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: 1277497
Sex: F
Age: 36
State: IN

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever, chills, body aches, severe headache, severe fatigue, middle back pain that was much worse than other body aches - 1 day of severe flu like symptoms, day 2 - similar but much more mild symptoms and no longer have a fever

Other Meds: None

Current Illness: None

ID: 1277498
Sex: F
Age: 51
State: CA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Medium

Other Meds:

Current Illness:

ID: 1277500
Sex: F
Age: 40
State: ID

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Cinnamon

Symptom List:

Symptoms: Swollen under eye (right) 26 hours after second dose. Took 50mL benadryl. Practitioner prescribed steroid pack (methylprednisolone 4mg dosepak 21s). Approximately 24 hours after vaccine, the left under eye assist started to swell. History of dermal fillers. Particular area where swelling is occurring has not been treated in ~2 years. Other areas treated more recently ( nasolabial, cheek, lips) are not experiencing noticable swelling or tenderness. Note: swelling is minimal discomfort, barely noticable unless pointed out, some tenderness but otherwise bearable.

Other Meds: None

Current Illness: None

ID: 1277501
Sex: M
Age: 25
State: GA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hyperventilation-Mild, Systemic: Shakiness-Mild, Systemic: Stroke-Mild, Systemic: Weakness-Mild, Additional Details: patient was nervous and was hesistant about needles just prior to vaccination. as soon as the vaccinnation was done, patient became tense and seizure like activity for ~10 seconds, then he became coherent and was sweating/ pale/ feverish. Gave the patient water, ice packs, and offered to call 911 once he was coherent. Patient refused and then called friend to take him home.

Other Meds:

Current Illness:

ID: 1277502
Sex: F
Age: 57
State: VA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: NO

Symptom List:

Symptoms: Chest tightening (Major), Left shoulder muscular spasms that moved up to MAJOR muscle spasms on left side of neck, moved to upper back, and over to right muscle in neck (major), fog Also had MAJOR Head ringing, light headed vertigo (I can't even describe) I felt like everyone was yelling and my head was in a fog.

Other Meds: Vitamins B,C,D Folic Acid Biotin Fish Oil B12 Shot Calcium, Magnesium, Zinc

Current Illness: NONE

ID: 1277503
Sex: F
Age: 45
State: MA

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Cipro

Symptom List:

Symptoms: Had menstrual spotting (light bleeding) that began 1 day after the shot. My period had ended 1 week prior and I do not spot mid-month. The spotting lasted for 2 days.

Other Meds: none

Current Illness: none

ID: 1277504
Sex: F
Age: 35
State: IN

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Fever, started at 102 but kept around 99-100 with medication. Body aches, headache, chills

Other Meds: Bupropion

Current Illness: NA

ID: 1277505
Sex: M
Age: 64
State: IN

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills,headache, nausea

Other Meds: Atorvastatin 20mg, Men's multivitamin

Current Illness: None

ID: 1277506
Sex: F
Age: 43
State: VA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Additional Details: Patient received the injection. After a couple of minutes, patients breathing became rapid. I tried to calm her down. A couple of minutes the patient said her throat was closing. She made some gasping sounds. I gave her an injection of epinephrine 0.3mg. i called 911. EMS took her to unspecified hospital after treating her.

Other Meds:

Current Illness:

ID: 1277507
Sex: F
Age: 36
State: VA

Vax Date: 03/27/2021
Onset Date: 04/28/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List:

Symptoms: Extremely heavy menses about a week after my first vaccination. Currently over due and absent period -More than 5 days late at this point and no chance of pregnancy.

Other Meds: Synthroid 50mcg Toporol 12.5 mg Insulin

Current Illness: N/a

ID: 1277508
Sex: M
Age: 55
State: MA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Severe

Other Meds:

Current Illness:

ID: 1277509
Sex: F
Age: 44
State: IN

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever, chills, body aches, fatigue

Other Meds:

Current Illness:

ID: 1277510
Sex: F
Age: 33
State: IN

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, chills, fever

Other Meds:

Current Illness:

ID: 1277511
Sex: M
Age: 35
State: IN

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chills, body ache, head ache, exhaustion, fogginess, loss of appetite

Other Meds: Tylenol and nexium

Current Illness:

ID: 1277512
Sex: M
Age: 19
State: MA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Systemic: Weakness-Mild, Additional Details: PATIENT STATED HE'S AFRAID OF NEEDLES.

Other Meds:

Current Illness:

ID: 1277513
Sex: F
Age: 74
State: NJ

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: cats, honeydew melon

Symptom List:

Symptoms: Even today, May 1, I have some stomach discomfort and continuing fatigue that lessens over time. I had headaches but they are mostly gone now.

Other Meds: Vitamins B, D. Magnesium.

Current Illness: sciatica

ID: 1277514
Sex: M
Age: 57
State: TN

Vax Date: 02/11/2021
Onset Date: 02/22/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: I had feelings of vertigo and partial hearing loss in my left ear. My balance was off when walking and I felt like I was going to pass out or fall. The vertigo was relieved when I sat or laid down. This symptoms left after a day but the vertigo lasted for 2 weeks or longer with both injections. It has been over a month since I had both injections and both adverse reactions have now disappeared.

Other Meds: AMLODIPINE 5MG-QAM&QHS, TRIAM/HCTZ-37.5-25-QAM, ASA 81MG-QAM, ALLOPURINOL 300MG-QPM, COLCHICINE 0.6MG-QPM, CLONIDINE 0.1MG-QHS, BENADRYL 25MG-QHS

Current Illness: NONE

ID: 1277515
Sex: F
Age: 31
State: MA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Mild, Systemic: Weakness-Mild, Additional Details: pt gets nervous during shots

Other Meds:

Current Illness:

ID: 1277516
Sex: F
Age: 51
State:

Vax Date: 04/05/2021
Onset Date: 04/07/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List:

Symptoms: Mild lymphadenopathy at right arm for two days starting on the second day after the injection

Other Meds: None

Current Illness: None

ID: 1277517
Sex: F
Age: 41
State: MN

Vax Date: 04/02/2021
Onset Date: 04/09/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Moderate tinnitus in both ears. Developed about a week after second dose. No change a month later.

Other Meds: escitalopram

Current Illness: none

ID: 1277518
Sex: M
Age: 25
State: OR

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

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

Lab Data:

Allergies: N/a

Symptom List:

Symptoms: Dizzy, shortly after, goes away after a few hours. Sore arm, exercise helps and goes away in about a day Headache, 8-12 hours after. Goes away the next day. Intense Nightmares, the night after the second dose

Other Meds: Omeprazole, fluticasone, allegra

Current Illness: N/a

ID: 1277519
Sex: M
Age: 48
State: IL

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1277520
Sex: M
Age: 60
State: CA

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Eggs.

Symptom List:

Symptoms: Sore arm at site of injection. Not improving after 24 hours. Disturbing sleep. Not happy.

Other Meds: N/A

Current Illness: N/A

ID: 1277521
Sex: M
Age: 39
State: IN

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Arm pain, persistent headache, tired and runny nose.

Other Meds: None

Current Illness: None

ID: 1277522
Sex: M
Age: 32
State: TX

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypertension-Severe, Systemic: Nausea-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Shakiness-Medium, Systemic: Tingling (specify: facial area, extemities)-Severe, Additional Details: Within 10 minutes of administration patient became very overheated and passed out. I provided and ice pack and cold water to help revive the patient. I monitored the blood pressure which was elevated at 126/93 at the time of the event. I monitored him as he revived and his blood pressure came down to 110/68 then normalized at 118/81. He reported feeling nauseas before he lost consciousness. Conciousness was lost for a matter of seconds. Patient also reported numbness/tingling in both arms.

Other Meds:

Current Illness:

ID: 1277523
Sex: F
Age: 43
State: IN

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Bee alleegy

Symptom List:

Symptoms: My arm was sore first day. Last nighty son noticed it was red and swollen.

Other Meds: None

Current Illness: No

ID: 1277524
Sex: F
Age: 50
State: VA

Vax Date: 04/23/2021
Onset Date: 04/28/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tinnitus, both ears. No previous issues. Ongoing problem now.

Other Meds: None

Current Illness:

ID: 1277525
Sex: M
Age: 25
State: NC

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: Patient was sitting on the bench waiting for his 15 minute interval. A few minutes after sitting there, he passed out & fell on the floor. Said he got dizzy & didn't remember falling: was able to talk & answer questions within a few seconds. He was exremely pale, sweaty but remained responsive & stayed on floor until EMS arrived. Unsure if he hit his head or injured during fall. EMS assessed as syncope & possible dehydration. BP didn't stabilize so he went to ER for fluids & was released.

Other Meds:

Current Illness:

ID: 1277526
Sex: M
Age: 57
State: CA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1277527
Sex: M
Age: 34
State: IN

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Symptoms beginning about 12 hours after my injection. Had chills, very achy, pounding headache, could hear my heartbeat in my ears. Plus a fever of 101.8?F. That lasted from about 11 PM to about 11 AM this morning. After 24 Hours I had a slight elevated temperature of 99?F and felt a lot better (about 80%). After 36 hours I felt 100% and no temperature.

Other Meds: Mincocycline Hcl

Current Illness:

ID: 1277528
Sex: M
Age: 38
State: CA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1277529
Sex: F
Age: 77
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1277530
Sex: M
Age: 57
State: WA

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Woke up with a headache, took some Excedrin to clear it, no pain after that. Also was fatigued and light headed on and off the rest of 4/27.

Other Meds:

Current Illness:

ID: 1277531
Sex: F
Age: 73
State: NJ

Vax Date: 04/27/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: ace inhibitor cough

Symptom List:

Symptoms: thurs apr 29, double pneumonia, sore throat, afib episode

Other Meds: metformin, propafenone, levothyroxine, amlodipine, hydralazine, metoprolol, fenofibrate, xarelto, simvastatin, potassium, magnesium

Current Illness: none

ID: 1277532
Sex: M
Age: 37
State: MN

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient thought he received Pfizer for 1st dose, but after receiving vaccine and documenting he actually received Moderna for his first dose on 4/2. Contacted after vaccination and not experiencing any adverse events

Other Meds:

Current Illness:

ID: 1277533
Sex: M
Age: 42
State: IN

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Head ache, temperature greater than 100.4, muscle aches, fatigue

Other Meds: Insulin, metformin, glimeripiride, atorvastatin, aspirin

Current Illness: Diabetes

ID: 1277534
Sex: M
Age: 28
State: CA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Patient fainted for 2 min after 5 mins (11:45 am received vaccine) from receiving vaccine call 911 responsive team came at 11:58am talk and treating patient and fainted again at 1200pm.-Severe, Systemic: Tachycardia-Mild, Systemic: Weakness-Mild, Additional Details: He is sent to the Hospital after the responsive team came.

Other Meds:

Current Illness:

ID: 1277535
Sex: F
Age: 36
State: IL

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: A large red splotchy spot on my arm just below the injection site. It radiates heat and is harder than the rest of my arm. Article on ??COVID? arm? aligns with the symptoms. The symptoms occurred the day after the second dose. Similar symptoms occurred about a week after the first dose and went away after about a week. (Dose 1 was 3/31/21, Lot 082A21A).

Other Meds:

Current Illness:

ID: 1277536
Sex: F
Age: 41
State: PA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium

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Current Illness:

ID: 1277537
Sex: M
Age: 18
State: PA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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Allergies: None

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Symptoms: Around 10:30 I began to feel tired and a little sick. I went to sleep and at around 2 or 3 am I woke up freezing cold and sweating, with my left arm (arm I got the shot in) hurting a ton. I didn?t fall asleep for a few hours and couldn?t get out of bed due to coldness, lethargy, and muscle soreness. Next day had a moderate headache throughout the day that Ibuprofen didn?t help with. By 10 pm Friday all symptoms other than arm soreness had disappeared.

Other Meds: None

Current Illness: None

ID: 1277538
Sex: M
Age: 56
State: NY

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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Allergies: None

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Symptoms: Difficulty breathing. Not severe enough to warrant emergency treatment but needed to put effort into breathing. When I tried to fall asleep I was woken instantly because I stopped breathing. This lasted about 12 hours Severe headache - did not take any medication. Lasted 36 hours Nauseous - did not take any medication. Lasted 36 hours

Other Meds: None

Current Illness: None

ID: 1277539
Sex: F
Age: 25
State:

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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Allergies: None

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Symptoms: Uncontrollable shaking/shivering/tremors for about 1-2 hours. It finally went away after time, no medication was taken.

Other Meds: None

Current Illness: COVID-19

ID: 1277540
Sex: F
Age: 31
State: VT

Vax Date: 04/22/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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Allergies: Amoxicillin

Symptom List:

Symptoms: Initial symptoms after administration was low level soreness, localized to injection site on right arm and dissipated after 2 days. Delayed onset rash appeared 7 days after injection. Rash began about 2 inches in diameter, characterized with redness, itchiness and warmth. Area was slightly raised/swollen and firm to the touch. Over the next two days (8-9 days after injection) rash grew to about 4 inches in diameter, redness and itch was present but dissipating slowly. Appears likely to resolve within the next couple days. Treatment included OTC hydrocortisone cream, applied once the first day rash appeared. No other treatments were used.

Other Meds: Sertraline, 50mg daily

Current Illness: none

ID: 1277541
Sex: F
Age: 46
State: VA

Vax Date: 03/13/2021
Onset Date: 03/18/2021
Rec V Date: 05/01/2021
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Allergies: strawberries

Symptom List:

Symptoms: Nausea, dizziness, vomiting

Other Meds: excedrin migraine

Current Illness: none

ID: 1277542
Sex: F
Age: 69
State: NJ

Vax Date: 04/17/2012
Onset Date: 04/24/2012
Rec V Date: 05/01/2021
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Allergies: none

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Symptoms: on 4/24 noticed very small drop of pinkish blood in urine stream. 4/30 went to dr, he tested urine for blood,tested positive. Scheduled a CYSTO for 6/3/2021. (scope prostate, bladder). Evening of 4/30/2021 noticed small blood clotting of blood in urin streem. same thing the morning of 5/1. Looked up Bladder Cancer, said that DNA can cause changes ib bladder related to blatter cancer. Dr now on vacation, but if the blood clotting in urin stream continuse will contact DRs Office.

Other Meds: Norvasc,Lipitor,Zyloprim,Altice,Tenormin,Fishoil,Aspirin

Current Illness: none

ID: 1277543
Sex: F
Age: 28
State: IL

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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Allergies: NKA

Symptom List:

Symptoms: Patient states she is feeling warm after vaccine. Denies any other S/S or adverse reactions to previous vaccinations. Symptoms improved after a couple of minutes. Total Observation period was 30 minutes. Patient signed transport refusal.

Other Meds: None

Current Illness: None

ID: 1277544
Sex: M
Age: 38
State: IN

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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Allergies: None

Symptom List:

Symptoms: Mild skin rash and irritation on arm and upper torso, focused left side, presented in late evening, responded to oral antihistamine (benedryl), observed on 1st and 2nd night post vax

Other Meds: Lisinopril

Current Illness: None

ID: 1277545
Sex: F
Age: 22
State: IN

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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Allergies: N/a

Symptom List:

Symptoms: Body aches, cold sweats headache

Other Meds: N/a

Current Illness: N/a

ID: 1277546
Sex: M
Age: 25
State: IN

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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Allergies: None

Symptom List:

Symptoms: Chills, headache, nausea, fatigue, light soreness through body, joint pain in hands it was worse in arm shot was administered

Other Meds: None

Current Illness: None

ID: 1277547
Sex: F
Age: 34
State: IN

Vax Date: 04/09/2021
Onset Date: 04/28/2021
Rec V Date: 05/01/2021
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Symptoms: Patient reports mild symptoms after vaccination that went away after 2 days including nausea and vomiting. However, starting 04/28/21 patient began experiencing full body itching. The only recent change was immunization. Patient is unsure if vaccination is the cause of the itching but wanted to report just in case. Patient is without a primary care provider currently and went to an urgent care center after a sleepless night 04/30/21 due to itching. The urgent care prescribed something for the itching but patient didn't feel she was taken seriously with concerns about vaccination. Patient will try to follow up with previous primary care provider in the future.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm