of face pain and swelling, under jaw and ear pain, tongue pain. Difficulty swallowing and speaking. This continues after four days!

Other Meds: prozac, Norvasc, Lyrica

Current Illness:

ID: 1112539
Sex: F
Age: 47
State: AZ

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Tramol Imitrix

Symptom List:

Symptoms: Rash, itchiness, fever, chills, fatigue.

Other Meds: None

Current Illness: Migraines

ID: 1112540
Sex: F
Age: 53
State: TX

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: The injection site swollen about 2 1/2 inches in diameter (redness, hardness and itchy). As of 3/18/21 it is still a bit red, but has went down significantly. Severely swollen lymph nodes in right arm pit. I did not notice any swelling until Friday, 3/12/21 around 4:30 pm and by Saturday morning the swelling had spread tremendously. As of 3/18/21, the swelling has gone down significantly. Since there was no place to report this, I wanted to let you know that I tested positive for COVID19 on October 9, 2020

Other Meds: Vitamin D supplement 50mcg (2,000 IU) Took Naproxen Sodium Tablets after vaccine injection

Current Illness: no

ID: 1112541
Sex: F
Age: 64
State: TX

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Cipro, Levaquin, Sulpha, Bactrim, Stadol Garlic, bell peppers, shellfish Intollerant to several foods that cause me migraines: dairy, nuts, citric fruits, several fruits and vegetables. Molds, animal hairs (several animals), grasses, ragweed

Symptom List:

Symptoms: As soon as I walk 5 steps from the vaccination station everything became black and I got very dizzy. I sat immediately because I felt I was about to faint. I waited 20 min for the dizziness to diminish and was able to walk by myself. My vision was blurry and felt my eyes were moving rapidly side to side. My husband drove me home because I still fell too dizzy to drive back home. The dizziness continued the day of the 2nd dose administration and got less bothersome if I stayed in bed. The following day the dizziness was much less but I still stayed in bed. Monday March 15 I also experienced dizziness and stayed in bed. Since the first dose on Feb 09, 21 I have felt tired and not always being able to complete my physical therapy routine. The tiredness is not every day. It comes and goes.

Other Meds: Omeprazol Ca/Mg/Zinc B-complex

Current Illness: Recovering from surgery repairing complete avulsion of right hamstring in Sept 2020.

ID: 1112542
Sex: F
Age: 48
State: VA

Vax Date: 03/09/2021
Onset Date: 03/16/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: One week after the vaccine: Large, red welt on my left arm at the injection site that is very itchy. I'm tired, a little loopy, achy and just generally not feeling that great.

Other Meds: Zolpidem as needed Valtrex as needed Daily probiotics

Current Illness: None

ID: 1112543
Sex: F
Age: 63
State: KY

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Levaquin, Cipro, Erythromycin, Tetracycline, Sulfa, Tea, Iodine I have done research recently and believe I am allergic to polyethethylene glycol

Symptom List:

Symptoms: Three hours after receiving the pfizer vaccine i woke from a nap with a swollen tongue . later I had one hive. The tongue swelling resolved on its own an hour later

Other Meds: Rybelsus, Pravastatin Sodium, Glipizide, Omesartan Medoxomil, Metformin ER, Buspirone, Aspirin, Co Q 10

Current Illness: none

ID: 1112544
Sex: M
Age: 65
State: CA

Vax Date: 02/23/2021
Onset Date: 03/09/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: STRONG PAIN IN AREA OF INJECTION FOR OVER THREE WEEKS

Other Meds: NORCO OR TRAMADOL

Current Illness:

Date Died: 03/10/2021

ID: 1112545
Sex: M
Age: 89
State: CA

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Not known

Symptom List:

Symptoms: Information not known to me. Information learned as Dr. provided Complication from COVID Vaccination as Cause of Death on Death Certificate. Decedent died at home and he went to the funeral home. He did not come to Coroner. However, cause of death reported to Coroner and how we learned. I am reporting it but have no particular information specific to vaccination.

Other Meds: Not known

Current Illness: Not known

ID: 1112546
Sex: F
Age: 55
State: MN

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Percodan Sulfa

Symptom List:

Symptoms: Starting about 8:30pm on 3/13/21 I started with all over body aches. Took a couple of Tylenol and tried to sleep. In the morning around 7 am took 2 more Tylenol. I continued to have sore throat and cough. By Tuesday the 16th the body aches were gone but I could hardly swallow and coughing a lot so I checked online and they said I should be checked for strep throat. Went everyday care and test was negative. They could see how raw my throat was and starting of ear infection and cough so they gave me a RX for antibiotic and cough meds.

Other Meds: Alendronate Sodium Synthroid Methotrexate Enbrel Folic acid Multi vitamin Collagen complex dietary supplement Citalopram

Current Illness: Sore throat Cough

ID: 1112547
Sex: F
Age: 58
State: TX

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: 1800 59 years old female with a history of hypertension, obesity received in post vaccination observation with complaint of mild SOB and dizziness. Patient took of mask for a few seconds and felt better. Symptoms resolved in less than five minutes. 1830 Patient denies any further symptoms. Able to ambulate with no problems. V/S BP 159/99 HR 75 RR16

Other Meds: Metoprolol

Current Illness: None

ID: 1112548
Sex: M
Age: 48
State: NY

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Extreme skin dryness on hands

Other Meds: TAMOXIFEN

Current Illness:

ID: 1112549
Sex: F
Age: 63
State: MI

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Toradol

Symptom List:

Symptoms: Immediate taste in mouth. Rash on neck and face. Slight throat swelling, slight difficulty swallowing. Very faint dizziness, fatigue.

Other Meds: Thyroid NP 12mcg; multivitamin, Vitamin D, Vitamin C

Current Illness: None

ID: 1112550
Sex: F
Age: 70
State: FL

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: I'm very allergic to formaldehyde - which is in masks so I'm allergic to masks; latex; nickel; Levaquin - antibiotic which makes me vomit.

Symptom List:

Symptoms: Red; swollen; heat - and some itchiness but not as itchy as first time. It resolved in 5 days.

Other Meds: Synthroid; Spironolactone; Doxycycline; two calcium/magnesium; a multivitamin - women's ; melatonin; Gabapentin -at night; nerve pain for spinal surgery I had; Glucosamine with Vit D - for joints

Current Illness: no

ID: 1112551
Sex: M
Age: 26
State:

Vax Date: 03/15/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: vaccine reaction. Recieved Jansen COVAX Monday, since has had bodyaches, HA, "feels foggy", runny nose. requesting quarters to rest. 26 yo M, no known chronic medical conditions, p/w malaise, frontal HA, myalgias, mildly runny nose, occasional dry cough that started 12h after receiving J&J COVID vaccine on Monday. No changes to sx since initial onset. Came to ED for quarters. No SOB, CP, LH, n/v/d, abd pain, dysuria, hematuria, or any other sx.

Other Meds: UNK

Current Illness: N/A

ID: 1112552
Sex: F
Age: 17
State:

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Syncope episode after vaccine was administered.

Other Meds:

Current Illness:

ID: 1112553
Sex: M
Age: 32
State:

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: covid vaccine reaction. Recieved Jansen COVAX Yesterday now with HA, Bodyaches, sore throat, tired, sluggish, rigors and chills, requesting quarters. 32 yo M w/ no known chronic medical conditions, presents w/ FLS that started shortly after receiving J&J vaccine, as above. VS w/o acute abn. Well-appearing, NAD.

Other Meds: UNK

Current Illness: N/A

ID: 1112554
Sex: F
Age: 61
State: SC

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient said her fingers started tingling immediately then spread up her arms. Also noted her throat felt itchy and swollen ("lump in my throat")

Other Meds:

Current Illness:

ID: 1112555
Sex: F
Age: 49
State: TX

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Small blister- like rash around my right eye. It has been there since approximately 10 days after I received the 2nd dose of my vaccine

Other Meds: Adderall 20 mg

Current Illness: None known

ID: 1112556
Sex: F
Age: 70
State: CA

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Today I started to have a bad stomach ache and thought I was having indigestion. Thean I had loose bowels. This continued and got worse. This started around 11 a.m. Around 3 p.m. I felt dizzy and faint and nearly passed out. I was very weak. I had to lie down. I still feel weak and dizzy and it is now 4 pm but I feel a little better. My stomach is still gurgling

Other Meds: Lisinopril 10 mg, Atorvastatin 10 mg, gabapentin, low dose aspirin

Current Illness: stomach problems, possible enflamed apendix

ID: 1112557
Sex: F
Age: 68
State: FL

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Dolor de cabeza, dolor articular, dolor muscular, ojos vidriosos, fatiga, cansancio, mareo.

Other Meds: Multivitaminas, calcio 1200 mg, magnesio, vitamina c 1000 mg, vitamina D 125 mcg, , Ostio Bio Flex, Hair Skin Nails.

Current Illness: No

ID: 1112558
Sex: F
Age: 73
State: CA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: lanolin, latex, cashew, pistachio,

Symptom List:

Symptoms: I saw the buildings around me tilt as I walked away from vaccination site, 3 minutes after waiting 15 minutes. I called ou tto people near me that I was fainting, so they grabbed my arm. I supported myself on teh building, which was 3 feet away. The sensation of a tipsy world left immediately. But they still called a nurse, who wheeled me in to the vaccination site to take vital signs.

Other Meds: calcium, vitamin d

Current Illness:

ID: 1112559
Sex: F
Age: 37
State:

Vax Date: 03/10/2021
Onset Date: 03/15/2021
Rec V Date: 03/18/2021
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Allergies: Nifedipine, Labetalol, Calcium channel blockers

Symptom List:

Symptoms: dizzness. c/o stomach pain, n/, dizziness, hot, and chills x3days. states recently started new meds (Propranolol and Sumatriptan) since last Thu. hadvaccine last Wed. CHIEF COMPLAINT & HPI: 37 yo F with intermittent epigastric pain with mild nausea. no vomiting. no fever/chills. no diarrhea. no dysuria/hematuria. no cp/sob.

Other Meds: UNK

Current Illness: Hypertension (HTN) . Headaches & Migraines (HA)

ID: 1112560
Sex: F
Age: 33
State: NM

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 03/18/2021
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Allergies: Bananas Apples Several types of trees and grass Dust Certain soaps - very sensitive skin

Symptom List:

Symptoms: About 10 min later, I got up to use the bathroom and I was stumbling b/c I was so dizzy. I was sent back to work and eventually sent home for sever dizziness. I was also sent home Sunday and then severe chills along with dizziness and severe fatigue. I literally laid in bed for days after the shot b/c I felt like I was about to throw up when I moved. I ended up being diagnosed with Bell's Palsy. The side of my face was drooping. My doctor is saying that I ended up with positive Hep C results, which he thinks if false and due to the Bell's Palsy from the vaccine. I am still having issues. I still have days where the right side of my face will numb and droop. I was told it could take up to 6 months to heal or it could be permanent.

Other Meds: Metformin - 1000mg - each day Levothyroxine - 50mcg - each Fish Oil Cinnamon Women's Multivitamin Propanidid NRF2 - 1x day

Current Illness:

ID: 1112561
Sex: M
Age: 28
State:

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
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Allergies: NKA

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Symptoms: chest pain. Chest Pain since 0900, started while at rest, radiating across chest lasting a couple minutes, describes as aching, deep breath makes it worse, reports feeling warm; reports CP at this time; alleve taken around 0915.

Other Meds: UNK

Current Illness: N/A

ID: 1112562
Sex: F
Age: 57
State: CA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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Allergies: NKA

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Symptoms: 3:07 pm, Client went to stand and leave the recovery area after completing 15 minutes stay, c/o LA to neck discomfort/soreness. AAOx4, NAD, vss, no redness/swelling or skin color changes to neck region. Remained in recovery for additional 15 minutes, monitored, felt better, no progression of symptoms, dc from recovery @ 3:30 pm

Other Meds: BP Medications

Current Illness: None

ID: 1112563
Sex: F
Age: 28
State: IA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
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Allergies: Bounce dryer sheets, imitrex, amoxicillin

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Symptoms: Fever, well over 101 Chills Body aches Headache Swelling in neck/chin Stomach issues

Other Meds: Zyrtec, multi vitamin, probiotic, singulair

Current Illness: None

ID: 1112564
Sex: F
Age: 37
State: IN

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/18/2021
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Allergies: Gluten due to Celiac Disease

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Symptoms: After second dose, tiredness, achy body, and headaches 6 hours later. All day day after headache and body aches continued. Evening of second day fever and chills through the night. Aches and headache was present when I woke the second morning after the shot, and were completely gone by 5pm the second day after shot.

Other Meds: Zoloft, multivitamin, omega-3, vitamin D, and vitamin B

Current Illness: None

ID: 1112565
Sex: F
Age: 53
State: MI

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 03/18/2021
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Allergies: none

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Symptoms: Nausea, vomiting, diarrhea, chills, rectal bleeding - all started on the afternoon of March 14, 2021 fairly suddenly around 5:30pm. Still had some rectal bleeding and nausea on March 15th, contacted my doctor and she said it could be from the vaccine and that maybe the vomiting and diarrhea had burst a internal hemorrhoid and to make an appointment if it continued. Still had more rectal bleeding on March 18th so contacted my doctor's office and they saw me and did an exam. They referred me to a colon rectal specialist and I have an appointment with them on March 25th. My doctor recommended that I report this situation as an adverse event.

Other Meds: Ezetimibe, Refresh Tears, Allegra, Multi- viatamin

Current Illness: none

ID: 1112566
Sex: F
Age: 29
State:

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
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Allergies: NKA

Symptom List:

Symptoms: fever,vomiting. Got J&J vaccine yesterday @1400. Sx started since this morning. C/O cold sweats, headache and n/v. vomit x2 this morning. No blood in vomit. Had L temporal headache but not at this moment. No visual changes or dizziness. Not took medication.History: pt had J&J COVID-19 vaccine yesterday and started feeling sick this morning, with some muscle aches, intermittent headache, vomit x 2 this morning, and slight cough this morning (which stopped afterwards), here for eval. Pt was doing ok before the vaccine and lives off-post and denies recent COVID-19 hotspot visit or sick contact. No neck stiffness, runny nose, ear pain, sore throat, visual deterioration, chest/abdominal pain, diarrhea/constipation, History: pt had J&J COVID-19 vaccine yesterday and started feeling sick this morning, with some muscle aches, intermittent headache, vomit x 2 this morning, and slight cough this morning (which stopped afterwards), here for eval. Pt was doing ok before the vaccine and lives off-post and denies recent COVID-19 hotspot visit or sick contact. No neck stiffness, runny nose, ear pain, sore throat, visual deterioration, chest/abdominal pain, diarrhea/constipation, vaginal bleed/discharge, rash, prior surgery, prior co-morbidities. Has had implanted contraceptive since before 11/2020.

Other Meds: UNK

Current Illness: N/A

ID: 1112567
Sex: M
Age: 47
State: CA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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Symptoms: Pt with prior vasovagal reactions to blood draws had syncopal episode and noted to be hypotensive shortly thereafter. placed in trendelenberg, recovered to baseline shortly thereafter.

Other Meds:

Current Illness:

ID: 1112568
Sex: F
Age: 40
State: IN

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/18/2021
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Symptoms: Injection area has swollen area. Feels like golf ball,

Other Meds:

Current Illness:

ID: 1112569
Sex: F
Age: 52
State: IN

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/18/2021
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Allergies: penicillan

Symptom List:

Symptoms: bad headache, nausea, then fever for about 24 hours

Other Meds: none. possibly a tylenol about 2-3 hours before

Current Illness:

ID: 1112570
Sex: F
Age: 25
State:

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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Allergies: NKA

Symptom List:

Symptoms: headache,body pain. J&J @ 1430. Headache on L side of head. Reports nausea but no vomit or diarrhea. Slight photophobia. And also noted 'blurry vision' which is resolved. Took Tylenol x 2 TAB @ 2300. Re-Assessment@0410: pt feeling better. will d/c with oral meds and return indications.

Other Meds: UNK

Current Illness: N/A

ID: 1112571
Sex: F
Age: 45
State: CA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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Allergies: nka

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Symptoms: At 1230 pm (14 minute after receiving the vaccine), the client c/o dizziness. Clt was not pale or diaphoretic. We instructed her to lay down with her feet elevated. Vitals taken: 98% spo2 and HR 51. At 1235 patient sat up. Spo2 99% HR 52. Clt stated she "felt better." At 1245 BP checked 130/80. Patient said she felt better and left observation area with a steady gait.

Other Meds: unknown

Current Illness: none

ID: 1112572
Sex: M
Age: 74
State: WI

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/18/2021
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Allergies: All Statins Vitadin

Symptom List:

Symptoms: Felt like a very bad cold, fever, severe headache, sweats, ache and pains. Unable to sleep for past two nights. Unable to do normal daily activities.

Other Meds: LOSARTAN, omeprazon, metformin, D3, B12, Iron, CoQ-10, Gabenpentin, Omeprazon, Adair, 350mg Aspirin, Tamandol and Aleve

Current Illness: No

ID: 1112573
Sex: F
Age: 75
State: MN

Vax Date: 03/12/2021
Onset Date: 03/16/2021
Rec V Date: 03/18/2021
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Allergies: No

Symptom List:

Symptoms: Pain on left side of face, nasal cavities, mouth. Dull headache, fatigue The following morning when I woke up the left side of my face was drooping especially in cheek and mouth areas

Other Meds: Atorvastatin, hydrochlorothyazide, vitamin c, calcium, multivitamin, zinc,

Current Illness: Bladder infection two weeks prior

ID: 1112574
Sex: F
Age: 28
State: WA

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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Symptoms: 11 pm pm 3/17: Developed chills and minor headache. Nausea. Took 600mg ibuprofen. 11:30 PM: developed low fever and body aches. Nausea, 5/10. 1:00 AM: Fever ~101, severe chills 2:30 AM: severe body aches and joint pain 3:00 AM: 103* fever. Chills. 3:30 AM: took 600mg ibuprofen. 6:00 AM: Sweats with 100.5-101* fever. 6-11 AM: Sweats continued. 12:00 PM: sweats and body aches subsided. Nausea and headache 1-2/10 severity. Ate. 2:30 PM: body aches and chills restarted. Nausea increased. 600mg ibuprofen. 3:45 PM: Body aches and joint ache increased in severity.

Other Meds: Zenpep 25, Memantine 5mg, lamotrigine 100mg, xopenex nebulizer, Zyrtec, vitamin D, Ativan .25mg, budesonide nasal rinse, Wellbutrin XR

Current Illness:

Total 2021 VAERS Injuries: 559,999

Page last modified: 03 October 2021 5:28pm