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: 1201037
Sex: F
Age: 38
State: OH

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Seasonal

Symptom List:

Symptoms: muscle pain and arm pain/soreness moderate to severe still 8 days after vaccine pain traveled to my left trapezius muscle and up my neck muscles which are still painful and sore Hurts to the touch and to move

Other Meds: Lexapro Trazadone Xyzal Je Junel Fe Women's One a Day vitamin Advil/Tylenol/Aleve

Current Illness: n/a

ID: 1201038
Sex: F
Age: 59
State: NJ

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Bad Headache, bodyaches

Other Meds: Irbesartan, Metoprol, Amlodipine, Clonidine, Atorvastatin, Amitriptyline, Lorazepam, Alprazolam, Zolpidem

Current Illness:

ID: 1201039
Sex: F
Age: 52
State: NH

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: no known

Symptom List:

Symptoms: Patient reported history of fainting after vaccines and pharmacist instructed the patient to sit be monitored for 15 minutes or longer after receiving the vaccine. Patient refused to wait and left immediately after the vaccine and fainted in the front entrance of our facility. She was awake and breathing but disoriented and needed assistance to get up. Patient husband and patient both refused to have EMTs evaluate the patient before leaving.

Other Meds: Unknown

Current Illness: none reported

ID: 1201040
Sex: F
Age: 77
State: NJ

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: pollen, tramadol

Symptom List:

Symptoms: lightheadedness, dizziness

Other Meds:

Current Illness:

ID: 1201041
Sex: M
Age: 24
State: MA

Vax Date: 04/08/2021
Onset Date: 04/11/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Janssen COVID-19 Vaccine EUA Starting on 4/11/21 at around 12:00 pm I started to have a numbness on both sides of my face. It felt as though there were pins and needles throughout my face. I would say that it was a 4/10 in terms of intensity. At first I thought maybe it was due to drinking coffee without food or other water (I don't regularly drink coffee but I have never had these symptoms from coffee before). However, even after eating food and drinking a sugary drink around 4:00 pm, the pins and needles remained. The symptoms began to subside at 6 pm or 7 pm. The only other normal symptoms that I had were feeling tired on 4/8/21 and 4/9/21. Also, on 4/9/21 I had very slight muscle soreness throughout my body. I have also had difficulty concentrating which may or may not be related.

Other Meds: Methotrexate, Fluoxetine, Folic Acid

Current Illness: None known

ID: 1201042
Sex: F
Age: 30
State: PA

Vax Date: 03/20/2021
Onset Date: 03/25/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: seasonal pollen, carrots, soy

Symptom List:

Symptoms: Received vaccine in 3/20. On 3/25, developed a pruritic, erythematous papular rash over abdomen, under breasts, axillae, behind knees and elbows. Continued to worse so was prescribed oral prednisone, which helped to improved sx. After completing 6-day course, the rash returned so was prescribed topical triamcinolone on 4/8. Was taking BID and sx have continued to improved so decreased to once daily. Still has mild but generalized pruritus. Saw PCP who performed lab tests as part of annual physical, results pending. Has upcoming appointment with allergist. Of note, recently started taking the supplements listed in the medication section about 1 month ago.

Other Meds: Benefiber, fish oil, turmeric, probiotic

Current Illness:

ID: 1201043
Sex: M
Age: 49
State: SD

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe Head ache and body aches that started about 15 hours after vaccination. Lasted about 8 hours and then turned into sweats with fever. I was not able to take temperature.

Other Meds: None

Current Illness: None

ID: 1201044
Sex: M
Age: 34
State: IL

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Lightheadedness

Other Meds: Doxycycline, citalopram, discovy

Current Illness: None

ID: 1201045
Sex: F
Age: 29
State: IL

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Around 7 hours after getting the vaccine muscle soreness and extreme headache started Around hour 9 after vaccine a fever spiked, vomiting, and chills that could not stop. I have never been so miserable in my life I thought I was going to die

Other Meds: Lexapro Birth control patch

Current Illness: None

ID: 1201046
Sex: F
Age: 29
State: PA

Vax Date: 03/22/2021
Onset Date: 03/28/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: menstrual cramping (severe and 1 week before cycle); extremely heavy flow and pain; increased length of period (10 days - previously 4 days). Worth noting, I had the Paragard IUD put in on March 15th. I was told this would effect the cramping but not the length and flow.

Other Meds: Sertraline, 50mg daily Centrum Multi-Vitamin, daily

Current Illness:

ID: 1201047
Sex: M
Age: 0
State: NY

Vax Date: 03/24/2021
Onset Date: 04/02/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: not any adverse events

Other Meds:

Current Illness: I have tested positive for the coronavirus on April 3rd. And my doctor prescription AZITHROMYCIN to me on April 9th.

ID: 1201048
Sex: F
Age: 66
State: ME

Vax Date: 03/22/2021
Onset Date: 03/26/2021
Rec V Date: 04/13/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: four days after second shot, severe stomach pain, fevers, trouble urinating, chest pain, . turned into kidney infection, blood infection and having AFIB, need for pace paker.

Other Meds:

Current Illness: diabetes, high cholesterol

ID: 1201049
Sex: F
Age: 25
State: NE

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Within 5-7 minutes of receiving shot i fainted/passed out. Onsite paramedics stated blood sugar, blood pressure, and pulse were within normal range after sitting on stretcher for 15 minutes. I signed a release refusing transport to hospital as i was feeling better. Throughout the first day I started feeling tired and sore but that was to be expected. Following day 4/11, extremely nauseous, headache, body aches and typical flu like symptoms, low grade fever of 100-101. At roughly 9:45 am and again at 11:25 am started throwing up bile/stomach acid. Flu like symptoms did not subside until morning of 4/13.

Other Meds: Amethia - Birth Control Pill Olly Women's Multi Vitamin Olly Sleep - Melatonin

Current Illness: None

ID: 1201050
Sex: F
Age: 37
State: GA

Vax Date: 04/11/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, amoxycillan, tetracycline, codeine, and hydrocodone give me hives

Symptom List:

Symptoms: Chills, body aches, sore throat, fatigue, headache, nausea, loss of appetite. Treated at home with acetaminophen and rest. I'm on day 2 and symptoms are subsiding.

Other Meds: Multi-vitamin, zinc, lysine, probiotic, took a dose of Emergen-C about 1 hour before vaccine

Current Illness: N/A

ID: 1201051
Sex: F
Age: 59
State: NY

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Reported feeling pain in her arm beginning a couple hours after the injection, lasting until Sunday. She reports she is extremely tired and has been resting since Friday. She is still fatigued at the time of this report Tuesday 4/13, and still unable to resume regular activities. I advised client to contact her doctor but she declined.

Other Meds:

Current Illness:

ID: 1201052
Sex: M
Age: 29
State: MO

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: UNKNOWN

Symptom List:

Symptoms: FEVER OF 102 FOR 3 DAYS. SEVERE CHILLS AND NASUEA. SWELLING AND SORENESS OF ARM.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1201053
Sex: M
Age: 72
State: CA

Vax Date: 02/13/2021
Onset Date: 02/24/2021
Rec V Date: 04/13/2021
Hospital: Y

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: 1. Acute thromboemboli within the distal right middle cerebral artery M1 segment and proximal right middle cerebral artery M2 segment with intermediate collateral flow. 2. Moderate hypoenhancement of approximately one half of the right middle cerebral artery distribution parenchyma, compatible with oligemia/infarct. Treatment was tPA Discharged from hospital 2/27/2021

Other Meds: latanoprost 0.005 % ophthalmic solution

Current Illness: n/a

ID: 1201054
Sex: F
Age: 50
State: MD

Vax Date: 04/06/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Bees seasonal allergies

Symptom List:

Symptoms: Rash neck, torsa , arms

Other Meds: Humira, Prednisone 10 mg, 1 QD Wellbutrin XL 150mg, 1 PO QD Telmisartan/HCTZ 80/25 1` PO QD, Folic Acid 1 mg 1 PO QD, Diclofenac-misoprostol 50-0.2mg - TID, Ergocalciferol 1.25mg 1 PO Q week, Pt stopped MTX March 21,21 and started Humira Ma

Current Illness: RA, HTN

ID: 1201055
Sex: F
Age: 83
State: NJ

Vax Date: 03/19/2021
Onset Date: 04/07/2021
Rec V Date: 04/13/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Shortness of breath and rushed to ER - they found massive blood clot in both lobes of my lungs. No sign of Deep Vein Thrombosis - seems a mystery. Almost fatal if not gotten to ER so quickly they said. I was in the ICU from 4/7 - 4/10

Other Meds:

Current Illness: none

ID: 1201056
Sex: M
Age: 43
State: CA

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: PT WAS ADMINISTERED VACCINE AT 11:27 AM AND WAS ASKED TO WAIT OUTSIDE FOR 15 MINUTES. AROUND 11:35 PATIENT STARTED FEELING LIGHT HEADED AND DIZZY. PHARMACY ASSOCIATE ON THE FLOOR ALERTED PHARMACIST. I WALKED OUTSIDE AND HELPED THE PATIENT LAY DOWN ON THE FLOOR , ELEVATED LEGS, ADMINISTERED COLD COMPRESSION. AROUND 11:45 PATIENT STARTED FEELING NORMAL. ASKED THE PATIENT TO STAY UNTIL 12:00 PM. PT WAS FEELING BETTER AND HE LEFT PHARMACY AT 12:05PM

Other Meds: NO HISTORY

Current Illness: NO KNOWN HISTORY

ID: 1201057
Sex: F
Age: 39
State: MD

Vax Date: 03/15/2021
Onset Date: 03/29/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 1st night very out of breath. O2 at 93 on sensor at home. Felt better next day. 3/29/21 - went to ER for blood clot in left leg.

Other Meds: Adderall, synthroid, singulair, trazadone, xarelto, folic acid

Current Illness: None

ID: 1201058
Sex: M
Age: 53
State: OH

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Shaking Chills Body Ache Rapid Heartbeat, my normal is 56-61, during reaction it was 81-88 checked every hour Fever 99-100.1 Treatment: Fluids, Acetaminophen, Rest

Other Meds: Amlodipine 10mg Metoprolol ER Succinate 100mg Low Dose Aspirin 81mg One A Day 50+ Men?s Multivitamin

Current Illness: None

ID: 1201059
Sex: F
Age: 69
State: NY

Vax Date: 03/30/2021
Onset Date: 04/02/2021
Rec V Date: 04/13/2021
Hospital: Y

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

Lab Data:

Allergies: Pennicillin

Symptom List:

Symptoms: Severe overall weakness, temperature, diarrhea,

Other Meds: Acetaminophen, Allopurinol, Atenolol, Furosemide, Glyburide-Metformin, Lansoprazole, Levemir, Potassium Chloride, Rosuvastatin, Venlafaxine

Current Illness: None

ID: 1201060
Sex: F
Age: 35
State: IL

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Woke up at 3am with the worst nausea and stomachache of my life. tried to get to the bathroom. all of a sudden had massive ear ringing in my left ear and then everything just went out. my hearing. my vision started to blur, saw black spots. Couldn't speak. felt cold all over and then started pouring sweat from my forehead. Ripped off my sweatshirt and laid in bed until it passed about 20 minutes later.

Other Meds: None

Current Illness: None

ID: 1201061
Sex: F
Age: 41
State: CO

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Client became light headed and dizzy and had an episode of syncope. EMS alerted, Client regained consciousness. client laid down for 30 mins. Client escorted to car with no evidence of shakiness or lightheadedness

Other Meds:

Current Illness:

ID: 1201062
Sex: F
Age: 41
State:

Vax Date: 03/20/2021
Onset Date: 03/28/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: From an email received 08 April 2021-"My1st vaccination was on the 20th of March. On the 28th/29th (I?m not entirely certain which night it began), I woke up in the middle of night experiencing a pins and needles sensation in my lower legs. It was mild enough that I assumed I had just slept in the wrong position. Over the course of the next several nights, the numbness and pins and needles sensation grew progressively worse. I was waking up several times throughout the night as a result and the numbness and tingling has spread to all four limbs (hips to toes, shoulders to fingers). The night of April 1st, the feeling had grown severe enough that I had trouble sleeping and was growing very worried about the symptoms. I didn?t have any symptoms during the day though, and that night the symptoms mostly went away. I still have the tiniest bit of mild tingling in my toes sometimes overnight, but otherwise I?m feeling just fine now."

Other Meds: Lo Loesterin fe

Current Illness:

ID: 1201063
Sex: M
Age: 75
State: OH

Vax Date: 03/11/2021
Onset Date: 03/13/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Extreme vertigo, weakness, unable to walk, extremely unbalanced when attempting to stand up, severe Headaches, blurred vision.. Also with sinus type drainage. Extreme nausea and fatigue. Literally couldnt even hold his head up. All sypmtoms started within 48 hours of injection and came on with a vengance. He was so unsteady and unstable he fell with attempts to get up. Prior to the vaccine he was great! Strong and healthy for all of his underlying medical condtions. Completely Independant, driving , working around the house ect. Unfortunaley this is still going on. He is very weak, and still unsteady when he is up. Nausea continues. He is doing Vestibular therapy for the balance issues. Took a round of seroids.

Other Meds: Zyloprim, Eloquis, Lipitor, Coreg, Cardura, Pepcid, Lasix, Levothyroxine, K-Dur, Enteresto, Multi Vitamin

Current Illness: NONE

ID: 1201064
Sex: F
Age: 51
State: FL

Vax Date: 03/25/2021
Onset Date: 04/02/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: pain in left leg bulging veins just above the knee were enlarged (I usually have varicose beins) pain was intense and so I wore my compression sock for Friday and Saturday (I have had one prior superficial clot after a flight 6 years ago)

Other Meds: multivitamin iron vitamin D Flonase

Current Illness: none

ID: 1201065
Sex: F
Age: 17
State: TX

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: NO ADVERSE EVENT. MODERNA WAS GIVEN TO 17 YEARS OLD INSTEAD OF 18 YEAR OLD

Other Meds:

Current Illness:

ID: 1201066
Sex: F
Age: 42
State: NY

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Janssen COVID-19 Vaccine EUA" Sunday 4-11-2021 woke up with mild itch and Hives on shoulders and face. At 12PM I went to Urgent Care, and was given prescriptions Cetirizine HCL 10 MG Tablets. when i got home, I notice my lips was beginning to swell and forehead with Welt. Monday 4-12-2021 The Hives spread to my arms legs, feet, back and neck....I went to the ER. at 10:37AM I was given by IV the following: dexAMETHasone (Decadron) / diphenhydraAMINE (Benadryl) / famotidine (PEPCID) and Sodium Cloride (NS) I stay for about 4-5 hours. where the Hives on the forehead, shoulders and arm was starting to disappear...I was discharged. with Prescriptions: Famotidine and to continue to take the Cetirizine but 2 times a day rather then once a day that was previously prescribed, and to take Benadryl twice a day within 6 hours. Hives was appearing to decrease by the evening, on shoulders, forehead Tuesday 4-13-2021 I woke up with hives all over my stomach, sides, back and inner thighs. some spots on forehead and welts on neck and face.

Other Meds: None

Current Illness: None

ID: 1201067
Sex: F
Age: 36
State: CA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: At 12 noon Dizzy, drowsiness, nauseous, all left side lymph nodes became swollen, sore throat, Lasted for several weeks.

Other Meds: Prozac.

Current Illness:

ID: 1201068
Sex: F
Age: 35
State: MA

Vax Date: 04/05/2021
Onset Date: 04/07/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Celiac (gluten), allergy to penicillin

Symptom List:

Symptoms: 12-24 hours -- fever, chills, body aches, exhaustion two days later -- severe dizziness, clamminess, felt very faint. Knee pain in right leg inexplicably started. three days later -- leg pain but the rest of symptoms had faded. eight days later -- still lingering knee pain.

Other Meds: Cymbalta, Lyrica, birth control pills, Adderall as needed, Lorazepam as needed, Ambien as needed

Current Illness: n/a

ID: 1201069
Sex: M
Age: 23
State: MN

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient fainted about 5 to 10 minute after receiving dose of COVID-19 vaccine. He was very rigid and not responsive to commands. This went on for a few minutes, patient was placed on the ground where he gained consciousness and responsive to commands. Upon coming to patient did say this had happened in the past but he was sorry he failed to mention it.

Other Meds: patient reported he took anti-depressants/anxiety medication

Current Illness:

ID: 1201070
Sex: F
Age: 48
State: NC

Vax Date: 04/08/2021
Onset Date: 04/11/2021
Rec V Date: 04/13/2021
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Allergies: None

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Symptoms: Started earlier in the evening with Body aches in the hips, back and lower rib areas and fatigue. At midnight unstoppable shivering started where teeth were chattering; no fever (temp was 96.8 which has been fairly normal) Heart rate steady at 84 - 92 bpm. At approximately 2:30 am nausea and light vomiting. Shivering subsided at 2am and stopped at 3am; nausea was done at 5:30 am Fatigue lasted until 11am Sunday morning. Took two advil at noon and another two advil at 7pm on Sunday Back to normal by 5pm on Sunday.

Other Meds: None at time of vaccination

Current Illness: None

ID: 1201071
Sex: F
Age: 34
State: SD

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/13/2021
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Symptoms: 105.5 fever for a few hours then down to 103 up until 48 hours later. Had been taking Tylenol max dosage. 72 hours later onset of menstural period. Heavy, painful. Not expected.

Other Meds: Ritual brand multi vitamin, align brand probiotic

Current Illness: None

ID: 1201072
Sex: F
Age: 30
State: CA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/13/2021
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Symptoms: bad headache, chills, nausea, dizziness, full body ache

Other Meds:

Current Illness:

ID: 1201073
Sex: F
Age: 64
State: FL

Vax Date: 04/10/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
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Allergies: Lisiniprol, codeine

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Symptoms: 1st shot Moderna lot 044A21A itchy immediately 2nd shot Moderna lot 036B21A itchy and dizzy 2nd day

Other Meds: Amlodipine

Current Illness: 1st Moderna Vaccine immediately itchy 3/15/21.

ID: 1201074
Sex: M
Age: 74
State: MI

Vax Date: 02/18/2021
Onset Date: 04/09/2021
Rec V Date: 04/13/2021
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Symptoms: Positive COVID test after two doses of Pfizer vaccine Vaccine dates - 01/28/2021 and 02/18/2021

Other Meds:

Current Illness:

ID: 1201075
Sex: F
Age: 27
State: IA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/13/2021
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Allergies: Sulfa, omnicef

Symptom List:

Symptoms: Fever, chills, headache, body aches, fatigue.

Other Meds: None.

Current Illness: None.

ID: 1201076
Sex: F
Age: 24
State: TX

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/13/2021
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Allergies: Tylenol

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Symptoms: The pharmacy did not keep me for the CDC recommended 15 minute observation. I started developing shortness of breath within an hour after receiving the vaccine. As of today, April 13th, I still have shortness of breath and a cough that I did not have before the vaccine

Other Meds: Aviane Birth Control

Current Illness:

ID: 1201077
Sex: F
Age: 43
State: PA

Vax Date: 01/15/2021
Onset Date: 01/20/2021
Rec V Date: 04/13/2021
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Allergies: no

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Symptoms: Heart palpitations that came within 3-4 days of first shot and second.

Other Meds: hormonal birth control

Current Illness: no

ID: 1201078
Sex: F
Age: 30
State: IL

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
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Allergies: NKA

Symptom List:

Symptoms: Lightheaded, feeling like he would black out

Other Meds: Adderall

Current Illness: None

ID: 1201079
Sex: F
Age: 19
State: PA

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
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Allergies: None that I?m aware of

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Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds: None

Current Illness: None

ID: 1201080
Sex: F
Age: 61
State: FL

Vax Date: 03/20/2021
Onset Date: 03/23/2021
Rec V Date: 04/13/2021
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Allergies: Penicillin

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Symptoms: Day 3 - Chills, Thirsty, Tired Day 10 - Day 3 through 10 fatigue, with the worse being day 10. Slight headache, slight leg, thigh, shin pain after short walk. Still tired, with slight weakness 3 weeks after vaccine.

Other Meds: OTC Calcium 600 mg + Vit D3 20 mcg

Current Illness: N/A

ID: 1201081
Sex: M
Age: 21
State: NC

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
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Allergies: UNKNOWN

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Symptoms: Patient was in the health COVID 19 clinic for his 1st dose Pfizer vaccine. Vaccine was administered and patient was sent to the observation area for a 15 minute wait. Upon arrival to the observation area he sat down in a chair and states that he " begin to feel dizzy and then blacked out". Patient was found on the floor by observation nursing staff. He was alert and oriented x4 and vitals were with in normal range. Vitals were as followed: BP 118/74, Heart rate: 79 and regular, 02 98 on room air. Patient was assisted to the emergency pod and he stated that "this happens all the time with needles, and plus I haven't had anything to eat this morning." Gave the patient crackers and a coke monitored for 35 Minutes.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1201082
Sex: F
Age: 18
State: FL

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/13/2021
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Allergies: NKDA

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Symptoms: WITHIN 30 SECONDS OF VACCINE GOING IN HER ARM SHE STARTED TO SWEAT AND GET VERY HOT. SHE SAT IN A CHAIR AND SAID SHE DIDN'T FEEL WELL AND IMMEDIATELY PASSED OUT. HER COLOR DRAINED AND SHE THENGOT VERY COLD AND SWEATY. THE MAN WHO ADMINISTERED THE VACCINE AND I RUBBED HER FACE, NECK AND CHEST WITH RUBBING ALCOHOL AND A LADY HELD VAPOR BEADS UNDER HER NOSE SHE WAS UNRESPONSIVE AND COMPLETELY OUT ALMOST 4 MINUTES. PHARMACY STAFF CALLED 911. PARAMEDICS CAME RIGHT AFTER SHE WOKE UP AND TOOK BLOOD PRESSURE AND SAID IT WAS VERY LOW AND TRANSPORTED HER TO HOSPITAL TO BE EVALUATED. SHE WAS GIVEN AN IV, HAD BLOODWORK AND AN EKG, HAD A URINALYSIS. WAS DISCHARGED LATER THAT AM. STARTED FEVER & CHILLS SAME DAY 5PM, DID NOT FEEL

Other Meds: LEVONORGESTREL, TYLENOL,MOTRIN

Current Illness: NO

ID: 1201083
Sex: M
Age: 47
State: KY

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
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Symptoms: 1430 PT SITTING IN POST VACCINE WAITING AREA AND HAD SYNCOPAL EPISODE. FALL TO FLOOR FROM CHAIR SITTING POSITION. PT TURNED TO BACK WITH ASSISTANCE FROM STAFF. PT QUICKLY REGAINED CONSCIOUSNESS AND NOTED TO BE WITH DILATED PUPILS AND TRYING TO FOCUS. NOTED CLAMMY SKIN. VS WITH HEART RATE IN 40'S WEAK RADIAL. BP 122/76. NOTED APPROX 1/2 INCH ABRASION TO RT TEMPORAL AREA FOREHEAD. PT ORIENTED TO SURROUNDINGS AND SITUATION. STATES "I TRIED TO RAISE MY HAND TO TELL NURSE I FELT FUNNY, THEN I FELT LIKE I WAS IN A DREAM AND WOKE UP WITH YOU ALL AROUND ME" EMS NOTIFIED IMMEDIATELY. PT DENIES ANY MEDICAL HX. VS MONITORED WITH BP 90/36 ON 2ND CHECK. EMS HERE AND TOOK POSSESSION OF PT

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Current Illness:

ID: 1201084
Sex: F
Age: 58
State: NM

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/13/2021
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Symptoms: 4-9-21 The morning of I tested negative for COVID, took vaccine that afternoon. Following morning, 4-9-21 woke up with 101 fever. Took Tylenol at 4 am. Did not take anything else since. Fever subsided in low 99's throughout that day. No other symptoms. 4-10-21 Woke up fine, no fever. Went to work at 7 am. Toward end of work day, vaccination site became sore and I felt out of sorts. 4-11-21 Woke up fine, no fever. Went to work at 7 am. By noon, feeling foggy. Very sore throughout my body, especially upper body and vaccination site. 4-12-21 Woke up ok, no fever but not quite myself. Went to work 7 am. At about 8 am began to feel a bit foggy , dizzy and almost past out. Blood pressure taken by medics was normal but high for me, after resting for 15 minutes it had gone done to my normal. Went back to work station sitting down but the foggy & dizziness continued off and on. Went back to my hotel to rest at 1 pm. While resting felt better but when moving out of bed sensations would come back. Some pain in left side vaccination and shoulder/neck pain but that may be related to chronic issues. 4-13-21 Stayed home to rest, fogginess continues, pain in vaccination site down arm.

Other Meds: Vitamin A, B complex, D 3, E, Niacin, Zinc .25 Trazadone at night to sleep

Current Illness:

ID: 1201085
Sex: F
Age: 48
State: ND

Vax Date: 03/30/2021
Onset Date: 04/06/2021
Rec V Date: 04/13/2021
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Allergies: None

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Symptoms: Rash at injection site then spread to bilateral torso, bilateral forearms, spots on hands and ankles.

Other Meds: Lipitor; Vit D; CBD oil - oral; Fish Oil; Mesalamine oral and enemas

Current Illness: None

ID: 1201086
Sex: M
Age: 35
State: MI

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
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Allergies: NKDA; Seasonal allergies

Symptom List:

Symptoms: Vasovagal symptoms - diaphoresis, lightheaded, dizzy

Other Meds: Duloxetine, Flonase, Singulair

Current Illness: N/A

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm