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: 1256761
Sex: F
Age: 43
State: NC

Vax Date: 04/07/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
Hospital: Y

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

Lab Data:

Allergies: Amoxicillin allergy

Symptom List: Dysphagia, Epiglottitis

Symptoms: Janssen COVID-19 vaccine EUA Patient presented to hospital after crushing chest pain and syncopal event. Found to be hypotensive and hypoxic and echocardiogram revealed RV dilation and dysfunction with clot visualized in R atrium of heart. Patient received IV alteplase followed by start of IV heparin infusion. Currently intubated in ICU, on 3 vasopressors for shock.

Other Meds: Aurovela (oral contraceptive)

Current Illness:

ID: 1256762
Sex: M
Age: 36
State: IN

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Headache /body ache /pain in the ribs and numbness in back. Took one dose of Tylenol on 24th, was feeling better. Except for pain in the ribs everything is fine.

Other Meds:

Current Illness:

ID: 1256763
Sex: M
Age: 72
State: FL

Vax Date: 03/16/2021
Onset Date: 03/20/2021
Rec V Date: 04/25/2021
Hospital: Y

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

Lab Data:

Allergies: Naproxen & Tramadol. Tested after the event of 3/20/2021. It was determined I am allergic to shrimp(I had shrimp for dinner 3/19/21) , sesame seeds and egg whites.. my Primary care Dr advised me to report re action to CDC

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

Symptoms: None

Other Meds: Aspirin 81 mg,B-12 2000mg, Rosuvastatin 40mg,Finesteride 5mg,Invokamet 50-500mg, Levothyroxine Synthroid 25 mcg, Liothyroxi e 5mcg, Vitamin D3 3000intl units, Zetia 10 mg, Proair 70mcg, Januvia 100mg, Metprolol 25 mg, Vitamin C500 mg.

Current Illness: Heart condition, diabetes, arthritis

ID: 1256764
Sex: M
Age: 72
State: MI

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: no known allergies

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient describes having arm pain for 16 days after administration. sometimes the pain extends into his neck and down his arm to his wrist.

Other Meds: Hydroxychloroquine 200mg BID, Amlodipine 5mg QD, prednisone 15mg QD (as part of taper), amoxicillin 875mg BID, meloxicam 15mg QD, omeprazole 40mg QD, carvedilol 6.25mg BID, Terazosin 10mg QD

Current Illness: Dental abcess at time of vaccination

ID: 1256765
Sex: M
Age: 43
State: NJ

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Body aches, light headedness, chills, fever spikes (99.5 - 100.8), and nausea. Symptoms lasted for about 15 hours consecutively. The next day in the evening 1 short fever spike and 1 occasion of lightheadedness.

Other Meds: None

Current Illness: None

ID: 1256766
Sex: M
Age: 18
State: IA

Vax Date: 04/18/2021
Onset Date: 04/18/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: none known

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

Symptoms: patient fainted about 2-3 minutes after receiving the vaccine--lasted only seconds--patient was shaking and pale after recovering--patient was did state they probably should have eaten breakfast that morning and did not--his mom got him some orange juice and a poptart -- we also got him a cool/wet compress for the back of his neck--within 10 minutes his color improved-his shaking subsided and he began feeling much better. he was able to leave with his mother under his own power after 15 - 20 minutes.

Other Meds: none known

Current Illness: none known

ID: 1256768
Sex: F
Age: 33
State: MA

Vax Date: 04/01/2021
Onset Date: 04/03/2021
Rec V Date: 04/25/2021
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: Broke out in with a small patch of shingles on left side of chest, had chicken pox as a child but never shingles

Other Meds: Loestrin FE oral birth control, Humalog insulin, Lantus insulin

Current Illness:

ID: 1256769
Sex: M
Age: 52
State: NY

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: patient reported rash and pain in chest, torso and back areas. Instructed patient to see doctor.

Other Meds: hydralazine, hychlorothiazide, hydroxyzine, clonidine, clonazepam, metformin er, glimepiride, januvia, losartan, carvedilol, amitriptyline, zolpidem

Current Illness:

ID: 1256770
Sex: M
Age:
State: FL

Vax Date: 03/13/2021
Onset Date: 04/21/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient reports waking up in the morning weeks after vaccine administered with a migraine and feeling generally "same as after the vaccine", upon rising up he experienced strong nosebleed...first time in his life.

Other Meds:

Current Illness:

ID: 1256771
Sex: M
Age: 38
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Swelling of right eyelid. BP 159/89 (pulse 105). Took Benadryl.

Other Meds:

Current Illness:

ID: 1256772
Sex: F
Age: 39
State: IL

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: Compazine

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

Symptoms: About 8 hours after the vaccine, I began getting tired, cold and feeling "off." I couldn't quite pinpoint symptoms, but I could feel that something was wrong. About 12 hours after the vaccine, I came down with chills. Despite having 3 blankets and a fleece top, I was shivering. I couldn't warm up. Also about the 12 hour mark, I got body aches, 101 fever, fatigue and a little dizziness. Also, during this time, my skin was very sensitive to the point that even the slightest movement of my shirt or pants on my skin, was very irritating.

Other Meds: Doxycycline, Mirtazapine, Buspirone, Reglan

Current Illness: None

ID: 1256773
Sex: F
Age: 19
State: CA

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: erythromycin, contrast dye used for MRIs (gadolinium)

Symptom List: Rash, Urticaria

Symptoms: itching on chest and back and throat.

Other Meds: fluoxitine, depo, albuterol, qvar,

Current Illness:

ID: 1256774
Sex: F
Age: 46
State: IL

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: Flu vaccine, contrast dye, melons, and cantaloupe

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

Symptoms: Developed headache, chills, fever, joint pain, injection site pain, and malaise

Other Meds: Micardis, amlodipine, metformin, singular, Flonase, loratidine, losartan

Current Illness: None

ID: 1256775
Sex: F
Age: 18
State: MD

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
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: Feels like she's going to pass out Pt. passed out then placed in wheelchair Pt.taken to ER via ambulance BP=89/43 Pulse= 82 Po2 =97% FS=149 Recorded by: RN and EMT

Other Meds:

Current Illness:

ID: 1256776
Sex: F
Age: 43
State: FL

Vax Date: 04/10/2021
Onset Date: 04/01/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: N/a

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

Symptoms: Tinnitus

Other Meds: N/a

Current Illness: N/a

ID: 1256777
Sex: F
Age: 30
State: CO

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: About two hours after my second shot, I started feeling tingling in my legs. Within half an hour, the tingling spread to my arms and face and my lips and tongue started to swell and my throat felt like it was closing. I called 911, and they gave me an epipen, shot of steroids, and a shot of benadryl and said I went into anaphylaxis shock. I was released from the hospital Friday night, but on Monday night I had another (milder) allergic reaction and the following day began to have shortness of breath. I went to my doctor's on Tuesday, who prescribed me steroids and histamine blockers. I began taking them but on Wednesday my difficulty breathing increased and it got to the point where I had difficultly swallowing and couldn't eat so I went to the ER again. I have had some sort of rash and hives every day since my second shot, which my doctor says is a continuing allergic reaction from the shot. I am going to see an allergist, but I have no history of allergies or allergic reactions to vaccines.

Other Meds: daily vitamin and hormonal birth control

Current Illness: none

ID: 1256778
Sex: M
Age: 67
State: KY

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

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

Lab Data:

Allergies: penicillin and macrolides - rash and itching

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: Pt woke up with tingling sensation in feet and numbness up to knees, progressed up to right below shoulders throughout the day. Ended up being hospitalized with transverse myelitis. Was given steroids, metoprolol, pantoprazole, heparin, and other treatments (that is all patient could recall, wasn't sure of the rest) in the hospital. Discharged, but still having lasting numbness/tingling in hands and feet.

Other Meds: Synthroid 137mcg, warfarin 5mg, warfarin 1mg, pravastatin, tamsulosin 0.4mg

Current Illness: n/a

ID: 1256779
Sex: M
Age: 52
State: MA

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

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

Lab Data:

Allergies: Penicillin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Dizziness that resulted in blacking out for appx 1 min

Other Meds: Tylenol Extra Strength 1000mg every 12 hours

Current Illness:

ID: 1256780
Sex: F
Age: 62
State: PA

Vax Date: 04/19/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: PATIENT REPORTED REDNESS & SWELLING NEAR INJECTION SITE DURING THE DAYS FOLLOWING VACCINE ADMINISTRATION. DAY 6 AFTER VACCINATION, THE PATIENT NOTICED A NON-ITCHY, NON-PAINFUL RASH DEVELOPING ON THEIR TRUNK.

Other Meds:

Current Illness:

ID: 1256781
Sex: F
Age: 31
State: IN

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 04/25/2021
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: Rash around lips, dryness, itching, redness and small blisters

Other Meds:

Current Illness:

ID: 1256782
Sex: F
Age: 62
State: NC

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: prochlorperazine

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

Symptoms: About 20 to 30 minutes after her first dose of MODERNA COVID-19 vaccine the patient started feeling light-headed and dizzy. She then nearly fainted. After about 30 minutes she was feeling better but still went to the hospital for good measure

Other Meds: pantoprazole, topiramate, divalproex, clonazepam, levothyroxine

Current Illness: none known

ID: 1256783
Sex: M
Age: 50
State: NY

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Large Hives.

Other Meds: Zyrtec, benadryl

Current Illness:

ID: 1256784
Sex: F
Age: 29
State: NJ

Vax Date: 04/01/2021
Onset Date: 04/20/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: most severe dysmenorrhea I've ever experienced; duration has been multiple days in a row

Other Meds: gabapentin 1800mg

Current Illness: none

ID: 1256785
Sex: F
Age: 28
State: WI

Vax Date: 04/12/2021
Onset Date: 04/19/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Injection site pain, Pain

Symptoms: Painful, blistered rash on left arm not in area of injection

Other Meds: None

Current Illness: None

ID: 1256786
Sex: F
Age: 41
State: MD

Vax Date: 04/22/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Weakness, sweating, body ache, rash at injection site BP 170/107. BP Decreased to 111/72 Pulse 128. Pulse decreased to 74 Patient declined ER and went home Seen by RN

Other Meds:

Current Illness:

ID: 1256787
Sex: F
Age: 49
State: NC

Vax Date: 04/12/2021
Onset Date: 04/14/2021
Rec V Date: 04/25/2021
Hospital: Y

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

Lab Data:

Allergies: sulfa Can't take aspirin or NSAIDS due to bleeding disorder

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

Symptoms: intense abdominal pain 2 days after followed by intense nausea ( no vomitting) , dehydration, inability to urinate Went to ER at approx. 1:30 am on 4/15 after hours of abdominal pain Immediately diagnosed with high liver enzymes, CT scan of belly completely normal, EKG normal, ultrasound normal AST 1765, ALT 1569, checked 6 hours later AST 4755, ALT 4359 was accepted by hospital waiting on bed - no hospital would take me except large big hospital as I needed liver team started on NAC per poison control recommendation every 4 hours for approx 2 days and liver specialist ( acute injury consistent with medical toxicity ) did not take any new meds and liver enzymes on checkup 6 weeks prior were completely normal all liver tests came back negative (hepatitis, CPK, viruses etc. ) started on IV antibiotics immediately and fluids Hospital added potassium to treatment labs checked every 6 hours were continuing to go down after NAC treatment Discharged on Monday night 4/19 ALT 797, AST 104 with instructions to get labs checked several times this week current labs ALT 377, AST 34

Other Meds: vitamin D, vitamin C, thuju Occidentals 30c , zinc 50 mg 2-3 times per week

Current Illness: None

ID: 1256788
Sex: M
Age: 23
State: MA

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Pt was leaving ballroom after 15 min observation. Pt fainted, went down onto knees, then fell forward. Onsite EMTs helped pt into chair after he regained consciousness (15 sec). Pt was helped into w/c, brought to observation area outside ballroom. Pt was awake and able to answer questions, appeared pale and sweaty, stated he felt like he was going to vomit. Denied SOB, stated he felt less lightheaded. Pt then vomited sm amt x 1. Patient denied ever having vasovagal response to injections. Pt stated he had been hungover this morning and had not eaten or drank much today. VS were taken (BP 90/40, HR 80, RR 14). Pt was given water. Pt was observed for an additional 20 min, color visibly improved, pt stated he was feeling better. Pt refused transport to ED for further assessment. EMT suggested calling home for a ride, pt called sister and she agreed to pick him up. VS retaken before pt left, WNL (BP 105/70, BMP 59, SpO2 95). Pt left w/ family after 30 min.

Other Meds: None known

Current Illness: None known

ID: 1256789
Sex: F
Age: 58
State: NY

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Pt did not receive full dose of vaccine. Pt jumped while being injected and small amount of vaccine noted dripping from site. DOH on site notified-pt advised to return on 04/24/21 for 2nd dose to be re administered.

Other Meds:

Current Illness:

ID: 1256790
Sex: M
Age: 40
State: AZ

Vax Date: 04/21/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Two days after receiving my 2nd dose, I began experiencing tinnitus in my right ear. It sounds like a low, rumbling, "whooshing" sound that intensifies when hearing sounds with low/bass frequencies. So far, I've tried treating it by flushing out my ear and applying ear drops, but it has not been effective.

Other Meds:

Current Illness:

ID: 1256791
Sex: F
Age: 18
State: UT

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

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Chills, shaking, upset stomach, throwing up, muscle pain/aches, headache

Other Meds: Took Tylenol after second Moderna COVID-19 dose.

Current Illness:

ID: 1256792
Sex: F
Age: 48
State: WV

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: Cipro

Symptom List: Injection site pain

Symptoms: ?Covid arm? at the injection site (which was fairly low). Red welt, pain, swelling, heat, itchiness, which began a few hours after the second dose and has doubled in size every day.

Other Meds: Multivitamin, synthroid, methenamine, hydrochlorothiazide, lisinopril, metformin, travatan & timolol (eye drops)

Current Illness: None

ID: 1256793
Sex: M
Age: 42
State:

Vax Date: 04/22/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Vertigo

Other Meds:

Current Illness:

ID: 1256795
Sex: M
Age: 63
State: CA

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: penicillin

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

Symptoms: On 3/26/2021 I woke up in dire uncontrollable pain, level 10. I almost went to ER, but I called Medical Center and asked if I could come down for a pain shot, at 9:30 am. They told me to take Tylenol. I told her I have GERD and Tylenol is OFF the table. They then said they would call me back, but didn't call me back until 11:50 am. The RN again told me to take Tylenol, and I told her again I have GERD and Tylenol is OFF the table. She told me I couldn't come down to see them. I was left in dire pain, laying flat on my back, standing, or sitting. It was the most appalling experience I've ever had. I have already tried contacting CDC, and the lady kept sending me an automated reply saying I needed to go to the VERS site. I finally emailed her and told her to NOT REPLY again. I told her all the information I have stated here, but the lady didn't want to enter it into the system, purposely. What a total failure of the CDC, totally incompetent and ignorant. This just caused a public informative response failure on CDC's end. I also called the 800 number before sending all those emails to CDC, requesting a return call. They never returned my call !! Another CDC failure. I am deaf and use a captioned phone. The stupid recording went too fast for my caption phone to print out and I had to call that 800 number 3 times to understand the stupid menu. This is discrimination of the deaf. I'm sick and tired of it all. I explained this to the lady that sent me several emails, but she didn't want to hear it. More discrimination. Where does it end? So HOPEFULLY this information gets into your system. Don't send me a reply stating I didn't fill out this form correctly, or I will permanently BLOCK your emails. Thank you

Other Meds: BP meds, oxycodone, hydroxyzine, salmon oil, vit D3, Calcium, Vit B12, iron

Current Illness:

ID: 1256796
Sex: F
Age: 60
State: IL

Vax Date: 12/20/2020
Onset Date: 02/24/2021
Rec V Date: 04/25/2021
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Allergies: amoxicillin (hives) nickel (swelling)

Symptom List: Tremor

Symptoms: 1st vaccine - immediate metal taste in my mouth. This taste comes and goes but it seems there is a persistent 'metal' / yucky taste in my mouth now. 2nd vaccine - about 3-4 weeks after this dose my ears started ringing. For about 2 weeks it sounded like the ocean was in my head. It seemed to go away for awhile or almost. Now there is light ringing all of the time. When I am busy doing things I do not hear it but when I stop, it is there. I did not have tinnitus prior to these vaccine doses.

Other Meds: none

Current Illness: none

ID: 1256797
Sex: M
Age: 28
State: CA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/25/2021
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Symptom List: Erythema, Pruritus

Symptoms: Blood pressures 106/78 (pulse 111), 116/74 (pulse 93), O2 sat 98%.

Other Meds:

Current Illness:

ID: 1256798
Sex: F
Age: 87
State: WA

Vax Date: 03/15/2021
Onset Date: 03/01/2021
Rec V Date: 04/25/2021
Hospital: Y

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Allergies: NKDA

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

Symptoms: Patient's daughter came to the pharmacy on 04/24/2021 and stated that her mother, the patient, got the Janssen vaccine here and within a week, she had a blood clot and has been in the hospital ever since. This is all the information we received.

Other Meds: Only known medication is wixela inhaler.

Current Illness: Unknown

ID: 1256799
Sex: M
Age: 41
State: MO

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/25/2021
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Allergies: None

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

Symptoms: The 21st, I only felt some fatigue and tiredness as well as the injection site was tender. The following morning, however, was very unpleasing!!! My entire left arm was swollen TWICE its normal size. The injection site was extremely tender to the touch. I could barely use my arm. I had to assist that arm with my other arm. I was extremely lethargic/tired/fatigued. So much that I was in bed 95% of that 24-36 hour time frame; unconscious!!! I was having sporadic "head changes" all day. I was very scared and worried!!! I was unable to perform task at home as well as was unable to work!!!

Other Meds: Albuterol

Current Illness: None

ID: 1256800
Sex: F
Age: 19
State: ID

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
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Allergies: Bee Pollen

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: After receiving her dose of the Pfizer vaccine the pt seemed to be doing well conversing and reported she was feeling fine. The pt then stood up to leave the vaccination area and slouched to the ground. She went unconscious for about 4 seconds. When she came to she was awake, alert, and oriented. Paramedics were called to ensure the pt didn't suffer injury. After an evaluation by the paramedics the pt was released and her friends picked her up.

Other Meds: NA

Current Illness: NA

ID: 1256801
Sex: M
Age: 71
State: MO

Vax Date: 04/15/2021
Onset Date: 04/19/2021
Rec V Date: 04/25/2021
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Allergies: tetanus horse serum

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

Symptoms: slight upper lip swelling on 4th day after the injection. On the 5th day following, I had a lidocaine injection due to a dental procedure, and the lip swelling increased and spread to the lower lip. The lips were swollen, cracked, and oozing, and continue to this time (10th day following).

Other Meds: none

Current Illness: none

ID: 1256802
Sex: M
Age: 74
State: IL

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/25/2021
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Allergies: walnut family, dust, pollen

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

Symptoms: Pertinent background; serious recreational cyclist, 5000+ miles/yr, 20 rides 100 miles or more previous yr, 850 mile this year before incident, avg ride 50+ miles. Went for bicycle ride the day following 2nd shot. At 22 miles I apparently blacked out and crashed. Ambulance was called as I was rising from crash and I was taken to ER. No memory of crash. Symptoms: alert and lucid; amnesia, could not remember morning activity, day, or date; trembling; unsteady to walk; crying for no reason; abrasions to hip and knee; muscle soreness developed; no serious injury. ER performed CT head w/o contrast; PO chest; ECG x 2; CBC & Diff Comp Metab Pn Troponin 1 x 2. All test results were VG normal. 2 1/2 hours after the crash I returned to a normal state while getting my CT scan. Sent home after all test results cleared.

Other Meds: asthma & reflux, daily, no room- continuation page not working

Current Illness: none

ID: 1256803
Sex: F
Age: 30
State: MA

Vax Date: 04/09/2021
Onset Date: 04/14/2021
Rec V Date: 04/25/2021
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Symptom List: Pain in extremity

Symptoms: Dry persistent cough that has not gone away. 3x negative covid tests. Potentially a developed allergy or remaining immune response unknown.

Other Meds:

Current Illness:

ID: 1256804
Sex: F
Age: 41
State: TX

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
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Allergies: none

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

Symptoms: Got shot on Friday. Not sure if related. But my left ear started hurting. Was in extreme pain on Saturday. With headache. Started taking some sinus medicine to help with the pain and any sinus build up.

Other Meds: Xyzal

Current Illness: none

ID: 1256805
Sex: F
Age: 37
State: CA

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/25/2021
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Allergies: Pencillin

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

Symptoms: Migraine/headache since date of vaccine Sore arm

Other Meds: Iron (otc) Cambia (prn) Ubrelvy (prn) Ujovy (1x monthly) Wellbutrin Xanax (prn) Gabalentin

Current Illness: Anemia Anxiety Depression

Date Died: 04/17/2021

ID: 1256806
Sex: F
Age: 58
State: FL

Vax Date: 03/25/2021
Onset Date: 04/10/2021
Rec V Date: 04/25/2021
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Allergies: Sulfa

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

Symptoms: My Sister was found dead on 4/27/2021. She had been dead aprx. 0ne week. She received her 1st Moderna shot on March 25th.

Other Meds: Bystolic Quinapril Chlortalidone Atorvastatin Fenofibrate

Current Illness:

ID: 1256807
Sex: F
Age: 69
State: CA

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 04/25/2021
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Allergies: None

Symptom List: Vomiting

Symptoms: day after the second vaccination I was sick in bed all day with fever, chills, muscle painand fatigue. For next week,I was very tired and had to push myself to get anything done. Then I started feeling my heart pounding which lasted for about for about 10 days 24/7. I saw a new Dr on March 30th, and she sent me for lab work and an Echo. All tests so far are negative. The pounding is no longer 24/7, but the episodes which feel like adrenaline rushes come daily anywhere from 2-12 hours leaving me exhausted. I am currently wearing a heart rate monitor and will have a stress echo in May to rule out heart disease. Also looking into tests to see if the problem comes from the adrenaline glands. I was in top shape and feeling wonderful before the 2nd shot.

Other Meds: Nifedipine. Trazodone. Estradiol.

Current Illness: None

ID: 1256808
Sex: F
Age: 23
State: KS

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
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Allergies: none

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient had a seizure 5 minutes after receiving the vaccine. It lasted 30 seconds to 1 minute. She was laid on the floor and recovered. EMS evaluated her and she was taken privately to the hospital.

Other Meds: not known

Current Illness: none per questionnaire

ID: 1256809
Sex: F
Age: 50
State: OH

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/25/2021
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Allergies: Penicillin, Arythromycin

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

Symptoms: No treament. Fever for about 3 days, nausea, dizziness, fatigue, diarrhea, chills. Once fiver ended, every time I eat, nausea kicks in and lasts a good 90 minute. Overall lethargy. Very low energy.

Other Meds: Vitamin D/K2, Multi Vitamin, Magnesium Supplement

Current Illness: Cold 2 weeks prior

ID: 1256810
Sex: F
Age: 18
State: NY

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/25/2021
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Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Fever, chills, whole body skin sensitivity, swelling in throat, eyes and injection site

Other Meds: Lexapro, Adderall, magnesium, vitamin B2, Junel FE, cefuroxime

Current Illness: Treatment for UTI

ID: 1256811
Sex: F
Age: 26
State: CA

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/25/2021
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Allergies: Dogs/cats, seasonal allergies

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

Symptoms: Arm pain couple hours after injection lasting a few days, chills/body aches/headache began the night of injection and lasted until the following day. I?ve also had trouble sleeping which has persisted since after the vaccine but I?m unsure if it?s related to vaccine or other factors.

Other Meds: None

Current Illness:

ID: 1256812
Sex: M
Age: 49
State: NC

Vax Date: 03/25/2021
Onset Date: 04/01/2021
Rec V Date: 04/25/2021
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Allergies: Percocet

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

Symptoms: Swollen feet, blood pressure out of wack, face swollen.

Other Meds: Morphine, lisinapril, lovastatin, pregabalin, amiodipine, tizadine, montelukast, pantoprazole, stool softener

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am