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
46,691
AK1,344
AL3,371
AR2,204
AS39
AZ9,947
CA42,406
CO8,197
CT5,433
DC1,102
DE1,130
FL22,794
FM3
GA8,972
GU61
HI1,536
IA3,340
ID1,835
IL13,816
IN19,541
KS3,208
KY4,290
LA3,106
MA10,372
MD8,835
ME2,297
MH7
MI12,366
MN8,278
MO6,361
MP15
MS1,653
MT1,679
NC10,636
ND930
NE2,029
NH2,268
NJ11,207
NM2,700
NV2,714
NY23,015
OH12,978
OK4,537
OR6,054
PA15,683
PR1,518
QM1
RI1,523
SC4,026
SD840
TN5,807
TX22,431
UT3,018
VA10,399
VI33
VT1,310
WA10,291
WI7,643
WV1,628
WY612
XB5
XL1
XV2

ID: 1251475
Sex: F
Age: 52
State: NY

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: allergic to citric fruits

Symptom List:

Symptoms: Fadigue, body aches, hypertension to 220/120 level, headaches

Other Meds: Vitamins, magnesium, B12, DGL, iglutamine

Current Illness: none

ID: 1251476
Sex: F
Age: 51
State: MN

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Coughing, body, muscle and joint aches, chills, headache, hot/cold, legs shaky, not able to hold head, weakness

Other Meds: N/A

Current Illness: Anxiety and depression

ID: 1251477
Sex: M
Age: 64
State: CA

Vax Date: 03/25/2021
Onset Date: 03/30/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: Meniere's episode cluster

Other Meds: HCTZ, VALSARTAN, ATORVASTATIN

Current Illness: NONE

ID: 1251478
Sex: M
Age: 60
State: IL

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Diziness upon standing , Security worker on shift , stated he was fasting

Other Meds: Enalapril

Current Illness: none

ID: 1251480
Sex: F
Age: 69
State: WA

Vax Date: 02/25/2021
Onset Date: 03/02/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: compozine ,salfosalazine tape insaids

Symptom List:

Symptoms: lymph nodes swelling,s shakes pain in nerves and hard time walking

Other Meds: acetaminophen500mg ,famotidine40mg,folic acid1mg,gabapentin300mg,insulinnph100units,inslinreghuman,nifedpine30mg,methotrexate2.5,iosartan100mg,levothyroxine75mg,trmool50mg

Current Illness:

ID: 1251481
Sex: F
Age: 56
State: GA

Vax Date: 03/24/2021
Onset Date: 03/31/2021
Rec V Date: 04/24/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: pt reported that 7 days after receiving moderna 1 she developed an intense headache that shes never experienced before and it lasted 6 days-she went to the er and also felt pain behind her left eye. she had a Cat scan that showed bleeding in brain and saw neurosurgeon in icu for 2.5 days then had repeat testing mri done which showed bleed was stable. she was transferred by ambulance to another medical facility to see ophthalmologist to check pressure behind eye, she stayed for observation until repeat mri with and without contrast and decision that blood would be absorbed into tissue and surgery not needed. pt said she tried to report event three times from hospital but was unable to get through to vaers via phone

Other Meds:

Current Illness:

ID: 1251482
Sex: F
Age: 45
State: NV

Vax Date: 04/13/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: analgesic

Symptom List:

Symptoms: arm swelling in same spot the injection was given, itchy, bright red, warm to the touch. continued for 3days

Other Meds: sertraline, oxybutynin, levothyroxine, atorvastatin, asprin

Current Illness: none

ID: 1251483
Sex: F
Age: 50
State: NJ

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

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies: Corn starch, maltodextrin, dextrose, xanthan gum ? all severe (throat closure), gluten, dairy, ? moderate latex, benzoyl peroxide, penicillin (all severe)

Symptom List:

Symptoms: Throat and inner left ear felt like it was swelling, extremely rapid heart beat, both within a minute or two immediately following the vaccination. The rapid heartbeat seemed to go away after about 30 seconds but the throat/ear closure sensation lasted about 2 hours after the vaccination. I drank a lot of water prior and after the vaccination to flush out my system. I felt like I do when I incidentally eat something with cornstarch in it, and usually just drinking tons of water helps, which it did in this case. Sometimes I have to gargle Benedryl but I did not have to in this case. I contacted my PCP and plan to see an allergist before taking 2nd dose.

Other Meds: Multivitamin, vitamin d3 5000 iu, b12

Current Illness: None

ID: 1251484
Sex: F
Age: 35
State:

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reported headache after getting the vaccine. She says that she did not take her blood pressure medication this morning. Her blood pressure was measured in the 180s/100. I recommended further evaluation by a medical professional.

Other Meds:

Current Illness:

ID: 1251485
Sex: M
Age: 62
State: IN

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever (100) for 10 hours; slight nausea; extreme fatigue (17 hours); extreme aches (17 hours) -- very much like having the flu.

Other Meds: I am always (daily) taking: Omeprazole (stomach / acid-reflux) 20 mg Statin (high cholesterol) 20 mg Fentanyl (transdermal patch) 25 mcg/hr

Current Illness: None

ID: 1251486
Sex: F
Age: 57
State: NV

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: penicillan metals

Symptom List:

Symptoms: Fever, Overwhelming Fatigue, Muscle/Body Aches Lasted Until 4/23/2021. Then I was fine.

Other Meds: prenisone, losartan, trulicity, atorvastatin, torsemide, teraz

Current Illness: None

ID: 1251487
Sex: F
Age: 41
State: CO

Vax Date: 03/13/2021
Onset Date: 03/28/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient experienced a seizure on 28MAR2021. The treating physician did not relate the seizure to the vaccine and provided patient with permission to get 2nd COVID vaccine. The patient reports she also had low blood sugar the same day as the seizure and was relating the seizure to possible low blood sugar. The patient denies history of seizures. The patient reports she has a history of low blood sugar and has implemented a new diet to try to control the low blood sugar.

Other Meds: unknown

Current Illness:

ID: 1251488
Sex: F
Age: 42
State: CA

Vax Date: 04/02/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Red itchy rash on my torso

Other Meds: None

Current Illness: None

ID: 1251489
Sex: M
Age: 46
State: IN

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Beef

Symptom List:

Symptoms: Headache, fever, tiredness

Other Meds: Novolog Insulin

Current Illness: Diabetes Mellitus I

ID: 1251490
Sex: F
Age: 20
State:

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Incorrect diluent volume was mixed (the vial contents were diluted with a diluent volume of 0.8 mL instead of 1.8 mL), but 0.3 mL dose was still administered. We have already talked to Pfizer-BioNtech. They told us that if the dose given in error is the first dose, a second dose should be administered at the recommended interval of 21 days. If the dose given in error is the second dose, the series is complete, and no additional doses are needed. We have already informed the patients of the potential of local and systemic adverse events.

Other Meds:

Current Illness:

ID: 1251491
Sex: F
Age: 30
State: SC

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: On 04/24/21 around 11:30am , patient was getting her second Covid vaccine ( Moderna) . it was administered by Immunizing Technician under the pharmacist. Patient felt a bit dizzy after getting the shot , she stated she has history of getting a bit dizzy every time a needle been used on her ( getting shots or withdrawing blood ..etc) . Patient was responsive the whole time answering questions and stating she is feeling ok. we gave her some water and gave her time to rest , she was able to walk by herself to the waiting area and sit for an additional 15 minutes. Patient had her husband with her to drive her.

Other Meds: N/A

Current Illness: N/A

ID: 1251492
Sex: F
Age: 58
State: CA

Vax Date: 04/06/2021
Onset Date: 04/11/2021
Rec V Date: 04/24/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I delivered one baby in 1999 and one in 2002. Two miscarriages in between. I woke up 4/6/21 with a strange pain in my left leg. It felt circulatory, not muscular or skeletal. Swelling behind knee. I went to ER for ultrasound and they found a blood clot. Cat scan revealed pulmonary embolism. The nurses at the hospital confirmed that this was happening frequently. They said it wasn?t rare. My PA at the clinic told me it was 1 in 5000 like me. Why doesn?t the hospital report? I?m on bed rest for 10 days, compression stockings and Eliquis to thin my blood. I have halted all HRT, but have been told by my dr that it?s clearly not related since i e been on them for over 6 years and never had a blood clots.

Other Meds: Estrogen .05 Progesterone 200 Thyroid T3 T 4 4.5

Current Illness: None

ID: 1251493
Sex: F
Age: 78
State: CO

Vax Date: 03/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/24/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Ischemic Stroke requiring hospitalization. Significant reduction in field of vision. Loss of nearly all Left Side peripheral vision

Other Meds: Biotin, Calcium supplement, Celebrex, Fish oil supplement, OXcarbazepine, Vitamin C & D3 supplements

Current Illness: None

ID: 1251494
Sex: F
Age: 75
State: SC

Vax Date: 03/10/2021
Onset Date: 03/01/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Within one hour, urge to urinate frequently. Painful urination followed and increased. Tolerated until seeing PA on morning of 3/12/2021. PA identified blood in urine and prescribed Notrofurantoin Mono/Mac, 100 mg capsules, 1/day for 7 days. Infection cured.

Other Meds: Metoprolal ER Succinate, 25MG per day, Lisinopril, 10 MG per day, 81 MG, 3 times per day

Current Illness:

ID: 1251495
Sex: F
Age: 59
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 30 minutes post vaccination adminstration, patient complained of tingling and throat thickening. Patient treated with benadryl 50mg by PharmD. Pt refused further medical treatment and stated she thought she was feeling better. Contacted the next day. Patient treated with another dose of benadryl at home and states she is feeling well at this time.

Other Meds:

Current Illness:

ID: 1251496
Sex: F
Age: 21
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: pt felt lightheaded, provided with water and rest, symptoms resolved

Other Meds:

Current Illness:

ID: 1251497
Sex: F
Age: 18
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Incorrect diluent volume was mixed (the vial contents were diluted with a diluent volume of 0.8 mL instead of 1.8 mL), but 0.3 mL dose was still administered. We have already talked to Pfizer-BioNtech. They told us that if the dose given in error is the first dose, a second dose should be administered at the recommended interval of 21 days. If the dose given in error is the second dose, the series is complete, and no additional doses are needed. We have already informed the patients of the potential of local and systemic adverse events.

Other Meds:

Current Illness:

ID: 1251498
Sex: F
Age: 39
State: NY

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/24/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe headaches, loss of vision with a beginning diagnosis of optical neurosis, continued headache and increased loss of vision In right eye after receiving steroids in hospital.

Other Meds: None

Current Illness: Covid 19

ID: 1251499
Sex: M
Age: 57
State: NY

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: penicillin allergy

Symptom List:

Symptoms: tight in chest and throat. feeling pressure in chest and throat. Pt came into pharmacy on 04-24-2021 at about noon time complaining of these symptoms.

Other Meds: eliquis, tegretol, telmisartan

Current Illness: Acid reflux. chronic conditions below

ID: 1251500
Sex: M
Age: 40
State: PA

Vax Date: 03/20/2021
Onset Date: 04/10/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Bananas

Symptom List:

Symptoms: Fatigue, body aches, brain fog, loss of muscle tone and headache.

Other Meds: Supplements: Red yeast rice, gymnema, p5p, megasporebiotic, gastrodigest and vitamin D mulsion forte.

Current Illness: None

ID: 1251501
Sex: F
Age: 54
State: WA

Vax Date: 04/12/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: sulfa, pollen

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA I received vaccine on 4/12 without any reactions. On the morning of 4/22 we noticed both my cheeks were red. As day progressed they seemed bit warm to touch and started to harden/swell. I took 1 Claritin and called dr's office. I had Restalyne Lyft injections on March 1st, 2021. I spoke with injector, who instructed to take a second Claritin. On 4/23 both cheeks felt "hard" and slight swelling under right eye. I applied cool cloth, more took Claritin. On morning of 4/24, still "hard" but not as full feeling. Still red in cheeks but not as warm to touch. Under eye swelling not as prominent.

Other Meds: Claritin, Sudafed,12 hr, zinc, K2 600mcg, D3 125mcg

Current Illness: None

ID: 1251502
Sex: M
Age: 42
State: OR

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe full body rash roughly 36 hours after vaccination. Took Benadryl 48 hours after rash started which resolved the rash. Minor recurrence of rash in patches across body persisting for the past two weeks. Additional symptoms 12 hours after vaccination: heartburn, fever, chills, headache, tiredness . All resolved within 48 hours of vaccination and haven?t returned.

Other Meds: None

Current Illness: Cervical disc rupture

ID: 1251503
Sex: F
Age: 53
State: NC

Vax Date: 04/02/2021
Onset Date: 04/10/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: "Covid Arm" - a raised, red, itchy patch about the size of a half-dollar at the injection site (left upper arm). Symptoms were relatively mild, and went away over the course of 3-4 days.

Other Meds: Meloxicam, Edarbi, Tramadol ER, Synthroid, multi-vitamin, vitamin C

Current Illness: None

ID: 1251504
Sex: F
Age: 53
State: TX

Vax Date: 04/01/2021
Onset Date: 04/04/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Allergic to IVP dye

Symptom List:

Symptoms: I have an IUD (I've had it for 3 years - no trouble) for controlling my fibroids and have not had a period or any bleeding for 3 years. 3 days after my first dose of the Pfizer vaccine, I experienced very heavy bleeding which was a bright red color. The next day, (4 days after my first dose), I experienced very strong (the strongest I've ever felt) cramping and a very large piece of uterine lining expelled from my body. Again, very bright red color. I just received my 2nd dose on 4/22/21 and am waiting to see if I have bleeding and/or cramping again.

Other Meds: Lisinopril Levothyroxin

Current Illness: None

ID: 1251505
Sex: M
Age: 23
State: PA

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

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

Lab Data:

Allergies: Mold

Symptom List:

Symptoms: Approx 5 minutes post injection, the pt had a near syncopal episode, felt clammy, dizzy and nauseated. He was dry heaving upon arrival to med obs area. BP 120/74, HR 62, O2 100%. Pt laid down on stretcher for several minutes until his symptoms started to subside. He was able to tolerate water and sit on side of stretcher while chatting with clinician. At 11:54 his BP was 120/74, HR 77 and O2 100%. He denied all symptoms and was discharged via wheelchair to father at 12:09

Other Meds: N/A

Current Illness: None

ID: 1251506
Sex: M
Age: 55
State: MD

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I had pain at injection site, mild night sweats, and increased tinnitus (I have had tinnitus for many years) the night of / after the first and second shots (03/26/21 and 04/16/21) After the second shot, I had less pain at the injection site, mild body aches, and increased tinnitus the night of the second injection. However, the real reason I am reporting this is because after the second dose, the increased tinnitus continued intermittent, usually in the evenings. The tinnitus became especially pronounced on day 2 or 3, 4, 5 and day 8 - the ringing became so loud on the evening of day 2 that it seemed I was having trouble hearing the television. And on the evening of day 8 after the second dose, the tinnitus again became quite loud, with the additional symptom that external noises were annoying / irritated me. I have had constant tinnitus for at least 20 years, and it almost never bothers me (or is even noticeable.) However, the tinnitus symptoms after the second Pfizer shot were pronounced enough that I thought I would report it. Of course, I can't be sure the tinnitus symptoms - especially those at days 4, 5 and 8 - are indeed side effects of the second dose of the Pfizer vaccine, but since I had increased tinnitus symptoms the night after both the first and second Pfizer doses, it would seem to me to probably not be a coincidence.

Other Meds:

Current Illness: Tinnitus

Date Died: 04/05/2021

ID: 1251507
Sex: F
Age: 64
State: MA

Vax Date: 03/12/2021
Onset Date: 03/27/2021
Rec V Date: 04/24/2021
Hospital: Y

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

Lab Data:

Allergies: Heparin. Other allergies unknown at this time.

Symptom List:

Symptoms: Department of Health received a call from her sister, in response to a call/letter/text sent out to all recipients of the Janssen vaccine. She stated that her sister received the J and J vaccine on 3/12/21 (confirmed in State vaccine system) at the hospital where she receives her oncology care. She reported the following: "She had a massive stroke on MARCH 27TH, 2021 leaving her paralyzed on the right side with the inability to speak, swallow, or see. She was initially diagnosed with Ovarian cancer approximately three and one half years ago. She was chosen for a study with Pharmaceuticals and her diagnosis was changed to a vary rare form of cancer called clear cell carcinoma which originates in the gynecological area. She did have a previous stroke approximately three years ago, (just after original diagnosis) but she was on a different course of treatment at that time...Oncologists have explained that this most recent stroke event would not be considered a side effect of her current treatment routine. She wanted to bring it to the attention of the health department in case it needs to be looked at more closely by the J&J research/scientific team. She passed away on 4/5/21. Her current treatment consisted of palliative chemo only. " Decedent was a resident but was vaccinated in another state. After the CVA she was brought to the hospital and subsequently transferred to the Medical Center where she died on 4/5/2021. Sister is willing to speak with any investigators if deemed necessary.

Other Meds: Unknown at this time but was on palliative chemotherapy

Current Illness: Clear cell carcinoma. Other history unknown at this time.

ID: 1251508
Sex: F
Age: 31
State: IN

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Swollen around injection site. Fever Thursday night after a Wednesday morning injection. Mild cold symptoms begin. Swelling turned into hard lump surrounded by red circle d surrounded but white ring. Not painful unless touched. Intermittently itchy. Similar to allergic reaction - had no reaction other than sore arm to my first dose Swelling on the decline 72 hours post injection, cold symptoms lessening as well.

Other Meds: NA

Current Illness: NA

ID: 1251509
Sex: F
Age: 53
State: CT

Vax Date: 03/25/2021
Onset Date: 04/09/2021
Rec V Date: 04/24/2021
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Allergies: Erythromycin Excedrin

Symptom List:

Symptoms: Developed an itchy, red, bumpy rash on arms and chest. First noticed about 14 days after first COVID vaccine. Saw a Dermatologist and was prescribed Triamcinolone cream. I have been using this cream for a couple days now and the rash is not as red and doesn't itch as much.

Other Meds: Garlic, D3, Zinc, Vit. E, Asprin 81mg, Claritin-D 24hr., Estrovera, Stool Softener, Prilosec

Current Illness: NONE

ID: 1251510
Sex: F
Age: 39
State: RI

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
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Allergies: Torodol Fentanyl

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Symptoms: Anaphylactic Reaction

Other Meds: Gabapentin

Current Illness: S/P back surgery

ID: 1251511
Sex: F
Age: 34
State: PA

Vax Date: 04/12/2021
Onset Date: 04/16/2021
Rec V Date: 04/24/2021
Hospital: Y

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Allergies: Zoloft, amoxicillin

Symptom List:

Symptoms: Subconjunctival hemorrhage of both eyes triggered a visit tot he ER, CT scan, determination of something on the scan sent me to ICU, diagnosed with Acute cerebellar hemorrhage.

Other Meds: Lamictal (generic), Tylenol 625mg

Current Illness: sleep apnea

ID: 1251512
Sex: M
Age: 34
State: AZ

Vax Date: 04/21/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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Allergies: None

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Symptoms: Nice

Other Meds: What helped me was coconut water before the shot and after. I also had some next morning 12 hours after shot. I had a sore arm, and I stopped drinking coconut water. I did started feeling little weak 36 hours later, slight headache and weak

Current Illness: None

ID: 1251513
Sex: M
Age: 42
State:

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
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Symptoms: pt felt lightheaded, placed supine and provided with water, symptoms resolved

Other Meds:

Current Illness:

ID: 1251514
Sex: M
Age: 41
State: CA

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
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Symptoms: Sore arm, whole body muscle soreness, dizziness, fatigue, chills. Symptoms started 6 hours after vaccine shot and lasted 2 days.

Other Meds:

Current Illness:

ID: 1251515
Sex: F
Age: 48
State:

Vax Date: 04/12/2021
Onset Date: 04/21/2021
Rec V Date: 04/24/2021
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Allergies: None

Symptom List:

Symptoms: Irregular raied red splotch on upper arm--lighter in the middle and redder at the edges. No pain. No itch. Splotch has been persistent and unchanged for approx 3 days.

Other Meds: None

Current Illness: None

ID: 1251516
Sex: F
Age: 24
State: PA

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/24/2021
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Allergies: Cefzil, carrots(only raw), apples (only raw), celery(only raw), watermelon(only raw)., seasonal allergies.

Symptom List:

Symptoms: Nausea, vomiting, difficulty breathing, tight chest, injection site pain, body aches.

Other Meds: Suboxone, prozac, Wellbutrin, Zyrtec, singular, buspar, seroquil,

Current Illness: None

ID: 1251517
Sex: F
Age: 35
State: NC

Vax Date: 04/19/2021
Onset Date: 04/21/2021
Rec V Date: 04/24/2021
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Allergies: none

Symptom List:

Symptoms: Period is a week late and normal cycle is very regular. negative for pregnancy

Other Meds: no

Current Illness: none

ID: 1251518
Sex: M
Age: 23
State: IN

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
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Allergies: Tetanus

Symptom List:

Symptoms: As the night went on I started to feel more and more fatigued at work(more than would be normal). I left early and felt a little nauseated by the time I got home. I went to sleep within 2 hours(around 12am). I woke up about 5 hours later with extreme fever symptoms(chills, nausea, fatigue, soreness) and a very intense headache. I contracted Covid-19 in October 2020 and this was much like how I felt when I was sick with the virus, minus the cough. Everything was mostly cleared up by the evening however.

Other Meds: 1 Centrum Daily Men's Vitamin 1 Nature's Bounty Vitamin D3 25mcg(1000IU)

Current Illness: N/a

ID: 1251519
Sex: M
Age: 58
State:

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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Symptoms: Incorrect diluent volume was mixed (the vial contents were diluted with a diluent volume of 0.8 mL instead of 1.8 mL), but 0.3 mL dose was still administered. We have already talked to Pfizer-BioNtech. They told us that if the dose given in error is the first dose, a second dose should be administered at the recommended interval of 21 days. If the dose given in error is the second dose, the series is complete, and no additional doses are needed. We have already informed the patients of the potential of local and systemic adverse events.

Other Meds:

Current Illness:

ID: 1251520
Sex: F
Age: 53
State:

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
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Symptoms: After 5 minutes after the patient received the vaccine, she reported that her throat was swelling. I offered to give her 2 Benadryl by mouth. She took them. A minute or two later, I asked her how she was doing? she said the throat swelling was still there. I offered the EpiPen. She accepted my offer. I gave her the EpiPen. A minute later she said her throat was better. About 15 minutes later, she said she felt better and wanted to go home. I also offer to call 911 for evaluation. She declined. I let her go home. She said she lived close by and her daughter was with her.

Other Meds:

Current Illness:

ID: 1251521
Sex: M
Age: 58
State: TN

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 04/24/2021
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Allergies: None

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Symptoms: Initial symptom was swollen lymph nodes in left armpit--where I got the shot. I am informed enough to know this means I had active antibodies that recognized the virus and attacked it. This lasted approximately 4 days. After day 2, this began where I am today; occasional vertigo/loss of balance with persistent high blood pressure/headaches consistent with when I contracted Covid 11/2020. I have been to my primary doctor twice. The possibility of this being a vaccine reaction has never come up. It is as if I have the headache/blood pressure portion of Covid infection all over again. There is no outcome yet. Having read other people's comments, it is a waste of time and money to get diagnostic tests, and physicians are guessing. No thank you, I learned of these symptoms and this website from the many internet forums (one is listed above) where people are discussing their vaccine reactions. I never wanted this vaccine, but there is considerable pressure to get vaccinated, even when you contracted the virus. I feel vaccine passports are going to be forced on people. I regret the decision to do this. My second shot is scheduled for 4/30, but I am cancelling it, I am certain this is Covid vaccine related. I am a very healthy and physically fit 58 year old that eats well. Don't drink, don't smoke, mainly vegetarian diet.

Other Meds: Daily vitamins, daily baby aspirin, 20 mg Adderall/day

Current Illness: None

ID: 1251522
Sex: F
Age: 63
State: HI

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/24/2021
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Allergies: Cipro - antibiotic

Symptom List:

Symptoms: 15 minutes after vaccine - eyes were getting puffy; lip and tongue - tingly and numb. I took Benadryl and the symptoms went away. That night of the shot, I had a headache - (Like a bus hit me) at 07:00 PM. The headache never went away after that. 24 hours later, I had a full body itch - I took Benadryl for that and that helped the rash. Since that first headache - I have had headaches every day. I have had to manage it with Tylenol and Ibuprofen and I still do. I saw my doctor 2 weeks after vaccine. My vision was going blurry about two weeks after my vaccine is when I really noticed it. My doctor sent me to an Ophthalmologist - I was told I had cataracts. I had my regular Optometrist - in January 2020 and nothing was noticed with cataracts. The doctor told me to try to manage the headaches and if I have any extreme pain then to go straight to ER.

Other Meds: no

Current Illness: no

ID: 1251523
Sex: M
Age: 57
State: NH

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/24/2021
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Symptoms: My left arm and shoulder, where shot was given, is very weak and uncoordinated. I am now getting tingling/numb sensations. This started one day after shot, and conditions have existed for 3 weeks.

Other Meds:

Current Illness:

ID: 1251524
Sex: F
Age: 47
State: SC

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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Allergies: tamarind codeine

Symptom List:

Symptoms: swollen spot, skin discoloration is starting to mimic my existing skin issues. swollen. hot, some bruising down arm, bruised to touch in neck no recent injury.

Other Meds: aderall, lexapro, aleve, benedryl, magnesium, daily vitamins,

Current Illness: skin lesions; recently diagnosed with sle sjogrens mctd.

ID: 1251525
Sex: F
Age: 31
State: TX

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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Allergies: No

Symptom List:

Symptoms: Almost immediate soreness of arm that worsened ov over the next day. Low grade fever (99.1) at about 6 pm. Chills set in around 8 pm, followed by more widespread body aches. Fever 101.4 at 10 pm, 102 at 3 am, 102.4 at 6 am, 103 at 12:30 pm. Took extra strength Tylenol (2 caps) starting at 11 pm of first day and continued every 6 hours. Alternating extreme chills and sweating. Unable to sleep on the first night, no appetite/unable to eat for the first 24 hours at least.

Other Meds: Over the counter allergy pill

Current Illness: None

Total 2021 VAERS Injuries: 422,070

Page last modified: 03 October 2021 5:28pm