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: 1126318
Sex: F
Age: 45
State: WA

Vax Date: 03/10/2021
Onset Date: 03/18/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Environmental, gluten

Symptom List:

Symptoms: Rash that started 8 days post-vaccination at site of vaccination, lasted 4 days followed by bilateral swollen lymph nodes in axilla and inguinal regions 12 days post vaccination that lasted 2 days.

Other Meds: Zinc, Iron

Current Illness: None

ID: 1126319
Sex: F
Age: 83
State: OR

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 03/23/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 36 hours after infection my appendix perforated. Not knowing the cause of my pain, I self-treated for several days before going to the emergency room, where a CT scan revealed an abscess caused by the rupture. I was in hospital for four nights receiving IV antibiotics. I am healing.

Other Meds: Lisinopril Vitamin D Aspirin Sertraline Q-Var Claratin

Current Illness: None

ID: 1126320
Sex: M
Age: 51
State: NJ

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: I received the shot Friday and early Saturday am around 3. I woke up with the chills, was warm etc.. Through out the next day all day and night , i was in bed, with muscles pain, chills and nausea and was so tired. The fever would come and go. I took Tylenol for treatment. I had no appetite until , i woke up Sunday morning around 9. Got up , ate and later Sunday felt much better. Monday, back to feeling my old self but i noticed a large swollen lump under my left armpit when i showered. In the left arm i was injected. Today , the large lump, its still there rather large.

Other Meds: Edarbi 40 mg

Current Illness: None

ID: 1126321
Sex: F
Age: 32
State:

Vax Date: 02/11/2021
Onset Date: 03/01/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: paresthesia and lumbago

Other Meds:

Current Illness:

ID: 1126322
Sex: F
Age: 60
State:

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Flu-like symptoms: headache, fatigue, dizziness, nausea, swollen lymph nodes, sore arm beginning the evening of injection. All symptoms, except sore arm, gone by morning. No treatment given.

Other Meds: Labetalol, Losartan, Hydrochlorothiazide, Cinnamon

Current Illness:

ID: 1126323
Sex: F
Age: 58
State: NH

Vax Date: 01/13/2021
Onset Date: 03/09/2021
Rec V Date: 03/23/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillins

Symptom List:

Symptoms: Resident diagnosed with Covid-19

Other Meds: Trazodone, Aspercreme lidocaine patch, Vitamin D, Metoprolol, Furosemide, Proventil, Baclofen, Omeprazole, Hydroxychloroquine, Triamcinolone cream, Vitamin C, Apixaban, Simvastatin, Vitamin B12, Fluticasone, Levetiracetam, Prednisone, Duone

Current Illness: NA

ID: 1126324
Sex: F
Age: 0
State: PA

Vax Date: 02/17/2021
Onset Date: 02/20/2021
Rec V Date: 03/23/2021
Hospital: Y

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: 48-72hrs following had increased seizure activity and was admitted to local Hosp

Other Meds: Phenobarbital, keppra, prilosec, trileptal

Current Illness: seizure, microcephaly, degenerative disease of CNS

ID: 1126325
Sex: F
Age: 59
State: AZ

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Seasonal pollen

Symptom List:

Symptoms: Double vision x 4 days, continued blurred vision

Other Meds: Levothyroxine, Viibryd, Trazadone, Melatonin, Oxycodone, Carbamazapine, Vitamin B,

Current Illness: none

ID: 1126326
Sex: F
Age: 57
State: NJ

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Macrobid, gadolinium, latex, nuts, chocolate, eggplant, kiwi, banana, gluten

Symptom List:

Symptoms: Headaches, tachycardia, chills

Other Meds: Synthroid

Current Illness:

ID: 1126327
Sex: F
Age: 33
State: CA

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Macrobid (Bladder infection medicine) - vomiting

Symptom List:

Symptoms: Fever of 100 to 101 (by 09:00 PM) that Sunday evening. Fever gone by 2 pm Monday. Body aches remained. By Tuesday evening, 8 pm, I noticed extreme Breast tenderness and I called my doctorand talked to the nurse - lactation nurses - on the 17th.That persisted for more than 48 hours. (I am breastfeeding.) When I bent over, I had chest pain with that. Told to monitor it and if I got a fever to call back to call the doctor. Didn't get fever and my tenderness in my breasts went away and so did the body aches.

Other Meds: Post natal vitamins

Current Illness: no

ID: 1126328
Sex: F
Age: 45
State: VA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Felt dizzy, BP increased, chills. Transported to ER by EMS.

Other Meds:

Current Illness:

ID: 1126329
Sex: F
Age: 71
State: TX

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

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

Lab Data:

Allergies: sulfa, hydrocodone, milk

Symptom List:

Symptoms: pt states that she woke up next day w/ severe epigastric pain, nausea, vomiting, loss of appetite, dark urine, pale stools. pt was very sick from 3/5 to 3/13. She had an appt w/ PCP on 3/19/21 for her annual exam. Labs showed her liver enzymes were elevated. Her labs were all high on this date but normal one year ago. Dr. told her the vaccine caused her to have vaccine induced hepatitis. Pt to FU w/ PCP on 4/22/21.

Other Meds: Motrin 200 prn, Benadryl 25-50mg prn, rosuvastatin, COQ 10, multivitamin, bisoprolol 5mg, Irbesartan 150mg,

Current Illness: no

ID: 1126330
Sex: F
Age: 33
State: IL

Vax Date: 03/17/2021
Onset Date: 03/21/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: naproxen, pseudoephedrine

Symptom List:

Symptoms: Had right arm swelling for 2 days. Beginning on day 4, developed tenderness in right axilla. Severe on day 5. Seen in clinic on day 6 with medial axillary tenderness, no discrete lymph nodes, no abscess or skin changes. NO fevers or chills

Other Meds: Losartan/HCTZ, Metformin, Sertraline, OCP, montelukast

Current Illness: none

ID: 1126331
Sex: F
Age: 59
State:

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: sore throat, sneezing, cough

Other Meds:

Current Illness:

ID: 1126332
Sex: F
Age: 49
State: CA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: sulfa, augmentin

Symptom List:

Symptoms: Moderna COVID-19 Vaccine 1st dose symptoms tiredness. 2nd dose symptoms began approx. 12 hours later from dose given. Began with severe headache for 2 hours turning into headache with chills and felt feverish. Woke in morning at 6 am. Could barely walk due to muscle/joint aches and exhaustion. Taste also felt funny. Fever of 99.9 around 2 pm. All symptoms felt severe and I stayed in bed all day. Everytime I stood, I thought I'd fall down from weakness and sore muscles. By 10 pm, I went to sleep with same symptoms. Advil took the edge off. By the next morning, headache and aches gone, except my back feels like it is going to go out-had to wear my back brace. Severe exhaustion-when I stood I thought I would pass out. Dizzy and weak, mild headache, not very hungry all day. By 9 pm felt less weak. By 6 am next day, symptoms seemed to have disappeared except for my back pain.

Other Meds: Tamoxifen, Levothyroxine, Gabapentin, multivitamin, Advil

Current Illness: none

ID: 1126333
Sex: M
Age: 61
State: IN

Vax Date: 03/21/2021
Onset Date: 03/22/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Low grade fever 100.3, tired

Other Meds: Adderall Prilosec Amitriptyline Simvasatun

Current Illness: No

ID: 1126334
Sex: M
Age: 74
State: MD

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 1135 patient had c/o of throat clearing and was evaluated by MD. Airway was open, no signs of respiratory distress with clear lungs. Benadryl 25mg PO x1 and monitored for 30 minutes. 1210 Patient reassessed, throat clearing resolved. Discharged home and advised patient if symptoms came back or worsened to go to ED.

Other Meds: Unknown

Current Illness: none

ID: 1126335
Sex: F
Age: 53
State: VA

Vax Date: 03/19/2021
Onset Date: 03/22/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe diarrhea and vomiting. Joint pain, fatigue, tiredness

Other Meds: Cozar, Vit D

Current Illness: None

ID: 1126336
Sex: F
Age: 57
State: NJ

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

Symptom List:

Symptoms: Day after vaccine, the left side of my face between my nose and mouth it felt very irritated, burning and itchy. No rash was seen. I was advised by doctor to take Benedryl.

Other Meds: Vitamin D

Current Illness:

ID: 1126337
Sex: F
Age: 30
State: NC

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reports lightheadedness, numbness in L arm, throat tightening. Had patient lay flat with legs up. Patient began to feel better. Patient states she has this same reaction with other procedures, bloodwork, etc.

Other Meds:

Current Illness:

ID: 1126338
Sex: M
Age: 63
State: MI

Vax Date: 03/11/2021
Onset Date: 03/13/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Statins Glucocorticoids

Symptom List:

Symptoms: Neck, shoulder, arm, trunk pain. chills. neck and axilla adenopathy. possibly related to using NSAIDS around vaccination

Other Meds: Advil

Current Illness: neck pain

ID: 1126339
Sex: M
Age: 66
State: IN

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 03/23/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Nosebleeds began 2/21. Presented to Community Hospital on 3/9/21 with nose bleeds, spontaneous bleeding from mouth, and severe dyspnea. Had bone marrow biopsy done 3/10, then transferred to Community Hospital for further management. Diagnosed with aplastic anemia on 3/12 and discharged with a plan for follow-up. Readmitted to Community Hospital for treatment with ATGAM and cyclosporine. Completed course of ATGAM 3/16. Has yet to be discharged as of 3/23.

Other Meds: atorvastatin 10 mg po nightly omega-3 dha epa fish oil 1,200 mg cap po daily

Current Illness:

ID: 1126340
Sex: U
Age: 60
State: VA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: About 40 minutes post vaccination patient's face became red and developed a rash. Benedryl given and she was released home 30 minutes later.

Other Meds:

Current Illness:

ID: 1126341
Sex: M
Age: 60
State: OH

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/23/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: This is a 60-year-old male who comes in today (3/22). Patient states that he received a Covid shot 11 days ago since then he has had mild fevers. However 6 days after he received his Covid vaccine he developed a fever of 102 he has been alternating between Advil and Tylenol without any improvement of his symptoms. Patient states that he now is having a difficult time breathing he has some nausea without any vomiting but has had a difficult time eating without any abdominal pain no diarrhea. Has had generalized myalgias as well. He denies any large cough states that he is coughing a little bit. No chest pain. Patient tested positive for Covid 19. Is now admitted and on oxygen.

Other Meds: Benicar, atorvastatin, amlodipine, albuterol, metformin,

Current Illness:

ID: 1126343
Sex: M
Age: 34
State: CA

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Drugs- Hives

Symptom List:

Symptoms: I started noticing itching a week after the vaccine. I had painful lesions on my armpit, on my back underneath my shoulder blade and on my buttock. The lesions were very painful. I was diagnosed with Shingles two weeks after the first dose of the vaccine. I had to delay the second dose because I was taking the medicine for the Shingles. The Shingles cleared up a week after I started the medication. I was also exposed to Covid-19 during that time but tested negative. I also have a lingering achy feeling in the back of my throat over the last couple of months. It is an uncomfortable feeling.

Other Meds: Topical pain medication

Current Illness:

ID: 1126344
Sex: M
Age: 71
State: CO

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin

Symptom List:

Symptoms: Similar to Regular Flu: Lack Of Appetite, Exhaustion, Sleepiness, Body Aches All Over, Diarrhea FOR A FULL WEEK!

Other Meds: Montelukast, Sertraline, Loratadine, Fluticasone propionate, Aspirin, Multivitamin-Mineral-Herbal Remedies

Current Illness:

ID: 1126345
Sex: F
Age: 41
State: FL

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient developed a rash on her face, arms and upper back post vaccination per her report. Tele-visit conducted on 03/18/2021 rash was resolved.

Other Meds:

Current Illness:

ID: 1126346
Sex: F
Age: 70
State: AZ

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Cephalosporings; Octagam

Symptom List:

Symptoms: Headache, body ache, dyspnea, cough, chills, diarrhea, abdominal pain X 8 days No treatment

Other Meds: Synthroid, Lisinopril, Singulair, Asmanex, Novolog, Dexilant, Privigen, Flexeril, Stiolto, multivitamin, probiotic, fish oil, Zyrtec, phenylephrine, flonase

Current Illness: None

ID: 1126347
Sex: F
Age: 47
State: CO

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Walnuts figs lactose intolerance

Symptom List:

Symptoms: Around 40 minutes after receiving the second COVID19 vaccination, my heart began racing, I was lightheaded, and my tongue began to swell. I was taken to an observation room, and a my oxygen saturation was checked. Because my tongue continued to swell, my chest felt tight, and breathing became shallow, I was injected with 50mg of Benadryl. I asked for this instead of the Epi pen injection. The constriction in my chest improved a bit and my tongue started to reduce in size. I was very sleepy and had the shivers. After a half hour of resting, I was driven home by family. The next day I had terrible joint pain, fatigue and chills. Breathing was fine, but I was easily exhausted by any exertion. Starting the third day, I was at work teaching and noticed a rapid heart rate, increased chest tightness and extreme fatigue from talking or walking the stairs. The fourth day I had to leave work early because of the lack of breath and fatigue. I visited my family doctor who gave me Prednisone and a rescue inhaler, and I started taking the medication. The fifth day my symptoms were the same, but I sat at my desk and was able to do paperwork. The sixth and seventh days I had to get a substitute for my job, as I did not have enough energy or breath to teach or walk the stairs at school. I have been on vacation from work since Saturday, a full seven days after the vaccination, and continue to have extreme fatigue and chest tightness with any exertion. Sunday night I went to the Emergency because I could not get a deep breath and felt like I was suffocating. My oxygen levels were high and my blood pressure good, but the muscles in my neck and chest were constricted making me gasp and choke on my spit. I was given an albuterol treatment and an anti anxiety drug to help relax me so I could breath normally. I am still struggling with these symptoms of tight chest, constricted breathing, and extreme fatigue. But now I am sleeping sitting upright and afraid to fall asleep because I may not be able to breath.

Other Meds: Turmeric Mood support Adrenal B vitamins Conjugated Linoleic acid

Current Illness: menstrual cycle

ID: 1126348
Sex: M
Age: 0
State: MA

Vax Date: 07/28/2016
Onset Date: 07/28/2016
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: With in five hours post vaccination child developed fever, lethargy and diarrhea. Symptoms last 5 days

Other Meds: Tylenol

Current Illness: None

ID: 1126349
Sex: F
Age: 55
State: OR

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: Sunday night: Low grade fever; Arm swollen at injection site; Migraine Headache; Joint pain and stiffness; Body aches, Nauseous feeling. Monday: Headache; Arm swollen, red, and warm at injection site; Very tired; and body aches, Nauseous feeling. Tuesday: Brain fog; Arm Swollen, red, and warm at injection site (also red spot bigger than on Monday); Nauseous feeling; joint pain and stiffness; Body aches. It really hasn't changed much since Sunday night other than not having a low grade fever.

Other Meds: Atorvastatin, Pantoprazole, Venlafaxine, Over the counter allergy medications; Vitamin D

Current Illness: No illlnesses

ID: 1126350
Sex: F
Age: 26
State: FL

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

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

Lab Data:

Allergies: Ibuprofen

Symptom List:

Symptoms: Pt received the pfizer vaccine and pt had an anaphylactic reaction. Pt was given epinephrine x2 and Benadryl to take at home. Pt was seen in urgent care with me and given solumderol inj, medrol dose pack and hydroxyzine.

Other Meds: None

Current Illness: None

ID: 1126351
Sex: M
Age: 70
State: CA

Vax Date: 01/05/2021
Onset Date: 01/08/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Continuous headache with no relief. Second dose given on 1/26/2021.

Other Meds: Methotrexate, Enbrel, prednisone, L-thyroxine, Prilosec, cont.Testosterone, metopolol, Liothyronine, Repatha, baby aspirin,

Current Illness: none

ID: 1126352
Sex: F
Age: 55
State: FL

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Passion Fruit, PCN, AMOX, ERY, Sulfa, Latex

Symptom List:

Symptoms: heart pain at 4am, muscle aches, fever(101) chills, headache, dizzy, Rash on arm

Other Meds: DDAVP, Synthroid, Baby Aspirin, Toperal XL, Prolia

Current Illness: N/A

ID: 1126353
Sex: F
Age: 73
State: OK

Vax Date: 03/08/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
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Allergies: Penicillin MSG

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Symptoms: Swollen arm with redness and rash Swollen face, throat, feet, hands, flushing Shortness of breath

Other Meds: Sulfasalazin Hydroxychloroquine Warfarin sodium Omeprazole OxyContin Oxycodone-acetaminophen Lisinopril Ergocalciferol Modafinil Simponi aria

Current Illness: None

ID: 1126354
Sex: F
Age: 47
State: CA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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Allergies: NKDA, Food or Products

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Symptoms: Client was vaccinated at 8:47 am w/Janssen vaccine and at 0901, while in the recovery area, c/o increased nausea, having dry heaves, stated had a small emesis in her face mask. vitals stable, c/o "it feels like I have been punched in the gut." Continued w/nauseated feeling and urge to vomit for additional few minutes, 0910 stated, "I am feeling much better, it seems to be passing now", no further urge to vomit, remained in recovery area for additional 15 minutes, d/c to self care at 0925, stable w/no further c/o any kind.

Other Meds: None

Current Illness: None

ID: 1126355
Sex: F
Age: 48
State: IN

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
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Allergies: Yes

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Symptoms: Vaccine was given and while scheduling second vaccine I noticed my tongue and gums itching then my throat (?? trachea) began to tighten. Not knowing if these symptoms were the vaccine, wearing of a face mask, or just slight anxiety, once I finished scheduling my next vaccine appointment, I took my seat and sat for the 15-minute observation time. The itching and tightness did not seem to get too much worse so when my 15-minute observation time was up, I left the building, called my mom, and headed back to work. Removing the mask and having a drink of water did not alleviate my symptoms, so my mom suggested I go back to the clinic at the fairgrounds and have them assess my symptoms. I was escorted to the back of the building where Dr was. After a brief examination and asking questions, Dr had me lie down on a cot and he monitored my blood pressure and oxygen while continuing to ask questions about how I feel and any new symptoms I may have. He said my oxygen and blood pressure were great. I was shaking/body tremor pretty much the whole time I was lying on the cot. Neither of the original symptoms, tongue and gum itching and tightening of throat, ever really subsided. I was thirsty and I began to feel nauseous, and on a couple of occasions thought I was going to vomit, but only had dry heaving. (Note: I am not aware of the time and how long it was from beginning to end, when I was given something to when ems arrived, to when I arrived at hospital.) Sometime later, my throat was a bit sore and I felt like something was tickling or in the back of my mouth. Dr examined the location, and upon looking, called for a nurse and the next thing I know, I now have a throbbing headache and Dr was administering an EpiPen Injection to my upper thigh. At this point, I was still nauseous, pounding on the right side of my head near eye socket, still having body tremors, and ready to fall asleep. Dr explained that my Uvula and soft palate had double in size and that I was having an allergic reaction and will need to go by ems to the local hospital for observation. I tried to refuse, but was told it was protocol. Several people looked inside my mouth. I was given a pill that dissolved on my tongue. My head stopped pounding and I was no longer nauseous once I was in the ems. I do not remember when the itching and tightness of my throat went away, but it was before I arrived at the hospital. Once I arrived at the hospital, the only thing that hurt was my upper left thigh where Dr administered the EpiPen and I still had small body tremors. Two separate nurses tried to give me an IV, but both were only successful at blowing out my veins. I refused an IV after the second attempt. The nurse gave me, what she said was 3 steroid pills (Decadron??) and ? of some other pill that will coat my stomach and protect it from steroid pills. They allowed me to walk on my own without observation to and from the bathroom down the hall. Sometime later in the emergency room, the itching of my tongue and gums came back and the tightness in my throat returned. The staff at the hospital did not feel concerned enough to even examine me after I mentioned the return of the symptoms. After about an hour, I was told I could go home, but they later came back and said I had not been there long enough and had to stay. It was around 7:30 pm when I was able to leave and go home. Saturday and Sunday, I was very fatigued. Monday and Tuesday my hips and legs feel very weak and wobbly and I have pain going from my right hip down past my knee on the outside of my leg.

Other Meds: None

Current Illness: No

ID: 1126356
Sex: M
Age: 49
State: WI

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 03/23/2021
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Allergies: None

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Symptoms: With no previous heart issues. Heightened hear rate started on evening after the vaccine, topped out at a resting heart rate of over 160bpm. Went to primary health care physician, he did EKG, then ordered me to Emergency Room. Was diagnosed with Atrial Fibrillation with RVR, prescribed Apixban (Eliquis) 5mg oral tablet, 1 tab 2 times a day, prescribed Metoprolol (metrolrolol succinate 50mg extended relese) 50mg 1 cap per day. Given diltiaZEM 10mg via IV push while at the hospital. Continue to have increased heart rate and have not returned to a normal sinus rhythm as of 3/23. Scheduled for follow-up with EP on 4/9 to review heart rhythms.

Other Meds: Multi-Vitamin

Current Illness: None

ID: 1126357
Sex: F
Age: 49
State: IN

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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Symptoms: About 30 minutes after receiving Janssen vaccine patient stated that she felt like her heart was racing. When vitals were taken patients HR ranged from 85-81 bpm. Blood pressure was 134/86. Patient was given water to drink. After approximately 20 minutes of observation patient stated she was feeling better and was taken by wheelchair out to her car. Patient's mother was in the drivers seat and drove patient home.

Other Meds:

Current Illness:

ID: 1126358
Sex: F
Age: 58
State: WI

Vax Date: 03/02/2021
Onset Date: 03/06/2021
Rec V Date: 03/23/2021
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Allergies: Rexulti

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Symptoms: Patient received first dose Pzifer vaccine on 3/2/21. On 3/6/21, patient went to emergency room with right side body numbness, wheezing, and high anxiety. She was given nebulizer treatment , prednisone, and an albuterol inhaler. She was tested for covid and flu, and both were negative. She also states that since her dose, she has had "covid arm", which consists of pain at the injection site and hand/lower arm numbness.

Other Meds: alprazolam, losartan, carvedilol, doxepin, venlafaxine, amlodipine

Current Illness:

ID: 1126359
Sex: M
Age: 44
State:

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 03/23/2021
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Symptoms: 4 hours after first dose, patient reported a rash that started at the injection site and spread up the arm and onto back. Pt reported that the rash lasted for 3 days and was itchy.

Other Meds:

Current Illness:

ID: 1126360
Sex: M
Age: 34
State: TX

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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Allergies: None

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Symptoms: Complaint of diaphoretic, passed out, heard to arouse, appear drowsy, and lethargic. Obey command(directions)

Other Meds: None

Current Illness: None

ID: 1126361
Sex: M
Age: 79
State: WI

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/23/2021
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Allergies: Aleve, Tylenol, Tramadol, Lipitor, Sertraline

Symptom List:

Symptoms: I received the first dose Moderna, and it started off with left ear being plugged up and it wouldn?t clear subsequently I get a strong solid tone, I?ve gotten amplified sounds out of the left ear, If I?m watching tv the voice comes through in a burbling way and at times I?m watching tv straight ahead and the left ear hears the sound from the side and the right ear hears the tv. I have no other known reasons to suspect anything else to have caused the problems, the only thing I can relate the change to is having the two vaccinations. I saw ENT an did a hearing test with significant loss of hearing in left ear and that was followed up with a basil endoscopy and no determination could be made from that. I?m scheduled for a brain scan on March 30th.

Other Meds: L - Thyroxine 100mcg, Vit D, Multivitamin, Aspirin 325mg, Simvastatin 20mg

Current Illness: no

ID: 1126363
Sex: F
Age: 73
State: AZ

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
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Allergies: Sulfa Penicillin Neurontin

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Symptoms: A little over 24 hours after first vaccination shot suffered a suspected TIA. Symptoms: Shortness of breath, extreme weakness, racing heart, visual disturbance, inability to move. Episode lasted approximately 1 hour. Was unable to call for help or pick up phone to dial 911.

Other Meds: Alendronate Sodium 70mg Atenolol 50mg Colchicine 0.6mg Cyclobenzaprine 10mg Hyydromorphone 2mg Levothyrxine 125mcg Lyrica 50mg Quetiapine Fumarate 100mg Trazodone 50mmg Venlafaxine HCL ER 75mg Venlafaxine HCL ER 150mg

Current Illness: Blood Clots in lungs

ID: 1126364
Sex: F
Age: 44
State: FL

Vax Date: 03/11/2021
Onset Date: 03/17/2021
Rec V Date: 03/23/2021
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Allergies: Penicillin, raw tomatoes

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Symptoms: Arm swollen, red, itchy, hot, with hives. Started around 3/17 continued to worsen for 4 or 5 days. Visibly better on the 22 but I suffered from a headache, upset stomach, and I have been tired. I put topical benadryl on it during the day and took benadryl for 3 nights at bedtime.

Other Meds: Adderall xr20mg/am, Adderall 10mg /pm

Current Illness:

ID: 1126365
Sex: F
Age: 57
State:

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/23/2021
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Allergies: Allergies: Carba and Thiuram Mix,

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Symptoms: Felt fine, no pain in right arm where vaccine was injected. Next day around 2pm felt muscle pain in lower part of left arm and right leg, thought it was just muscle pain like the flu. My arm and leg started tingling and going numb, would wake me up at night. Had a Dr. appt. on March 18 when I mentioned I had numbness and tingling, but thought it was just side effect from the injection. Saturday, March 20 called 811 and nurse recommended I get it checked out. Monday, March 22 called my Dr. office, but no openings. Started noticed tingling and numbness is left leg as well. March 23 went to ER regarding my concerns. Dr. checked me and said to keep an eye on my symptoms; GBS was brought up and he said it could show in up to six weeks.

Other Meds: Zoloft 125mg, magnesium 80mg ,Vitamin D3 2000-3000IU, B vitamin

Current Illness: NA

ID: 1126366
Sex: M
Age: 72
State: PA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 03/23/2021
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Allergies: N/A

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Symptoms: PLEASE HELP. I have had moderate to severe pain at upper left arm injection site starting approximately 1/15/2021, a day after the injection, until the present. It manifests itself mostly during sleep and awakes me with significant constant pain while in a reclining position. When I sit up, it is somewhat alleviated and I have to take extended release tylenol (650mg) to get back to sleep. I wake up most mornings with the same left arm pain at the injections site. On March 16, 2021, my internist examined it and found the same bump in my upper left arm and said it is definitely from the 1st vaccination. He suggested heat on and off for 20 minutes. I tried it two evenings in a row and the pain got worse in bed. Since I cannot take any NSAIDs due to my aspirin regimen for Coronary Artery Disease, there seems nothing else to do, but I am worried that some long lasting detriment is happening to my body. PLEASE HELP. I did not have any such symptoms from the second Moderna vaccine received 2/11/2021.

Other Meds: Crestor, Zetia, Metoprolol, Ranexa, Pantoprazole, 81mg aspirin, Centrum Silver daily vitamin, Move Free joint chondroitin, CoQ10, Flonase,

Current Illness: N/A

ID: 1126367
Sex: F
Age: 73
State: CA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/23/2021
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Allergies: Penicillin

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Symptoms: I had my shot at 4:00 PM on March 17th. I woke up about 11:00 PM with a bad headache, chills, fever. I had no appetite, was tired and my head felt foggy. The next morning I started breaking out with hives on my forehead, neck, upper back and chest. I had chills and fever again the next day. My hives finally started to subside on Sunday the 21st.

Other Meds: Over the counter Lipo flavanoid for tinitus

Current Illness: One week after the first vaccine which was February 17th, I started getting a stomach ache in the afternoon at work. By the time I got home, I was in severe pain, I had headache, chills, fever, vomiting (4 times), diarrheic and no appetite. I was finally able to get out of bed on the 4th day.. i don't know if this was related to the first vaccine shot. I can't remember ever being that sick.

ID: 1126368
Sex: F
Age: 47
State: MA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
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Symptoms: Upon leaving vaccination site I realized my face, neck, chest & lips were red, hot, & itchy. I immediately went to the emergency room. The staff took my blood pressure 177/111, they administered Benadryl, Pepcid, & Prednisone. I got to the ER around 6:45 pm and left after observation around 11pm. I was sent home with prescriptions for Prednisone, Epi pen, Pepcid and was told to buy OTC Benadryl to take for the next few days. The next day the redness & hives were not as bad, later that night I felt that I had hives around my lips again. I also had a hoarse/scratchy throat. Spoke to Primary Physician the next day (Saturday) she said to follow the course of action from the hospital & that I could receive the 2nd dose of the vaccine however the ER Dr's said I should not.

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Current Illness:

ID: 1126369
Sex: F
Age: 70
State: IL

Vax Date: 03/10/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
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Allergies: Dairy products (not severe enough to cause anaphylactic reaction

Symptom List:

Symptoms: I have a bumpy, itchy rash on my chest and back that has become somewhat painful because of the itchy/scratchy nature. It has lasted for 3 days and continues today.

Other Meds: amlodipine theophylline triamterene furosemide pravastatin

Current Illness: I have COPD, and carcenoid tumors (cancer) in lungs

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm