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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1273793
Sex: F
Age: 32
State: CT

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: In addition to reactions I was informed were possible, like headache, nausea, malaise, soreness, chills, body aches, I had several others I was not made aware would happen. Five hours after the injection, my heart rate increased and I experienced palpitations. I checked to make sure it was not tachycardia, but it was close. My injection site started to become sore around this point, too. Ten hours after the injection, I experienced extreme chills and body aches. General malaise and body aches followed. Between 12 and 16 hours later, my heart rate returned to normal; I still had chills and body aches, but I developed a headache, nausea, and pain in my joints. I experienced shooting pains through my joints (shoulders and knees primarily). My anterior left shoulder experienced sustained pain (not shooting pain, sustained pain); this was not the arm I received the injection. Lastly, my body felt swollen even though I did not look swollen. These reactions lasted about 12 hours, after which the pain subsided. The nausea was the next to stop, but my headache dissipated slowly over the next 12 hours. From injection to reactions subsiding, the duration lasted 48 hours. While I was warned about the headache, nausea, general malaise, soreness, chills and body aches, I was never told I may experience an issue with my heart rate or that amount of pain in my joints.

Other Meds: Multivitamin. Vegan Omega 3 supplement

Current Illness:

ID: 1273794
Sex: F
Age: 55
State: MI

Vax Date: 04/20/2021
Onset Date: 04/24/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Ibuprofen.

Symptom List:

Symptoms: Nausea, Itchy rash at injection site, left arm. Every day it's a bit larger.

Other Meds: Lexapro 20MG, Levothyroxine 88mcg, KlonoPIN .5MG, Zyrtek 10mg, Glucosamin.

Current Illness: NA

ID: 1273795
Sex: F
Age: 44
State: NC

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: none listed

Symptom List:

Symptoms: Patient had localized swelling reaction from vaccine in Left arm, 30mm, redness at site, no pain, no itching and no burning noted at site of injection. No other symptoms noted. No other signs or symptoms, 15mm induration.

Other Meds: unknown

Current Illness: none listed

ID: 1273796
Sex: F
Age: 32
State: IN

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Pencillins

Symptom List:

Symptoms: Fever, severe body aches, stomach upset, headache about 12 hours after injection

Other Meds: Zoloft, Protonix, Magnesium, Biotin, Benadryl, Naproxene sodium

Current Illness:

ID: 1273797
Sex: F
Age: 56
State: WI

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

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

Lab Data:

Allergies: Sulfa, Morphine documented

Symptom List:

Symptoms: Facial redness and tingling (specifically above eyebrows and lips). Returned to vaccination clinic around 5pm reporting symptoms

Other Meds:

Current Illness: unknown

ID: 1273798
Sex: M
Age: 49
State: CA

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

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: 1st shot: No adverse reactions after the shot. 2nd shot: 3 minutes after the second shot, felt warm wave in my body and became dizzy. Did not have additional side effects and left in 20 minutes. During driving back and 1 hr after the vaccination became even more dizzier and fatigued, with walking balance issues. Second day dizziness disappeared, but I had a pain in the area of the shot, headache, body aches, and fatigue, balance issues. 3rd day started recovering. 3-8 day side effects gradually disappeared but started having panic attacks and generalized anxiety which I suffered years ago.

Other Meds: none

Current Illness: no

ID: 1273799
Sex: F
Age: 17
State: NY

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/30/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccine administered to female age 17 years, 4 months old. Parental consent of file.

Other Meds:

Current Illness:

ID: 1273800
Sex: F
Age: 29
State:

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Headache, body aches, fatigue, soreness at injection site

Other Meds: Prenatal vitamins

Current Illness:

ID: 1273801
Sex: M
Age: 37
State: PA

Vax Date: 04/10/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Left arm became very sore at spot of vaccine 19 days after shot. It feels like I was punched in the arm. There was little to no soreness after shot or anytime until 19 days after.

Other Meds: None

Current Illness: None

ID: 1273802
Sex: F
Age: 16
State: MA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 16 year old patient got 1st dose of Moderna covid vaccine in error.

Other Meds: unknown

Current Illness: unknown

ID: 1273803
Sex: F
Age: 41
State:

Vax Date: 04/20/2021
Onset Date: 04/27/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: 2nd period in month. never ever happened before

Other Meds: vitamin d

Current Illness: n/a

Date Died: 04/29/2021

ID: 1273804
Sex: U
Age: 68
State: MI

Vax Date: 03/31/2021
Onset Date: 04/10/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Aspirin Atrorvastatin Crestor Haldol Haloperidol Lipitor Lisinopril Oxycodone Aldactone Hydralazine

Symptom List:

Symptoms: GI Hemorrhage Covid + Respiratory Failure

Other Meds: Cardizem Norco Neurontin banophen Plavix

Current Illness: None known

ID: 1273806
Sex: M
Age: 43
State: GA

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Headache, exhaustion, fever, and chills: Motrin and Tylenol every 4 to 6 hours better within 36 hours

Other Meds: none

Current Illness: none

ID: 1273807
Sex: F
Age: 34
State:

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 04/30/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List:

Symptoms: After 2nd dose of Pfizer vaccine. On arrival, VSS HR 80s BP 119/82 O2 sat 99% on room air denies difficulty breathing or chest pain. Per patient 1st dose of vaccine had some numbness of lips this time left side of lips numb and spread to tongue, "tongue feels swollen." On assessment no facial droop present. Patient also c/o feeling more drowsy and slower to talk. Transported to ED via wheelchair for monitoring. Care assumed by ED RN.

Other Meds:

Current Illness:

ID: 1273808
Sex: F
Age: 53
State:

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

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

Lab Data:

Allergies: Diclofinac

Symptom List:

Symptoms: Patient received 1st dose on 4/13/2021 and received the 2nd dose on 4/30/2021. No immediate reaction.

Other Meds: Tramadol Januvia Clinoril Lipitor Zestiril Norvasc

Current Illness:

ID: 1273809
Sex: F
Age: 68
State: GA

Vax Date: 03/10/2021
Onset Date: 03/12/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Brain fog, Full body aches, Pain still on right side of body, reduced hearing in right ear

Other Meds: Blood Pressure medicine, Viatamins

Current Illness: nope

ID: 1273810
Sex: F
Age: 63
State: MN

Vax Date: 04/14/2021
Onset Date: 04/19/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: ceclor pencillian and sulphor drugs

Symptom List:

Symptoms: Can not stop itching , head and back of hair line just will not go away, also top of feet and turn beet red. Inside of arms with hives that get little red bumps. face and neck and chest turn beet red for no apparent reason face gets hives too.

Other Meds: Sythroid, and vitamins

Current Illness: none

ID: 1273811
Sex: F
Age: 20
State: IN

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Intense soreness throughout my whole arm, very congested head, chills, sweating, very sensitive to touch. Lasted for one day.

Other Meds: Levothyroxine and birth control

Current Illness:

ID: 1273812
Sex: M
Age: 50
State: OH

Vax Date: 04/19/2021
Onset Date: 04/26/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Severe dizziness that presented at 8am on 4/26/21 with sharp intermittent vertigo (like starting to pass out) that subsided quickly approximately 5 times over a 20 minute period. This graduated to constant dizziness and cloudiness and severe shaking while outdoors. Arrived at ER at about 10am and "room spinning" vertigo began shortly after and at about 11am there was about 5 episodes of severe vomiting over about a 2 hour period. Dizziness did not decrease until enough medication was administered to stop the vomiting and allow a dose of Meclizine 25mg PO to be administered and take effect and decrease the dizziness to barely manageable. Left the hospital in this state at about 6PM. Today is 4 days later and dizziness continues as manageable only with Meclizine 25mg every 8 hours.

Other Meds: levothyroxine 250mcg QD Crestor 20mg QD Nasonex 2 sprays each nostril QD Ibuprophen 600mg QD and prn EC Aspirin 81mg QD

Current Illness: none

ID: 1273813
Sex: F
Age: 39
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: S: RRT called to patient to Vaccination recovery room s/p EpiPen administration. B: Unknown A/R: Upon arrival, pt AOx4 laying in gurney. Per patient and Vaccination RN, patient received 1st dose of Moderna vaccine at 12:47 and then began complaining of itchiness in the back of throat and feeling like her airway was closing. 1 EpiPen was administered at 13:00. HR140, all other VSS. Patient transferred to ED via wheelchair for further workup."

Other Meds:

Current Illness:

ID: 1273814
Sex: F
Age: 26
State: IN

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: nan

Symptom List:

Symptoms: Fever, headache, dizziness, muscle aches all over

Other Meds: nan

Current Illness: nan

ID: 1273815
Sex: F
Age: 22
State: MD

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Anxiety, Itchy Throat Vital Signs: HR=61 B.P.=109/74 02:=100% Lungs clear Water offered, 15 minutes observation extended Lungs clear= Bilateral. Patient discharged home at 12:30 p.m.

Other Meds:

Current Illness:

ID: 1273816
Sex: M
Age: 24
State: NC

Vax Date: 04/07/2021
Onset Date: 04/21/2021
Rec V Date: 04/30/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 24-year-old male patient with no past medical history received Johnson & Johnson Covid vaccine on April 7 presented to ED with abdominal pain and was found to have portal vein, splenic vein, superior mesenteric vein thrombosis. Patient was also found to be thrombocytopenic he was admitted to the stepdown unit placed on bivalirudin. Patient remains hospitalized at the time of this report.

Other Meds:

Current Illness:

ID: 1273817
Sex: F
Age: 45
State: NY

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 10 minutes after the injection I experienced a racing heart for 10-15 minutes, then some mild nausea and dizziness and a feeling of an altered state of mind or sense of unreality (like before passing out) for about 45 minutes. After that I felt like I was coming out of the grips of an experience and felt exhausted by it.

Other Meds: Multivitamin Calcium/Vitamin D take each a few times a week

Current Illness: None

ID: 1273818
Sex: M
Age: 69
State: UT

Vax Date: 01/26/2021
Onset Date: 02/11/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Erythrocin

Symptom List:

Symptoms: First vaccination took place on 1/26/21. Second on 2/23/21. Provider reports that the patient has been hyperglycemic without explanation since the first injection. Has increased units of Lantus.

Other Meds: : Taking Aspir-Low 81 MG Tablet Delayed Release 1 tablet Orally Once a day, Taking Tamsulosin HCl 0.4 MG Capsule 1 capsule Orally Once a day at night, stop date 08/22/2021, Taking Gabapentin 300 MG Capsule 1 capsule Orally three times a day

Current Illness: Orthostasis, Diabetes, Hyperlipidemia.Cirrhosis, cryptogenic - K74.69 (Primary) 2. Nutritional anemia - D53.9 3. Left knee pain, unspecified chronicity - M25.562 4. Right knee pain, unspecified chronicity - M25.561 5. Swelling of right knee joint - M25.461 6. Swelling of knee joint, left - M25.462 7. Type 2 diabetes mellitus without complications - E11.9 8. Long term current use of insulin - Z79.4 9. Balance disorder - R26.89 10. Nerve damage - T14.8XXA 11. Neuropathy - G62.9 12. Protein malnutrition - E46 13. Anemia, unspecified - D64.9

ID: 1273819
Sex: M
Age: 16
State: FL

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: There were no adverse events. However, the patient inadvertently received the Janssen COVID 19 on April 10, 2021 at the community vaccine event although he is 16 years old. This situation was identified on April 29, 2021 during routine quality checks. Pt.'s parents were notified and a wellness check was completed on pt. Pt. denies any usual side effects or adverse events from the vaccine , 19 days after being vaccinated.

Other Meds: NONE

Current Illness: NONE

ID: 1273820
Sex: F
Age: 58
State: MA

Vax Date: 03/03/2021
Onset Date: 04/10/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Unsure if related Post Menopausal bleeding ( 12 days)

Other Meds: High blood pressure med, Cholesterol meds, Hormone meds, Thyroid meds

Current Illness:

ID: 1273821
Sex: F
Age: 42
State: MO

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

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

Lab Data:

Allergies: sulfa, prednisone

Symptom List:

Symptoms: Around 20 minutes after administration pt stated she felt like she was going to pass out. Pt was sat down, given cold water and monitored. Pt stated she felt "heavy and numb," but was not having any trouble breathing or sensation of tongue or lips swelling. She did not appear to have any shortness of breath and did not appear to have shallow breathing, but did appear to have slowed but steady breathing. She said she was having trouble speaking and felt very tired. She looked like she was about to fall asleep so we used smelling salts and called 911 and the pt's spouse. Pt continued to be alert but was having increasing difficulty talking or answering questions.

Other Meds: Atorvastatin 10mg, fluticasone 50mcg nasal spray

Current Illness: none known

ID: 1273822
Sex: F
Age: 63
State: NY

Vax Date: 04/05/2021
Onset Date: 04/07/2021
Rec V Date: 04/30/2021
Hospital: Y

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

Lab Data:

Allergies: penicillin, bactrim, e-mycin

Symptom List:

Symptoms: Spontaneous coronary artery dissection. heart attack symptoms (chest pain), pain lasted over an hour

Other Meds: tramadol, celebrex, carvedilol, ramipril, aspirin, levothyroxine, claritin, repatha, citalopram

Current Illness: none

ID: 1273823
Sex: F
Age: 38
State: MN

Vax Date: 01/28/2021
Onset Date: 04/26/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt developed s/s of COVID 19 and tested positive

Other Meds:

Current Illness:

ID: 1273824
Sex: M
Age: 83
State: NJ

Vax Date: 03/31/2021
Onset Date: 04/11/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Vitals of patient were taken in mornings after initial dose of vaccine. On the 12th day after said inoculation patient blood pressure dropped from normal 140/72 to 100/58 for period of 2 - 3 days. Patient demonstrated no additional adverse symptoms, i.e., fever, joint pains, respirator distress, headaches, etc.

Other Meds: Multi-vitamin / minerals, metformin 500mg b.i.d.

Current Illness: none

ID: 1273825
Sex: M
Age: 33
State: IN

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Around 5:00 pm the day after the shot, I began experiencing some sharp aches/pains in my upper chest and lower abdomen, both on my left-side. Breathing was a little more difficult due to these pains. The symptoms have persisted since that time, although they have been more subdued. Experienced a peak again around noon on 4/30/2021, but is milder again as I submit this.

Other Meds: Floxetine HCL (generic for Prozac) Fluvoxamine Maleate (generic for Luvox)

Current Illness: N/A

ID: 1273826
Sex: F
Age: 30
State: NM

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Blurred vision in right eye with some distortion; came very suddenly

Other Meds: mini pill iron supplement

Current Illness:

ID: 1273827
Sex: M
Age: 19
State: NJ

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Received shot sitting down. All was fine. Walked down long hallway to observation room. Spoke to nurse who told us to sit for 15 min. Sat down he started to sweat profusely. Told him to take his sweatshirt off. Continues to sweat his forehead his T-shirt was wet his back was wet. Then he tilted his head back his eyes rolled back into his head. I called the nurse. We got him to a wheelchair and behind the curtain. Before we had a chance to put him on the Exam Table he passed out and started to seize for the count of 3 or 4 seconds. Then he woke up. He said he saw white beautiful light. I am not kidding. He does not joke. Then he said he was fine. Insisted he was fine. His bp was low for the first two readings. Then It came back up to normal. He laid flat for 15 more min. Had some juice. Sat up when It was gone to go. Bp got super high. We waited till It was normal and left.

Other Meds: None

Current Illness: None

ID: 1273828
Sex: M
Age: 32
State: AR

Vax Date: 04/15/2021
Onset Date: 04/17/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: No allergies (pollen)

Symptom List:

Symptoms: Received 2nd Moderna vaccine on 4/15/21. Woke up on Saturday 4/17/21 with significant "cramp" in left calf. Pain persisted, so patient went to doctor on 4/19/21. Blood work did not "rule out" clot. Doctor ordered venous doppler which confirmed clot. Prescribed 3 month course of Xarelto.

Other Meds: No prescriptions, OTCs, or herbal supplements

Current Illness: No known illnesses

ID: 1273829
Sex: M
Age: 63
State: NJ

Vax Date: 03/12/2021
Onset Date: 04/08/2021
Rec V Date: 04/30/2021
Hospital: Y

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Allergies: none known

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Symptoms: Transient Ischemic Attic T.I.A.

Other Meds: Ambien 10 mg , prevacid 10 mg

Current Illness: none

ID: 1273830
Sex: F
Age: 65
State: SC

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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Allergies: Ibuprofen (Advil, Aleve, Motrin) and Oxycodone (Percoset)

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Symptoms: 1st inj left me fatiqued with brain fog for 3 days. 2nd inj left me with a fever of 101 degrees and aches the next day and night. Very tired today but fever is very low to almost none.

Other Meds: Tylenol Migraine at 9:30 am to prepare

Current Illness: After 1st co-v injection, I was in bed for 3 days with horrible fatigue, fog brain, sleepy....red hot in site arm.

ID: 1273831
Sex: M
Age: 56
State: TX

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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Allergies: none

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Symptoms: five minutes after 2nd dose shot ,nasal cavities became swollen and stopped up .slightly difficult breathing occurred , 20 minutes after .used afrin nasal spray and nasal cavities returned to normal , breathing returned to normal . 2 hours later stiffness in the neck, and aches in knees and lower back ,treated with Tylenol ,12 hours later slight joint pain ,stiff neck, and sore throat ,treatment with Tylenol 2 500mg tablets .

Other Meds: Flonase nose spray ,zertec pills

Current Illness: seasonal allergies

ID: 1273832
Sex: F
Age: 44
State: IA

Vax Date: 03/26/2021
Onset Date: 03/28/2021
Rec V Date: 04/30/2021
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Allergies: No

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Symptoms: Seizures/Spells. Two days after the vaccine injection I started having seizures/spells. It started with 1 a day for 2 days then increased to multiple spells per day (up to 4-5) I was seen at clinic neurology on April 13th. While there they called Emergency Services and I was transported to Emergency Department for what they believed to be prolonged seizure activity. Dismissed from there with appointment with Dr. who is looking into adverse reactions to Covid vaccine and referral to clinic. After 13 days recovered completely and back to normal activity and workouts.

Other Meds: Prednisone 5mg Lyrica 100mg Topiramate 100mg Hydroxycloroquine 400mg Esomeprazole 40mg

Current Illness: No

ID: 1273833
Sex: F
Age: 28
State: NE

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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Allergies: None

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Symptoms: 7:00 PM I started feeling tired and a little cold, by 7:30 PM I had horrible body aches and chills and was very tired. I laid down to go to sleep at 8:30 PM and dosed in and out of sleep. Around 10:30 PM I had a fever of 100.7 degree Fahrenheit. Around 12 AM my fever broke and by 1:30 PM I started feeling better. I had a really bad headache all night and into the morning, so bad I could feel throbbing in my teeth. I still have some soreness in my left hip joint and shoulder/neck. I have also had diarrhea once around 12:30 PM today. I did have COVID-19 at the end of December 2020 into January 2020. Not sure if that makes a difference.

Other Meds: Women's one-a-day supplement, Zyrtec

Current Illness: None

ID: 1273834
Sex: F
Age: 68
State: MA

Vax Date: 03/31/2021
Onset Date: 04/03/2021
Rec V Date: 04/30/2021
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Allergies: Sulfa drugs

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Symptoms: On 4/3/21, broke out in small spots all over body; by 4/7/21, the spots were breaking out as large hives all over body; taking Benadryl and applying anti-itch cream; on 4/9, primary care doctor recommended I switch to Claritin and Pepcid; 4/9-4/18 hives were getting worse every day; took 6 day course of Prednisone; hives cleared up after 3 days on Prednisone, but then hives intensified even more on days 4-6 of Prednisone taper; took 40 mg of Prednisone for 2 days; hives reduced; switched to Zertec twice a day and Pepcid twice a day; hives are decreasing but still appearing daily

Other Meds: Citalopram; Centrum Silver 50+ for Women

Current Illness: None

ID: 1273835
Sex: F
Age: 27
State: PA

Vax Date: 03/23/2021
Onset Date: 04/06/2021
Rec V Date: 04/30/2021
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Allergies: Peanuts, tree nuts, shellfish

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Symptoms: Missed Miscarriage discovered at routine pregnancy ultrasound on 4/6/2021 (12 weeks 5 days pregnant) Deceased fetus measured at 9 weeks 5 days D&C performed as a result on 4/7/2021 Estimated due date was 10/14/2021

Other Meds: Prenatal vitamins and 81mg aspirin daily

Current Illness: none

ID: 1273836
Sex: F
Age: 47
State: FL

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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Allergies: Environmental Allergies

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Symptoms: 47 y/o female with past medical history of HTN and Hodgkin?s Lymphoma (remission since 2012), presents today with itching to her left chest, back and neck post vaccination. Patient states that this is her second dose in the two-dose series. Patient denies previous reaction with 1st dose or any other vaccinations. Patient received the vaccination to the Left arm. NP and Paramedics at side. Patient provided with a bottle of water and 25 mg Benadryl PO x1. Patient states that she has environmental allergies. Initial vitals patient noted to be hypertensive, 169/89, all other vitals within normal limits (O2 sats 98% RA, 14 Resp, 77 HR). EKG showed NSR. Approximately 20 mins post Benadryl administration patient states that itch to neck, chest and back had resolved. Patient states that she feels sleepy. Patients father will drive patient home. Patient cleared for discharge. Patient BP on discharge 137/88.

Other Meds: Labetalol

Current Illness:

ID: 1273837
Sex: F
Age: 40
State: FL

Vax Date: 04/07/2021
Onset Date: 04/11/2021
Rec V Date: 04/30/2021
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Allergies: Morphine

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Symptoms: Developed Infectious Mononucleosis 4 dats after receiving vaccination.

Other Meds: None

Current Illness:

ID: 1273838
Sex: F
Age: 50
State: KS

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 04/30/2021
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Allergies: Gluten

Symptom List:

Symptoms: Left arm pain at injection site and surrounding deltoid muscle continues to exhibit pain at rest and movement.

Other Meds: Synthroid, Lipitor, Estrogen

Current Illness: None

ID: 1273839
Sex: F
Age: 77
State: NH

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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Allergies: None

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Symptoms: Uncontrollable body shaking, high fever, cold and hot sweats, was not aware at times of where I was or what day it was, my husband had to hold me to help stop the shaking.....NOT CHILLS, could not walk, diarrhea. This happened also on March 31st, my FIRST injection.....My heart was beating out of my chest.... very scary. Please don't tell me this is NORMAL!!! I've lost at least 5 lbs. I am petrified to get the booster, if there is one, I WILL NOT GET IT... ANY SUGGESTIONS.

Other Meds: Topamax for fibromyalgia, Lovastatin 20 mg (taken at night (did not take that evening(

Current Illness: None

ID: 1273840
Sex: F
Age: 55
State: AR

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/30/2021
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Allergies: None.

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Symptoms: I had a lot of pain everywhere after the 2nd dose on 4/6-7/21. On 4/7/21 I had blurred vision most of the day. I had pain in my eyes on 4/8/21. On 4/12 at 12-5PM my body felt hot, but my temp kept showing 98.6; at night since 4/12 I've had chest congestion & coughing. On 4/19 during the day my body felt hot & didn't feel like myself.

Other Meds: Cevimeline (dry mouth) HCL 30 MG Capsule 2x's a day, Midrodrine (Low Blood Pressure & Migranes) HCL 2.5 2 per day, TraZaDone (sleep) 100 mg, Diphenoxylate-atrop 2.5, generic for Lomti 2.5-0.025 mg for diarrhea 2 x per day, Omeprazole 20

Current Illness: Seborrheic Dermatitis 12/1/20,

ID: 1273841
Sex: M
Age: 75
State: UT

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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Allergies: none

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Symptoms: I received the vaccine on 4/28/2021 at 10:45am. No adverse effects that day, except for minor tenderness at the injection site. On the morning of 4/29/2021, about 7:30, I woke with a fever of 102. I had no appetite, and felt general flu-like symptoms--dizziness, etc. When I took Advil, my fever lessened. At about 1 pm I ate lunch as usual, and took more Advil in the afternoon for fever. At about 5 pm, I suffered a bout of severe muscle weakness, to the extent that I could not get myself to the bathroom unassisted, and required the help of 2 people to get me out of the bathroom and back to a chair in the living room. At the same time I had dry heaves, severe sweating, and physical exhaustion. I immediately fell asleep in the chair, and slept for 2 hours. When I woke, about 7:30pm, I felt a little better. I was able to take some fluids and a little food. I was also able to stand and walk with just a little support. By 9:30 that night I could stand and walk fairly steadily by myself. I slept well, and when I woke up the morning of 4/30, at about 7 am, I felt pretty much normal. I was steady on my feet, and my fever was down. I had a little dizziness on exertion, but fairly minor, and it passed quickly.

Other Meds: alkaline water, calcium, multivitamin, OsteoBiFlex, antihistamine

Current Illness: none

ID: 1273842
Sex: M
Age: 27
State: NY

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/30/2021
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Allergies: NO

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Symptoms: PATIENT FAINTED 5 MINUTES AFTER RECEIVING VACCINE. HE ADMITTED BEFORE GETTING THE VACCINE THAT HE "DOESN'T LIKE SHOTS". WHEN HE CAME TO, HE WAS DIZZY, PALE/GRAYISH SKIN, VOMITED TWICE AND WAS FATIGUED. WE CALLED AN AMBULANCE. THE PARAMEDICS ATTENDED TO HIM AND ONCE HE WAS FEELING BETTER, HE REFUSED TO GO TO THE HOSPITAL.

Other Meds: MANE MUSHROOMS

Current Illness: NONE

ID: 1273843
Sex: F
Age: 56
State: OK

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 04/30/2021
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Allergies: Beef, pork, venison, any red meat

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Symptoms: Anaphylaxis

Other Meds: Clonidine, verapamil, zyrtec, montelukast, hydrochlorothiazide,nitrofurantoin,gabapentin,

Current Illness: Pink eye

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm