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: 1266815
Sex: F
Age: 47
State: NJ

Vax Date: 04/19/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Round, raised, red and warm circle at injection site.

Other Meds: None

Current Illness: None

ID: 1266816
Sex: F
Age: 18
State: TN

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

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Headache, Fever, Chills, Muscle pain and hard time breathing. Fatigue. Currently treating with Tylenol and Ibuprofen and rest.

Other Meds:

Current Illness:

ID: 1266817
Sex: F
Age: 84
State: FL

Vax Date: 04/02/2021
Onset Date: 04/05/2021
Rec V Date: 04/28/2021
Hospital: Y

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

Lab Data:

Allergies: sulfa, flu vaccine, pineapple, walnut, adhesives

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

Symptoms: onset of atrial fibrillation with CHF within 3 days of vaccination

Other Meds: propranolol 80 mg ER ; lisinopril 10 mg, multivitamin, Vitamin D3/K2 5000, CBD topical, acetaminophen 500 mg prn, folate 1000

Current Illness: none

ID: 1266818
Sex: F
Age: 25
State: ME

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: - Augmentin - Soy

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: The morning after (04/15/21), I woke up with soreness and slight redness. As of today (04/28/21), a red circle with the diameter of more than 1 inch, slightly tender on my left arm. Gradually increased in size over the last 2 weeks. My whole body is itchier than normal. I'm now using a body lotion daily so I have not experienced much itchiness since. I've been very fatigued & irritable. My headaches have gotten worse and I haven't had much of an appetite.

Other Meds: - FLUoxetine 20 MG Cap x3 daily - levoTHYROxine 50 MCG Tab daily - Cholecalciferol (Vitamin D-3) 125 MCG (5000 UT) Tab every other day - cetirizine 10 MG Tab - busPIRone 10 MG Tab x2 twice daily

Current Illness:

ID: 1266819
Sex: F
Age: 27
State: IL

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Severe, Systemic: Visual Changes/Disturbances-Medium

Other Meds:

Current Illness:

ID: 1266820
Sex: F
Age: 67
State: FL

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: Z Pack

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

Symptoms: Received the injection on January 22, Friday. Rash on Left Arm by injection site on Sunday night about 10 PM and it was gone by Monday morning. I did nothing for the rash. Blood Pressure increased at night on Sunday, Monday and Tuesday At 3:30 Am Wednesday my BP went to 214/110 so I went to the Hospital. Doctor in the hospital gave me 5 mg of Amlodipine.

Other Meds: Metoprolol, Vitamin D3

Current Illness: None

Date Died: 04/24/2021

ID: 1266821
Sex: F
Age: 40
State: MD

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: Pollen Extracts- confusion. Sulfamethoxazole- confusion. Cephalexin- hives. Ciprofloxacin- nausea and vomiting. Clindamycin- nausea and vomiting. Grass Pollen. Iron- nausea and vomiting. Latex- rash. Tape Adhesive- rash. Sulfonamide Antibiotics- nausea and vomiting.

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Pt was seen in Family Medicine on 4/23/2021. Was given her first Moderna vaccine that day. On-call doctor received phone call on 4/24/2021 that pt had expired. Death certificate states cause of death: seizure due to possible complication of COVID 19 vaccine. Conditions if any, leading to immediate cause: cerebellopontine angle tumor of brain

Other Meds:

Current Illness:

ID: 1266822
Sex: F
Age: 40
State: TN

Vax Date: 04/19/2021
Onset Date: 04/22/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Pharyngeal swelling

Symptoms: Started my period 9 days early (this has never happened to me before)

Other Meds: B6, magnesium

Current Illness: No

ID: 1266824
Sex: M
Age: 37
State: TX

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Chills-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Medium, Systemic: Hyperventilation-Severe, Systemic: Shakiness-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Additional Details: epipen given. called 911. but the patient was ok before they get to the store after giving epipen.

Other Meds:

Current Illness:

ID: 1266825
Sex: F
Age: 35
State: AZ

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Chest pain and pressure, elevated resting heart rate (increase from around 80 to 95 bpm) Only reporting this because all the literature seemed to only discuss elevated heart rate in the context of an immediate anaphylactic reaction

Other Meds: B12 supplements (1000mkg) Lo loestrin FE Monteleukast

Current Illness: Pernicious anemia Gastritis or intestinal inflammation (diagnostic testing in progress to determine which)

ID: 1266826
Sex: M
Age: 17
State: FL

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Vaccine administered to patient under the age of 18

Other Meds: None

Current Illness: None

ID: 1266827
Sex: M
Age: 32
State: AR

Vax Date: 04/01/2021
Onset Date: 04/05/2021
Rec V Date: 04/28/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Stroke caused by bloodclot

Other Meds: Pepcid

Current Illness:

ID: 1266828
Sex: F
Age: 43
State: VA

Vax Date: 04/17/2021
Onset Date: 04/19/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: I started to feel periods of confusion shortly after the first dose and continue to feel short periods of confusion. My second dose is scheduled for May 8, 2021.

Other Meds: None

Current Illness: None

ID: 1266829
Sex: M
Age: 28
State: TX

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
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: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Shakiness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: pt experienced syncopal episode in store, resolved and left after 30 minute stay

Other Meds:

Current Illness:

ID: 1266830
Sex: M
Age: 41
State: IN

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

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

Symptoms: Fever, sluggishness, exhaustion, sore arm

Other Meds: None

Current Illness: None

ID: 1266831
Sex: M
Age: 44
State: OK

Vax Date: 04/06/2021
Onset Date: 04/21/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: penicillin

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

Symptoms: I came down with Shingles at the 2 weeks after 2nd shot date.

Other Meds:

Current Illness:

ID: 1266832
Sex: F
Age: 39
State: WV

Vax Date: 03/29/2021
Onset Date: 04/20/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Shingles

Other Meds: Pristiq, Zyrtec , multivitamin, CBD oil, calcium/mag/vit D, probiotic

Current Illness:

ID: 1266834
Sex: F
Age: 20
State: AZ

Vax Date: 03/30/2021
Onset Date: 04/11/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Starting April 7th, then again April 11th and continuing until the present day, an uncomfortable and itching rash had covered the majority of my body. This led to 2 UrgentCare visits and a course of steroid pills (that helped for a few hours before the rash would start to reappear each day) After completing my second dose of the vaccine on April 25th (Lot# EW0169) around 7pm I woke up April 27th with the rash the completely covered my legs/groin/hip area and started spreading up my spinal and trunk as well as swelling fingers, face and lips, resulting in a hospital visit, more steroids and on the morning of April 28th a new rash began on my trunk, arm, neck and face in addition to the hive-like rash on my legs.

Other Meds: Daily probiotic (physicians choice) and multivitamin (Deva)

Current Illness: N/A

ID: 1266835
Sex: F
Age: 50
State: KY

Vax Date: 04/17/2021
Onset Date: 04/24/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: Iodine and fish derived products.

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I received my second shot on April 17th, 2021. I injured my foot on April 21, 2021. I went to my General Physician the following day and received a tetanus shot. Up until that time, my side effects were very light; slight headache, arm muscle pain. Two days after receiving my tetanus shot I could barely get out of bed. I woke up feeling as if someone had drugged me; my mind was very fuzzy and it was hard to focus. Every muscle in my body was in extreme pain and it hurt to breathe. I had bouts of terrible stomach cramps. I felt nauseous to the point that I was unable to eat solid food other than chicken soup and crackers for three days. I do fully believe my side effects happened because of the tetanus shot as I had very little side effects before the shot. I felt like I was dying. Luckily I had some medicine at home that helped with the symptoms; gabapentin for my shoulder injury, zofran from a past hospital visit, and I took tylenol. I am a Medical Assistant and didn't feel the hospital or the Dr. office could have offered me any relief from my symptoms.

Other Meds: Flonase, Amlopidine, Albuterol inhaler, Symbicort, Singulair, Crestor, Aspirin, Zyrtec, Prilosec

Current Illness: Asthma, allergies, Gerd, coronary artery disease

ID: 1266836
Sex: F
Age: 32
State: NC

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

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

Lab Data:

Allergies: none

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

Symptoms: fever, swelling and rash at injection site, nausea, loss of appetite; tingling in fingers; hot and cold spells; tiredness

Other Meds: amitriptyline 10 mg 3x day; gabapentin 300 mg 3x day; divalproex extended release 250 mg 2x day; over the counter probiotics; zyrtec

Current Illness: Migraines

ID: 1266837
Sex: F
Age: 20
State: CA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Systemic: Dizziness / Lightheadness-Severe, Systemic: patients feels hot then an hour later feels cold-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Weakness-Medium, Additional Details: Patient said she felt light headed and feels weak. Pharmacist had patient lay down with two legs slightly elevated. Patient was given water to drink since she said she feels hot and need water. pharmacist check vital signs 3 times.

Other Meds:

Current Illness:

ID: 1266838
Sex: F
Age: 40
State: NC

Vax Date: 04/15/2021
Onset Date: 04/17/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Unevaluable event

Symptoms: Single vulvar ulcer on L side. Appeared two days after second dose. Painful open sore. Lasted about one week before resolving on its own.

Other Meds: Turmeric supplement daily

Current Illness: Norovirus approx 2 weeks before second dose

ID: 1266839
Sex: F
Age: 59
State: OH

Vax Date: 03/16/2021
Onset Date: 04/28/2021
Rec V Date: 04/28/2021
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: Experienced an unusual headache on about April 8th. It felt like it was behind my left eye, and in front of my left ear. Pain subsided in about an hour after resting. On April 28th, I experienced vaginal bleeding. I awoke to a dry cough and felt the leakage. The blood was bright red and I'd estimate 4-6 Tablespoons. I feel light-headed, concerned, but otherwise fine.

Other Meds: Estradiol patch 0.05 mg., otc Progesterone 3000 mg, Naturthroid, Turmeric, Doxycycline, D3, B complex, DHEA

Current Illness: none

ID: 1266840
Sex: M
Age: 56
State: NY

Vax Date: 04/25/2021
Onset Date: 04/26/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Systemic: Chills-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: other-Severe, Systemic: Headache-Severe, Systemic: Nausea-Severe, Systemic: Unable to Sleep-Severe, Systemic: Weakness-Severe

Other Meds:

Current Illness:

ID: 1266841
Sex: F
Age: 29
State:

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

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

Lab Data:

Allergies: PCN

Symptom List: Injection site pain, Menorrhagia

Symptoms: Redness, itching and hives developed to patient's chest, arms and stomach within the first 15 minutes of receiving the COVID vaccine. Benadryl 25mg IM provided to patient by clinic team with good resolve. Did not recur as per patient.

Other Meds:

Current Illness:

ID: 1266842
Sex: M
Age: 54
State: NY

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Patient states that he began having a headache (frontal) that caused him to have some brain fog. It lasted approximately four weeks. It would wax and wane. Then one morning he woke up without it. He was not seen for this. Just happened to be seen today for his routine physical and mentioned it.

Other Meds: hydrochlorothiazide, famotidine

Current Illness: none

ID: 1266843
Sex: M
Age: 17
State: NJ

Vax Date: 04/21/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Headache, fever, chills

Other Meds:

Current Illness:

ID: 1266844
Sex: F
Age: 39
State: GA

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Moderate to severe headache lasting 10+ days. There is no outcome as of yet. My doctor advised me to "contact the coronavirus hotline" and take extra-strength Tylenol. Today is the 11th day since my 2nd shot and I don't know what to do.

Other Meds: Thyroid Np (60mg), Spironolactone (100mg), Escitalopram (10mg), OTC Nexium, OTC Claritin, OTC Vitamin D (5,000 IUI)

Current Illness: none

ID: 1266846
Sex: F
Age: 39
State: VA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/28/2021
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: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Abdominal Pain-Medium, Systemic: Diarrhea-Medium, Additional Details: PATIENT SAID SHE IS HAVING SOME REDNESS ,AND SWELLING AT INJECTION SITE ,ALONG LOW STOMACH ACHE AND MILD DIARRHEA

Other Meds:

Current Illness:

ID: 1266847
Sex: M
Age: 49
State: IL

Vax Date: 03/22/2021
Onset Date: 03/30/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Nausea

Symptoms: intense Tinnitus in both ears 8 days after 1st dose.

Other Meds: none

Current Illness: none

ID: 1266848
Sex: F
Age: 55
State: ME

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: pt says the day after taking the vax she said she could feel the injection going through her body. She started waking up during the night feeling like someone was choking her because he throat and esophagus swelling. She said she felt like her stomach was irritated and began having acid reflux. She had an episode of feeling very dizzy on her left side of her head. On 4/27/21 she had another episode of getting very dizzy and started vomiting. Today she says her head is not hurting but does not feel normal. She says her the left ear and left eye is hurting a little and she cannot sleep on that side of her body. Pt will call her PCP regarding her symptoms. .

Other Meds:

Current Illness:

ID: 1266849
Sex: F
Age: 21
State: FL

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: No know allergies

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

Symptoms: Patient passed out and collapsed a few minutes post administration. Patient was regained conciousness less than a minute after passing out. Patient was given a small bottle of water and was driven home.

Other Meds: One-a-day multivitamin

Current Illness: None

ID: 1266850
Sex: M
Age: 19
State: IN

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/28/2021
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: Started with a low fever 6 hours after vaccination, with slight muscle ache symptoms. About 4-5 hours later it evolved into a high fever (104 at peak), muscle aches on the whole body, and ringing in my right ear. The next day the symptoms were more mild, but still present (other than ringing in ear) with a lower fever, and the day after the symptoms were gone except for tenderness at injection site.

Other Meds:

Current Illness:

ID: 1266851
Sex: M
Age: 45
State: IN

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/28/2021
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Allergies: None

Symptom List: Tremor

Symptoms: Fever body ache fatigue

Other Meds: Triumeq

Current Illness:

ID: 1266852
Sex: M
Age: 74
State: KY

Vax Date: 03/30/2021
Onset Date: 04/04/2021
Rec V Date: 04/28/2021
Hospital: Y

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Allergies: None.

Symptom List: Erythema, Pruritus

Symptoms: He had his first vaccine ? when. He had open heart surgery on 3/5/21 that was previously planned and did amazingly well from that. He got his 2nd vaccine on 3/30/21, on 4/4/21 he woke up with worst headache that he ever had in his life. He said after the shot that he had a headache. She took him to the ER, they flew him to a healthcare facility and had a massive aneurysm and there for 21 days in ICU. He was told at that time that it needed to be reported to the CDC as they felt that it could be a side effect. He got out of the hospital on 4/23/21, and starts physical therapy today, and was told that he is a miracle at this point. He is able to communicate some, and able to walk some, but going to therapy.

Other Meds: Multivitamin, Atorvastatin, Pacerone.

Current Illness: None.

ID: 1266853
Sex: F
Age: 28
State: NY

Vax Date: 04/06/2021
Onset Date: 04/21/2021
Rec V Date: 04/28/2021
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Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: upper arm soreness

Other Meds:

Current Illness:

ID: 1266854
Sex: M
Age: 17
State: PA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
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Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: Patient fainted after receiving his first dose of the shot. He was very pale and sweating but responsive to questions. Monitored his blood pressure and had him sit and drink water. After 15 minutes his color had returned, stopped sweating and was totally alert/oriented. Per patients mother he had just come from school and had not eaten much that day which she belived to be a contributing factor

Other Meds:

Current Illness:

ID: 1266855
Sex: F
Age: 43
State: OH

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/28/2021
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Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: After first dose on 3/25/21, I experienced an intense headache within a few hours and sore arm at injection site, both subsided. I started my menstrual cycle two days later. Then 10 days later, I started spotting (very unusual for me) and had another menstrual cycle a few days after that. This resulted in two cycles within 21 days, which is also very unusual for me. After the second vaccination on 4/15/21, I experienced body aches and a fever within 12-36 hours from injection. I also experienced soreness in my right breast and lymph node above the breast (now 13 days post-vaccination and this has not subsided). I also had an episode of vertigo lasting 12 hours on the 10th day after the second vaccination.

Other Meds: Vitamins D, Zinc, Magnesium. Digestive enzymes, fiber supplement.

Current Illness: None

ID: 1266856
Sex: F
Age: 92
State: OH

Vax Date: 03/30/2021
Onset Date: 04/23/2021
Rec V Date: 04/28/2021
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Allergies: NKA

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

Symptoms: On 04.23.2021, developed leg swelling and was diagnosed with Right lower DVT. Was not admitted to the hospital. Was give RX for Eliquis

Other Meds: Unknown

Current Illness: NA

ID: 1266857
Sex: F
Age: 54
State: NY

Vax Date: 03/28/2021
Onset Date: 04/05/2021
Rec V Date: 04/28/2021
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Allergies: sulfa, cold medicine, bug bites

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

Symptoms: I got Moderna arm for two weeks. I finally had to take Zyrtec for the hives to go away. I had a fever for about 50 hours after the 2nd vaccine.

Other Meds: none

Current Illness: none

ID: 1266858
Sex: F
Age: 30
State: NC

Vax Date: 03/16/2021
Onset Date: 03/01/2021
Rec V Date: 04/28/2021
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Allergies: n/a

Symptom List: Pain in extremity

Symptoms: Shortly after I received the Janssen Covid Vaccine I begin to lose some of my taste and smell. There is a specific metallic smell that I smell in certain foods and items such as coffee, perfume, my deodorant, and even my bowel movements. I have difficulty smelling onions & garlic but can still taste them. I had Covid back in January 2021 where I lost my taste and smell. I regained it and only AFTER receiving the vaccine did I have problems with smell/taste again.

Other Meds: n/a

Current Illness: n/a

ID: 1266859
Sex: M
Age: 33
State: WA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
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Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: patient was dripping sweat, very pale. blood pressure never dropped below 120/100 per OMRON meter, pulse stayed around 60. he was given water and recovered in about 5 minutes. He stayed for 30 minutes further observation, then left feeling very normal

Other Meds:

Current Illness:

ID: 1266860
Sex: M
Age: 36
State: WI

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
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Allergies: none

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

Symptoms: tinnitus

Other Meds: flo-nase, prilosec, allegra

Current Illness: none

ID: 1266861
Sex: F
Age: 69
State: OH

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/28/2021
Hospital: Y

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

Symptoms: 4-16-21 @ 2PM SHE HAD A 'SHADOW IN HER RT EYE'. DROVE TO ER. DX WITH CLOT TO RT EYE AND LT OCCIPITAL AREA OF BRIAN. NO SURGERY. WAS GIVEN PLAVIX. HAS APPT WITH EYE DOCTOR ON MAY 3RD. SAW A NEUROLOGIST AND PCP. SHE IS DOING BETTER NOW AND RT EYE HAS 'CLEARED UP'. WILL NOT BE GETTING SECOND DOSE.

Other Meds:

Current Illness:

ID: 1266862
Sex: F
Age: 63
State: MA

Vax Date: 04/01/2021
Onset Date: 04/15/2021
Rec V Date: 04/28/2021
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Allergies: none

Symptom List: Vomiting

Symptoms: All of a sudden got very dizzy, couldn't stand up without falling down, spiked a fever for 5 hours and dry heaved for 3 hours

Other Meds: Meclazine

Current Illness: none

ID: 1266863
Sex: F
Age: 67
State: FL

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 04/28/2021
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Allergies: Z pack

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Received vaccine on Friday, February 19, 2021. That night woke up at 4 am with a cold, couldn't breath. Took nose drops and Advil. fell back to sleep and woke up 5-6 hours later and felt fine. Saturday night same thing but this time it was flu symptoms, no fever. Took Advil and woke up 5 hours later and felt fine. Sunday started to have diarrhea that lasted 2 days, blood pressure started to rise at night, and had a rash at injection site. BP did not go up as high as after the first injection and it may have been because I was still on the 5 mg of Amlodipine. After 3 days BP started to go back to normal. Rash lasted 3 days this time.

Other Meds: Metoprolol, Vitamin D3, Magnesium

Current Illness: none

ID: 1266864
Sex: F
Age: 31
State: NY

Vax Date: 04/08/2021
Onset Date: 04/15/2021
Rec V Date: 04/28/2021
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Allergies: None

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

Symptoms: Type of Adverse Event: Abnormal bleeding/spotting Date of Adverse Event: Thursday, 4/15/2021-Thursday, 4/15/2021 (within the same day); less than 1 hour; duration of event approximately 3-5 minutes Treatment: None; self-monitor bleeding/symptoms Outcome: Bleeding stopped/disappeared without any treatment or invention Other details: Patient (myself) had reported experience of a single occurrence of abnormal bleeding, minimal/very light spotting associated with in-between periods. Patient had first reported adverse event (side effect) to patient physician (OBGYN). The patient's physician (OBGYN) had advised the patient to report side effect/adverse event to the vaccination site/VAERS. Date of event had occurred exactly one week to the day of vaccination (first dose of vaccine). Abnormal bleeding/spotting in-between periods is extremely unusual and abnormal for the patient. Patient is not pregnant or breastfeeding. No patient use of medications/prescriptions/antibiotics/birth control/hormonal therapy/surgeries/injuries/drugs/alcohol.

Other Meds: None

Current Illness: N/A

ID: 1266865
Sex: F
Age: 49
State: MD

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/28/2021
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Allergies: idonine

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Ringing in ears (left ear more pronounced than right). The left side is also where the shot was administered. Since the shot was administered I have experienced ringing in ears 4-6x's per day (these ringing "episodes" last 15-30 min).

Other Meds: na

Current Illness: headaches

ID: 1266866
Sex: F
Age: 43
State: OH

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/28/2021
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Allergies: None

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

Symptoms: Limitation and pain in arm movement. Shoulder pain for last 2 weeks.

Other Meds: None

Current Illness: None

ID: 1266867
Sex: M
Age: 49
State: FL

Vax Date: 04/25/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
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Allergies: n/a

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

Symptoms: On 4/27/21 at around 4:15 patient came to store to report a side effect after been immunized against Covid 19 with a Moderna vaccine on 4/25/21. The patient had a chief complaint of pain and swollen armpit . After looking into the area, I observed that the swelling looks as if he had the size of a small ball on his armpit. I Suggested to take Aleve and observe for fever and that if it gets worst see MD immediately. Patient was grateful for consultation and will keep in touch if there?s not improvement.

Other Meds: n/a

Current Illness: n/a

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am