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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 1249275
Sex: M
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: LIVER DAMAGE; PAIN IN LOWER RIGHT ABDOMINAL AREA; This spontaneous report received from a patient concerned a 3 decade (in twenties)old male. The patient's height, and weight were not reported. The patient's concurrent conditions included social alcohol drinker, and other pre-existing medical conditions included patient had no history of drugs/prescription drugs. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) frequency 1 total, dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. After vaccine, on an unspecified date, the patient was rushed to the emergency room. The doctors could not diagnose the pain in lower right abdominal area but found that the liver had been severely damaged (coded as liver damage) in a short period of time. Patient stated that his medical group would like him to undergo further testing and had scheduled him for the same since their concerns were whether the patient's liver would fail or cause immune system disorders in the future. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from liver damage, and the outcome of pain in lower right abdominal area was not reported. This report was serious (Other Medically Important Condition).; Sender's Comments: V0: 20210430986 - covid-19 vaccine ad26.cov2.s - liver damage. This event is considered unassessable. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event.

Other Meds:

Current Illness: Social alcohol drinker (not excessive alcoholic.)

ID: 1249276
Sex: M
Age:
State: IN

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

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: LUMP ON RIGHT TESTICLE; This spontaneous report received from a consumer concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration not reported, batch number: Unknown) dose was not reported, administered on 12-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported No concomitant medications were reported. On an unspecified date, the subject experienced lump on right testicle. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from lump on right testicle. This report was non-serious.

Other Meds:

Current Illness:

ID: 1249277
Sex: F
Age:
State: OH

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

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

Lab Data:

Allergies:

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

Symptoms: NOSE BLEED WITH BIG CLOT WHEN BLOWING NOSE; SINUS TYPE HEADACHE; TIREDNESS; STOMACH CRAMPS; This spontaneous report received from a patient concerned a 53 year old female. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included patient had no history of headaches.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 201921A, expiry: UNKNOWN) dose was not reported, administered on 07-APR-2021 for prevention of covid-19. No concomitant medications were reported. On 07-APR-2021, the subject experienced stomach cramps. On 07-APR-2021, the subject experienced tiredness. On 09-APR-2021, the subject experienced sinus type headache. On 10-APR-2021, the subject experienced nose bleed with big clot when blowing nose. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from nose bleed with big clot when blowing nose on 10-APR-2021, stomach cramps, and tiredness on 08-APR-2021, and sinus type headache on 11-APR-2021. This report was non-serious.; Sender's Comments: V0: This 53-year-old male patient sho reported nose bleeding with big clot of blood when eh blew his nose 3 days after receiving Janssen COVID-19 vaccine for the prevention of symptomatic SARS-CoV-2 virus infection. The patient also reported stomach cramps and tiredness on the day of vaccination and sinus type of headache 2 days after vaccination. The patient denies any history of headache. The patient recovered from the events. No other details reported. Based on the information that is available, the event is assessed as plausible with the causal association to immunization, per WHO causality classification of adverse events following immunization based on a lack of a definitive plausible biological mechanism. However, considering the temporal relationship and recently evolving theories in the literature about COVID infections and vaccinations, potential vaccine contribution cannot be excluded. Additional information is requested

Other Meds:

Current Illness:

ID: 1249278
Sex: F
Age:
State: MO

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: BLOOD CLOT IN LEFT LUNG; This spontaneous report received from a consumer concerned a female of unspecified age (in late 40's or early 50's) and ethnicity unspecified. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown, Expiry: UNKNOWN) dose, 1 total, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the patient was diagnosed with blood clot in her left lung after receiving the vaccine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of blood clot was not reported. This report was serious (Other Medically Important Condition).; Sender's Comments: V0: This female patient of unspecified ethnicity, in her late 40's or realy 50's, was reported to have blood clot in h er lungs after an unspecified duration from receiving Janssen COVID-19 vaccine for the prevention of symptomatic SARS-CoV-2 virus infection. No other details was reported. Based on the information that is available, the event is assessed as indeterminate with the causal association to immunization, per WHO causality classification of adverse events following immunization based on a lack of a definitive plausible biological mechanism. However, considering the temporal relationship and recently evolving theories in the literature about COVID infections and vaccinations, potential vaccine contribution cannot be excluded. Additional information will be requested once contact information is obtained

Other Meds:

Current Illness:

ID: 1249279
Sex: U
Age:
State: NC

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

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

Lab Data:

Allergies:

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

Symptoms: DIZZINESS; BODY ACHES; FEVER; This spontaneous report received from a patient concerned a 48 year old of unspecified sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 203A21A expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced dizziness. On 12-APR-2021, the subject experienced body aches. On 12-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from dizziness, body aches, and fever on APR-2021. This report was non-serious.

Other Meds:

Current Illness:

Date Died:

ID: 1249280
Sex: M
Age:
State: FL

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

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

Lab Data:

Allergies:

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

Symptoms: HEART ATTACK FROM BLOOD CLOT; This spontaneous report received from a patient via a company representative concerned a Not Hispanic or Latino and Asian male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On an unspecified date, the patient experienced heart attack from blood clot and the patient died. It was unspecified if an autopsy was performed. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. This report was serious (Death).; Sender's Comments: V0: This is an Asian male, unspecified age, who experienced a heart attack from a blood clot on an unspecified date after receiving the covid-19 vaccine ad26.cov2.s also on an unspecified date. No other details given. The information provided precludes a meaningful medical assessment. Additional information will be requested.; Reported Cause(s) of Death: DEATH

Other Meds:

Current Illness:

ID: 1249281
Sex: F
Age:
State: NJ

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

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: INTERMITTENT SHORT OF BREATH; UNCONTROLLABLE CHILLS; SEVERE HEADACHE; FEVER; FATIGUE; LIGHT-HEADED; EXCORIATING BACK PAIN; PROFUSE SWEATING; VOMITING; STOMACH PAIN; This spontaneous report received from a patient concerned a 53 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included asthma, and other pre-existing medical conditions included the patient had no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 1805020 expiry: UNKNOWN) dose was not reported, administered on 20-MAR-2021 11:00 for prophylactic vaccination. No concomitant medications were reported. On 20-MAR-2021, the subject experienced light-headed. On 20-MAR-2021, the subject experienced excoriating back pain. On 20-MAR-2021, the subject experienced profuse sweating. On 20-MAR-2021, the subject experienced vomiting. On 20-MAR-2021, the subject experienced stomach pain. On 20-MAR-2021, the subject experienced severe headache. On 20-MAR-2021, the subject experienced fever. On 20-MAR-2021, the subject experienced fatigue. Laboratory data included: Body temperature (NR: not provided) 103 F. On 20-MAR-2021 20:00, the subject experienced uncontrollable chills. On 21-MAR-2021, the subject experienced intermittent short of breath. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from light-headed, and uncontrollable chills on 20-MAR-2021, excoriating back pain, profuse sweating, severe headache, and fever on 22-MAR-2021, vomiting on 21-MAR-2021, and intermittent short of breath, and fatigue on MAR-2021, and had not recovered from stomach pain. This report was non-serious.

Other Meds:

Current Illness: Asthma

ID: 1249282
Sex: M
Age:
State: AL

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

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: CHEST PAIN; MUSCLE CRAMPS; MUSCLE WEAKNESS; LEG PAIN; SHARP PAINS IN HEAD/HEADACHES; This spontaneous report received from a consumer concerned a male of unspecified age. The patient's height, and weight were not reported. The patient's concurrent conditions included alcoholic, and smoker, and other pre-existing medical conditions included the patient was healthy. The patient had no known allergies. The patient had no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1042A21A expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced chest pain. On APR-2021, the subject experienced muscle cramps. On APR-2021, the subject experienced muscle weakness. On APR-2021, the subject experienced leg pain. On APR-2021, the subject experienced sharp pains in head/headaches. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from sharp pains in head/headaches, muscle weakness, muscle cramps, chest pain, and leg pain. This report was non-serious.; Sender's Comments: V0:Medical assessment comment not required as per standard operating procedures.

Other Meds:

Current Illness: Alcohol use (only on weekends; occasionally 1/2 liter in 2 days); Smoker (Less than 1/2 pack per day)

ID: 1249283
Sex: F
Age:
State: PA

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: HOT FLASH; NAUSEA; JOINT PAIN/JOINT BURNING; FOGGINESS; VOMITING; FACIAL REDNESS; METALLIC TASTE; APPETITE LOST; SWOLLEN TONGUE; PAIN TONGUE; PEELING TONGUE; ADVERSE REACTION; LOSS OF TASTE; This spontaneous report received from a patient concerned a 62 year old female. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 04DDZ1D expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced hot flash. On APR-2021, the subject experienced nausea. On APR-2021, the subject experienced joint pain/joint burning. On APR-2021, the subject experienced fogginess. On APR-2021, the subject experienced vomiting. On APR-2021, the subject experienced facial redness. On APR-2021, the subject experienced metallic taste. On APR-2021, the subject experienced appetite lost. On APR-2021, the subject experienced swollen tongue. On APR-2021, the subject experienced pain tongue. On APR-2021, the subject experienced peeling tongue. On APR-2021, the subject experienced adverse reaction. On APR-2021, the subject experienced loss of taste. The dose of covid-19 vaccine ad26.cov2.s was increased. The outcome of the hot flash, nausea, joint pain/joint burning, fogginess, vomiting, facial redness, metallic taste, appetite lost, swollen tongue, pain tongue, peeling tongue, adverse reaction and loss of taste was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1249284
Sex: F
Age:
State: TN

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

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: BODY ACHES; ARM SORENESS; HEADACHE; HIGH BLOOD PRESSURE; NASAL CONGESTION; This spontaneous report received from a patient concerned a 50 year old female. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808978, expiry: UNKNOWN) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced high blood pressure. On APR-2021, the subject experienced nasal congestion. On APR-2021, the subject experienced headache. Laboratory data included: Blood pressure (NR: not provided) 130/85 mmHg, 160/100 mmHg. On 08-APR-2021, the subject experienced body aches. On 08-APR-2021, the subject experienced arm soreness. On 15-APR-2021, Laboratory data included: Blood pressure (NR: not provided) 145/95 mmHg. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, and arm soreness on 08-APR-2021, and had not recovered from high blood pressure, headache, and nasal congestion. This report was non-serious.; Sender's Comments: v0-Medical assessment comment is not required as per standard operating procedures, as the case was assessed as non-serious.

Other Meds:

Current Illness:

ID: 1249285
Sex: F
Age:
State: CA

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

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

Lab Data:

Allergies:

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

Symptoms: WARM RUSH FEELING IN HEAD; SWEATING; BLOOD PRESSURE HIGH; HEART RATE INCREASED; CANNOT SLEEP; TENDERNESS TO ARM ELBOW TO WRIST; CHILLS; SWOLLEN ARM ELBOW TO WRIST; ANXIOUS; MUSCLE STRAIN; This spontaneous report received from a patient concerned a 31 year old female. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A expiry: UNKNOWN) dose was not reported, administered on 04-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced muscle strain. Laboratory data included: Blood test (NR: not provided) did not find anything, and Diagnostic ultrasound (NR: not provided) did not find anything. On 11-APR-2021, the subject experienced swollen arm elbow to wrist. On 11-APR-2021, the subject experienced anxious. On 11-APR-2021, the subject experienced sweating. On 11-APR-2021, the subject experienced blood pressure high. On 11-APR-2021, the subject experienced heart rate increased. On 11-APR-2021, the subject experienced cannot sleep. On 11-APR-2021, the subject experienced tenderness to arm elbow to wrist. On 11-APR-2021, the subject experienced chills. Laboratory data included: Blood pressure (NR: not provided) High, and Heart rate (NR: not provided) Increased. On 13-APR-2021, the subject experienced warm rush feeling in head. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from swollen arm elbow to wrist, tenderness to arm elbow to wrist, anxious, chills, sweating, blood pressure high, heart rate increased, cannot sleep, warm rush feeling in head, and muscle strain. This report was non-serious.; Sender's Comments: V0: Medical assessment comments not required as per standard procedure as the case is considered non serious.

Other Meds:

Current Illness:

ID: 1249286
Sex: F
Age: 26
State: AR

Vax Date: 04/01/2021
Onset Date: 04/16/2021
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: Rash, Urticaria

Symptoms: Morning of April 16th, had a massive nosebleed (first one I?ve experienced in my life, no previous nosebleeds). It lasted about an hour. Petechiae covered my body. Went in to see my doctor for a previously scheduled routine checkup. While there, mentioned the nosebleed and ?spots?. He took some blood work and found out that my platelet count was only 1,, when it?s supposed to be 400. He admitted me into the hospital where I stayed until 04/19/2021 after receiving platelets, immunoglobulins, and prednisone.

Other Meds: Wellbutrin and Junel

Current Illness: Auto-immune disease, still being diagnosed. Possibly lupus or Rheumatoid arthritis.

ID: 1249287
Sex: F
Age:
State: CA

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

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

Lab Data:

Allergies:

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

Symptoms: LEFT BREAST OR CHEST PAIN/BURNING; BACK PAIN; BILATERAL LEG PAIN; This spontaneous report received from a patient concerned a 37 year old female. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included the patient have no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced left breast or chest pain/burning. On 10-APR-2021, the subject experienced back pain. On 10-APR-2021, the subject experienced bilateral leg pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from bilateral leg pain, left breast or chest pain/burning, and back pain. This report was non-serious.; Sender's Comments: V0:As per standard protocol, MAC comment is not required for non-serious cases.

Other Meds:

Current Illness:

ID: 1249288
Sex: F
Age: 75
State: MA

Vax Date: 04/02/2021
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:

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

Symptoms: Approximately 4-5 days after second dose patient reported spontaneous rectal hemorrhage after bowel movement unrelated to any known prior issues. No pain reported.

Other Meds: Methotrexate Cosentyx Oxycodone Lyrica Lisinopril Protonix Folic acid Metoprolol

Current Illness:

ID: 1249289
Sex: F
Age: 18
State: IL

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: Penicillin

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

Symptoms: Patient received vaccine, was told to wait 15 minutes for observation. After about 10 minutes she said she felt dizzy. I had her sit and elevate her feet. She said she felt a bit better, then a minute later felt nauseous. She vomited a small amount and said she felt a little better. I took her blood pressure and it was 118/79 mmHg and 91 for pulse. She said she was feeling better but she'd wait around some more. She left about 10-15 minutes after she said that.

Other Meds: Sertraline 50mg once daily

Current Illness:

ID: 1249290
Sex: F
Age: 55
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Later of the day I got the shot, I started feel flu-like symptoms: fatigue, bodyaches and a fever (about 100 F). I took Tylenol next morning and rested all morning, then I was feeling okay in the afternoon.

Other Meds:

Current Illness:

ID: 1249291
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/23/2021
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: Heavy drainage. Inflamed throat severe burning In chest area behind brests to back. I thought I had bronchial pneumonia. Chest hurt do bad for 24 days

Other Meds:

Current Illness:

ID: 1249292
Sex: F
Age: 37
State: VA

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:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Tooth sensitivity that felt like spread through the gums. Lasted several hours. Bad enough to keep awake from sleep and consider going to a hospital. Laying down feels better than sitting or standing up. Tried oragel to numb the effected area. Did not alleviate pain. Did not try to treat otherwise.

Other Meds:

Current Illness:

ID: 1249293
Sex: F
Age: 30
State: OH

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: Ceclor, cipro, amoxicillin, latex, adhesives, peach, pear, cranberries, tomatoes, avocados, bananas, pineapples

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: By 14:30 on April 21 I started to get body aches, nausea, a headache, and felt off. At 07:00 April 22 I woke up with severe body pain, a headache and a temperature of 102*. I utilized Tylenol to bring the fever down to 100* by 10:00. It rose again at 14:00 and 18:00 to 102* requiring more Tylenol. The fever broke around 02:00 on April 23. Body aches continue but not as severe. My injection side was sore April 21 and by 20:00 on April 22 it was very painful and became a large lump about the size of a golf ball. By 07:00 April 23, the injection site was still very swollen and painful but now is warm to the touch, and bright red.

Other Meds: Plaquenil, fish oil, multivitamins, famotidine

Current Illness:

ID: 1249295
Sex: F
Age: 53
State: OH

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: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Patient was very lightheaded after second dose. Blood pressure was elevated which was unusual for patient .

Other Meds:

Current Illness:

ID: 1249296
Sex: F
Age: 44
State: IL

Vax Date: 04/01/2021
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: N/A

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

Symptoms: Fast heartbeat

Other Meds: N/a

Current Illness: N/A

ID: 1249297
Sex: M
Age:
State: WI

Vax Date:
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:

Symptom List: Unevaluable event

Symptoms: HUSBAND BEING IN EMERGENCY RIGHT NOW. 8 DAYS AFTER HAVING A COVID 19 SHOT; FLUSHING; WEAK; FEVER; INJECTION SITE PAIN; FEELING SICK; This spontaneous report received from a consumer via a company representative concerned a 65 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included non smoker, and other pre-existing medical conditions included allergic to other antibiotic((can't remember). The patient experienced drug allergy when treated with clarithromycin. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 1808980 expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, Laboratory data included: COVID-19 virus test (NR: not provided) negative. On 06-APR-2021, the subject experienced feeling sick. On 06-APR-2021, the subject experienced injection site pain. On 07-APR-2021, the subject experienced weak. On 07-APR-2021, the subject experienced flushing. On 07-APR-2021, the subject experienced fever. On 15-APR-2021, the subject experienced husband being in emergency right now. 8 days after having a covid 19 shot. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from feeling sick, weak, flushing, and fever, and the outcome of injection site pain and husband being in emergency right now. 8 days after having a covid 19 shot was not reported. This report was non-serious.; Sender's Comments: V0: Medical assessment comment not required as per standard procedure as case assessed as non-serious.

Other Meds:

Current Illness: Non-smoker

ID: 1249298
Sex: F
Age: 57
State: CA

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

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

Lab Data:

Allergies: Adhesive, Codeine, Betadine, Tdap injection, and Prevnar 13 injection

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

Symptoms: For shot #1 - Pain in left arm where shot was given. For shot #2 - Severe pain in entire body including injection site. Inability to move easily, Headache, Dizziness, Fever of 99.5, Fatigue, Insomnia, Elevated Heart Rate, and Chills

Other Meds: Ceftin, Cytomel, Synthroid, Buprenorphine, Lipitor, Sam-e, Selenium, Singulair, Wellbutrin, Magnesium Malate, Calcium/Vitamin D3, Potassium, Niaminacide, Hair/Skin & Nails, Flexeril, Aleve, Colace, Ferrous Sulfate, Prilosec, and Aspirin

Current Illness: Sinusitis, Post Nasal Drip, Chronic Cough

ID: 1249299
Sex: F
Age: 39
State: MI

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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: Injection site pain, Pain

Symptoms: Beginning 4 hours post injection some swelling was noticed at the injection site. Upon waking (roughly 8 hours later) the swelling at the injection site had intensified and red spots appeared from shoulder to thumb on the injected arm.

Other Meds: None

Current Illness: None

ID: 1249300
Sex: F
Age: 58
State: NY

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: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Approximately twelve hours after receiving my second vaccination (2:45 AM 4/23), I was not able to sleep because of extreme chills. I figured it was mild fever, but quickly began to shake in uncontrollable tremors. I thought I might break my teeth it was terrible. I suffered through this for maybe an hour, and this triggered my IBS. So I had bowel pain and a small bowel movement. Feeling a little better, but still having tremors, I took my temperature. At approximately 4:00 AM , 4/23, the temperature in my left armpit read 106 degrees. The temperature in my right armpit was 103. My forehead was 97. I then took Ibubrofin-800mg, and acetaminophen-500mg. I sat on the couch with a cold compress on my left wrist for about an hour. The tremors did subside and I took my temperature again at 7:00AM. My left armpit was still 106, and right armpit was 102 and forehead was 96. I pointed the meter at my open mouth and it read 103. I did not feel like it was a medical emergency, but I was feeling very ill with fever. At 10:00AM the temperature in my left armpit dropped to 102. I did take more tylenol and rested uncomfortably. It is now 8:00PM 4/23, and i have been ill all day, and my temperature is down.

Other Meds: Symvastatin 10mg, Multi-vitamin-Vitamin D-800IU,

Current Illness: None

ID: 1249301
Sex: F
Age: 40
State: PA

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: Sensitivities to most narcotics, at least 1 antibiotic which I wasn?t told the name of, venom, steroids, and Benadryl

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

Symptoms: Immediate temperature fluctuation, fogginess, it lifted fast and was able to drive home. About 30 minutes after I was home hives on my scalp, they disappeared in about an hour. 6 hours after the vaccine my hands broke out, and then I checked the rest of me, my chest was sunburn red, which is usually my first symptom when I?m having a reaction. I took an antihistamine and it all calmed down. No hives today, but I?m itchy. Pretty wicked headache. The antihistamine is almost out of my system.

Other Meds: Multivitamin, D3 complex, B12, C, Zinc, biotin/kerotin/collagen

Current Illness:

ID: 1249302
Sex: F
Age: 53
State: CA

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: Morphine, Penicillin, Bee stings

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: High fever, chills, headache frontal lobe, nauseated, severe upper teeth pain -severe numbness in my upper teeth same teeth and same area, which then became swollen bleeding gums . This is still continuing. Extremely fatigued. All symptoms have gone EXCEPT teeth upper palate area. Dr. Said to report this and My Dentist said to report this. Their medical expertise this is related to the Injection.

Other Meds: Allegra180 MG, Singular 10 Mg. vit b12, Vit. D3, Calcium, Multi vit.

Current Illness: Asthma

ID: 1249303
Sex: F
Age: 40
State: VA

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: Allergy to Biaxin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Tightness in chest, difficulty breathing, difficulty swallowing

Other Meds: Zyrtec

Current Illness: None

ID: 1249305
Sex: F
Age: 20
State: IL

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: none

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Shortly after patient received an injection patient felt dizzy and fainted. Patient never lost consciousness. Patient promptly sat down and paramedics were called for evaluation. After evaluation patient was able to go home.

Other Meds: none

Current Illness: none

ID: 1249306
Sex: F
Age: 46
State: TN

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: N/A

Symptom List: Nausea

Symptoms: Felt like the vaccine was burning through my veins in both of my arms....woke up in the middle of the night with it and could not get comfortable due to pain and due to burning sensation.

Other Meds: Spironolactone 50mg once per day Advil as directed on box due to covid vaccine muscle and body aches.

Current Illness: None

ID: 1249307
Sex: F
Age: 57
State: OH

Vax Date: 03/26/2021
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:

Symptom List: Injection site pain

Symptoms: Red arm

Other Meds:

Current Illness:

ID: 1249308
Sex: M
Age: 82
State: WA

Vax Date: 04/09/2021
Onset Date: 04/14/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Resident developed 101 F fever and lethargy 5 days after receiving a dose of Moderna erroneously. Patient has been completely vaccinated with Pfizer prior. Patient was sent to hospital for further evaluation

Other Meds: Warfarin, Metformin, Tylenol, Sertraline,

Current Illness: None

ID: 1249309
Sex: F
Age: 30
State: MD

Vax Date: 04/16/2021
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: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: Jaw pain, ongoing headache, blurred vision in one eye, tooth pain

Other Meds: Seasonique birth control

Current Illness: None

ID: 1249310
Sex: F
Age: 60
State: IA

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: shellfish, wasp, bee, cats

Symptom List: Tremor

Symptoms: Had the shot on Friday afternoon. It felt hot in my arm at first then that feeling went away. Stayed 15 min and left. Was fine just a sore arm. Went to bed that night and woke up with a rash on my right arm and very sore. Had chills and a real bad headache. All day Saturday I was worthless. Rash had spreaded across my arm very sore. I slept for 17 hours that is not me at all! headache bad! Woke up Sunday was much better. Rash stayed for a week.

Other Meds: none

Current Illness: none

ID: 1249311
Sex: M
Age: 53
State: NY

Vax Date: 02/10/2021
Onset Date: 02/11/2021
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: Erythema, Pruritus

Symptoms: Tinnitus in both ears. It has impacted hearing and is nonstop in both ears. Going to audiologist next week. Ringing in ears nonstop since the first Moderna dose.

Other Meds: Only atorvostatin for high cholesterol

Current Illness: None

ID: 1249312
Sex: F
Age: 34
State: AZ

Vax Date: 04/19/2021
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: Codeine Minocycline Doxycycline

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

Symptoms: Ongoing crackling in ear and dizziness (vertigo-like), tachycardia (elevated heart rate) around 36 hours post vaccine and ongoing symptoms now for 72 hours.

Other Meds: DEXILANT METFORMIN HCL OLMESARTAN MEDOXOMIL Tri Sprintec Iron 13mg Vitamin D - 5000 IU

Current Illness: None

ID: 1249313
Sex: M
Age:
State: TX

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

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

Lab Data:

Allergies:

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

Symptoms: SHORTNESS OF BREATH; CHEST TIGHTNESS; NON-PRODUCTIVE COUGH; HAND TINGLING; HEAVY ARM; PAIN IN HAND; INJECTION SITE PAIN; HEADACHE; This spontaneous report received from a patient concerned a 51 year old male. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A, expiry: UNKNOWN) dose was not reported, administered on 07-APR-2021 13:15 for prophylactic vaccination. No concomitant medications were reported. On 07-APR-2021, the subject experienced hand tingling. On 07-APR-2021, the subject experienced heavy arm. On 07-APR-2021, the subject experienced pain in hand. On 07-APR-2021, the subject experienced injection site pain. On 07-APR-2021, the subject experienced headache. On 09-APR-2021, the subject experienced shortness of breath. On 09-APR-2021, the subject experienced chest tightness. On 09-APR-2021, the subject experienced non-productive cough. Treatment medications (dates unspecified) included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from injection site pain, and headache on 07-APR-2021, was recovering from heavy arm, pain in hand, and hand tingling, and had not recovered from shortness of breath, non-productive cough, and chest tightness. This report was non-serious.; Sender's Comments: V0: Medical assessment comment is not required as per standard procedure as case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1249314
Sex: F
Age: 56
State: MN

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: Food sensitivity to eggs

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Bloody nose about 3 hours after 2nd dose shot of Moderna.

Other Meds: Multi vitamin, multi mineral, glutathione

Current Illness:

ID: 1249315
Sex: M
Age: 30
State: MS

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: None

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

Symptoms: 102 fever, chills, nausea, fatigue, sore at injection site

Other Meds: None

Current Illness: None

ID: 1249316
Sex: M
Age: 32
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: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Fainted, urinated, nauseated, chest pain start @ 2010. Evaluated by EMS- Transported to Emergency room/department or urgent care.

Other Meds:

Current Illness:

ID: 1249317
Sex: M
Age: 27
State: WA

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: None

Symptom List: Pain in extremity

Symptoms: A felt sick Thursday night going into Friday morning, I've had diarrhea throughout the day and feeling tired even though I've been staying at home.

Other Meds: NA

Current Illness: None

ID: 1249318
Sex: M
Age: 39
State: WI

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: None

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

Symptoms: Light headedness, headache, sore arm where vaccine was innected, feeling "off", and sensitivity to noise. Started following morning after vaccine.

Other Meds: None

Current Illness: None

ID: 1249319
Sex: M
Age: 31
State: CT

Vax Date: 01/22/2021
Onset Date: 02/12/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Palpitations, fatigue. Has persisted for months

Other Meds: None

Current Illness: None COVID+ November 2020

ID: 1249320
Sex: F
Age: 33
State: WA

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: Sudafed

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

Symptoms: 20-25 minutes after-facial numbness and tingling, shortness of breath, heart racing, hot flashes. These continued for 3-4 hours after shot. 24 hours later still have shortness of breath and periodic heart racing.

Other Meds:

Current Illness:

ID: 1249321
Sex: F
Age:
State: NY

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

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: SUPERFICIAL LEG THROMBOSIS; CHEST CONGESTION; TERRIBLE HEADACHE; LEGS WERE FROZEN; BRUISES ON HER LEGS; This spontaneous self-report was received from a patient and concerns a 68 year old female of unspecified race and ethnicity. Initial information received from the patient on 13-APR-2021 was processed with additional information received from the patient on 14-APR-2021 and telephone follow up with the patient on 20-APR-2021. The patient's weight and height were not reported. The patient had tuberculosis and had completed TB medication course. The patient does not have hypertension or diabetes. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration, date, vaccination site, and batch number were not reported) for prophylactic vaccination. The batch number will be requested in follow up. The patient was not taking any concomitant medications. On the third day after vaccination, the patient experienced terrible headache. Two days later, both her legs were frozen, and she had bruises on her legs. She went to a physician who advised her to go to the Emergency Room (ER), where they did an ultrasound on her legs. The physician told her that she had superficial leg thrombosis and asked her to take aspirin. No labs or any other diagnostic tests were performed. On the fifth day post-vaccination, the patient had chest congestion for 1 day. At the time of report, the patient was feeling better, and her bruises were disappearing. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chest congestion and terrible headache, and was recovering from superficial leg thrombosis, legs were frozen, and bruises on her legs. This report was serious (Other Medically Important Condition).; Sender's Comments: V0: This 68-year-old female patient of unspecified ethnicity was found to have superficial blood clots in both legs 5 days after receiving COVID-19 VACCINE AD26.COV2.S intramuscularly for the prevention of symptomatic SARS-CoV-2 virus infection. The patient reported "terrible" headache 3 days after vaccination, "chest congestion" and that both her legs were "frozen" and with bruises 5 days after vaccination. Ultrasound on both legs showed superficial leg thrombosis during emergency room consultation and was advised to take asprin as treatment. The event is recovering. Based on the information that is available, the event is assessed as plausible per the causality classification for adverse events. Considering the temporal relationship and recently evolving theories in the literature about COVID infections and vaccinations, potential vaccine contribution cannot be excluded. Additional information has been requested for further assessment.

Other Meds:

Current Illness:

ID: 1249322
Sex: F
Age: 23
State: AR

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: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 24 hours after receiving vaccine, the left side of my face experienced mild swelling (it should be noted I received the injection in my left arm). I experienced heavy allergy symptoms including redness and swelling in left eye, watery eyes particularly in left eye, runny nose and pain particularly in left nostril, heaviness of breath, tiredness. I think it is of note that as of writing this, I have not received commonly reported symptoms of fever, chills and nausea in conjunction with the reported adverse symptoms.

Other Meds: None

Current Illness: None

ID: 1249323
Sex: F
Age: 45
State: MD

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:

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

Symptoms: Sore arm, medicine taste in the mouth, very hot and sweaty over the night, itchy foot and arm, hard to swallow my saliva, and the following day diarrhea, vertigo, nausea, fatigue.

Other Meds: Collagene peptides Mood Stabili T by Life Seasons

Current Illness:

ID: 1249324
Sex: F
Age: 51
State: CO

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: Penicillin, seasonal

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Severe flu symptoms, fainted at 5:15 am on 4/22/21, hematoma head injury

Other Meds: Daily multivitamin

Current Illness: None

ID: 1249325
Sex: F
Age: 22
State: MN

Vax Date: 04/11/2021
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: Penicillin, dairy

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

Symptoms: Fainted for 30 seconds after standing up and walking. Ambulance came to the house and recommended a trip to the ER where I received an IV.

Other Meds: Morning of: citalopram, zertec, gianvi, probiotic Evening: cannabis, 3-4 hits

Current Illness:

ID: 1249326
Sex: F
Age: 19
State: MD

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

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

Lab Data:

Allergies:

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

Symptoms: Chills, headache

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am