VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

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

ID: 1175503
Sex: M
Age: 38
State: IL

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: no known allergies

Symptom List:

Symptoms: Patient got very faint and passed out. Patient came to shortly after. 911 was called and they took patient to hospital.

Other Meds: blood pressure medication

Current Illness: none

ID: 1175504
Sex: F
Age: 85
State: NY

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: ACE-I, ARBs, CCB

Symptom List:

Symptoms: Worsening of hypertension and persistent headache

Other Meds: Aldactazide ASA Ocuvite Metoprolol Levothyroxine Potassium Clonidine Hydralazine tolterodine

Current Illness: None

ID: 1175505
Sex: F
Age: 34
State: IN

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fatigue: 5/5 4pm-5/7; Nausea: 5/5 6pm-5/6 am Fever: 5/5 8pm-5/6 am Chills: 5/5 8pm-5/6 am Muscle aches: 5/5 8pm-5/7 am Skin sensitivity: 5/5 8pm-5/7 am Sweating: 5/5 8pm-5/7 am injection arm sore: 5/5-present still

Other Meds:

Current Illness:

ID: 1175506
Sex: F
Age: 17
State: CA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: At 1137am, 5 minutes after receiving Pfizer vaccine, pt c/o dizziness and lightheadedness. At 1139 pt became pale and diaphoretic, so EMT lifted her from chair, she then lost consciousness for approximately 30 seconds. Pt was placed on floor in trendelenburg position with her feet elevated on a chair. When she regained consciousness she did not recall being placed on the floor and stated she "blacked out" and was still dizzy. At 1138 EMT called 911. At 1145 EMT recorded the following vitals: BP 68/44, HR 58, and RR 16. At 1145 paramedics arrived and assumed care of pt. At 1150 paramedics took the following vitals: BP 70/50, HR 54, and blood glucose 95, and from these indications decided to start and IV and admininster a 500cc bolus. Pt O2 sat was 100% but she was placed on 2L O2 NC for comfort. At 1205 paramedics transported pt to Hospital for further evaluation.

Other Meds: none

Current Illness: none

ID: 1175507
Sex: M
Age: 34
State: NC

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA. Symptoms included sore arm, fatigue/tiredness, headache, body ache, slight chills, slight sore throat, fever, and slight stomach ache. Majority of symptoms lasted about 8 hours. Slight headache still exists. Took 2 Ibuprofen to help with pain(s) about 5 hours after symptoms started.

Other Meds: N/A

Current Illness: N/A

ID: 1175508
Sex: F
Age: 41
State: IN

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 7:00 P.M. 4/5/21 began having body aches, chills, extreme weakness 99.8 fever in morning of 4/6/21 until mid afternoon around 2:00 P.M. Slept most of the day with Tylenol and Advil administration By 7:00 P.M., body aches subsided and energy levels felt better 24 hour period of symptoms.

Other Meds: Estarylla Oral escitalopram

Current Illness: none

ID: 1175509
Sex: F
Age: 50
State: TX

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Oranges. NKFA.

Symptom List:

Symptoms: Both my ears began ringing during my 5-10 minute drive home after leaving the vaccination center with a simultaneous, difficult to explain, "stuffed-up" feeling (almost like when changing elevations, yet not exactly the same as that). They rang loudly for hours that day and have never fully stopped since that day. They wax and wane in intensity and duration but there is always a low-level ringing audible bilaterally. When they surge from soft to loud, it then becomes difficult to hear conversation, television, etc over it. After 30 minutes to two hours, it usually slowly fades back down to a soft background ringing once again. Previously in my life, never experienced this problem. No other new or recent medication changes for me at that time.

Other Meds: Z-beta, Protonix, HCTZ, Norvasc, Prinivil, KCL, otc Zyrtec, otc Calcium, otc MVI, otc Probiotic, otc Vit D, otc, Vit C, Travtan eye gtts. Botox injection (migraine).

Current Illness: None

ID: 1175510
Sex: F
Age: 16
State: NY

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient presented for her first COVID-19 vaccine. Approximately a minute after vaccine was given, she was noted to be seated upright in the passenger seat of her car, with head bent forward and eyes open. She was unresponsive, stiff posture, and was placed into a reclined position. She then had some posturing with head turned to the left, no eye deviation or nystagmus, no tonic-clonic movement. Radial pulse was thready, bradycardia was noted, with normal respirations. She was noted to become diaphoretic and pale/ashen color noted to the face and arms. She became responsive within a few minutes, however initially was not able to answer questions clearly. She had no loss of bowel or bladder function. EMS assisted with evaluation. Initial blood pressure 78/31, HR 54, SpO2 100%. EMS then transferred her to the stretcher and she was transitioned from her car to the ambulance. She continued to improve spontaneously with BP 94/61 then 103/60 and HR 86 then 74. SpO2 remained stable at 100%. Skin color improved. She had normal responses to questions, no complaints of headache, dizziness, chest tightness, shortness of breath, numbness or tingling. She had some shaking/voluntary movement of the limbs and body noted, but she could control and stop this voluntarily, no myoclonic or tonic-clonic jerking noted. After syncopal event occurred, mom reported that the patient has a history of syncope routinely with blood draws and vaccines in the past, however this episode was slightly more prolonged and seizure-like activity was different. She has had some jerking movement previously with syncope which lasts 20-30 seconds, different from today's response. No known history of seizure disorder.

Other Meds: Birth control, multivitamin

Current Illness: None known

ID: 1175511
Sex: M
Age: 58
State:

Vax Date: 03/30/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever, chills, body aches lasting 24 hours

Other Meds:

Current Illness:

ID: 1175512
Sex: M
Age: 28
State: CT

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Starting around 8 hours after shot: flu-like symptoms - extreme chills, headache, 100F fever, significant body aches, loss of appetite, mild diarrhea, mild nausea; moderate injection site pain Most symptoms were resolved within 48 hours of shot, with some lingering injection site pain and mild upset stomach

Other Meds: 50mg sertraline, daily

Current Illness: none

ID: 1175513
Sex: F
Age: 50
State: MI

Vax Date: 03/26/2021
Onset Date: 03/28/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: not

Symptom List:

Symptoms: Swollen lymph node right side

Other Meds: Metformin 500 MgA Atorvastatin 40 Mg

Current Illness: not

ID: 1175514
Sex: M
Age: 54
State: VA

Vax Date: 03/18/2021
Onset Date: 03/20/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Extreme flair up of joint pain. Worst in one hip/leg on the level of pain of a kidney stone. Could not walk without extreme pain or go down set of stairs. Has improved some but now also experiencing moderate pain in other leg and feet are numb

Other Meds: none

Current Illness: none

ID: 1175515
Sex: M
Age: 53
State: MI

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Client was complaining about a "warm feeling." Complaint lasted about 10 seconds and resolved. No other complaints. No rash or allergic reaction seen. Patient stated he now felt normal. Heart rate was 90 and regular. Client refused any treatment or transport.

Other Meds:

Current Illness:

ID: 1175516
Sex: F
Age: 61
State: AZ

Vax Date: 01/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: High fever for 2 night in a row (in excess of 103), nausea, headache, sore muscles and joints, sore teeth, red inflamed area of vaccination about the size of an orange lasting 5 days., dizziness, unproductive cough, extreme tiredness for 3 days and lingering for 5 days.

Other Meds: Levothyroxine Estradol Vitamin D Vitamin B12 Cinnamon

Current Illness: None

ID: 1175517
Sex: F
Age: 29
State: VA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: After vaccination, patient was instructed to sit in the waiting area for 15 minutes. Patient states that they experienced feeling flushed, chills, dry, scratchy throat feeling. Observation personnel noticed a minor rash on neck. Patient was evaluated by provider.

Other Meds: Womens multivitamin.

Current Illness: None

ID: 1175518
Sex: M
Age: 24
State: WI

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: no known allergies

Symptom List:

Symptoms: About 2 mins after receiving the vaccine pt developed dizziness and had a syncopal episode

Other Meds: none

Current Illness: none

ID: 1175519
Sex: F
Age: 41
State: UT

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe body soreness, aches, pains, and headaches.

Other Meds: ROSUVASTATIN CALCIUM 20 MG TAB TABLET FENOFIBRATE 67 MG CAPSULE

Current Illness: None

ID: 1175520
Sex: M
Age: 33
State: MI

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient complained of bieng nauseaus, clamy, and sweaty. Onsite EMS was called vitals BP 123/69 HR 59 100% O2. He said he hadn't eaten anything yet. He was offered graham crackers and water, he refused both. felt better and was released home.

Other Meds:

Current Illness:

ID: 1175521
Sex: F
Age: 22
State: NJ

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: About 10 seconds after receiving her first Pfizer Covid vaccine, she said she had trouble breathing, she mentioned her throat was tingling . She was spitting up mucous but I did not observe any labored breathing or wheezing. We immediately called 911, was read to administer an EpiPen dose, pt wanted to wait for paramedics. When the police arrived, they also did not observe any respiratory distress but offered her O2, then the proceed to take her to Hospital at the pt's request.

Other Meds: Unknown

Current Illness: Unknown

ID: 1175522
Sex: F
Age: 65
State: WY

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Diltiazem, Sulfa

Symptom List:

Symptoms: Scratchy throat within 2 hours of vaccine inoculation, a raging headache started within 3 hrs of Johnson & Jonson (Janssen) vaccine, massive muscle cramping starting at 1800 and continuing through the night - I drank a gallon of water between 6 PM and 9 PM on 04/06/2021 and then 3 more 1/2 liter bottles during the night. None of it came out in the usual manner -- I had cramping of my left side muscles across my rib cage between 4 PM and 6 PM on 04/06/2021 and then massive lower leg cramps starting at about 10 PM 04/06/2021 lasting until 0300 AM 04/07/2021

Other Meds: Biotin, B-12, Docuset (100 g), Tylenol, Centrum over 50 for women, calcium

Current Illness: None

ID: 1175523
Sex: M
Age: 31
State: AL

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: At approximately 9:00 PM (roughly 11.5 hours after vaccination) I became extremely light headed with slurred speech. I experienced tunnel vision and dizziness. My face turned white, and my lips were a blue color. I sat down immediately, which improved my condition temporarily. But, within 2 minutes I began experiencing tunnel vision and dizziness again while sitting upright. I laid down on my back and elevated my legs. My vision returned and but I remained dizzy and pale. I experienced some numbness and tingling in my extremities. My wife attached a fingertip pulse oximeter to my finger at this time (we did not have a tool to check blood pressure on hand). My blood %SpO2 read between 95 and 98% and pulse ranged from 95 to 101 bpm. I did NOT experience: difficulty breathing, swelling of the airway, nor itching. Since I was not having difficulty breathing, and my symptoms seemed to indicate low blood pressure or potentially low blood sugar I decided to wait it out and see if my symptoms worsened. While laying on the floor, I consumed a glass of milk and a few oreo cookies, hoping to counter hypoglycemia (if that's what was going on). After approximately 15 minutes my condition began to improve - I could sit up slightly with only mild dizziness and color began returning to my face. After approximately 30 minutes, I was able to stand and walk to my couch and lay down. After around an hour, I was feeling almost back to normal with only a slight dizziness and tiredness remaining. 12 hours after the adverse event (24 hours post vaccination) I feel okay, slightly lightheaded but generally fine. I intend to call a doctor and discuss if any further tests are necessary.

Other Meds: 1000 mg Acetaminophen approximately 6 hours after injection to counter mild fever (99 def F), body aches, and injection site soreness. Marijuana, approx 0.2 g, smoked, approximately 30 minutes prior to adverse event.

Current Illness: None

ID: 1175525
Sex: F
Age: 50
State: ME

Vax Date: 03/26/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Ringing in ears (tinnitus) began the evening of April 6. I've never had this problem before.

Other Meds: Pravastatin, progresterone, estradial

Current Illness:

ID: 1175526
Sex: F
Age: 74
State: FL

Vax Date: 03/11/2021
Onset Date: 03/22/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: clindamycin, erythromycin

Symptom List:

Symptoms: PATIENT DEVELOPED PULMONARY EMBOLISM FOLLOWING THE VACCINE

Other Meds: Vit d3, coq10, lansoprazole, gabapentin, Januvia, metformin, Synthroid, ropinirole, spironolactone, tramadol

Current Illness: none

ID: 1175527
Sex: F
Age: 55
State: NC

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: reactive to hydrocodone

Symptom List:

Symptoms: Upon injection, medication burned going into arm and lasted about 2 minutes. I immediately started feeling odd over my entire body, I felt and looked flush, felt clammy, muscle tightness, started shaking, felt very nauseated, blood pressure went up and experienced slight swelling in hands. This lasted 30-45 minutes. My blood pressure, oxygen saturation level were being monitored. I left office at around 12:00 pm feeling better. I felt off the entire day. At 6:00pm I started with chills, muscles aches and pains. At 7:30pm I took a shower and went to bed very fatigued, muscles pain and cramping and chills. I took my daily meds of 125mg of Diamox, and 100 mg of Azathioprine. At 11:30pm I woke up with a 104 fever, sweating, and a lot of muscle cramping in legs and feet. My head felt like it was going to explode. My cerebral fluid pressure was up and felt in head and down spin. I did not rest well and found it difficult to get comfortable all night. I took an 200 mg of ibuprofen at 12:00am and started to feel some relief.

Other Meds: Azathioprine 100 mg, Diamox 125 mg

Current Illness: none

ID: 1175528
Sex: F
Age: 35
State: GA

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Sore throat/earache, diagnosed as a lymphatic reaction to the vaccine. 9 week pregnant at the time.

Other Meds: Vegan DHA, prenatal vitamin, vitamin d3, zyrtec

Current Illness:

ID: 1175529
Sex: F
Age: 49
State: TX

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Client started developing hives and a scratchy throat. She was given 25 mg of Benadryl PO then began to dry heave with no emesis. Then given 0.3 mg of epinephrine IM in right deltoid. A rapid response was called and she was taken to the ED by the house supervisor and respiratory therapist.

Other Meds:

Current Illness:

ID: 1175530
Sex: M
Age: 72
State:

Vax Date: 03/12/2021
Onset Date: 03/16/2021
Rec V Date: 04/07/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: On 3/16/21 his wife found him poorly responsive so EMS was called. He had seizures on the way to the hospital and was found to be COVID positive. He required intubated. Discharged on 3/24/21.

Other Meds:

Current Illness:

ID: 1175531
Sex: M
Age: 23
State: NY

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fatigue around 10 hours after initial vaccination. Radiating ache and joint pain from the injection site. After 12 hours, temperature reached 99.7 F. At 14 hours after vaccination, major aches and soreness, chills and fever rose to 101.2. By 1:00am fever had reached 103.0F (all temperatures taken with ear thermometer). I took 1000mg of Tylenol at that time, which greatly reduced the aches and pains. Woke up with a temp of 99.2, minor aches, almost all effects had subsided.

Other Meds:

Current Illness:

ID: 1175532
Sex: F
Age: 63
State: CA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt developed throat discomfort. Was given benadryl 25 mg po x1. BP 153/69, HR 65, O2sat 100%. Respirations appeared normal. Also reported arm pain radiating up to left side of face and tight chest pressure. Was given 2 puffs of albuterol inhaler. Pt stated throat felt better at this time. Repeat BP 135/59, HR 64, O2sat 99%. Pt felt shaky and cold, possibly from albuterol. Pt stated chest tightness subsided but still continued to have weird sensation in her arm up to her jaw area and throat was still feeling funny. Repeat VS 123/61, HR 61, O2sat 100%. Was taken to ER via W/C. Pt c/o being dizzy and throat was tightening up again on the way to ER. Was given solumedrol in ER. Discharged home. Feels better but still has some left throat swelling, improved with steroids, antihistamine. Airway unaffected. Chest tightness/pressure resolved.

Other Meds:

Current Illness:

ID: 1175533
Sex: M
Age: 35
State: LA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: real tired for couple days

Other Meds:

Current Illness:

ID: 1175534
Sex: F
Age: 39
State:

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever Chills Muscle and joint aches All moderate and lasting approx 6 hrs with no treatment

Other Meds: Whole food multivitamin, Claritin, Magnesium, Maca root

Current Illness:

ID: 1175536
Sex: M
Age: 66
State:

Vax Date: 01/30/2021
Onset Date: 03/19/2021
Rec V Date: 04/07/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: "This is a 67y.o. male with a past medical history of ESRD on PD, undergoing eval for transplant HTN, Gout who presented to the ED with complaint of diarrhea. Patient states that started to develop mild diffuse abd pain with diarrhea 3 days ago. Has been going up to 20x a day. Denies fever, chills, loss of taste/smell, nausea, vomiting, chest pain, sob, cough. Denies sick contacts."

Other Meds:

Current Illness:

ID: 1175537
Sex: F
Age: 52
State: IA

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/07/2021
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Lab Data:

Allergies: Sulfa, Levaquin, Keflex

Symptom List:

Symptoms: At 4am the day following the shot I woke up diarrhea, vomiting, a fever (101.4), chills/sweating, squeezing chest pain, tightness in throat, swelling of hands/feet, joint pain and throbbing headache- by later in the day I had also developed a blister type rash on my upper butt crack. I got the shot on Weds- symptoms finally subsided by Sunday evening except the rash which on Sunday had crusted over and is now/currently dark red, flat and feels sore/tingly. I'm currently waiting f or a return call from my doctors office about how to treat the rash. This rash looks very similar to shingles. My 18 yr old daughter got the shot one day before me and has this same rash on her cheek.

Other Meds: Famotidine, Leflunomide, Lisinopril HCTZ, Sertraline, Estradiol, probiotic, vitamin D

Current Illness: no

ID: 1175538
Sex: F
Age: 56
State: FL

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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Lab Data:

Allergies: Sulfa based medication

Symptom List:

Symptoms: Started with fever approximately 2:00 am April 6th. Also sinus nasal drip and slight pressure in chest when taking deep breaths. These subsided when I took Tylenol. Very tired and achy joints. Covid Arm angry red rash painful and itchy extending beyond injection site and down arm. April 7th - slight temperature not as bad. the temperature nasal drip and slight pressure in the chest come back when the Tylenol wears off. Not as tired and joints not so achy. covid arm rash is worse.

Other Meds: Vitamin d

Current Illness: none

ID: 1175539
Sex: M
Age: 39
State: UT

Vax Date: 03/29/2021
Onset Date: 04/05/2021
Rec V Date: 04/07/2021
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Allergies: None.

Symptom List:

Symptoms: I have had dizziness/vertigo, which began a week after the vaccine shot, each day, and which seems to be getting worse. I am at 9 days after the shot, and woke up dizzy when I reorient my body.

Other Meds: None.

Current Illness: None.

ID: 1175540
Sex: F
Age: 51
State:

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
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Symptom List:

Symptoms: Hoarseness throat swelling, itching. VS at 1153: BP 174/115, HR 83, O2Sat 100. VS at 1159 BP 149/107, HR 90, O2 Sat 100% Pt was awake alert and oriented x4, heart + lungs clear to auscultation, no stridor, no hives, no tongue/lip/face/oropharyngeal swelling, cap refill < 2 seconds Received 25 mg IM Benadryl with resolution of symptoms, just some mild residual itchiness. EMS/ED advised, Pt declined and was advised to seek emergent medical evaluation if symptoms worsen or return. Pt was advised not to drive herself

Other Meds:

Current Illness:

ID: 1175541
Sex: F
Age: 63
State: IN

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/07/2021
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Lab Data:

Allergies: Magnesium sulfate

Symptom List:

Symptoms: Sore vaccination site, chills, lethargic, slight headache,no temperature,

Other Meds: Atorvastatin 20 mg tablet, amlodipine 2.5 mg tablet, metformin 500 mg 24 hr tablet, triamterene-hydrochlorothiazide 37.5-25 mg tablet, multi vitamin, Zyrtec and Flonase as needed

Current Illness: Environmental allergies

ID: 1175542
Sex: F
Age: 20
State: OH

Vax Date: 03/17/2021
Onset Date: 03/28/2021
Rec V Date: 04/07/2021
Hospital:

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Symptom List:

Symptoms: Fatigue for over two days, stiff arm for over 48 hours and a lump on neck near shoulder and lymph node swelling.

Other Meds: Lamictal, Clobazam, AMITRIPTYLine

Current Illness: None

ID: 1175543
Sex: F
Age: 52
State: PA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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Lab Data:

Allergies: No allergies

Symptom List:

Symptoms: Dizziness

Other Meds: Allergy meds, inhaler

Current Illness:

ID: 1175544
Sex: F
Age: 36
State: OH

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
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Symptom List:

Symptoms: PATIENT REPORTED HER LEFT ARM FELT TINGLY A FEW MINUTES AFTER VACCINATION. SHE THEN FELT LIGHT HEADED AND SHE SAID WAS NOT SURE IF SHE WOULD PASS OUT. SHE ALSO FEALT LIKE SHE MIGHT VOMIT. PATIENT SAT WITH HER HEAD ON THE TABLE AND RESTED. THE PHARMACY PROVIDED HER WITH WATER AND SOMETHING TO EAT. SHE DRANK SOME WATER AND ATE A LITTLE BIT. AFTER 20 MINUTES OR SO SHE FELT BETTER. AFTER 30 OR MORE MINUTES HE HUSBAND CAME TO TAKE HER HOME.

Other Meds:

Current Illness:

ID: 1175545
Sex: F
Age: 61
State: OH

Vax Date: 04/01/2021
Onset Date: 04/05/2021
Rec V Date: 04/07/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies: Codeine and Sulfa

Symptom List:

Symptoms: Pt devolped cough and SOB arround time of vaccine found to have PE.

Other Meds: Tylenol, metformin, maxzide, lisinopril

Current Illness:

ID: 1175546
Sex: F
Age: 60
State: IL

Vax Date: 03/21/2021
Onset Date: 03/22/2021
Rec V Date: 04/07/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies: PLevoquin, Giner, Sulfa, Codeine, Penicillin,Novacaine, Clarithromycin, Demerol, Morphine, Iodine, Iodine based dye, Cephalosporins, Augmentin, Medical tape (adhesive), Bee stings, Environmental allergies, Latex, Mold mildew, Carbamazepine, Phenytoin Sodium, Valium, Albuterol, Omeprazole magnesium, Loteprednol, Acetone

Symptom List:

Symptoms: On 3/22 started exp swelling on eyelashes left eye. I woke up on 3/23 entire left eye was red, swollen and pain. I called went into see Opthamologist said it was cellulitis referred me to ER. I went to ER had CT scan done ruled out cellulitis stated it was upper eyelid swelling sent home do hot compresses. On 3/24 seen, said it was stye and discharge apply heat, prescribe Tobramycin to eye rest of the week. I seen my Opthamologist on 3/29 said it was stye continue hot compresses wear no makeup. I called back on 3/30 symptoms worsened my eye appeared droopy. The work I do selling jewelry on live caused me to exp issues on the computer. I started seeing flashes causing me to get off computer. As of 4/7 still exp droopy on left eye and got darker tint added to my shades so people wouldn't notice.

Other Meds: Prednisone, Forteo, Warfarin, Vit D2, Cyclopentolate Solution, 4 Liters Oxygen 24, Ventolin HFA inhaler, Phenabartole, EpiPen as needed, Blood Glucose, Synthroid, Medical Marijuana vape(legal card in Illinois), Tylenol,Colece, Vit D comple

Current Illness: No

ID: 1175547
Sex: F
Age: 63
State: IN

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
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Allergies: None

Symptom List:

Symptoms: Symptoms began at 2 am on April 6th with severe chills, body/muscle aches and pains from my ankles up to my neck (with a lot of pain in my hips) fever 101.2, headache, complete loss of energy. All symptoms lasted throughout the day until approximately 8pm on April 6th at which time they started easing a little. I took Tylenol three times throughout this period. Upon waking the morning of April 7th all symptoms were completely gone with the exception of the pain in my hips; assuming this will ease throughout the day (may be due to spending so much time in bed) as I exercise regularly and my body was not use to NOT moving.

Other Meds: Hydrochlorothiazide, Omega 3, CoQ 10, Vitamin D3, Tumeric

Current Illness: None

ID: 1175548
Sex: F
Age: 63
State: FL

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 04/07/2021
Hospital:

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Lab Data:

Allergies: Penicillin, Gluten Intolerant (Celiac Disease), molds, trees, pine, etc.

Symptom List:

Symptoms: Ringing in my ears on both sides. A continual buzzing that does not stop.

Other Meds: Multivitamin, Calcium, Vitamin D3, Vitamin C with Rose Hips, Iron Protein, Grapeseed Extract, Zinc

Current Illness: None

ID: 1175549
Sex: M
Age: 58
State: MI

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/07/2021
Hospital:

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Symptom List:

Symptoms: Patient head was bobbing and the nurse thought it might have been a seizure. Onsite EMS was called vitals BP 149/88 HR 56 97% O2. He felt better and was released home.

Other Meds: seizure meds, Blood thinners

Current Illness:

ID: 1175550
Sex: F
Age: 88
State: KY

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/07/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Following the injection, the patient began to experience atrial fibrillation with RVR. The patient was taken by EMS to Medical Center, and was hospitalized on 04/03/2021 The patient was discharged from the hospital on 04/07/2021.

Other Meds:

Current Illness: Left knee replacement 3/2/2021

ID: 1175551
Sex: M
Age: 27
State: FL

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: The patient felt uncontrollable shakes/chills at night for around 15 minutes before sleeping but recovered after rest.

Other Meds: None

Current Illness: None

ID: 1175552
Sex: F
Age: 34
State: CA

Vax Date: 03/27/2021
Onset Date: 04/03/2021
Rec V Date: 04/07/2021
Hospital:

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Lab Data:

Allergies: Penicillin Ceclor Sulfa Cantaloupe

Symptom List:

Symptoms: 1 week later I had redness, sweeping, itching, and pain at the injection site.

Other Meds: None

Current Illness: None

ID: 1175553
Sex: M
Age: 65
State: FL

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 04/07/2021
Hospital:

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Symptom List:

Symptoms: Patient received the 2nd dose of Moderna at the 21-day interval instead of 28-day interval. No adverse event reported by the patient

Other Meds:

Current Illness:

ID: 1175554
Sex: F
Age: 56
State: VT

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/07/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: On Saturday 4/3, about 6 hours after shot, I began to have cold chills. Within 2 hours later I was so tired that I went to bed. I have never shook so much from cold chills. Fever reached 103.8 during the night. I did feel nauseous a couple of times, but no vomiting. Drank lots of water but no appetite. On Sunday 4/4, stayed in bed and slept - waking every 2-3 hours. On Monday 4/5, feel better - just really tired. Still unable to sleep more than 2-3 hours at a time. Still no appetite but forced myself to eat a little. On Tuesday 4/6, feel better than day before. Still really tired. No energy. Still sleeping 2-3 hours at a time. Appetite coming back slowly.

Other Meds: Losaratan 100 mg

Current Illness: None

Total 2021 VAERS Injuries: 559,999

Page last modified: 03 October 2021 5:28pm