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: 1277754
Sex: F
Age: 36
State: PA

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

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

Lab Data:

Allergies: Cephalexin, pencilins, sulfa, moxifloxican, metoclorpramide, erothamicine, amoxicilin, kiwi

Symptom List:

Symptoms: Swollen lips, Severe headache, chills, weak, body aches

Other Meds: Ventolin, welbutrin, singulair, albuterol, Zyrtec, protonix, initrex, celexa, topamax, Lyrica, Elavil, Vitamin d2, Mobic,

Current Illness:

ID: 1277755
Sex: M
Age: 42
State: MT

Vax Date: 04/26/2021
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: Slight allergy to some hot peppers

Symptom List:

Symptoms: Vertigo and dizzy spells starting 4 days after 2nd dose

Other Meds: Lotrimin AF cream

Current Illness: Ring worm infection

ID: 1277756
Sex: F
Age: 62
State: NY

Vax Date: 04/06/2021
Onset Date: 04/14/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Blue dye in Zoloft

Symptom List:

Symptoms: Shingles developed on April 14,2021- eight days after vaccination. Burning pain through left side back to left breast with rash left breast, enlarged lymph nodes left side and left neck, extreme pain which was treated with valtrex, gabapentin, two courses prednisone, Advil, capzacin cream. May 1,2021 pain continues. Seen in Hospital ER April 20,2021 for confirmation diagnosis.

Other Meds: Trazadone 50mg daily Omeprazole 20 mg daily Vitamin D 5000 IU daily Vitamin B12 1000 mcg daily

Current Illness: None

ID: 1277757
Sex: F
Age: 62
State: WV

Vax Date: 04/27/2021
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: Cardiazem,

Symptom List:

Symptoms: Egg shaped knot, hot and itchy next day and is still swollen and itchy 4 days later. Applied ice.

Other Meds: Xanax, Hydrodiurel, Prilosec, Lopressor, CQQ10,Vitamin D, Vitamin C, Vitamin E. Multivitamin, and Aspirin.

Current Illness: No

ID: 1277758
Sex: F
Age: 17
State:

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

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: Immediately after administration of vaccine, patient fainted. Patient assisted in to wheelchair and wheeled to private observation area. Patient assisted to gurney. Patient has cool compress to forehead. Patient also nauseous, pale, and sweaty. Patient mother reports patient did not eat today. Given water and apple juice. Patient declined granola bar. Vital signs as follows: 0950-BP 88/59, P 86, RR 20, 95% RA, no pain. 0955-BP 92/60, P 69, 99% RA. 1000-BP 96/67, P 75, 100% RA. Education given to patient and mother regarding eating/drinking before next dose and to tell the vaccinator that patient passed out at last vaccine and to lay on gurney before second dose is given. Patient and mother acknowledged understanding. Patient back to baseline at 1010.

Other Meds:

Current Illness:

ID: 1277759
Sex: M
Age: 44
State: IN

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Not trying to be funny but I felt like I was tripping. I had all the side effects listed per my research. I had a vivid dream like when I used the patch to stop smoking. It was a surreal experience that started happening about 12 hours after the shot.

Other Meds:

Current Illness:

ID: 1277760
Sex: M
Age: 44
State: MA

Vax Date: 04/06/2021
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 medications Benzoil Peroxide

Symptom List:

Symptoms: joint swelling and pain both ankles and right wrist, resulting in reduced mobility.

Other Meds: Lithium Carbonate 300 mg X2 day.

Current Illness: n/a

ID: 1277761
Sex: F
Age: 30
State: VA

Vax Date: 02/02/2021
Onset Date: 02/17/2021
Rec V Date: 05/01/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Extreme fatigue that comes in waves, was having really stiff knees and my eye was twitching but after a few weeks that has stopped, periods have become almost non existent for the last 4 cycles

Other Meds: Oral birth control

Current Illness: n/a

ID: 1277763
Sex: F
Age: 68
State: MN

Vax Date: 04/02/2021
Onset Date: 04/18/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Dizziness, light headed, serious fatigue, nausea, vomiting, loss of appetite, constipation, low heart rate, rash

Other Meds: Wellbutrin, Atenolol, hydrochlothiazide, aspirin

Current Illness: N/A

ID: 1277764
Sex: F
Age: 69
State: MD

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Linop[isil (sp). Blood pressure medicine caused me to cough

Symptom List:

Symptoms: Diarrhea for about 4 days

Other Meds: None

Current Illness: None

ID: 1277765
Sex: F
Age: 49
State:

Vax Date: 04/26/2021
Onset Date: 04/28/2021
Rec V Date: 05/01/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Presented to ED with swelling to right leg. Had ultrasound and has a DVT. Normal cardiopulmonary exam with LCTAB and HRRR. No swelling to R calf. R calf is warm to touch, red, and TTP. Patient is well appearing, non-toxic and in no acute distress. Patient's US of the RLE that revealed a R calf DVT involving mid calf posterior tibial vein from her Dr.'s office. BMP was unremarkable. Prescribed the Patient Xarelto and she received her first dose in the ED today. Follow-up with PCP in the next 2-3 days. Return to the ED for new or worsening symptoms.

Other Meds:

Current Illness:

ID: 1277766
Sex: M
Age: 34
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:
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Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Aches and pains, fever and headache. Excessive tiredness. It's been 2 days so far but it seems to be getting better. I had minimal reaction to the first injection only a very sore arm the first time.

Other Meds: Flonase

Current Illness:

ID: 1277767
Sex: F
Age: 49
State: FL

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

Vax Type:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Adverse Reaction Notes 1. 49 y/o female c/o nausea and headache 2/10 15 mins after receiving the second dose of the vaccine, had no reaction to 1st dose. She reported hx of HTN years ago but not on any meds. She was assessed and monitored by NP, EMT, and paramedic. BP -152/98, 144/92, HR - 88, resp -14, temp - 96.7, 100% on RA, has mild anxiety. She was taken outside for fresh air, given H2O. She was kept at site until she reported that her nausea was gone, her headache 1/10. Instructed to take Tylenol 650mg Q6h PRN headache, monitor her BP and parameters to notify her PCP and to get rest today. She was given the Vaccination information sheet, reinforced instructions on ADRs/ SEs to call 911 and go to the ED, follow up with her PCP. She was with her husband, both verbalized understanding and willingness to comply. She left site in no acute distress, awake, alert, oriented to person, place, time and, situation.

Other Meds:

Current Illness:

ID: 1277768
Sex: M
Age: 82
State: CA

Vax Date: 04/20/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital: Y

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

Lab Data:

Allergies: PCN

Symptom List:

Symptoms: Pt presented to my office on 4/30 after being vaccinated on 4/20 with left arm swelling. Outpatient stat DVT study in LUE showed extensive thrombosis in veins of LUE and subobcclusive thrombosis in BL Internal Jugular veins. I referred pt to hospital for inpatient admission.

Other Meds: SINEMET, ESOMEPRAZOLE

Current Illness: Parkinsons, AFlutter, AFib

ID: 1277769
Sex: F
Age: 38
State: CA

Vax Date: 04/23/2021
Onset Date: 05/01/2021
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: Swollen, slight erthyma, and warmth around injection site (about 6cm diameter), appeared 8 days after injection. Discomfort when raising/moving arm. Currently unresolved

Other Meds: None

Current Illness: None

ID: 1277770
Sex: F
Age: 38
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: N/A

Symptom List:

Symptoms: Uncontrollable shaking for 3 hours as if having a very high fever. But, I never have a fever. I took Tylenol every 4 hours and would start sweating an hour after taking it.

Other Meds: 50 mg of progesterone/once per day

Current Illness: N/A

ID: 1277771
Sex: M
Age: 59
State: FL

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

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

Lab Data:

Allergies: Nkda

Symptom List:

Symptoms: Angioedema. Resolved with medications

Other Meds: Lisinopril, uloric

Current Illness: Denies

ID: 1277772
Sex: F
Age: 23
State: PA

Vax Date: 04/27/2021
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: cat

Symptom List:

Symptoms: Fever (Night of 4/27) - fever peaked at 100.4 Nausea (Night of 4/27, day 4/28) Headache (4.28-4.30) Rash (4.28- ongoing/spreading) - rash on arms/stomach, back, and legs - itchy Vivid fever dream

Other Meds: zytrec

Current Illness: none

ID: 1277773
Sex: M
Age: 68
State: NY

Vax Date: 02/19/2021
Onset Date: 03/15/2021
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: Patient reports shoulder pain since receipt of first SARS COV2 vaccine on 1/29/2021. About 4 weeks after receipt of second dose pain became significantly worse . Evaluated by NP on date 3/22/2021 who reported in her note: "Left upper arm below the injection site with hematoma, site warmer than the right arm, no redness."

Other Meds: Current Outpatient Medications on File Prior to Visit: ? ammonium lactate 12 % Lotion, Apply 1 Application topically Daily. ? Atenolol-Chlorthalidone 100-25 MG Tablet, Take 1 tablet by mouth Daily. Indications: High Blood Pressure Disord

Current Illness: None

ID: 1277774
Sex: M
Age: 65
State: IL

Vax Date: 03/08/2021
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: About 4 weeks after receiving the 2nd vaccine, I performed antibody titers on the patient. There was not antibody response to his TWO Moderna vaccines. He is presently undergoing chemotherapy for Adenocarcinoma of the Lung and this is likely the reason. Problem: What do I recommend from here? A third booster? CDC says to do nothing. I think that's a mistake. Please advise. The patient had no side effect or medical problem with the vaccine - just failure to develop adequate antibodies.

Other Meds:

Current Illness:

ID: 1277775
Sex: F
Age: 31
State:

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

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

Lab Data:

Allergies: shellfish, gluten, soy, nuts, ibuprofen

Symptom List:

Symptoms: throat itchy, tight, lightheadedness, tingling in hands

Other Meds: Thyroid

Current Illness: NA

ID: 1277776
Sex: F
Age: 29
State: TX

Vax Date: 04/22/2021
Onset Date: 04/22/2021
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: On April 22 at 3 pm, I got the vaccine. Then around 5 pm, I feel sleepy. At night I have a low fever and I could not sleep well. On April 23, I feel a little bit pain at the injection area (it swells a little) and feel sleepy sometimes. On April 24, the pain is gone but my arm is still swell a little and a little itchy at the injection area. On April 25-26, the symptoms are gone. On April 27, I start having a hive/rash/itching on my legs/arms/shoulders. I put Calamine lotion to help with the itching and went to sleep. On April 28, when I wake up in the morning, the hive/rash/itching are gone. But it comes back again at night. I take Zyrtec antihistamine. On the morning of April 30, it is gone. But my arm at the injection area started to swell and a bit itchy again .

Other Meds:

Current Illness:

ID: 1277777
Sex: M
Age: 54
State: IN

Vax Date: 03/22/2021
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: NKA, NKDA

Symptom List:

Symptoms: When patient presented to his neurology appointment, patient states approximately 2 weeks after 2nd moderna injection c/o numbness in all fingers.

Other Meds: 1) ALBUTEROL 90MCG (CFC-F) 200D ORAL INHL INHALE 2 PUFFS ACTIVE BY MOUTH AT BEDTIME AS NEEDED FOR SHORTNESS OF BREATH 2) AMLODIPINE BESYLATE 10MG TAB TAKE ONE TABLET BY MOUTH ACTIVE EVERY DAY

Current Illness: 1. Sleep Apnea 2. Benign essential hypertension 3. Diabetes Mellitus 4. Depression 5. Hyperlipidemia 6. Obesity 7. Primary Aldosteronism 8. Disorder of Infancy, Childhood, or Adolescence NOS Asthma - says he outgrew it 9. Personal History of Surgery to other Organs Cholecystectomy 10. Visual Disturbance Myopia Refractory Errors Presbyopia Astigmatism, Regular 11. Meralgia paresthetica 12. Insomnia * 13. Drug Dermatitis Nos 14. Benign neoplasm of skin of eyebrow 15. Myopia 16. Presbyopia 17. Flatfoot * 18. Arthralgias 19. Umbilical hernia without mention of obstruction or gangrene 20. Vertigo 21. Migraine with aura 22. Drug Induced Headache, not Elsewhere Classified 23. Hyperlipidemia 24. Hypokalemia 25. Non-alcoholic fatty liver 26. Allergic rhinitis 27. Arthritis 28. Obstructive sleep apnea syndrome 29. Type 2 diabetes mellitus 30. Cervicalgia 31. Migraine without aura 32. Depression 33. Seizure 34. Aldosteronism 35. Perianal abscess

ID: 1277778
Sex: F
Age: 81
State: NJ

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Iodine, Tetracycline Soybeans, Shellfish, Peanuts, Strawberries, Pears, Citric Acid, Egg Yoke, Chocolate, and Peppermint

Symptom List:

Symptoms: Rash on arms, legs and feet. Red Blisters and Water Blisters (both large and small), very itchy and hot. Has gone to the Dermatologist and have had biopsies extracted from both arms . The allergy specialist has given me Steroids. I have also had an allergy attack where my Tongue swelled up and I went to the ER.

Other Meds: synthroid, Rosuvastin, 81 mg Asprin, Metolprolol, Verapamil, Triamterene, Valsartan, Zertec

Current Illness: none at time.

ID: 1277779
Sex: F
Age: 44
State: NY

Vax Date: 04/27/2021
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: No

Symptom List:

Symptoms: My left arm is getting numb and then gets normal and then gets numb again every hour Sometime every two hour and then half hour and then my left hand feels very cold specially my fingers and then I feel normal it?s a very strange feeling All night long on and off

Other Meds: No

Current Illness: No

ID: 1277780
Sex: F
Age: 44
State: NE

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: Penicillin

Symptom List:

Symptoms: Swollen circle around injection site about 2 inches in diameter. It is light red, painful, hard, tender to touch, and very itchy.

Other Meds: Metoprolol tartrate 25mg Zyrtec 24-hour

Current Illness: None

ID: 1277781
Sex: F
Age: 56
State: FL

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

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

Lab Data:

Allergies: No know drug allergies

Symptom List:

Symptoms: Patient began with new onset headache (no hx headache) within a few days of receiving vaccine (2nd). Self medicated and eventually headaches went away within 1 week. About 1 month later, headache returned with severe intensity. Presented to er. Had lumbar puncture. Elevated monocytes in fluid analysis.

Other Meds: Tylenol PRN

Current Illness: None prior to vaccination except chronic health issue listed below

ID: 1277782
Sex: M
Age: 48
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: Benedryl

Symptom List:

Symptoms: Fatigue. Moving slowly. Feeling like trying to ?walk through water?. Slight headache (front of head above eyes) that wasn?t resolved with ibuprofen.

Other Meds: None

Current Illness: None

ID: 1277783
Sex: F
Age: 37
State:

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:

Symptom List:

Symptoms: Presented to urgent care on 4/29 for left side numbness and tingling, got Pfizer dose in left shoulder. Patient suspected to have thoracic outlet syndrome as slight pressure over the scalene muscle and brachial plexus reproduces the symptoms that she is been having off and on for the last week. Patient's treatment plan consists of taking anti-inflammatories for the next several days, introduction of an oral steroid for the next 5 days to decrease any possible inflammation of the brachial plexus and the use of a muscle relaxer in the evening in the event she is having spasms along the shoulder muscles. Patient to RTC if signs and symptoms fail to resolve or worsen.

Other Meds:

Current Illness:

ID: 1277784
Sex: M
Age: 18
State: FL

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: nkda

Symptom List:

Symptoms: After administration, during the patient's required observation period, the patient started to feel lightheaded and dizzy. He went to stand up and then blacked out, falling to the floor. He did not injure himself or experience any trauma in the fall. He did not lose consciousness. I believe he was experiencing increased anxiety from the event as the patient mentioned several times that he did not like needles/injections. The patient remained sitting upright for an additional 15 minutes, drinking water, and his mother escorted him out of the store and drove him home.

Other Meds: none reported

Current Illness: none reported

ID: 1277785
Sex: M
Age: 48
State: PA

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

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

Lab Data:

Allergies: no know allergies

Symptom List:

Symptoms: When the patient went to get up he felt light headed. We observed him and took blood pressure at 11:37 - Heart rate 78, o2 97 and BP 156/83, took again at 11:42 am heart rate 74, o2 97, BP 141/78, and took again at 11:47 heart rate 69, o2 97, and BP 137/78. I had the patient stand up to see how he was feeling. Patient stated that he was feeling better and we released him home with family at 11:50 am and he stated that family member would drive home.

Other Meds: Zytec

Current Illness: no

ID: 1277786
Sex: M
Age: 25
State: TX

Vax Date: 04/21/2021
Onset Date: 04/24/2021
Rec V Date: 05/01/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I woke up with pressure on my chest and pain on my left arm around the elbow. After a couple of minutes, I began to have a lot of cold sweat, and both the pressure in my chest and pain in my arm began to increase. Then I began feeling a tingling sensation on my neck/chin. After that, I felt lightheaded and decided to go to the hospital. At my arrival to the ER, I was given aspirin and heparin. I got a couple of EKGs and a chest X-Ray, as well as some blood work. I was then transferred to the medical center, where I had some more blood tests and EKGs done. I was also treated with Indocin, Lipitor and Aspirin. At around 9PM, I began feeling the pressure on my chest again, although with decreased intensity. I was given morphine and the pain went away. This event repeated at around 10AM next morning with the same outcome. After that I got an Echocardiogram, and began to be treated with Metoprolol. No other pain events happened for the rest of my stay at the hospital. On the next morning, April 26th, I was taken to an angiogram to rule out Coronary Dissection. After the test, I was discharged with a prescription for Metoprolol.

Other Meds:

Current Illness:

ID: 1277787
Sex: M
Age: 59
State: FL

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

Symptom List:

Symptoms: Angioedema. Pt felt lip feeling funny around 0300 and went back to sleep. Woke up at 0600 with a swollen lower lip. Presented to ED at 0838. Given IV medications and monitored. Symptoms improved.

Other Meds: lisinopril and uloric

Current Illness: None

ID: 1277788
Sex: F
Age: 39
State: TX

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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Allergies: Sulfa, Tylenol, hay fever/seasonal allergies

Symptom List:

Symptoms: My lips swelled significantly about 30 hours after the shot. They had the cosmetic filler injected into them in late February and have also been tattooed with permanent makeup. They feel hot, dry, and tight and have doubled in size. I also experienced experienced extreme pain in my bones, muscles aches, exhaustion, and irritability the first 36 hours after the shot. Those symptoms have resolved but my lips are still swollen.

Other Meds: Cymbalta, ambien

Current Illness: None

ID: 1277789
Sex: F
Age: 47
State: IN

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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Allergies: No

Symptom List:

Symptoms: Chills, body ache/muscle pain, headache, tiredness, mild fever (100.5 F). Started about 12 hours after vaccination. Ended in about 24 hours after start.

Other Meds: Calcium and vitamin D3 supplements

Current Illness: No

ID: 1277790
Sex: F
Age: 59
State: OH

Vax Date: 03/16/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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Allergies: none

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Symptoms: I have already reported that I am experiencing menstrual bleeding at age 60. In addition to that, on April 29, I experienced dizziness, fever, chills, lower back pain and joint pain. The symptoms dissipated the following day. I am still experiencing menstrual bleeding.

Other Meds: estradiol, tretinoin, OTC progesterone, turmeric, D3, Bcomplex, Quercitin

Current Illness: none

ID: 1277791
Sex: F
Age: 22
State: NJ

Vax Date: 03/26/2021
Onset Date: 04/08/2021
Rec V Date: 05/01/2021
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Allergies: no

Symptom List:

Symptoms: 14 days after first shot, Pt had stinging/burning pain in her right big toe at bedtime. She thought she hurt her toe working out. As days went on, pain got so bad she went to urgent care for an x-ray. They found nothing wrong. The foot started to swell. Went to the school to see dr there. They said not broken just irritated the sesamoids under her big toe. 4-6 weeks to heal in a soft boot. The on April 16th she got her second shot. As she sat there waiting her 15 mins, she said her right foot went numb. We then went home. That night we iced her bad right foot and I noticed both feet were purple!! I looked up reactions to shots and it actually said it is a side effect. I called my doctor and he said the fact that the toes turn purple and then back to normal was ok. 9 days after the second shot she said the same pain started in her left foot. She can't walk on either foot!!! It is neuropathy from the shots!!! My doctor is scheduling tests for her.

Other Meds: multivitamin and birth control

Current Illness: Covid 19 in February

ID: 1277792
Sex: F
Age: 21
State: IN

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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Allergies: Sulfa, metal

Symptom List:

Symptoms: Small amount of swelling at injection site, headache, severe body aches, body weakness, nausea, fever, chills, injection site tenderness, and fatigue. All symptoms started the night of 4/29. It has lasted up until 5/01 afternoon with the use of tylenol. Currently 24 weeks pregnant, due august 23rd.

Other Meds: Lexapro, welbutrin, prenatal

Current Illness: None

ID: 1277793
Sex: M
Age: 45
State: CA

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 05/01/2021
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Allergies: None

Symptom List:

Symptoms: It's difficult to pinpoint the exact time the symptoms started, but they were definitely present by the time I awoke the following morning. No arm pain -- but nine days of brain pain, waking up feeling like my head was split, at least five days of altered vision, and most disturbed were my breathing and my heart. I felt for many days like I had a Brillo Pad in my lungs and heart, as well as lots of pressure in the chest and shortness of breath/labored breathing. Two days ago I thought I might be having a heart attack. The symptoms lightened yesterday morning (day nine) though I still have strange sensations in the head and taking a full, deep breath is not totally easy yet. .

Other Meds: Digestive Enzymes, Probiotics, Adrenal Supplements, Biotin, Prostate Support, Vitamin d3, CoQ10, Berberine, DHEA, Quercetin with Bromelain, Garlic

Current Illness: None

ID: 1277794
Sex: F
Age: 19
State: PA

Vax Date: 04/21/2021
Onset Date: 04/27/2021
Rec V Date: 05/01/2021
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Allergies: Tree Nuts, seasonal allergies, Zithromax

Symptom List:

Symptoms: red, itchy, painful, swelling of left arm, near injection site, hives on forearms, starting about a week after first injection

Other Meds: zyrtec, prednisone, tridesilon,

Current Illness: Allergy flare

ID: 1277795
Sex: M
Age: 58
State: VA

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: fever (100.5), chills, body aches, headache, site injection pain, starting the evening of the vaccination (April 29) and continuing through time of report (12:30 pm, May 1), albeit all adverse effects have improved somewhat

Other Meds: tamsulosin, vitamin D

Current Illness: none

ID: 1277796
Sex: M
Age: 34
State: MD

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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Allergies: Metronidazole, gluten(celiac)

Symptom List:

Symptoms: Fever over 101 F for about 27 hours. Peaked at 102 F. Muscle and back aches, Chills, headache, sweats. All symptoms resolved at about 46 hrs after the jab.

Other Meds:

Current Illness:

ID: 1277797
Sex: F
Age: 20
State: AZ

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
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Allergies: None

Symptom List:

Symptoms: Fever, sore arm, chills, stuffy nose, headache, nausea, lightheadedness Taking ibuprofen

Other Meds: None

Current Illness: None

ID: 1277798
Sex: F
Age: 43
State: IL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 05/01/2021
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Symptoms: Strted with Pain and fatigue all over body, then the muscle aches became worse, mainly legs, very painful. followed by eposides of chills and fever for two dys, then on the third day had a rash on back, chest, face and neck. Fecer was 102.0 F, accompnaied with headaches. For two weeks after the vaccine, i could still feel weak, and low grade chronic muscle pain till now that comes and goes.

Other Meds:

Current Illness:

ID: 1277799
Sex: M
Age: 35
State: PA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 05/01/2021
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Symptoms: Patient was seated and had a brief fainting spell.

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Current Illness:

ID: 1277800
Sex: F
Age: 49
State: IN

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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Allergies: No

Symptom List:

Symptoms: Pain at injection site into the chest. Extreme chills (shaking uncontrollably). I got extremely weak with body aches and a headache. I had a loss of appetite. I continue to have a softball sized knot at the injection site that is radiating heat. I laid down to sleep at 12:15 pm yesterday and slept until 9:30 this morning. I am making an appointment with my doctor on Monday.

Other Meds: Flonase, zyrtec, nexium, low dose bayer

Current Illness: Seasonal Allergies

ID: 1277801
Sex: F
Age: 54
State: CA

Vax Date: 04/05/2021
Onset Date: 04/26/2021
Rec V Date: 05/01/2021
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Symptoms: Severe vertigo after 2nd shot. Approx 18 after second dose. Vomiting and spinning. Lasted severe for 12 hours. Intermittent vertigo daily since 4-5 times but not enough to throw up. Night 5 severe vertigo throwing up. Lasted 4 hours.

Other Meds:

Current Illness:

ID: 1277802
Sex: M
Age: 69
State: TX

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 05/01/2021
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Allergies: Penicillin

Symptom List:

Symptoms: The day after I received the vaccine I had all the usual symptoms except throwing up. What I want to report is this last week I had a re-occurring bout, but this time it was much worse and lasted for two days. I had 100.5 fever, could not stand up without passing out and threw up. In addition my blood pressure was dropping. I was concerned about it happening again as I had not heard this was possible. Am doing fine now.

Other Meds: Potassium Citrate 10m, Finasteride 5mg, Simvatatin 20mg, CoQ10 100mg, Hydrochlorothiazide 12.5 mg.

Current Illness: None

ID: 1277803
Sex: F
Age: 62
State: NC

Vax Date: 04/23/2021
Onset Date: 04/26/2021
Rec V Date: 05/01/2021
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Allergies: none

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Symptoms: The only thing that I would like to report is that my reaction was delayed compared to the other reports I have heard. I received my second vaccination on Friday and did fine for the entire weekend. I was slightly tired and took Tylenol to prevent any problems. By Monday morning (3rd day after), I felt terrible. I had the usual low grade temperature, extremely tired and I felt like I had a chest cold. I started feeling better by Friday morning (after 4 days). So my report is that I had the known symptoms but it was delayed with me and lasted a bit longer with me than others have reported.

Other Meds: Estradiol Eliquis Baby Aspirin Pantoprazole Prevastatin Losartan Cordiverol

Current Illness: Intermittent Atrial Fibrillation

ID: 1277804
Sex: M
Age: 26
State: NY

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

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Allergies: Unknown

Symptom List:

Symptoms: Was observed for at least 15 minutes. Arrived at home and had a seizure, was rushed to the hospital. Mother claimed patient is in ICU.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm