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: 1197886
Sex: M
Age: 19
State: OK

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient stood up after the vaccine and became flush, pale, he briefly loss consciousness about 10 seconds and then jerked awake. He remembered the incident. Did not hit his head. He drank a bottle of gatorade and was monitored for an hour before leaving. He felt fine at discharge per patient.

Other Meds: none

Current Illness: no

ID: 1197887
Sex: F
Age: 67
State: CO

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies: no known

Symptom List: Anxiety, Dyspnoea

Symptoms: The morning after my second vaccine, I discovered multiple small lumps in my left armpit. It was painful to apply roll on deodorant. Symptoms lasted for 3 days. Online research stated this as a known side effect and advised if it was an ongoing issue after 2 months to seek medical attention.

Other Meds: Citrical, vitamin D3 (2,000 IU), aspirin 81mg

Current Illness: none

ID: 1197888
Sex: F
Age: 57
State: MI

Vax Date: 04/11/2021
Onset Date: 04/12/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, strong anesthesia...

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: Very sore arm after shot at 4:21 pm on 4/11. Woke up at 4:30 am on 4/12 with terrible migraine, sore all over and experienced nausea but did not throw up. Drank water and took Tylenol which seemed to help...Stayed in bed until noon. Starting to feel better but still experiencing fatigue and body aches.

Other Meds: Multi vitamin, vitamin D, Aleve, members mark 10 strain Probiotic digestive care supplement, Dotti (estradiol transdermal system USP)

Current Illness: Seasonal allergies

ID: 1197889
Sex: F
Age: 63
State: FL

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

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies: Dairy, sulfa drugs

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Around 8 o?clock the evening of my second Moderna vaccine I began to shake, felt like vomiting, my temperature went up to 101.9, my heart rate was 93 and my blood pressure was 150/93. Called Doctor after hours number and they told me to drink lots of water and take Tylenol. This lasted till the next morning when I was able to take a Tylenol and woke up with 100 degree fever. Kept taking Tylenol was able to eat a bit and couldn?t move that day. Still is experiencing diarrhea and weight loss Along with brain fog.

Other Meds: Synthroid, Omeprazole, Vitamin D, Calcium

Current Illness:

ID: 1197890
Sex: F
Age: 74
State: CA

Vax Date: 01/31/2021
Onset Date: 02/02/2021
Rec V Date: 04/12/2021
Hospital:

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

Allergies: sulfa, pollen, gluten intolerant

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: pt says about 2 days later after the vax her heart was pounding so hard that she could not catch her breath. She laid down for a while. Pt went to her PCP to get a EKG. EKG was normal. She noticed at her doctors appt she had developed a red rash on her back, torso, arms, legs, and palms of her hands. She was given RX for cetirizine. This medicine worked and symptoms were better within the next day. Pt was told all of her symptoms were due to having the covid vax.

Other Meds: meloxicam, citalopram, D3, Areads, probiotic, pantoprazole,

Current Illness: no

ID: 1197891
Sex: M
Age: 30
State:

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: Patient received dose 2 of Moderna Covid-19 vaccine too soon, 19 days after first dose. "Consider doses as vaccine administration errors if administered before the grace period (i.e., 23 days or less after the first dose). These doses do not need to be repeated but must be reported to VAERS."

Other Meds:

Current Illness:

ID: 1197892
Sex: F
Age: 56
State: CO

Vax Date: 04/03/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies: Epinephrine, Ondanestron, Humira, Augmentin, Percocet, Percodan, Codeine, Vicodin, Sulfa drugs, Inapsine, Erythromacin, methotrexate, Enbrel, Cipro, Remicade, Leflumomide, 3 reactions to the flu vaccine between 2017-19, oranges, msg

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Saturday, April 10 I experienced a hot, scratch throat, body aches and chills/low grade temperatures. Today, April 12 I noticed a red rash at the injection site which had been slightly itchy a couple times during the week. When I saw the rash I realized what the other symptoms were. I am also having a flare up of my uterine fibroids in the same time frame. I don't know if this is related or coincidental. I am currently experiencing the above side effects.

Other Meds: Zyrtec, Lithobid,Omeprazole,Famotadine,Klonopin,Baclofen,Sertraline,Flonase,Singulair,carisoprodol,zolmitriptan,avenova eye scrub, tylenol ES ,diclofenac sodium topical gel, magnesium malate, probiotics 8-5, Systane balance eyedrops,

Current Illness:

ID: 1197893
Sex: M
Age: 16
State: TX

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Sore right arm for 1-2 days.

Other Meds:

Current Illness:

ID: 1197894
Sex: F
Age: 42
State: NY

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: 42Y female presenting with arm pain after covid vacination received second dose of moderna on 4/9/2021 on her left arm pain and redness around vaccine side on day one, then second day redness in site of old bcg vaccine which then spread throughout the deltoid on the right side, also feels swollen +pain and redness without significant itchiness

Other Meds: aspirin, levothyroxine,

Current Illness:

ID: 1197895
Sex: F
Age: 40
State: CA

Vax Date: 03/01/2021
Onset Date: 03/07/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies: Allergic to Penicillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I received my first Pfizer COVID vaccination on 3-1-2021. Seven days later I had a Shingles outbreak, which I've never had before. My doctor advised that I should continue to get the second vaccination as it's a two step process, which I did on 3-25-2021. I'm now experiencing numbness and loss of sensation that started in my foot and hand which has now progressed up my leg to my hip and from my hand up my arm. My doctor ordered a MRI scan which showed lesions on my spinal cord. Based on the results of the first MRI scan my doctor has ordered a second scan (showing more of the spinal cord) and a brain scan. She has also scheduled me an appointment to speak with a Neurologist to try to determine the cause of this. I can't help but feel that this vaccine was the cause of this as it all started shortly after I was given my first dose.

Other Meds: Doxycycline Mono 100MG

Current Illness: I was taking Doxycycline Mono for an infected cyst on my leg

ID: 1197896
Sex: M
Age: 22
State: GA

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

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

Lab Data:

Allergies: Unknown

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: NP was alerted by bystanders that "something was happening" in an area outside of the clinic designated for patients wait the recommended 15+ minutes after COVID vaccination. PCT on duty and provider in-training were attended to patient was sliding out of chair and was markedly pale and trembling. NP was called to the scene. He was assisted to the floor and was monitored closely. He consumed Pedialyte and reported feeling better. He said that he just "started feeling tired" while waiting after the vaccine. He was accompanied by his roommate who also had a vaccine immediately after him. After the friend had been observed along with the patient for 40+ minutes, the patient left the clinic ambulatory and was driven home by his friend.

Other Meds: Unknown

Current Illness: Unknown

ID: 1197897
Sex: M
Age: 36
State: GA

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

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: none

Symptom List: Rash, Urticaria

Symptoms: body aches, diarrhea and headache started after receiving vaccine

Other Meds: none

Current Illness: none

ID: 1197898
Sex: F
Age: 45
State: OH

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies: Milk, Codeine, Cipro

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Chest heaviness/pain accompanied by fatigue, dizziness, shortness of breath, and nausea. Given the combination of symptoms, I presented to a local emergency room to be evaluated for a heart condition. ER doctor evaluated to rule out heart attack, stroke, and/or blot clot. All tests appeared normal. Symptoms attributed to side effects from vaccination.

Other Meds: Escitalopram 10mg, Allegra 180mg, Dymista nasal spray

Current Illness: n/a

ID: 1197899
Sex: M
Age: 61
State: OH

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

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies:

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: After 12 hours of being vaccinated was bed ridden, high fever, unable to walk for 12 hours. , skin color turned grayish and very pale for 24hours. Broke out in hives, particularly on back and chest area. Several bumps per sq/in., unbelievably itchy. 5 days later hives seriously affect sleeping habits and can barely sleep at night. Have had mild eczema for years, 95% out breaks occur on hands and forearms, never back. Vaccine cleared up eczema on fingertips and one small spot on forearm. Now 30% of body covered in hives (ie, small itchy bumps). 5 days later still have slight headache, thinking still a little cloudy.

Other Meds:

Current Illness:

ID: 1197900
Sex: M
Age: 59
State: TX

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
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Lab Data:

Allergies: Prednisone, Bactrim, latex, MSG, Nitrates and nitrites

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Slight swelling right eye (left corner) small mole - swelled up no other affects surfaced about 1 hr after vaccine.

Other Meds: PQQ, Green tea extract, Acyclovir , Vitamin C, D3, Zinc

Current Illness: None

ID: 1197901
Sex: M
Age: 30
State: NJ

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Intermittent left chest tightness/pain, started on 4/10 which was mild, became more frequent since 4/11 afternoon (twice per hour), more obvious and more frequent on 4/12

Other Meds: n/a

Current Illness: n/a

ID: 1197902
Sex: F
Age: 48
State: IN

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

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

Lab Data:

Allergies: none

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: * felt serum enter my arm, painful immediately / * nothing but mild arm pain until about an hour after the shot/ * entire arm ached all the way to my hand / * became extremely tired within an hour of shot / * neckache, throbbing arm pain, over all achy, VERY tired, slightly dizzy on and off, fuzzy thought processes on and off / * felt feverish but no fever / * eyes felt warm when I closed them/ * slight heart racing the first night - all of these symptoms lasted about 2 days. Not severe enough to see my doctor or go to a hospital but felt it was important to report the effects. Even today, 5 days later, my upper arm is still sore and my neck still aches slightly.

Other Meds: Welbutrin, Imodium, xanax, women's multi vitam, vitamin-D, turmeric, celon cinnamon, green tea exract, valerian root, birth control, levothroxyn,

Current Illness: none

ID: 1197903
Sex: F
Age: 41
State: LA

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

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Severe headache, and fever for two days and chills. Prolonged headache and brain fog four days after vaccine. Fatigue still lingering

Other Meds: None

Current Illness: None

ID: 1197904
Sex: F
Age: 36
State: ND

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

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

Lab Data:

Allergies: penicillin, aspartame

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Fever of 101.9 after aspirin, muscle aches, headache, throwing up, fatigue for 48 hours after vaccination

Other Meds: sumatriptan

Current Illness:

ID: 1197905
Sex: F
Age: 45
State: WI

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Describes a sensation of lightheadedness and anxiety after vaccine. Minutes later, this progressed into "involuntary twitching" of all extremities. Patient was evaluated in urgent care, and ultimately thought to be a sympathetic surge. Patient was discharged without further complication. Submitting this primarily since patient required prolonged observation in urgent care setting.

Other Meds:

Current Illness:

ID: 1197906
Sex: F
Age: 16
State: TX

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Sore arm, red for a few days.

Other Meds:

Current Illness:

ID: 1197907
Sex: F
Age: 72
State: MI

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies: vicodin, sulfa, bactrim, percoset

Symptom List: Unevaluable event

Symptoms: got injection in left arm, as day went on starting to hurt, swelling at site, About 12:30 a.m. that night I woke up shivering, teeth chattering, whole body aching, ribs on left side very painful, horrible headache, nauseous, could not get comfortable, very, very thirsty, could not get up to get drink or get more blankets. All these symptons went on all night till about 7:00 a.m. Got up at 8:30, most everything gone except bad headache, took Ibuprofin through out the day, never went all the way away but was tolerable, had absolutely no energy all day, sat in chair, watched t.v., slept soundly that night, had slight headache on Sun., eventually went away. I have never been that sick ever. I have never taken any flu, pneumonia, shingles, etc. vaccine in my life. As i lay in bed that night, I was real sorry I took this one !!

Other Meds: Omaprazole 40 mg 1 daily, seroquel xr 300 mg 1 daily, cbd softgel 15 mg 1 daily, various Shaklee supplements

Current Illness: nothing

ID: 1197908
Sex: F
Age: 47
State: OR

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies: NKDA

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: This is a 47yo female who presents with an urticarial all-over body rash after the Johnson and Johnson vaccine. She had her vaccine on Friday and started to notice the rash on Saturday. It has progressively spread out since then. Denies fevers, n/v, diarrhea. She has taken a total of 2 benadryl tablets - one on saturday and one on sunday with some relief, however the rash would come back. Prescribed cetrizine 10 mg tablet: 1 tab po bid 60 tablet(s), 1 refill; Famotidine 20 mg tablet: Take 1 tablet twice a day by oral route. 60 tablets, 1 refill;

Other Meds: N/A or unknown

Current Illness: N/A

ID: 1197909
Sex: F
Age: 41
State: VA

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

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

Lab Data:

Allergies: Egg whites, shellfish, sesame, soy, MSG, dairy, ibuprofen, propelene glycol, sodium lauryl sulfate

Symptom List: Injection site pain, Pain

Symptoms: I began feeling extreme pain, nausea, fatigue and headache within a few hours of the shot. The joint pain and fatigue increased and has persisted as of Monday (day 5 following first dose) becoming extreme at times. I have severe headache on and off. I threw up 2x a day from Thursday-Sunday. My lips began tingling on and off on Wednesday evening April 7 and that has continued ever since. I have also had tingling in my extremities especially my legs and feet, but also my left hand. Fatigue has not improved and as of today, I began to get worse (onset of chills and fever as of 4/12).

Other Meds: Nature Throid

Current Illness: No other illness.

ID: 1197910
Sex: F
Age: 55
State: FL

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Pfizer Covid 19 vaccine vial was mixed with 1.4 instead of 1.8 ml of diluent. Spoke to patient on 04/10/2021 and she stated she was feeling fine. provided patient counseling regarding possible side effects and what to do if she experiences any.

Other Meds:

Current Illness:

ID: 1197911
Sex: F
Age: 21
State:

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: 101.4 fever

Other Meds:

Current Illness:

ID: 1197912
Sex: F
Age: 28
State: NC

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

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

Lab Data:

Allergies: none known

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: patient reports feeling lightheaded and weakness, sees spots/blurry film, cheeks flushed, patient began to report focal muscle tenderness under her left armpit. Symptoms resolved about 40 mins after vaccination.

Other Meds: none

Current Illness:

ID: 1197913
Sex: F
Age: 35
State: PA

Vax Date: 04/05/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies: Ceclor, Amoxicillin, Erythromycin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: The vaccine was given on 4/5/21 @ 2pm. At approximately 7am on 4/11/21, Hives developed over the body and persisted for 24 hours. The hives were treated initially with 50mg of Benadryl at 7am on 4/11/21 with no relief. Clariten 10mg and famotidine 20mg was given at 1pm with no relief. Benadryl 50mg was then given at 5am on 4/12/21 and symptoms finally resolved around 7am.

Other Meds: Metformin ER 500mg daily Doxycycline Hyclate 20mg twice daily Naltrexone 4.5mg daily Nature-throid 65mg daily

Current Illness: none

ID: 1197914
Sex: F
Age: 27
State: IA

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

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

Lab Data:

Allergies: PCN

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Patient had chills, nausea, weakness and headache for 72 hours after vaccine. she had previously had covid 19 infection in 11/2020. she did not receive any counselling on side effects of vaccine or that no studies were done on previously vaccinated persons.

Other Meds: Loryna, scalp-med (OTC vitamin).

Current Illness: none

ID: 1197915
Sex: F
Age: 23
State: CA

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Nausea

Symptoms: Fatigue, achy, muscle pain, nausea, dizziness

Other Meds: Lexapro

Current Illness: No

ID: 1197916
Sex: F
Age: 57
State: CA

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List: Injection site pain

Symptoms: First 24 hours I was fine no symptoms, woke at 2:45 AM and was dizzy and spinning. Low grade feaver of 99.7 on 4/10 and dizzy. Dizziness still on 4/12/21.

Other Meds: Kirkland Multi-Vitamin, B-Complex, Kirkland D-3, Daybefore Air

Current Illness: NONE

ID: 1197917
Sex: F
Age: 16
State: WI

Vax Date: 04/08/2021
Onset Date: 04/12/2021
Rec V Date: 04/12/2021
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Allergies: none

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Patient has a history of dizziness, headaches and Tourette's syndrome. Immediate complaints of headache, nausea, arm tenderness and being dizzy. Patient was laid down, given water and a snack. She was discharged with her parents after 30 min of observation.

Other Meds: Drospirenone, Adapalene, Guafacine, Ibuprofen, citrizine

Current Illness: migraines

ID: 1197918
Sex: F
Age: 49
State: FL

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/12/2021
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Allergies: penicillin, flaxen, Lyrica

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: headache, aleve and tylenol, right side of face felt like sinus infection, right side of mouth not closing correctly, back pain, lethargic, cheek swollen

Other Meds: montekolust, cetirizine, cyclobenzaprne, topirate

Current Illness:

ID: 1197919
Sex: F
Age: 89
State: CA

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

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Allergies: No known allergies

Symptom List: Tremor

Symptoms: profound Lethargy, difficulty ambulating and progression to DVT bilaterally(03/27/2021)

Other Meds: Bupropion, furosemide, metoprolol, Myrbetriq, omeprazole, potassium, Vitamin D

Current Illness: None

ID: 1197920
Sex: F
Age: 51
State: GA

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/12/2021
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Allergies: penicillin, mango, fish, sensitive to eggs

Symptom List: Erythema, Pruritus

Symptoms: hard swollen injection site, itchy as well continues day 7. Also started a forearm itchy red rash that spread up to the injection site. This also continues day 7. Benadryl, zyrtec, nightly and topical benadryl offer no relief.

Other Meds: lisinopril/estradial/progesterone Vitamins C, D3, various Bs, Pro and prebiotics

Current Illness: n/a

ID: 1197921
Sex: F
Age: 54
State: CA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/12/2021
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Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: I got second shot on a Tuesday AM.I started to get achy, severe headache and a fever 12 hours after shot at 1030 pm. Next morning symptoms continued for the day and night. I also notice what I thought was a mosquito bite on my arm 24 hrs after injection. By 48 hours fever was gone and symptoms lessened thru out the day. I had another bump on torso which I thought was a mosquito bite. By Friday I was feeling much better. On Saturday I woke up with terrible hives and itching. For 2 days, Saturday and Sunday, I had severe hives and itching all over my body. I took Benadryl every 5 hours. On Monday (today) the hives were less and not as irritated.

Other Meds:

Current Illness:

ID: 1197922
Sex: M
Age: 37
State: SD

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 04/12/2021
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Allergies: cefzil, codeine, minocycline, tetracycline, lipitor

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: 4 hours post injection: chills, sweats, body and muscle aches, headache, fatigue. All subsided 48 hours later except for the muscle aches, consistent nagging headache, and serious fatigue. That has continued 1 month to date from when I received the first shot. I did not received the second dosage at my providers direction.

Other Meds: acetaminophen325/butalb50/cafn 40 mg, caberoline 0.5mg, candesartan cilexetil 32mg, D3-1,000unit, 4 a day, escitalopram oxalate 20mg, gemfibrozil 600mg, ibu 800mg, loratadine 10mg, omeprazole 20mg, testosterone cyp .75 mg weekly, zolmitript

Current Illness: none

Date Died: 03/19/2021

ID: 1197923
Sex: M
Age: 71
State: CA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 04/12/2021
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Allergies: codeine, penicillin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: He was found down in cardiac arrest- EMS called CPR done and taken to Emergency room, unsuccessful CPR, patient died

Other Meds: Aspirin, prinzide, plavix, atorvastatin, metoprolol, may have been taking albuterol, benzonatate and guaifenasin.

Current Illness: had URI symptoms 3/8/21 and 3/13/21 - took azithromycin, refused COVID-19 testing had 1st COVID-19 (Pfizer) vaccine 2/26/21

ID: 1197924
Sex: M
Age: 54
State: IL

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/12/2021
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Allergies: None

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Severe Tinnitus flare up and dizziness started approximately 12 hours after vaccine administered. No tinnitus or dizziness in prior two weeks before receipt of the vaccine on April 8th at 2:00 pm. Dizziness resolved after about 72 hours. Tinnitus still present 24 hours a day, every day. Moderately disruptive to sleep and ability to function.

Other Meds: Zoloft, Flovent HFA, Vitamin C, Zinc, Magnesium, Vitamin D, NAC, Probiotic

Current Illness: None

ID: 1197925
Sex: F
Age: 27
State: KS

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/12/2021
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Allergies: None

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Patient states that she had some mild tingling in left arm, same arm where she got the Moderna vaccine.

Other Meds: None

Current Illness: None

ID: 1197926
Sex: M
Age: 71
State: IA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/12/2021
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Allergies: NKDA

Symptom List: Pain in extremity

Symptoms: right arm numbness, right facial drooping, weakness

Other Meds: amitriptyline 25mg, apap 325 q 4 h, ASA 81mg, ferrous sulfate 325mg, folic acid 1mg, methotrexate 10mg once weekly, sumatriptan 100mg, turmeric

Current Illness: none known

ID: 1197927
Sex: F
Age: 62
State: NY

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 04/12/2021
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Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: diarrhea every hour for 24 hours, then 6 times a day for 2 more days

Other Meds: Bactrim

Current Illness:

ID: 1197928
Sex: M
Age: 35
State: MT

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/12/2021
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Allergies: cats

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Soreness and redness around injections site lasted about 72 hours as to be expected. Within 24 Hours intense stomach cramping and diarrhea / nausea perused. Every morning for the last 2 weeks has been an hour or 2 of flu like symptoms with continual discomfort of digestive system. Very tired, do not feel like my normal active, happy self.

Other Meds: Supplemental Vitamin D, B-12, biotin, vitamin C, and vitamin A

Current Illness: none

ID: 1197929
Sex: F
Age: 56
State: WY

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/12/2021
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Allergies: Polyglycol (malignant hyperthermia)

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: 04/05/21-ct reports 10"-30" post vaccination- was flushed, nauseated, observed by at clinic, ct stayed at clinic about 2hrs, then stayed in overnight, as lives in a very remote area. Couple days later developed itchy mottled rash, itchy, initially on stomach, chest, then L arm. 4/6- rash more intense, itchy- on back and arms, steady HA,Today-13 days post vaccine- rash not welts. Had 2 telehealth visits, 1 in person appt w/ PCP, tried different antihistamines, MD and client attempted to call J&J but 'not of any help' (per the client). Hx allergy to many chemicals in most COVID treatments. Ct gave verbal permission for team member to contact her directly.

Other Meds: Vit B6 and B12

Current Illness: none

ID: 1197930
Sex: F
Age: 51
State: TX

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/12/2021
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Allergies: None

Symptom List: Vomiting

Symptoms: Pain and tightness at injection site, extreme chills and body shakes all night long, repeated vomiting, horrific headache. By the following morning I was almost unable to move my arms and legs, felt accute flu-like symptoms, body aches and headache, continued vomiting. Symptoms lasted for 48 hours at full blown level, but still experiencing body aches, headache and moments of nausea 72 hours after vaccine shot.

Other Meds: Amberen, Pantoprozol

Current Illness: None

ID: 1197931
Sex: F
Age: 27
State: AZ

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/12/2021
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Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Anaphylaxis approx. 5 minutes after injection, recieved Epi Pen injection, Benadryl injecton, rescue inhaler used, symptoms resolved after 5-10 minutes

Other Meds: Bupropion, Escitalopram, Gabapentin, Adderall IR

Current Illness: None

ID: 1197932
Sex: F
Age: 23
State: GA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/12/2021
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Allergies: Unknown

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: About 5 minutes after vaccine was administered, patient became to appear pale and reported feeling unwell to NP. She commented that her vision was "getting black" NP noted that her pupils were dilated and that her heart rate was 50 beats per minute. She was quite diaphoretic. No loss of consciousness. She noted that she had not eaten for several hours prior to vaccine administration. Patient was given water to drink and a bottle of fruit flavored tea. After consuming fluids, she began to regain her usual skin tone and reported "feeling better, but not quite right". She was observed for an additional 20 minutes and offered crackers to eat. She called a friend to come pick her up and drive her home. She left the clinic ambulatory accompanied by friend.

Other Meds: Unknown

Current Illness: Unknown

ID: 1197933
Sex: M
Age: 40
State: CO

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 04/12/2021
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Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient's behavior appears more in line with focalized or petit mal seizure activity. Gran Mal activity NOT witnessed.

Other Meds:

Current Illness:

ID: 1197934
Sex: F
Age: 23
State: OH

Vax Date: 04/11/2021
Onset Date: 04/12/2021
Rec V Date: 04/12/2021
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Allergies: - Percocet

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Janssen COVID-19 Vaccine Eua. At about 1pm, approximately 4 hours following my vaccination, I started experiencing body aches and general feelings of discomfort. By 4pm, I was experiencing more body aches and felt generally "sick". At 6pm, I have a temperature of 99.5 F and decided to take 2 tylenol, by 7:30 it was 101.5 F, and by 8:30 it was 101.8 F, which the last time that I checked. I had cold chills and couldn't stay warm from 6-8:30pm, and around then I started feeling extremely hot. My entire body felt like a furnace but I was not sweating. I had body aches and developed a bad headache at this point. I have had COVID-19 and felt extremely sick from it, but my experience following the vaccine, while shorter lived, was worse. I woke up at 8am still with a headache, and its now 3:45pm the day following my vaccine and I've felt fatigued, had a mild headache, and intermittently cold and hot.

Other Meds: - lexapro

Current Illness: - spring allergies

ID: 1197935
Sex: F
Age: 49
State: MO

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 04/12/2021
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Allergies: erythromiacin and iron infusion

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: I had trouble breathing, could not talk, could not move, blood pressure issues, body was shaking, unable to respond to the nurses commands that she asked me to

Other Meds: topiramate 50mg tablet, levothyroxin 100mcg tablet, buspirone 15mg tablet, ferrous sulfate 325 mg tablet

Current Illness: n/a

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am