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: 1223446
Sex: F
Age: 20
State: NC

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient had uncontrolled vomiting and was unable to keep water down, had severe muscle cramps, and blacked out. Pt was treated at ER and called use to report this

Other Meds: none

Current Illness: none

ID: 1223447
Sex: F
Age: 58
State: FL

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs Verapamil

Symptom List:

Symptoms: Worsening of tinnitus occurring periodically from April 7, 2021 til current date 4/17/21

Other Meds: Amitriptylin 10mg once daily Multivitamin Fish oil B-Complex Magnesium Glucosamine Chondroitin

Current Illness:

ID: 1223448
Sex: F
Age: 63
State: CA

Vax Date: 04/05/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Bee venom, gluten,

Symptom List:

Symptoms: Redness, swelling, warmth, pain at injection site. Pain extending from shoulder cap to elbow. Redness about 1.5 inches across.

Other Meds:

Current Illness: FUO x 13 months Latent TB

ID: 1223449
Sex: F
Age: 61
State: CO

Vax Date: 04/15/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: Fainted around 3:00 am on 4/17/2021. Fortunately, I was able to catch my fall by holding on to things, so no major injury.

Other Meds: Supplements: SuperNutrition SimplyOne Multi-vitamin for women over 50 (1 in AM); Wild Alaskan Salmon Oil Omega 3 - 3x/day Total MG = 3,000; YouTheory Turmeric 3x/day Total MG = 3,000 MG (but I didn't take this the day of the vaccination);

Current Illness: None

ID: 1223450
Sex: M
Age: 56
State: NM

Vax Date: 04/13/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I developed an intense delayed-type hypersensitivity reaction in the injection arm. My upper arm was swollen, turned an intense red color, was very hot to the touch, and associated with burning and pain. The reaction is still evident, but has subsided substantially since April 16. Although not completely resolved, I'm going to select "yes" below for "has the patient recovered .... "

Other Meds: None

Current Illness: None

ID: 1223451
Sex: F
Age: 61
State: PA

Vax Date: 04/05/2021
Onset Date: 04/08/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Sulfa

Symptom List:

Symptoms: Upon working out, my heart rate went to 195 bpm. After workout, it slowly went down to 135 bpm and then to 110-120 bpm and remained at this for the remainder of the day. My heart rate was measured via my smart Watch.

Other Meds: Trintellix 5 mg Calcium

Current Illness: None

ID: 1223452
Sex: F
Age: 63
State: MI

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Bactrim, Erythromycin, Keflex

Symptom List:

Symptoms: Approximately 12 hrs after vaccine experience chills, joint and muscle pain, low grade fever, headache

Other Meds: Cipro, Propranolol, CoQ10

Current Illness: Unconfirmed UTI

ID: 1223453
Sex: F
Age: 58
State: CT

Vax Date: 01/14/2021
Onset Date: 01/18/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: allergic to nickel

Symptom List:

Symptoms: developed tinnitus and vertigo within one week of vaccination

Other Meds: zinc and Vitamin D supplements

Current Illness: none

ID: 1223454
Sex: F
Age: 54
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chest tightness

Other Meds:

Current Illness:

ID: 1223455
Sex: F
Age: 56
State: CA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Fever, chills, body aches, congestion started 12-24 hours after injection.

Other Meds: Lysine, Vitamin D, Vitamin C

Current Illness: none

ID: 1223456
Sex: F
Age: 19
State: WA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: vasovagal reaction

Other Meds: none

Current Illness: none

ID: 1223457
Sex: M
Age: 65
State: KY

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: First covid vaccine on 3/3 and presented to the ER on 3/22 with CP. Second covid vaccine on 4/3 and presented to the ED on 4/15 with complaints of shortness of breath, lower extremity swelling, and 20 pound weight gain x 2 weeks. ED Workup: NT Pro BNP: 558 Hs-cTroponinT: 17>16 CXR: No acute findings EKG: NSR First Degree AVB D-Dimer: 1830 CTA: negative for PE Admitted for HFpEF exacerbation. Treated with IV diuretics, ECHO ordered. Stress test for CP with exertion - negative. Patient still admitted on 4/17/21. ECHO pending.

Other Meds: allopurinol, amlodipine, aspirin, atorvastatin, carvedilol. cetirizine, cholecalciferol, dextromethorphan-guaifenesin, doxazosin, duloxetine, fluticasone, jardiance, lisinopril, magnesium oxide, multivitamin, omeprazole, sitagliptin, tadala

Current Illness: Pt received first COVID-19 vaccine on 3/3/21 and subsequently presented to the ER with chest pain on 3/22/21.

ID: 1223458
Sex: F
Age: 56
State: CA

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I was sick with COVID in January 2021. I was had a positive test on January 9, 2021. My vaccine was about 95 days after my initial COVID infection. I was sick with fever, chills, body aches and headache for 36 hours after my first Pfizer vaccine. I felt much worse than when I had COVID.

Other Meds: None

Current Illness: I was sick with COVID in January. I had a positive test result on January 9, 2021. It was about 95 days since infection when I received my first Pfizer. I was sick with fever, chills, body aches and head ache for 36 hours after the shot. I felt worse than when I was sick with COVID.

ID: 1223459
Sex: F
Age: 61
State: MI

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

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

Lab Data:

Allergies: Codine

Symptom List:

Symptoms: I had some site soreness for several days...nothing too bad. Took some Tylenol for it. Two days after injection I got pretty bad diarrhea that lasted several days. I also got the chills/shakes the second night. Then I got a pretty bad Eczema flare...on my breasts. It continues at week two. My left armpit HURT terribly for almost a week. Tylenol did not relieve it at all. I also had quite sore Lymph nodes across my chest/side of neck.

Other Meds: Estradiol, Levothyroxine, fish oil, multivitamin.

Current Illness: None

ID: 1223460
Sex: F
Age: 47
State: IN

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: "Statins"

Symptom List:

Symptoms: 14 hours post vaccine: severe body aches, chills, fever 102/flushing, headache, nausea. Lasted total of 24 -36 hours

Other Meds: Toprol xl, protonix, lexapro, zyrtec, baby aspirin, vitamin D, Breo Ellipta inhaler

Current Illness: None

ID: 1223461
Sex: F
Age: 54
State: CA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Debilitating flareup of digestive issues including diarrhea, abdominal pain, & weight loss

Other Meds:

Current Illness:

ID: 1223462
Sex: F
Age: 30
State: CO

Vax Date: 04/14/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Dizziness and weakness approximately 38 hours after vaccination. Possibly mild to severe allergic reaction. No other symptoms or side effects.

Other Meds: none

Current Illness: none

ID: 1223463
Sex: M
Age: 49
State: CT

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: sulfa drugs

Symptom List:

Symptoms: muscle aches, tiredness, chills, slight fever

Other Meds: zytrec for seasonal allergy

Current Illness: none

ID: 1223464
Sex: F
Age: 45
State: NC

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Penicillins

Symptom List:

Symptoms: Flu symptoms the day after the shot. Pain bad redness in the shot arm, increasing two days after the shot. Itchy and painful at touch

Other Meds: Escitalopram 15 mg

Current Illness:

ID: 1223465
Sex: F
Age: 17
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Light headed, low BP

Other Meds:

Current Illness:

ID: 1223466
Sex: M
Age: 19
State: WA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: vasovagal reaction

Other Meds: none

Current Illness: none

ID: 1223467
Sex: F
Age: 61
State: MO

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: morphine, shellfish

Symptom List:

Symptoms: fatigue, muscle pain, headache, chills, fever, joint pain, nausea, injection site pain and soreness.

Other Meds: Ciprofloxacin Sol 0.3% Opth, TheraTears Liquid gel, Womens 1 A Day multivitamin, biotin, Fish Oil, flax seed oil, turmeric, cranberry capsule, Vit D, Calcium

Current Illness: recurrent corneal erosion

ID: 1223468
Sex: F
Age: 62
State: MD

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

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

Lab Data:

Allergies: Penicillin, Aspirin

Symptom List:

Symptoms: Was given in outside clinic, pt sent to ED, do not have other details at this time. Pt states approximately 10 min after receiving vaccine, she started to have throat tightening and started to become very anxious. Clinic gave patient one dose of epipen and benadryl 50mg IM and sent pt to ED. Upon ED arrival, throat is improved, pt still very anxious. Throat feels dry. Exam unremarkable

Other Meds: amlodipine, buprenorphine

Current Illness: none

ID: 1223469
Sex: F
Age: 41
State: IN

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: body aches fever back ache diarrhea nausea headache

Other Meds: lexapro

Current Illness: none

ID: 1223470
Sex: F
Age: 68
State: TX

Vax Date: 03/19/2021
Onset Date: 03/23/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Penicillin - historical but tolerates amoxicillin

Symptom List:

Symptoms: Due to use of Benadryl, Allegra, and ibuprofen for the first few days, no symptoms noticed, however on discontinuation of these medications, pt had facial swelling, severe diffuse rash, swelling in the hands, and minor difficulty breathing. This required treatment with antihistamines and corticosteroids to resolve.

Other Meds: Advil, Benadryl, Allegra

Current Illness: Minor injection site reaction with first vaccination

ID: 1223471
Sex: F
Age: 34
State: TX

Vax Date: 04/12/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, sulfa, cephalosporins

Symptom List:

Symptoms: Lots of small to medium bruises on the back side of both of my legs that randomly showed up after 4 days.

Other Meds: Tylenol 500mg. Melatonin 10mg.

Current Illness: None

ID: 1223472
Sex: F
Age: 45
State: TX

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

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: patient complained of numbness to right side of face and mild difficulty in swallowing. Also complained of headache.

Other Meds: unknown

Current Illness: unknown

ID: 1223473
Sex: F
Age: 29
State: GA

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: onset at 12hours post injection - Body aches, joint pain, fever, inability to use injection arm (severe soreness), headache, nausea, chills, sweats. 24 hours post injection - body aches, joint pain.

Other Meds: none

Current Illness: none

ID: 1223474
Sex: F
Age: 50
State: NY

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Chills, fever, headache, nausea for 8 hours. Then headache continued on for 48 more hours

Other Meds: n/a

Current Illness:

ID: 1223475
Sex: M
Age: 57
State: MA

Vax Date: 04/11/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: All ?cillins? (penicillin, etc)

Symptom List:

Symptoms: Woke up on 4/16 at 3:15a with chills and fever. After taking some Tylenol and drinking water and some green tea the symptoms resolved upon waking on 4/17. I was also able to eat a light breakfast and dinner on 4/16.

Other Meds: Multivitamin, b-12, folic acid & vitamin D - one per day

Current Illness: None

ID: 1223476
Sex: M
Age: 17
State: MA

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Patient Too Young for Vaccine Administered

Other Meds:

Current Illness:

ID: 1223477
Sex: M
Age: 25
State: WA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: vasovagal reaction

Other Meds: none

Current Illness: none

ID: 1223478
Sex: M
Age: 54
State: MI

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Cypro Flagyl

Symptom List:

Symptoms: Bidy ache,100.7F fever, fatigue

Other Meds: None

Current Illness: None

ID: 1223479
Sex: F
Age: 28
State: TX

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: LATEX, VANCOMYCIN, TRAMADOL, OPOIDS,

Symptom List:

Symptoms: NERVOUSNESS

Other Meds: XYLANE, MVI, LORANTADINE, VIT D, ZIN

Current Illness: NONE

ID: 1223480
Sex: F
Age: 48
State: VA

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, multiple food and other allergies

Symptom List:

Symptoms: Twelve hours after injection, I began to have a fever. Maximum recorded temperature (prior to taking Tylenol) was 103.5 deg. F. The fever lasted about 36 hours. Injection site became red, hot, and sensitive to the touch, increasing in size and spread. About two days after the shot, the primary injection site rash measured approx. 8 cm X 10 cm. A secondary rash below the site measured 3 cm X 5 cm. On 16 April, I iced the primary site, which brought some of the redness down, but did not significantly reduce the sensitivity or heat from the site. Today, 17 April (four days after injection), the redness has spread along my arm, and is still sensitive to the touch and hot.

Other Meds: Advair, Allegra, benedryl, tylenol, afrin

Current Illness: Allergies, possible prior sinus infection

ID: 1223481
Sex: F
Age: 40
State: MI

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

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

Lab Data:

Allergies: Adhesives, Iodine and Iodine containing products, Providone analogues.

Symptom List:

Symptoms: Called to assist with post vaccine reaction on individual in Observation area at 12:04. Approached patient in chair who had eyes closed and stated she was itching all over and dizzy. No hives. No rash noted except local reddness extending about 3-4 inches around injection site. No diaphoresis. Skin without pallor. Alert and oriented x3. Coworker Rn drawing up benadryl 50mg to be given IM by RN at 12:09 in right upper extremity. Vital signs 122/70 , HR 72, RR 16-18. Continued to assess patient at chair side who sipped on water. No nausea. Patient continued to complain of dizzyness while itchy sensation diminishing. Vital signs BP 118/70 Hr 78, RR 16. . Color remains pink. No rash. Itching only in upper extremeties. Legs elevated on chair. Pt refused to lay on stretcher. Stated she no longer felt dizzy and only left arm itched. Eating protein bar. Vital signs rechecked after standing patient upright. BP 116/78 HR 80 RR 20. Pt wanting to go home. Observed her for 30 minutes post benadryl injection. Ambulated out of observation area symptom free and insisted on driving self home. Warning signs reviewed regarding vaccine reaction and aware to react to the onset of further or worsening adverse vaccine reaction.

Other Meds:

Current Illness:

ID: 1223482
Sex: F
Age: 27
State: IL

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: Feel dizzy and ears ringing. transported to medic area in wheelchair, talkative. stay in observation for 30 minutes and went home on her own.

Other Meds: NONE

Current Illness: none

ID: 1223483
Sex: F
Age: 60
State: MD

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Pt felt her heart racing and a flushed feeling over her body. After a few minutes, symptoms resolved without any intervention.

Other Meds: Wellbutrin, zyrtec

Current Illness:

ID: 1223484
Sex: M
Age: 30
State: RI

Vax Date: 04/04/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
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Symptom List:

Symptoms: Site: Pain at Injection Site-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium

Other Meds:

Current Illness:

ID: 1223485
Sex: M
Age: 45
State: VA

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
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Allergies: None

Symptom List:

Symptoms: Low grade fever and fatigue the next morning

Other Meds: Kratom

Current Illness: None

ID: 1223486
Sex: M
Age: 28
State: CA

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
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Allergies: NKA

Symptom List:

Symptoms: He became dizzy, diaphoretic, thirsty and very pale. Head fell backward. Immediately applied ammonia whiffs, lifted his legs up, applied ice to neck. Applied O2 at 2 L per N/C. Heart rate dropped to 40's and B/P to 89/43. Gave water and apple juice and transported to a treatment area for evaluation.

Other Meds: Ibuprofen

Current Illness:

ID: 1223487
Sex: M
Age: 71
State: ID

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
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Allergies: not known

Symptom List:

Symptoms: vaccine booster given at 16 days

Other Meds: not known

Current Illness:

ID: 1223488
Sex: M
Age: 58
State:

Vax Date: 04/09/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital: Y

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Allergies: none

Symptom List:

Symptoms: confusion reported by family since the covid vaccine was administered - came to hospital ED 7 days later and multiple acute ischemic strokes were identified. also noted to be hypertensive and diabetic, previously undiagnosed.

Other Meds: none

Current Illness: none identified at time of vaccination

ID: 1223489
Sex: M
Age: 67
State: SC

Vax Date: 04/01/2021
Onset Date: 04/08/2021
Rec V Date: 04/17/2021
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Allergies: none

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Symptoms: My first dose went fine had a sore arm for about a week. My second doee on April 1 went fine at first just soreness however after 7 days I woke up and found the upper part of my arm was a solid dark purple to Black, it continue to spread down to my elbow the following day and was extremely sore.It went a little past my elbow and has not gone any further.

Other Meds: Warifin,

Current Illness: Cardiac stents, One Kidny, Diabetes, High Bp Controlled, insomiasmall tear in left rotary .

ID: 1223490
Sex: F
Age: 34
State: WA

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/17/2021
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Symptoms: Sudden onset of menstruation, and significantly longer duration than normal. Lasted about 9 days, usually only 1-3 days long. Currently using nexplanon birth control.

Other Meds:

Current Illness:

ID: 1223491
Sex: M
Age: 25
State: NJ

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
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Allergies: Zithromax and Insect Bites

Symptom List:

Symptoms: Developed Allergic Rashes throughout body about 36 hours after receiving Vaccine.

Other Meds: None

Current Illness: None

ID: 1223492
Sex: F
Age: 94
State: TN

Vax Date: 03/15/2021
Onset Date: 04/09/2021
Rec V Date: 04/17/2021
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Allergies: None.

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Symptoms: Shingles. Treatment to-date: Valacyclovir, Lidocaine topical 3%. Condition ongoing, pain, discomfort.

Other Meds: (1) Prescription meds: eye drops (Dorzolamide, Lumigan, Timolol); hydrochlorothiazide. (2) OTC meds: Nexium; Tylenol.

Current Illness: None.

ID: 1223493
Sex: F
Age: 39
State: OR

Vax Date: 02/05/2021
Onset Date: 02/20/2021
Rec V Date: 04/17/2021
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Allergies: no known

Symptom List:

Symptoms: Urticaria on upper arms and upper tights and waist started Feb. 20. I took OTC Benaddryl and used hydrocortisone cream with no improvment. On Feb. 25 I saw an urgent care who gave me a course of prednisone with no help. The urticaria continuly got worse and lasted all day with new areas effected. On March 8, I woke up to my left eye swollen shut and my whole body covered in hives and on fire and itching. I saw urgent care again who told me to see a dermolotogist. MArch 9 saw sermotoligst who gave me a cobetasol cream and hydroxyzine 10mg. I was told to also take claritin 10mg daily. Hives improved less body area and no swelling eye but still serveer hives. March 19 my legs were swelling and I incraesed my dose of hydroxyzine to 20mg and claritin 30mg per my dermotoligst orders. March 30 night I woke up to shortness of breath almost went to the ER. My dermotoligist orderd me an epi pen. I had a CBC, complement 3 &4 lab, metobolic panel, ASA , and h.pylori labs done all were within normal limits or negative. I had 2 punch biospies done one from hives on each arm on March 25- results given April 15 of Urticardia.

Other Meds: none

Current Illness: none

ID: 1223494
Sex: F
Age: 29
State:

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/17/2021
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Allergies: None

Symptom List:

Symptoms: Facial swelling , cheekbones and nose . Awful upper stomach pain at night. Vomit and chills. Very fatigued for the next couple of days

Other Meds: Venlafaxine 0.75 Doxycicline 100mg Spironolactone 100mg

Current Illness: None

ID: 1223495
Sex: F
Age: 33
State: NY

Vax Date: 03/09/2021
Onset Date: 03/25/2021
Rec V Date: 04/17/2021
Hospital: Y

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Allergies: None

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Symptoms: I was 9 months pregnant at the time of the vaccination. My due date was April 3, 2021. The actual date of delivery was March 20, 2021 by C-section. I gave birth to a son weighing 8 lbs 6 oz. I had no complications during this pregnancy. I left the hospital on March 22nd. On March 25, I was experiencing shortness of breath and a low pulse (35 bpm; my usual pulse is in the 50s-60s). My OBGYN told me to go to the emergency room, where they did a CT scan. The CT scan showed a small pulmonary embolism. I was in the hospital until March 27th, where I was treated with Heparin and then was released with Lovenox injections. I am currently on the Lovenox. After seeing the pulmonologist for a follow-up appointment, he advised me that I would be able to stop the injections after 3 months.

Other Meds: Pre-natal vitamin, Senna laxative tablets

Current Illness: n/a

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm