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
88,334
AK1,815
AL6,133
AR3,993
AS45
AZ14,539
CA64,759
CO12,159
CT8,719
DC1,747
DE1,868
FL41,499
FM3
GA16,132
GU92
HI2,477
IA4,739
ID2,763
IL21,496
IN23,655
KS4,844
KY8,414
LA5,328
MA15,281
MD13,105
ME3,277
MH8
MI20,143
MN12,873
MO10,275
MP30
MS3,073
MT2,392
NC17,450
ND1,440
NE3,023
NH3,124
NJ19,456
NM4,089
NV4,600
NY36,525
OH20,140
OK6,525
OR8,918
PA24,920
PR2,483
QM2
RI2,092
SC6,952
SD1,243
TN10,038
TX38,745
UT4,482
VA15,477
VI62
VT1,780
WA15,487
WI11,573
WV2,461
WY894
XB5
XL1
XV2

ID: 1260750
Sex: M
Age: 47
State: PA

Vax Date: 04/13/2021
Onset Date: 04/16/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tinnitus

Other Meds: Vitamins

Current Illness: None

ID: 1260751
Sex: F
Age: 46
State: MI

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Client reported to another staff member of feeling hot and throat tightness approximately 10 minuets after receiving Pfizer vaccine. Client in the ladies room with her preschool age son. Client told writer she felt "hot" and had to get out of the clinic for "some air." When writer encountered client she denied difficulty breathing and went outside and sat on a bench with her husband. B/P 120/80. Writer discharged from clinic in the company of her husband. Writer instructed client to activate emergency response system for difficulty breathing. Client verbalized understanding of teaching.

Other Meds: Thyroid and blood pressure medications.

Current Illness: None reported.

ID: 1260752
Sex: M
Age: 53
State: AR

Vax Date: 03/26/2021
Onset Date: 04/12/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: severe pressure in head, similar to sinus pressure in the middle of the night, gone after getting up; pressure lasted a few days for first vaccine. About ten days, I noticed rash appearing on upper right chest, like pimples without pus. Rash began to spread slowly. By the time I got second vaccine, rash was all over chest, and some on back, and moving to genital area, and down the legs.

Other Meds:

Current Illness:

ID: 1260753
Sex: M
Age: 59
State: VA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: no adverse event-- just mixing error --multi dose diluent vial was used more than twice to mix with covid

Other Meds:

Current Illness:

ID: 1260755
Sex: F
Age: 67
State: FL

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, penicillin, cipro

Symptom List:

Symptoms: Very bad Vertigo episode a couple of days after each shot. Tinnitus after second shot which is still occurring and buzzing is awful.

Other Meds: None

Current Illness: None

ID: 1260756
Sex: F
Age: 66
State: CA

Vax Date: 01/28/2021
Onset Date: 02/17/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Right away, tingling in lips and tongue. lasted for 4 weeks. Ringing in ears started about 3 week after 1st shot. Still present

Other Meds: prednisone, Imdur, vit d

Current Illness:

ID: 1260757
Sex: F
Age: 49
State: OR

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List:

Symptoms: Right arm sore 5-7 days Fevers off and on 15+ days, getting worse, now up to 100.9 degrees Very tired Eyes burning Body aches Dizziness when standing up. Nausea Stuffy nose Symptom have persisted since injection, some have worsened.

Other Meds: Adderal 20mg/day Morphine 15mg, 2 per day Gabapentin 325 mg/day Pantoprazole 20 mg, 2 per day Cyclobenzaprine 10mg/day Levothyroxine 75mg/day Duloxetine 40 mg/day

Current Illness: Fibromyalgia Arnold-Kiari Malformation Lymphnodeopathy

ID: 1260758
Sex: F
Age: 22
State: VA

Vax Date: 04/12/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Nose bleed at work 12 days post vaccine, never had a nose bleed before in my life. Pain in left shoulder and right leg on day 11. Persistent headache for two days. Occasional light-headedness, blurred vision, slow cognitive abilities for 2 days since nose bleed.

Other Meds: Birth control (drospirenone and ethinyl estradiol tablets)

Current Illness: None

ID: 1260759
Sex: F
Age: 20
State: NV

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient fainted several minutes after receiving vaccination. She was sitting in the waiting area at the time.

Other Meds: None

Current Illness: None

ID: 1260760
Sex: F
Age: 72
State: IL

Vax Date: 04/13/2021
Onset Date: 04/19/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: pineapple

Symptom List:

Symptoms: Rash / hives on left leg, 3 inches about ankle and 3 inches up from that one. Started in upper area first. Stinging first with two red marks. The ankle area was second on the back of leg.. Used Gold Bond to relieve the pain and burning. Two more marks showed up on the right calf but did not change. Did show up on the back of left leg in the thigh area from bend and 3 inches up. Used Gold Bond from the 22nd to today the 26th and have had a good improvement .

Other Meds: Metformin hcl, Glipizide er, Atorvastatin, Paroxtine, Letrozole, Methimazole. 3B-G Complete, D mulsion, Biotin.

Current Illness: sore throat.d

ID: 1260761
Sex: F
Age: 33
State: VA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: no adverse event --mixing error--multi diluent vial was used more than once to draw and mix with covid vaccine

Other Meds:

Current Illness:

ID: 1260762
Sex: F
Age: 39
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Syncope

Other Meds:

Current Illness:

ID: 1260763
Sex: F
Age: 36
State: AZ

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

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

Lab Data:

Allergies: none that I'm aware of

Symptom List:

Symptoms: headaches - 1 hour after injection injection site pain - 5 1/2 hrs after injection body aches & fatigue - 5 1/2 hrs after injection and continuing, Tylenol helps suppress the severity of body aches and fatigue chills - 20 hrs after injection reddish/purple spots or bruising on left (same side as injection) ribs, almost underarm. Bruise is approximately 2 inches in length and 1 in tall. noticed this evening (4/26/21)

Other Meds: zonisamide 500 mg/every night nortriptyline 100mg/every night norethindrone 5mg/every night tylenol 1000 mg - when symptoms started

Current Illness: cold sore - one week prior, resolved at the time of vaccination

ID: 1260764
Sex: F
Age: 64
State: NY

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

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

Lab Data:

Allergies: NO KNOWN ALLERGIES

Symptom List:

Symptoms: MULTIPLE BILATERAL PULMONARY EMBOLI NONOCCLUSIVE RIGHT POPLITEAL DVT OCCLUSIVE RIGHT POSTERIOR TIBIAL VEIN AND RIGHT SMALL SAPHENEOUS VEIN THROMBOSIS PATIENT BEGAN TO DEVELOP LEFT FLANK PAIN FOUR DAYS FOLLOWING VACCINATION FOLLOWED BY SEVERE SHORTNESS OF BREATH WITHIN THE FOLLOWING DAYS

Other Meds: DOXYCYCLINE HYCLATE 100MG TWICE DAILY, FUROSEMIDE 40MG DAILY

Current Illness: "FLUID IN LUNGS"

ID: 1260766
Sex: F
Age: 50
State: ME

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The only issue i had was severe headache that lasted 4 days, nothing i took helped but now everything is great, so far

Other Meds:

Current Illness:

ID: 1260767
Sex: M
Age: 30
State: CT

Vax Date: 04/22/2021
Onset Date: 04/25/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: rash at injection point

Other Meds: Atorvastatin, Levothyroxin, Estradiol, buproprion, fenofibrate, fluoxetine, spironolactone, novolog, levemir

Current Illness: no

ID: 1260768
Sex: M
Age: 55
State: VA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: no adverse event-- mixing error --diluent was used more than once to mix with covid vaccine

Other Meds:

Current Illness:

ID: 1260769
Sex: M
Age: 21
State: TX

Vax Date: 04/13/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: On 4/22 I felt two lymph nodes behind my left clavicle. Today is 4/26 and the lymph nodes felt larger so I saw the NP at the Drs Office and she gave me an order for an ultrasound of my neck if my lymph nodes don't go down in 10 days or if they get larger. The order states it is due to the assessment finding lymphadenopathy of left cervical region.

Other Meds: None

Current Illness: None

ID: 1260770
Sex: F
Age: 22
State: VA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Started off with a small red rash at injection site hours after injection. The rash started to swell and increase in redness hours after that, and the next day the swelling and redness continued to increase. The swelling, redness, and pain continued to worsen over the next day until the welt reached about 3inches in height and 3inches across. The skin reaction formed a perfect circle around where I was injected. It has been around 78 hours and the welt is still very large, very red, very swollen, and very itchy. It also feels hot to the touch. No medicines have been able to assist with the swelling or pain, and cold compresses, ice, and heat also do not make the swelling or pain go down.

Other Meds: Multivitamin

Current Illness: none

ID: 1260771
Sex: F
Age: 44
State: MO

Vax Date: 04/18/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: 8 days after I received the first dose of Moderna, I woke up and my arm at the injection site was swollen, painful to touch or lift my arm, tight, itchy and red. The patch is about the size of my cupped hand over the mass.

Other Meds: Fluoxetine, Gabapentin, Levothyroxine, Metformin, Spironolactone, Buspirone

Current Illness:

ID: 1260772
Sex: M
Age: 18
State: SC

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: The Patient is a Marine Corps recruit and inadvertently received a second Covid-19 vaccine dose. This facility on administers the Moderna vaccine. The Patient received his first Moderna vaccine dose here after being screened by our staff, but it was discovered that this was his second dose - the first dose being Pfizer and receiving that dose on 02 Feb 2021. The paperwork was turned in after receiving the dose and the secondary screening team then noticed the previous dose documented on the paperwork. Staff were notified and the Patient was monitored for 30 minutes, no adverse reaction was noted by the patient or the staff.

Other Meds: NONE

Current Illness: NONE

ID: 1260773
Sex: M
Age: 16
State: VA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: mixing error --used multi diluent twice to draw and mix with covid vaccine

Other Meds:

Current Illness:

ID: 1260774
Sex: F
Age: 23
State: OH

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: 1-2inch solid mass grew in my left arm, near my armpit starting a day after the injection; otherwise only general Muscle soreness.

Other Meds: None

Current Illness: None

ID: 1260775
Sex: F
Age: 50
State: CA

Vax Date: 04/15/2021
Onset Date: 04/20/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: I developed shingles after the 2nd shot- burning nerve pain on my torso and slight rash

Other Meds: Nortriptyline

Current Illness:

ID: 1260776
Sex: F
Age: 34
State: MA

Vax Date: 03/31/2021
Onset Date: 04/12/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I?ve had pain in both legs off and on since the Janssen shot. Had an issue with clots and blood supply in previous and recent pregnancies

Other Meds:

Current Illness:

ID: 1260777
Sex: F
Age: 20
State: TN

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: severe fatigue, headache, chills, body aches. low grade fever, hot flashes, sweating, chest pains, shortness of breath, sore throat, stomach pains, congestion

Other Meds: tri-sprintec birth control tablets & Lexapro anti anxiety medication

Current Illness: None

ID: 1260778
Sex: F
Age: 40
State: IN

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Friday morning at 4:30am I woke up to go workout and as I was brushing my teeth I passed/blacked out. I came to and I began sweating profusely.

Other Meds: Zoloft 100 and Doxyclcine Hyclate 50 mg

Current Illness: No

ID: 1260779
Sex: M
Age: 37
State: VA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: mixing error--diluent was used twice from same multi vial to mix with covid vaccine

Other Meds:

Current Illness:

ID: 1260780
Sex: M
Age: 33
State: MN

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 4/23/2021 2nd Dose of Moderna Shot. Symptoms started at 9pm. Fever, body aches, chills, loss of appetite and nausea. 4/24/2021 Symptoms felt worse in the morning but got better through the day. Body felt better at night 4/25/2021 No symptoms and regained appetite.

Other Meds: Miralax Colace Escitalopram oxalate

Current Illness:

ID: 1260781
Sex: M
Age: 63
State: CO

Vax Date: 04/01/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
Hospital: Y

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

Lab Data:

Allergies: Amoxicillin, codeine

Symptom List:

Symptoms: posterior tibial vein non-occlusive thrombus. RLE pain starting 4/23, diagnosed 4/26

Other Meds: Flomax

Current Illness:

ID: 1260782
Sex: M
Age: 30
State: VA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: mixing error --used twice to punch diluent vial to mix with covid vaccine

Other Meds:

Current Illness:

ID: 1260783
Sex: F
Age: 20
State: OH

Vax Date: 04/18/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Gluten

Symptom List:

Symptoms: Bruising and swelling was gone after three days post-shot. I woke up eight days post-shot and the injection site was red, itchy, and there was a lump the size of a small orange.

Other Meds: Fish oil

Current Illness: None

ID: 1260784
Sex: F
Age: 45
State: WA

Vax Date: 04/17/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Immediate pain x 2 days that improved but Erythema and induration of area starting at Day 7 and worsening; seen in clinic on day 9 and area affected was 10 cm in diameter

Other Meds: None

Current Illness: None

ID: 1260785
Sex: F
Age: 67
State: PA

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: I do not know if this diagnosis is due to covid vaccine or not, but wanted to check it out. 4/3/21 redness at left eye; Urgent Care described as pink eye; gave me polymyxin B-TMP eye drops 4/7/21 redness at left eye; Urgent Care again said pink eye and did negative covid test; prescribed Ciprofloxacin Ophthalmic 4/21/21 Went to Opthamology Associates because still red/pink. diagnosed as Episcleritis of left eye and prescribed Alrex 0.2% eye drops 4/23/21 called Opthamology Associates because now left eye lid sore and swollen. told me to continue with drops and keep upcoming appointment on 4/29/21 and call if emergency occurs before then. and use hot compresses. As of today, may be a little better.

Other Meds: multiple vitamin; pantoprazole; 81 mg aspirin; metformin HCL; lisinopril/hydrochlorot hiazide; simvastatin

Current Illness:

ID: 1260786
Sex: F
Age: 44
State: AZ

Vax Date: 04/01/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, azithromycin

Symptom List:

Symptoms: Fever, chills, swollen lymph nodes in neck and shoulder on injection side.

Other Meds: Daily multi-vitamin

Current Illness: None

ID: 1260787
Sex: M
Age: 24
State: CO

Vax Date: 02/26/2021
Onset Date: 03/01/2021
Rec V Date: 04/26/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe Myocarditis, radiating chest pain, difficulty breathing, dizziness

Other Meds: Daily vitamin supplement, omega 3?s

Current Illness: None

ID: 1260788
Sex: F
Age: 48
State: OR

Vax Date: 04/22/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Almonds

Symptom List:

Symptoms: Early menstrual cycle by one week, slight vertigo, buzzing in right ear, intense headache

Other Meds: Claratin, propranolol, spirolactone

Current Illness:

ID: 1260789
Sex: M
Age: 60
State: MA

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Severe pain in left shoulder joint when lifting arm above head and/or elbow to shoulder height.

Other Meds: Warfarin, Rosuvastatin

Current Illness:

ID: 1260790
Sex: F
Age: 23
State:

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/26/2021
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Symptoms: After the first dose (end of March), I had a large red rash at the injection site which lasted almost two weeks. After my second dose (April 20), I had an intense reaction. I was up most of the night freezing cold, leg hair standing on end, and body aching. Had to take a hot shower to cope with the chills. I finally fell asleep for two hours and woke up in hot sweats and an intense headache. I was fine by the afternoon, but developed a new and unusual symptom around 1pm -- sharp localized pains that would intermittently shoot through random parts of my body (mostly legs, but also arms and midsection). They were so bad I would keel over while standing and gasp. Each day since, they have lessened in intensity, but are still somewhat present (it is 11pm on April 26, one week later). Now, I have what I would describe as subtle, localized cramps (?) in random areas (calves, thigh, tricep, back) that come and go -- more of an ache-y sensation but widespread across my body. It is nothing I have experienced before, and only started after the vaccination.

Other Meds:

Current Illness: anorexia nervosa, osteoporosis

ID: 1260791
Sex: M
Age: 29
State: VA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
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Symptoms: mixing error --used twice to puncture diluent to draw and mix with covid vaccine

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Current Illness:

ID: 1260792
Sex: F
Age: 48
State: CA

Vax Date: 04/17/2021
Onset Date: 04/25/2021
Rec V Date: 04/26/2021
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Allergies: Penicillin, Sulfa drugs

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Symptoms: Large red itchy round rash at vaccination site 7 days after getting the first shot

Other Meds: Plant based iron supplement

Current Illness: None

ID: 1260793
Sex: F
Age: 26
State: AZ

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
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Allergies: Tamiflu

Symptom List:

Symptoms: Redness, itching and swelling worsening over time. Redness getting larger.

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Current Illness:

ID: 1260794
Sex: F
Age: 59
State: VA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/26/2021
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Allergies: Amoxicillin, Codine, Bactrim

Symptom List:

Symptoms: ??Headache ~ 4/23/21 @ 1:30 p.m. through 4/25/21 @ 5 p.m. ??Nausea ~ 4/23/21 @ 2 p.m. through 4/25/21 @ 9 p.m. ??Vomitting ~ 4/24/21 @ 10 a.m. ?? Fever ~ 4/24/21 @ 8:30 a.m. 99.6

Other Meds: Mobic, Metformin, Fenofibrate, Effexor, Lorazapan, Claritin, Asprin, Ginko Bilbao, Omega 3,5,7,9, Trazadone

Current Illness: Torn left rotator cuff, surgery 4/2/21

ID: 1260795
Sex: M
Age: 33
State: NC

Vax Date: 04/14/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
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Allergies: Tree Nuts

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Symptoms: Bell's Palsy

Other Meds: Zyrtec, Multivitamin

Current Illness:

ID: 1260796
Sex: M
Age: 32
State: IN

Vax Date: 04/22/2021
Onset Date: 04/25/2021
Rec V Date: 04/26/2021
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Allergies: None

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Symptoms: Experienced chills, feverish, headache, body aches less than 24 hours after injection. Around 36 hours later broke out in sever hives rash. Hives keep improving and then getting worse again hours later even after Benadryl, steroid shot and Zyrtec

Other Meds: Tylenol the day after vaccination

Current Illness: None

ID: 1260797
Sex: F
Age: 55
State: VA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
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Symptoms: mixing error--used more than once to draw diluent from multi dose vial to mix with covid vaccine

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Current Illness:

ID: 1260798
Sex: F
Age: 35
State: IN

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/26/2021
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Allergies: None

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Symptoms: Experienced chills and fever starting shortly after the 24 hour mark after the vaccine and lasting roughly 8 to 10 hours. Fatigue and severe headache starting around the 24 hour mark and continuing until the 72 hour mark.

Other Meds: Ortho-cyclen; womens one a day gummies; elderberry gummies

Current Illness: None

ID: 1260799
Sex: F
Age: 46
State: IN

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
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Allergies: N/A

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Symptoms: I have been without a menstrual cycle for a minimum of 2 years because of the Depo Provera injections. However, I had vaginal spotting/light bleeding that started approximately 9 hours after I received the vaccine and lasted for about 48 hours.

Other Meds: Depo Provera injections

Current Illness: N/A

ID: 1260800
Sex: F
Age: 45
State: CA

Vax Date: 04/25/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
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Symptoms: Severe headache, foggy feeling - strange. Excruciating pain at injection site - whole arm was so very painful. Radiated into shoulder and neck, down arm. Headache is so bad.

Other Meds: Licinopril HTC, Simvastin

Current Illness:

ID: 1260802
Sex: F
Age: 59
State: VA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
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Symptoms: mixing error-used twice to draw diluent from multi vial diluent to mix with covid vaccine

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 679,999

Page last modified: 03 October 2021 5:28pm