VAERS 2021 Database www.vaers.hhs.gov

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

Total Manufacturer

Incidents per State

State Total
72,491
AK1,641
AL5,358
AR3,417
AS44
AZ13,350
CA58,280
CO11,022
CT7,840
DC1,630
DE1,673
FL36,360
FM3
GA13,455
GU82
HI2,199
IA4,336
ID2,473
IL19,368
IN22,592
KS4,291
KY6,955
LA4,733
MA13,919
MD11,928
ME3,002
MH8
MI17,922
MN11,369
MO8,936
MP30
MS2,681
MT2,149
NC15,426
ND1,275
NE2,734
NH2,864
NJ17,296
NM3,708
NV4,088
NY32,852
OH18,114
OK5,953
OR7,977
PA22,518
PR2,106
QM2
RI1,914
SC6,075
SD1,133
TN8,714
TX34,222
UT4,032
VA13,972
VI49
VT1,665
WA13,833
WI10,414
WV2,225
WY806
XB5
XL1
XV2

ID: 1179958
Sex: M
Age: 48
State: TX

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: Extreme fatigue. Inability to stay awake past 5:00 PM in the afternoon. Very high blood sugar.

Other Meds: ANASTROZOLE Aspirin (BAYER) Rosuvastatin (CRESTOR) DULOXETINE (CYMBALTA) FINASTERIDE (PROSCAR) Lisinopril (ZESTRIL) LYRICA (PREGABALIN) Metoprolol tartrate (LOPRESSOR) MIRTAZAPINE SYNJARDY XR CLONIDINE (CATAPRES) Tramadol HCl VICTOZA Lirag

Current Illness:

ID: 1179959
Sex: M
Age: 34
State: PA

Vax Date: 04/08/2021
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: gluten intolerance

Symptom List:

Symptoms: received shot 0935a, 0940a patient started to feel lightheaded, hot, sweating; reports hx of this with anxiety and needle anxiety. brought back to obs, offered apple juice and water, laying down, patient feels some relief. 0945: bp 139/82 rr 20 hr 71 sats 95% on ra. feeling better per patient. 0950: bp 138/88 hr 77 rr 20 sats 98% on ra. 1000: bp 137/85 hr 71 rr 20 sats 97% on ra sitting up. patient states feeling back to baseline, s/s resolved. escorted with s/o to private vehicle.

Other Meds: none

Current Illness: none

ID: 1179961
Sex: F
Age: 59
State: NC

Vax Date: 04/08/2021
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: nka

Symptom List:

Symptoms: pt says she got real hot and sweaty. She is pouring sweat She got very light headed and dizzy so had to have help standing. She got nauseated and had sharp pains in the right side of her abdomen. Pt started vomiting. She still has stomach cramps and is not sweating as much at this time.

Other Meds:

Current Illness: bronchitis a couple of weeks ago

ID: 1179962
Sex: F
Age: 46
State: MI

Vax Date: 04/08/2021
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 known allergies

Symptom List:

Symptoms: Patient was administered the Men B vaccination instead of the Hep B that the doctor had ordered. w

Other Meds: Prozac 40mg, Prilosec OTC 20mg, Topamax 25mg, Vivtrol 350mg, Cinnamon

Current Illness: N/A

ID: 1179963
Sex: F
Age: 71
State: WV

Vax Date: 04/08/2021
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: N/A

Symptom List:

Symptoms: After 12-14 minutes after vaccine was administered, patient felt that her throat was closing up and she was given an epi-pen and the medics transported her to local hospital.

Other Meds: N/A

Current Illness: N/A

ID: 1179964
Sex: F
Age: 22
State: MO

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: Client complained of dizziness. Vitals were all stable.

Other Meds:

Current Illness:

ID: 1179965
Sex: F
Age: 26
State: IA

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: none

Symptom List:

Symptoms: Janssen COVID-19 Vaccine EUA 12 am - 1 am: Chills, shivering, couldn't get warm. Temperature 98.9 degrees F 3:30 am: Woke up feeling very hot. Temperature 100.6 degrees F (Fever). Slight headache/muscle aches, and shortness of breath but those could be due to the fever. Took two 500 mg Tylenol tablets. 7:30 am: woke up due to alarm, temperature back down to 98.6 degrees F. 10:00 am: still feeling a little ache-y, shortness of breath, and tired. No more fever.

Other Meds: Apri Birth Control pills

Current Illness: none

ID: 1179966
Sex: F
Age: 51
State: NJ

Vax Date: 04/02/2021
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: none

Symptom List:

Symptoms: swelling of lips irritation of skin around lips cracking of skin at corners of lips

Other Meds: Fluoxetine HCl 60 mg Wellbutrin XL 300 mg Jardiance 25 mg Januvia 100 mg Atorvastatin Calcium 20 mg Vascepa 1GM (4 per day) Hydrochlorothiazide 12.5 mg Allegra 180 mg Vitamin D 125 mcg (5000 IU)

Current Illness: none

ID: 1179967
Sex: F
Age: 26
State: MN

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: Fever, chills, body ache, headache, nausea

Other Meds: Spironolactone, vitamin D, non hormonal birth control

Current Illness: None

ID: 1179968
Sex: F
Age: 51
State: CA

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: Sulfar

Symptom List:

Symptoms: Short of breath after several hours of vaccination. There was no adverse event at the time of vaccination. Took Tylenol (regular strength) 2 tablets every 4 hours for 3 sets. Short of breath stopped by 3rd set but body was heavy and flu like symptom persisted.

Other Meds: None

Current Illness: None

ID: 1179969
Sex: F
Age: 0
State: PA

Vax Date: 04/08/2021
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: the patient passed out after about 10 minutes. they came back too and feel ok now

Other Meds: unknown

Current Illness: no

ID: 1179970
Sex: F
Age: 27
State: TN

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: N/A

Symptom List:

Symptoms: Tingling and burning in toes

Other Meds: Multivitamin, Vitamin D3, Vitamin B12 & Probiotic

Current Illness: N/A

ID: 1179971
Sex: F
Age: 39
State: RI

Vax Date: 04/08/2021
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: Demerol, Codeine, Bees (anaphylactic reaction), Almonds

Symptom List:

Symptoms: Arm Numbness at injection site, Flushing

Other Meds: Epinepherine injectable as needed forreactions to bee stings

Current Illness: No

ID: 1179972
Sex: F
Age: 62
State: GA

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: sulfa, penicillin, sulfa

Symptom List:

Symptoms: Nausea, headache, low grade fever, sore arm, chills

Other Meds: Allegra, pantoprazole, atenolol, Valtrex, Montelukast, Lyrica, collagen peptides, glucosamine chondroitsn

Current Illness: vertigo, allergies

ID: 1179973
Sex: M
Age: 16
State: WV

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: Age inappropriate - 16 years old

Other Meds: None

Current Illness: None

Date Died: 04/06/2021

ID: 1179974
Sex: M
Age: 73
State: KY

Vax Date: 03/18/2021
Onset Date: 03/29/2021
Rec V Date: 04/08/2021
Hospital: Y

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

Lab Data:

Allergies: nkda

Symptom List:

Symptoms: pt was diagnosed with covid on 3-29-21 , hospitalized for pneumonia and respiratory failure and expired on 4-6-21 at Hospital

Other Meds: unknown

Current Illness: pt diagnosed with COVID on 3-29-21, was hospitalized, developed pneumonia and respiratory failure and expired on 4-6-21

ID: 1179975
Sex: F
Age: 35
State: CT

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: Keflex

Symptom List:

Symptoms: Extreme wooziness - collapsed between bathroom and bed; bad muscle aches, overheating and chills

Other Meds: Cymbalta, birth control pill

Current Illness: None

ID: 1179976
Sex: F
Age: 15
State: TX

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 Reported

Symptom List:

Symptoms: Patient and Parent reported date of birth as 12/29/2004 to qualify for the vaccine. After vaccine given while reporting to State database, patient account was found with correct year of birth as 2005. Mother was contacted and she denied the false year of birth and insisted the year of birth as 2004. Minutes later, the child's aunt came by the vaccine clinic and confessed to having mistaken the year of birth and confirmed that the child was indeed born in 2005 making her only 15 years of age.

Other Meds: N/A

Current Illness: N/A

ID: 1179977
Sex: F
Age: 54
State: MN

Vax Date: 04/02/2021
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: Itchiness started in right leg, spread through entire body (back, arms, legs, chest, face) Turned into an inflamed red rash and was extremely itchy. Took generic Loratadine, cool shower, put on Aveeno Oatmeal based lotion, and 1/2 Advil Pm. Stopped itching at 1am. No rash in morning and very little itching.

Other Meds: Levothyroxine 50mg Vitamin B12 Magnesium

Current Illness: None

ID: 1179978
Sex: F
Age: 63
State: OH

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: No

Symptom List:

Symptoms: High fever of 102, chills, nausia

Other Meds: None

Current Illness: None

ID: 1179979
Sex: F
Age: 72
State: NY

Vax Date: 03/29/2021
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: none

Symptom List:

Symptoms: Left upper arm - swelling, redness, bump, itchy

Other Meds: Levothyroxine Metformin Vitamins D, Zinc, Tumeric, C

Current Illness: none

ID: 1179980
Sex: M
Age: 76
State: FL

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Lisinopril,Cyproflaxin

Symptom List:

Symptoms: sever arm pain.severe neck pain,sever headache.severe lower back pain

Other Meds: d3 4000units,vit.C 1000 Units,Losartan 50mg,chlorthalidone 12.5mg,spironolactone 12.5mg81mg Asprin,Tummeric 1000units,hydrocodone 10/325mg/Tamsulosin08mg.all daily

Current Illness:

ID: 1179981
Sex: F
Age: 18
State: TX

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: Immunization was given at 4:20PM and at 4:30PM in the store they sat and said they were feeling hot and had trouble breathing. She was conscious but had trouble speaking to EMTs when they arrived. She was taken to an emergency room and was able to walk out of the store with support.

Other Meds:

Current Illness:

ID: 1179982
Sex: F
Age: 45
State: CA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
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: I exp GI symptoms and migraine. I exp burning, nausea (GI symptoms) lasting 3 days. It felt like acid reflux took medication seems as if someone poured acid down my throat. My arm pain was minimal, no fever and extreme fatigue (not a coffee drinker I was so tired wanted some caffeine).

Other Meds: Adderall, Clonazepam, Amien, Migraine , Norco, Lamictal

Current Illness: No

ID: 1179983
Sex: F
Age: 31
State: CO

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: Penicillin

Symptom List:

Symptoms: Stinging sensation after injection and sweet taste in my mouth. Around 9:00 PM I had a low temp of 99.5 F and full body chills. By 11 PM was running a 101.8 F fever. Took some over the counter cold medicine to reduce the fever. By 7:20 am on 4/8/21 temp was 98.9 F, but having trouble concentrating/ focusing and feel fatigued just getting up and moving to another location.

Other Meds: Xulane

Current Illness: N/A

ID: 1179984
Sex: M
Age: 47
State: NJ

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: sulfa

Symptom List:

Symptoms: Ear Pressure and Pain

Other Meds:

Current Illness:

ID: 1179985
Sex: M
Age: 16
State: OH

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: none

Symptom List:

Symptoms: Pt was an add on to a COVID vaccine clinic at nursing home due to facility staff member not showing up. Pharmacy technician that was at the clinic had pt fill out paperwork, and facility staff member administered Moderna vaccine in error to a 16 year old male. Nursing home administrator is aware, and I have left a message for pts mother to call me back to verify if pt is having any side effects. No treatment is recommended at this time.

Other Meds: none

Current Illness: none

ID: 1179987
Sex: M
Age: 42
State: TX

Vax Date: 03/23/2021
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: Hard to breath deep. Continuously since 3 days after the vaccine. No interaction with anyone outside the house. Everyone in the house did not go outdoors or had already been vaccinated with the second dose a month before.

Other Meds: Fenofibrate Vitamin D Rosovustatin

Current Illness: None

ID: 1179988
Sex: F
Age: 43
State: MI

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: Differin Frumoxytol Iron Keppra Topiramate Unacin Diflucan Flagyl INH Zonisamide Venofer

Symptom List:

Symptoms: Pt. had signs of anaphylaxis within 5 minutes of injection (lip and eye swelling, rash, dizziness, nausea) Given epi pen and transported to the ED where she was treated with steroids and antihistamines. she was observed for several hours then sent home. No permanent sequalae, will not receive a second dose.

Other Meds: Klonapin Vitamin D Bentyl Pepcid Bevespi Aerosphere inhaler Metformin Protonix Anoro Ellipta

Current Illness:

ID: 1179989
Sex: F
Age: 35
State: WA

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: Allergy to Amoxicillin

Symptom List:

Symptoms: Day of vaccine 4/6 2:45 PM Fuzzy feeling in head causing feeling of off balance, light headache. Injection site pain. 5:00 PM Tiredness Next day, 4/7 12:00 AM woke up with extreme back pain and chills. 8:00 AM nausea, no vomiting. Nausea subsided by 11 AM. Chills went away by 4 PM. Back pain and other aches continued through the day. Shot sight pain made it hard to raise arm. Extreme fatigue but body aches made it hard to sleep. 7:00 PM Severe headache with sensitivity to light. Went to bed at 8:00 PM, woke up several times in the night sweating and with pain in back (spine). 2 days after, 4/8 6:00 AM woke with extreme pain in left arm pit area. Injection sight still very sore. Moderate headache and back ache continues, though both significantly better than day before. Fatigue continues.

Other Meds: Phentermine 15 MG capsule, Zonisamide 25 MG capsule, Albuteral Sulfate HFA (Base 90 mcg/puff) inhaler, OTC Omeprazole

Current Illness:

ID: 1179990
Sex: F
Age: 56
State: IL

Vax Date: 03/30/2021
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: Vicodin

Symptom List:

Symptoms: I have a pain in the left side of my neck. I went to my chiropractor to get help but nothing is working. It is a constant pain. It feels like severe pressure in the back of my neck on the left side.

Other Meds: Armour Thyroid, multivitamin

Current Illness: No

ID: 1179991
Sex: F
Age: 47
State: TN

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: None

Symptom List:

Symptoms: Upon receiving the shot, I immediately felt lightheaded, not dizzy or vertigo but just detached from my surroundings. I felt spacey. I felt like that for the rest of the day. I took Tylenol as the clinic recommended. Then after I went to bed later that evening I developed a headache that woke me up around 3:00am. I was very uncomfortable, experienced chills and was sore all over like I had worked out hard. I also experienced joint pain which I don't normally have. I still feel rough this morning and running a slight fever of 100F. I just wanted to report my side effects.

Other Meds: Women's multi-vitamin, turmeric, Claritin allergy

Current Illness: None

ID: 1179992
Sex: F
Age: 64
State: KY

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds: none

Current Illness: none

ID: 1179993
Sex: F
Age: 46
State: FL

Vax Date: 03/26/2021
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: Contact dermatitis from some lotions and fabric softeners.

Symptom List:

Symptoms: Area on left arm around the injection site became raised, red, hot, very itchy, and firm. Area grew to about 8sq inches in an oblong shape . Applied topical Diphenhydramine 2% cream 5 hours after first signs of itching (no noticeable improvement) Took oral dose of Fexofenadine Hydrochloride 180mg 16 hours after first signs of itchiness. Saw a slight decrease in itchiness over 24 hours. Iced area for 20 minutes and took 2nd dose of same oral antihistamine 24 hours after first dose. Inflamation (raised, red, firm) symptoms began subsiding slowly. Still have residual itchiness and redness and firmness 60 hrs after symptoms appeared.

Other Meds: Fluoxetine, 30mg daily Adzenys XR-ODT 6.3mg daily Multi-vitamin VitB

Current Illness:

ID: 1179994
Sex: M
Age: 28
State: NJ

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: no

Symptom List:

Symptoms: fainted approximately 15-20minutes after injection. Happened in the parking lot getting into my car. Ems was called. i was full alert upon waking up. bp 120/60 hr 62 pulse ox 99.

Other Meds: no

Current Illness: no

ID: 1179995
Sex: M
Age: 27
State: MD

Vax Date: 04/08/2021
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: None

Symptom List:

Symptoms: Patient reports a pressure behind his eyes bilaterally. No further complaints. Reports this feels similar to a symptom he had when he had COVID previously.

Other Meds: None

Current Illness: None

ID: 1179996
Sex: F
Age: 35
State: NY

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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Allergies: penicillin

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Symptoms: Janssen COVID-19 Vaccine EUA Approximately 9 hours after vaccination, I had a temperature of 100.5F, a slight headache, and mild nausea. Temperature reduced to normal within 10 hours of spiking. Headache increased at this time and muscle pain and pain at lymph node sites began. This report is being filed 24 hours after vaccination.

Other Meds: Multi-vitamin, Vitamin C, Vitamin D, iron, collagen

Current Illness: None

ID: 1179997
Sex: F
Age: 76
State: NJ

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
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Allergies: None.

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Symptoms: She got the vaccine, when she came home she started feeling the fatigue that she felt after the 1st vaccine. She then started feeling very cold, laid down and watched TV. She then had chills all night and did not sleep well due to that. When she got up on Tuesday the chills were gone but had a slight headache off and on throughout the day, her temp was 97.2. Throughout the day she would get warm spurts/hot flashes, as well as fatigue. She did sleep that night, and when she got up yesterday morning still had the hot flashes and it was 94.2, and took it twice due to it being so low. She was like that with fatigue and not able to sit up. She went to bed, took some Tylenol and rested. The heat feeling it started going away. Around dinner time she felt more like herself, the headache was gone and her temp was 97. She was doing pretty good, and the last thing she had was she felt on her cheeks and noticed a rash on her face, like a prickly heat type rash. Before she went to bed she put Neosporin on it, and when she got up this morning it was almost gone but still has a tiny few bumps. The arm itself did not hurt at all. Feels that it is a stressful situation as to where to get the vaccine and having to travel to get it as it's not available in locations closer to their homes. The people at the pharmacy were great, but had to travel and if it wasn't for her daughter she would probably not have her shot.

Other Meds: Hydrochlorothiazide, Pravastatin, Metoprolol ER, Amlodipine, baby aspirin, cranberry supplement, Extradiol, vitamin D.

Current Illness: None.

ID: 1179998
Sex: F
Age: 34
State: NY

Vax Date: 04/04/2021
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
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Allergies: none

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Symptoms: first day after vaccine: chills second day: hives third day: hives spread all over body fourth day: hives spread to face and neck

Other Meds: none

Current Illness: none

ID: 1179999
Sex: F
Age: 18
State: NJ

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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Allergies: PEG, aspariginase, platelets, morphine, ativan, vancomycin.

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Symptoms: Patient with known allergies to PEG. Had a slight reaction of hives following 1st dose. Patient consulted with her PCP and oncologist and her oncologist was adamant that she was to receive her 2nd dose, not an option to not receive despite documented PEG allergy. After receiving 2nd dose approx 5-10 min later in monitoring area reported to EMS RN feeling dizzy, flush, and eye flutter. EMS evaluated, vitals HR 104, RR 21, BP 137/98, PulseOx 97%. RN noted patient was very anxious and this contributed to the patients symptoms. However, the patient did begin developing mild flushing and small red patches on arms, legs, trunk. Hives and flushing resolved within 30 minutes. Approx 45 minutes post reaction symptoms, patient reports feeling better, flushing resolved. Denied wanted further workup or transfer to ER and left with her mother.

Other Meds: not disclosed

Current Illness:

ID: 1180000
Sex: F
Age: 33
State: CO

Vax Date: 03/24/2021
Onset Date: 04/02/2021
Rec V Date: 04/08/2021
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Allergies: Sulfa (minor allergy)

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Symptoms: Pain in left calf began on April 2 during a long road trip. Pain continued for several days. On April 5, I visited Urgent Care for a suspected muscle strain. They referred me to the Hospital emergency care for an ultrasound. The ultrasound detected deep vein thrombosis (DVT) (blood clot) in the popliteal vein in my left leg, above and below my knee. I am currently taking anticoagulant (Eliquis) medication to treat the DVT.

Other Meds: Birth control: Aurovela Fe 1.5/30 Flonase Zyrtec

Current Illness: None

ID: 1180001
Sex: M
Age: 29
State: MO

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/08/2021
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Symptoms: Pt complained of dizziness and appeared lethargic. Stated he felt short of breath. Nurse gave client an ice pack on his neck. Vitals: BP 140/100, HR 73 and reg, RR 18. Pt stated he has a cardiac condition and when he feels like this he goes to the ER, he requested transportation to ER. EMS was called and they arrived at 11:15. Client had no shortness of breath, wheezing or discomfort at this time. He was lethargic but arouses to verbal stimulation. Was oriented to person and DOB. Transferred to hospital via ambulance at 11:20 am. Was stable at this time.

Other Meds:

Current Illness:

ID: 1180002
Sex: F
Age: 41
State: IN

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
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Allergies: None

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Symptoms: Passed out 6 hours after shot, not normal(3rd shift worker), fever set in 10 hours after shot, headache set in 18 hours after shot, fever subsided 18 hours after shot, currently experiencing constant sweating(rarely sweat even in heat), woke up with two hives on left arm that have gone away since I noticed them itching, right arm soreness, actual pain in right armpit.

Other Meds: Gabapentin 300mg/3x day, Tylenol 1000mg 3x/day

Current Illness: Herniated disc c6,c7 Awaiting surgery

ID: 1180003
Sex: F
Age: 74
State: IL

Vax Date: 02/04/2021
Onset Date: 03/11/2021
Rec V Date: 04/08/2021
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Allergies: zestoretic

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Symptoms: Delayed local reaction 7 days after 1st injection. Pruritis, erythema, induration, discomfort. No systemic effects. Treated with Prednisone. Resolved in 4 days. Had 2nd dose of Moderna vaccine on March 10th. Had Nausea and muscle aching and tiredness for about 24 hrs on the day after the 2nd dose. No local reaction.

Other Meds: Myrbetriq, amlodipine, simvastatin, metoprolol, maxide, metformin, losartan, symbicort, levothyroxine, Eliquis, flecainide

Current Illness:

ID: 1180004
Sex: F
Age: 59
State: NY

Vax Date: 03/30/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
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Allergies: Levaquin, Dust, Cats

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Symptoms: Swelling and itching at injection site about 6 -7 days after injection

Other Meds: None

Current Illness: None

ID: 1180005
Sex: M
Age: 44
State: VA

Vax Date: 04/04/2021
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
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Allergies: No

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Symptoms: EAR RINGING NOISE SINCE 4/5 2am , very stressful and disabling. Requested for ENT appointment

Other Meds: Amlodipine 2.5mg

Current Illness: No

ID: 1180006
Sex: F
Age: 55
State: IL

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 04/08/2021
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Allergies: Environmental allergies

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Symptoms: Injection site arm pain, extreme fatigue on next day, left armpit lymph node swelling, hive on bottom of left foot, brain fog for 7-10 days.

Other Meds: Montelukast, Azelastine, Intrarosa, Fluticasone, Multiple vitamins, Magnesium, Vit K, CoQ10, Resveratrol

Current Illness: Had a cold at time of second dose

ID: 1180007
Sex: F
Age: 44
State: CA

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 04/08/2021
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Allergies: Amoxicillin

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Symptoms: Day 1 starting approx 6 hours after injection: low grade fever, approx 100.4, lasted for approx 4 hours, Day 6: low grade fever and headache Day 7: low grade fever and headache, sweating Day 11: difficultly breathing--shortness of breath, difficult to breathe while laying on back and side Day 14: dry cough, exacerbated after extended talking

Other Meds: None

Current Illness: None

ID: 1180008
Sex: F
Age: 51
State: MN

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/08/2021
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Allergies: Latex skin allergy.

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Symptoms: April 1st. Experienced flu-like symptoms including headache, mild muscular aches, fever/chills and lethargy, low energy. Started mid morning, improving by 6 pm. Fine by next morning. April 7th. Late morning noticed itching on upper right arm at injection site. At 4 pm saw redness and raised skin there. Very itchy rash continued through until today (April 8th). Rash looks improved but still itching.

Other Meds: Herbal supplements to aid in relief of menopausal symptoms (advised by Naturaopath): Meno Caps, Borage oil, Evening Primrose oil. Also: Nutrafol Women hair/skin supplements; Omega 3 fish oil, Magnesium. I follow recommended dosages.

Current Illness:

ID: 1180009
Sex: M
Age: 19
State: IN

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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Allergies: None

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Symptoms: 38?C Fever for 2 days after vaccine and heavy aching in site of shot

Other Meds: Omeprazole

Current Illness: None

Total 2021 VAERS Injuries: 601,569

Page last modified: 03 October 2021 5:28pm