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: 1166998
Sex: F
Age: 36
State: PA

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

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Body aches, shortness of breath

Other Meds: None

Current Illness: None

ID: 1166999
Sex: F
Age: 28
State: CO

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

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Extreme fatigue late into day 2, day 3 severe nausea, brain fog and muscle aches.

Other Meds:

Current Illness:

ID: 1167000
Sex: F
Age: 57
State: AR

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

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

Lab Data:

Allergies: Codeine

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: Red spot on arm appeared a week after injection, itchy and tender, 2-3 inches in diameter

Other Meds:

Current Illness:

ID: 1167001
Sex: M
Age: 59
State: CA

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: One week after first Moderna vaccine, experienced dizziness and tinnitus. Symptoms persist at present time.

Other Meds: One a day multivitamin Vit D - 2000 i.u Vit C - 1000 mg

Current Illness: n/a

ID: 1167002
Sex: M
Age: 54
State: CA

Vax Date: 03/24/2021
Onset Date: 03/31/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: I received the first Covid vaccine (Pfizer) on 3/24. A week later I started to feel very ill; chills, low grade fever, fatigue, sweaty, head ache in the middle of my face, muscle aches, fuzzy thinking, and later a cold sore. I started taking Tylenol and stayed home from work. It has persisted over the past 4 days but I started to feel better yesterday.

Other Meds: Glucosamine Chondroitin Turmeric MSM

Current Illness: None

ID: 1167003
Sex: F
Age: 36
State: VT

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

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

Lab Data:

Allergies: None

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: chills all the following day, felt like I had a fever at one point, exhausted and slept all day, sore all over. It felt like I had the flu. Lasted for about 30 hours.

Other Meds: None

Current Illness: None

ID: 1167004
Sex: F
Age: 88
State: IL

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

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

Lab Data:

Allergies: NKA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: patient describes feeling dizzy assessed by RN and paramedics, blood pressure 142/100, 105, 99% RA, patient given water and discussed her anxiety. Vitals reassessed 132/90, Patient refused hospital.

Other Meds: blood thinner, HTN medication, arthritis

Current Illness: none

ID: 1167005
Sex: F
Age: 37
State: NV

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

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Chills and elevated temperature of 100 F 12 hours after second vaccine dose. Skin sensitivity (like a sunburn) and elevated pulse continues through next car.

Other Meds:

Current Illness:

ID: 1167006
Sex: F
Age: 47
State: AZ

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

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

Lab Data:

Allergies: Nut allergies

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Moderate numbing of right side of face and tongue

Other Meds:

Current Illness:

ID: 1167007
Sex: F
Age: 32
State:

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

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient reports heart pounding and legs feeling funny as well as difficulty catching breath. Patient was given juice and observed. Condition improved and patient was released home.

Other Meds:

Current Illness:

ID: 1167008
Sex: F
Age: 50
State: ND

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

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

Lab Data:

Allergies: none

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Janssen Covid 19 Vaccine EUA

Other Meds: Wellbutrin

Current Illness: none

ID: 1167009
Sex: F
Age: 43
State: PA

Vax Date: 03/17/2021
Onset Date: 03/24/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Itchiness around the area the shot was given. Hardening of the same area . I did not take any medication. It went away after 2-3 days

Other Meds: Birth control

Current Illness: None

ID: 1167010
Sex: F
Age: 57
State: MN

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

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

Lab Data:

Allergies: KNA

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: No issues with the first vaccine other than a slight soreness in the ejection area. After the second dose approximately 12 hours later my arm became very sore and swelled up the size of a goose egg, it was difficult to even move my arm. As time progressed I developed a fever, intense body aches, severe headache that could not go away even with Tylenol or advil, chills, severe fatigue, dizziness

Other Meds: Cymbalta, trazodone, Wellbutrin

Current Illness: None

ID: 1167011
Sex: F
Age: 33
State: KY

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: Extreme fatigue, brain fog, confusion for up to 1 week following vaccination. Soreness/pain in arm up to 3 weeks following vaccination.

Other Meds: Multivitamin Iron 25mg Vitamin D 5000 IU Evening primrose oil Probiotic

Current Illness: None

ID: 1167012
Sex: M
Age: 36
State: CA

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

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

Lab Data:

Allergies: Amoxicillin

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: I was unable to sleep and began to feel significantly overheated by 10 or 11pm the night of my vaccination. To give a sense of the extent of the disturbance, I ended up standing outside for 10 minutes without shoes or socks in the cold night air (~45?F) to cool off, but remained shiftless the rest of the night and was unable to remain asleep for a full sleep cycle until early morning (4 or 5am). I did not take my temperature at any point but did not appear to have a significantly warm forehead. The next morning I woke up with a very sore left shoulder and arm (i.e. the site of my vaccination) and general muscular stiffness in my back. Raising my arm increases the soreness significantly. I have no concerns about my reactions, but they were significant for a first Pfizer COVID shot so I am reporting to provide information to VAERS.

Other Meds: None

Current Illness: None

ID: 1167013
Sex: F
Age: 38
State: WA

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

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Janssen COVID 19

Other Meds: Took my thyroid medication morning on the day of vaccination.

Current Illness: None

ID: 1167014
Sex: F
Age: 60
State: AZ

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

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

Lab Data:

Allergies: Shellfish Difficulty Breathing Added 4/13/2017 Erythromycin Rash Added 4/13/2017 Sulfamethoprim Ds Rash Carrot Difficulty Breathing, Itching Cantaloupe Itching, Rash Ketoconazole Itching Azithromycin Rash Pineapple-oral ulcers Sulfa Antibiotics Shellfish-Derived Products Anaphylaxis Sulfamethoxazole W-Trimethoprim Terconazole Cucumis Itching-rash- Shellfish Containing Products Anaphylaxis, Shortness of breath Sulfa (Sulfonamide Antibiotics) Rash Turmeric Rash

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: 12-48 hrs post vaccine: nausea, fever, headache, muscle aches, malaise; took tylenol; 48-96 hrs post: malaise; 5th-10th day post: coronary vasospasms, malaise, arrhythmia; took nitroglycerin patches, nitro bid paste; 11th day: met with rheumatologist, started medrol dose pack, improved spasms for a short time, 13th day: afib symptoms and Apple Watch reading noted by patient; 15th day spasms began again and increased symptoms of afib: saw doctor in office for EKG showing afib; met with cardiologist ordered increase in diltiazem and second medrol dose pack; first 48 hrs on second dose pack improved spasms, by 3rd day spasms significantly increased and constant afib w headache, dizziness, malaise. Visited ER, admitted. cardio version. Reduced dilitiazem, reduced ramipril, increased isosorbide. Continued symptoms with waxing and waning of spasms and atrial fibrillation . Although this is a pre-existing chronic condition, Afib without relief is not normal. Spasms without resolution not normal nor have I experienced an episode of this duration ever.

Other Meds: Humira 40 every 2 weeks, Daily: Ramipril 2.5, Diltiazem 240, Isosorbide ER 90, Progesterone 100, Levothyroxine 75, atorvastatin 40, xarelto 20, Mesalamine 2.5/4x/day, vitamin D, Multi vitamin, B complex.

Current Illness:

ID: 1167015
Sex: M
Age: 30
State: NC

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

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

Lab Data:

Allergies: OUTDOOR ALLERGIES

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient given 0.5ml dose of covid-19 vaccine by Janssen. Patient stated was scared of needles. He immediately stated he thought he was going to pass out. Patient passed for approximately 30 seconds and jerked/like a seizure then came back but still felt dizzy, passed out again and jerked came back but still felt bad, Patient stated he did not feel right was hot wanted to lie down on floor. 911 was called made patient comfortable until EMT's arrived and patient was taken to ambulance and released.

Other Meds: CLARITIN

Current Illness: NONE

ID: 1167016
Sex: F
Age: 38
State: MD

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

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Severe headache and sinus pressure (like worst sinus infection I ever had), severe fatigue - first day. Second day was headache and severe sore throat (like the last day of bad strep throat), resulting in difficultly swallowing, and extreme fatigue.

Other Meds: None

Current Illness: None

ID: 1167017
Sex: F
Age: 28
State: CA

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

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

Lab Data:

Allergies: NKDA

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Left ear - Bullous Myringitis

Other Meds: Adderall for ADHD

Current Illness: n/a

ID: 1167018
Sex: F
Age: 34
State: UT

Vax Date: 03/19/2021
Onset Date: 03/01/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: The injection site is 5 degrees warmer than the rest of the arm, and still sore to the touch. Slightly pinker to the rest of the arm, also the rest of the arm is colder as well than a normal arm. Normally is not noticable unless touched, hence was not noticed for two weeks.

Other Meds: Lyrica, Syeda, Nurtec, Colestipol, Ibuprofen, Benadryl, Cyclobenzaprine, Montelukast, Metformin, Topiramate, Sertraline, Levothyroxine, Hydrocodone-Acetaminophen, Promethazine, Lidocaine 5% patches, Alive women's energy multi vitamin, iron

Current Illness: None

ID: 1167019
Sex: F
Age: 44
State: MI

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

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

Lab Data:

Allergies: Allergic to mold, dust, pollens

Symptom List: Unevaluable event

Symptoms: Slight tightness in chest, shortness of breath, red face, heart palpitations started at 6:00 pm.

Other Meds: Valium, ibuprofen, prednisone, advair, probiotics, mirilax, sudafed, allegra, claritin, proair inhaler.

Current Illness: Back muscle strain, long covid symptoms

ID: 1167020
Sex: F
Age: 73
State: WA

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

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

Lab Data:

Allergies: Yes. Pain killers, Demerol, opioids, lotions, soaps

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Hives

Other Meds: None

Current Illness: None

ID: 1167021
Sex: M
Age: 64
State: CA

Vax Date: 03/19/2021
Onset Date: 03/28/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: NSAIDS

Symptom List: Injection site pain, Pain

Symptoms: Hoarse, tight throst

Other Meds: Brilinta, meteroprolo, hydrochlorothiazide

Current Illness: Arteriosclerosis

ID: 1167022
Sex: F
Age: 32
State: NY

Vax Date: 03/27/2021
Onset Date: 04/03/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: allergic to most raw fruits (apples, strawberries, pears, plums, etc.), mild allergy to some raw nuts (almonds, cashews), seasonal pollen allergies

Symptom List: Injection site pain, Menorrhagia

Symptoms: "COVID arm": slight swelling around injection site in left arm. Slightly hardened, itchy, redness, warm to touch

Other Meds: prenatal

Current Illness: none

ID: 1167023
Sex: M
Age: 40
State: CA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: Fatigue, Muscle Ache, Mild nausea and mild headaches persistent for 39 days after vaccine shot.

Other Meds: None

Current Illness: Gerds

ID: 1167024
Sex: F
Age: 50
State: PA

Vax Date: 03/25/2021
Onset Date: 03/30/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Dry itch patch at injection sight over 2 inches long and wide

Other Meds: Welbutrin

Current Illness: None

ID: 1167025
Sex: F
Age: 64
State: IL

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

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fever of 100.2 around 9 PM. (My average temp is 97.2). Took 2 Tylenol PMs and slept 10 hours. Woke up fever free.

Other Meds: Synthroid Prempro Bupropion Calcium Probiotic

Current Illness: None

ID: 1167026
Sex: M
Age: 36
State:

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

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

Lab Data:

Allergies:

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Patient received the second dose of a COVID vaccine the day prior to admission. He has a known history of hypertension, and was admitted to the hospital for a life-threatening intracranial hemorrhage and hypertension. Although it seems less likely that this event was related to the vaccine administration, given the temporal proximity to administration of the COVID vaccine, I am submitting this report.

Other Meds:

Current Illness:

ID: 1167027
Sex: F
Age: 38
State: OH

Vax Date: 03/27/2021
Onset Date: 04/04/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Nausea

Symptoms: Sore/burning sensation in left arm started on day 8, red splotch has been there for 8 days.

Other Meds: N/A

Current Illness: N/A

ID: 1167028
Sex: F
Age: 47
State: CA

Vax Date: 03/16/2021
Onset Date: 03/23/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List: Injection site pain

Symptoms: A week later, almost to the hour of the injection, the area around the location of the shot started to itch. Within 8 hours it was red and bumpy and about the area of a goose egg around the original injection site. The bumps went away a day later, but the itching and redness continued for an additional 48 hours.

Other Meds: Tecfidera, Clemestine, Gabapentin

Current Illness:

ID: 1167029
Sex: F
Age: 26
State: NE

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

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

Lab Data:

Allergies:

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: patient got dizzy with vertigo about 10 minutes after the shot and started feeling like she was having a hot flash. treated by having patient lay down and propped her feet up and gave her cold compress for her face and she denied wanting to receive more for her neck. symptoms resolved after about 15 minutes of laying down.

Other Meds:

Current Illness:

ID: 1167030
Sex: F
Age: 78
State: FL

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

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

Lab Data:

Allergies: Iodine,

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: Friday, April 2nd, in the late afternoon, I began to feel very weak . I had difficulty breathing throughout the night. Saturday, April 3rd, from the moment I woke, I had difficulty focusing due to severe dizziness and extreme weakness, unable to function normally. Shortness of breath continued and I remained in bed throughout the day. Today, April 4th, I am stronger, but unable to physically do more than necessary because of tiring easily with the weakness.

Other Meds: benazepril 10mg; Crestor 10 mg; zolpidem 10 mg; famotidine 20mg;

Current Illness: none

ID: 1167031
Sex: M
Age: 57
State: WI

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

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Patient had syncope related symptoms. Main symptoms were dizziness and hot sweats.

Other Meds: None

Current Illness: None

ID: 1167032
Sex: F
Age: 20
State: TX

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

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

Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: Currently spreading rash on torso, genitals, thighs, chest , and arms. Fungus like sores.

Other Meds: None

Current Illness: None

ID: 1167033
Sex: F
Age: 33
State: CA

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
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Lab Data:

Allergies: Not known

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Nausea vomiting chest discomfort

Other Meds: None known

Current Illness: Recurrent tachycardia and chest pain

ID: 1167034
Sex: F
Age: 40
State: CA

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

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Lab Data:

Allergies:

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Injection site reaction-2 days Headache-2 hours

Other Meds:

Current Illness:

ID: 1167036
Sex: M
Age: 54
State: CA

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

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Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: During early morning hours I awoke with pain and swelling at injection site, and hand and fingers were numb util effectively exercised a few minutes. Shortly thereafter, I developed a sever headache along with fever, chills and lethargy. Sever body aches followed with joint pain throughout entire body. All symptoms lasted 24-36 hours. 48 hours later, still feeling stiff with aching back muscles and feeling tired. Large underarm lumps have developed 72 hours after injection. All of the aforementioned occurred after the second injection.

Other Meds: flonaise

Current Illness:

ID: 1167037
Sex: M
Age: 38
State: IL

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

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Lab Data:

Allergies: Shellfish

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Extreme fatigue and sleepiness, sore throat, headache, pain at injection site

Other Meds: Gabapentin, trazodone, venlafaxine, propanolol, acetaminophen/paracetamol, ibuprofen

Current Illness: Carpal tunnel syndrome

ID: 1167038
Sex: F
Age: 43
State: MN

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

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Lab Data:

Allergies: Nightshades - avoiding because of inflammation in the body. Effexor XR THERE ARE A FEW OTHER PSYCHATRIC DRUGS I HAD REACTIONS TOO

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Nausea Diarrhea Headache Joint pain Chills Fever Sore throat Dry cough Muscle pain Fatigue Mood swings & crying spells Diabetic sugar fluctuations Now this rash - one week & 3 days later

Other Meds: Toujeo insulin Omeprazole Metformin XR GLIMEPRIDE TOLTERADINE TART ER PROPANOLOL ER LEXAPRO JARDIANCE GLUCOSAMINE SULFATE COQ10 Klonopin Gentle iron Multi vitamin Phosphatidyl choline Magnesium glycinate Sumatriptan Fish oil Calcium d glu

Current Illness: No other illnesses.

ID: 1167039
Sex: F
Age: 70
State: OR

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

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Lab Data:

Allergies: Penicillin, Sulfa antibiotics

Symptom List: Pain in extremity

Symptoms: Fever to 103, down to 99.9 by next day. Chills, fatigue.

Other Meds: Vedolizumab

Current Illness: none

ID: 1167040
Sex: F
Age: 37
State: CA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 04/04/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Brief bloating/gas/indigestion, followed by rapid-onset fever which lasted 16 hours, even when treated with fever-reducers. Following two weeks marked by intermittent spells of fatigue, cognitive fog, dizziness, low-grade fever, appetite loss and intense muscle soreness/joint pain.

Other Meds: multi-vitamin (Ritual prenatal)

Current Illness: Reynauds

ID: 1167041
Sex: F
Age: 67
State: OH

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 04/04/2021
Hospital:

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Lab Data:

Allergies: neomycin topical causes rash

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: 8 days after dose 1 of Moderna COVID-19 vaccine developed vertigo with distinct sense of motion even when laying still; accompanied by headache, fatigue, tinnitus, nausea; all symptoms resolved over 5 days EXCEPT tinnitus which has gradually become louder and constant and more annoying. 3 months later tinnitus loud enough to need TV volume louder

Other Meds: flovent oral inhaler once a day; diphenhydramine 25 mg once a day; acetaminophen arthritis strength 2 tablets daily; women's over 50 multivitamin daily

Current Illness: none

Date Died: 01/29/2021

ID: 1167042
Sex: F
Age: 82
State: NY

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 04/04/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Severe tiredness/lethargy started on 01/28/2021. Died at home around noon on 01/29/2021.

Other Meds: Prescription for dementia, plus prescriptions and vitamins.

Current Illness:

ID: 1167043
Sex: F
Age: 65
State: KY

Vax Date: 03/25/2021
Onset Date: 03/31/2021
Rec V Date: 04/04/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Penicillin, Erythromycin, Bactrim, egg whites

Symptom List: Vomiting

Symptoms: Noticeable fatigue and headache day one and two after vaccination. Raised red rash with itching on arm site of injection on day 6 after the injection. Still ongoing as of day 10 after injection

Other Meds: Claritin, Vitamin D

Current Illness:

ID: 1167044
Sex: F
Age: 67
State: SC

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

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Lab Data:

Allergies: Sulfa drigs

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Swelling and redness at and just below the sight of the injection.

Other Meds: Synthroid, Calcium

Current Illness: none

ID: 1167045
Sex: F
Age: 82
State: NY

Vax Date: 03/29/2021
Onset Date: 04/01/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: Penicillin and Sulfur

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Swollen and redness surrounding almost the entire upper around injection and continues to spread

Other Meds: Losartan, furosimide

Current Illness: None

ID: 1167046
Sex: F
Age: 56
State: IL

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
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Lab Data:

Allergies: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Headache, no other symptoms. Refused transport. blood pressure 110/70

Other Meds: none

Current Illness: none

ID: 1167047
Sex: F
Age: 57
State: MN

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

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

Lab Data:

Allergies: None

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Site of inject keeps getting more painful. Red, hot, lump developing.

Other Meds: Advil

Current Illness: None

ID: 1167048
Sex: F
Age: 48
State: FL

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

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

Lab Data:

Allergies:

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: Severe burning in back, toes and eyes. Severe body pain. Vomiting

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am