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
76,333
AK1,662
AL5,523
AR3,522
AS44
AZ13,564
CA59,472
CO11,209
CT7,996
DC1,654
DE1,714
FL37,405
FM3
GA13,781
GU84
HI2,235
IA4,399
ID2,507
IL19,843
IN22,791
KS4,372
KY7,193
LA4,846
MA14,202
MD12,169
ME3,056
MH8
MI18,343
MN11,581
MO9,111
MP30
MS2,753
MT2,179
NC15,741
ND1,286
NE2,783
NH2,918
NJ17,765
NM3,771
NV4,203
NY33,497
OH18,499
OK6,047
OR8,152
PA23,061
PR2,160
QM2
RI1,931
SC6,226
SD1,149
TN8,925
TX35,084
UT4,124
VA14,242
VI50
VT1,699
WA14,145
WI10,599
WV2,257
WY839
XB5
XL1
XV2

Date Died: 04/12/2021

ID: 1262580
Sex: M
Age: 85
State: KY

Vax Date: 03/26/2021
Onset Date: 04/12/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient died on April 12th 2021. Not sure exactly what the cause of death but that he was losing blood in in his somewhere. He resided in a nursing home, and was taken to the hospital where he later died

Other Meds:

Current Illness:

ID: 1262581
Sex: M
Age: 56
State: MD

Vax Date: 04/11/2021
Onset Date: 04/20/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: Developed superficial leg clot on leg leg from ankle to grion

Other Meds: multi-vitamin

Current Illness: no

ID: 1262582
Sex: F
Age: 57
State: NJ

Vax Date: 03/23/2021
Onset Date: 04/05/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Headaches

Other Meds: Well Buterin

Current Illness: None

ID: 1262583
Sex: F
Age: 37
State: VA

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Gluten, seasonal allergies (spring and fall)

Symptom List:

Symptoms: Pain and tightness in left hip and left leg. No relief when sitting, standing, walking or lying down. First appeared 24-36 hours after 1st dose of the COVID vaccine. Arm soreness 30 minutes after injection which increased and then went away by the 2nd day post vaccine. Throbbing headache that woke me from sleep less than 24 hours after vaccination. Fatigue three hours after injection in which I had to lie down and sleep. I was woken up 3.5 hours later. Felt fatigued for the following three days post vaccine.

Other Meds: Allegra, Probiotics, Chinese Herbs

Current Illness: Seasonal Allergies, cubital nerve entrapment

ID: 1262584
Sex: M
Age: 29
State: GA

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: A few hours after his vaccines he noticed swelling inside his arm pit versus on the outside of his shoulder area. He was concerned enough to call us. Afterwards, he did call his PCP who stated this is a side effect noticed (not super common but can happen) I suggested a warm compress.

Other Meds: none

Current Illness: none

ID: 1262585
Sex: M
Age: 68
State: WI

Vax Date: 03/10/2021
Onset Date: 03/23/2021
Rec V Date: 04/27/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was admitted to the hospital within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1262586
Sex: F
Age: 17
State: NM

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Clinic had one extra dose left, about to expire. MA working clinic contacted provider working in clinic as well with request for pt to admin extra dose to. Provider recruited her daughter and vax was admin. Neither staff member realized the age of pt and Moderna limitations at time.

Other Meds:

Current Illness:

ID: 1262587
Sex: F
Age: 72
State: FL

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 04/27/2021
Hospital: Y

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

Lab Data:

Allergies: Paper Tape

Symptom List:

Symptoms: Fever, shaking, and chills. Patient admitted to the hospital

Other Meds:

Current Illness:

ID: 1262588
Sex: F
Age: 41
State: VA

Vax Date: 04/10/2021
Onset Date: 04/14/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient states that bruising started about 3 days after her shot. The bruising started at the injection site, then it spread to her left leg and thigh. She woke up two days ago with bruises on her shin. Her on/off headaches began when bruising started. They intensified when her shortness of breath began three days ago.

Other Meds:

Current Illness:

ID: 1262589
Sex: F
Age: 49
State: VA

Vax Date: 02/08/2021
Onset Date: 04/10/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: red dye, preservative found in canned meats like canned tuna and canned chicken

Symptom List:

Symptoms: Vertigo began 4/10/21 continues to be an issue. I take benadryl to reduce symptoms but any quick movement, rolling over in bed, turning my head, looking up or down causes severe dizziness and occasional nausea.

Other Meds: none

Current Illness: none

ID: 1262590
Sex: F
Age: 40
State: VA

Vax Date: 04/02/2021
Onset Date: 04/09/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Shellfish (Iodine)

Symptom List:

Symptoms: 4/9-4/10/2021- Headache (bruised feeling), tingling and trouble sleeping 4/14/2021- developed a red rash on the right side of the forehead and swelling on the face. Started Prednisone (thought it was poison ivy/oak) 4/16-4/18/2021- rash blistered and spread to the right eye and bridge of nose 4/19/2021- urgent care diagnosed Shingles and started treatment of Valtrex + Prednisone 4/20/2021- Ophthalmologist seen for eye 4/22/2021- swelling decreased and blisters dried up 4/27/2021- Currently still recovering

Other Meds: Flexeril, Cetirizine Hydrochloride

Current Illness:

ID: 1262591
Sex: F
Age: 34
State: PA

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Zithromax, erythromycin

Symptom List:

Symptoms: HR was 130 and she reported she felt lightheaded when in office, She had her buspar w/ her and nurse advised her to take this. She then layed down for another 20 minutes due to dizziness. She asked if she could walk around and call her husband, which lasted about another 30 minutes, nurse told her she could while watching pt She was doing well when she left. HR was about 100-115. Another nurse and the PA on site checked her before she left the building

Other Meds: trileptal 150mg, vit. c, vit. d, lisinopril 10mg, buspirone hcl 7.5 mg

Current Illness:

ID: 1262592
Sex: M
Age: 30
State: MI

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/27/2021
Hospital: Y

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

Lab Data:

Allergies: Cephalexin

Symptom List:

Symptoms: Major Depression without psychosis. Hospitalized

Other Meds: Inderal Nizoral

Current Illness: None

ID: 1262593
Sex: F
Age: 62
State: NC

Vax Date: 03/26/2021
Onset Date: 04/11/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Augmentin, Sulfa

Symptom List:

Symptoms: Beginning approximately Day16 after vaccine dose, noted "woozy"/sort of lightheaded & "off"/off balance sensation I have never experienced before...solid frontal headache for first few days but that is now gone, but "off" sensation persistently continues (now @ Day32). Went to Walgreens 4/26 for Covid test, to rule out mild covid case (awaiting results).

Other Meds: Vitamin D, vitamin B-complex, vitamin k2 mk-7, magnesium citrate, Blue Heron

Current Illness: None

ID: 1262594
Sex: M
Age: 57
State: FL

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: injection site pain, arm pain lasted a few days; general muscle pain lasted longer than a few days; general fatigue lasted about 7 days.

Other Meds: alfuzosin; daily vitamin

Current Illness: none

ID: 1262595
Sex: M
Age: 80
State: GA

Vax Date: 04/13/2021
Onset Date: 04/22/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Hives began on day 9 post Monderna vaccination. Resemble chigger bites and has several with cause itching & discomfort. Also had fatigue and a low grade fever which resolved within 2 days but the hives/rash has persisted for 2 weeks.

Other Meds:

Current Illness:

ID: 1262596
Sex: F
Age: 50
State: FL

Vax Date: 04/08/2021
Onset Date:
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Feeling numbness, tightness, hotness, warmth, spotting and discoloration in right and alternates to the left leg today. Also started feeling some tightness in the left eye today. Have a Dr appointment but on May 17th and going to urgent care today. Advised to go to HCF instead of urgent just to ensure they can get imaging, US and appropriate testing's to r/o all cause of complications. 4/20-f/u pc to caller; couldn't sleep last night; used a heating pad on her leg but didn't work; states both legs hurt; feel tight; 4/10 pain; worried when also saw spots on her left leg and became concerned because saw news of clots; the episode started with tightness of her right leg which progressed to most of leg as well as left leg. Has not gotten worse today and denies any concominant effects. Normally healthy. Did not go to the hospital because says she wouldn't be able to afford it. Has appointment with primary care in 2 weeks. rec'd that since she is still ok today then it's likely ok to skip the ER and go see MD as planned; warned to go to the ER right away or dial 911 if any of the following effects: sudden shortness of breath, severe headache, vision changes, loss of motor or/sensory function, chest pain. Call us back if having any effects at all besides the ones already noted so we may help determine if needs ER care.

Other Meds:

Current Illness:

ID: 1262597
Sex: F
Age: 36
State: IL

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: strong dizziness, weakness after 2 minutes of taking the shot , ambulance came took pressure oxygen level, sugar level and these were ok. no need to be hospitalized 4 hours after taking the shot I started having numbness in my fingers, numbness went away within few days

Other Meds: n/a

Current Illness: n/a

ID: 1262598
Sex: F
Age: 19
State: TN

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Roughly an hour after vaccination, experienced light-headedness and dizziness. During the night, a mild fever and nausea. The next day, four episodes of vomiting, fever, dizziness, headache, and body aches. During the second night, fever rose to 101. The second full day, worse headaches, sensitive to light, chest tightness (hurt to breathe deeply, cough, and laugh) and body aches. Third full day, mild chest tightness. Only medication taken to treat adverse affects was ibuprofen.

Other Meds: Escitalopram, Lexapro

Current Illness: None

ID: 1262599
Sex: M
Age: 49
State: MA

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: NKDA/NKA

Symptom List:

Symptoms: NEEDLE MALFUNCTION. PT RECEIVED LESS THAN 50% OF DOSE ADMINISTERED. PT REDOSED W/O ISSUE

Other Meds: NONE

Current Illness: NONE

ID: 1262600
Sex: M
Age: 75
State:

Vax Date: 03/04/2021
Onset Date: 03/14/2021
Rec V Date: 04/27/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1262601
Sex: F
Age: 0
State:

Vax Date: 07/01/1989
Onset Date: 04/27/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Needle punctured arm, vacinator attempted to admintster and dose squirted outside. Less than 50% was administered if any at all

Other Meds:

Current Illness:

ID: 1262602
Sex: F
Age: 40
State: IL

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Fever greater than 101 for 18 hours post vaccination along with muscle body aches. Regular menstrual cycle followed by 2+ weeks of spotting, headaches accompanied with nausea.

Other Meds: Benadryl, vitamin D3, vitamin B complex

Current Illness: N/A

ID: 1262603
Sex: F
Age: 15
State: MI

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was 15 years old at the time of vaccination. 2 days away from 16th birthday. No adverse events noted.

Other Meds:

Current Illness:

ID: 1262604
Sex: M
Age: 67
State: MA

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 04/27/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient started to experience stroke like symptoms at 2pm after receiving his second dose of the Moderna Vaccine. He was rushed to the emergency room a 6pm. Diagnosed with stroke at 8pm. As of 4/27 patient is still at the Medical Center. He will be transferring to a Rehabilitation Center on 4/27/21 for stroke Rehabilitation.

Other Meds: Lisinopril, aspirin, tamsulosin

Current Illness: None

ID: 1262605
Sex: F
Age: 53
State: OH

Vax Date: 04/16/2021
Onset Date: 04/18/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: All narcotics, except codeine, no food allergies and amoxicillin.

Symptom List:

Symptoms: Received the shot on Friday, 4/16/2021, between 10:15-1030 am.. Woke up feeling sick to my stomach, Sunday morning, 4/18/2021, at 04:00 am.. Very nauseated. Threw up 7 times between Sunday and Tuesday, 4/20/2021. Had dry heaves when I couldn't throw up any more. I couldn't keep water down. Cold chills. Fever. First fever was 100, then 101 and 99. Very disoriented. Ate chicken broth and crackers threw that up on Tuesday, 4/20/2021. All I could do was lay in bed. Missed 2 days of work. Worked from home on Wednesday, 4/21/2021. Worked half day in office on Thursday, 4/22/2021 and Friday, 4/23/2021. On 4/24/2021, Saturday still had a little bit of nausea. My first day without nausea completely was yesterday, Monday, 4/26/2021. There was no treatment. I couldn't take my medication for 3 days because all I was doing was throwing up. Drank sips ginger ale, water and pedialite.

Other Meds: Levothyroxine 100 mcg, venlafaxine 75 mg, D3 1000 MG, Lysine 1000 MG

Current Illness: None

ID: 1262606
Sex: M
Age: 24
State:

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 2:41pm Pt. c/o short period of passing out, hx of anxiety when he sees needles, did not have lunch and was dehydrated. VS B/P 83/51, HR 50, O2Sat 93%. Reevaluate 99/61, 3:00pm BP 118/66, HR 84, O2Sat 94%BS 107. 3:05pm Pt. reort that he was feeling much better. Refused transport. Was informed by EMS to call 911 if symptoms reappear. Understanding verbalized. Patient left vaccine site reported feeling better.

Other Meds:

Current Illness:

ID: 1262607
Sex: F
Age: 32
State: WA

Vax Date: 04/20/2021
Onset Date: 04/27/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Swelling, itching at the injection site 1 week after injection. Swelling and soreness of the underarm/armpit of the injection site arm

Other Meds: Ritual daily vitamins for women, fish oil supplement

Current Illness: None

ID: 1262608
Sex: M
Age: 33
State: AR

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: NON LISTED

Symptom List:

Symptoms: PATIENT HAVING SEVERE HEADACHE, FEVER @ 99.7, LIGHT HEADED, SIDES OF HEAD HURT, TOP OF HEAD FEELS HEAVY, PT FEELS UNSTEADY. STARTED SUNDAY AFTERNOON, THE DAY AFTER VACCINATION. 4/27/21 845AM am

Other Meds: NOT SURE

Current Illness: DID NOT ASK

ID: 1262609
Sex: F
Age: 23
State: IN

Vax Date: 04/25/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Fatigue, Fever, Light sensitivity, Chills

Other Meds: N/A

Current Illness: N/A

ID: 1262610
Sex: F
Age: 56
State: CA

Vax Date: 01/20/2021
Onset Date: 01/26/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Aspirin, N-saids, anti-inflammatories, macrodantin, anti-virals.

Symptom List:

Symptoms: Post menopausal for 3 years, but had menstral cycle within a week of vaccine.

Other Meds: Xolair, Xopenex, Sudafed-prn

Current Illness: N/A

ID: 1262611
Sex: F
Age: 32
State: NY

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Naproxen, penicillin

Symptom List:

Symptoms: 32 yo F with PMH COVID 3/2020 with post COVID palpitations, reactive airway, sore throat and headaches, comes in for evaluation of palpitations, chest tightness, lightheadedness and headache that started soon after she got the second dose of the COVID vaccine around 5:45 pm.

Other Meds: No active medications

Current Illness: No active principal problem

ID: 1262612
Sex: F
Age: 24
State: IL

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Claritin, latex, tree nuts, trees, grasses, raw fruits and vegetables

Symptom List:

Symptoms: Pain in upper right thigh, pain and numbness in right arm, headache, fatigue, nausea, chills, fever. Pain in thigh occurred about 20 minutes after injection and has not subsided. All other symptoms began about 2 hours after injection and gradually got worse throughout the day. So Fran was initially taken for nausea. Tylenol was taken for the pain. It did not eliminate all pain but made it much more tolerable and helped with nausea.

Other Meds: Junel fe, fluticasalone, montelukast

Current Illness:

ID: 1262613
Sex: F
Age: 52
State: MD

Vax Date: 04/16/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: No allergies to food but sensitivity to dairy, hazelnut, Codine and other prescription painkillers and hay fever.

Symptom List:

Symptoms: The site of the injection itches (or tingles or slightly hurts). It also appears red, but just right at the site.

Other Meds: Flovent, albuterol, singular, genetic Zyrtec and nasonex for hay fever and allergy symptoms. Amitriptyline and Excedrin for migraines. Natures Bounty Probiotic and a vitamin.

Current Illness: None. I did have a tooth extracted due to an abscess caused by a root canal.

ID: 1262614
Sex: F
Age: 27
State: TX

Vax Date: 04/06/2021
Onset Date: 04/13/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: I received my second Pfizer shot on 4/6/2021. My period began on 4/13/2021 and it was my first cycle since getting either vaccine dose. I typically do not have mensural cramps during my cycle but I had cramping that was so painful on the night of April 13th I could not sleep. It was excruciating pain. I had to medicate with motrin in order to get a few hours of sleep that night.

Other Meds: Multi-vitamin, 50 mg spironolactone

Current Illness: None

ID: 1262615
Sex: F
Age: 57
State: CA

Vax Date: 03/28/2021
Onset Date: 04/11/2021
Rec V Date: 04/27/2021
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Allergies: Shellfish sensitivity.

Symptom List:

Symptoms: Full body hives , head, torso, legs arms. Redness, hives, itchiness. Mild constricted breathing. Duration of severe symptoms 2-3 hrs. 2 Benadryl and sleep. Morning residual mild hives resolved after a couple of hours.

Other Meds: None

Current Illness: None

ID: 1262616
Sex: F
Age: 60
State: FL

Vax Date: 04/07/2021
Onset Date: 04/18/2021
Rec V Date: 04/27/2021
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Symptoms: On 4/18/2021 ~0800, pt's husband reported that pt described feeling like "felt like bones are broken". Today (4/19/2021), pt's husband reports that this morning pt was sweating to the point where she was dripping wet and her temp was slightly elevated Temp 99.6, and feeling fatigue. Pt's husband reported that pt took 2 tablets of 500 mg Tylenol ~1430 today (4/19/2021). Recommend that pt keep hydrated and rest. Counseled on the importance of making sure pt does not take more than 4,000 mg of Tylenol per day to avoid liver injury. 4/20-Completed up call on 4/20/2021 at 11:47am: Pt reports she feels much better today, only have a little achiness and fatigue. Recommend to take Tylenol PRN and to stay hydrated

Other Meds: Simvastatin, Tizanidine, Diltiazem ER Spiriva Inhaler, Advair Inhaler, Xopenex inhaler, Chlorthalidone 25mg, Omelsartan Rabeprazole Metformin, OTC Zyrtec

Current Illness:

ID: 1262617
Sex: M
Age: 24
State: MA

Vax Date: 04/18/2021
Onset Date: 04/18/2021
Rec V Date: 04/27/2021
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Allergies: NKDA, NKA

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Symptoms: SYNCOPE +LOC, -FALLS, +NAUSEA, +DIZZINESS ALL SYMPTOMS RESOLVED W/I 10 MINS OF SYNCOPE

Other Meds: NONE

Current Illness: NONE

ID: 1262618
Sex: M
Age: 47
State:

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
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Allergies: Amoxicillin (rash)

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Symptoms: Patient complained of getting hot. While sitting in the chair, he fell to ground, hitting head on the back of the chair. This patient was evaluated by EMT and Nurse. Patient denies double or blurred vision, nor nausea or vomiting, nor headache, nor dizziness, but some soreness at back of head. No noted swelling at this site. At 3:44 pm, vitals were: O2 sat 97%, B/P 110/60, HR 86, R 20. Offered water and tolerated well. Patient's family accompanied him to this event. At 4:07pm, vitals , O2 sat 99%, B/P 112/68, HR 86, R 20. At 4:26 pm, paramedics were called, and arrived, and evaluated patient. Vitals now, O2 sat 100%, B/P 125/73, HR 76, R 20. Paramedics deemed patient stable to go home. At 4:35 pm, patient released to go home with family.

Other Meds: Pepcid AC

Current Illness:

ID: 1262619
Sex: F
Age: 38
State: VA

Vax Date: 03/30/2021
Onset Date: 04/06/2021
Rec V Date: 04/27/2021
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Allergies: No known allergies

Symptom List:

Symptoms: Received menstrual symptoms such as lower abdominal cramping and painful distended bloating 3-4 days after injection, then received menstrual period 7 days after injection. Began same menstrual symptoms approximately 13 days later with menstrual period starting again 15 days later. I?m still menstruating now. Today I am to receive my next vaccination and am concerned I will continue menstruating for the next 3+weeks.

Other Meds: No prescriptions, all herbal supplements and vitamins: zinc, vegan collagen, calcium, B12, algae omega, milk thistle extract, L-tyrosine, ashwagandha, coleus forksohlii, vitamin a, vitamin c, vitamin d3, vitamin k, thiamin, riboflavin, fola

Current Illness: No known illnesses

ID: 1262620
Sex: F
Age: 35
State: NY

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 04/27/2021
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Symptoms: Tachycardia, lightheadedness, dizziness, low grade fever x1

Other Meds:

Current Illness:

ID: 1262621
Sex: F
Age: 29
State: IL

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
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Allergies: None

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Symptoms: Red, swollen, welt-like rash at injection site measuring 3 inches in diameter. Hard, tender and warm to the touch.

Other Meds: Buproprion XL 300mg, Viibryd 40mg, Omeprazole 40mg, NuvaRing, Topamax 50mg

Current Illness: None

ID: 1262622
Sex: F
Age: 35
State: IA

Vax Date: 04/07/2021
Onset Date: 04/17/2021
Rec V Date: 04/27/2021
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Allergies: none

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Symptoms: 10 days after my vaccine on 4/17/2021- I was driving and had my first ever episode of SVT-Subventricular Tachycardia. It lasted approximately 40 minutes of a heart rate of 187+. I then had a holter monitor put on on 4/22/2021. On 4/23/2021 I had a 2nd episode of SVT. Both times, I went to the emergency room. I was then in Sinus Tachycardia for several days until medications would kick in. Now waiting on my holter monitor results. Everything that causes this, I don't do. (no stimulants, 1 cup of coffee per day)

Other Meds: Optavia Caramel Macchiato Shake

Current Illness: none

ID: 1262623
Sex: M
Age: 57
State: FL

Vax Date: 04/20/2021
Onset Date: 04/23/2021
Rec V Date: 04/27/2021
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Allergies: N/A

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Symptoms: I have frequent urination with some stinging.

Other Meds: None

Current Illness: None

ID: 1262624
Sex: F
Age: 57
State: FL

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/27/2021
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Allergies: Penicillin, Avelox, Cipro, Levaquin, Zithromax, Compazine, Darvocet, Montelukast, Armour, Synthroid, Tirosint, Trokendi, Lomaira, Gadolinium, Xylitol

Symptom List:

Symptoms: Itching started in the mouth then spread to lips and face, then progressed to thickening of throat and difficulty swallowing.

Other Meds: None

Current Illness: None

ID: 1262625
Sex: M
Age: 67
State: NY

Vax Date: 02/05/2021
Onset Date: 03/03/2021
Rec V Date: 04/27/2021
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Allergies: NKA

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Symptoms: Hemolytic anemia after receipt of Moderna vaccine

Other Meds: BuSpar [buspirone] Adult Aspirin EC Low Strength [aspirin] Zegerid OTC [omeprazole-sodium bicarbonate] amlodipine 10 mg tab Oral Augmentin [amoxicillin-pot clavulanate] 500-125 mg 1 tab Oral three times a day albuterol sulfate 90 mcg/actuat

Current Illness: Hypertension, Polycythemia vera

ID: 1262626
Sex: M
Age: 67
State: MO

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 04/27/2021
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Symptoms: No noticeable symptoms on the first day. On day two, the patient experienced swelling and pain in the left arm which evolved into flu-like body aches and pains, as well as a fever not exceeding 101 F. This continued until day 3 in which symptoms were still present but much improved.

Other Meds: Methylphenidate 20mg every 6 hours Trazodone 200mg in the evening Losartan 200mg daily Hydrochlorothiazide 12.5mg daily Paroxetine 40mg daily

Current Illness: Anxiety disorder(s) Behavioral/Emotional disorder(s) Essential Hypertension

ID: 1262627
Sex: F
Age: 52
State: NY

Vax Date: 04/20/2021
Onset Date: 04/24/2021
Rec V Date: 04/27/2021
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Allergies: None.

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Symptoms: Mild ache, slight warmth, itchy rash.

Other Meds: daily vitamin (Centrum Silver-women's), Omeprazole 20mg qd, Lipitor 20 mg qd

Current Illness: None

ID: 1262628
Sex: M
Age: 49
State: TN

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 04/27/2021
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Allergies: none

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Symptoms: Severe rash - covering most of back and front of trunk. ear ringing.

Other Meds: none

Current Illness: none

ID: 1262629
Sex: M
Age: 37
State: PA

Vax Date: 03/31/2021
Onset Date: 04/05/2021
Rec V Date: 04/27/2021
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Allergies: Sulfa

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Symptoms: Tinnitis- constant high pitched noise in left ear and ear easily clogs. No wax build up and no loss of hearing.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 616,823

Page last modified: 03 October 2021 5:28pm