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: 1246896
Sex: F
Age: 41
State:

Vax Date: 02/25/2021
Onset Date: 04/04/2021
Rec V Date: 04/23/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient presented to the ED and was subsequently hospitalized for 5 days.

Other Meds:

Current Illness:

ID: 1246897
Sex: F
Age: 38
State: MT

Vax Date: 04/07/2021
Onset Date: 04/19/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: Seasonal, maybe slightly allergic to pet dander

Symptom List:

Symptoms: I got red spots on the inside of both elbows 3-4 days after the vaccine. I received the vaccine on 4/7/2021. This is starting to clear up. On 4/19/21 I noticed I have a large swollen spot on the right side of my neck. I am currently taking antibiotics to see if it is a bacterial infection. The doctor and pharmacist think this could be a swollen lymph node after getting the Covid vaccine.

Other Meds: Vitamin D3, True Calm, Biotin, Omega 3 fish oil

Current Illness: None

ID: 1246898
Sex: F
Age: 19
State: IL

Vax Date: 04/06/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Right sided Bell's palsy. Treated with antiviral and prednisone.

Other Meds: Famotidine

Current Illness: None

ID: 1246899
Sex: M
Age: 62
State: AZ

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: NASAL ALLERGIES

Symptom List:

Symptoms: FROM THE AFTERNOON OF THE INJECTION I NOTICED A DEFINITE INCREASE OF TINNITUS FOR 13 DAYS. 14TH DAY TO CURRENT AN EVEN MORE PRONOUNCED RINGING IN BOTH EARS ALMOST UNBEARABLE AT TIMES.

Other Meds: FLUNISOLIDE, MONTELUKAST, FISH OIL, ZINC, TUMERIC

Current Illness:

ID: 1246900
Sex: F
Age: 53
State: PA

Vax Date: 04/13/2021
Onset Date: 04/19/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: Biaxin and Floxin

Symptom List:

Symptoms: Covid arm - itchy, red rash, sore, raised area where vaccine was given

Other Meds: None

Current Illness: None

ID: 1246901
Sex: F
Age: 59
State: TX

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient reported Shortness of Breath, trouble speaking in full sentences. Vitals within normal limits, Pt was transported to local hospital via EMS was treated and released for an allergic reaction.

Other Meds: Unknown

Current Illness: None

ID: 1246902
Sex: F
Age: 30
State: WI

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Event: Tongue is slightly swollen and very raw. The event was noticed approx 8 hours after the vaccination and persists into day 3. No treatment was needed, however it has impacted the ability to consume foods normally. I have resorted to eating soft foods and room temperature to avoid further irritation. Of note, the sensation has not led to loss of taste at the time of the report.

Other Meds: Prenatal vitamin; Omega-3

Current Illness: None

ID: 1246904
Sex: F
Age: 46
State: NY

Vax Date: 03/25/2021
Onset Date: 03/28/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: penicillin gluten

Symptom List:

Symptoms: Eczema rash on face below right eye. Treated with topical steroid cream. Resolved in two days. This rash also occurred three days after the first vaccine dose. It is unknown if the rash was related to the vaccine.

Other Meds: armour thyroid lithyronine lisinopril hydrochlorothiazide

Current Illness: n/a

ID: 1246905
Sex: F
Age: 48
State: CA

Vax Date: 04/13/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: After my Covid-19 shot, on 4/14 and 4/15 - I had stomach ache, chills, and a bad headache - on 4/16 I felt great! Yesterday 4/22 - I woke up with the same headache, chills on stomach ache but this time I felt like throwing up all day. I went into work thinking this would would pass, but ended up having to use the restroom all day while working with kids. I was worried but remembered that these were the same symptoms as after the first shot, except the stomach ache and headache are a little stronger. Today 4/23, I am a bit worse, so I stayed home and called off my zoom classes as I am throwing up and using the restroom quite a bit and the headache is the same as yesterday, just on the left side of my head today.

Other Meds: Ibprofen - Vitamin D3 Tums

Current Illness:

ID: 1246906
Sex: F
Age: 17
State: KY

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 17 y/o presented for Moderna COVID-19 vaccine accompanied by mother, whom signed consent for vaccination. Patient was monitored post injection x 15 minutes with no side effects. Mother instructed on possible side effects to monitor and report.

Other Meds: none

Current Illness: None

ID: 1246907
Sex: F
Age: 63
State: PA

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Arthritis flare-up

Other Meds: Lisinopril 10 mg, Move Free Ultra

Current Illness:

ID: 1246908
Sex: M
Age: 26
State: WI

Vax Date: 04/16/2021
Onset Date: 04/18/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tinnitus and fullness in ears has persisted since Sunday evening

Other Meds: Lisinoptil 10 MG

Current Illness: Was diagnosed with COVID on 3/30 and had fully recovered prior to vaccine date

ID: 1246909
Sex: F
Age: 56
State: GA

Vax Date: 04/06/2021
Onset Date: 04/20/2021
Rec V Date: 04/23/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: vision issues - double vision, unable to focus, moving objects, nystagmus upon waking up for work, immediate visit to ER, code "stroke" called, 1 CT scan, 2 MRIs, waiting on referral to Hospital for temporal lobe MRI, currently taking ASA daily Discharge dx - TIA

Other Meds: Align, Citracel, Xanax, Fish Oil

Current Illness: none

ID: 1246910
Sex: M
Age: 73
State:

Vax Date: 03/08/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Breakthrough covid positive patient

Other Meds:

Current Illness:

ID: 1246911
Sex: M
Age: 47
State: IA

Vax Date: 04/02/2021
Onset Date: 04/21/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Tinnitus. Not going away.

Other Meds: High Blood Pressure Medication

Current Illness:

ID: 1246912
Sex: M
Age: 49
State: MO

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Chronic fatigue. Has gone on for two weeks now. Some days better than others, but no matter how much sleep I get I am always tired.

Other Meds: Just a daily multipurpose vitamin

Current Illness: No

ID: 1246913
Sex: M
Age: 15
State: LA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Moderna COVID-19 EUA given prior to vaccination. recipient wearing mask and cap, arrived to vaccination table with registration form completed. vaccinator reviewed form and vaccine given in Left arm. Second gentleman sat down and handed form to vaccinator. When vaccinator saw the DOB on the form she questioned the gentleman. Upon noting the DOB, he told the vaccinator that this was his son's form whom she had already vaccinated. They unknowingly switched their forms. Father signed consent for son. Both monitored for 15 min. and released.

Other Meds: None

Current Illness: None

ID: 1246914
Sex: F
Age: 26
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SOB (patient reported history of anxiety)

Other Meds:

Current Illness:

ID: 1246915
Sex: F
Age: 54
State: OH

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin Bactrum Keflex

Symptom List:

Symptoms: Fever over 100; extreme soreness in whole body, horrible headache, swollen lymph node in left armpit, difficulty moving left arm

Other Meds: 81 mg aspirin, celexa 40 mg. Celebrex 200 mg.

Current Illness: None

ID: 1246916
Sex: F
Age: 67
State: WI

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received first dose of Pfizer COVID-19 vaccine, lot #EL9264, on 1/30/2021 at 1300. Patient has a history of allergies to Bactrim (hives), Clindamycin (unknown), nitrofurantoin (rash), penicillins (unknown), yellow dyes (hives), and azithromycin (unknown). When asked, patient states all of her allergies result in a rash treated with Benadryl--has not experienced anaphylactic shock or any life-threatening reactions. Patient was in waiting area and noticed that she felt flushed. Patient was brought back to exam room and examined by pharmacist and nurse. Erythema present at injection site, down arm, on neck, and face. Skin was flat and warm. Patient reported feeling anxious, but no nausea, dizziness, shortness of breath, or other symptoms. No swelling was noted in extremities or in lips or tongue. Blood pressure was 170/110 and heart rate was 130 bpm. Patient was given diphenhydramine 75 mg PO (was offered 50 mg but patient reported she typically takes 75 mg for past allergic reactions) and asked to stay for 30 more minutes. After 30 minutes, blood pressure decreased to 150/90 (pt has documented history of white coat syndrome), skin was less erythematous and the area of redness decreased. Asked patient if a family member could be called to pick her up; patient declined stating she lives just a few minutes away. Patient was instructed to seek emergent care if she develops difficulty breathing or other signs of anaphylaxis.

Other Meds:

Current Illness:

ID: 1246917
Sex: F
Age: 66
State: FL

Vax Date: 04/08/2021
Onset Date: 04/16/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: penicillin, codeine , gluten intolerant

Symptom List:

Symptoms: ringing in the left ear, whirling in the left ear & loss of hearing in the left ear

Other Meds: aspirin 81 mg, Lisinopril 10 mg, simvistatin 20 mg, Vitamin B-12 1000mcg, vitamin C 1000mg, vitamin D3 25 mcg, Zinc 50 mg, Tumeric Complex with black pepper 500 mn

Current Illness: none

ID: 1246918
Sex: F
Age: 63
State: IN

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: Toradol, amoxipine, many allergies,

Symptom List:

Symptoms: Day of injection, started feeling like I was light headed and high, could not concentrate. The next three days, muscles in back of neck and shoulders tightened, hard to lift arms, tired and headache on left side, coughing and hot flashes started on Friday to Sunday with insomnia and diarrhea, saw doctor on Monday . As of today, headache on left side of temple and muscle soreness

Other Meds: Omeprazole dr 40 mg Amlodipine besylate 5 mg Losartan potassium 100 mg Metrolol tartate 25 mg Viatimin d 1.25 mg Eliquis 5 mg Ezetimibe 10 mg Allegra d

Current Illness: Since first shot on 3/18/21. Headache on left side of temple, muscle aches, cough in morning

ID: 1246919
Sex: F
Age: 29
State: TN

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: decreased blood pressure, diaphoretic, emesis

Other Meds:

Current Illness:

ID: 1246920
Sex: F
Age: 61
State: MD

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Pt. c/o feeling light-headed 5 mins after receiving vaccine. She was taken in a wheel chair to a cubicle in the observation hall and made to lie down for assessment and observation. V/S -b/p 151/97, resp16, H/R 88, O2 96%RA. Pt. was verbal, A&Ox 4. After 15 mins of observation and monitoring, Pt was re-assessed in a sitting position for about 23 mins when she said she felt well and okay to leave. V/S obtained at 10:35 a m was b/p 146/75, resp.14, H/R 80. She also denied pain, respiratory distress or dizziness. She left the observation hall unassisted at 10:38 a m.

Other Meds: none

Current Illness: Asthma

ID: 1246921
Sex: M
Age: 62
State: MO

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Intense muscle twitching in my lower extremities, especially in the feet and calf muscles of both legs. Abodominal muscle spasms were present but not as prevalent or obnoxious as my legs. Also twitching in my right deltoids, triceps and thumb muscle. Could not sleep for two days . I began to get a headache due to no sleep so I took two 200 mg Advil tablets. I was able to sleep that night because the twitches had greatly subsided. I still have frequent but light twitches .

Other Meds:

Current Illness:

ID: 1246922
Sex: M
Age: 63
State:

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: one episode of increased heart rate that lasted 20-30 minutes

Other Meds:

Current Illness:

ID: 1246923
Sex: F
Age: 59
State: IN

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: Iodine

Symptom List:

Symptoms: Chills; Fever 101; Pain from bottom of hip bones through top of both knees; Pain both temple lobes; Pain from top of nose bridge vertical through top of head; Pain from bottom of neck up through back of head to bottom of both ears

Other Meds: Prednisone, Micro-k, Vitamin D, Low dose aspirin

Current Illness:

ID: 1246925
Sex: M
Age: 62
State: IN

Vax Date: 04/14/2021
Onset Date: 04/16/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: He got the vaccine, had a little pinch, did not bother him. Then it got a little sore and went away. A day or two later things would show up, got fatigued, headache seemed to be the main thing, nausea without vomiting, chills and no fever. The symptoms are moving around the body with body aches. This morning when he got up he was very nauseated, and not feeling well. Did not go to work as not knowing if he had the flu or anything else.

Other Meds: Multivitamin, folic acid, calcium/magnesium/zinc, B complex, Nitrous oxide. Prednisolone 1% prn.

Current Illness: None.

ID: 1246926
Sex: F
Age: 46
State: IN

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

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

Lab Data:

Allergies: Benzoyl Peroxide

Symptom List:

Symptoms: Swollen right eye

Other Meds: 1. Nexium (40mg) once per day 2. Anastrozole (1mg) once per day 3. Lisinopril (10 mg) once per day 4. Carvedilol (25 mg) 2x per day 5. Effexor (75mg) once per day 6. Valacyclovir (500 mg) once per day 7. Jentadueto (2.5/1,000mg) 2x per da

Current Illness: N/A

ID: 1246927
Sex: F
Age: 40
State: MI

Vax Date: 01/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Received 2nd COVID vaccine on 1/9/2021. On 4/11/2021 developed headache, loss of taste/smell, and nasal congestion. Tested positive for COVID.

Other Meds: elderberry fruit oral, eve primrose/linoleic/gamoleni oil, fish oil, multivitamin, zinc acetate oral

Current Illness: none

ID: 1246928
Sex: F
Age: 31
State: NC

Vax Date: 04/10/2021
Onset Date: 04/13/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Ringing in both ears. Stuffiness in ear and inner ear pain. Been trying to take supplements zinc, NAC, ginkgo biloba, multi vitamins and Claritin. Ringing still persisting after 11 days

Other Meds: lo fe loestrin

Current Illness: None

ID: 1246929
Sex: F
Age: 16
State: AZ

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: Dairy intolerance

Symptom List:

Symptoms: Low fever, chills, vomiting, disoriented, bad headache, adversion to light and sound, weakness, tired

Other Meds: Concerta 10 mg

Current Illness:

ID: 1246930
Sex: F
Age: 59
State: IL

Vax Date: 03/20/2021
Onset Date: 03/22/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: Celiac

Symptom List:

Symptoms: Severe tinnitus 2 days after first injection. Continued and made worse by second injection. Absolutely no improvement.

Other Meds: Propanol Omeprazole Magnesium B12

Current Illness: Osteoporosis Fibro

ID: 1246931
Sex: F
Age: 21
State: MN

Vax Date: 04/01/2021
Onset Date: 04/06/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Received 2 bloody noses during the day on 4/6/21, then 3 bloody noses on 4/8/21

Other Meds: Birth control

Current Illness: NA

ID: 1246932
Sex: F
Age: 28
State: NC

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

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: I started off with typical symptoms: swollen lymph node (right armpit), migraine, chills, body aches/ joint aches in knees and legs and a fever. I had taken Tylenol extra strength every 4-6 hours which seemed to help. A day and a half after my second vaccine (4/23 2:00 AM), I started having diarrhea and vomiting (intensely). I had two vasovagal syncope episodes, each about 30 min from each other, I am not sure how long I was unconscious either time. It is 4/23 today at 12:14 PM and I am still not able to stand without fainting or vomiting. My fever is gone now, but I am still having hot flashes/ chills/ body aches/ nausea.

Other Meds: Birth control: Cyclafem 1/35

Current Illness: N/A

ID: 1246933
Sex: F
Age: 41
State: IL

Vax Date: 04/16/2021
Onset Date: 04/21/2021
Rec V Date: 04/23/2021
Hospital: Y

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

Lab Data:

Allergies: Sulfa Drugs

Symptom List:

Symptoms: 5 days after receiving my first vaccine, my heart went into Atrial Fibulation. That has never happened before. I was put into the hospital to get it back into normal rythm. I was 9 1/2 weeks pregnant when the incident occured. I do have some minor heart issues already known such as Mitral Valve Prolapse and a small PFO. However other than a flutter here and there the last 25 years of my life, I havent had any issues. It makes me wonder if the vaccine set it off.

Other Meds: Endometrin, Estradiol, Baby Aspirin, Levothyroxine, Metformin

Current Illness: N/A

ID: 1246934
Sex: F
Age: 39
State: FL

Vax Date: 04/19/2021
Onset Date: 04/20/2021
Rec V Date: 04/23/2021
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Symptoms: fever, body aches, sleeping,--24 hours after 2nd vaccine throwing up and diahria , sore throat- 48 hours after 2nd vaccine

Other Meds: lisinsopril 5mg tramadol 50 mg clonozapam 10 mg flonase albuterol

Current Illness:

ID: 1246935
Sex: F
Age: 46
State: NJ

Vax Date: 04/01/2021
Onset Date: 04/03/2021
Rec V Date: 04/23/2021
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Allergies: ?

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Symptoms: A large lump near my collar bone. The lump was tender to the touch. Also, in addition to arm soreness, I was unable to turn my neck to the left. Felt like a pinched nerve.

Other Meds: Synthroid

Current Illness: None

ID: 1246936
Sex: F
Age: 73
State: MT

Vax Date: 04/13/2021
Onset Date: 04/20/2021
Rec V Date: 04/23/2021
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Allergies: Solarcaine , paroxetine

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Symptoms: Moderna COVID-19 Vaccine EUA - Slight swelling and soreness at the injection site for 7 days. On the eighth day after the shot I developed redness and a little more swelling and itching. Area is 1 to 1 1/2 inch square.

Other Meds: Solifenacin Succinate 10 mg, Levothyroxine Sodium 25 mg, multi vitamin, fish oil, caltrate D, glucosamine, gingko biloba, B complex, Vitamin D, presser vision, CoQ10, melatonin, vital 3.

Current Illness: none

ID: 1246937
Sex: M
Age: 16
State: CA

Vax Date: 04/17/2021
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Rec V Date: 04/23/2021
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Symptoms: Moderna administered to 16 year old patient by staff inadvertently. After mistake was realized, family was called and notified. CDC guidance reviewed and patient will be scheduled to proceed with second dose of Moderna.

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Current Illness:

ID: 1246938
Sex: M
Age: 47
State: MI

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/23/2021
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Allergies: Seasonal allergies, allergic to augmentin.

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Symptoms: Afyer first dose, extreme nausea and dizziness for about an hour. Almost called 911. Slowly subsided over the course of day one. After that, ten days of extreme fatigue. Ringing in my ears that resurfaced after second dose.

Other Meds: Xyzal, omeprazole, probiotics

Current Illness: IBS

ID: 1246939
Sex: M
Age: 22
State: LA

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/23/2021
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Allergies: Augmentin, Penicillin, amoxicillin

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Symptoms: Confirmed Shingles treated with Val acyclovir and gabapentin. Rash (scaring) is still present but pain has subsided

Other Meds: Zyrtec

Current Illness: None

ID: 1246940
Sex: F
Age: 50
State: SD

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/23/2021
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Allergies: None

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Symptoms: Chills, 102 fever, jack-hammering headaches, body aches, chest pain, dizziness, plugged ears, stiff harm, sore lymph nodes. All finally went away after day 5 except still have chest pains.

Other Meds: Estroven Acyclovir Rosuvastatin Levothyroxine

Current Illness: None

ID: 1246941
Sex: M
Age: 27
State: PA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/23/2021
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Allergies: NKA

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Symptoms: Post vaccine patient stated his vision began to be blurry and he felt clammy, sweaty and like he wanted to pass out. Pt was transferred to the observation area. Pt laid down on the stretcher and was given some graham crackers and water. Shortly after the patient stated he was feeling better . Vitals as follows: 1120 SITTING BP 109/74 HR 71 RR 71 SpO2 99; 1124 LYING BP 110/72 HR 74 RR 20 SpO2 99; 1128 BP 104/71 HR 76 RR 20 SpO2 100; 1135 standing BP 107/63 HR 71 RR 18 SpO2 98

Other Meds: N/A

Current Illness: N/A

ID: 1246942
Sex: M
Age: 41
State:

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/23/2021
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Symptoms: Flushed feeling BP=110/62 HR=68 O2=97% Seen in medical screening by RN. Patient release at 12:15 p.m.

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ID: 1246943
Sex: F
Age: 56
State: NV

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 04/23/2021
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Allergies: None

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Symptoms: Horrible Ringing in Ears post the second dose

Other Meds: Levothyroxine

Current Illness: None

ID: 1246944
Sex: M
Age: 60
State: MD

Vax Date: 04/20/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
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Allergies: Clindamycin, chocolate

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Symptoms: Bell's Palsy of Left lower face/jaw started upon waking 4/22/21, pt's 2nd dose was 4/20/21

Other Meds: Allopurinol, synthroid, lisinopril, tamsulosin, atorvastatin, pantoprazole, VitD3, ASA

Current Illness: Possible lymphadenopathy of posterior auricular node with headache that started 1 weeks prior to 2nd vaccination on 4/20/21 and 2 weeks after 1st dose on 3/30/21

ID: 1246945
Sex: F
Age: 53
State: AZ

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/23/2021
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Allergies: none

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Symptoms: SITE REACTION ONLY: REDNESS AND SWOLLEN, ITCHY BUMP FOR 12 DAYS. PEAKING ON DAY 10 AT 2 INCHES ACROSS. THEN RECEEDING.

Other Meds: presciption high blood pressure meds

Current Illness: none

ID: 1246946
Sex: F
Age: 57
State: IN

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
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Allergies: Ceclor

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Symptoms: I have body aches and an all over feeling of Malaise, flushed face and headache

Other Meds: Prozac fish oil Vitamin B12 Claritin Vitamin D Vitamin C Multi vitamin

Current Illness:

ID: 1246947
Sex: F
Age: 43
State: TX

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/23/2021
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Allergies: NKDA

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Symptoms: Patient complain of tongue tingling and itchy throat, on assessment noted small raised bumps on tongue, redness of face, patient denies any shortness of breath, Benadryl 25mg po given, tolerated well . Was reassessed after 20 minutes, denies any discomfort in throat, no raised bumps noted, member was notified to pick up patient for home, Left at 9:28 accompanied by staff to car with family, no shortness of breath noted.

Other Meds: no

Current Illness: NO

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm