VAERS 2021 Database www.vaers.hhs.gov

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

Total Manufacturer

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1189012
Sex: M
Age: 26
State: NY

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Shaking cold chills, body soreness, headache, chest pain and fever. Taking Tylenol for it

Other Meds: None

Current Illness: None

ID: 1189013
Sex: F
Age: 53
State: TX

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Bactrim

Symptom List:

Symptoms: 12 hours after vaccine, started with headache and dizziness, pain in knee , the tooth pain and jaw pain. few hours later sharp pain in bones, fever and chills added around 18 hours post vaccine, around 20 hours after vaccine I had a pulse of 118 feeling palpitation, flue like muscle achiness and weakness hit at night. I took Tylenol for it. the next day the lymph node in my arm pit same side vaccination (left) was swollen painful , and tender to touch. 2 days later I had runny nose with headaches.

Other Meds: pre natal Multi vitamin, D3, CoQ10, Submucous, Tylenol

Current Illness: na

ID: 1189014
Sex: M
Age: 59
State: MD

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Started to feel weakened after about 6 hours. Woke up about 12 hours later with very sore muscles, headache, and significant cold shivering. Was unable to go back to sleep.

Other Meds: HYDROCHLOROTHIAZIDE 12.5MG TAB JARDIANCE 25MG TAB LISINOPRIL 40MG TAB METFORMIN HYDROCHLORIDE ER 500MG GP TAB x 2 daily MONTELUKAST SODIUM 10MG TAB OZEMPIC 1MG PEN SYNTHROID 0.112MG TAB SYNTHROID 0.1MG TAB

Current Illness: none

Date Died: 04/09/2021

ID: 1189015
Sex: M
Age: 44
State: ME

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was given the vaccine without incident at or near 0924a. He previously was diagnosed, through PCR test to have COVID-19 back in December 2019. Outside of supportive therapy at home, he was not treated and was not hospitalized and he recovered within a few weeks. At or near 930-10p, on April 9th, approximately 12 hours after the vaccine was given, while out at a restaurant with family, the patient experienced a medical event, (what appears to be an acute coronary event) and died.

Other Meds: medication for hypertension

Current Illness:

ID: 1189016
Sex: M
Age: 30
State: AZ

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None that I know of.

Symptom List:

Symptoms: Dizziness, nausea, abdominal pain, pain and swelling at site of injection, full body muscle aches, headaches, fever, chills, and brain fog.

Other Meds: None

Current Illness: None

ID: 1189017
Sex: F
Age: 69
State: VA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chest pains at the pain level of 7. Lasted 2 hours. Okay now.

Other Meds: Metformin, Glimepiride, Losartan, multi-vitamin, calcium

Current Illness: None

ID: 1189187
Sex: M
Age: 37
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever (101.9), chills, body aches, fatigue roughly 12 hours after injection. Took two Tylenol at onset of symptoms.

Other Meds:

Current Illness:

ID: 1189188
Sex: F
Age: 57
State: IA

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

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

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: Sore throat, dry eyes, mild stomach upset, head ache, muscle and joint pain/aches

Other Meds: Equate-One-A-Day, Shifaa-Energize, Swanson-Sunshine D2/D3

Current Illness:

ID: 1189189
Sex: M
Age: 61
State: IA

Vax Date: 03/25/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: No known

Symptom List:

Symptoms: Hives, pruritic

Other Meds: allopurinol, amlodipine, bupropion, pravastatin and lisinopril

Current Illness: none

ID: 1189190
Sex: F
Age: 47
State: PA

Vax Date: 04/07/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I woke up at 4:30am on 4/10 extremely dizzy. I am afraid to get up. No treatment yet. I?m googling how to treat this and reading several forums of other experiencing the same.

Other Meds: None

Current Illness: None

ID: 1189191
Sex: F
Age: 34
State: FL

Vax Date: 04/01/2021
Onset Date: 04/03/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None that I?m aware of.

Symptom List:

Symptoms: All over body rash about two days after the shot. Started on my lower back & has spread all over ( back, arms, face, stomach, vaginal, butttom legs and tights. Looked like heat or small acne bumps at first but now measles/ chicken pox?s like. Has a mild itch. I?ve taken Benadryl nightly (since 4-8/21) and rubbed down in Sarana anti itch lotion ( since 4-8-21). Bump seem to get worse throughout the day, and seems to settle after taking Benadryl.

Other Meds: Skald- day before & after vaccination, but not taken on the day of vaccination.

Current Illness: None

ID: 1189192
Sex: F
Age: 21
State: OR

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

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

Lab Data:

Allergies: None known.

Symptom List:

Symptoms: Shooting headache, fever, chills, racing heartbeat, dizziness.

Other Meds: Buspirone, escitalopram, venlafaxine.

Current Illness: None known.

ID: 1189193
Sex: M
Age: 34
State: TN

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Mild Fever (99.7), soreness in the arm, slight headache

Other Meds:

Current Illness:

ID: 1189194
Sex: F
Age: 42
State: MO

Vax Date: 03/31/2021
Onset Date: 04/04/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Shellfish

Symptom List:

Symptoms: Incision where knee surgery done has reopened and become infected. Started spreading opening Sunday 4/4, was placed on antibiotics 4/5 and the wound has progressively gotten more open and deeper since

Other Meds: Topiramate Rizatriptrin

Current Illness: Left pattelfemormal arthroplasty on 3/9/21

ID: 1189195
Sex: F
Age: 19
State: CA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Within 5 hours started with a fever of 101.8, and 9 hours after shot started vomiting (more than 10 times) and fever reached 104.6, headache and chills

Other Meds: None

Current Illness: None

ID: 1189196
Sex: M
Age: 24
State:

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

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

Lab Data:

Allergies: Penicillin, bee sting anaphylaxis, poison ivy allergy

Symptom List:

Symptoms: Chills, fever, headaches, muscle aches throughout entire body, muscle spasms, nausea, vomiting, diarrhea, fatigue, loss of appetite

Other Meds: None

Current Illness: None

ID: 1189197
Sex: F
Age: 25
State: WA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Within 8 hours of vaccine administration, experienced headache & fatigue. Severe Chills around 10 hours after vaccine was administered. No medication was taken. Extra blankets and clothes were worn to bed. Body aches woke me up at 2am and can?t fall back asleep

Other Meds:

Current Illness:

ID: 1189198
Sex: M
Age: 24
State: IA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever, body aches, headache, sore arm at injection site, tired, dizziness

Other Meds: None

Current Illness: Had bronchitis 2 weeks ago

Date Died: 04/08/2021

ID: 1189199
Sex: M
Age: 81
State: CA

Vax Date: 03/30/2021
Onset Date: 04/06/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Stomach cramps, vomiting (coffee ground emesis), diarrhea that started on 04/06/2021 and lasted for 2 days.

Other Meds: Vitamin D3 - 250mcg

Current Illness: None

ID: 1189200
Sex: F
Age: 34
State: CA

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

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

Lab Data:

Allergies: Benadryl, Ventolin, potentially shellfish (one reaction ~22 years ago, but cause was unknown and have consumed shellfish many times safely since)

Symptom List:

Symptoms: 5.5 hours after vaccination: heart pounding intensely, palpitations, chest tightness. Best way to describe is that it felt like my heart was going to beat out of my chest and explode. This started very suddenly, continued for a few minutes intensely, and for now (~1 hour after onset) seems to have leveled off. Less intense but chest still feels tight.

Other Meds: Women?s multivitamin, vitamin C, calcium/magnesium/zinc

Current Illness: N/A

ID: 1189201
Sex: M
Age: 60
State: CA

Vax Date: 02/05/2021
Onset Date: 02/19/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I recieved the first Moderna Covid 19 Vaccine 1/08/2021 and there were no problems. The second Covid 19 Vaccine on 2/05/2021 went the same but after approximately two weeks I noticed soreness between my miidle and ring finger on my left hand along with soreness but thought nothing of it. the Pain eventually got worse. I went to my doctor on 3/25/2021 and was prescribed Naproxin and Voltaren Gel. The discomfort in my left had continues continues. There is selling above this area and the inside of my hand below those fingers hurts and my hand when I close it feels tight and this I atribute to the swelling. My doctor ran labs and all were negative even for Gout. There is a dense feeling in my left upper arm that comes and goes and some tingling. My left hand will have a burning feeling on the ring finger knuckle and experience pain when I fully open my hand. I have not injured my left hand in any way. I find it very unusual because I am right handed. I would appreciate any assistant if possible. I can send photographs if needed of my hand. Blood Work: URIC ACID 4.5 mg/dL 3.4 - 7.2 mg/dL General information Collected: 03/25/2021 11:39 AM from BLOOD Resulted: 03/25/2021 9:16 PM Result status: Final result

Other Meds: Lysinopril /Hydrochlorothiazide 25mg.

Current Illness: None

ID: 1189202
Sex: M
Age: 44
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pain and burning both arms for last 8 hours. Fatigue and muscle pain. Pain at injection. Tachycardia

Other Meds: Multivitamin, prilosec, zyrtec

Current Illness:

ID: 1189203
Sex: M
Age: 67
State: WA

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills, fever and little nauseous, sore arm. Chills and fever lasted for1 1/2 days,, nauseous about 2 1/2 days, sore arm 3 days. Almost back to normal, no treatment.

Other Meds: Simvastatin, Allopurinol,Tamsulosin, Famotidine, Lisinopril and one baby aspirin Multiple vitamins, Fish oil, Cal Magnum zinc tablet.

Current Illness: None

ID: 1189204
Sex: F
Age: 63
State: MD

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Worst headache of my 63 years, starting in the night, still bad (though controlled by Tylenol Extra Strength) until about noon later that day, then faint headache for another day AND fog-brain, strange forgetfulness, almost dementia-like (both parents have dementia). Other symptoms earlier than the headache were joint/bone aches like with the flu and lethargy. Brain fog still a worry 3 days later.

Other Meds: Estring - postmenopausal estrogen

Current Illness: None

ID: 1189205
Sex: F
Age: 40
State: MO

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

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

Lab Data:

Allergies: Metronidazole

Symptom List:

Symptoms: Almost immediately began to experience nausea and some mild lightheadedness. Within an hour began to feel like I had taken a sedative (reminded me of how klonopin made me feel when I was taking it for anxiety). Sedative type feeling lasted for approximately 4 hours. Headache developed approximately 2 hours after receiving vaccination. Headache and nausea persisted until bedtime. Had major issues sleeping and had night sweats all night. Nausea is gone this morning but headache is still present. Some mild tenderness at injection site that is still present this morning.

Other Meds: None

Current Illness: None

ID: 1189206
Sex: M
Age: 63
State: OH

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: morning after, woke up to dizziness and unstable on my feet, so dizzy at times I think I will pass out, 04/10/2021 symtoms are still going strong have missed 2 weeks of work

Other Meds: Zoloft, multi vitamin, gabapentin, Lisinopril, meloxicam, Toprol xl, Flomax

Current Illness: none

ID: 1189207
Sex: M
Age: 24
State: CA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Just diarrhea

Other Meds: Entecavir

Current Illness:

ID: 1189208
Sex: F
Age: 59
State: WI

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Ampicillin and Codeine

Symptom List:

Symptoms: Jansen I had chills, headache, nausea, this started around 3:00 day of on 3/26/2021, and the next morning I had headache, chills not as bad and ALSO had chest pain right in middle of my chest all morning also very wiped out and tired from the night of and all next day.

Other Meds: None

Current Illness: None

ID: 1189322
Sex: M
Age: 50
State: GA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I am dizzy and can't hardly stand up, having severe hot flashes, throwing up, gagging, fatigue , out of it and dry mouth. I need help. The room keeps spinning!

Other Meds: Blood pressure and diabetes

Current Illness: Back,hip

ID: 1189323
Sex: F
Age: 35
State: NY

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Skin allergy to synthetic fragrance. When I use a product with synthetic fragrance my eyes swell.

Symptom List:

Symptoms: 24 hours after the injection I got swollen eyes. This is exactly what happens to me when I use a product (lotion, soap, etc.) so I?m assuming it?s my immune response. The swelling mostly went away 24 hours after onset (48 hours after shot).

Other Meds: None

Current Illness: None

ID: 1189324
Sex: F
Age: 45
State:

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Freezing, extreme body aches & tiredness. Started Thursday April 8 at 3am & lasted till Friday morning April 9 around 11am. Tylenol helped every 6 hours

Other Meds: Levothyroxine, cytomel, omega 3, lexapro

Current Illness: No

ID: 1189326
Sex: F
Age: 23
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: started having left arm pain and chest pain . EKG normal, pt sent home

Other Meds:

Current Illness:

ID: 1189327
Sex: F
Age: 45
State: IL

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Nickel

Symptom List:

Symptoms: Pain at injection site, fatigue, chills, fever, achy skin, headaches. 5 days after shot, a rash of small blisters appeared all over both forearms, on the back of both hands, and some around ankles. Day 7 rash appeared on neck. Headaches remain consistent after 10 days, and rash is still present after 10 days. Minimal itching.

Other Meds: Armor Thyroid

Current Illness:

ID: 1189328
Sex: F
Age: 36
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: pt felt uncleared phlegm and funny feeling swallowing after vaccine. denied difficulty breathing. Given Benadryl, recovered, sent home

Other Meds:

Current Illness:

ID: 1189329
Sex: M
Age: 53
State: IN

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever 100-101 and full body body ache. Lasted 12 days. Used OTC fever reducers which did not help.

Other Meds: Atenonol. Hydrocodone. Gabapentin

Current Illness: None

ID: 1189330
Sex: M
Age: 20
State: MI

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

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

Lab Data:

Allergies: Dairy

Symptom List:

Symptoms: Red blotchy rash about 2 inches in diameter at injection site. Noticed it on day 7 aster vaccine. Not itchy as of now.

Other Meds:

Current Illness:

ID: 1189331
Sex: F
Age: 47
State:

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

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

Lab Data:

Allergies: N/a

Symptom List:

Symptoms: Sore arm, headache, fever, fatigue. Taking acetaminophen.

Other Meds: N/a

Current Illness: N/a

ID: 1189332
Sex: F
Age: 40
State: CA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
Hospital:

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Allergies: Sulfa

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Symptoms: Approximately 12 hours after receiving the vaccination, I started feeling clammy and achey. Within a few hours after that I had a fever of 101, extreme body aches and pain, chills and discomfort. Symptoms were worse than any flu or cold k have ever had. Symptoms lasted approximately 24 hours then I just felt tired and lethargic.

Other Meds: Claritin D

Current Illness: None

ID: 1189333
Sex: F
Age: 58
State: NC

Vax Date: 03/19/2021
Onset Date: 04/02/2021
Rec V Date: 04/10/2021
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Allergies: Many

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Symptoms: Lost hearing in right ear. Sounds extremely muffled but also has a very loud 'white noise' sound. It is constant, never stops. It's very difficult to concentrate and function with this noise constantly in my right ear. A low to medium constant loud hum like of something mechanical or a loud car bass or something. Sometimes has a rythm to it that varies, pulses. Started 14 days after 2nd Pfizer vaccine, now over a week of having this noise. Extra antihistamines don't seem to help.

Other Meds: duloxetine, famotidine, claritin, vit C, vit D, synthroid, cytomel

Current Illness:

ID: 1189334
Sex: F
Age: 52
State: NJ

Vax Date: 04/07/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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Allergies: None

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Symptoms: Period came on two weeks early and 3 days after vaccine shot

Other Meds: None

Current Illness: None

ID: 1189335
Sex: F
Age: 38
State: NC

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 04/10/2021
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Allergies: penicillin

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Symptoms: I was first nauseous which was expected but ran a fever of 105 and continued to run a fever of 103 up until Thursday when I went to ER for intense swelling in my arm and a hard knot. I went to dr who advised I was having an allergic reaction and told me to take benedryl I had a 2in by 2inch hive under my skin at my time of visit which had gone down a little because of benedryl and it was extremely painful even 9 days out. I experienced extreme confusion and mental fog from Sunday all the way to Wednesday where I felt confused, and was having some rapid breathing.

Other Meds: n/a

Current Illness: n/a just seasonal allergies

ID: 1189336
Sex: F
Age: 55
State: MD

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/10/2021
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Symptoms: Sore arm. Headache. Low grade fever 100.5

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Current Illness:

ID: 1189337
Sex: M
Age: 21
State: MA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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Allergies: Peanut and treenut

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Symptoms: Fainted a couple minutes after receiving the shot

Other Meds: None

Current Illness: None

ID: 1189338
Sex: F
Age: 97
State: NY

Vax Date: 03/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/10/2021
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Allergies: None

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Symptoms: First day very tired slept all the time appetite decreased Dash day after not drinking not eating complaint of headache back pain which was generalized to the whole body with her alzheimers hard to tell very weak by noon could not walk from the living room to the bathroom Not eating or drinking that day had to have Neighbor come over and help move her she slept in a reclining chair for the night ? the next day she was doing better Was in touch with the doctor ? did not take her to the clinic or to the hospital but has she been any worse we would have

Other Meds: Thyroid medication, doneprezo memantine vitamin d pantoprazole. Citalopram Latanoprostopthalmic solution

Current Illness:

ID: 1189339
Sex: M
Age: 53
State: OR

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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Allergies: I have G6-PD deficiency. Glucose-6-phosphate dehydrogenase deficiency. Too many items to list for allergies... Main ones that affect me are Aspirin, Nsaids, Darvon compounds, legumes.

Symptom List:

Symptoms: #1) 3" Horizontal, elevated rash streak across abdomen, approximately 2" below belly button, RIGHT side. #2) 3" Horizontal, elevated rash streak across abdomen, approximately 2" below belly button, LEFT side.

Other Meds: Atorvastatin, Atenolol, Pantoprazole, Simethicone, Dimenhydrinate.

Current Illness: None

ID: 1189340
Sex: F
Age: 57
State: OH

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/10/2021
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Symptoms: Error: Wrong Route (SC, IM, etc.)

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Current Illness:

ID: 1189341
Sex: F
Age: 25
State: PA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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Symptoms: Systemic: Abdominal Pain-Mild, Additional Details: Similar to previous stomach issues she experienced during pregnancy.

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Current Illness:

ID: 1189342
Sex: F
Age: 69
State: AL

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/10/2021
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Symptoms: Systemic: Fever-Mild, Systemic: Nausea-Mild, Systemic: Weakness-Mild, Additional Details: muscle weakness

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Current Illness:

ID: 1189343
Sex: F
Age: 43
State: NC

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/10/2021
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Allergies: mold

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Symptoms: Waiting 15 minutes with no issues. Got in car to drive home and after about 5 minutes I got extremely flush and hot. I then began shaking. got very dizzy and light headed. My throat began to get very tight and hard to swallow. Got to friends house in about 15 minutes. Took 30 mg of prednisone dissolved in water. Symptoms did not subside and went to ER. ER gave me IV benadryl, steroid, and antacid med in IV with full bag of fluids. Sent home with prednisone prescription sent home.

Other Meds: pantoprazole 40mg xyzal 5 MG Budesonide suspension 1MG/2ML 2x's daily by mouth multi vitamin D3+B12 925mcg 250 mcg

Current Illness: none

ID: 1189344
Sex: M
Age: 47
State: AL

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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Symptoms: Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Vision changes-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Medium, Systemic: Visual Changes/Disturbances-Severe, Additional Details: Patient presented with sweating, and pale face. Chest pressure/pain and left arm pain. Face was pale. Pt reported nausea and vision bluring in and out. Reported unable to stand and verbalized the desire to call an ambulance to evaluate. 911 was called and all advice followed until EMS arrived. Rph remained with patient until EMS arrival. Pt had NO swelling of lips/eyes or difficulty breathing. No hives. Unable to reach patient to assess curent status

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Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm