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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1158998
Sex: M
Age: 39
State: GA

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Primary side effects started day after injection: pain at injection site, body aches, chills, fatigue. Primary side effects went away after one day except for injection site pain which lasted two days from onset. Minor side effects started day after injection: mild nausea and intermittent headache. The nausea subsided a few hours after onset, while the headache would occur a couple of occasions over a 24 hour period. Episodes were usually only a couple of minutes in length.

Other Meds: Lisinopril, levothyroxine, sertraline, pregabalin, methocarbomol

Current Illness:

ID: 1158999
Sex: F
Age: 38
State: NY

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Vomiting last night Today my heart is racing

Other Meds:

Current Illness:

ID: 1159000
Sex: F
Age: 34
State: FL

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: no known

Symptom List:

Symptoms: From 11:00 PM on 03/31/2021 until 8:00 AM on 04/02/2021 - Fever of 102 uncontrolled by around the clock acetaminophen, severe fatigue and lethargy, nausea, and headache, chills, lack of appetite

Other Meds: Prenatal Vitamins

Current Illness: none

ID: 1159001
Sex: F
Age: 34
State: TX

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Headache, fever 101, chills, night sweats, soreness at injection site, sore body

Other Meds: None

Current Illness: None

ID: 1159002
Sex: F
Age: 57
State: MA

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache 24 hours from onset Body aches 24 hours from onset Fever 100:2 24 hours from onset Chills sporadic 24 hours from onset Fatigue 36 hours from onset

Other Meds: Metropol Succinate ER 25mg mornings Pravastatin Sodium 10mg evenings

Current Illness:

ID: 1159003
Sex: F
Age: 40
State: MN

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Typically symptoms plus those out of the ordinary: numb lips and face to cheeks, extreme ear pain, headache, dizziness, light headed, difficultly swollen for short periods of time.

Other Meds: Snythroid 125mcg

Current Illness: None

ID: 1159004
Sex: F
Age: 35
State: NY

Vax Date: 03/20/2021
Onset Date: 03/28/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Red rash formed on day 8 4/28 rash is now bigger warm and itchy

Other Meds: Phentermine, Mirena and excedrin as needed

Current Illness:

ID: 1159005
Sex: F
Age: 53
State: KY

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: Nystatin Avalox

Symptom List:

Symptoms: Swollen supraclavicular lymph nodes with edema . Began 2 days after second dose.

Other Meds: NP thyroid, black cohosh, antihistamine, biotin, magnesium,benedryl

Current Illness: None

ID: 1159006
Sex: M
Age: 64
State: NC

Vax Date: 02/11/2021
Onset Date: 03/01/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tinnitus is constant

Other Meds: Vitamin D, multivitamin

Current Illness: None

ID: 1159007
Sex: F
Age: 30
State:

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Large round red spot at injection site, hardness and itchiness, sore to touch.

Other Meds:

Current Illness:

ID: 1159008
Sex: F
Age: 26
State: NJ

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: moderate migraine, aching in jaw and teeth, easily winded, fatigue

Other Meds:

Current Illness:

ID: 1159009
Sex: F
Age: 48
State: PA

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 34 hours total fatigue headache muscle pain joint pain chills nausea fever

Other Meds: Pristiq Ativan Trazadone Buspirone Singulair Yasmin Mobic

Current Illness: none

ID: 1159010
Sex: F
Age: 38
State: IN

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: Cefzil, amoxyl

Symptom List:

Symptoms: Felt very cold, mild body aches started 12 hours after shot. Body aches increased throughout the north, continued to feel cold. Took ibuprofen and body aches went back to mild and woke up sweaty. Body aches continued to be mild throughout the following day.

Other Meds: None

Current Illness: None

ID: 1159011
Sex: F
Age: 70
State: SC

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received Covid Pfizer vaccination and complained of dizziness to the monitoring nurse. 1025 vitals 138/106 hr 133. EMT called to for reaction. Patient alert and oriented. complains of chilling. NKDA. HX of diabetes. Normally takes b/p medications, did not eat this am, and did not take b/p meds. Sister accompanying. Snack and water given to patient. 1044 ems on side and resumed care. 1048 hr 150, sat 98%. patient signed waiver, requesting not to be transported to hospital and ems left siite. 1048 Patient agreeable to lay down in area on cot, this nurse accompanied and monitored vitals. Patient more calm, in cot area, with divider between her and other patients in monitoring area. 1048 b/p 142/89, Sat 98 percent. hr 102. 1051 138/89 sat 97% HR 93. 1054 b/p 122/85 Sat 95% HR 85. 1058 124/81 sat 97% hr 87 sat up on cot, dangled feet. 1058 124/81 sat 97% hr 87. 1100 127/83 hr 84 sat 99% warm, dry. ambulated in monitoring area. States feeling much better, denies dizziness, discharged in sister's care.

Other Meds:

Current Illness:

ID: 1159012
Sex: F
Age: 39
State: PA

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pain at injection site. Fever and chills, severe body aches with joint pain, severe fatigue. This lasted for about 30 hours. After 36 hours, hives on upper and lower arms and face. Hives cleared over night with benedryl; feeling mostly normal 66 hours after vaccine

Other Meds: Beyaz, Valtrex, Vitamin C

Current Illness: None

ID: 1159013
Sex: F
Age: 34
State: KY

Vax Date: 03/06/2021
Onset Date: 03/29/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: NONE REPORTED

Symptom List:

Symptoms: PATIENT STATES THAT SHE IS EXPERIENCING BELL'S PALSY ON HER FACE

Other Meds: NONE REPORTED

Current Illness: NONE REPORTED

ID: 1159014
Sex: M
Age: 40
State: GA

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: The differences started out with a sore arm that occurred the same day as my 2nd dose which occurred the next day after my 1st dose. The morning after my 2nd dose I awoke around 8AM to a 102.1 F temperature and then took 2 extra strength Tylenol (500mg) around 8:15 AM. I felt very groggy, tired, and still had the sore arm. I felt hot and cold spells over the next 6 hour time period. I measured my temperature around 12:30 PM and it was 99.5 F, and I later took another dose of 2 Tylenol (500mg) around 2:10 PM. I was still feeling groggy and tired but the hot and cold fluctuations seemed to be abated. Around 9PM I measured my temperature again and it had risen to 101.5F, so I took a shower then took two 200mg Advil/Ibuprophen and went to bed around 9:45 Pm . I awoke around 1AM that same night (03/25/21) and was sweating profusely in bed but was too tired to get up. I laid back down and went back too sleep. I awoke that morning around 7:50 AM feeling very sore in my muscles but no additional symptoms. My temperature was measured at 98.3F and I felt back to my normal self. No additional symptoms have presented afterwards.

Other Meds: NONE

Current Illness: NONE

ID: 1159015
Sex: M
Age: 41
State: FL

Vax Date: 03/25/2021
Onset Date: 03/28/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 3/30-Adverse events experienced and are they still occurring now: Caller c/o fatigue & generalized "feeling sick" since receiving 2nd vaccine on 3/25/2021. C/o shortness of breath beginning on Sunday 3/28/2021, called out of work yesterday and today, stayed in bed both days due to "feeling exhausted", no distress while on phone. Reports taking tylenol/ibuprofen as needed as well as using rescue inhaler for asthma as needed. Advised to follow up with PCP or Urgent Care due to SOB and asthma history. 4/1-Follow up call by Patient feeling better than yesterday, no longer feeling shortness of breath. Recommended to follow up with physician if symptoms worsen.

Other Meds: gabapentin rescue inhaler inhaled steroid

Current Illness:

ID: 1159016
Sex: F
Age: 48
State: VA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, penicillin

Symptom List:

Symptoms: Very sore arm, general feeling of ?not being myself? for 48 hours

Other Meds:

Current Illness:

ID: 1159017
Sex: F
Age: 31
State: MN

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Left arm felt tingly almost immediately. Then tongue felt enlarged and numb. Then left side of face, mouth and nose were numb for 4 hours. Subsided about 90% and around 7:30pm the face and mouth numbness came back. Went to sleep and woke up at 7:30am and numbness had subsided 50%.

Other Meds: Norethindrone

Current Illness: No

ID: 1159018
Sex: M
Age: 49
State:

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fatigue Chills Runny nose Sore arm

Other Meds:

Current Illness:

ID: 1159019
Sex: F
Age: 64
State: NJ

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe...hives, welts, rashes on my lower face, neck and chest with chapped lips and a COLD SORE on my upper lip which I've never had before. This lasted for over 6/SIX WEEKS. It was a nightmare. I also had the extreme lethargy( tiredness) a day after which lasted for 2 days, aches and terrible dizzy spells in the morning for about 3-4 days.

Other Meds: 5 mg melatonin, daily women's vitamin, Serovitol women's supplement. ( I don't take the full recommended amt.)

Current Illness: None

ID: 1159020
Sex: F
Age: 60
State: IN

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List:

Symptoms: body aches slight nausea weary

Other Meds: magnesium omega 3 zinc vitamin d3 probiotic selenium B12

Current Illness: none

ID: 1159021
Sex: M
Age: 73
State: MD

Vax Date: 03/10/2021
Onset Date: 03/22/2021
Rec V Date: 04/02/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 3/22/21: Patient presented and was admitted through ED for complaint of abdominal pain. CT of the abdomen and pelvis showed small bowel obstruction with transition point in the proximal mid ileum. Per the EUA, hospitalizations to be reported irrespective of attribution to vaccine

Other Meds:

Current Illness:

ID: 1159022
Sex: F
Age: 35
State: SC

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: My arm was sore and I was tired the night after getting the vaccine. The next morning, I still had fatigue and are soreness, but around 10:30 am I began feeling nauseous and I vomited around 11. I still felt tired, nauseous, and sore the next day.

Other Meds: Spironolactone

Current Illness:

ID: 1159023
Sex: F
Age: 61
State: LA

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: Budesonide, Ace Inhibitor, Gold Sodium Thiomalate, Fragrance mix

Symptom List:

Symptoms: Hives, given Prednisone by physician a week later could not get appt same week, after tkaing prednisone Hives diminished. I not have the hives back periodically. I have had hives before due to the Auto Immune but they were under control for 3 years. Now I am back to where i was years ago

Other Meds: Vitamin C, Vitamin D, Multi Vitamin

Current Illness:

ID: 1159024
Sex: M
Age: 39
State: OK

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Shaking, chills, full body aches, fatigue,

Other Meds: none

Current Illness: none

ID: 1159025
Sex: F
Age: 38
State: MA

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: 7 hours after the second shot. Fever, chills, sore bones, headache. Next day arm read and looks like fingerprints of where nurse squeezed arm to inject. 36 hours after I am feeling better.

Other Meds: multivitamin - b12 -magnesium

Current Illness: nonr

ID: 1159026
Sex: F
Age: 54
State: TX

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Sulfa, fish, seafood, nuts, eggs, latex, aerosols and strong fragrances

Symptom List:

Symptoms: Red raised rash on face, small clear pimples on fingers, eye irritation,,inflamed throat

Other Meds: Amlodipine Besylate 10 mg, montelukast 10 mg, hydrochlorothiazide 12.5 mg, omeprazole 40 mg

Current Illness:

ID: 1159027
Sex: M
Age: 43
State: IN

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Muscle aches, joint aches, chills, fever, sweats, nausea, headache, lightheaded - 40 Hours

Other Meds: None

Current Illness: None

ID: 1159028
Sex: M
Age: 60
State: MI

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Chills,Body Aches, Headache, Feverish/Hot. In bed two days. Mostly bad aches from my arthritis I would guess. Made it much worse.

Other Meds: Tenormin, metformin, lisinopril, pravachol, melatonin, methimazole, prilosec, folic acid, centrum, claritin

Current Illness: sinus issues with Z-Pak taken one week before second dose

ID: 1159029
Sex: F
Age: 54
State: IN

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: biaxin, cephalexin, cephzyl

Symptom List:

Symptoms: severe headache, body aches, lack of appetite tylenol and ibuprofen, plenty of fluids feeling much better after 36 hours

Other Meds: omeprazole, evening primrose oil, folic acid, black cohosh, loratidine

Current Illness: none

ID: 1159030
Sex: M
Age: 42
State: MO

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Sore arm within 6 hours of vaccination. Fever, chills, and body ache after waking up at 5am the following morning (3/31). Fever rose to 100.8 as indicated with ear thermometer and lasted until the morning of 4/1. Mild body ache and discomfort lasted until morning of 4/2.

Other Meds: Multi-vitamins

Current Illness: Seasonal allergies

ID: 1159031
Sex: M
Age: 72
State: MA

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: 2 bromo-2 nitro propane-1, 3-Diol, 4 chloro 3 cresol, bacitracin, carba mix, cobalt dichloride, diazolidinyl,urea, opoxy resin, ethyl acrylate, ethylenediamine, dihydrochloride, famaldrohyde, glutaraldehyde, hydoiodopropynyl , butyl carbamate, mercaptomix, propolis, propylene glycol, thiavamix, tixocortol 2,1 pivate, triclosan.

Symptom List:

Symptoms: pt states when he went to bed on 4/1/2021 he had a headache, fever and a sore right arm. He woke up w/ headache, body aches, face is swollen. His right eye is almost completely swollen shut and the left eye is swollen. He states it looks like he has angioedema. He is not taking any medication for his symptoms at this time.

Other Meds: atorvastatin 40mg, metformin 500mg x 2, low dose aspirin, fish oil, vitamin C, Calcium w/ D, multivitamin, omeprazole,

Current Illness:

ID: 1159032
Sex: M
Age: 60
State: OH

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe body, neck and joint pain. Stomach cramps, headache, fever reach 101.8, vertigo, face and lips felt numb, absolute exhaustion. These symptoms lasted for 48 hours although the worst of it was the first 24. Many of the same symptoms we the same I had with Covid in November -December 2020. I did not, however experience sore throat or congestion.

Other Meds: Cymbalta 60mg/day

Current Illness: None

ID: 1159033
Sex: M
Age: 65
State: KS

Vax Date: 02/24/2021
Onset Date: 03/16/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Bilateral Uveitis with corneal edema

Other Meds:

Current Illness:

ID: 1159034
Sex: M
Age: 28
State: FL

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
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Allergies: none

Symptom List:

Symptoms: Fever, leg soreness, migraine. Lasted until 10:30 PM on 4/1/2021

Other Meds: none

Current Illness: none

ID: 1159035
Sex: F
Age: 21
State: WI

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
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Allergies: Tamiflu, keflex, mangoes, latex

Symptom List:

Symptoms: Severe arm pain, chills, headache, nausea

Other Meds: None

Current Illness: Tooth extraction

ID: 1159036
Sex: M
Age: 67
State: PA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
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Allergies: none

Symptom List:

Symptoms: chills overnight, low fever, up to 100. Normal is 97.6. Body aches, especially in lymph nodes, side of hip, side of throat

Other Meds: fish oil, flax oil

Current Illness: none

ID: 1159037
Sex: F
Age: 35
State: WA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
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Allergies: Avocados, bananas, latex

Symptom List:

Symptoms: Loud tinnitus in right ear

Other Meds: Prenatal multivitamin Vitamin D Potassium Estradiol valerate Spironolactone Medroxyprogesterone

Current Illness: None

ID: 1159038
Sex: F
Age: 35
State: SC

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
Hospital:

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Symptoms: I began feeling tired the night of the vaccination. The next day around 11am I began feeling nauseous. Around 11:30 or 12 the body aches and joint pain started. I also got chills and a headache. Around 4pm, the chills and body pain went away. Later that night the headache and nausea subsided. The following day, I noticed a red mark around the injection site (COVID arm), but all other side effects went away. The spot on my arm is still there three days later.

Other Meds: Spironolactone

Current Illness:

ID: 1159039
Sex: F
Age: 33
State: NY

Vax Date: 02/23/2021
Onset Date: 03/29/2021
Rec V Date: 04/02/2021
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Allergies: None

Symptom List:

Symptoms: Miscarriage 6 days after vaccination

Other Meds: Pre natal

Current Illness: None

ID: 1159040
Sex: M
Age: 53
State: CO

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 04/02/2021
Hospital:

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Allergies: Orange Roughy

Symptom List:

Symptoms: Fatigue started about four hours after vaccination; started to resolve twelve hours after vaccination; normal thirty hours after vaccination

Other Meds: Vitamin D, Child's Aspirin, Xyzal, Omeprazole, Probiotic, Citalopram, Lisinipril, Ezetimibe, Atorvastatin

Current Illness: None

ID: 1159041
Sex: F
Age: 59
State: TX

Vax Date: 02/12/2021
Onset Date: 02/22/2021
Rec V Date: 04/02/2021
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Allergies: None

Symptom List:

Symptoms: I've already reported immediately adverse effects. This is a new one. I wanted to report it due to concerns that it may be related to the vaccine. 10 days after the 2nd dose, I broke my ankle while walking my dog. I was almost 60 and has never broken a bone. I stepped wrong, I guess, and had a Lateral malleolus fracture. 5 weeks post fracture and healing is going slow.

Other Meds: NP Thyroid Vit D, vit C, calcium

Current Illness: None

ID: 1159042
Sex: M
Age: 58
State: AL

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 04/02/2021
Hospital:

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Lab Data:

Allergies: Bee stings, no others known before this episode

Symptom List:

Symptoms: Minor rash (small bumps) on both lower arms between elbows and wrists; minor rash (small bumps) near belly-button; MAJOR whelps and blisters covering anterior and posterior legs areas between knees and ankles, and posterior left leg between gastrocnemius and glutes on left leg. Application of Maximum Strength Benadryl cream multiple times daily for past 2 weeks, application of oatmeal lotion daily, oatmeal body wash in warm shower daily, and 50 mg of Benadryl capsules 4x daily (total of ~200 mg daily) for past 2 weeks. Condition is almost clear with only a few blisters and whelps remaining.

Other Meds: Synjardy, Lantus, Victoza, Lisinipril, Symvistatin, Fish Oil, Ashwagandha, CoQ10, Vitamin B-Complex, Vitamin D-3, Resveratrol, Magnesium, Chondroitin, Collagen Complex+Vitamin-C, Turmeric, Elderberry, Milk Thistle, Cinnamon, Baby Aspirin,

Current Illness: N/A

ID: 1159043
Sex: F
Age: 65
State: PA

Vax Date: 03/29/2021
Onset Date: 04/02/2021
Rec V Date: 04/02/2021
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Allergies: none

Symptom List:

Symptoms: Metallic taste in mouth, cotton mouth, woke me up out of completely asleep at 12;15 a.m. drank carbonated soda , realized it was exactly 84 hours later after receiving second vaccine. Looked up side effects online. Then read some people saying they felt like the had a mouth full of nickles in mouth and realized this was what the taste was in my mouth. Drank 2 12 ounce diet sodas and sensation went away mostly . Woke up at 6 a.m. and felt normal. Drank coffee still felt normal, never loss any taste or smell at any time.

Other Meds: nsaid aspirin 325mg

Current Illness: ovarian tubo mass

ID: 1159044
Sex: M
Age: 54
State: KY

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
Hospital:

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Lab Data:

Allergies: Shellfish, penicillin

Symptom List:

Symptoms: Chills, body aches, headache

Other Meds:

Current Illness:

ID: 1159045
Sex: M
Age: 30
State: GA

Vax Date: 03/21/2021
Onset Date: 03/22/2021
Rec V Date: 04/02/2021
Hospital:

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Lab Data:

Allergies: Lactose

Symptom List:

Symptoms: Fatigue, Nausea, Headache, Muscle Aches, Fever All symptoms were resolved by 4a 3/23/21

Other Meds: Lisinopril/HCTZ 10mg/12.5 MG Red Yeast Rice Omega-3 Fish Oil (Pure Encapsulations) Vascular Relax (Pure Encapsulations) Tribulus 400 MG Magnesium Glycinate 10,000 IU Vitamin D

Current Illness: None

ID: 1159046
Sex: F
Age: 59
State: FL

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/02/2021
Hospital:

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Allergies: Sulfa

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Fever, chills, severe headache, loss of appetite, all lasting 36 hours and then recurring again 12 hours later, lasting another 8 hours

Other Meds: Omeperazole, simvastatin, zolpidem, multi vitamin, fish oil, glucosamine, milk thistle, CoQ10

Current Illness: None

ID: 1159047
Sex: F
Age: 54
State: NC

Vax Date: 03/30/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
Hospital:

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Lab Data:

Allergies: Latex

Symptom List:

Symptoms: Had fever chills headache body aches on 3/31/21. Felt fine on 4/1/2021. Had a headache no problem. Got in shower. While in shower could not breathe. Got out took Pulse Ox. It was 88 and their was a rash at vaccine site. Was told to monitor pulse ox and use rescue inhaler as it was all I had to use. If got worse go to hospital. It stayed under 90 till around noon. It went up to 94. By evening it was back up to 98.

Other Meds: Gabapentin, Hydrochlorothiazide, lisinopril, escitalopram ,methimazole, cetirizine, D3, melatonin

Current Illness: Graves disease diagnosed on 3/17/2021

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm