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: 1217779
Sex: M
Age:
State: TN

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: WARM TO THE TOUCH ON INJECTION SITE; PAIN ON INJECTION SITE; SWOLLEN INJECTION SITE; REDNESS ON INJECTION SITE; This spontaneous report received from a patient concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 041A21A expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced warm to the touch on injection site. On 12-APR-2021, the subject experienced pain on injection site. On 12-APR-2021, the subject experienced swollen injection site. On 12-APR-2021, the subject experienced redness on injection site. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from pain on injection site, warm to the touch on injection site, swollen injection site, and redness on injection site. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217780
Sex: U
Age:
State: OH

Vax Date:
Onset Date: 04/06/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: VOMITING; CHILLS; FATIGUE; HEADACHE; NAUSEA; FEVER; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: not reported) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 06-APR-2021, the subject experienced vomiting. On 06-APR-2021, the subject experienced chills. On 06-APR-2021, the subject experienced fatigue. On 06-APR-2021, the subject experienced headache. On 06-APR-2021, the subject experienced nausea. On 06-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from vomiting, chills, fatigue, headache, nausea, and fever on APR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217781
Sex: F
Age:
State: FL

Vax Date:
Onset Date: 04/07/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: BAD BODY ACHE; THREW UP; CHILLS; EXHAUSTED/FATIGUE; NAUSEA; FEVER; HEADACHE; This spontaneous report received from a patient concerned a 39 year old female. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042a41a, expiry: not reported) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 07-APR-2021, the subject experienced bad body ache. On 07-APR-2021, the subject experienced threw up. On 07-APR-2021, the subject experienced chills. On 07-APR-2021, the subject experienced exhausted/fatigue. On 07-APR-2021, the subject experienced nausea. On 07-APR-2021, the subject experienced fever. On 07-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from bad body ache, chills, fever, headache, nausea, exhausted/fatigue, and threw up. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217782
Sex: F
Age:
State: VA

Vax Date:
Onset Date: 04/10/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: DIZZY; NOT THERE MENTALLY OR CONFUSED; RACING HEART EVEN WHEN LAYING DOWN; FEELING FATIGUED; NAUSEATED; VERY INTENSE HEADACHE; This spontaneous report received from a patient concerned an adult female. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 10-APR-2021, the subject experienced dizzy. On 10-APR-2021, the subject experienced not there mentally or confused. On 10-APR-2021, the subject experienced racing heart even when laying down. On 10-APR-2021, the subject experienced feeling fatigued. On 10-APR-2021, the subject experienced nauseated. On 10-APR-2021, the subject experienced very intense headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from feeling fatigued, nauseated, dizzy, not there mentally or confused, racing heart even when laying down, and very intense headache. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217783
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: BLISTER RASH SITE; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: not reported) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified date, the subject experienced blister rash site. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of blister rash site was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217784
Sex: F
Age:
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: LEFT SIDE NUMBNESS ON FACE, ARMS, AND LEGS; DIZZINESS; NUMBNESS AT INJECTION SITE; This spontaneous report received from a patient concerned a 56 year old female. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A, expiry: not reported) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 08-APR-2021, the subject experienced left side numbness on face, arms, and legs. On 08-APR-2021, the subject experienced dizziness. On 08-APR-2021, the subject experienced numbness at injection site. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from dizziness on APR-2021, and had not recovered from left side numbness on face, arms, and legs, and numbness at injection site. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217785
Sex: F
Age:
State: MN

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: HEADACHE ELEVATED TO MIGRAINE; SEVERE BODY ACHES; SEVERE FATIGUE; HEADACHE; NAUSEA; FEVER; BONE ACHE IN LOW BACK, HIPS,BONES CONNECTING SPINE; FEELING DISORIENTED; NIGHT SWEAT; DIZZINESS AND LIGHT HEADED; LOSS OF APPETITE; UNABLE TO SLEEP; This spontaneous report received from a patient concerned a 40 year old female. The patient's height, and weight were not reported. The patient's past medical history included covid infection. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 203A21A expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 12:21 for prophylactic vaccination. No concomitant medications were reported. On JAN-2021, Laboratory data included: COVID-19 virus test (NR: not provided) unknown. On APR-2021, the subject experienced unable to sleep. On 10-APR-2021, the subject experienced feeling disoriented. On 10-APR-2021, the subject experienced night sweat. On 10-APR-2021, the subject experienced bone ache in low back, hips, bones connecting spine. On 10-APR-2021, the subject experienced dizziness and light headed. On 10-APR-2021, the subject experienced loss of appetite. On 10-APR-2021, the subject experienced headache. On 10-APR-2021, the subject experienced nausea. On 10-APR-2021, the subject experienced fever. On 10-APR-2021 15:21, the subject experienced severe fatigue. On 10-APR-2021 16:21, the subject experienced severe body aches. On 10-APR-2021 17:21, the subject experienced headache elevated to migraine. Laboratory data (dates unspecified) included: COVID-19 virus test (NR: not provided) positive, positive, positive. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from unable to sleep, feeling disoriented, night sweat, headache elevated to migraine, severe body aches, loss of appetite, headache, and fever, and bone ache in low back, hips, bones connecting spine on 12-APR-2021, and had not recovered from severe fatigue, dizziness and light headed, and nausea. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217786
Sex: M
Age:
State: MN

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: DIZZINESS; HEADACHE (RIGHT ON TEMPLES); SLEEPINESS; FEELING LIKE FLU; NO ENERGY; This spontaneous report received from a patient concerned a 62 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included alcohol user.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. The company is unable to perform follow up to request batch/lot number. No concomitant medications were reported. On APR-2021, the subject experienced sleepiness. On APR-2021, the subject experienced feeling like flu. On APR-2021, the subject experienced no energy. On 10-APR-2021, the subject experienced dizziness. On 10-APR-2021, the subject experienced headache (right on temples). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from dizziness on APR-2021, had not recovered from headache (right on temples), and the outcome of no energy, sleepiness and feeling like flu was not reported. This report was non-serious.

Other Meds:

Current Illness: Alcohol use

ID: 1217787
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: BAD ACHES; SORE ARM STILL FROM NEEDLE; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. The batch number was not reported. Per procedure no follow up will be requested. No concomitant medications were reported. On 09-APR-2021, the subject experienced bad aches. On 09-APR-2021, the subject experienced sore arm still from needle. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from bad aches on 09-APR-2021, and had not recovered from sore arm still from needle. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217788
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced missed period. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of missed period was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217789
Sex: M
Age:
State: AL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: STOMACH FEELS FULL; NO BOWEL MOVEMENT FOR 2 DAYS; This spontaneous report received from a patient concerned a 74 year old male. The patient's height, and weight were not reported. The patient's past medical history included left rotator cuff tear, and hip replacement, and concurrent conditions included type 2 diabetes, no alcohol use, non smoker, and penicillin allergy, and other pre-existing medical conditions included patient had no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042a21a, expiry: 21-JUN-2021) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced no bowel movement for 2 days. On an unspecified date, the subject experienced stomach feels full. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from no bowel movement for 2 days, and the outcome of stomach feels full was not reported. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Non-smoker; Penicillin allergy; Type II diabetes mellitus

ID: 1217790
Sex: F
Age:
State: NJ

Vax Date:
Onset Date: 03/25/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: EXTREME FATIGUE/EXTREMELY TIRED; SNEEZING; GENERALIZED PAIN; FLU LIKE SYMPTOMS; This spontaneous report received from a patient concerned a 51 year old female. The patient's height, and weight were not reported. The patient's past medical history included kidney transplant. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808609, and batch number: 1808609 expiry: UNKNOWN) dose was not reported, administered on 24-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 25-MAR-2021, the subject experienced generalized pain. On 25-MAR-2021, the subject experienced flu like symptoms. On 26-MAR-2021, the subject experienced sneezing. On 31-MAR-2021 17:00, the subject experienced extreme fatigue/extremely tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sneezing on 31-MAR-2021, had not recovered from extreme fatigue/extremely tired, and generalized pain, and the outcome of flu like symptoms was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217791
Sex: M
Age: 29
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: chills and fever

Other Meds:

Current Illness:

ID: 1217792
Sex: M
Age: 31
State: PA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Pt urinated while unconscious-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Additional Details: Pt reported no feeling well. Denied trouble breathing/swallowing. Pt lost consciousness. We were able to prevent him from falling or any\r\ninjury. 911 was called. He was out about 15 seconds. Regained consciousness. Was startled and confused but was quickly became reoriented to where he was, that he had just recieved vaccine and passed out. Patient's BP and condition was monitored until paramedics arrived. After coming around patient started to feel nauseous and felt like he would vomit.

Other Meds:

Current Illness:

ID: 1217793
Sex: F
Age: 27
State: MD

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: 10/10/21 , pregnant with second child and currently 200 lbs I had a reaction of severe itching and hives

Other Meds: NA

Current Illness: Na

ID: 1217794
Sex: F
Age: 31
State: NC

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Shakiness-Severe, Systemic: Tachycardia-Severe, Additional Details: Immediately after patient received vaccine and went to a seat in the patient monitoring area she notified us that she felt that her throat did not feel right and felt like it was tighting. Therefore we guided her to lie down on the floor, elevated her feet, got her a bottle of water, put some ice packs behind her neck, and gave her 10 ml approximately of liquid benadryl. Afterwards, she gave me permission to give her 2 Epipen injections and we called Ambulance.

Other Meds:

Current Illness:

ID: 1217795
Sex: F
Age: 45
State: NJ

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Immediate hives all over body

Other Meds: None

Current Illness: None

ID: 1217796
Sex: F
Age: 52
State: MD

Vax Date: 04/08/2021
Onset Date: 04/13/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: I have a history of having an possible allergic reaction to dog dander.

Symptom List:

Symptoms: Swollen lymph nodes under arm pit in the injected arm and at times painful. The injections site is still tender and swollen.

Other Meds: Amlodipine Besylate (5 mg), Airborne, Vitamine D (5,000 IU), and Cranberry Extract (500 mg)

Current Illness: none

ID: 1217797
Sex: F
Age: 30
State: NY

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

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

Lab Data:

Allergies: Anaphylactic to Apple, pear Allergic to peach, strawberry, cherry, mango, carrot, avocado, plum, kiwi, lemon, grapefruit.

Symptom List:

Symptoms: Resting heart rate of 120 for over 12 hours. It began immediately. Laying down heart rate was between 115-120 I got my injection, a few minutes later my heart was fast, but I left anyway. My heart was fast through the day, but manageable. At night I fell asleep, and woke up 1.5 hours later to a heart rate of 123. I got up to use the bathroom and could barely breathe because it jumped to 140 while walking the 10 feet to the bathroom. My heart stayed that fast until the morning

Other Meds: Xyzal, Flonase

Current Illness: None

ID: 1217798
Sex: F
Age: 18
State: AL

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List:

Symptoms: PT RECIEVED VACCINE AT 09:30 AND DEVELOPED AN ITCHY RASH AT THE INJECTION SITE.

Other Meds: None

Current Illness: None

ID: 1217799
Sex: F
Age: 34
State: NC

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Bilateral Ear Pain-Severe

Other Meds:

Current Illness:

ID: 1217800
Sex: F
Age: 42
State: SC

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Percocet, Demerol, Ultram

Symptom List:

Symptoms: On 4/5/2021 at 9:30pm chills started followed by body aches, joint aches all over, swollen fingers and sore finger joints with difficulty to make a fist/to open a water bottle, fever 100.8, headache with flashes of sharp pain. I took Advil at 5:30am. Got out of bed around 8am. On 4/6/2021 at 2:00pm chills, body aches and fever 101.7 came back. I took Tylenol at 5:30pm with no relief and then took Advil at 6:30pm and got relief. My body was sore I think from laying down so much and I was tired and fatigued for several days. However, on 4/5 I slept from 11pm-1am and then on 4/6 from 2pm-4pm and went to bed at 11pm that night. Sore arm. Some site redness. Sore arm with first dose too.

Other Meds: Gabapentin, Baclofen, Metoprolol Succinate ER, Zyrtec, Miralax, Rebif (Tues, Thurs, Sat), Vitamin D

Current Illness:

ID: 1217801
Sex: F
Age: 45
State: CA

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Corn, Penicillin, Bee stings, Peanut

Symptom List:

Symptoms: Fever of 101, Chills, Severe muscle and joint aching.

Other Meds: Levothyroxine, Liothyronine, Lexapro

Current Illness: Diabetes, Hashimotos Syndrome

ID: 1217802
Sex: F
Age: 44
State: MO

Vax Date: 04/07/2021
Onset Date: 04/10/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: My Left arm has a coin sized raised red and hard circle around the injection site it is warm to the touch and it itches when I put a cold compress on it that helps but as soon as I take it off it looks the same as before. On Saturday morning 04/10/2021 my underarm were my lymph nodes are was swollen and sore to the touch that swelling has gone down it was a little sore until Monday 04/12/2021.

Other Meds: Tramadol 50mg twice a day, Naproxen 500mg twice a day, Lisinopril 10mg once a day

Current Illness: none

ID: 1217803
Sex: F
Age: 54
State: LA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 4 hours after injection-malaise, fever 101.2, headache, body/ muscle pain, nausea -all lasting 14 hours. Then malaise, nausea and headache 3days.

Other Meds: Welbutrin, Lamotrigine, Vyvanse, Percocet

Current Illness: Depression

ID: 1217804
Sex: F
Age: 19
State: FL

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
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Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient got really cold and passed out in chair. Immunizers laid her down on the ground. Patient told paramedics that this is a hereditary issue and that this happens every time she gets a vaccine/blood work done . She came back around immediately after passing out. Ambulance service was refused but mother drove her to hospital just in case.

Other Meds:

Current Illness:

ID: 1217805
Sex: F
Age: 53
State: PA

Vax Date: 04/08/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
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Allergies: none

Symptom List:

Symptoms: injection site: red, warm and swollen; Arm had difficulty to raise due to sore. Body aches; headaches; heart feels someone squeeze it time to time.

Other Meds: none

Current Illness: none

ID: 1217806
Sex: F
Age: 43
State: MN

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/16/2021
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Allergies: none

Symptom List:

Symptoms: 6"x4" red rash on left arm started tracing on day day after vaccine and still on day 5 spreading daily. Rash is not raised but warm to the touch and red, very tender to the touch

Other Meds: levothyroxine, trazadone as needed for sleep and not taken 24 hours before or anytime after vaccine, Nyquil for other symptoms 48 hours after vaccine, ibuprophen for headache twice 24 hours after vaccine and again 30 hours

Current Illness: none

ID: 1217807
Sex: F
Age: 22
State: MA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/16/2021
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Symptoms: While waiting the required 15 minutes after being vaccinated the patient began to feel confused, had slowed speech, developed a globus sensation in her throat, as well as a pruritic rash on her chest and left arm. EMS was called to bring patient to the ER; she was treated with Benadryl which immediately improved the globus sensation and significantly improved the rash. She was then dosed with solu-medrol as well. While at the hospital patient described a slight fullness of tongue and scratchiness of throat; the MD immediately treated with epinephrine and symptoms improved. Patient was discharged in stable condition later the same night.

Other Meds:

Current Illness:

ID: 1217808
Sex: M
Age: 55
State: FL

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/16/2021
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Allergies: Enalapril

Symptom List:

Symptoms: Up to 11 hours post injection substantial arm pain. At 11 hours sudden onset of severe chills, muscle aches and headache, preventing sleep for 10 hours. After 24 hours post-injection symptoms completely gone.

Other Meds: Humalog, lantus, metoprolol, aspirin 81mg, multi-vitamin, fish oil supplement, Vitamin C.

Current Illness: None

ID: 1217809
Sex: M
Age: 40
State: GA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/16/2021
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Allergies: N/A

Symptom List:

Symptoms: Pain at injection site 6 hours after injection. Woke up at approximately 3 am (roughly 12 hours after injection) with feverish symptoms such as dramatic body temperature changes and general malaise. At this same time the entire left side of my body was in pain, which lasted the entire next day. Side effects lasted through the next night and had noticeably subsided by the following morning.

Other Meds: N/A

Current Illness: None

ID: 1217810
Sex: M
Age: 16
State: GA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
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Symptom List:

Symptoms: Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient has not eating anything for 20 hours and that was the possible cause of syncopy

Other Meds:

Current Illness:

ID: 1217811
Sex: U
Age:
State: MD

Vax Date:
Onset Date: 03/06/2021
Rec V Date: 04/16/2021
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Symptoms: SHORTNESS OF BREATH; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805022, expiry: 25-MAY-2021) dose was not reported, administered on 06-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 06-MAR-2021, the subject experienced shortness of breath. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from shortness of breath on 13-MAR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217812
Sex: M
Age: 54
State: VA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/16/2021
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Allergies: none

Symptom List:

Symptoms: first evening very painful shoulder -- at point of injectcion. next morning: ZERO mobillity in my shoulder and could not move left arm. now, six days later: shoulder is still hurting and mobility is limiited in my left arm to 40 degrees of movement. but painful. and very very weak. the injection seemed to be very high on my shoulder/muscle area compared to first shot. first shot had no or limited shoulder pain. this time, I am in quite a bit of shoulder pain and again, have very very liimited arm movement. it is like a partial tear of my rotator cuff, which I had in the other shoulder a few years ago. very weak shoulder, very limited abilitiy to move my arm.

Other Meds: crestor. hyrdochorazine, repatha, ramipril

Current Illness: none

Date Died: 04/13/2021

ID: 1217813
Sex: M
Age: 66
State: MI

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/16/2021
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Allergies: none reported per screening form

Symptom List:

Symptoms: deceased on 4/13/21

Other Meds: unknown

Current Illness: unknown; not currently ill per screening form

ID: 1217814
Sex: F
Age: 63
State: NJ

Vax Date: 03/07/2021
Onset Date: 03/15/2021
Rec V Date: 04/16/2021
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Allergies: Cat scan dye, sulfa based antibiotic, dilauded

Symptom List:

Symptoms: Starting on about 3/15/21 I started ?getting very uncomfortable pain in my calf on both legs and it lasted 2 weeks. . I do walk 4-5 5 days a week and never experienced this feeling prior. I put heat on my legs massaged the and also used a rolling pin. I never called my dr did not think of it. Just though it was cramping but blood clots did enter my mind but I thought can?t be I am so active.

Other Meds: All taken 9 am Zoloft 25 mg (sertraline) Fiber con Probiotic nature valley Woman one a day

Current Illness: None

ID: 1217815
Sex: F
Age: 37
State: IN

Vax Date: 03/18/2021
Onset Date: 03/25/2021
Rec V Date: 04/16/2021
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Allergies: NSAIDs Nickel

Symptom List:

Symptoms: Delayed tender spot at injection site. Raised area about 2 inches in diameter with whitish center and red perimeter. Noticeable for about three days. Did not increase in size after first identified as a ?rash? (day two after onset).

Other Meds: Spironolactone Fluoxitine Modafinil Altavera Ceterizine Vitamin D

Current Illness: None

ID: 1217816
Sex: M
Age: 25
State: VA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
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Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Severe, Systemic: Hypotension-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Medium

Other Meds:

Current Illness:

ID: 1217817
Sex: F
Age: 65
State: IN

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/16/2021
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Allergies: Air Freshners or any artificial scents, Shell Fish, Fennel, Roaches, Steroids, sulfa, cipro, Flagyl

Symptom List:

Symptoms: Immediately I could taste a metallic salty taste in my throat. About 1 minute later my throat was burning and itching and I began coughing. The nurses put me in a room with another nurse, gave me cold water and watched me. 5 minutes later I began feeling dizzy and nauseated. My throat seemed to settle a bit and I finally told them I felt good enough to leave about 45 minutes later. Around 5 pm my throat was still burning and throbbing, so I took a benedryl, claritin and a pecid. My head felt fuzzy. I ate ice cream for dinner because my throat kept throbbing and I was still nauseated. I went to bed at 6 PM and around 10 PM I woke up with my throat throbbing and burning and I ached all over as if I'd been beaten in my sleep. I considered using my epi pen, but took another claritin and Hydrocondone instead because I never had trouble breathing and my lips didn't swell. The worst was the swollen, itchy, throbbing throat and body aches. By morning my throat had cleared up, but the body aches and headaches, and fuzzy headed are still with me 10 days later. I feel permanently damaged by the vaccine.

Other Meds: Hydrocodone, Pecid, Claritin, One a Day Senior Vitamins

Current Illness: none

ID: 1217818
Sex: M
Age: 52
State: TN

Vax Date: 03/25/2021
Onset Date: 04/01/2021
Rec V Date: 04/16/2021
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Lab Data:

Allergies: Augmentin

Symptom List:

Symptoms: DVT Right Lower Extremity

Other Meds: tapazole Inderal

Current Illness: None

ID: 1217819
Sex: F
Age: 43
State: FL

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/16/2021
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Allergies: NKA

Symptom List:

Symptoms: Left leg hurting bad, cramping really bad, Charlie Horses, knee hurting and calf muscle area, my sugar levels were a little higher because of the pain for the first 72 hours now just a little elevated

Other Meds: Ibuprofen

Current Illness: N/A

ID: 1217820
Sex: F
Age: 50
State: HI

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
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Symptoms: Systemic: BLEEDING IN ARM-Medium, Additional Details: PATIENT REPORTED BLEEDING IN INJECTION SITE THAT FULLY SOAKED THROUGH A COTTON BALL AND THAT CONTINUED FOR A FEW HOURS AFTER THE VACCINATION. PATIENT REPORTS NOT BEING INFORMED BY IMMUNIZER OF THE BLEEDING, OR WHAT TO DO ABOUT THE BLEEDING. IMMUNIZER WILL BE CONSULTED AND RETRAINED ON PROPER IMMUNIZATION PROCESS

Other Meds:

Current Illness:

ID: 1217821
Sex: F
Age: 38
State: OH

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 04/16/2021
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Allergies: seafood sensitivity

Symptom List:

Symptoms: 30 mins after receiving vaccine and after leaving vaccine testing site started having chest pain sob, heart rate dropped to approx 25 BPM radial pulse was weak and thready, felt 3-5 beats and then would have no pulse for approx 5-10 sec this went on for approx 30-45 mins became diaphoretic hydrated and rested after vaccine chest pain subsided and pulse regulated after approx 45 mins. the week follwing continued with severe headache daily for 7 days requiring OTC motrin daily to attempt to combat the pain.

Other Meds: topamax 50 mg QD metfomin 750mg qd b6 2 tabs qd mvi qd

Current Illness: na

ID: 1217822
Sex: F
Age: 48
State: NC

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/16/2021
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Allergies: None

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Tinnitus Began day after injection, off and on for two days. Third day through now, the 6th day, constant tinnitus all day and night. Causing difficulty sleeping. Causing some dizziness.

Other Meds: Plegridy (peg-interferon-beta 1a) Fish oil Multivitamin Calcium supplement

Current Illness:

ID: 1217824
Sex: M
Age: 64
State: TN

Vax Date: 03/22/2021
Onset Date: 04/04/2021
Rec V Date: 04/16/2021
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Allergies: None

Symptom List:

Symptoms: Noticeable increase in volume of existing tinnitus. I used to only be able to hear the ringing if the room was quiet and I actually listened for the tinnitus. Now I hear it all the time. Even so, it is not debilitating and can be ignored if there is extraneous noise and I am busy doing something that distracts me from it. So far it has not affected my sleep.

Other Meds: Vitamin D 2000 IU

Current Illness: None

ID: 1217825
Sex: M
Age: 69
State: AZ

Vax Date: 04/03/2021
Onset Date: 04/05/2021
Rec V Date: 04/16/2021
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Symptoms: Systemic: Tinnitus-Medium, Additional Details: pt noticed a couple days after recieving 2nd dose that his ear started ringing and was a little hard of hearing. he had a headache for a couple days. describes the sensation as constantly hearing quiet \"cricket\" sounds. he first noticed when tying to talk on the phone and had a hard time hearing. pt unsure if due to shot but will be following up with provider

Other Meds:

Current Illness:

ID: 1217827
Sex: F
Age: 52
State: NC

Vax Date: 04/12/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
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Lab Data:

Allergies: Adhesive, calamine, cipro, erthromycian

Symptom List:

Symptoms: Rash at the injection site approximately the size of a tennis ball appearing on day 4. Red and slightly raised. Slight itching has started on day 5 with the rash slightly spreading.

Other Meds: Synthroid, Divigel, Progesterone, Singulair, Meloxicam, Multi-vitamin, Triple Omega,

Current Illness: None

ID: 1217828
Sex: F
Age: 59
State: IN

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/16/2021
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Allergies: eggs, latex, daisies

Symptom List:

Symptoms: fever, chills, lower leg pain, similar to shin splints, in both legs. Leg pain lasted about 8 hours. Others lasted about 36 hours

Other Meds: lisinipril, multi vitamin, bitter melon, melatonin, zinc, selenium, biotin, turmeric, lamotragin

Current Illness: none

ID: 1217829
Sex: F
Age: 38
State: IN

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
Hospital:

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Allergies: no

Symptom List:

Symptoms: Lathargic, swelling across chess and under arm on right side, extreme burning in both forearms(veins), stiffness in neck, sinus burning, numbness in hands and feet, joint pain.

Other Meds: no

Current Illness: no

ID: 1217830
Sex: F
Age: 41
State: IN

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Headache, nausea, fatigue

Other Meds: Metoprolol

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm