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: 1257070
Sex: M
Age: 60
State: MA

Vax Date: 04/24/2021
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: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: Minor arm pain. Aches started in jaw followed by headache and fever. Significant fatigue. Lasted about 22 hours.

Other Meds: Simvistatin, Folic Acid, low dose aspirin, Relief factor

Current Illness: none

ID: 1257071
Sex: F
Age: 53
State: FL

Vax Date: 04/15/2021
Onset Date: 04/17/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: Sulfa., tomatoes, carrots, melons, shell fish

Symptom List: Anxiety, Dyspnoea

Symptoms: Breast engorgement, heavy and tender to the touch. Both breast. Feeling better today than this past week, but still sore.

Other Meds: Losartan, night before Vit. B12 and Vit. D, night afterwards

Current Illness: Sinus drainage.

ID: 1257072
Sex: F
Age: 32
State: CO

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: Cechlor, Sulfa, Amoxicillin

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

Symptoms: Blacked out around 2 am while trying to walk to the bathroom. Legs began to feel weak and I became extremely nauseous, the room became black and then came to while on the floor. Room was still black and had ringing in the ears. Symptoms lasted approximately two minutes. On Sunday, two days after the vaccination a rash around my torso developed as well as some tightness in chest. The rash resembles that which occurs when I have reactions to antibiotics.

Other Meds: N-Acetyl Cysteine, Omega 3, Multi vitamin, probiotic

Current Illness: None

ID: 1257073
Sex: M
Age: 51
State: ME

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: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: I had no symptoms until 28 hours after receiving my first dose I suddenly became faint and dizzy momentarily, lasted about 3-4 seconds. I thought I was going to black out but did not, my daughter was with me so I know I did not actually black out. Overall weakness, and fatigue like having the flu for the next 24 hours. I did not seek medical attention at that time as I do not have a primary care provider. I do intend on getting an appointment to be checked out as I cannot be certain this was due to the vaccine but I have never had this fainting feeling before.

Other Meds: None

Current Illness: None

ID: 1257074
Sex: F
Age: 43
State: NC

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: Penicillin only

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

Symptoms: A few hours after vaccination, I had a 101.9 degree fever and intense leg pains. The fever lasted a total of approximately 21 hours. Leg pains and overall fatigue lasted approximately 48 hours.

Other Meds: Omeprazole, gabapentin, multi-vitamin, vitamin D

Current Illness:

ID: 1257075
Sex: F
Age: 36
State: AZ

Vax Date: 04/21/2021
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: Sulfa, Minocycline

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

Symptoms: Red, swollen, hot to the touch, painful, itchy NP prescribed antibiotics, antihistamines, and ibuprofen

Other Meds: Rosuvastatin, Hydroxychlor, Glycopyrrol, Ashlyna, Vit. D, Vit. B, Claritin

Current Illness:

ID: 1257076
Sex: M
Age: 23
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: NONE

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient passed out for a couple of minutes then regained consciousness. Mom says he is still looking pale in face. He is ok now parent may take him to er if he gets worse.

Other Meds: FLUOXETINE, SILDENAFIL

Current Illness: NONE

ID: 1257077
Sex: F
Age: 54
State: MA

Vax Date: 04/10/2021
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:

Symptom List: Pharyngeal swelling

Symptoms: Heart palpatations for days following the 2nd dose

Other Meds:

Current Illness:

ID: 1257078
Sex: F
Age: 55
State: NV

Vax Date: 03/26/2021
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: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Diarrhea, rapid heart rate, tremors, anxiety, sweating, intolerance to warm weather. diagnosis of hyperthyroidism.

Other Meds: Celexa, potassium Citrate, metformin

Current Illness: None

ID: 1257079
Sex: M
Age: 40
State: VA

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: Latex adhesive

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Multiple nosebleeds flu like body aches. The multiple nosebleeds were the most concerning and unusual

Other Meds: Adderall XR 40 mg Buproprion xl 450 mg

Current Illness: None

ID: 1257080
Sex: F
Age: 75
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:

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

Symptoms: Patient received vaccination in left deltoid. Less than 1 minute after receiving the vaccination, she began to have trouble breathing at which time she was given benadryl orally and an epinephrine IM injection.

Other Meds:

Current Illness:

ID: 1257081
Sex: M
Age: 41
State: MD

Vax Date: 04/11/2021
Onset Date: 04/18/2021
Rec V Date: 04/25/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List: Rash, Urticaria

Symptoms: I was vaccinated with J and J for COVID-19 I developed Pneumonia, Blood Clot on right calf (hospital diagnosis- acute deep vein thrombosis (DVT) of lower extremity), lower back pain

Other Meds: none

Current Illness: none

ID: 1257082
Sex: F
Age: 54
State: FL

Vax Date: 04/20/2021
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:

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

Symptoms: 4/20/21: Got the shot on Tuesday 4/20/21 at 9.35 am. felt a little light headed and my right hand felt a little numb right after the shot. went away but rest of the day felt tired. 4/21/21: 11 am got a fever of 99.8. i usually run about 97.1 4/22/21 - ok in the morning. starting the afternoon felt very dizzy and fever came back. slept the rest of the day. 4/23/21 - still felt dizzy. rested all day 4/24/21: started feeling better. by 4/25/21 I felt fine.

Other Meds: Myrbetriq 50mg Atorvastatin 20mg Bisoprolol .25 mg

Current Illness:

ID: 1257083
Sex: M
Age: 45
State: WI

Vax Date: 04/21/2021
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

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

Symptoms: Day 1 - exhaustion, joint pain; Day 2, 3 - chills, aches; Day 5 - stuffiness in ears (feeling of fluid) then ringing in both ears started in afternoon.

Other Meds: Atorvastatin, fluticasone nasal spray, fexofenadine

Current Illness: None

ID: 1257084
Sex: F
Age: 59
State: NY

Vax Date: 04/11/2021
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: Lisinopril

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

Symptoms: Pt received her second covid 19 vaccine on 3/11/21 and came to the ER on 4/25 c/o sudden right sided facial weakness starting 4/24. noted to have r sided facial drooping c/w bell's palsy. pt was given antiviral, steroids and discharged home to recover from the ER.

Other Meds: vit d, hctz, loratadine, metformin, cosentyx, simvastatin

Current Illness: None

ID: 1257085
Sex: F
Age: 21
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:

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

Symptoms: The charge nurse was called to the scene by the scribe because the patient stated that her vision got blurry and lightheaded. Patient lost consciousness and was caught by one of the nurses. She was lowered to the yoga mat and her feet were placed on top of a chair. When the patient regained consciousness, she stated that she had no allergies, has eaten before getting the vaccine and has no history of fainting or anxiety. She has no medical history that she knows of. After talking to the patient, her vision improved and she stated that she feels better. Patient was transferred to observation and was observed for 30 min.

Other Meds:

Current Illness:

ID: 1257086
Sex: F
Age: 45
State: IN

Vax Date: 04/17/2021
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: No

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

Symptoms: Today around noonrash/hives appeared at and around injection site. Red, bumpy, hot and itchy. Took benedryl and itchiness went away. Same symptoms came back again around 6:00 PM.

Other Meds: Ibuprofen

Current Illness: None

ID: 1257087
Sex: F
Age: 65
State: WA

Vax Date: 03/28/2021
Onset Date: 04/12/2021
Rec V Date: 04/25/2021
Hospital: Y

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

Lab Data:

Allergies: Aspartame Ciprofloxicin Sulfa antibiotics

Symptom List: Ear pain, Hypoaesthesia

Symptoms: DVT Pulmonary Embolism

Other Meds: Estradiol pellets with testosterone Progesterone 225mg Levothyroxine 150mg Liothyronine 15 mg Losartan/HCT 125/25 Atenolol 100 mg Rosuvistatin 10 mg Tramadol 50mg Symbicort 160 twice daily Magnesium glycinate 600 mg Fish oil 2000 mg Melat

Current Illness:

ID: 1257088
Sex: F
Age: 48
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: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Dizziness, headache, vitals wnl. Given juice, crackers.

Other Meds:

Current Illness:

ID: 1257089
Sex: F
Age: 54
State: CA

Vax Date: 04/24/2021
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: Pork, watermelon, octopus

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

Symptoms: Approximately 25 minutes after vaccine administration, client reported left-sided chest pressure, non-radiating and no pain. Client hypertensive (164/84) and other vitals within normal limits. Emergency medical services were alerted and assumed care of client. Client refused transport to hospital and was escorted off premises and walked unassisted with steady gait. Client was educated on vaccine side-effects, advised to seek follow-up with primary care provider, and provided information on VSAFE.

Other Meds: Metformin, lisinopril, atorvastatin

Current Illness: None.

ID: 1257090
Sex: M
Age: 65
State: FL

Vax Date: 02/03/2021
Onset Date: 02/10/2021
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, Lymph node pain, Lymphadenopathy

Symptoms: Joint pain in both hands

Other Meds: Lipitor 10mg

Current Illness: None

ID: 1257091
Sex: F
Age: 53
State: PA

Vax Date: 04/18/2021
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: N/a

Symptom List: Unevaluable event

Symptoms: Week after 1st vaccine arm hot swollen, hives, itchy and red. Had to take antihistamine and Advil. Arm felt a tingling sensation as if numb.

Other Meds: Lo loestrin, Synthroid, Zyrtec, multi vitamin, magnesium

Current Illness: Hashimoto?s hypothyroidism

ID: 1257092
Sex: M
Age: 50
State: OR

Vax Date: 04/17/2021
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: No

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

Symptoms: No adverse affects for 8 days. Today, major redness, itching, large hard bumps at injection site. Spread to 3 inches in the last 3 hours. The site is very hot to the touch.

Other Meds: Fenofivrate 140 mg

Current Illness: I had a tetanus vaccine three weeks earlier

ID: 1257093
Sex: F
Age: 66
State: CT

Vax Date: 03/13/2021
Onset Date: 04/17/2021
Rec V Date: 04/25/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

Symptom List: Injection site pain, Pain

Symptoms: Presented to ED with acute mental status changes-disoriented, weakness, poor PO intake. O2 sat 95% on Rm air. Treated with bamlanivimab-etesevimab. She remained on room air and hemodynamically stable throughout the remainder of the admission.

Other Meds: Acyclovir, apixaban, carvedilol, cranberry, cyanocobalamin, in

Current Illness: Leukopenia

ID: 1257094
Sex: F
Age: 28
State: OR

Vax Date: 04/20/2021
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: 4/25/21 Morning started with fatigue and brain fog, body and mental fatigue lasted all day, cold sweats began around 3pm and temp was taken at 4:30 and was 99.8

Other Meds: Herbal tincture: angelica sinensis, Dan Gui, Bupleurum, Peony, Atractylodes, Poria, Mu Dan, Chamomile, Ginger, Mint, Licorice, Motherwort, Yarrow, poria, bupleurum, moutan, gardenia pod, corydalis yanhusuo, cyperus

Current Illness:

ID: 1257095
Sex: F
Age: 41
State: IN

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: Sensitivity to norepinephrine

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

Symptoms: Muscle and joint weakness and pain Diarrhea Stomach cramps Nausea

Other Meds: Protonix, multivitamins

Current Illness: N/A

ID: 1257096
Sex: F
Age: 80
State: TX

Vax Date: 04/12/2021
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: Demerol, Darvocet, Morphine, Hydromorphone

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Within ten days her Alzheimer's progressed rapidly, she could no longer coherently answer questions, she is confused as to the day, month, year, not recognizing family members. This is not usual for her.

Other Meds: Simvastatin, levothyroxine, pantoprazole sod, sertraline, Loperamide, celecoxib, Tizanidine, Rivastigmine patch, Neomycin-bacit-poly eye ointment, vitamins, D-3, B-100, Calcium

Current Illness: None

ID: 1257097
Sex: M
Age: 26
State: NY

Vax Date: 04/15/2021
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: None known

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Rapid Myoclonic muscle contractions at vaccine site. Please reach out to patient for video.

Other Meds: Creatine

Current Illness: None know

ID: 1257098
Sex: F
Age: 44
State: KY

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

Symptoms: Shot was given abnormally high in the right arm, at top of shoulder. Lymph nodes in collar bone, neck, jaw, ear on right side all swollen and painful

Other Meds: Cbd, iron, b12, synthroid 75mg

Current Illness: None

ID: 1257099
Sex: M
Age: 17
State: NY

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: n/a

Symptom List: Nausea

Symptoms: OUTSIDE OF FDA APPROVED AGE RANGE

Other Meds: n/a

Current Illness: n/a

ID: 1257100
Sex: F
Age: 48
State: MN

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: No

Symptom List: Injection site pain

Symptoms: The nurse mistakenly doubled the doses of my second vaccine of Moderna.

Other Meds: Clindamycin 300mg

Current Illness: Pinch nerve Positional Vertigo

ID: 1257101
Sex: F
Age: 49
State: NC

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: As an adult onset peanut allergy--not severe. Just stomach ache

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

Symptoms: After sitting at the vaccination clinic for the required 15 minute, on the way home I noticed my lips started to swell. Shortly thereafter my face started to swell. I asked my husband to take me to the emergency room, and it was noted in my charts that I had had an adverse reaction. I thought that was going to be the only symptom, but later on in the week I experienced vertigo, nausea, and my stomaching lurching. On Friday the week of my vaccination I noticed that my that my lips and face started to swell again, but went down shortly thereafter. My face and lips also started to swell today, but again went down. I told my husband is it happening because of stress or heat? I really do not understand why I am experiencing symptoms a week after my vaccine.

Other Meds: Hydrocholorthziade, TriNessa and children's multivitamin

Current Illness: None

ID: 1257102
Sex: F
Age: 48
State: IA

Vax Date: 03/28/2021
Onset Date: 04/02/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: allergy to tree nuts

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

Symptoms: I am menopausal but had a period 1 week after receiving the vaccine.

Other Meds: multi-vitamin

Current Illness: none

ID: 1257103
Sex: F
Age: 22
State: NY

Vax Date: 04/24/2021
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: N/A

Symptom List: Tremor

Symptoms: Chills, Malaise, Dizziness, Overall weakness, Injection site pain

Other Meds: One-a-day multivitamins

Current Illness: N/A

ID: 1257104
Sex: M
Age: 22
State: NY

Vax Date: 04/13/2021
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: N/A

Symptom List: Erythema, Pruritus

Symptoms: Intermittent injection site pain over 10 days removed.

Other Meds: N/A

Current Illness: Cellulitis on injection site of first dose

ID: 1257105
Sex: F
Age: 57
State: MD

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

Vax Type:
Manufacturer:
Vax Name:
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Allergies: ampicillin, sulfa, and fragrance aerosols (Frebreze, Glade)

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

Symptoms: I1st day after vaccine - initial onset of headache advancing to full headache and face pain, fatigue, mild pain at site of injection. 2nd day - severe headache, face pain, body ache, difficulty walking, nausea, vomiting, pain at shot site in left arm, chills, mild fever, unable to sleep due to body and face pain, racing thoughts, rash started that night. 3rd day - continued headache and face pain, body ache, pain at short site, rash spread down arms, across stomach and back, spread down legs as far as knees, and up across chest to neck. By end of day racing thoughts had calmed. 4th day - headache and face pain subsided, body ache cleared, rash subsided by nighttime.

Other Meds: none

Current Illness: none

ID: 1257106
Sex: F
Age: 57
State: FL

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 04/25/2021
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Allergies: Compazine

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

Symptoms: Papular rash starting 3 days after vaccine. Fever, chills, body aches, headache and vomiting for 48 hours after vaccine.

Other Meds: Pulmicort, Progesterone, Estradiol patch

Current Illness: None

ID: 1257107
Sex: F
Age: 17
State: OH

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

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: i couldnt sleep, woke up many times with chills and a really bad headache, the whole day ive been sick to my stomach and my head hurt. i even threw up a lot

Other Meds:

Current Illness:

ID: 1257108
Sex: F
Age: 32
State: TX

Vax Date: 04/13/2021
Onset Date: 04/23/2021
Rec V Date: 04/25/2021
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Allergies:

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

Symptoms: 2 red raised uncomfortable itchy, hot to the touch bumps at and near injection site, uncomfortable feeling in arm.

Other Meds:

Current Illness:

ID: 1257109
Sex: F
Age: 42
State: TX

Vax Date: 04/19/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
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Allergies: None

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

Symptoms: Shingles diagnosis, 1000mg valacyclovir 3x daily for 7 days after symptoms appeared after dose 1, started improving after 3 days of treatment; starting same regimen after symptoms appeared yesterday after dose 2

Other Meds: Valacyclovir 500mg, Escitalopram 10mg, Zyrtec, Vitamin C 500mg, Vitamin D3 25mcg, Vitamin B12 1000mcg

Current Illness: Shingles, 3/27/21 after 1st vaccine on 3/22/21

ID: 1257111
Sex: M
Age: 28
State: LA

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/25/2021
Hospital:

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Allergies: None

Symptom List: Pain in extremity

Symptoms: Recieved the vaccine and the following morning around 5am had a seizure which lasted for about 20 minutes. Was transported by ambulance to medical center and recieved care until he was stable and able to go home, but told to follow up with his neurologist as soon as possible. The neurologist saw him within 2 weeks and increased the dosage of his Vimpat and has ordered for him to have a 3 day EEG as soon as possible.

Other Meds: Keppra Vimpat

Current Illness: None

ID: 1257112
Sex: M
Age: 32
State: NY

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

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Allergies:

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

Symptoms: None

Other Meds:

Current Illness:

ID: 1257113
Sex: M
Age: 36
State: TX

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
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Allergies: No

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

Symptoms: Pain in the injection site. Muscle ache all over. 39 C Fever. Took 2 Ibuprofen pills twice today, 8 hrs difference.

Other Meds: Levotiroxine 100

Current Illness: No

ID: 1257114
Sex: M
Age: 28
State: TN

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

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

Symptoms: Patient became for clammy, dizzy, low pulse rate, low blood pressure, blue lips, somewhat incoherent

Other Meds: N/a

Current Illness: None that I am aware of.

ID: 1257115
Sex: M
Age: 62
State: NY

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/25/2021
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Allergies: PCN

Symptom List: Vomiting

Symptoms: I was typing in this section when I was timed out due to "inactivity". Pls change your definition of "inactivity". I do not believe that I will be able to duplicate what I previously wrote before being timed out. I will do the best I can. To the best of my recollection and ability. NOTE: Automatic Wrist BP readings (also takes pulse) closely follows manually-taken Stethoscope Sphygmomanometer readings. 4/22/21 Doing active range of motion pre and post injection. 7:45pm Signs & Symptoms (S/S) Mild - arm discomfort w/swelling, fatigue, lightheadedness, and body ache. Ice- alternating periods of 15 minutes on, then off - done several times. Lessen arm discomfort, no redness noted. Slow increase S/S through night. 4/23/21 mid afternoon- marked increase S/S plus start sporadic flush feeling, noted 1 x 1 inch oval red area over site. 8pm- Increased & more constant flushed. Temp 98.9 F. Noted marked increase body ache, first moving across chest, then descending to both toes/feet. 9pm- Temp 100.4 F. Monitoring temp, hoping peaked. 9:30pm 99.9 F- 9:50pm Felt very dizzy, self-palpated pulse- felt weaker than my normal, noted more distended veins on arms. Asked wife to get pulse oximeter- sat/pulse ranging 93-97, depending on finger, hand, how long on each; noted amplitude lower than my normal; 82-86 range pulse. 9:53pm Obtained BP R wrist supine 105/61 Pulse 82. Felt too dizzy for BP to be done in sitting. BP confirmed by second reading. BP wrist supine sys about 30 -35 & diastolic about 10-20 below baseline. 9:56pm Took 1000mg Acetaminophen. 11pm Temp less than 99, marked decrease head to toe pain, more towards my mild lightheadedness at times due to my mild TB baseline. Able to ambulate. 4/23/21 4-5 am Temp low 98 range (more my normal). 7am BP L wrist supine 135/70 Pulse 69. Sat 98 reading obtained very quickly, pulse amplitude more my normal. Feeling better but not to Pre-vax. Repeated BP & Sat readings twice during the rest of date. Don?t recall time of 1st BP 135/70 Pulse 70 & Sat 96/Pulse 69, noted injection site redness. 9:30pm- started having headaches, pain on L side head (near site of my head wound/mild TBI site), slight increase lightheadedness, injection site red area increased in pain & size to covering almost full deltoid area. BP 125/73 Pulse 65 Sat 97/ Pulse 65. Both Sat numbers obtained very quickly, as per my normal. Ice used. Alleviated pain to tolerable. Monitoring size of red area & intensity/duration of lightheadedness. Recall a strong tingling sensation going down my left arm once. Noted change in sensation afterwards. Slight increase lightheadedness felt due to what usually happens in change in weather, like rain coming. Rain occurred. 4/25/21- Basically the peripheral of deltoid showing redness with some scattered redness centrally. At 8pm redness fully covering deltoid area. Will continue to monitor ("Covid arm"). Other than fatigue thought due to vax, NO S/S of markedly reduce platelets. If need be, will contact Teledoc. Have prior training as a respiratory therapist & occupational therapist.

Other Meds: Multivitamin C/minerals alternating with vitamin D, Restasis.

Current Illness: Mild TBI with its residual symptoms that includes lightheadedness at times, GERD, Multiple Hepatic Hemangiomas. Diagnosed about two years ago with HTN (disagree with DX; not taking prescribed medication for a variety of reason - pls contact me for details).

ID: 1257116
Sex: M
Age: 34
State: CA

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

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Muscle ache Fatigue Chills Indigestion Brain Fog Lightheadedness

Other Meds: Lexapro Desyrl Prazosi

Current Illness:

ID: 1257117
Sex: M
Age: 31
State: WA

Vax Date: 04/16/2021
Onset Date: 04/23/2021
Rec V Date: 04/25/2021
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Allergies: None

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

Symptoms: Tinnitus in Left Ear. Serious. Unresolved

Other Meds: None

Current Illness: None

ID: 1257118
Sex: F
Age: 28
State: NY

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

Vax Type:
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Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: None

Other Meds:

Current Illness:

ID: 1257119
Sex: F
Age: 54
State: CT

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

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Lab Data:

Allergies: none

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

Symptoms: joint burning/pain (especially ankles and wrists, felt like swelling, but did not look that way), and all-over body aches. gone by morning. Sunday 4/25-5pm-burning around injection site and large, light rash. somewhat itchy

Other Meds: none

Current Illness: none

ID: 1257120
Sex: F
Age: 28
State: NY

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

Vax Type:
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Lab Data:

Allergies:

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

Symptoms: None

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am