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: 1212870
Sex: F
Age: 40
State: MN

Vax Date: 04/10/2021
Onset Date: 04/12/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Following the shot I had "normal" side effects. Tired, headache, foggy/light headed. These began about an hour after the shot and continued. 48 hours after the shot, Monday morning, I began having stomach pains and diarrhea. I continued to feel light headed and foggy. The stomach pains and diarrhea are still present today, Thursday, 04/15/21, nearly 5 days after receiving the vaccination.

Other Meds: None

Current Illness: None

ID: 1212871
Sex: M
Age: 59
State: GA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List: Anxiety, Dyspnoea

Symptoms: CLIENT RECIEVED MODERNA AS THIER FIRST DOSE OF COVID 19 VACCINE AND THEN RECIEVED PFIZER AS THEIR SECOND DOSE.

Other Meds: UNKNOWN

Current Illness: UNKNKOWN

ID: 1212872
Sex: M
Age: 47
State: UT

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: Codeine, Latex. Fruits and Vegetables

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

Symptoms: Swelling and pain in Right armpit and Right pectoral muscle.

Other Meds: Citalopram, Atorvastatin, Metformin, Jardiance, Aspirin,

Current Illness: no

ID: 1212873
Sex: F
Age: 34
State: MN

Vax Date: 02/16/2021
Onset Date: 04/08/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Asymptomatic COVID-19 positive test result 4/8/2021

Other Meds:

Current Illness:

ID: 1212874
Sex: M
Age: 19
State: NE

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/15/2021
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, Injection site warmth

Symptoms: STOMACH PAIN AND VOMITING ON 4/15/21. POST VOMITING STOMACH FELT BETTER CHILLS AND WEAKNESS DAY AFTER VACCINE. RECOMMENDED TYLENOL/IBUPROFEN FOR PAIN OR FEVER AND HYDRATION.

Other Meds:

Current Illness:

ID: 1212875
Sex: F
Age: 37
State: DE

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: None known

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

Symptoms: Daily Headache since vaccination

Other Meds: ASA 81 mg Zyrtec 10 mg PO QD

Current Illness: Sinus Congestion History of COVID

ID: 1212876
Sex: F
Age: 31
State: TX

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Pt. started experiencing the following symptoms: Lightheaded, mouth tingling, and dizziness. Hives noted around chest radiating towards neck. Lip swelling and redness to the face also noted. Lungs and throat clear. Administered 20mL (50mg) of Benadryl orally at 1102. First set of vitals were taken at 1103 and were the following: BP - 112/64, HR - 68, RR - 14, SpO2, 100% on RA. Pt. stated she was feeling better. Hives, redness to face, and swelling to face going away. Pt. left at 1125 with guidelines on secondary reactions.

Other Meds:

Current Illness:

ID: 1212877
Sex: F
Age: 59
State: LA

Vax Date: 04/01/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List: Pharyngeal swelling

Symptoms: Muscle weakness Disorientation

Other Meds: Baclofen Rebif Simvastatin Gabapentin Paxil Synthroid Vitamins B,C,D Multivitamin Milk thistle extract Biotin Fish oil Zinc Glucosamine condroitin

Current Illness:

ID: 1212878
Sex: F
Age: 60
State: MA

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/15/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillins

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient had normal side effects (vaccine on 4/7/2021) Wednesday and Thursday with fever and aches. Woke up Friday morning with fatigue and over the course of the next days developed shortness of breath, severe fatigue, and palpitations. Came into the ER a week later (4/14/2021) found to have significant anemia. Coombs test positive. Seen by hematology suspect autoimmune hemolytic anemia. Started on prednisone 1mg/kg. Will need at least weeks of treatment then tapering of steroids. Outpatient follow-up with hematology.

Other Meds: IV Lemtrada infusion once a year in February Acyclovir 400mg PO VID Baclofen 10mg PO QID PRN spasm Myrbetriq 50mg PO Daily Over the counter: Vitamin B12, calcium and vitamin D, and multivitamin

Current Illness:

ID: 1212879
Sex: F
Age: 49
State: IN

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: minocycline medical adhesive lotions/perfumes

Symptom List: Diarrhoea, Nasal congestion

Symptoms: fever of 102.5, migraine, chills, body aches and exhaustion (slept for almost 2 days (Wednesday and Thursday 4/6 & 4/8) I felt fine on Friday

Other Meds: Allegra-D spirolactin atorvastatin lamotrigine

Current Illness: none

ID: 1212880
Sex: F
Age: 44
State: OH

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: Septra, lisinopril, nickel

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

Symptoms: Received the 2nd shot in my left arm a 8am Saturday morning. By early afternoon was experiencing some pain in my right armpit. By that evening I could feel an a lump/mass growing in my armpit. It proceeded to get larger, to a golf ball size, and more painful through Monday. The pain made it difficult to lift or move my right arm. Any contraction of my bicep muscles would trigger pain. Proceeded to make a doctor's appointment for Tuesday, April 13th.

Other Meds: Metoprolol

Current Illness: eczema

ID: 1212881
Sex: F
Age: 25
State: CO

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Started my period the day after getting the first dose, about 2-3 weeks earlier than it should've been

Other Meds:

Current Illness:

ID: 1212882
Sex: F
Age: 25
State: VA

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: Bactrim and sulfa allergy

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

Symptoms: Dizziness, lowered resting heart rate, body feels like lead

Other Meds: None

Current Illness:

ID: 1212883
Sex: M
Age: 55
State: DC

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Tinnitus - ringing in my left ear and a sound like crickets chirping in my right ear.

Other Meds: Lisinopril/HCTZ 10/25mg, Vitamin D-3 2000IU, Aspirin 81mg, Zyrtec 10mg, Reyataz 400mg, Descovy 200/25mg - all once daily

Current Illness: None

ID: 1212884
Sex: F
Age: 62
State: IN

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: Retuning, Remicade, morphin, beef, root vegetables, turmeric, ginger, shell fish.

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

Symptoms: Joints ache all over. No energy. Fever spiking at 102.1.

Other Meds: Arafat, diltizem, leflunomide, gadapentin, omega 3, multi-vitamin

Current Illness: Arthritis, fiber myalgia,

ID: 1212885
Sex: F
Age: 54
State: MD

Vax Date: 04/06/2021
Onset Date: 04/12/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Menstrual spotting/bleeding 5 days after first shot, and 6 days after the 2nd shot. I am postmenopausal, so haven't had a period in 2+ years. First spotting lasted 1 day. Spotting after the 2nd shot has lasted for 4 days so far, also cramping and breast tenderness.

Other Meds: Multivitamin, Vit D, B12

Current Illness: None

ID: 1212886
Sex: M
Age: 41
State: MN

Vax Date: 04/07/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: pennicillian, sulfa

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

Symptoms: pain in arm since shot slowly went away the 7 days after my arm swelled and is very tender and painfull swelled entire muscle shot was given warm to touch pain to touch

Other Meds: charcoal tablets for acid reflux gluten and milk sensativity

Current Illness: none

ID: 1212887
Sex: F
Age: 61
State: TN

Vax Date: 03/11/2021
Onset Date: 04/08/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Nose sores and raw tongue. Fever 101.6 Chills, Swelling, High Blood Sugar 442 constipation, blurred vision, very weak. My husband had to guide me to restroom and back to bed. These were the only times I was up and mobile. Muscle and joint pain

Other Meds: Escitalopram, Folic Acid Levothyroxine, Torsemide Hydroxychroquine, NovoLog, Tresiba , Methotrexate. Hydrocodeacetamine, ondasetronHCL Predison

Current Illness:

ID: 1212888
Sex: F
Age: 29
State: TX

Vax Date: 04/11/2021
Onset Date: 04/12/2021
Rec V Date: 04/15/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient with complaints of persistent headache and insomnia the night of the vaccination. Patient developed bruising on her leg, shoulder and abdomen the next day. Patient presented to ER on day 4 post vaccination and is admitted at the hospital with ITP.

Other Meds: unknown

Current Illness: Unknown

ID: 1212889
Sex: M
Age: 34
State: MI

Vax Date: 04/12/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Swelling, redness, pain and tenderness to surface area of left pectoral area

Other Meds: Adderall XR20 generic, vitamin C, mens multi vitamins, vitamin D

Current Illness: None

ID: 1212890
Sex: F
Age: 39
State: NC

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: Seasonal allergies

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

Symptoms: Extremely high fever which included loss of consciousness. Dizzy, blurred vision, chills, and diarrhea overnight. Began about 9/10 hours after receiving shot. Next more body aches and arm soreness continued for 24 hours. 72 hours arm soreness and fatigue. One week later (now) still feel fatigued, short of breath, and experience moments of weakness. Sleep up to 12 hours (haven?t done that in many years) and feel achy in mornings.

Other Meds:

Current Illness: Allergies

ID: 1212891
Sex: F
Age: 47
State: CO

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Unevaluable event

Symptoms: Painful and very stiff neck. Symptoms got progressively worse over 72 hours. Very difficult to make movements up and down of my head and side to side hurts as well. Feels like the pain is deeper and closer to the back of the head than typical muscular pain/strain. Don't know if it is related to the vaccine, but it's a very strange feeling and not something I have ever experienced before.

Other Meds: Synthroid 88 mcg daily

Current Illness: None

ID: 1212892
Sex: M
Age: 59
State: NC

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient waited for 15 mins after vaccination and appeared fine. At conclusion, patient was walking out and became lightheaded and weak. Patient returned to clinic and placed in chair. Patient given choice of visiting ER or taking benadryl. Patient given benadryl 50 mg at 1100 along with water and cookies. At 1120, patient states he was feeling better but still weak. Patient left facility with wife.

Other Meds:

Current Illness:

ID: 1212893
Sex: F
Age: 29
State: GA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Injection site pain, Pain

Symptoms: Near Syncope Episode, Monitor

Other Meds: Unknown

Current Illness: Unknown

ID: 1212894
Sex: M
Age: 49
State:

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: penicillan, seasonal

Symptom List: Injection site pain, Menorrhagia

Symptoms: Metallic taste that lasted about an hour, Headache 6 days still going, chills in lower back, developed a rash in that area of my back.

Other Meds: omeprozal

Current Illness: none

ID: 1212895
Sex: F
Age: 87
State: MN

Vax Date: 03/16/2021
Onset Date: 04/11/2021
Rec V Date: 04/15/2021
Hospital: Y

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

Lab Data:

Allergies: Augmentin

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

Symptoms: Positive COVID-19 by PCR >14 days after completion of vaccination series

Other Meds:

Current Illness:

ID: 1212896
Sex: M
Age: 47
State: DE

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: i have mild tinnitus for many years. maybe 8 to 10 years. my symptoms worsened after getting the first shot almost immediately.

Other Meds: Zonasimide 400 mg (200am-200pm) valacyclovir 500mg (pm) lexapro 10mg (pm) finasteride 5mg (pm)

Current Illness:

ID: 1212897
Sex: F
Age: 33
State: TX

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

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

Lab Data:

Allergies: NKDA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: SWOLLEN LYMPH NODE PAINFUL TO TOUCH,(UNDER ARMPIT, SPREADING TO CHEST)

Other Meds: NONE

Current Illness: N/A

ID: 1212898
Sex: M
Age: 70
State: TX

Vax Date: 04/06/2021
Onset Date: 04/12/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Patient reported a rash that started on 4/12/2021. Rash is pinpoint, flat, red dots. Rash started on inner thighs and has now spread to navel and chest area. Rash is burning and itching. Patient has reported that he was mowing the lawn on 4/12 and thinks he saw poison ivy. Patient has not tried any treatment for his rash.

Other Meds: Allopurinol 300mg, Atorvastatin 40mg, Losartan-hydrochlorothiazide 100-25mg

Current Illness: None

ID: 1212899
Sex: F
Age: 28
State: TX

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: food allergies - pork and peanuts

Symptom List: Nausea

Symptoms: I had an allergic reaction -about 2 hours afterwards, it made me break out in hives. My physician gave me a shot of Benadryl and it was better the next day. Even if it was an allergic reaction - he said he'd advise me to take another one if a booster is needed.

Other Meds: no

Current Illness: no

ID: 1212900
Sex: F
Age: 61
State: AK

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Patient had prior allergic reaction to tetanus shot in 2007. Also given diagnosis of mast-cell disorder, she pre-medicated with Benadryl 25mg, then received the vaccine. After about 15 minutes, she started to feel itchy and transient chest tightness. No rash noticed pulse-ox 98-100%, Heart rate 75 and BP 123/80. She was given 25mg more of Benadryl and observed for another 20 minutes. She said her symptoms has completely resolved and she went home with her husband after being given strict instructions to return.

Other Meds:

Current Illness:

ID: 1212901
Sex: F
Age: 61
State: MA

Vax Date: 04/12/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Lightheadedness/dizziness the second day after receiving the shot (was fine the day after). Couldn't stand for more than a few minutes without support. The third day still a bit lightheaded/foggy, but much better than the day before.

Other Meds: Gabapentin (1500 mgs/day), Glocosomine/Chondroiten, Iron, Calcium

Current Illness: none

ID: 1212902
Sex: M
Age: 38
State: MO

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: Cats

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

Symptoms: About a minute after getting a shot, he started feeling lightheaded. He also felt some anxiousness with tingling in his left arm. He says that his symptoms lasted about 20 minutes or so.

Other Meds: None reported

Current Illness: None reported

ID: 1212903
Sex: M
Age: 30
State: CO

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Tremor

Symptoms: C/O L sided facial numbness, L sided body numbness, SOB, and feeling of "fogginess" 30 mins after receiving vaccine. Called the morning after (4/15.2021) to report sx. Still having some facial numbness. Reports episode of L side facial numbness after wisdom tooth extraction last year. Recommended to go to Primary care Dr. or ER to get checked out. He refused to do both. After very long discussion, client still refused to call a Dr. but did say he'd go to ER if sx worsen.

Other Meds: None

Current Illness: None

ID: 1212904
Sex: M
Age: 18
State: TX

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Pfizer COVID-19 Vaccine Patient recieved first vaccine on 3/17/2021. Second dose of vaccine on 4/14/2021, needle malfunction and greater than 50% of vaccine was ejected from the needle; not entering the patient's deltoid muscle. Patient was given a subsequent vaccination in the opposite arm at that time.

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Current Illness:

ID: 1212905
Sex: F
Age: 58
State: CA

Vax Date: 03/08/2021
Onset Date: 03/10/2021
Rec V Date: 04/15/2021
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Allergies: None

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: I am the patient. I had a gallbladder attack among the other usual symptoms shortly after my first Moderna shot. An ultrasound confirm the existence of a gallstone and sludge, which had never been symptomatic. Nausea started the second morning after the shot along with other typical post vaccinations symptoms. Progressed to pain, in what they said is a typical gallbladder attack sequence. Added in were typical side effects of covid-19 vaccination: feverishness (under 101?), pain at the injection site, fatigue, very bad headache. Headache responded to 800 mg acetaminophen. Other symptoms subsided in 3 days. Gall bladder attack symptoms continued for weeks. Modified diet to mostly vegetarian with rare portions of low-fat meats like turkey and egg whites. Symptoms resolved by 04/12/2021.

Other Meds: Women's multivitamin, vitamin d supplement, calcium supplement, magnesium supplement.

Current Illness: None

ID: 1212906
Sex: F
Age: 41
State: MN

Vax Date: 01/12/2021
Onset Date: 03/25/2021
Rec V Date: 04/15/2021
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Allergies:

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

Symptoms: COVID-19 symptoms

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Current Illness:

ID: 1212907
Sex: M
Age: 31
State: CA

Vax Date: 03/08/2021
Onset Date: 03/15/2021
Rec V Date: 04/15/2021
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Allergies: avocado

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: swollen mass in left axila. started feeling anaphylaxis-like symptoms, including swollen throat, face/jaw numbness, inner ear swelling. the symptoms appear random with varying intensities, no apparent trigger

Other Meds: none

Current Illness: none

ID: 1212908
Sex: M
Age: 22
State: WI

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
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Allergies: NKDA

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

Symptoms: Upon administration of the vaccine I felt no tension or resistance, so out of concern that something was wrong I withdrew the needle and after a brief delay the vaccine sprayed out of the syringe and I put it in the sharps container.

Other Meds: N/A

Current Illness: None

ID: 1212909
Sex: M
Age: 32
State: MI

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
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Allergies: None

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

Symptoms: Intense pain down left arm and wrist. Joint pain in left arm.

Other Meds: N/A

Current Illness: None

ID: 1212910
Sex: F
Age: 58
State: MI

Vax Date: 04/08/2021
Onset Date: 04/11/2021
Rec V Date: 04/15/2021
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Symptom List: Pain in extremity

Symptoms: dizziness started 4/11 and continues still through today 4/15. states started intermittently and has now become more constant.

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Current Illness:

ID: 1212911
Sex: M
Age: 37
State: WI

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
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Allergies: Amoxcicillan

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Nauseous, migrane, fever, chills, body aches

Other Meds: Gabapentin, escitalipram, benefiber, prebiotic

Current Illness: NA

ID: 1212913
Sex: F
Age: 36
State: AZ

Vax Date: 03/01/2021
Onset Date: 04/07/2021
Rec V Date: 04/15/2021
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Allergies: none

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

Symptoms: Menstruation: I received my vaccine late night March 30 and was fatigued and slept most of the next afternoon and through the night. I began my period on April 1, which is around the usual time. Everything seemed fine for that first week (flow, discomfort levels, mood, etc.). but I still haven't stopped bleeding (as of April 15), which is completely abnormal; today marks two straight weeks of menstruating. Within this second week, there is significantly more cramping and back pain than usual, and my flow is very heavy with frequent large, thick clots passing in the blood, some globules the size of quarters or even half-dollars (though amorphously shaped). I go back for my second dose on April 22, and have a scheduled doctor's appointment on April 28.

Other Meds: none

Current Illness: none

ID: 1212914
Sex: M
Age: 59
State: IN

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
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Allergies: penecillin, skelaxin, gluten

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

Symptoms: chills lasting about 5 minutes

Other Meds: Rosuvastatin, lisinopril, vitamin D, vitamin C, glucosamine, melatonin,

Current Illness: none

ID: 1212915
Sex: M
Age: 44
State: OH

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/15/2021
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Allergies: not listed

Symptom List: Vomiting

Symptoms: patient was nervous about getting vaccine. Asked him to wait in out waiting area to be checked on. after couple minutes he came upto register and said feeling dizzy. I brought him in consultation room,he sat on chair ,gave him water to drink. then I let him lay down on floor,he passed out,but was talking to me,answering my question,called 911,EMT came in few minutes,checked everything. They said he might got anxious about getting vaccine,checked BP everthing was fine

Other Meds: N/A

Current Illness: nothing that he told me

ID: 1212916
Sex: M
Age: 49
State: MD

Vax Date: 01/15/2021
Onset Date: 02/26/2021
Rec V Date: 04/15/2021
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Allergies: penicillin (maybe)

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Tinnitus became very apparent about a week after my second dose. Had second dose on 02/19/21, that lot # is 004M20A. It is not affecting my ability to hear yet, but it is still extremely annoying. Previous to these vaccines, I did have very mild tinnitus, I would only hear the whine in a very quiet room. Now I hear it all the time and it does not go away when there are normal sounds in the household or even outside.

Other Meds: none

Current Illness: none

ID: 1212917
Sex: F
Age: 59
State: NE

Vax Date: 03/15/2021
Onset Date: 04/12/2021
Rec V Date: 04/15/2021
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Allergies: Codeine

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

Symptoms: Swelling and sore at shot site for 2 days Swelling and sore at the shot site, redness, hot to touch itching day 3 Swelling at the shot site, redness hot(4x3 patch) Swelling in arm and hand day 4

Other Meds: Pantoprazole 40 mg tablet 1 x a day Atenolol 25 mg tablet 2 a day

Current Illness:

ID: 1212918
Sex: F
Age: 36
State: WA

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 04/15/2021
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Allergies: Clarithromycin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Rash and welts on right arm and neck. Using over the counter medicine for itching.

Other Meds: None

Current Illness: None

ID: 1212919
Sex: F
Age: 41
State: GA

Vax Date: 03/22/2021
Onset Date: 03/30/2021
Rec V Date: 04/15/2021
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Allergies: bee venom, povidone

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

Symptoms: Numbness starting from the injection site (upper left arm) and surrounding area, noticed about a week after the shot. Then numbness continued progressing down my upper arm, and into the front of my lower arm. This is accompanied by pins and needles kind of tingling and an intermittent heavy aching feeling along my entire left arm (picture the feeling of dental numbing wearing off). On 4/14/2021, I noticed the numbness is now also in my left thumb. Arm appears to function normally at this time, but worried about the increasing loss of sensation. Went to doctor who performed a complete blood count and recommended monitoring as she felt nothing could be immediately done.

Other Meds: women's multivitamin

Current Illness: vaginal yeast infection

ID: 1212920
Sex: M
Age: 40
State: GA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/15/2021
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Allergies: None

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

Symptoms: Significant swelling of feet, hands; Very sore shoulder at injection site; headache.

Other Meds: Vitamin D2, D3, B6, B12, Folate, Magnesium, Xarelto, Pantaprozole

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am