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
88,334
AK1,815
AL6,133
AR3,993
AS45
AZ14,539
CA64,759
CO12,159
CT8,719
DC1,747
DE1,868
FL41,499
FM3
GA16,132
GU92
HI2,477
IA4,739
ID2,763
IL21,496
IN23,655
KS4,844
KY8,414
LA5,328
MA15,281
MD13,105
ME3,277
MH8
MI20,143
MN12,873
MO10,275
MP30
MS3,073
MT2,392
NC17,450
ND1,440
NE3,023
NH3,124
NJ19,456
NM4,089
NV4,600
NY36,525
OH20,140
OK6,525
OR8,918
PA24,920
PR2,483
QM2
RI2,092
SC6,952
SD1,243
TN10,038
TX38,745
UT4,482
VA15,477
VI62
VT1,780
WA15,487
WI11,573
WV2,461
WY894
XB5
XL1
XV2

ID: 1179702
Sex: M
Age: 16
State: NJ

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: None reported.

Symptom List:

Symptoms: Patient is 16.7 years old. Patient received Moderna vaccination.

Other Meds: None reported.

Current Illness: None reported.

ID: 1179703
Sex: F
Age: 53
State:

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: At approx. 1339, pt reported fogginess and dizziness. Airway, and breathing were clear. Vitals were 130/90 BP, 90 BPM (strong), 99% O2 room air, and 14 RR. Pt reported only having orange juice at 1200. Pt was asked to drink water and stay for further observation for 15 minutes. Pt reassessed at 1355. Vitals were 120/80, 85 BPM regular, RR 12 and 99% O2 room air. Pt stated she felt better and left facility with steady gait and unlabored breathing at 1400.

Other Meds: Thyroid medication for hypothyroidism and medication for inflammation

Current Illness:

ID: 1179704
Sex: F
Age: 54
State: FL

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: None listed on consent forms or disclosed

Symptom List:

Symptoms: After getting the second dose of Moderna he complained it was painful more than his first dose. I asked if he was ok and he said he didn't feel good at all. So I watched him and said let me know I am right here as I was watching him. He said he didn't feel good and wanted to lie down. I look at the patient he was leaning back on his chair, I felt his pulse was fast and he was pale and sweating. I told my technician to call 911 for help and came on tapping on his shoulder calling out for his name. He didn't response to my call so I gave him an EpiPen (0.3 mg). After getting the EpiPen he came back responsive I could tell because he was looking at me when I tapped his shoulder and call his name out. I asked if he felt better and can hear me he signal yes. A few minutes later he was able to speak in short sentences and able to give us his wife phone number (she was in her car waiting in the parking lot) to come inside. Paramedic came and took over the case and getting all the information from me

Other Meds: None listed on consent forms or disclosed

Current Illness: None listed on consent forms or disclosed

ID: 1179705
Sex: M
Age: 60
State: IN

Vax Date: 04/05/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Benadryl and Zithromax

Symptom List:

Symptoms: Pain at injection site. Progress to under the arm. Also lymph nodes under arm are noticeable to the touch and water build up on the right under arm chest wall. Some coldness in hand and occasional tingling. Shoulder area feels heavy.

Other Meds: Rosuvastatin 40 MG, Baby Aspirin 80 MG, Loratadine 20 mg, Dicyclomine 10 MG

Current Illness:

ID: 1179706
Sex: M
Age: 48
State: NY

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Just before going to bed I started feeling very cold, shivering, I had similar sensation in the past when fever went up extremely quick. I did not measure my body temperature because I immediately ran under the blanket. Icy-cold hands and feet, even after my body temperature seemed to stabilize. I fell asleep but not a restful sleep. I woke up after 2.5 to 3 hours with the feeling that it was morning, but in fact it was between 2am and 3 am. At that point I felt the worst part had gone, I felt weak and with muscle aches but I could drink water and go back to bed. I did not have a restful sleep all night and I woke up may times. By the morning I was tired but no fever.

Other Meds: Omega-3

Current Illness:

ID: 1179707
Sex: F
Age: 65
State: MI

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Flexeril, Droperidol, Imipramine, Tramadol, Metoclorpramide

Symptom List:

Symptoms: Sore, tender, red, swollen area near where shot was given in right arm

Other Meds: Miralax, Bentyl, Carafate, Zofran, Norco prn, Tylenol, Metoprolol, Verapramil , Nexium

Current Illness: Abdominal pain Nausea Vomiiting

ID: 1179708
Sex: F
Age: 52
State: PA

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Off and on Vomiting, Diarrhea and Headache last in excess of a week

Other Meds: Imuran 100mg 9:00AM Tacrolimus 2 mg 9:00AM/2mg 9:00PM Norvasc 2.5mg 9:00AM Prednisone 5mg 9:00AM Lexapro 10mg 9:00AM

Current Illness: None

ID: 1179709
Sex: F
Age: 37
State: NY

Vax Date: 03/30/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Redness, itching, swelling at injection site

Other Meds: Prozac

Current Illness:

ID: 1179710
Sex: F
Age: 66
State: IN

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Fever 99.8? at onset, low-grade continues 98.9?. Muscle aches, injection site and throughout body. Fatigue and irritability. Taking Tylenol (listed above) and resting lots.

Other Meds: Daily Supplements: SeroVital, Vitamin D PRN: Tylenol 8 Hour Arthritis, Tumeric

Current Illness: None

ID: 1179711
Sex: F
Age: 50
State: MO

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Shingles (pain and burning started 24 hours after injection, rash appeared 5 days later, still currently experiencing symptoms)

Other Meds: Levothyroxine Fish Oil Adderall

Current Illness:

ID: 1179712
Sex: F
Age: 64
State: NY

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Fever, diarrhea, stomach upset. Swelling redness, inflammation, severe itching at vaccination site

Other Meds:

Current Illness:

ID: 1179714
Sex: M
Age: 38
State: CT

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: NOne known

Symptom List:

Symptoms: Approximately 6 hours after the vaccination I started to experience minor flu-like symptoms including low grade fever & chills. By 12 hours after vaccination my symptoms were more severe and included fevers 101.5, headaches, severe body aches, chills, dizziness, nausea, and hearing sensitivity. By 36 hours after vaccination my symptoms had mostly subsided with just minor dizziness and nausea remaining.

Other Meds: prilosec OTC, 10 Mg Daily

Current Illness: None

ID: 1179715
Sex: F
Age: 42
State: TX

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: potentially phenobarbitol

Symptom List:

Symptoms: About 8 minutes after the shot I started to feel "off" which progressed into lightheadedness and thought I was going to pass out. I alerted the pharmacy team right about the 10-minute mark when they increased instead of getting better. Had to sit down, hard to form thoughts, hard to talk without feeling nauseous. Got very hot, had to remove the top layer I was wearing, and put my head down in my hands bc I felt like I was going to get sick. Then around 11:05, the hot flashes turned into a cold sweat, still with the pass out/nausea feeling. Around 11:08 my lower back and hands felt like they were shaking but they weren't. Was given a small bottle of water. At 11:14 the nausea and sweats had passed but it felt like my hands were shaking so badly as if holding a jackhammer. It also felt that my hand muscles were trying to stretch my fingers flat and up, while I was actively trying to cusp my knees. The shaking started to appear in my lower calves but then everything subsided and I was OK to stand up/leave around 11:20. I had some slight brain fog for a few hours and was tired, but was fine come Sunday (aside from site injection swelling and sensitivity that cleared up by Monday).

Other Meds: Bupropion Hcl XL (300mg/day)

Current Illness: n/a

ID: 1179716
Sex: F
Age: 28
State: MA

Vax Date: 12/24/2020
Onset Date: 03/30/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Asymptomatic Covid 19 breakthrough after both vaccines

Other Meds: Lamictal

Current Illness:

ID: 1179717
Sex: F
Age: 38
State: IN

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: mammal products or by products (Alpha Gal Syndrome)

Symptom List:

Symptoms: 6p - body aches and chills 100.9 8pm - 101.8 ibuprofen 600mg taken 12a woke up drenched in sweat body aches severe next day no fever but severe body aches still shortness of breath is worse tightness in chest is back Wednesday 8p diarrhea

Other Meds: depo-prevera

Current Illness: none

ID: 1179718
Sex: F
Age: 64
State: TN

Vax Date: 03/15/2021
Onset Date: 03/30/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: mild allergy to avacado/red skins & few other foods. mild allergy to penicillin - sometimes get a rash

Symptom List:

Symptoms: Two weeks after receiving the vaccine I went to the ER with excruciating pain in my chest. Was diagnosed with a pulmonary embolism. My son who is 33 yes old had the same result after his first Pfizer vaccine in the exact same time frame - yesterday.

Other Meds: pravastatin 20 mg 3x/week

Current Illness: none

ID: 1179719
Sex: F
Age: 43
State: IN

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: PCN and tree nuts

Symptom List:

Symptoms: I knew my arm would hurt. But the day after my first shot I started off with cold sweats, drenched in sweat. Really hot, then by 9 am I was very cold, chills, felt like I was running a fever, but checked several times and was not running a fever. Body aches started soon after I got cold, joints aches and then just plain throbbed and hurt. The headache was not sever but was present all day. I couldn't lift my arm when I work up that morning, it remained like a lead wait till today 4/8/21 when I woke up. I felt exhausted and had bouts of vertigo on and off all day 4/7/21. Felt nauseas. Neck was stiff. My muscles were stiff and sore like I just ran a marathon. I feel 100% better today 4/8/21 but the day after my shot on 4/7/21 I was down for the count and I couldn't function normally. I felt like I had a lead blanket weighing me down. I hope I will get a super human power. I will get my 2nd dose but I worry if it will be worse than the first. Oh and I am extremely hungry and craving sweets (which will make me fat btw). I talked to friends who also had the same reaction, didn't call my doctor. Thinking this might be normal for women and the moderna shot. I am reporting to have my voice be heard.

Other Meds: Adderall 20 mg

Current Illness: none

ID: 1179720
Sex: F
Age: 54
State: IA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Janssen COVID-19 Vaccine EUA 5 minutes after receiving the shot, I was sitting in my car waiting for the 15 minute monitoring period, and I passed out. Help responded and I came out of it, and proceeded to vomit 4-5 times. Felt weak, dizzy, nauseous. My mom came to drive me home. Slept the rest of the morning and had some feeling of tightness in my chest in the late afternoon and evening. Thursday morning when I woke up, my arm was sore but I felt mostly better (still a bit of tightness in the chest). Did not seek medical attention at this time - just monitoring symptoms as of Thursday, 4/8/21.

Other Meds: Vitamin B-12 (1000mg once a day) Atorvastatin (cholesterol - 20mg once a day) Melatonin (10mg once a day)

Current Illness: None

ID: 1179721
Sex: F
Age: 51
State: CO

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Augmentin; contact allergies to BHT, PolyEthylene Glycol, many fragrances

Symptom List:

Symptoms: After onset at 6:45, fever rapidly increased to over 102 by 8pm. Muscle aches and soreness accompanied fever. Very thirsty. Fever stayed near 103 overnight until I took tylenol somewhere between 2-4 am. By 5 am the fever was down to 101.5. Fever stayed between 101-102 most of the following day (4/6/2021), dropping to 99.5-100 around 6pm. Stayed low grade under 100 through the night and was back to normal by the morning of 4/7/2021. I felt mostly normal on 4/7/2021 aside from severe muscle tightness in gluts, hamstrings, and thighs, with soreness in my lower back (unknown if that is related to the vaccine, but it was not present before 4/7/2021). Today, 4/8/2021 the muscle tightness & soreness remains but the fever is still gone and I feel otherwise normal.

Other Meds: B12 monthly injection Latanoprost once/day one drop each eye

Current Illness: None

ID: 1179722
Sex: F
Age: 54
State:

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: strong metallic taste (3 days) resulting in severe nausea (3 days), swollen blood vessels in head, legs, chest (3days), lightheadnesss lying down/dizziness standing and moving (3 days), joint pain in left hip, knees and toes (3days), swelling and pain in left arm (4days), hot flashes (1 day) Treatment: ice chips, gatorade ice chips for nausea, ice packs for swelling, Tylenol for pain I had moderate Covid in January 2021.

Other Meds:

Current Illness:

ID: 1179723
Sex: F
Age: 75
State: IL

Vax Date: 03/12/2021
Onset Date: 03/24/2021
Rec V Date: 04/08/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient presented to ED on 3/27/21 with 3 day history of weakness and diarrhea. COVID test was positive following 1st COVID vaccination. Patient diagnosed with diverticulitis with secondary cystitis. Patient was treated with antibiotics, steroids, oxygen, and remdesivir. Patient recovered and discharge to home.

Other Meds:

Current Illness:

ID: 1179724
Sex: F
Age: 39
State: MO

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I started vaginal bleeding like I had started my period again. I had already had my period for the month of March. It lasted for a week just like a normal period.

Other Meds: Lexapro 10mg 1 tab po daily

Current Illness: None

ID: 1179725
Sex: M
Age: 54
State: AZ

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Headache, chills, body aches, low grade fever. Increase water intake, ibuprofen, bed rest

Other Meds: Zyrtec for seasonal allergies.

Current Illness: None

ID: 1179726
Sex: F
Age: 36
State: WI

Vax Date: 03/25/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: amoxycillin

Symptom List:

Symptoms: Large red rash appeared on upper left arm on Wednesday, April 7th around 5pm. Slightly itchy, but mostly just very very hot. It is raised up like a welt with the diameter of about 3 inches. There are a few smaller surrounding welts with diameters of 1/2 inch, all slightly connected.

Other Meds: N/A

Current Illness: N/A

ID: 1179727
Sex: M
Age: 52
State: WA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Mangoes, no other food or drug allergies

Symptom List:

Symptoms: Localized rash, on the left arm, near axils and front of shoulder, flat, small red marks, non-itchy, not warm/hot to touch

Other Meds: Testosterone cypionate, 1.4mg IM, weekly; arimidex, 0.25mg PO twice weekly, Seed Probiotic 2 caps PO QD, Ritual MVI, 2 caps PO QD, Lisinopril 10mg PO QD, Allegra 180mg PO QD

Current Illness: None

ID: 1179728
Sex: M
Age: 40
State:

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: IV Morphine- severe histamine reaction

Symptom List:

Symptoms: Injection site muscle spasms

Other Meds: Cayenne supplement- 450mg twice daily Niacin supplement- 500mg once daily

Current Illness: None

ID: 1179729
Sex: M
Age: 30
State: NE

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Penicillin and lactose intolerance.

Symptom List:

Symptoms: I currently have a fever above 101 degrees Fahrenheit and severe muscle aches.

Other Meds: Psyllium Husk Fiber

Current Illness: None

ID: 1179730
Sex: F
Age: 36
State: PA

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Vitreous hemorrhage in left eye, ongoing vision disruption.

Other Meds: Humalog Insulin, Losartan

Current Illness: N/A

ID: 1179731
Sex: F
Age: 58
State: IN

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: April 6th, Sore arm at site of injection at 10pm, awakened at 3am with severe headache that lasted all day took aspirin, headache was not relieved, experienced fatigue and body aches.These symptoms lasted 24 hours. April 8th sore arm with no other problems, feeling great.

Other Meds: None

Current Illness: None

ID: 1179732
Sex: F
Age: 67
State: ME

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: the shot was fine the side effect was sick to my stomach and head ache.

Other Meds:

Current Illness:

ID: 1179733
Sex: M
Age: 30
State: NY

Vax Date: 02/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Wheat, Tree nut allergy

Symptom List:

Symptoms: Because of my celiac condition, I avoid eating products with wheat and gluten in them. However, occasionally it is unavoidable, such as with traveling. Typical reactions include fatigue, headache, mild brain fog, irritability, and watery bowel movements for up to 3 days following ingestion. However, since receiving the Moderna vaccine I have encountered wheat products 3 times; in all three cases the reaction was much more severe and included whole-body ache for 5-7 days, insomnia for 2-3 days, dry heaving for 24 hours, extreme sensitivity to motion/motion sickness for up to 3 days, intense gastrointestinal discomfort for up to 7 days, constipation and diarrhea, severe congestion, shortness of breath, elevated heart rate, confusion or disorientation, and an overall elevated level of symptoms lasting from 4-7 days depending on the amount ingested.

Other Meds: Multivitamin OTC Vitamin D, B Complex, Calcium, Magnesium

Current Illness: N/A

ID: 1179734
Sex: M
Age: 43
State: OH

Vax Date: 03/24/2021
Onset Date: 03/26/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: - 36 hours after vaccine administration I start to experience loud ear ringing; - few hours later the ringing reduced in intensity and stays constant until now; - it is a high frequency noise in both ears; - audiogram revealed high frequency hearing loss and ENT found the external ears to be normal; - I have received no treatment or any other type of care;

Other Meds: none

Current Illness: none

ID: 1179735
Sex: F
Age: 53
State: FL

Vax Date: 04/05/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Sulfa sensitivity

Symptom List:

Symptoms: Hard and red round spot near injection site. Hot to the touch. Not sure if related but also throwing up this morning.

Other Meds: Lisinopril ACV gummies

Current Illness: Cold like symptoms 10 days prior

ID: 1179736
Sex: F
Age: 27
State:

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/08/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Pt felt rapid heartbeat and stated her pulse can fluctuate between 150-160 BPM due to cycles of anxiety. Vitals assessed. 148/92 BP, 130 PR, 98% O2 room air. Patient asked to be moved outside. Pt escorted by EMT. patient listened to relaxing music and used breathing techniques. Patient also went to bathroom to splash cold water on her face. Pt refused medication and transportation. Pt monitored and reassessed at 1215. 142/80 bpm, 125 PR, 99% O2. Pt stated feeling more relaxed and stated she wanted to leave . Pt left facility with steady gait at 1218 with family.

Other Meds: None

Current Illness: None

ID: 1179737
Sex: F
Age: 55
State: IN

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Body aches, 100.5 temp, itchy face

Other Meds: Vitamin, Claritin, D3, zinc, aspirin

Current Illness: Seasonal allergies

ID: 1179738
Sex: F
Age: 61
State: NJ

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
Hospital:

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Lab Data:

Allergies: IV Dye, Iodine, Shellfish

Symptom List:

Symptoms: Pt reported after her 1st dose 3 weeks prior, approximately 40 minutes after leaving the clinic she felt her tongue swell and throat thick. Reports taking a Benadryl and contacted PCP. Pt presented to clinic on 4/5/21 with paperwork from PCP stating patient to receive 2nd dose of vaccine "benefits outweigh risks." PCP did not recommend premedicating for 2nd dose. After receiving 2nd dose approx 15 minutes later, patient reported feeling of tongue swelling. Patient took her own Benadryl 50mg PO. At 2:28PM, pt reports feeling full throat. Placed on monitor, Pulse Ox 96%, HR 90's, BP 189/119. Pt transported to Emergency Room. Was able to speak clearly on arrival in ED, Dexamethasone 10mg IV push and famotidine 20mg IV Push administered. Patient symptoms resolved, diagnosed with minor vaccine reaction and discharged to home with instructions to f/u with PCP.

Other Meds:

Current Illness:

ID: 1179739
Sex: M
Age: 60
State: TX

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Adverse event: Severe headache Treatment: Tylenol Outcome: Relief

Other Meds: Simvastatin - 20mg Pantoprazole - 40mg

Current Illness: None

ID: 1179740
Sex: F
Age: 68
State: MD

Vax Date: 02/02/2021
Onset Date: 03/15/2021
Rec V Date: 04/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Penicillin based meds and some sulfa drugs

Symptom List:

Symptoms: Muscular pain (severe at times) in the upper (deltoid) areas of both arms, leading up into the shoulders and neck on both sides. Also, pain in backs of thighs, extending from top of thighs to backs of knees. Very painful to sit for any length of time. Limited motion in arms, as well as inability to bend over without experiencing pain.

Other Meds: Losartan Potassium; Metoprolol; Airborne; Vitamin D3; Zyrtec

Current Illness: Hypertension

ID: 1179741
Sex: F
Age: 52
State: CA

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 04/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Sulfa, cephalexin

Symptom List:

Symptoms: Birth in 1988, 7 lbs 5 .5 ounces Developed a bruise approximately the size of a quarter at the injection site that lasted 3 weeks. No other symptoms and did not seek any treatment.

Other Meds: Asmanex, fluticasone, monteleukast, famcyclovir

Current Illness: None

ID: 1179742
Sex: F
Age: 57
State: AL

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Received injection approximately 11:15 a.m. on April 7th 2021. At approximately 2:00 p.m. begin to feel a flush like feeling of warmth in the face. Very mild headache developed, which strengthened to moderate throughout the afternoon. Arm soreness begin to develop. Took ibuprofen 400 mg at approximately 9:00 p.m. headache subsided. At approximately 7:00 a.m. , April 8th 2021, headache developed to moderate condition. And 8:00 a.m. took ibuprofen 400 mg at 9:15 a.m. headache subsiding.

Other Meds: Multi vitamin, zinc, vitamin D3, vitamin C, tumeric, glucosamine chondroitin, calcium, magnesium, boswelia extract, folic acid.

Current Illness: Frozen shoulder

ID: 1179743
Sex: F
Age: 42
State: OH

Vax Date: 03/24/2021
Onset Date: 03/26/2021
Rec V Date: 04/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Bactrim (nausea) Certain antibiotics

Symptom List:

Symptoms: Hives, generalized.

Other Meds: Losartan, heart disease medication, boospar, lexipro, Insulin

Current Illness: None

ID: 1179744
Sex: M
Age: 64
State: TN

Vax Date: 02/08/2021
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: NA

Symptom List:

Symptoms: Received 1st does of Pfizer vaccine on 1/16 and 2nd dose on 2/8/21, tested positive for COVID-19 on 4/5/21 during a routine screening test, reported asymptomatic

Other Meds: NA

Current Illness: NA

ID: 1179745
Sex: F
Age: 34
State: TX

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Seasonal allergies.

Symptom List:

Symptoms: She got the vaccine, did had a little sore arm, but nothing else. She went to bed and when she woke up that her eye was watering and bump like under it, and when she wiped her eye she noticed it. It is still there, and it's only at the corner of the right eye. Every once in a while it starts to water and drain. She has to be careful to wipe he eye as when she touched it it hurts. She does not think that it's the eye, and has never had watery eyes. No other reactions other than the eye and the soreness of the arm. She has not taken anything or put anything in her eye.

Other Meds: Did not take any that day.

Current Illness: None.

ID: 1179746
Sex: F
Age: 40
State: IL

Vax Date: 03/30/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
Hospital:

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Lab Data:

Allergies: Codeine; wine spirits

Symptom List:

Symptoms: Seven days after vaccine, injection site became sore, very hot, and swollen. On day 8, injection site also developed a knot about the size of a marble. Throughout the day it continued to swell and grew larger than a golf ball. Injection site also began to itch a great deal on day 8. At bedtime, applied benzocaine to surface and took Benadryl. Today, day 9, injection site is still sore and swollen, but not has hot and not as itchy. So it appears to be improving. Will follow up with Dr. and report again if it doesn't continue to improve.

Other Meds: Birth control: levonorgestrel/ethinyl estradiol; Zegerid; Mylanta; Align; hydroCHLOROthiazide 25 mg tablet; lisinopriL 20 mg tablet; ergocalciferol 1,250 mcg (50,000 unit)

Current Illness: none

ID: 1179747
Sex: F
Age: 55
State: TX

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Compazine

Symptom List:

Symptoms: Massive headache Chills Body aches Back pain

Other Meds:

Current Illness:

ID: 1179748
Sex: F
Age: 66
State: MI

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 04/08/2021
Hospital:

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Lab Data:

Allergies: Flexeril, Tramadol, Imipramine, Droperidol, Metoclopramide

Symptom List:

Symptoms: the next day after shot, had a sore red arm, swollen and hot to touch. lasted for over a week.

Other Meds: Miralax, Zofran, Metroprooll, Colace prn, Norco prn, Nexium, Pepcid, verapramil, Linxzess, Lorazepam prn

Current Illness: Abdominal pain, hiatal hernia, gerd

ID: 1179749
Sex: F
Age: 53
State: TX

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Prevacid

Symptom List:

Symptoms: Within 2 hours of injection, slight itching, upper body only. Each day, itching has become worse, all over body itching, no rash. I?ve been taking Benadryl daily, but itching doesn?t completely subside. I do have just slight bump at injection site.

Other Meds: Metformin, singular, Jardiance, Trulicity, Zyrtec

Current Illness:

ID: 1179750
Sex: M
Age: 33
State: MT

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List:

Symptoms: Janssen COVID-19 Vaccine EUA: experiencing headache, fatigue, muscle aches, fever. Took 1000mg Tylenol and all symptoms except headache are relieved within 1 hr of medication ingestion.

Other Meds: none

Current Illness: none

ID: 1179751
Sex: M
Age: 53
State: TN

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: headache, fever, nausea...shot done at 4:45 pm on the 7th symptoms started 6 am on the 8th

Other Meds:

Current Illness:

ID: 1179752
Sex: M
Age: 55
State: NY

Vax Date: 03/26/2021
Onset Date: 04/01/2021
Rec V Date: 04/08/2021
Hospital:

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

Allergies: none known

Symptom List:

Symptoms: pruritic rash on left and right forearms (appearing like poison ivy), treated with hydrocortisone cream

Other Meds: sleep aid 50 mg diphenhydramine

Current Illness: none

Total 2021 VAERS Injuries: 679,999

Page last modified: 03 October 2021 5:28pm