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: 1201189
Sex: F
Age: 61
State: NY

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: IDOPATHIC ANGIODEMA

Symptom List:

Symptoms: AFTER ABOUT 45 MINUTES OF RECEIVING THE VACCINE, MY BOTTOM LIP STARTED TO TINGLE. WITHIN A FEW MINUTES OF THAT A HIVE APPEARED RED AND MY LIP STARTED TO SWELL. I TOOK BENADRYL, WHICH SEEMED TO HELP STOP THE SWELLING.

Other Meds: AMLOIPINE 10 MG, VITAMIN -3

Current Illness:

ID: 1201190
Sex: M
Age: 28
State: CO

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

Vax Type:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: entered clinic with red bull energy drink, spouse reported Patient drank a soda earlier, skin appeared pale, reported he did not do well with vaccines as a child in the past, still wanted to proceed with vaccine. Had seizure for 2 mins, family reported past history of fainting. EMS attended, responded to questions appropriately, fainted a second time, monitored, pt was released home with spouse

Other Meds:

Current Illness:

ID: 1201191
Sex: F
Age: 78
State: MA

Vax Date: 02/08/2021
Onset Date: 02/14/2021
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: SNHL. Hearing loss in left ear,

Other Meds: amlodipine metformin metoprolol atorvastatin valsartan aspirin 365 calcium vitamin D

Current Illness: none

ID: 1201192
Sex: F
Age: 61
State: CT

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

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

Lab Data:

Allergies: Penicillin, Duricef, Erythomycin. Polyethylene glycol, Iodine contrast dye, Seafood, Citrus and other fruit, Nuts,

Symptom List:

Symptoms: Approx 5 Minutes post vaccination : Severe Headache lasting approx 10 minutes, slight throat tightening, acceleration of heart rate that lasted about 15 minutes but continued intermittently for the first day post vaccination. Leg pain (aching) that lasted for 4 days. I struggled to think...as though I was in a fog ...for example it took me along time to think of an answer to a question I was asked. This lasted for 2 days. Severe tiredness 6 hours post vaccination, I slept for 2 hours then insomnia the first evening. Nausea beginning 6 hours post vaccination then rolling nausea that continued 6 days .

Other Meds: Simvastatin 10 mg : 1 per day

Current Illness: None

ID: 1201193
Sex: F
Age: 65
State: MI

Vax Date: 03/12/2021
Onset Date: 03/14/2021
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: Strong, constant taste of salt in mouth appearing about 2 days post-vaccine #2. Still persisting after 4 weeks.

Other Meds: None

Current Illness: None

ID: 1201194
Sex: F
Age: 69
State: MN

Vax Date: 04/10/2021
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:

Symptom List:

Symptoms: COVID-19 Vaccine EUA; Woke up next morning after vaccine shot feeling nausous, but did not vomit . Had tingling in both arms and hands for a short time and sweats. I applied a cold washcloth to my face and had a bite of a saltine cracker and some water which helped. Later in day got very warm applied cold washcloth again and was sleepy on and off during the day. Mid day symptons went away just sleepy. Soreness near injections site for two days.

Other Meds:

Current Illness:

ID: 1201195
Sex: M
Age: 33
State: NY

Vax Date: 04/02/2021
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: Sulfa

Symptom List:

Symptoms: No reactions until 12:30am when I awoke with severe chills/shaking and freezing. Lasted about an hour. Woke up every 2 hours. Severe headache & muscle aches. Took maximum dosage of ibuprofen and tylenol. I was very tired the next 2 days.

Other Meds: None

Current Illness: None

ID: 1201196
Sex: F
Age: 36
State: OH

Vax Date: 04/01/2021
Onset Date: 04/04/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Bactrim

Symptom List:

Symptoms: Normal side effects until 4/4/21, when chest pressure and paid began at night, with shortness of breath. Appt with Dr on 4/6/21 and was sent for a CTA that confirmed a pulmonary embolism.

Other Meds: sumatriptan, as needed

Current Illness:

ID: 1201197
Sex: F
Age: 54
State: NC

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Around 0855, patient stated she was having tingling on tongue and didnt feel well. Gave 25 mg Benadryl po. 0900 pt co tightness in chest. Monitored patient and vital signs until 0945. Pt stated she felt better around 0935. Patient ambulated from clinic without episode

Other Meds:

Current Illness:

ID: 1201198
Sex: M
Age: 28
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: None

Symptom List:

Symptoms: Dizziness, lightheaded, pale, diaphoretic, afraid of needles.

Other Meds: None

Current Illness: None

ID: 1201199
Sex: F
Age: 44
State: FL

Vax Date: 04/01/2021
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: Latex; Seafood; Dilaudid; Flagyl; Benadrly

Symptom List:

Symptoms: Extremely abnormal heavy flow and clotting menstrual cycle.

Other Meds: Calcium; Vitamin C; Phentermine

Current Illness: None

ID: 1201200
Sex: F
Age: 47
State: TX

Vax Date: 03/11/2021
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: Allergic to pollen, grasses, shellfish, dust mites

Symptom List:

Symptoms: Dermatitis on torso, hands and feet, skin peeling on left foot A few nosebleeds with small clots

Other Meds:

Current Illness:

ID: 1201201
Sex: M
Age: 20
State: NC

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:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Fever, Nausea, headache, muscle ache, fatigue all occurred about 12 hours after I received the vaccine. I took Tylenol and used an ice pack on my head to help the fever subside. After about 20 minutes I began to feel better and was able to then lay down and rest a little more comfortably.

Other Meds:

Current Illness:

ID: 1201202
Sex: F
Age: 45
State: CO

Vax Date: 04/03/2021
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: None. Dogs/cats/horses and seasonal allergies.

Symptom List:

Symptoms: Woke up and turned over in bed to the left side and the room was moving in a circle/spinning. Turned back over on the right and it was still spinning, but to a lesser extent. This subsided after a few minutes, but my head felt weird the rest of the day, not quite a headache, but maybe slight pressure. The next morning, the same thing happened, but then felt dizzy/lightheaded the rest of the day. Had chills. Minor temp at 99.1. Very fatigued. Symptoms began to improve on 4/10/2021 with feeling 98% back to normal on Monday 4/12/2021. Still feel a bit off.

Other Meds: Kirkland psyllium husk fiber pills, Rainbow Light Women's One Multivitamin, Allegra, Albuterol inhaler PRN (none taken that day, 3 days later used inhaler), QVAR

Current Illness: None

ID: 1201203
Sex: F
Age: 34
State: CT

Vax Date: 04/07/2021
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: Bactrim Ceclor Sulfa

Symptom List:

Symptoms: 5 Hours after Administration of shot - Severe uncontrollable Chills, Extreme Muscle Aches, Fever, Rapid heartrate (in excess of 130-150 for over 2 hours). The following Day - Extreme Fatigue

Other Meds: NP - Thyroid Multivitamin ZMAG Vitamin D B-12

Current Illness: None

ID: 1201204
Sex: M
Age: 30
State: OH

Vax Date: 04/03/2021
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: Runny nose, sore throat, headache, tiredness starting April 9th around 7pm. Symptoms are still occurring today (April 13th), but are getting better.

Other Meds: None

Current Illness: None

ID: 1201205
Sex: F
Age: 45
State:

Vax Date: 04/13/2021
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: PNC, latex= rash

Symptom List:

Symptoms: Patient experienced Raynaud's phenomenon within several hours of her second vaccine. Resolved after putting hand under warm water. Has occurred only once before.

Other Meds: Flonase

Current Illness: none

ID: 1201206
Sex: F
Age: 44
State: MN

Vax Date: 03/31/2021
Onset Date: 04/01/2021
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: The morning extreme chills with a red, hot, hard 3"x4" localized reaction. Ran fevers for three days with the highest 103.5. The localized reaction continued to grow to 4"x4" with swollen lymph needs in that axilla.

Other Meds: HcTz Duloxatine

Current Illness: None

ID: 1201207
Sex: F
Age: 45
State: VT

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: slight fever, loss of appetite, very tired, lethargic, spacy for 4 days currently

Other Meds: Zyrtec, iron supplement

Current Illness: None

ID: 1201208
Sex: M
Age: 60
State: RI

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: Approximately five minutes after vaccination patient began to appear sleepy while in observation area. I walk over to the patient and by the time I got to him the patient was unresponsive. His body was rigid and breaths were erratic. He regained consciousness after about a minute or so and appeared to be alert. EMT's then arrived and took over.

Other Meds:

Current Illness:

ID: 1201209
Sex: F
Age: 23
State: NC

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:

Symptom List:

Symptoms: Body chills, high 102 fever for about 10 hours, fatigue, body shakes, severe headache, redness of skin (likely due to high fever)

Other Meds:

Current Illness:

ID: 1201210
Sex: M
Age: 31
State: OH

Vax Date: 03/20/2021
Onset Date: 04/06/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Luvox Welbutrin

Symptom List:

Symptoms: I started developing another rash on my right low back, I had pain in my lower back on the right side and superficially on my stomach (right side). More rash formed, also on the right side of my low back and right side of my stomach. Swollen inguinal lymph nodes on right side. Treatment is valtrex.

Other Meds: Sertraline Trazadone

Current Illness:

ID: 1201211
Sex: M
Age: 60
State: WI

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

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

Lab Data:

Allergies: no known allergies

Symptom List:

Symptoms: Patient received Janssen COVID vaccine 4/9/21 around 9 am. Patient reported to emergency department around 10 pm that day (4/9)- says tongue began swelling since 7pm, he took a benadryl at 8pm with no improvement. Per ED physician, patient had "tremendous amount of tongue swelling, I am not even able to visualize the palate he has fullness to his left neck as well". Patient intubated in emergency room to protect airway. Patient admitted to ICU where he is still today (4/13). Per chart, the edema subsided on 4/12 and patient was extubated today (4/13). Patient received IV steroids from 4/9- 4/13 (discontinued this morning). Of note: patient does take lisinopril 20mg daily (start date July 2020). There is concern the angioedema was caused by this medication. Patient received tranexamic acid and Berinert in the emergency department to assist in treating this potential etiology.

Other Meds: Aspirin 81mg daily, atorvastatin 20mg daily, hydrochlorothiazide 25mg daily, lisinopril 20mg daily, loratadine 10mg daily, omeprazole 20mg daily, senna 8.6mg daily.

Current Illness: none known

ID: 1201212
Sex: F
Age: 52
State: WA

Vax Date: 03/14/2021
Onset Date: 03/24/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Myacins, cyclines, codeine, soy, msg and all components of msg

Symptom List:

Symptoms: on 3/24 I had a TIA with an intense heat pressure behind the right temple which resulted in complete numbness, heaviness, and tingling on my entire right side of the my body. I was transported by ambulance to the hospital. A CT and MRI was done, no signs of blood clots or stroke. I am still experiencing numbness and tingling in the right arm. Follow up appointments with the eye doctor indicate additional vision loss in the right eye with pressure behind the eye. I have a follow up appointment today with the neurologist for a brain scan and tomorrow for an eeg. My PCP, eye doctor, and neurologist believe it may be a blood flow issue. I have not had this type of event before.

Other Meds: Aleve, claritan, omeprazole, magnesium/calcium/zinc, b12 injections

Current Illness: none

ID: 1201213
Sex: F
Age: 19
State: CT

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: unknown

Symptom List:

Symptoms: Patient received 2nd Moderna dose on 4/12/2021. After vaccination, it was discovered the dose was early. First dose was 3/22/2021. 2nd dose was received at 21 days rather than 28.

Other Meds: unknown

Current Illness: unknown

ID: 1201214
Sex: F
Age: 55
State: IA

Vax Date: 04/08/2021
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:

Symptom List:

Symptoms: Took ibuprofen

Other Meds: Fever chills pain in every joint.

Current Illness:

ID: 1201215
Sex: M
Age: 50
State: FL

Vax Date: 03/25/2021
Onset Date: 03/31/2021
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: bad rash all over body for over a week

Other Meds: none

Current Illness: none

ID: 1201216
Sex: F
Age: 58
State: PA

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: patient reports"Breathing got shallow, Tongue swelling, lip swelling, face swelling, and nose ?dripping? got fatigued" states h/o anahylaxis and states that she had an anaphylactic reaction, but did not need to use an epipen. symptoms are now resolved.

Other Meds:

Current Illness:

ID: 1201217
Sex: F
Age: 17
State: OK

Vax Date: 04/13/2021
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:

Symptom List:

Symptoms: 17 yr old client was administered Moderna for her second dose in the series, she received Pfizer for her first dose.

Other Meds:

Current Illness:

ID: 1201218
Sex: F
Age: 37
State: VA

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Sulpha-based drugs

Symptom List:

Symptoms: Subsequent to vaccine, two day period of flu-like symptoms (chills, aches, migraine accompanied by tinnitus). Tinnitus lingered after other symptoms subsided. It manifests as a constant, high-pitched ringing sound in my ears at all times, and has not abated since post-vaccine.

Other Meds: Vitamin D supplements

Current Illness: None

ID: 1201219
Sex: F
Age: 48
State: IN

Vax Date: 03/22/2021
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: Penicillin

Symptom List:

Symptoms: Tinnitus-ringing in both ears.

Other Meds: Lexapro 10 mg, Ambien , Prilosec OTC

Current Illness: None

ID: 1201220
Sex: F
Age: 41
State: AZ

Vax Date: 04/08/2021
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: none

Symptom List:

Symptoms: pt was under observation while she was seated on a chair and she became unconscious briefly

Other Meds: none mentioned by patient

Current Illness: none

ID: 1201221
Sex: M
Age: 71
State: MO

Vax Date: 04/07/2021
Onset Date: 04/08/2021
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: 2nd dose of Moderna Wednesday 4/7. Severe Migraine-like headache with nausea Thursday evening through current. Was seen at Urgent Care Saturday 4/10 at 5 pm for headache and nausea. Urgent care sent him to ER for bloodwork. Sodium levels were at 122. Admitted to Hospital Sunday 4/11 for low sodium levels and sever headache. Sodium levels continued to drop to 117 on Monday morning 4/12.

Other Meds:

Current Illness:

ID: 1201222
Sex: F
Age: 29
State: MI

Vax Date: 03/22/2021
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: N/A

Symptom List:

Symptoms: small blood clot when tried to donate blood 2.5 weeks after shot, preventing me from finishing donation

Other Meds: spironolactone, albuterol, allertec, multivitamins

Current Illness: N/A

ID: 1201223
Sex: M
Age: 48
State: FL

Vax Date: 03/22/2021
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: Penecillin

Symptom List:

Symptoms: Was diagnosed with Covid 19 on April 10th.

Other Meds: Atorvastatin 10mg

Current Illness: None

ID: 1201224
Sex: F
Age: 49
State:

Vax Date: 03/26/2021
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: Patient reports raised welt 2 weeks after injection at injection site. Currently resolved

Other Meds:

Current Illness:

ID: 1201225
Sex: F
Age: 62
State: SC

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:

Symptom List:

Symptoms: Patient described having trouble breathing . She said it felt as bad as collapsed lung she had in the past.

Other Meds:

Current Illness:

Date Died: 02/13/2021

ID: 1201226
Sex: F
Age: 90
State: PR

Vax Date: 02/10/2021
Onset Date: 02/13/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
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Lab Data:

Allergies: None reported

Symptom List:

Symptoms: She was taken to the hospital for respiratory distress, she was turning purple. She dies arriving at the hospital.

Other Meds: Losartan, Inpratropiun therapy, Zolpidem

Current Illness: None reported

ID: 1201227
Sex: F
Age: 49
State: NY

Vax Date: 04/10/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
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Lab Data:

Allergies: Sulpha

Symptom List:

Symptoms: tightness in both leg calves

Other Meds: Flonase

Current Illness: none

ID: 1201228
Sex: F
Age: 27
State: UT

Vax Date: 04/06/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
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Allergies: None.

Symptom List:

Symptoms: Fever 102 degrees for 6 hours Sore Arm 1 week Ibuprofen taken to lessen fever Extreme exhaustion 18 hours Pancreas pain day 2 and day 3 No medical care sought as symptoms went away on there own.

Other Meds: None.

Current Illness: None.

ID: 1201229
Sex: F
Age: 71
State: AL

Vax Date: 03/12/2021
Onset Date: 03/26/2021
Rec V Date: 04/13/2021
Hospital: Y

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Lab Data:

Allergies: PCN, Codeine, shellfish, sulfa drugs

Symptom List:

Symptoms: SOB, DOE, pleuritic chest pain x2 weeks progressively worsened, the patient presented to hopsital and was later transferred to secondary hospital.

Other Meds: Meclizine

Current Illness: Hypercholesterolemia Vertigo

ID: 1201230
Sex: M
Age: 22
State:

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
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Allergies: Penicillin and Cephalosporin

Symptom List:

Symptoms: I first started developing chills and a mild fever about eleven or twelve hours after taking the vaccine. My entire body felt like burning and a headache came up not long after the fever. I could barely fall asleep at night due to body ache and excessive sweating. The headache and body pain persisted till the next morning, and as of I am writing this response now, I feel extremely weak and I have no appetite at all.

Other Meds:

Current Illness:

ID: 1201231
Sex: F
Age: 47
State: OH

Vax Date: 01/12/2021
Onset Date: 03/09/2021
Rec V Date: 04/13/2021
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Lab Data:

Allergies: itraconazole

Symptom List:

Symptoms: Left lower leg pain started on 3/9/2021. Doctor appointment on 3/12/2021 for worsening leg pain. Ultrasound - diagnosed with DVT. 3/12/2021 started on Eliquis.

Other Meds: Metoprolol Lisinopril

Current Illness:

ID: 1201232
Sex: M
Age: 44
State: VA

Vax Date: 03/19/2021
Onset Date: 04/11/2021
Rec V Date: 04/13/2021
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Allergies: None

Symptom List:

Symptoms: Had normal pain, fatigue and low grade fever after vaccination. About 3 weeks later I experienced onset of Bell?s Palsey defined as mild to moderate by the ER doctor.

Other Meds: Atenolol/Chlorthalidone Prozac

Current Illness: None

ID: 1201233
Sex: M
Age: 24
State: CO

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
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Allergies: N/A

Symptom List:

Symptoms: Developed high fever, chills, body aches, fatigue, headache, shortness of breath, chest pain

Other Meds: Adderall 20 MG XR

Current Illness: Strep throat

ID: 1201234
Sex: F
Age: 29
State: PA

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 04/13/2021
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Allergies: None.

Symptom List:

Symptoms: Started with fever, chills, nausea, sore throat 16 hours after second vaccine, which was expected. Fevers have continued for 2 weeks, sore throat resulted in swollen lymph node that makes swallowing easy.

Other Meds: None.

Current Illness: None.

ID: 1201235
Sex: M
Age: 19
State: MI

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
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Allergies: No

Symptom List:

Symptoms: Patient reported feeling light headed 10-15 minutes after receiving the vaccine. As he stood up from the observation chair he fell to the floor and was caught by the pharmacist before hitting his head. The patient did not lose consciousness. The patient was moved to the counseling room under his own power and laid down on the floor with his knees elevated and a pulse oximeter and blood pressure cuff was placed on the patient. Pulse and blood pressure was normal. 911 was called and responded. The patient refused the offer to go to the hospital and went home under his own power.

Other Meds: No

Current Illness: No

ID: 1201236
Sex: M
Age: 40
State: OH

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

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Lab Data:

Allergies: TAMIFLU VICODIN

Symptom List:

Symptoms: SEVERE MUSCLE CRAMPING AND PAIN THROUGHOUT BODY. PROLONGED FEVER OF 102.9 DEGREES. SEVERE CHILLS AND BODY SHIVERS. EXTREME HEADACHE. ENLARGED AND PAINFUL LYMPH NODE ABOVE LEFT COLLARBONE

Other Meds: PAXIL PROTONIX CARDIZIEM

Current Illness: NONE

ID: 1201237
Sex: F
Age: 61
State: CT

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 04/13/2021
Hospital:

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Allergies: None

Symptom List:

Symptoms: Chills, muscle aches, fever of 102 for 6 hours from 2AM 3/9/2021-, fever of 101 and headache/ muscle aches afterwards to 2AM 3/10/21 -fever broke. Fatigue, muscle aches continued for 3 days. (maybe not associated with vaccine... but hip/leg pain flared and continues as well as sudden fainting and flare of diverticulitis (ER-CTscan 3/28/21)

Other Meds: None

Current Illness: Borrelia burgdorferi

ID: 1201238
Sex: F
Age: 39
State: FL

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
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Allergies: None

Symptom List:

Symptoms: Fever of 100 12 hours after administration and flushing and warm feeling all over body similar to a bad sunburn. Soreness at injection site radiating to the shoulder.

Other Meds: Levothyroxine 75mcg Letrozole 2.5mg

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm