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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1205333
Sex: M
Age: 42
State: HI

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Participant fell off chair on his right side at 11:04 AM. He hit his right temple area. He fainted without warning. He has an abrasion on his right temple and left knee. Syncope episode lasted between 15 seconds. He responded to voice. Vital signs were taken immediately and were stable 118/60 pulse 80 respirations 18 chest clear temperature 97, O2 sat was 98% at 11:04 AM. Participant was accompanied by his partner. He denies blurry vision headache or nausea vomiting his skin was clammy and cool pale in color he has a history of fainting. He denied other health conditions. His blood pressure at 11:24 was 120/90 pulse 71 respirations 16 breast sounds clear temperature 97.3 and O2 sat was 99% His vital signs at 11:39 were 119/75 pulse 72 respirations 16 breath sounds clear 97.5 temperature. he was alert and oriented once he recovered from his fainting. We placed a participant flat on the ground allowed him to rest until he felt able to sit up. We dressed his abrasions in right temple and left knee, monitored his vital signs which were stable. participant drank water and Powerade. he declined a snack he rested in cot when able to be moved. we informed to notify his primary care doctor of the fall and inform to tell vaccinator he has a history of fainting when he comes back for vaccine number two. he was accompanied By his partner off the premises once he felt better was able to ambulate safely his partner will drive him home his vital signs were stable

Other Meds:

Current Illness:

ID: 1205334
Sex: F
Age: 44
State: CA

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

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Lab Data:

Allergies: None

Symptom List:

Symptoms: I had a rotator cuff repair done in February and I had my first vaccine I was a little tired but that was it. When I had my second vaccine about seven weeks after my surgery I had a really adverse reaction in my surgical shoulder where the rotator cuff repair was done. My right shoulder swelled up and I lost the ability to really even use my right arm it took about five days for me to regain function in that arm.

Other Meds: Oxycodone Dicflenac Cyclobenzaprine Verapamil

Current Illness: Rotator cuff repair 2/18/2021

ID: 1205335
Sex: F
Age: 49
State: NC

Vax Date: 04/12/2021
Onset Date: 04/13/2012
Rec V Date: 04/13/2021
Hospital:

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Lab Data:

Allergies: Gluten

Symptom List:

Symptoms: Fever over 101, body pain, pain in back like stabbing, exhaustion

Other Meds: Hydrochlorothiazide, Biosil, Vitamin D, Estrosense

Current Illness:

ID: 1205336
Sex: M
Age: 17
State: CA

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

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Lab Data:

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Symptom List:

Symptoms: Vaccination team received approval by the local county department of health to proceed with vaccination of minors.

Other Meds:

Current Illness:

ID: 1205337
Sex: F
Age: 63
State: CO

Vax Date: 03/24/2021
Onset Date: 03/27/2021
Rec V Date: 04/13/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: real bad headaches at front of head and shooting pain in to eyes and back of head and neck area .They started 2 days after getting the first shot.Now I have them every day and they linger all day long.

Other Meds:

Current Illness:

ID: 1205338
Sex: M
Age: 59
State: IL

Vax Date: 04/06/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
Hospital:

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Lab Data:

Allergies: Shellfish allergy

Symptom List:

Symptoms: None stated.

Other Meds: Met Forman glimepride, lipotor, lorastan

Current Illness:

ID: 1205339
Sex: M
Age: 53
State: AZ

Vax Date: 03/30/2021
Onset Date: 04/06/2021
Rec V Date: 04/13/2021
Hospital:

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Lab Data:

Allergies: Cats

Symptom List:

Symptoms: vaccine given on 3/30/2021-no pain till 4/6/2021- on 4/6/2021 patient started having pain in left arm after lifting something one week after injection. 4/7/2021 states that pain radiates from the injection site to the back of the arm when he rises his arm to shoulder level-- arm feels weak after carrying something pain level 8/10 when he lifts his arm. No pain otherwise.

Other Meds: Flomax--Multivitamin---vitamin E , C, Glucosamine

Current Illness: BPH

ID: 1205340
Sex: M
Age: 27
State: NY

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

Allergies: none

Symptom List:

Symptoms: vaccine was not diluted and patient was given .3mL of undiluted vaccine

Other Meds: none

Current Illness: none

ID: 1205341
Sex: F
Age: 51
State: VA

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

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Lab Data:

Allergies: latex penicillin nsaids corticosteroids

Symptom List:

Symptoms: Patient called the pharmacy on 04/13 to report that 4 hours after leaving the pharmacy and arriving home she had severe symptoms of headache, nausea, sharp abdominal pain, vomiting , chills and extreme fatigue. Advised the patient if her symptoms did not improve to seek help from her PCP

Other Meds:

Current Illness:

ID: 1205342
Sex: F
Age: 26
State: MD

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

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Lab Data:

Allergies: N.a

Symptom List:

Symptoms: Chills , swollen arm , muscle pain , tiredness ., headaches

Other Meds: N-a

Current Illness: Pre-diabetic , anemia

ID: 1205343
Sex: F
Age: 37
State: TX

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

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Lab Data:

Allergies: Cefaclor (Hives), Penicillin (Hives), Latex (Skin sensitivity)

Symptom List:

Symptoms: Janssen COVID-19 Vaccine EUA Patient complained of dizziness and lightheadedness followed by lip swelling with tingling and "tight throat". Patient evaluated and placed on 2L of oxygen via N/C. At 1619 Benadryl 50 mg was administered orally. At 1623 epinephrine 0.3 mg was administered. Patient transported to ER for observation. Patient observed until 1823 with a final diagnosis of allergic reaction, and discharged with resolution of symptoms and prednisone 40 mg daily x 3.

Other Meds:

Current Illness:

ID: 1205344
Sex: F
Age: 36
State:

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

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Allergies:

Symptom List:

Symptoms: vasovagal syncope

Other Meds:

Current Illness:

ID: 1205345
Sex: F
Age: 64
State: CT

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

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Allergies: None

Symptom List:

Symptoms: Severe chills (uncontrollable shaking), fever and body aches

Other Meds: No medications, but I do take SunChlorella algae tablets and other supplements (vitamin D, vitamin B, collagen, hyaluric acid, anti inflammatory mushrooms.)

Current Illness: None

ID: 1205346
Sex: M
Age: 37
State: CA

Vax Date: 03/16/2021
Onset Date: 04/09/2021
Rec V Date: 04/13/2021
Hospital:

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Lab Data:

Allergies: Amoxicillin

Symptom List:

Symptoms: Severe tinnitus, continues day and night. Unable to sleep and trouble working/concentrating. Headaches.

Other Meds: Levithyroxine, Finasteride

Current Illness:

ID: 1205347
Sex: F
Age: 67
State: MO

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

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Allergies: kflex, duloxitine

Symptom List:

Symptoms: Received the vaccine on the 9th of April. In the middle of the night started feeling badly. a bit of nausea, headache, body aches and a fever. Stayed in bed most of the day on Saturday and went to bed early on Saturday. Woke up Sunday completely soaked from head to tail. I have never broke a sweat like that before. Felt a bit better, but still not great all day Sunday. Monday I got up and felt better. Had lots of things to do and when I returned home I mowed the lawn. It totally wiped me out, which it never does. I was sweating bullets and extremely thirsty. Today I feel better.

Other Meds: magnesium, thyroid np, aspirin

Current Illness:

ID: 1205348
Sex: M
Age: 17
State: CA

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

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Symptom List:

Symptoms: Vaccination team received approval by the local county department of health to proceed with vaccination of minors.

Other Meds:

Current Illness:

ID: 1205349
Sex: F
Age: 19
State: CA

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

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Symptom List:

Symptoms: Extreme back aches, extreme nausea, slight headaches, and fatigue. Took Advil which helped side effects but was still in pain for three days after vaccine.

Other Meds: Concerta and Doxycycline

Current Illness:

ID: 1205351
Sex: F
Age: 83
State: FL

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 04/13/2021
Hospital:

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Lab Data:

Allergies: penicillin , aspirin , sulfa -hives

Symptom List:

Symptoms: partial loss of vision , starting 7 p.m. vaccine admin 10:45 am , 2 hours loss on vision and ongoing distorted vision ,blurriness, heart palpitations

Other Meds: simbastatin, candesarten, multivitamin

Current Illness: none

ID: 1205352
Sex: M
Age: 57
State: IL

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
Hospital:

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Allergies: None

Symptom List:

Symptoms: Shivers, foggy head, head ache, sore arm, tiredness, quizziness! For 5 days after!

Other Meds: Metformin, losartan, synthroid

Current Illness: None

ID: 1205353
Sex: F
Age: 17
State:

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/13/2021
Hospital:

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Symptom List:

Symptoms: Vaccination team received approval by the local county department of health to proceed with vaccination of minors.

Other Meds:

Current Illness:

ID: 1205354
Sex: M
Age: 17
State: CA

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/13/2021
Hospital:

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Symptom List:

Symptoms: Pt's father called on 4/9/21 afternoon and stated patient received dose 1 of Pfizer vaccine on 4/7/21 at stadium. On 4/8/21 pt.'s father states pt has fever, chills, some SOB and chest pain but feels better today (4/9/21). Pt's father also state patient took Tylenol for fever. Advised pt.'s father to take pt to the ED for evaluation and contact PCP. Pt's father verbalized understanding.

Other Meds:

Current Illness:

ID: 1205355
Sex: F
Age: 38
State: OR

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

Vax Type:
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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Initially within minutes developed SOB that resolved within 10 minutes then recurred 45 mins later, then self resolved. Within 24 hours myalgias, fatigue. Intermittent pounding heart rate episodic since vaccination. Ongoing lightheadedness which is mildly improving. Abdominal pain described as diffuse soreness of entire abdomen with unknown exact onset but within days of COVID-19 vaccine. Abdominal pain persists x 6 days (to date). Some loose stools. Episodic nausea. reduced appetite.

Other Meds: ashwaganhda root, vitamin D, folic acid, glutathione, phosphatidylcholine, methyltetrahydrofolate glucosa

Current Illness: None

ID: 1205356
Sex: F
Age: 25
State: NY

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

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Lab Data:

Allergies: Penicillin, mushrooms, banana, strawberries, grapefruit, watermelon, almonds, Brazil nuts, cashews, walnuts, corn, scallops.

Symptom List:

Symptoms: Redness, itchiness, small hives around injection site. Took Claritin, after a few minutes hives formed on my hand, wrist, and back. Put Benadryl cream on affected areas. Throat felt tight, headache, temperature went up to 99.04. Went to urgent care and was given a steroid shot, oxygen level was good, no signs of respiratory distress just severe allergic reaction. Prescribed to take Prednisone for 3 days twice a day 20 mg and Benadryl at night and Claritin during the day for a few days.

Other Meds: N/A

Current Illness: N/A

ID: 1205357
Sex: F
Age: 50
State:

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Extremely sore arm, could not lift arm over shoulder, nausea, body aches, chills, dizziness Applied ice and took Tylenol/Ibuprofen every 4-5 hours for 24 hours

Other Meds:

Current Illness:

ID: 1205358
Sex: F
Age: 51
State: CA

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

Vax Type:
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Lab Data:

Allergies: None (seasonal allergies). Some lactose intolerance to some but not all dairy products.

Symptom List:

Symptoms: About 2 hours after my shot I experienced tinnitus which is still persistent. Sometimes the noise is louder and sometimes quieter. I am also experiencing a flair up of tissue inflammation, especially in the upper back region. I had an overall achy feeling off and on since the shot at times, but this is very mild.

Other Meds: Multi-vitamins, Probiotics, Estradiol Vaginal Cream, occasional Cetricine.

Current Illness: None

ID: 1205359
Sex: F
Age: 16
State: CA

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/13/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccination team received approval by the local county department of health to proceed with vaccination of minors.

Other Meds:

Current Illness:

ID: 1205360
Sex: M
Age: 24
State:

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: after administering Janssen COVID Vaccine, patient felt light headed, rapid heart beat, sweating all over the body, cold, slouched over in chair, nausea, did not throw up, weak (could not make a strong fist), felt dehhydrated, general unwell, took about 10 to 15 minutes to get back to baseline for patient. I sat with patient in IMZ room until felt better...I asked if wanted EMS but shook head no...later in evening I saw patient in store pulling freight....gave water at their request

Other Meds:

Current Illness:

ID: 1205361
Sex: F
Age: 88
State: CA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Sulfur, Losartan, Nefideac, Nitrofurantoin

Symptom List:

Symptoms: The morning after the vaccine injection, I started vomiting, continuing up until just before 6 PM, -- which caused severe rib and bone soreness, and severe headache. The next morning, I woke to severe itching over most of my body. After spending the day scratching to the point of bleeding, I finally went to the clinic on Saturday morning. After an exam, the doctor prescribed allergic anti-itch meds, along with a hydrocortisone cream. (one of my concerns was that I am on blood thinner, and the scratching caused some bleeding much to my dismay)

Other Meds: SEE ATTACHED

Current Illness: None

ID: 1205362
Sex: M
Age: 24
State: IN

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

Vax Type:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, tiredness, sinus, body aches, eyes burning, sore

Other Meds:

Current Illness:

ID: 1205363
Sex: U
Age:
State:

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

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Allergies:

Symptom List:

Symptoms: Headache, muscle pain, tired, slight fever Lasted about 48 hours Took Acetaminophen

Other Meds:

Current Illness:

ID: 1205364
Sex: M
Age: 35
State:

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

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Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Typical advertised reactions with one exception - Slight numbness/tingling radiating from the inject site - left shoulder. This started about 90 minutes after vaccination. It originated at the injection site and moved down the arm into the left hand. At 120 minutes after injection it moved into the neck, face, ear and scalp - again only on the left side. The following day numbness and tingling sensation is about half as strong. At times it fades and but comes back. Muscle movements were not impacted and sense of touch remained. As of 30 hours after the injection I have not sought out treatment.

Other Meds: Multivitamin Omega-3 Cetirizine Flonase Sildenafil

Current Illness: n/a

ID: 1205365
Sex: M
Age: 55
State: MD

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

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Headache everyday Cramps Joint pain Muscle pain Tired legs

Other Meds:

Current Illness:

ID: 1205366
Sex: M
Age: 43
State: MO

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

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Lab Data:

Allergies: Cinnamon, Penicillin, Latex, Bees

Symptom List:

Symptoms: Within 5 min of getting the shot my face became flush. That lasted for about 30 seconds. A few minutes later my neck became very itchy. This lasted for maybe a minute or two.. about an hour later my legs became very itchy. This lasted maybe a minute and was immediately followed by my face getting flush again. This also lasted about a minute. Maybe 15 minutes later the same two events repeated in the same order. Both again lasted maybe a minute. During this time there was a little bit of tingling around my lips. This came and went for a few hours. 15 or so minutes after the 2nd round of itchy legs/face flush, my throat became itchy for a couple of minutes. I did go to the urgent care and while was told by that doctor that as all of these had come and gone within a minute or so and that my breathing had not become an issue that I didn't need an epi shot and that I could just go home. I didn't experience any further allergic reactions, just the expected ones.

Other Meds: Lisinopril 10mg once a day Metformin 500mg twice a day Rosuvastin 20mg once a day

Current Illness:

ID: 1205367
Sex: F
Age: 19
State: KS

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/13/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: 4/11/21 fatigue weakness slept 5 hours 4/12/21 chefs pain, clammy dizzy, fainted Headache 4/13/21 trouble tracking, time. Clammy, dizzy, fainted, headache, vomit, body aches, fatigue, tingling, shaking, cheats pain

Other Meds: Escotalopram 40 mg Tizanidine 4mg B 2 100 mg

Current Illness: Strep throat

ID: 1205368
Sex: M
Age: 16
State: CA

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccination team received approval by the local county department of health to proceed with vaccination of minors.

Other Meds:

Current Illness:

ID: 1205369
Sex: F
Age: 45
State: OH

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

Vax Type:
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Lab Data:

Allergies: Sulfas

Symptom List:

Symptoms: Janssen COVID-19 Vaccine EUA Received vaccine at 11 am and at 8 pm I started to feel weak, achy, and feverish. 101 temp. Took Tylenol extra strength rapid release gel caps. Woke up at 11 pm with body aches, moderate/severe back pain, fever 101, nausea. Iced back and neck and called pharmacy at 1:30 am to see if I could take ibuprofen. Took 2 ibuprofen at 2am and that helped subside the back pain, body aches, and fever. Felt tired, achy, nauseous for the next 24 hrs. Felt about 75% better 48 hours later, but still tired and off and on nausea. I also had a mild headache from day 1 - 3 and a dry cough that continues a week later.

Other Meds: Norlyda 0.35 MG Tablets

Current Illness:

ID: 1205370
Sex: F
Age: 49
State: CA

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
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Symptom List:

Symptoms: patient woke with Left leg swelling and pain, s/p Johnson/johnson vaccine. Pt referred to ER for R/O DVT

Other Meds: CHF meds

Current Illness:

ID: 1205371
Sex: M
Age: 48
State: NC

Vax Date: 04/07/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
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Allergies: No known allergies

Symptom List:

Symptoms: Patient's wife called and stated that he was experiencing stomach pain, vomiting, and diarrhea. She stated her husband said it felt like his stomach was going to burst. Patient received vaccine on 4/7/21 and reported reaction started on 4/13/21.

Other Meds: Unknown

Current Illness: None reported

ID: 1205372
Sex: M
Age: 51
State: CA

Vax Date: 03/19/2021
Onset Date: 03/29/2021
Rec V Date: 04/13/2021
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Allergies: none

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Symptoms: 10 days after, I woke in the am with severe vertigo. Have had every day since then and it lessens as the day goes on. About a week after started, I got significant tints for about 15 and it gradually lessened. That has happened a few more times since then and there is a constant mild tinitis.

Other Meds: 3mg melatonin on week nights

Current Illness: none

ID: 1205373
Sex: F
Age: 68
State: NV

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
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Allergies: Tetracyclene

Symptom List:

Symptoms: headache, nausea, shortness of breath

Other Meds: None

Current Illness: Diabetes

ID: 1205374
Sex: F
Age: 40
State: OH

Vax Date: 03/30/2021
Onset Date: 04/01/2021
Rec V Date: 04/13/2021
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Allergies: N/A

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Symptoms: Swollen lymph nodes in armpits, breast, torso, groin over 15 in total appearing over 10 days. Fatigue lasting a few days. Chills for one night on the 4th day. Rash that was a cluster of red marks on lower back about half dollar size lasted for a few days. Most lymph nodes have gone down but some still noticeable.

Other Meds: Zyrtec

Current Illness: N/A

ID: 1205375
Sex: F
Age: 19
State:

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

Symptom List:

Symptoms: Started VERY heavy menstrual period after not bleeding for nearly a year. Also had several bloody noses.

Other Meds: trazedone lexapro vitamin D calcium

Current Illness: none

ID: 1205376
Sex: F
Age: 48
State: MD

Vax Date: 03/31/2021
Onset Date: 04/11/2021
Rec V Date: 04/13/2021
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Symptoms: Headache, shortness of breath, leg pain, sore throat. Positive Covid test.

Other Meds:

Current Illness:

ID: 1205377
Sex: M
Age: 17
State: CA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/13/2021
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Symptoms: Vaccination team received approval by the local county department of health to proceed with vaccination of minors.

Other Meds:

Current Illness:

ID: 1205378
Sex: M
Age: 22
State: MD

Vax Date: 04/09/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
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Allergies: none

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Symptoms: Severe Headache starting approximately 9 hours after vaccine received. Lasted about 24 hours. Mild on and off headaches since.

Other Meds: none

Current Illness: none

ID: 1205379
Sex: F
Age: 60
State: FL

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

Symptom List:

Symptoms: Administration was administered at the correct location. When observing the administration site, there was a small lump with bruising around the injection area. The patient did state when I followed up on the phone an hour after administration that the lump is still there with bruising. Pt did state their is no pain or irritation. Pt has stated no issues with breathing, or anaphylaxis type reactions.

Other Meds: None were reported. But pt does take a daily Aspirin 81mg.

Current Illness: None were reported

ID: 1205380
Sex: F
Age: 17
State: MD

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

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Symptoms: patient fainted after receiving vaccine - her dad was with her here in the pharmacy and stated that this was typical of her when getting blood drawn/needles

Other Meds: none that we know of

Current Illness: none that we know of

ID: 1205381
Sex: F
Age: 37
State: CA

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/13/2021
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Allergies: None

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Symptoms: Headache Fatigue Sore arm Fever Nauseous

Other Meds: None

Current Illness: None

ID: 1205382
Sex: F
Age: 20
State: CA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/13/2021
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Allergies: NONE REPORTED

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Symptoms: ABOUT 10 MINUTES AFTER RECEIVING THE VACCINE, PATIENT WAS SITTING WITH HER MOTHER AND BECAME LIGHT HEADED AND BEGAN SWEATING. SHE NEVER LOST CONSCIOUSNESS AND WAS ABLE TO FOLLOW DIRECTIONS DURING THAT TIME. EMS WAS ALREADY ON SITE ATTENDING TO A PREVIOUS PATIENT WHO HAD FAINTED. THEY RENDERED AID TO PATIENT BY CHECKING HER VITAL SIGNS. SHE WAS HYPOTENSIVE ON A MONITOR. THEY DID NOT CHECK BLOOD SUGAR. UPON GETTING HER HISTORY, IT WAS DISCOVERED SHE HAD DRIVEN 3 HOURS FROM HER HOME TO FIND A LOCATION WITH THE VACCINE AND HAD ONLY EATEN LITTLE DURING THE DAY. AND PRIOR TO HER VACCINE, ANOTHER PATIENT FAINTED.

Other Meds: INFORMATION NOT AVAILABLE

Current Illness: NONE REPORTED

ID: 1205383
Sex: M
Age: 55
State: NC

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/13/2021
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Allergies: Bananas

Symptom List:

Symptoms: Within two and a half hours had diarrhea and vomiting. Body aches started right away me were severe by the night. Fever started the first night and continued through 4 days. Severe fatigue ongoing 5 days out. Trouble concentrating. No focus. Dizziness. Headache. Vomiting returned day 4.

Other Meds: Adderall, niacin, vitamins C, B and B12, Zinc and magnesium

Current Illness: None

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm