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: 1242827
Sex: M
Age: 70
State: NM

Vax Date: 03/30/2021
Onset Date: 04/09/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Got the vaccine on 3/30/21 and about 1.5 week later got almost complete blindness in the right eye. Went to see Dr. he determined a blood clot in that right eye. Six hours later, the blood clot dissolved on its own. Was told to take Aspirin 81 mg daily.

Other Meds: None

Current Illness: None

ID: 1242828
Sex: F
Age: 47
State: DE

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Intermittent stabbing, burning pain in right breast. Began on outside, nearest to arm and spread to top center of right breast. Lasted for about a day and a half. Had a brief reoccurrence on 4 th day post vaccination, but then went away. Sort of reminded me of shingles pain (had shingles on same side about 4 years ago).

Other Meds: Ritalin 5 mg 3x a day Daily multivitamin Vitamin D supplement

Current Illness: none

ID: 1242830
Sex: M
Age: 69
State: NM

Vax Date: 04/06/2021
Onset Date: 04/09/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Strong headache lasting about 2 weeks, nausea, red raised sores up to half inch diameter clearing some after 12 days on face and scalp

Other Meds: Ibuprofen, Acetaminophen

Current Illness: none

ID: 1242831
Sex: M
Age: 61
State: CA

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Extreme tinnitus. Pulsating in right ear

Other Meds: Hydrochlorothiazide

Current Illness: None

ID: 1242832
Sex: F
Age: 58
State: WI

Vax Date: 04/01/2021
Onset Date: 04/19/2021
Rec V Date: 04/22/2021
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, Injection site warmth

Symptoms: First headache, then arm stiffness, then body aches within 24 hours. Within 36 hours vertigo, instability, nausea, vomiting, sweating still continuing just past the 72 hour mark but manageable with minimal activity. Not able to do regular work. Answering item 21 as recovering.

Other Meds: Venlafaxine 75 mg, Calcium-magnesium-zinc, multivitamin, b complex, slow iron, D, Omega 3

Current Illness: None

ID: 1242833
Sex: F
Age: 74
State: OH

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Penicillin - causes rash/itching

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

Symptoms: received her first dose of Moderna on Friday, 3/26/21, around 1:30pm. She reports onset of chills, muscle aches and "just didn't feel good" starting around 12:30am on Saturday, 3/27/21. At approximately 12:00pm on 3/27/21 she reports sudden loss of hearing in her left ear along with dizziness. She continued to feel poorly (nausea, vomiting, dizziness and dry heaves) along with the hearing loss through Sunday, 3/28/21. She reports she saw Dr. (ENT) on Monday, 3/29/21 for the hearing loss and dizziness. A hearing test was preformed and steroids were prescribed. She reports seeing Dr. again for a follow up appointment on 4/12/21 with another hearing test.

Other Meds: Methotrexate, Synthroid, Folic Acid

Current Illness: None

ID: 1242834
Sex: F
Age: 35
State: KY

Vax Date: 01/13/2021
Onset Date: 04/12/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Adhesives

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Pt developed shingles just over 2 months after her second coronavirus vaccine. This is the third case of shingles that I've seen in a young adult female after the Pfizer vaccine.

Other Meds: Birth Control Pill, Multivitamin, Allegra, and Vitamin E

Current Illness: None

ID: 1242835
Sex: F
Age: 16
State: IN

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

Symptom List: Pharyngeal swelling

Symptoms: Fever of 100.0 for 6 hrs.

Other Meds: N/a

Current Illness: None

ID: 1242836
Sex: M
Age: 59
State: NJ

Vax Date: 04/05/2021
Onset Date: 04/15/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: very sore--neck--back legs

Other Meds: atorvastatin 10 mg daily

Current Illness: none

ID: 1242837
Sex: M
Age: 71
State: NY

Vax Date: 03/26/2021
Onset Date: 04/05/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Lipitor

Symptom List: Diarrhoea, Nasal congestion

Symptoms: About 3 days after vaccine shot began getting raised,red,itchy patches on legs,arms and elbows. As of today these symptoms have been going on for 3 weeks.

Other Meds: None

Current Illness:

ID: 1242838
Sex: F
Age: 59
State: NJ

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Bactrim

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

Symptoms: Patient developed vertigo the day after vaccination which has persisted for the past 4 weeks

Other Meds: Multivitamin, cinnamon

Current Illness: None

ID: 1242839
Sex: F
Age: 50
State: NY

Vax Date: 03/22/2021
Onset Date: 04/12/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Strongly itching/burning rash developed in four or five places on body, one at a time, beginning 21 days after vaccine: left forearm, left side of jaw, right side of body above hip, side of right calf, and top of left hamstring. Rash started off red, then appeared to leak fluid and crusted over. Except for the unusual combinations of locations, it appeared much like shingles. So far it's been ten days and the initial rash on left forearm is healing but still visible; all the other sites are still actively red.

Other Meds:

Current Illness:

ID: 1242840
Sex: F
Age: 35
State: GA

Vax Date: 03/31/2021
Onset Date: 04/06/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Mango, Latex

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

Symptoms: About one week later, formed a sore throat for two days. The sore throat became a viral infection diagnosed as pityriasis rosea. Full-body "Christmas Tree" rash and flu-like symptoms. Expected to last 6-12 weeks. First time experiencing this viral infection or anything like it.

Other Meds:

Current Illness:

ID: 1242841
Sex: F
Age: 70
State:

Vax Date: 03/19/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: large saddle PE with large clot burden and scattered pulmonary emboli throughout all lobes.

Other Meds:

Current Illness:

ID: 1242842
Sex: F
Age: 34
State: MD

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: A light allergic reaction with it itchiness and a tickle to my throat

Other Meds:

Current Illness:

ID: 1242843
Sex: F
Age: 70
State: MI

Vax Date: 04/01/2021
Onset Date: 04/03/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Client had diarrhea, vomiting and abdominal cramping starting 2 days after vaccination. 4 episodes, then fatigue for 2 days after the vaccine. Had chills, but no know fever.

Other Meds: unknown

Current Illness: unknown

ID: 1242844
Sex: F
Age: 72
State: ME

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

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: When data entry nurse went to enter vaccine into the immunization registry, learned that the resident had previously received a dose of the Pfizer Covid vaccine on 12/28/20, despite the consent form stating she had never received the covid-19 vaccine.

Other Meds:

Current Illness:

ID: 1242845
Sex: F
Age: 43
State: IN

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Sulpha drugs

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Super intense body aches, aspirin and naproxen sodium, after around 12-15 hours, the body aches went away.

Other Meds:

Current Illness:

ID: 1242846
Sex: F
Age: 35
State: CT

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Pt received her 2nd dose of the Moderna COVID19 vaccine and while sitting in observation reported feeling very light headed. Pt reported this did not happen with her first dose. BP 128/86, HR 78, RR 16, O2Sat 98% . Repeat BP 118/76 HR 74, RR 16 O2sat 98% standing. No other symptoms noted. Pt was offered EMS evaluation to which the pt declined. Representative release form signed. Triaged by MD.

Other Meds: none

Current Illness: none

ID: 1242847
Sex: M
Age: 55
State: NC

Vax Date: 04/08/2021
Onset Date: 04/11/2021
Rec V Date: 04/22/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin, Aspirin, Sulfa Drugs, Acetominophene

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

Symptoms: Cerebellum Stroke 4/11/2021. Presented in the Emergency Room of both hospitals with dizziness, nausea, unable to walk. Treated 4/12-4/14 and then again 4/15-4/19.

Other Meds: Insulin

Current Illness: None

ID: 1242848
Sex: F
Age: 17
State: NY

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: This was an administration error, not an adverse event. The Health Department had left over vaccine at the end of clinic and opened this up to employees and their families. These appointments were not registered using as per our usual practice, but were done as walk-ins on paper. The vaccinating nurse was a fully vetted retired RN who had undergone training many times and had worked at many clinics. The vacinee's age was stated on the requisition form but the vaccinator missed this and gave Moderna to a 17-yr-old. Employees training always includes discussion of target group and age requirements. This occured at the end of a busy clinic on a day that included both electronically registered and non-registered individuals, which is not our usual practice. We will avoid this practice in the future and will continue to address age requirement in trainings, stressing the importance of checking this parameter in people who did not register electronically. If this person had tried to register electronically, she would not have been able to proceed after entering her age. Writer discussed with CDC and was told to administer dose 2 as planned and to complete VAERS reports for each dose.

Other Meds:

Current Illness:

ID: 1242849
Sex: F
Age: 66
State: TX

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

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

Lab Data:

Allergies: Gabapentin, Ativan, morphine

Symptom List: Unevaluable event

Symptoms: Had a seizure/stroke beginning at 8 pm and was brought to the ER. Was admitted in ICU

Other Meds: Keppra 1000 mg, Atorvastatin 40 mg, Donepezil 15 mg. Enalapril 5 mg, metoprolol 25 mg, aspirin 81 mg, Plavix 75 mg

Current Illness:

Date Died: 03/18/2021

ID: 1242850
Sex: M
Age: 80
State: CO

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 04/22/2021
Hospital: Y

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

Lab Data:

Allergies: unknown

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

Symptoms: Received #2 Moderna on 3/5/2021. Started to not feel well the next day. By 3/9/2021, he was too sick to get out of bed. Friends stayed with him the previous night and opted to call 911 for hospital transport on 3/9. He was admitted to a Medical Center and diagnosed with pneumonia. He died on 3/18/2021 in patient.

Other Meds: HIV medications, Hyterpertensive medications, cardiac meds

Current Illness: None

ID: 1242851
Sex: F
Age: 35
State: WA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Injection site pain, Pain

Symptoms: 3/12/2021 - Sudden, sharp, stabbing LEFT sided CHEST PAIN lasting a few seconds with sudden, sharp, stabbing RIGHT LOWER ABDOMINAL/PELVIC. Again, had episode of same quality and location CHEST PAIN within a few hours. From 3/12 to 4/12 experienced increasing frequency of CHEST PAIN that evolved over 3 weeks. Initially as sudden, sharp, stabbing pain with heartbeat. CHEST PAIN progressed to dull squeezing pain and significant palpitations worse with laying and some SOB with laying. Including evolution of dull LEFT shoulder ache as well. Helped to push against rib cage and sit up. Phentermine was stopped on 4/5/2021, symptoms had continued beyond cessation of phentermine. Also had ?COVID arm? (redness, swelling, terrible itching). The itching lasted for 3 weeks, redness for a few days. LEFT axillary lymphadenopathy x 2.5 weeks, painful to touch. 3/18 through 3/22- sore throat, headaches, congestion. Due to work protocols, had COVID PCR which was NEGATIVE 3/27/2021 ? loss of taste

Other Meds: Phentermine 37.5 mcg capsules daily Turmeric gummies

Current Illness: NONE

ID: 1242852
Sex: M
Age: 56
State: MN

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Injection site pain, Menorrhagia

Symptoms: Client was vaccinated and notified staff that he felt lightheaded and had a metallic taste in his mouth. He reported only eating a piece of toast today. He was transported to sit on the floor and given juice for lightheadedness. Client reported that he has a history of DM and HTN and had not taken meds today. At 0955, BP was 200/140, O2 99%, & HR 85. 1000: BP 220/112, HR 80, O2 98%. 1010 BP 200/124, O2 99%, and reported an increased headache and still had a metallic taste in his mouth. He was breathing comfortably. 1015: EMS was called. 1025: EMS arrived, BG 333 and client was transported to sitting up and still lightheaded. Client agreed to be transported to Fairview Ridges, where he's been in the past.

Other Meds: Unsure of specific medications: but is prescribed insulin, lisinopril, 2nd HTN med.

Current Illness: None known

ID: 1242853
Sex: F
Age: 51
State: IN

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Headache Chills Neck and body aches Tylenol extra strength 2 doses over 12 hour period All symptoms subsided within 24 hours

Other Meds: Multi vitamins Evening Primrose Fish Oil Vitamin E Vitamin D Vitamin B12 Fiber

Current Illness: None

ID: 1242854
Sex: M
Age: 38
State: HI

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/22/2021
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: Hallucinations, delirium, hysteria, loss of speech. I was counting the amount of letters and syllables in words instead of the letters that structured them.

Other Meds: None

Current Illness: None

ID: 1242855
Sex: F
Age: 26
State: MN

Vax Date: 01/26/2021
Onset Date: 04/18/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Asymptomatic positive COVID test on 4/18/2021

Other Meds:

Current Illness:

ID: 1242856
Sex: F
Age: 25
State: NJ

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/22/2021
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: Swollen lips with bleeding and rash

Other Meds: None

Current Illness: None

ID: 1242857
Sex: F
Age: 19
State: CA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List: Nausea

Symptoms: Pt vaccinated and syringe malfunctioned. Per Nurse administering dose, less than 0.1 mL was injected into patient. The rest leaked out of syringe. Pt vaccinated on opposite arm with full dose.

Other Meds: N/a

Current Illness: N/a

Date Died: 04/19/2021

ID: 1242858
Sex: F
Age: 77
State: NC

Vax Date: 01/07/2021
Onset Date: 04/19/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: penicillins, albuterol

Symptom List: Injection site pain

Symptoms: Patient contracted COVID 19 and subsequently expired from respiratory distress, following completion of the serious of two vaccination shots. She received her Moderna vaccinations on 1/7/21 and 2/4/21. I do not have access to the lot # info- would have to contact vaccination site to obtain

Other Meds: unnknown

Current Illness: unknown

ID: 1242859
Sex: M
Age: 50
State: NJ

Vax Date: 04/05/2021
Onset Date: 04/11/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Shingles - taking Valacyclovir

Other Meds: Zoloft, Edarby

Current Illness: No

ID: 1242861
Sex: F
Age: 51
State: GA

Vax Date: 04/11/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: Started having a period after not having one for 4 months. Tightness, slight pain in groin on right side. 3 small bruises in a line on right leg.

Other Meds: allegra, ashwaganda, l-theanine, fish oil, calcium, magnesium, vitamin d, vitamin c

Current Illness: n/a

ID: 1242862
Sex: F
Age: 34
State: MA

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Shell fish allergy

Symptom List: Tremor

Symptoms: Severe arm pain all the way down (same arm as injection) lasted one day, severe pain on bottom of the feet kept me awake all night, confusion, nausea, loss of appetite, muscle aches all over my body 2 days, slight head ache, fatigued, My aunt had a hard time waking me up. She shook me and called my name. I fell into a deep deep sleep. Slight chest pain lasted 1 or 2 minutes. If symptoms continued I would have called the Dr. All symptoms subsided.

Other Meds: Multi-Vitamin

Current Illness: None

ID: 1242863
Sex: F
Age: 44
State: TX

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/22/2021
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Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Pt reported "Flushing and heart racing"

Other Meds:

Current Illness:

ID: 1242864
Sex: F
Age: 49
State: WA

Vax Date: 04/05/2021
Onset Date: 04/12/2021
Rec V Date: 04/22/2021
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Allergies: seafood (shellfish)

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

Symptoms: Huge itchy raised rash, looks like a huge hive

Other Meds: diabetes meds, vitamins

Current Illness:

ID: 1242865
Sex: F
Age: 72
State:

Vax Date: 03/18/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
Hospital: Y

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Allergies:

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

Symptoms: Temp, fatigue, SOB with low O2 saturations using Oxygen

Other Meds:

Current Illness:

ID: 1242866
Sex: F
Age: 66
State: TX

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
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Allergies: Tetracycline & Quinine Sulfate

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Cant raise arm, whole arm hurts, Pain on shoulder & neck, headache since last night, stiffness on left shoulder area.

Other Meds: Isosorbid , Aspirin ,Amylodapine (Caicium,Mg & Zinc), (Super B Complex) & (Hair Skin & Nail gummies).

Current Illness: N/A

ID: 1242867
Sex: M
Age: 51
State: IN

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
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Allergies: None

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

Symptoms: Woke up feeling tired with mild body aches. Chills began at 10AM and lasted four hours. When the chills stopped the headache began and felt like a vise on the side of my head. Advil helped a little. The aches and headache continued until approximately 11PM the same day. Then suddenly everything faded away. This episode felt very similar to an illness I had in November 2019 when I also had a bad cough that lingered for four weeks. This was a month before the first public reports of COVID. The headache during both events is so distinct. I have never felt anything else like it. During the post 2nd dose of vaccine event I needed only a few tablets of Advil to control the headache and body aches. I drank plenty of water and rested. My appetite was not affected and I was able to rest and sleep. Overall the event last approximately 12 hours and disappeared as quickly as it began.

Other Meds: None

Current Illness: None

ID: 1242868
Sex: F
Age: 35
State: UT

Vax Date: 04/16/2021
Onset Date: 04/19/2021
Rec V Date: 04/22/2021
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Allergies:

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

Symptoms: Severe Headaches and bruising all over legs and other areas.

Other Meds:

Current Illness:

ID: 1242869
Sex: M
Age: 65
State: MN

Vax Date: 03/28/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
Hospital: Y

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Lab Data:

Allergies: NKA

Symptom List: Pain in extremity

Symptoms: Admitted for abdominal pain and weakness. Subsequently found to be COVID-19 positive, >14 post vaccination series

Other Meds:

Current Illness:

ID: 1242870
Sex: F
Age: 17
State: CA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/22/2021
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Allergies:

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

Symptoms: no adverse events, inadvertently provided covid 19 vaccine to underage

Other Meds:

Current Illness:

ID: 1242871
Sex: F
Age: 53
State: FL

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
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Allergies: none

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

Symptoms: First just feverish, chills, headache but on the morning of 4/22 at 6:50 a.m., I passed out while I was teaching online. I grazed my nose, but I was sitting in a chair at the time. I felt dizzy before the episode and very hot. I have fainted before many years ago, so it was a similar feeling.

Other Meds: Tylenol

Current Illness: none

ID: 1242872
Sex: F
Age: 30
State: TN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/22/2021
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Allergies: No

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

Symptoms: Shingles developed in right side going from right breast to diagonally on the side

Other Meds: None

Current Illness: No

ID: 1242873
Sex: F
Age: 71
State: NY

Vax Date: 02/14/2021
Onset Date: 03/16/2021
Rec V Date: 04/22/2021
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Allergies: None

Symptom List: Vomiting

Symptoms: Headache, muscle ache, fatigue

Other Meds: Losartan, Atorvastatin, B12, D3, Multivitamin,

Current Illness: Herpes zoster outbreak again after second dose 03/15/2021

ID: 1242874
Sex: M
Age: 47
State: CT

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/22/2021
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Allergies: N/A

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I was improperly and negligently administered the wrong vaccine by this clinic. My vaccination schedule was as follows: 3/11/2021 - Moderna COVID-19 Vaccine - Moderna US, Inc. LOT 040A21A - Health District 4/16/2021 - Pfizer-BioNTech Covid-19 Vaccine - Pfizer Manufacturing LOT HR-EP7533 The folks at the health clinic ignored my vaccination card which clearly stated I had already received my first dose of Moderna back in March and negligently administered a dose of Pfizer to me and sent me on my way. It was only the next day when I noticed the discrepancy on my vaccination card. When I scheduled my appointment with them on the computer prior to attending they advertised that they were a Moderna vaccine site. When I got there and tendered my papers for the appointment and my card which was already stamped Moderna from my first dosage no one said anything and they gave me the wrong injection. These people should be notified and held accountable for their negligence.

Other Meds: N/A

Current Illness: N/A

ID: 1242875
Sex: F
Age: 57
State: CO

Vax Date: 04/01/2021
Onset Date: 04/10/2021
Rec V Date: 04/22/2021
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Allergies: Erithromycin, Penicillin, Neomycin, Septra Soy, all nuts, all cheese, all legumes, sunflower, corn, squash, melons, various herbs related to ragweed Ragweed, Dust mites, formaldehyde

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

Symptoms: Full body hives and itchy skin. Added 50 mg Benadryl 3 x/day and Pepcid AC 1 x/day using topical Benadryl lotion on hives until they got too big. Called doctor on 04/16/2021 and call back on 04/17/2021 appointment set for 04/19/2021. Prednisone oral is currently being taken. Skin is still itchy and with hives.

Other Meds: Hydroxyzine HCL 25 mg 3 x/day; Vit D 2000 IU; Multivitamin; Glucosamine 375 mg; Calcium 454 mg; Cetrizine Hydrochloride 1/day; Aspirin 81 mg; Flonase nasal spray 50 mcg; Albuterol Inhaler 2 x/day; Volteran Cream, hands every 4 hour

Current Illness: Dermatographia Covid Positive March 5, 2021, tested + 03/10/2021 isolation ended on 03/31/2021

ID: 1242877
Sex: F
Age: 58
State: TX

Vax Date: 04/18/2021
Onset Date: 04/20/2021
Rec V Date: 04/22/2021
Hospital:

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Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient called to report about swelling on her arm one day after receiving COVID-19 vaccine (Administration date 4/18/21). Patient also mentioned having itching all over her arm and the injection site is warm to touch. She used cold compress, Benadryl and Tylenol for 2 days with no improvement in symptoms. Patient will be contacting her PCP tomorrow on 4/22/21 to be seen. We will follow up with patient tomorrow after her doctor's visit.

Other Meds: NORCO, ZOFRAN, FIORINAL, CELEXA, PROTONIX, FLEXERIL

Current Illness:

ID: 1242878
Sex: M
Age: 62
State: NY

Vax Date: 04/08/2021
Onset Date: 04/15/2021
Rec V Date: 04/22/2021
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Allergies:

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

Symptoms: Bleeding in my urinary tract for which they found a clot in my bladder the catheterized me to clear up blood

Other Meds: Aspirin 81mg Valsart/hctz 160/12.5mg Rosuvastatin10mg Shaklee vita-Lea men

Current Illness:

ID: 1242880
Sex: F
Age: 42
State: OH

Vax Date: 03/28/2021
Onset Date: 03/29/2021
Rec V Date: 04/22/2021
Hospital:

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Allergies: None known.

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

Symptoms: Developed a rash following first vaccine dose. First developed on lower back, then appeared on left forearm, and then back of right hand. Small hard blisters, itching, sandpaper-like feel to skin. Did not respond to topical cream or Benadryl. Still present.

Other Meds: Effexor and oral contraception prescriptions; general women's daily vitamin daily,

Current Illness: None known.

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am