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: 1233625
Sex: M
Age: 45
State:

Vax Date: 03/18/2021
Onset Date: 03/20/2021
Rec V Date: 04/20/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient hospitalized within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1233626
Sex: F
Age: 20
State: PA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List: Anxiety, Dyspnoea

Symptoms: POST VACCINE, FELT DIZZY, HOT, NAUSEA, LIKE SHE WAS GOING TO PASS OUT. BROUGHT TO OBS VIA WC. PLACED IN TRENDELENBERG ON STRETCHER, STATES RELIEF OF SYMPTOMS AFTER A FEW MINUTES, VSS THROUGHOUT OBSERVATION OF LYING TO STANDING. ESCORTED TO EXIT TO MEET FATHER WHO DROVE AT 1320 WITH NO ISSUES. 1250 INITIAL BP 109/67 HR 66 RR 16 SATS 99% RA 1255 113/65 HR 65 RR 18 SATS 100% RA 1256 SITTING BP 118/72 HR 76 RR 16 SATS 98% RA 1257 STANDING BP 117/73 HR 76 RR 16 SATS 98% RA

Other Meds: NONE

Current Illness: NONE

ID: 1233627
Sex: F
Age: 57
State: NY

Vax Date: 04/02/2021
Onset Date: 04/04/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Allergy to Singular

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

Symptoms: Deep vein thrombosis was the diagnostic from the after effects of the second vaccination. Blood cot caused leg swelling and pain They did a cat scan & MRI Treatment was being given Eliquis (4 pills a day for 7 days) (2 pills after) It is a blood thinner and must follow up with my doctor.

Other Meds: Depakote, Metformin HCI, Omeprazole DR, Metroprolol Succinate, Lisinopril, Hydrochlorothiazide

Current Illness: Myelodysplastic syndrome (MDS)

ID: 1233628
Sex: M
Age: 3
State: CA

Vax Date: 10/27/2020
Onset Date: 12/21/2020
Rec V Date: 04/20/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Extreme Lethargy all day, Slurred speech, unbalanced gait, hallucinations, muscle weakness, attacks during sleep, night terrors.

Other Meds: None

Current Illness: None

ID: 1233629
Sex: F
Age: 77
State: IL

Vax Date: 03/05/2021
Onset Date: 03/07/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: shellfish and penicillin

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

Symptoms: next day she had a fever the next day after taking the vax. 2 days later she had a 101 fever and she had severe pain shooting through her lower extremities. she contacted a physician that is a friend and asked to for an order to start therapy. On the 3rd day she started physical therapy. She started getting worse so she contacted her surgeon that ordered an MRI. DX is stenosis and bulging disc which she has had for years but has never been laid up because of it. She went to her PCP. They feel like she developed inflammation of the nerves for the weak parts of her body after taking the vax. The pain is in the nerve from her waist down to her ankle. She is still doing the physical therapy. She is scheduled to see an Orthopedic Doctor on 4/23/2021.

Other Meds: Cozaar, Prilosec,

Current Illness:

ID: 1233630
Sex: F
Age: 63
State: RI

Vax Date: 04/02/2021
Onset Date: 04/12/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: In the morning I noticed a pinching feeling in my lower right leg. I called my doctor to check on this. She sent me for an ultrasound of the leg on 04/15/2021. During a follow-up visit she informed me that it was a superficial blood clot and set up a second ultrasound on 04/28/2021 for confirmation that it had cleared.

Other Meds: Amlodipine Besylate 5mg; Benazepril HCL 20 mg; Triamterene-HCTZ 37.5-25 mg; Simvastatin 20mg; Alendronate sodium 70mg; OTC meds - multivitamin, 81mg low-dose aspirin, Vit D3 1000iu, Calcium 600mg w/Vit D3

Current Illness: none

ID: 1233631
Sex: M
Age: 19
State: TN

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: No known medication, food or other allergies reported. No prior reaction after vaccination recalled, but had been a significant amount of time in the past.

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient had parked in the COVID vaccine waiting area, and was observed to fall forward onto his steering wheel within a few minutes of parking by 2 other participants waiting in the car next to him. One of them immediately notified one of the parking lot volunteers who came and got me within 1 minute of this observation. 2 students and I came quickly to the open drivers side door and began talking to assess the situation. Mr. Bannister appeared pale, mildly diaphoretic (sweating) and slightly confused as to the passage of time, but was able to state and spell his name and talk coherently about his circumstances. He stated that he was not allergic to anything that he knew about, and that he had no prior history of similar reactions to vaccines or medicines although he had not taken any shots in several years. He noted that he had not eaten anything since breakfast (now mid-afternoon). He described himself as initially feeling weak, faint, and nauseated with his vaccinated arm feeling heavy and numb. He also reported that he had a sensation of blurriness before passing out, but denied any spinning sensation, visual loss or ringing in the ears. There were no obviously visible abrasions or bleeding on his face or forehead. The nursing students brought a chair, and we elevated his legs and gave him some water to drink during the time we were monitoring his vital signs. He refused a cupcake because of the nausea, but as time progressed he gained facial color and was more comfortable in conversing. His hands had equal muscle grip and strength, visible fingernail beds were pink and his capillary refill was less than 3 seconds. Towards the end of our monitoring, he did accept some nuts and M & Ms to eat. A University Safety Medical Report was completed by the appropriate safety personnel. He was fully AAO x 3 at the end of our monitoring, and stated that if he felt better he would drive to his apartment (less than 5 minutes away) but would wait for his girlfriend to get out of class if he did not feel fully capable of driving. We encouraged him to eat something light when he got home, to use cool water/warm water soaks at his shot site, exercise his arm, and to take an NSAID for pain relief the next day. We recommended that he eat something light before his second shot (which had already been scheduled), that he bring someone with him the next time, and as a precaution to wait 30 minutes following the second shot. He left at 3: 15 pm driving his car without any apparent difficulties. An online report was completed for the incident 04/20/2021.

Other Meds: No reported OTC, dietary supplements or herbal remedies.

Current Illness: No illnesses reported at or around the time of vaccination.

ID: 1233632
Sex: F
Age: 57
State: LA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: sulfa. morphine

Symptom List: Pharyngeal swelling

Symptoms: soreness to injection site

Other Meds: none

Current Illness: diabetes, hyper-tension

ID: 1233633
Sex: F
Age: 82
State: MI

Vax Date: 02/04/2021
Onset Date: 04/15/2021
Rec V Date: 04/20/2021
Hospital: Y

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

Lab Data:

Allergies: Latex and penicillins

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: During Hospitalization, patient tested positive for COVID-19 post vaccination. Patient experienced shortness of breath requiring supplemental oxygen

Other Meds: Lasix, coreg, altace, entresto, zyloprim, xanax

Current Illness:

ID: 1233634
Sex: F
Age: 36
State: IL

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: The patient received an undiluent dose of the vaccine, this was administered less than 4 hours ago so nothing to report AE yet.

Other Meds:

Current Illness:

ID: 1233635
Sex: F
Age: 19
State:

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Upon crew arrival found 19 YO female in emotional distress. Patient was CAOx4 and stated she was going to pass out. Patient skin was cool, pale and dry. Patient was assisted to wheelchair where vital signs where obtained and monitored. EMS noted patient vomited. Patient told EMS personnel she felt extremely anxious coming into the facility to get the vaccine. Patient denies any SOB, chest pain, and abdominal pain. HR:66 RR: 16 non-labored BP:77/50 . Crew obtained 4 BPs with last know being : 88/58. Patient refused further evaluation at hospital. released after 30mins of observation.

Other Meds:

Current Illness:

ID: 1233636
Sex: F
Age: 20
State: CA

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: ibuprofen

Symptom List: Rash, Urticaria

Symptoms: Shaky sensation, mostly in legs

Other Meds: none

Current Illness: none

ID: 1233637
Sex: F
Age: 54
State: MD

Vax Date: 04/09/2021
Onset Date: 04/16/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Intense itch full body, no rash or hives. Subsided to localized on hands, palms, ankles and feet. Still no rash, hives or dry skin.

Other Meds: fluoxetine

Current Illness: none

ID: 1233638
Sex: M
Age: 21
State: IL

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/20/2021
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: Patient experienced nausea and vomiting post vaccination, recovered and released

Other Meds: Unknown

Current Illness: None known

ID: 1233639
Sex: F
Age: 32
State: IL

Vax Date: 04/05/2021
Onset Date:
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Norco, Tylenol

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

Symptoms: 4/5/2021?patient with headache, malaise, fatigue for several days post vaccination. 4/13/2021 patient states random shooting pains to postauricular area on the right side approximately 1 week after vaccination. Patient states continued malaise, and fatigue. 4/18/21 Right facial paralysis, seen by telehealth medical provider. Oral prednisone initiated. 4/20/21 Continued worsening right facial paralysis. Started oral antiviral. Anxiety, stress, psychosocial issues related to finanacial, medical, and social in relation to current right facial paralysis.

Other Meds: Birth control ERRIN

Current Illness: none

ID: 1233640
Sex: F
Age: 57
State: FL

Vax Date: 02/26/2021
Onset Date: 03/21/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: NA

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

Symptoms: Shingles 23 days after 1st dose - Shingles was across abdomen on right side across to middle of spine. Shingles and Severe Nerve pain lasted approximately 30 days - scarring still visible and a small area in middle of spine still has nerve pain. Saw my doctor 3 days after first signs and was given medication to treat all symptoms.

Other Meds: Losartan 50mg Estradial 1mg

Current Illness: NA

ID: 1233641
Sex: F
Age: 57
State:

Vax Date: 03/17/2021
Onset Date: 03/30/2021
Rec V Date: 04/20/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Pt was hospitalized within 6 weeks of receiving the COVID vaccine

Other Meds:

Current Illness:

ID: 1233642
Sex: F
Age: 53
State: CA

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Ear pain, Hypoaesthesia

Symptoms: morning after Vertigo set in, and has been going on for 11 days. Physical Therapy has been prescribed to start this week for me.

Other Meds: blood pressure meds (Hydrochlorothiaze, Diltizam, Losartan)

Current Illness: None

ID: 1233643
Sex: F
Age: 41
State: GA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient said when she got home her arm started hurting, it swelled up a little and turned red. The issue resolved on its own and she is fine now.

Other Meds:

Current Illness:

ID: 1233644
Sex: F
Age: 28
State: CA

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: headaches, fever, diarrhea, chest pressure

Other Meds: n/a

Current Illness: n/a

ID: 1233645
Sex: F
Age: 33
State: PA

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: The day after my first vaccine dose (3/20/2021), my menstrual cycle started and I had large globs. Some looked like large blood clots, while others looks like they might contain tissue almost like what you would expect in the event of a miscarriage. I know for certain I was not having a miscarriage. No treatment. Symptoms subsided until next menstrual cycle on (3/17/2021), when I again experienced the same symptoms. Symptoms the second time were not as prevalent as the first time but still noticeable.

Other Meds: Carlson 125 mcg Vitamin D3, Klaire Labs Prenatal & Nursing Formula Multi-vitamin, Nordic Naturals Prenatal DHA, & Metagenics Ultra Potent-C 1000, Jarrow Formulas Citicoline CDP Choline

Current Illness: None

ID: 1233646
Sex: F
Age: 61
State: TX

Vax Date: 03/27/2021
Onset Date: 04/08/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Latex sensitivity (causes localized rash) Fresh mango (causes localized rash)

Symptom List: Unevaluable event

Symptoms: On 04/08/2021, I noticed a blistering rash on the back of my right thigh. About 4? x 2?. I went to the Dr. on 04/09/2021; diagnosis Shingles. I was given a steroid shot, Valacyclovir tablets, and Clotrimazole and Betamethasone Dipropiinate Cream (1%). On 04/18/2021 I noticed new rash patches; the fronts of both thighs (6? x 4?), on my back (3? x 1?) and the backs of my hands. I returned to the Dr. on 04/19/2021 and was prescribed another round of Valcyclovir, Prednisone 20 mg tablets, Hydroxyzine HCL 50mg, Gabapentin 300 mg capsules. The rash seems to have stopped spreading as of 04/20/2021.

Other Meds: Buspirone 60mg bid Citalopram 40 mg Levothyroxin 100 mcg Melatonin 10 mg at bedtime Vitamin D3 1000 IU

Current Illness: Slight sore throat, no fever or other symptoms.

ID: 1233647
Sex: F
Age: 34
State: CA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Pt found down on floor, falling backwards from chair. Pt unresponsive, sternal rub by Ed tech working in vaccine tent. Pt responsive, awake and alert. BP 135/85, Hr 90, O2 sat 97%. team alert initiated, ED staff responded. Pt transferred to ER on gurney.

Other Meds:

Current Illness: pt reports no prior illness.

ID: 1233648
Sex: F
Age: 68
State: MN

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Pt tested COVID positive on 3/24, less than 24 hrs post-vaccination #1. Pt reported no associated COVID symptoms. Presented to hospital w/ weakness r/t Afib (longtime diagnoses).

Other Meds:

Current Illness:

ID: 1233649
Sex: F
Age: 56
State: CA

Vax Date: 03/27/2021
Onset Date: 04/07/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: No that I know of

Symptom List: Injection site pain, Menorrhagia

Symptoms: Zoster without complications Valtrex 1gm q8hrs for 7 days that has been extended for 3 more days due to the persistence of the symptoms Symptoms: nerve pain, red rash, burning sesnsation at the left part of the brain/face (specifically on the left forehead, eye, chick, ear and scalp).

Other Meds: T4 thyroid 100mg/day

Current Illness: NO

ID: 1233650
Sex: F
Age: 41
State: MI

Vax Date: 04/01/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: My first shot was phizer and today I received moderna

Other Meds:

Current Illness: Uri

ID: 1233651
Sex: F
Age: 37
State: IL

Vax Date: 02/03/2021
Onset Date: 04/16/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Heavy menstrual bleeding and cramping beginning 4/16/21.

Other Meds: None

Current Illness: None

ID: 1233653
Sex: F
Age: 43
State: FL

Vax Date: 03/31/2021
Onset Date: 04/08/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Silver dollar sized welt at injection site on day 8 (4/8/21). Initial irritation began to clear and then on day 14 (4/14/21) atopic dermatitis (rash) appeared above injection site over to shoulder. On day 17 (4/17/21), rash spread to left side of neck and chest. Sought medical attention on day 16 and received Rx for steroid ointment.

Other Meds: Levothyroxine, Claritin

Current Illness: None

ID: 1233654
Sex: F
Age: 32
State: AR

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/20/2021
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: Shortly after shot arm became hard to move. Next day, April 14th, arm was very sore and had issues raising it above collar bone without pain in arm or shoulder. Next day soreness went away and everything was fine until April 17th. I went to dinner with my family and started getting a headache on the way back. I laid down for an hour and a half, but the pain was just as bad. After getting up I took Tylenol and it seemed to make the pain go away. On Sunday, April 18th, I woke up with sever pain from my shoulder, neck, and head. I also had body aches and my eyes were really sore. Looking side to side was really painful. I was only awake from 1 to 5. I slept the rest of the day and didn?t have much of an appetite. I?m pretty sure I had a fever at one point because I got chills, but I didn?t take my temperature. The next day, April 19th, I called into work because I was still having the same shoulder, neck, and head pain along with the eye soreness. I took ibuprofen around 12pm, and started feeling a bit better. I still had no real appetite; I ate cause I knew I needed to and very little. That night I was running a 100.4 fever. Throughout the night I had chills and hot spells. I woke up in the middle of the night and my pants and shirt were drenched in sweat. I woke up this morning, April 20th, feeling much better. I only have slight discomfort with my eyes and my appetite is back. I am currently running a low grade fever of 99.2 which is causing me to sweat badly. Hopefully the worst is over.

Other Meds: None

Current Illness: I have been quarantined since March 2020.

ID: 1233655
Sex: M
Age: 56
State: OH

Vax Date: 03/31/2021
Onset Date: 04/11/2021
Rec V Date: 04/20/2021
Hospital: Y

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

Lab Data:

Allergies: cefadroxil

Symptom List: Nausea

Symptoms: Patient is a medical doctor. . patient reports at 10pm April 11, 2021 , he was reaching into a closet when his entire right side fell asleep/was numb. He reports that sitting temporarily help relieve symptoms, however when he stood, symptoms returned. patient sought care at ER. His BP was 183/110. However, nothing was found to be wrong except B-12 level was low. Patient reports that symptoms lasted 45 minutes.

Other Meds:

Current Illness:

ID: 1233656
Sex: F
Age: 72
State: OR

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/20/2021
Hospital:

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Allergies: ASA, Codeine, NSAIDS, Rye

Symptom List: Injection site pain

Symptoms: Pt Had headache and Nausea within 15mins of receiving the 2nd Pfizer Vaccine. Lightheadedness and face tingling. Applied O2 via NC 4L which relieved the nausea and reduced headache symptom. medics evaluated

Other Meds: Lisinipril, Ferosimide, Zetia, mematine

Current Illness:

ID: 1233657
Sex: F
Age: 26
State: NY

Vax Date: 03/19/2021
Onset Date: 04/13/2021
Rec V Date: 04/20/2021
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Allergies: None

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

Symptoms: I have a pulsating sound in my right ear. It originally occurred about a month after my first shot. It is not constant. It comes and goes but has been occurring multiple times a day and is extremely frustrating.

Other Meds: None

Current Illness: None

ID: 1233658
Sex: M
Age: 20
State:

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
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Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: Vaccine administered 12:30, adverse event began 12:35 same day. Patient had itchy throat, denied swelling of tongue or SOB. Given Benadryl 25mg/50mg PO (dose unspecified on reporting form). Patient stable, released from vaccination site.

Other Meds:

Current Illness:

ID: 1233659
Sex: M
Age: 47
State: MD

Vax Date: 04/18/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
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Allergies: Sulfa, penicillin, nuts, pork .

Symptom List: Tremor

Symptoms: Night one began with aches and tiredness. Night two around 8:30 I developed nausea and vomiting, and had aches through the night. Day three is general exhaustion still.

Other Meds: Claritin.

Current Illness: n/a

ID: 1233661
Sex: F
Age: 33
State: CO

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/20/2021
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Allergies: Gluten

Symptom List: Erythema, Pruritus

Symptoms: I experienced body aches and exhaustion. I am breastfeeding. My baby developed diarrhea following my vaccination.

Other Meds: Lexapro, Wellbutrin, SmartyPants Prenatal vitamins, Magnesium, Calcium Lactate

Current Illness: n/a

ID: 1233662
Sex: F
Age: 23
State: NY

Vax Date: 04/13/2021
Onset Date: 04/17/2021
Rec V Date: 04/20/2021
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Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Pt reports today 4/20- (No new meds, topicals, foods, etc.) Over the past 2 days (beginning evening 4/17) I have developed a full body rash. Red, blotchy, itchy hives. This covers ears, neck, arms, hands, back, stomach, and legs. I have been able to treat at home using Benadryl, Calamine, and Cortizone. I don't think I need to be seen because the OTC products are helping, but I wanted to make this known since the vaccine is still so new. "

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Current Illness:

ID: 1233663
Sex: M
Age: 23
State: WA

Vax Date: 04/15/2021
Onset Date: 04/18/2021
Rec V Date: 04/20/2021
Hospital: Y

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Allergies: none

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

Symptoms: 23 YEAR OLD admitted to hospital with chest pain and elevated troponin (5000). Had received second dose of Moderna vaccine 4 days prior. Myalgia and fever from vaccine were resolving when chest pain and dyspnea started. Normal angiogram, no coagulopathy, normal platelets, normal echo. Pain resolved.

Other Meds: none

Current Illness: none

ID: 1233664
Sex: M
Age: 73
State: FL

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 04/20/2021
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Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Sore arm. Increased respiratory condition including new symptoms such as vertigo.

Other Meds: None

Current Illness: Respiratory condition

ID: 1233665
Sex: M
Age: 68
State: WI

Vax Date: 04/09/2021
Onset Date: 04/13/2021
Rec V Date: 04/20/2021
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Allergies: none

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

Symptoms: right after the shot I started breaking out with shingles and very tired this year have flu shot, shingles shot and pneumonia shot after second shot of moderna shot broke out with shingles

Other Meds:

Current Illness: none

ID: 1233666
Sex: F
Age: 38
State: MO

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/20/2021
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Allergies: none known

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

Symptoms: A few hours after receiving vaccine I developed a headache, body aches, 102F fever, chills, very sore arm with extreme pain/swelling/heat at injection site. This lasted for about 36 hours, gradually lessening. I took ibuprofen 600 mg PO and tylenol (alternating), which helped. About 48 hours after receiving vaccine I became very light headed and dizzy. Headache became a migraine about 72 hours after injection (felt like a hormonal migraine, which I get somewhat frequently, but this was 5 days earlier than expected). Migraine lessened after about 72 hours. Symptoms resolved 5 days after receiving vaccine.

Other Meds: no prescription medications Allegra Chaste Tree extract Evening Primrose oil digestive enzymes krill oil vitamin D Saccaromyces boulardi (probiotic) iron supplement selenium supplement

Current Illness: none

ID: 1233667
Sex: F
Age: 12
State: RI

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
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Allergies: NKA

Symptom List: Pain in extremity

Symptoms: Numbness in L arm Pain in injection site

Other Meds: NA

Current Illness: NA

ID: 1233668
Sex: F
Age: 74
State: PA

Vax Date: 04/18/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
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Allergies: Renografin kidney dye Nickel

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

Symptoms: Low grade fever, chills, lethargy, low level of nausea feeling lasted over a 16 hour period. Just didn't feel well. Slept for 14 hours. First time having a reaction to any vaccine. Shot injection site - still sore, as would be expected. (Reporting for your statistics on my age group.)

Other Meds: Levothyroxine 137mcg Estradiol/Norethindrone 0.5mg/0.01mg Vitamin D 1000 Omeprazole 20 mg Glucosoamine 1500mg Chondroitin 1200mg MSM 900 mg

Current Illness:

ID: 1233669
Sex: F
Age: 29
State: CA

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/20/2021
Hospital: Y

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Allergies: no

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

Symptoms: I went into pre-term labor - I delivered that day - He was born at 34 weeks and one day. Was in NICU but now is home. I'm stil recovering from the childbirth. First pregnancy; estimated date of birth 5/22/2021

Other Meds: I was taking a 1/2 dose of an antihistamine at night; prenatal vitamins

Current Illness: gestational diabetes

ID: 1233670
Sex: F
Age: 81
State: UT

Vax Date: 03/16/2021
Onset Date: 03/22/2021
Rec V Date: 04/20/2021
Hospital: Y

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Allergies: No known medication allergies

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

Symptoms: Patient is a 81-year-old woman who last Tuesday received her second vaccination shot in her left arm. Several hours after the procedure she developed pain and discomfort in her left arm. The left arm discomfort gradually increased over the past 3 to 4 days and she began to experience symptoms of claudication in her left forearm and hand. She had a difficult time performing her daily tasks. The pain significantly worsened today to the point that she had constant pain in her hand and developed numbness in her fingers. She presented to the urgent care clinic and was subsequently transferred to the emergency room where CT angiogram demonstrates thrombus in her left brachial artery. She denies a history of heart palpitations. She has no history of hypercoagulable state. She has no history of blood clots or easy bleeding. She has no history of infection and denies fevers chills or night sweats. She has no significant history of peripheral vascular disease and can walk over a mile without difficulty. She denies symptoms of transient ischemic attacks. Left brachial ulnar and radial artery thrombectomy due to inflammation of the brachial artery and thrombus in the brachial artery extending into the origin of the radial and ulnar arteries done on 3/22/2021. Discharged on aspirin 81 mg daily and Lovenox. Has transitioned to Eliquis now. Complication of left arm wound dehiscence. Debrided by wound clinic on 4/9/2021. Taken for washout/wound closure on 4/13/2021. Continues to f/u in our clinic.

Other Meds: intermittent 81 mg aspirin

Current Illness:

ID: 1233671
Sex: F
Age: 75
State: FL

Vax Date: 02/01/2021
Onset Date: 03/01/2021
Rec V Date: 04/20/2021
Hospital: Y

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Allergies: Gluten, Milk, Penicillin, Prozac

Symptom List: Vomiting

Symptoms: Developed increased weakness and was admitted to Hospital. Was treated with plasmapharesis and during treatment developed acute psychosis and paranoid delusions. Was transferred to the Geriatric Psychiatry Unit at Hospital in for further treatment. Around a week into that admission, she had a dramatic neurologic change and was found to have extensive dural vein thrombosis with ischemic and hemorrhagic events. She was started on heparin drip and sent to Unit for thrombectomy that was unsuccessful. She is currently intubated and comatose with plans for compassionate withdrawal of care soon. Family wanted this sequence of events to be related to the appropriate authorities to investigate if there is any link to the initial vaccination.

Other Meds: Xarelto, Prednisone, Hydroxyurea, Vitamin D, Vitamin B12, Anagrelide, Multivitamin

Current Illness:

Date Died: 04/16/2021

ID: 1233672
Sex: M
Age: 82
State: MN

Vax Date: 03/18/2021
Onset Date: 04/16/2021
Rec V Date: 04/20/2021
Hospital: Y

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Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient was hospitalized and died within 60 days of receiving a COVID vaccine series

Other Meds:

Current Illness:

ID: 1233673
Sex: F
Age: 66
State:

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 04/20/2021
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Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Patient presented to ED via ambulance on 2/13/21 after receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1233674
Sex: F
Age: 27
State: MA

Vax Date: 04/10/2021
Onset Date: 04/13/2021
Rec V Date: 04/20/2021
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Allergies: Allergies as of 4/20/2021 Reviewed by CNP on 4/9/2021 Noted Reaction Type Reactions Janssen Covid-19 Vaccine (eua) [covid-19 Vac,ad26(janssen)-pf] 04/20/2021 Contraindication Percocet [oxycodone-acetaminophen] 04/02/2019 GI Upset GI upset

Symptom List: Injection site swelling, Limb discomfort

Symptoms: nausea, back pain possible uti foul odor, blood in urine ongoing for 2 weeks, urine urgency, abdominal pain unsure if related to period (Period doesn't typically last two weeks), chills, janssen vaccine small bump on arm where vaccine is, arm is warm to touch with redness around the area, headache comes ago did not have a h/a last week, chest pain

Other Meds: Date of Birth Date Of Birth 11/16/1993 Current Medications levonorgestrel and ethinyl estradiol (LOSEASONIQUE) 0.1-0.02 mg (84) 0.10 mg (7) oral 3MPk Instructions: Take 1 tablet by mouth daily. Authorized by DO on 2/16/2021 ibuprofen (A

Current Illness: Noted Hematology and Oncology Iron deficiency anemia 2/16/2021 Overview 2/16/2021 Heavy periods, iron deficiency anemia in women of childbearing age. Iron supplements and bowel regiment discussed. Start OCP to help regulate periods q 3 months.

ID: 1233675
Sex: F
Age: 54
State: CA

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/20/2021
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Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: PATIENT RECEIVED THEIR SECOND DOSE OF MODERNA COVID-19 VACCINE 23 DAYS AFTER THEIR FIRST DOSE INSTEAD OF THE MINIMUM OF 24 DAYS AFTER FIRST DOSE. NO ADVERSE HEALTH REACTIONS ARE KNOWN TO BE ASSOCIATED WITH THIS ADMINISTRATION ERROR IN THIS PATIENT.

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Current Illness:

ID: 1233676
Sex: F
Age: 16
State: MN

Vax Date: 04/17/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
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Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: The subject is less than 18 years old, she was vaccinated in error. She was 16 at the time of the vaccine. .Subject and Department of Health have been notified. As per CDC guidelines, subject will be given second dose after 28 days.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am