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
28,193
AK1,084
AL2,357
AR1,552
AS31
AZ7,318
CA28,113
CO5,391
CT3,688
DC679
DE742
FL15,245
FM3
GA6,071
GU48
HI1,016
IA2,291
ID1,259
IL9,099
IN13,937
KS2,303
KY3,047
LA2,084
MA6,618
MD5,716
ME1,479
MH5
MI8,186
MN5,591
MO4,444
MP10
MS1,192
MT1,264
NC7,310
ND661
NE1,480
NH1,554
NJ7,347
NM1,943
NV1,714
NY15,329
OH9,083
OK2,500
OR3,708
PA9,656
PR1,070
QM1
RI1,028
SC2,716
SD664
TN3,894
TX15,169
UT2,152
VA6,860
VI22
VT887
WA6,284
WI5,307
WV1,172
WY426
XB4
XL1
XV1

ID: 1192697
Sex: F
Age: 46
State: CA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Pain and redness around the injection site, which covered about 4 inches of the arm. It turned into 2 big blisters. One 1.8 and the other 1.5 inches, very painful, not itchy. Applied hydrocortisone cream 1%. Took about a week for the blisters to go away. Redness lasted about 3 weeks. Fever 102, chills: 24 hours, took ibuprofen and Acetaminophen OTC.

Other Meds:

Current Illness: none

ID: 1192698
Sex: M
Age: 30
State:

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pharyngitis, lymphadenopathy

Other Meds:

Current Illness: None

ID: 1192699
Sex: F
Age: 26
State: MD

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

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

Lab Data:

Allergies: Pollen

Symptom List:

Symptoms: Nearly immediate after administration of vaccine- stood up to move to a waiting chair & experienced dizziness to the point of near syncope, heart pounding, nausea, sweating- pharmacy brought juice and watched me. Drank juice but was disoriented enough to spill a bit- sat for about 30 minutes until symptoms cleared up enough to walk around and got a ride home.

Other Meds: Citalopram, fluvoxamine

Current Illness: N/a

ID: 1192700
Sex: F
Age: 36
State: CA

Vax Date: 04/02/2021
Onset Date: 04/07/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Biaxin

Symptom List:

Symptoms: 5 days after the vaccine I developed shingles on my neck. And had neck and arm pain, stiff neck, tingling numbness and itchiness around the bumps on my neck, warm feeling in the area and itchiness under my skins and pain like pins and needles in the area. Fatigue and chills.

Other Meds: Estatuilla Borges tomate and ethinyl Estradiol tablets USP 0.25mg/0.035 mg Ferrous sulfate 325 MG tablet Allegra fexofenadine HCI tablet 180mg/ antihistamine probiotics Women?s daily care 40 billion CFU prenatal multi vitamins certified org

Current Illness:

ID: 1192701
Sex: F
Age: 41
State: AZ

Vax Date: 04/01/2021
Onset Date: 04/08/2021
Rec V Date: 04/11/2021
Hospital: Y

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

Lab Data:

Allergies: Amoxicillin Septra Codeine Suprex

Symptom List:

Symptoms: On 4-8-21 at approx 2:30am I woke up with chills, nausea and severe diarrhea. I began experiencing severe abdominal pain in belly button as if it were on fire. Hurt to take deep breaths. Developed hives all over body and very itchy. Scheduled phone call with triage nurse at 11:15am and then a follow up call again with my primary care doctor immediately following. At approx 1:22pm my primary care doctor told me to go to urgent care or ER due to concern of me going into anaphylactic shock. Immediately went to Emergency Room and admitted after waiting in waiting room for over 5 hrs. After bloodwork and CT Scan of abdomen my appendix was perforated and needed to be removed immediately. Immediately sent to OR for surgery at 11pm.

Other Meds:

Current Illness:

ID: 1192702
Sex: F
Age: 26
State:

Vax Date: 04/07/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Welts on the back of tongue. Swollen papillae. Blister sized lumps. Painless but seem to be increasing in size

Other Meds: Zyrtec

Current Illness:

ID: 1192703
Sex: M
Age: 63
State: IL

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

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

Lab Data:

Allergies: shellfish

Symptom List:

Symptoms: Headache and neck pain on left side for nearly three weeks; it is debilitating unless I take 3 ibuprofen twice and day, and shows no sign of relenting; exhaustion.

Other Meds: multivitamin, C, D, B complex and zinc

Current Illness: none

ID: 1192704
Sex: F
Age: 45
State: IA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Oral allergy syndrome (some fruit)

Symptom List:

Symptoms: Arm soreness and fatigue first two days. Several hours after the vaccine, experienced some paresthesia in left arm/hand (same arm as shot). After 3 days the tingling/paraesthesia was more widespread to arm, fingers, and feet, mostly still on left side of body. No pain or burning as of day 4 but feeling of "pins and needles" continues.

Other Meds: Zyrtec, Multivitamin

Current Illness: None

ID: 1192705
Sex: F
Age: 34
State: CA

Vax Date: 04/02/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: None I?m aware of.

Symptom List:

Symptoms: Swelling about the diameter of a baseball. Itchiness and major swelling appeared a week after injection.

Other Meds: Claritin

Current Illness: None.

ID: 1192706
Sex: F
Age: 55
State: CA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Excessive fatigue, fever, chills, body aches, mild nausea coming in brief waves and passing quickly

Other Meds: None

Current Illness: Nont

ID: 1192707
Sex: M
Age: 32
State: CT

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Low grade fever , muscle soreness , diarrhea, elevated heart rate

Other Meds: Citalopram 50mg, omeprazole25mg, Metformin 2000mg

Current Illness: None

ID: 1192708
Sex: F
Age: 36
State: UT

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Avelox

Symptom List:

Symptoms: Shingles outbreak over L proximal hamstring (S1 or S2 distribution) less than 24 hours after administration of J&J COVID 19 vaccine.

Other Meds: None

Current Illness: None

ID: 1192709
Sex: M
Age: 18
State: WA

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: lots of food sensitivities that cause EOE

Symptom List:

Symptoms: SEVERE CHILLS HIGH PULSE 106 LOW OXYGEN 92% 103 FEVER

Other Meds: Prilosec certizine riboflavin vitamin D 2000iu

Current Illness: NONE

ID: 1192710
Sex: F
Age: 41
State: WA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Upon waking up the next morning (18 hours after receiving the vaccine) I felt very ill. I had a 100 degree fever, chills/sweating, widespread muscle aches, headache, nausea, joint pain, severe fatigue and an overall feeling of being unwell. These symptoms lasted 24 hours, but I am still experiencing nausea and am now experiencing mild dizziness also.

Other Meds: Prednisone, Plaquenil, Leflunomide, Hydromorphone, Ibuprofen, Calcium Citrate, Vit D3, Folic Acid, Magnesium

Current Illness: None

ID: 1192711
Sex: F
Age: 52
State: IL

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Within a few minutes of receiving the vaccine, I felt constriction in my throat and a tightening in my chest. These symptoms continued to build in the next hour, with feelings of complete body pain and a general feeling of being ill. My blodd pressure was elevated when I got to the doctor office. I ended up in the ER where they gave me an anti inflammatory shot. I went home and continued taking a high dose of over the counter anti inflammatory for 3 days until my stomach couldn't handle it. I had breathing difficulty for 9 days with tremendous fatigue, I am a high energy person normally. For 9 days I also had high blood pressure whenever I was on my feet for 30 minutes or more. I had a lot of nausea, dizziness, and a deep headache. I had lung pain and a deep back pain. 11 days after my vaccine, I still have back weakness and trouble breathing if walking upstairs, minimal activity.

Other Meds: None

Current Illness: None

ID: 1192713
Sex: M
Age: 43
State: NM

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dull headache, right arm where shot was given swollen, I had a dazed-out feeling day given vaccination, had a very hard time going to sleep on the day I got the vaccine, next night I slept 10 hrs, arm is still stiff 3 days later

Other Meds: Clobazam 10mg twice a day Keppra 500 mg 2500mg in morning/ 2000mg in evening Oxcarbazepine 1500mg 2 times a day Ibuprofen

Current Illness: Traumatic brain injury, epilepsy,

ID: 1192714
Sex: F
Age: 33
State: IN

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Gabapentin, cardboard, nickel, pen ink, some tape.

Symptom List:

Symptoms: Headache, nausea, itching at injection site, raised and red around injection site.

Other Meds: Lisinopril, Bupropion, Oxybutinine, Iron.

Current Illness:

ID: 1192715
Sex: M
Age: 16
State: WA

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

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: Client received a Moderna Covid Vaccine at a Drive through clinic. The client was under the age of 18, thus did not meet the miniumum age requirement for the product.

Other Meds: no

Current Illness: no

ID: 1192716
Sex: F
Age: 38
State: TX

Vax Date: 03/29/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Red and tender arm at site of injection

Other Meds: Flonase

Current Illness: None

ID: 1192717
Sex: F
Age: 48
State: FL

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Chills, sweats, bone aches, muscle fasiculations, itching with mild rash, diarrhea

Other Meds: Vitamin D 50,000 units Qweekly Vitamin C 500mg Selenium 100mcg Zinc/copper 50mg Multivitamin Collagen

Current Illness: Autoimmunity-Hashimoto thyroiditits New onset PVC?s Obesity

ID: 1192718
Sex: F
Age: 52
State: WY

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Vicodin

Symptom List:

Symptoms: Muscle ache Fever Fatigue

Other Meds: Wellbutrin Naltrexone Progesterone Hydroxychloroquine Estradiol Biotin Prenatal vitamin

Current Illness:

ID: 1192719
Sex: F
Age: 22
State: CA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Sore arm mild right after shot, then progressed around 6/7pm of following day. Fatigue remained constant after shot. Chills and headache appeared at 9pm of following day. No over-the-counter medication taken.

Other Meds: Oral conception

Current Illness: N/A

ID: 1192720
Sex: F
Age: 46
State: OR

Vax Date: 04/01/2021
Onset Date: 04/08/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Artichokes, band-aids/adhesive, nickle

Symptom List:

Symptoms: About 6-7, days after the vaccine I started getting a rash on my elbow, have a stiff neck, and feel tired. Tody I have body aches and the injection site has a lump and is tender.

Other Meds: Vit D3, fish oil, 81mg aspirin, collagen, nicotinamide riboside

Current Illness: None

ID: 1192721
Sex: F
Age: 75
State: WA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Dust Allergies, latex

Symptom List:

Symptoms: Took shower, felt nauseated, walked over to sink and tried to vomit but didn't. Next thing woke up on floor, had hit head (bump) and left arm from elbow to pit was bruised too. Went to bed. Next day had an extreme head ache and kept hurting for a whole week. Went to ER on day 6. At ER blood pressure was extremely high. 222/100?. They took a CT scan of my head and found no signs of TIA/Stroke but possible mild/moderate concussion. After blood pressure was down to 154/70? I was allowed to return home with hydrocodone and ondanesetron. After third day didn't need to take the hydrocodone or ondansetron.

Other Meds: Liainopril HCTZ 10/12.5 mg tablet, Pantoprazole 40mg tablet, Pioglitazone 15mg tablet, Montelukast 10mg tablet, Simuastatin 20mg tablet (once a day am), Ipratropium Bromide Nasal Solution 0.03% Nasal spray 21mcg/spray, spiriva respimat 1.25

Current Illness: none

ID: 1192723
Sex: F
Age: 22
State: WA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Potentional for penicillin

Symptom List:

Symptoms: Aching pain through arm 2hrs post vaccine No fever but skin felt hot on entire body 4hrs post vaccine Full body aches 4hrs post vaccine Fatigue (felt incredibly sleepy) 6hrs post vaccine All symptoms stopped 48hrs after vaccine

Other Meds:

Current Illness:

ID: 1192724
Sex: F
Age: 32
State: RI

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Soy, oat milk, radiology dye

Symptom List:

Symptoms: Injection site pain that woke me out of sleep multiple times the day of the injection. The site has become significantly less painful by the day. Muscle pain for about 24 hours, starting around 6:00pm the day after the injection. I noticed swelling in the lymph nodes under my left armpit on Friday morning. The swelling has not abated and has begun to be slightly painful.

Other Meds: Vyvanse, Prozac, gabapentin, norethindrone, hydrochloritriazide, vitamin D3

Current Illness:

ID: 1192725
Sex: F
Age: 20
State: WA

Vax Date: 04/01/2021
Onset Date: 04/08/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Itchiness, slight pain, swelling, hotness around the injection site starting about a week after initial injection. I had pain in my arm, fatigue, chills, and swelling after I first got the shot, but they went away about 3 or so days after, however, these new symptoms began about a week after initial injection or about 3 days after initial symptoms went away.

Other Meds: Sertraline

Current Illness: None

ID: 1192726
Sex: F
Age: 52
State: IN

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Extremely sore in muscles both arms Extreme tiredness/sleepyness

Other Meds: Type 1 diabetes since age 10, humalog insulin through pump Atorvastatin Amlodipine Besylatr Baclofen Citolopran HBR Amitriptaline Hydroxyzine Tylenol 4 Venlafaxine Clonazepam Lisinopril Levothoroxine Sodium Gabapentin

Current Illness: Neuropathy Fibromyalgia Low Sodium Low thyroid

ID: 1192727
Sex: F
Age: 17
State: WA

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

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Client given Moderna Vaccine, Primary dose, at a drive though clinic. It was discovered Friday am that we had given a Moderna Vaccine to someone under the age of 18. Our team discussed the issue and then contacted our Health officer, the Dept of Health , the client, her parent, the Paramedic who provided the vaccination, and completed the VAERS report. The client c/o a sore arm, which was an expected side effect of the shot. They had no other complaints. We also developed a new protocol when making appointments, checking into clinic and screening the patients to avoid a repeat of error

Other Meds: Birth Control Medication

Current Illness: No

ID: 1192728
Sex: F
Age: 29
State: IL

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Burning sensation in arm. Lightheaded. Dizzy. Nausea. Severe headache. Fever. Chills/Sweating. Elevated heart rate / Palpitations.

Other Meds: Zoloft Wellbutrin Lamictal Lunesta

Current Illness: None

ID: 1192729
Sex: F
Age: 28
State: CA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Severe body aches and pain, chills, headache, 102 degree fever, fatigue. Severe symptoms lasted about 16 hours, mild symptoms after 24 hours. Feeling almost back to normal after 48 hours except for a maintained arm soreness where injection was taken.

Other Meds:

Current Illness:

ID: 1192730
Sex: F
Age:
State: TX

Vax Date:
Onset Date:
Rec V Date: 04/11/2021
Hospital: Y

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

Lab Data:

Allergies: Chlorhexidine Benzoyl peroxide

Symptom List:

Symptoms: Sudden onset atrial fibrillation, started at 1200 hours did not convert to normal sinus rhythm until 2200 hours. Tachycardia (140-170s), dizziness, palpitations, shortness of breath,

Other Meds: Multivitamin Vitamin D Fluticasone

Current Illness: None

ID: 1192731
Sex: F
Age: 32
State: NJ

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Tinnitus, dizziness

Other Meds:

Current Illness:

ID: 1192732
Sex: F
Age: 41
State: MA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Gluten sensitive Amoxicillin and penicillin allergy

Symptom List:

Symptoms: Sweats chills muscle aches headache

Other Meds: Setraline Zoloft vitamin d elderberry iron supplement

Current Illness: None

ID: 1192733
Sex: F
Age: 29
State: MN

Vax Date: 04/01/2021
Onset Date: 04/05/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Swollen, painful lymph nodes in neck and arm pit on right side only, still present as of 4/11/21. Swollen right forearm 4/8/21 for 24 hours. Insomnia 4/5-4/9/21 Ibuprofen was the only treatment taken for swelling and pain.

Other Meds: None

Current Illness: None

ID: 1192734
Sex: F
Age: 69
State: CA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: amoxicillin/penicillin . . . ?the cillins?

Symptom List:

Symptoms: headaches, body aching pretty much all over, high fever,chills,shivering,cold,nausea,, loss of appetite,diarrhea,very week,disn?t care about anything, could barely move, uncontrollable loud with moaning fast heavy breathing all onset approzimately 7.75 hrs after the injection and sum lasted for very approximately five hours, some lasted very approximately 14.75 hours abd some lasted very approximately 18.75 hours

Other Meds: Levothyroxine

Current Illness:

ID: 1192735
Sex: F
Age: 23
State: AK

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
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Symptoms: Janssen COVID-19 Vaccine EUA Chills, muscle aches, left arm sore, fever 38.4 degrees Celsius.

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Current Illness:

ID: 1192736
Sex: M
Age: 54
State: TX

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
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Allergies: Shellfish Iodine

Symptom List:

Symptoms: Fever Throbbing in right arm where injected

Other Meds: Amlodipine Losartan potassium Breo Ellipta Albuterol

Current Illness:

ID: 1192737
Sex: F
Age: 35
State: IN

Vax Date: 04/04/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
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Allergies: Na

Symptom List:

Symptoms: 5 days after second injection site arm began to show red splotches, and hives developed on neck. Patient has red penny sized scar from first Moderna injection.

Other Meds: Na

Current Illness: Na

ID: 1192738
Sex: M
Age: 24
State: OR

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/11/2021
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Allergies: Acetaminophen, grass

Symptom List:

Symptoms: 4/10, 9:30 pm: chills, sensitivity, fatigue, arm pain at site of injection 4/11, 12:00am: dry heave followed by vomiting, extremely shakey, and fever. 12:52am: larger watery vomit, more shaking.

Other Meds: Meloxicam, Zyzal

Current Illness: N/a

ID: 1192739
Sex: F
Age: 38
State: FL

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
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Allergies: NKA

Symptom List:

Symptoms: Left axillary lymphadenopathy started 4/10/2021

Other Meds: Multivitamins

Current Illness: None

ID: 1192740
Sex: M
Age: 67
State: MD

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 04/11/2021
Hospital: Y

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Symptoms: Severe tinnitus which worsened with the second dose and then was followed by a stroke

Other Meds:

Current Illness:

ID: 1192741
Sex: F
Age: 34
State: VA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/11/2021
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Allergies: Nond

Symptom List:

Symptoms: Low grade fever, body aches, malaise, headaches, bruise at injection site

Other Meds: Ortho TRIcyclin lol Lexapro

Current Illness: None

ID: 1192742
Sex: F
Age: 48
State: MN

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/11/2021
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Allergies: Compazine, dilapidated, fentynal, Reglan, tape adhesive, latex, ultram, tetanus

Symptom List:

Symptoms: Headache, tiredness, body aches, cough, pain at injection site. redness, swelling, hot to touch rash like at injection site started 3 days after injection.

Other Meds: Trazadone, levothyroxine, restasis, ropinerole, clonidine, effexor, propranolol, fludrocortisone, Lamictal, buproprion, rosuvastatin, aspirin, omeprazol, asthmacort, butalbitol w/ codeine,

Current Illness:

ID: 1192774
Sex: F
Age: 67
State: AL

Vax Date: 10/19/2020
Onset Date:
Rec V Date: 04/11/2021
Hospital: Y

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Symptoms: Patient was hospitalized for Covid / end of February was discharged; This case was reported by a pharmacist via call center representative and described the occurrence of covid-19 in a female patient who received Herpes zoster (Shingrix) (batch number 97C2S, expiry date 14th May 2022) for prophylaxis. On 19th October 2020, the patient received the 1st dose of Shingrix. On an unknown date, less than 5 months after receiving Shingrix, the patient experienced covid-19 (serious criteria hospitalization). On an unknown date, the outcome of the covid-19 was recovered/resolved. It was unknown if the reporter considered the covid-19 to be related to Shingrix. Additional details were provided as follows: The patient received the first dose of Shingrix and after vaccination the patient was hospitalized for Covid and at the end of February was discharged. No date of hospitalization was provided. No adverse event was reported. The reporter consented to follow up.

Other Meds:

Current Illness:

ID: 1192775
Sex: F
Age:
State: KS

Vax Date:
Onset Date: 03/31/2021
Rec V Date: 04/11/2021
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Symptoms: This spontaneous report received from a patient concerned a 41 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included autoimmune thyroid issue - hashimoto, and sulfa allergy. The patient experienced drug allergy when treated with doxycycline, and prednisolone. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 18205018, and batch number: 18205018 expiry: UNKNOWN) dose was not reported, administered on 31-MAR-2021 10:30 on left arm for prophylactic vaccination. No concomitant medications were reported. On 31-MAR-2021, the subject experienced chills. On 31-MAR-2021, the subject experienced tiredness. On 31-MAR-2021, the subject experienced pain to arm. On 31-MAR-2021, the subject experienced injection site stinging. Laboratory data included: Fever (NR: not provided) as high 101. On 31-MAR-2021 18:00, the subject experienced flu like. On 31-MAR-2021 18:00, the subject experienced shivering. On 31-MAR-2021 18:00, the subject experienced body aches. On 31-MAR-2021 18:00, the subject experienced fever. On 31-MAR-2021 18:00, the subject experienced headache. On 01-APR-2021, the subject experienced bump to site. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flu like, shivering, and headache, and chills, and fever on 01-APR-2021, had not recovered from bump to site, body aches, tiredness, and pain to arm, and the outcome of injection site stinging was not reported. This report was non-serious.

Other Meds:

Current Illness: Hashimoto's disease; Sulfonamide allergy

ID: 1192776
Sex: F
Age:
State: PA

Vax Date:
Onset Date: 03/30/2021
Rec V Date: 04/11/2021
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Symptoms: SHINGLES; This spontaneous report received from a patient concerned a 61 year old female. The patient's height, and weight were not reported. The patient's past medical history included shingles. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 1808978 expiry: UNKNOWN) dose was not reported, administered on 28-MAR-2021 to left arm for prophylactic vaccination. No concomitant medications were reported. On 30-MAR-2021, the subject experienced shingles. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from shingles. This report was non-serious.

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Current Illness:

ID: 1192777
Sex: F
Age:
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Rec V Date: 04/11/2021
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Symptoms: HARD LUMP AT INJECTION SITE; FELT SICK; SWELLING AT INJECTION SITE; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. The company is unable to perform follow-up to request batch/lot number. No concomitant medications were reported. On 2021, the subject experienced swelling at injection site. On 2021, the subject experienced hard lump at injection site. On 2021, the subject experienced felt sick. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from felt sick on 2021, and was recovering from swelling at injection site, and hard lump at injection site. This report was non-serious.

Other Meds:

Current Illness:

ID: 1192778
Sex: U
Age:
State: GA

Vax Date:
Onset Date: 03/11/2021
Rec V Date: 04/11/2021
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Symptoms: BLURRED VISION; DIZZINESS; DRY MOUTH; CHILLS; HEADACHE; FEVER; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805031, expiry: unknown) dose was not reported, frequency once total, administered on 11-MAR-2021 at left arm for prophylactic vaccination. No concomitant medications were reported. On 11-MAR-2021, the subject experienced blurred vision. On 11-MAR-2021, the subject experienced dizziness. On 11-MAR-2021, the subject experienced dry mouth. On 11-MAR-2021, the subject experienced chills. On 11-MAR-2021, the subject experienced headache. On 11-MAR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from dizziness on 11-MAR-2021, and chills, and fever on MAR-2021, and had not recovered from dry mouth, headache, and blurred vision. This report was non-serious; Sender's Comments: V0: Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1192779
Sex: M
Age:
State: VA

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Rec V Date: 04/11/2021
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Symptoms: SEVERE RASH; This spontaneous report received from a consumer concerned a male of unspecified age. The patient's height, and weight were not reported. The patient's past medical history included unknown. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced severe rash. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of severe rash was not reported. This report was non-serious. This case, from the same reporter is linked to 20210407409.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 279,999

Page last modified: 03 October 2021 5:28pm