VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

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

ID: 1238952
Sex: F
Age: 45
State: WA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: Erythromiacin

Symptom List:

Symptoms: About 4-5 min after my dose was administered I got a warm rush up the back of my neck, a dull ache above my eyes that came and went super fast, then my heart started racing, I got really light-headed, nauseated and my face got hot and tingly. I let the pharmacist know and he had me prop up my feet, that didn't help, so he had me lie down and elevate my feet. My mouth at this point also went extremely dry. At first, the pharmacist thought I was experiencing Syncopy, but because my face was hot, and my face and ears were tingling, he felt he should call 911. The paramedics arrived and check my vitals. My blood pressure was high, as was my pulse, but my oxygen levels were fine. At this point my body legs and hands started to shake a bit, I am guessing from the adrenaline and my fingers got ice cold. I had not eaten a ton that day so they also checked my blood sugar which was normal, but on the low side. After about 40 min they had me stand up and made sure I was ok. I decided to go home and monitor the symptoms. I was hot, dizzy, and nauseated for the next 3 hours. For 12 hours post-vaccine I was nauseous, then had a dull headache. Today, one-week post-vaccine my injection site is very hot and red and a few little bumps have formed.

Other Meds: I might have taken my daily allergy pill the morning of my vaccine but I don't remember if I did or not.

Current Illness: None

ID: 1238953
Sex: F
Age: 53
State: GA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/21/2021
Hospital: Y

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

Lab Data:

Allergies: Latex

Symptom List:

Symptoms: Patient reported on 4/21/21 that she had been hospitalized 5 days after having COVID vaccine. Vaccine 4/9/21, 8:15a.m. By noon started feeling bad; pain all over, headache, eyes hurting, low-grade fever. Eyes bloodshot later in afternoon. Symptoms progressed, including worsening fever (102.2) 4/10 and 4/11. treated conservatively at home. 4/12/21 fever 106.2, indescribable general pain, headache, eye pain. Went to ER. Elevated blood pressure, low potassium, neck stiffness during hospital stay. Hospital course included COVID testing, LP; both negative. Anti-coagulants given. Discharge home 4/16/21.

Other Meds:

Current Illness: No illnesses at time of vaccination or up to one month prior to. Recent procedure: Colonoscopy one week (4/2/21) prior. No AE.

ID: 1238954
Sex: F
Age: 18
State: MO

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient did not tell us she has a history of fainting because it happened so long ago, they felt it was unimportant, but patient was fine, received vaccine while mom was standing nearby, and fainted and fell off of the chair. she was conscious shortly after (about 5 seconds) and didn't realize she even fainted she said. they waited in our waiting area and refused to call EMS.

Other Meds:

Current Illness:

ID: 1238955
Sex: F
Age: 16
State: TN

Vax Date: 03/23/2021
Onset Date: 04/12/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Could be completely coincidental, but almost two weeks (4 days prior to her second vaccine) patient started her menstrual cycle for the 2nd time in less than a month. She has a very regular 28 day cycle and has never had this happen before.

Other Meds: None

Current Illness: None

ID: 1238956
Sex: F
Age: 58
State: TX

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Tingling and numbness right arm

Other Meds:

Current Illness:

ID: 1238957
Sex: F
Age: 34
State: PA

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pain and weakness in left arm still present 3 weeks after injection.

Other Meds:

Current Illness:

ID: 1238958
Sex: M
Age: 67
State: MD

Vax Date: 03/29/2021
Onset Date: 04/02/2021
Rec V Date: 04/21/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: acute deep vein thrombosis (DVT) and pulmonary embolus (PE)

Other Meds: aspirin, Vit D, niacin, olmesartan, rosuvastatin, sildenafil

Current Illness: no new illnesses

ID: 1238959
Sex: M
Age: 73
State: OR

Vax Date: 03/30/2021
Onset Date: 04/05/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Strong rash resembling shingles, Muscle pain in right back and chest, No outcome, still present.

Other Meds: vitamin d and magnesium

Current Illness: none

ID: 1238960
Sex: M
Age: 58
State: LA

Vax Date: 03/31/2021
Onset Date: 04/03/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: pt experienced a "~dime size lump that was short and puffy" in the armpit of the same arm as the shot 3-4 days after the first dose and lasting 3-4 days

Other Meds:

Current Illness:

ID: 1238961
Sex: M
Age: 64
State: WI

Vax Date: 01/15/2021
Onset Date: 02/03/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tinnitus may have started (low-level) after first shot (1/15/21), but was much more noticeable and steady/non-stop following second shot (2/1/21). It has grown somewhat louder over past few weeks.

Other Meds: Multi-tab (Centrum) Aspirin (81 mg) Atorvastatin (20 mg)

Current Illness: None

ID: 1238962
Sex: F
Age: 67
State: NJ

Vax Date: 04/10/2021
Onset Date: 04/18/2021
Rec V Date: 04/21/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: PATIENT HOSPITALIZED ON 4/18. ON 4/19- CT SCAN WITH CONTRAST- SMALL PULMONARY EMBOLISM RT LOWER LOBE

Other Meds:

Current Illness:

ID: 1238963
Sex: F
Age: 39
State: NJ

Vax Date: 04/06/2021
Onset Date: 04/08/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: Penicillin -amoxicillin -erythromycin- ceclor -sulfa

Symptom List:

Symptoms: The night after the 1st shot i was very tired and had bad allergies. Two nights after I received the vaccine I felt a hard lump above my collarbone which was never there before and it was tender to the touch the next morning it appeared that all of my left side lymph node under my collarbone and under my left armpit were swollen as well as the hard Pearl shaped sized bump above my collarbone .I went to the doctor on Friday to have them evaluate and get some blood work I actually also followed up with my doctor today because Los hard bump is still present and it's slightly painful

Other Meds: Sertraline, vitamin d3, allegra24

Current Illness: None

ID: 1238966
Sex: M
Age: 62
State: FL

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Same day of vaccination 3/17/2021, I began seeing severe floaters on the left eye.

Other Meds: D3, krill oil, probiotics, red yeast rice, NAC , optizinc

Current Illness: none

ID: 1238967
Sex: M
Age: 62
State: CA

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever, chills, headache, body aches, lack of energy. From 4/7/21 6 am until 4/8 4 pm. Headache did not subside until 4/9 10 pm

Other Meds: Levrothroxin, lisinopril, atorvastatin

Current Illness: None

ID: 1238968
Sex: F
Age: 41
State: MA

Vax Date: 04/18/2021
Onset Date: 04/20/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, sulfa

Symptom List:

Symptoms: Tinnitus. I historically have had minor tinnitus, that happens infrequently and sporadically. I had my first vaccination on Sunday and I really noticed this began yesterday on Tuesday, it has worsened and is more frequent than usual. I decided to Google this symptom in regards to the covid vaccine and found this to be an adverse effect I should maybe report. I'm able to work and live normally, it's not that much of a bother at this time. I have not notified my pcp of this, and don't feel I need to be seen by them.

Other Meds: Xulane patch, daily vitamins

Current Illness:

ID: 1238969
Sex: F
Age: 57
State:

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Client received 1st dose of Pfizer on 4/5/21. 2nd dose scheduled 4/26/21. Client arrived to clinic today after driving 2 hours away. There was no adverse reaction but patient received vaccine 5 days earlier than the recommended scheduled date for a second dose. Pt understands this was not ideal but insisted on receiving second dose because she drove 2 hours away

Other Meds:

Current Illness:

ID: 1238970
Sex: M
Age: 49
State: CT

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: Penicillin and similar drugs

Symptom List:

Symptoms: Approximately 2 hours after shot both ears started ringing very loudly... it was instantaneous... walking across floor and "click" the ringing started

Other Meds: Ibuprofen

Current Illness: No but did test positive back in January

ID: 1238971
Sex: M
Age: 36
State: AL

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: I went to the vaccination site to get the second dose of the Moderna COVID-19 vaccine. During the vaccine injection by the technician, the needle and the syringe disconnected and the vaccine went over the car and my arm. We were unable to determine how much of the dose may have been administered into my arm. The needle definitely went into the injection site, but I don't know how much of the dose I had gotten. I talked with the technician and supervisor on-site and they did not know what to do. Their best recommendation was to get tested by my PCP for the anti-bodies in a couple of weeks. I was not comforted by what I felt was ad-hoc answers to my questions, so I did not get an additional dose. When I returned home, I called the CDC and looked online for what to do. The official guidance is that an additional does of the vaccine should have been administered into my other arm. I was not given an additional dose, so I do not know what I'm supposed to do. I waited a couple of hours to see if I had the sore arm like the first dose, but I have not (as of yet) felt any affects from the vaccine injection.

Other Meds: None

Current Illness: None

ID: 1238972
Sex: F
Age: 16
State: CA

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: Cloves

Symptom List:

Symptoms: Patient received first dose of pfizer vaccine to the left deltoid. In observation the patient has a syncopal episode. She was guided to the cot and patient became responsive alert. Paramedics arrived on scene to intervene. No medical intervention was necessary.

Other Meds: birth control

Current Illness: None

ID: 1238973
Sex: F
Age: 31
State: VT

Vax Date: 04/03/2021
Onset Date: 04/08/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: On the 8th, I woke up with what I thought was a bug bite on my middle left side of my back. It grew - a rash - over the weekend. April 12, I saw a physician and was diagnosed with Shingles. Treatment: Anti-Viral to take for seven days - Acyclovir. I took that for 7 days and by April 16th the rash was dried/scabbed over and my symptoms were tiredness and pain. I did take a couple days off work. I had a follow up appt on April 16th and she said it looked like everything was healing and I was starting to feel better. Pregnancy history - I have had two miscarriages in the past year - August 2020 and February 2021. I just took a positive pregnancy test on April 9th, 2021. Estimated date of delivery - December 15, 2021.

Other Meds: prenatal vitamins

Current Illness: no

ID: 1238974
Sex: M
Age: 47
State: IL

Vax Date: 04/13/2021
Onset Date: 04/15/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: vertigo, nausea, 1 week

Other Meds: flecainide, nexium,

Current Illness:

ID: 1238975
Sex: F
Age: 43
State: TX

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: At exactly 840 I started having Body aches, headache, fatigue, muscle pain. I felt worse every hour. I laid my head down at work barely able to move. Once I got home I went straight to bed with my work clothes still on and slept for 15 hours straight. I woke a bit outta sorts but feeling better. The arm I got the shot in still tingles like it's asleep a week later. Have had episodes of feeling if things are moving around me, even when standing still.

Other Meds: Celexa

Current Illness: Anemia

ID: 1238976
Sex: M
Age: 50
State: CA

Vax Date: 04/18/2021
Onset Date: 04/18/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: Very allergic to Tree Nuts

Symptom List:

Symptoms: After both the first and second vaccine shots, I had the same reaction. 15 to 20 minutes after the shot, I felt a numbness in my mouth. I also had a slight throat constriction sensation that I know well given my history with severe allergic reactions to tree nuts. However, to be clear, the reaction to the vaccine shots was far more mild than my reaction to tree nuts. If I eat any tree nuts, I have a severe reaction that involves throat closure, hives, vomiting and related symptoms for 6-8 hours. While the Epipen shot helps with keeping my throat open, it does not reduce all of the other symptoms. Here, the throat constriction was only approx. 1/100th of the reaction I have when I eat tree nuts. Further, the slight throat constriction and mouth numbness only lasted 10-15 minutes, as compared to 6-8 hours if I eat tree nuts. I did not need to use an Epipen.

Other Meds: none

Current Illness: None

ID: 1238977
Sex: M
Age: 28
State: NY

Vax Date: 04/11/2021
Onset Date: 04/12/2021
Rec V Date: 04/21/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Appendicitis. Abdominal pain started the day after the vaccine. Progressively got worse throughout the week until I went into the ER the following Sunday.

Other Meds: Famotidine 40 mg daily

Current Illness: Na

ID: 1238978
Sex: F
Age: 17
State: OR

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: Nutmeg = hives/rash

Symptom List:

Symptoms: Administration error: J&J vaccine dose was administered to a 17 year old. No immediate harm noted during observation period, no chart documentation of harm after discharge (as of review 11 days later). Contributing factors for administration error: (1) vaccine clinic was previously giving Pfizer vaccine while J&J shipments delayed. Change to J&J led to confusion by scheduling (patient was not screened as contraindicated for the Pfizer vaccine). Not detected onsite due to knowledge gaps given different approved age ranges. Taking action in scheduling and onsite registration to prevent similar errors moving forward.

Other Meds: Adderal XR Fluoxetine Hailey 24 FE (OCP)

Current Illness:

ID: 1238979
Sex: M
Age: 64
State: FL

Vax Date: 04/08/2021
Onset Date: 04/16/2021
Rec V Date: 04/21/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Experienced chest pain. Went to ER. Was rushed in and determined to have Pericarditis - swelling and irritation around the heart.

Other Meds:

Current Illness:

ID: 1238980
Sex: F
Age: 56
State: NY

Vax Date: 03/29/2021
Onset Date: 04/19/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: On going heavy menstrual flow with cramps at the age of 56 after not getting a period since September 2020.

Other Meds: Benicar and Biotin

Current Illness: N/A

ID: 1238981
Sex: F
Age: 46
State: AZ

Vax Date: 03/30/2021
Onset Date: 04/10/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: levaquin

Symptom List:

Symptoms: rash stated at inner thigh and then spread over 10 days

Other Meds: albuaterol HFA

Current Illness: none

ID: 1238982
Sex: F
Age: 45
State: CT

Vax Date: 03/08/2021
Onset Date: 03/17/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs, Cayenne pepper, marigolds.

Symptom List:

Symptoms: Small red petechia spots on my stomach.

Other Meds: Cymbalta 60mg, doxepin 10mg, Spiriva

Current Illness: None.

ID: 1238983
Sex: F
Age: 47
State: NY

Vax Date: 04/01/2021
Onset Date: 04/07/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: shingles prescribed valtrex became very ill from valtrex

Other Meds: multi vitamins

Current Illness: no

ID: 1238984
Sex: F
Age: 73
State: NC

Vax Date: 02/24/2021
Onset Date: 03/02/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Broke out on arms with a rash then it eventually went to chest back & legs. Very very itchy!!

Other Meds: Synthroid - celebrex - astrovanstaten - B12 - D3 - TriEase - women's daily vitamin

Current Illness: None

ID: 1238985
Sex: M
Age: 75
State: PA

Vax Date: 03/24/2021
Onset Date: 04/14/2021
Rec V Date: 04/21/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient developed COVID after first vaccination and was hospitalized due to diagnosis.

Other Meds:

Current Illness:

ID: 1238986
Sex: M
Age: 65
State: MN

Vax Date: 04/02/2021
Onset Date: 04/21/2021
Rec V Date: 04/21/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Extensive bilateral Pulmonary Embolism, saddle pulmonary embolism with right ventricular strain

Other Meds: Fish oil, Aspirin, Lisinopril, Atorvastatin

Current Illness: No

ID: 1238987
Sex: F
Age: 49
State:

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Face cheeks and chin had a rash, burning, red, and bumpy. This started the next day after my second vaccine. I went to my dermatologist later that day and got a topical prescription steroid cream. Most things cleared up within a week but I still have pink cheeks.

Other Meds:

Current Illness:

ID: 1238988
Sex: F
Age: 66
State: OR

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: Aspirin- stomach upset

Symptom List:

Symptoms: Arm sore, migraine lasting more than 1 day, fever (>100 F), chills

Other Meds: Excedrin: 04/20/21 at 8:00 AM Tylenol: 04/20/21 at 2:00PM

Current Illness: No

ID: 1238989
Sex: M
Age: 17
State: CA

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/21/2021
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Symptoms: Parent confirmed Moderna with Scribe. Scribe told clinician to go ahead and vaccinate. After vaccination was given, parent showed clinician card showing original vaccine was Pfizer.

Other Meds: unknown

Current Illness: none

ID: 1238990
Sex: F
Age: 45
State:

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/21/2021
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Symptoms: Client declined deltoid injection due to arm pain and vaccine was administered in left thigh using a 1 inch needle intended for deltoid Client weighs 148 lb

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ID: 1238991
Sex: F
Age: 33
State: LA

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 04/21/2021
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Allergies: Aspirin, dyes, corn, gluten, nuts, soy, eggs

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Symptoms: Immediately after injection, I experienced rapid heart rate, dizziness and nausea. About an hour after the injection, I had a fever, chills, body aches, headache, nausea and extreme fatigue that lasted for 5 days straight. Then, 10 days after the injection, my entire upper left arm (injection arm) became raised, inflamed, red and sensitive to touch.

Other Meds: none

Current Illness: none

ID: 1238992
Sex: F
Age: 27
State: IN

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/21/2021
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Symptoms: Fever Chills Chest pain Headache Difficulty breathing Body ache Fatigue

Other Meds: Adderall 10mg XR Depakote 200mg XR Singular One a day multi Cranberry extract supplement Ashwaghandha Dulera

Current Illness:

ID: 1238993
Sex: M
Age: 34
State:

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/21/2021
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Symptoms: Fainting

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Current Illness:

ID: 1238994
Sex: F
Age: 47
State: WA

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/21/2021
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Allergies: Amoxicillin Allergy Penicillin Allergy

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Symptoms: Woke up the day after my shot with achy muscles and felt very slow. Went to work and after a long day was spent. Achy muscles, shivering, night sweats, abdominal pain, diarrhea, vomiting and mid level to high fever...the highest at 103.9. I haven?t had all the symptoms every day. I have experienced achy muscles, shivering and fever daily. Have been taking acetaminophen, 1000 mg every 6 hours. Pushing water and tea, only able to eat soup or vegetable smoothies.

Other Meds: No

Current Illness: No

ID: 1238995
Sex: F
Age: 38
State: VA

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/21/2021
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Allergies: Vancomycin

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Symptoms: Nausea began at 10 pm evening after vaccine. Fever, chills, body aches, extreme joint pain, head ache, arm pain began in the middle of the night around 3 am. Next day symptoms persisted , appetite unchanged. The second evening around 9pm vomitting began in addition to the list of symptoms above. Day three: extreme joint pain (hips knees elbows), chills, extreme fatigue. Developed covid arm around 6pm. Large painful bump under vaccine location.

Other Meds: Xanax, trazadone

Current Illness: N/A

ID: 1238996
Sex: F
Age: 34
State: NM

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/21/2021
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Allergies: Methylphenidate

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Symptoms: Patient reports having headaches "on and off" since she recieved her vaccine. Patient stated that she was not sure if that was normal for her. Provider spoke with patient and advised patient to go to the near ER as soon as possible for further evaluation. Patient agreed.

Other Meds: None

Current Illness: None

ID: 1238997
Sex: F
Age: 53
State: IN

Vax Date: 03/13/2021
Onset Date: 03/18/2021
Rec V Date: 04/21/2021
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Allergies: No known

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Symptoms: I got very sick. Vomiting, aches, pains and flu like symptoms. No cough. Did have fever I am still extremely tired and have been since getting the shot. Along with getting headaches almost every day

Other Meds: Metformin, Zoloft, blood pressure medications, etc.

Current Illness: None

ID: 1238998
Sex: F
Age: 16
State: WA

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/21/2021
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Symptoms: It was reported by the safety officer that the guest was walking up the stairs to observation after receiving the vaccine and stated to her mother that she was feeling lightheaded and sat down on the stairs. Guest appeared pale, skin was cool and clammy. EMS was called. Guest remained sitting on the stairs when EMS arrived. Vital signs were taken and were WNL. Guest was transferred to a cot and monitoring continued. Guest was talkative. About 15 minutes later she sat up and began sipping juice. Denied lightheadedness and vertigo. Vital signs remained stable. She was released by the medics. Went home with her mother.

Other Meds:

Current Illness:

ID: 1238999
Sex: F
Age: 45
State: AZ

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 04/21/2021
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Allergies: none

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Symptoms: I was having my menstrual cycle when I got my second vaccine. Approximately 24 hours after receiving my second COVID vaccine, my bleeding became very heavy and I passed a large amount of clots. This lasted approximately 8 hours then stopped. Previous periods have been light, as I had a tubal ligation and ablation several years ago. After this incident, I did not have a period for 2 months. My cycle has since resumed.

Other Meds: none

Current Illness: none

ID: 1239000
Sex: M
Age: 52
State: CO

Vax Date: 04/16/2021
Onset Date: 04/19/2021
Rec V Date: 04/21/2021
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Allergies: none

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Symptoms: I continue to experience 'brain zaps' I've read it is common with coming off anti-depressants, which I am not nor do I abuse/use anti anxiety or MDMA. It was so sever I went to the ER. I CT brain scan was performed with negative results. The other adverse effect is massive pain to my left knee that suffers from arthritis. I received a shot of cortisone 3 weeks before my first dose in the joint and was pain free until 8 hours after my second dose. The pain is still present.

Other Meds: Protonix 40 mg, Lisinopril 20mg, multi vitamin

Current Illness: none

ID: 1239001
Sex: M
Age: 57
State: CO

Vax Date: 03/22/2021
Onset Date: 04/21/2021
Rec V Date: 04/21/2021
Hospital: Y

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Allergies: None

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Symptoms: Day following shot it felt flu like, days following shortness of breath, stopped to rest and catch breath. 04/04/21 after getting coffee in hotel I could not regain my breath, became pale, sweaty and chilled. Was taken to emergency room, given oxygen and CT was taken of lungs, CT showed numerous blood clots throughout lungs with two larger at the bridge between, one on either side. Was give oxygen to help breathing, given Heparin to stop clot growth and T__ (something) to dissolve clots. Morning 04/05 was taken off oxygen and that evening clot medication was removed. Discharged morning 04/06 and put on Eliquis and to be reevaluated in three months by PCP. Sometime in the spring of 2020 I was asymptomatic for COVID, it was not until June last year until I knew after donating blood and it was test for COVID antibodies and I was positive.

Other Meds: 120mg testosterone once a week 1/2 50mg tab of Clomid three time a week one tab Anastrazole twice a week Allergy meds daily

Current Illness: None

ID: 1239002
Sex: F
Age: 53
State: TX

Vax Date: 03/30/2021
Onset Date: 04/16/2021
Rec V Date: 04/21/2021
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Allergies: none

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Symptoms: Venous Doppler on left leg, 2 blood clots found. Taking Xareto.

Other Meds: Synthroid

Current Illness: none

ID: 1239003
Sex: F
Age: 43
State: PA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 04/21/2021
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Allergies: Tree nuts

Symptom List:

Symptoms: Palpitations

Other Meds: Claritin 10mg po, Flonase, vitamin d, multivitamin

Current Illness: None

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm