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: 1295480
Sex: F
Age: 36
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Feels light headed and tired, felt tight in chest with breathing for 5 min, then resolved. Heart rate 78-regular rate and rhythm BP 100/68 SP02 96% RA, 98%

Other Meds:

Current Illness:

ID: 1295481
Sex: F
Age: 52
State:

Vax Date: 03/26/2021
Onset Date: 03/28/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: After six hours, fever, nausea, bodyaches. After two days, right foot right hand pain indicating arthritis That continues to L hand, wrists etc

Other Meds: Effexor, CoQ10, D3, B12, multi vitamin, probiotic

Current Illness: None

ID: 1295482
Sex: M
Age: 37
State: VA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Severe migraine lasting 7 days.

Other Meds: Norvasc, Lexapro

Current Illness: NA

ID: 1295483
Sex: M
Age: 16
State: NJ

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1295484
Sex: F
Age: 66
State: RI

Vax Date: 02/02/2021
Onset Date: 02/19/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: penecillin

Symptom List:

Symptoms: After my 2nd vaccine on 2/2 /21 I was fine, the next day just a little tired but nothing bad. 2 weeks and one day later, we flew back to our other home. The next day (2 weeks and 2 days after my 2nd vaccine) I woke up with extremely heavy tight legs . When I got out of bed, I got a sharp pain in my lower buttocks. I was due to have a scheduled massage the following week so I waited the best I could until that time. My massage person said he had never seen me so tight. I felt a little better after that but 3 days later I was in agony and had to call him and went to see him again. After about a week of this I finally called my dr and he saw me. I was convinced I had MS or something but he seemed to think it was muscle related and gave me a muscle relaxant pill for 7 nights. I continued again to see my massage person but then it still was bothering me so the dr prescribed another 10 days of muscle relaxant and PT. The PT dr checked me and said it was extremely tight in my lower buttocks and felt it was my piriformis muscle. I began PT 2x/week and I am beginning after 2 weeks to feel a little better. Before this I was very active, exercising every day, tennis 2x/wk....walking a lot; I had to stop tennis, I couldn't run and thought I might fall because my legs were so stiff and when I bent over to get the ball on the ground, my pain was intense, felt like what I would think a pinched nerve would feel like. This feeling happened even when I moved in bed or just walked many times.

Other Meds: hydrochlorthiazide 12.5 Vit D 3 tum 750 over counter allergy pill

Current Illness: N/A

ID: 1295485
Sex: F
Age: 53
State: IL

Vax Date: 04/05/2021
Onset Date: 04/17/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: Shellfish and EES

Symptom List:

Symptoms: Stomach issues, less than 2 weeks after vaccination, abdominal pain, diarrhea, grumbling stomach.

Other Meds: None

Current Illness: None

ID: 1295486
Sex: F
Age: 53
State: FL

Vax Date: 03/01/2021
Onset Date: 03/09/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: Macrobid, different psych medications, food triggers for migraines and ibsc,

Symptom List:

Symptoms: End of the second day, severe migraine has not gone away for 2 months some days debilitating other days not, fatigue, brain fog, nausea and vomiting don't know if it's due to the migraines or the vaccine or both

Other Meds: Pravastatin, bentyl, calcium, d3, carbazepine, citronella pram, clonazepam, estradiol, testosterone, folic acid, gabapentin, lisinopril, zofran, trazodone, zyrtec, linzess, multivitamin, low dose aspirin, linzess, sumatriptan, when needed,

Current Illness: Sinus problems besides regular allergies, ibsc, severe migraines, high cholesterol, high blood pressure, low sodium level, ebv, lupus, fibromyalgia, stress incontinence, bipolar, panic attacks, clinical depression, granularizing niculoma upper right lung, nicotine dependent

ID: 1295487
Sex: M
Age: 63
State: NJ

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received the 2nd dose of Moderna 1 day early. No adverse events.

Other Meds:

Current Illness:

ID: 1295488
Sex: F
Age: 48
State: MI

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

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

Lab Data:

Allergies: Allergy to Demerol (causes nausea & vomiting) Sensitivity to Tylenol 3 (nausea/vomiting) Often get ?side effects? from medications.

Symptom List:

Symptoms: Roughly 6 minutes after shot, I started feeling tingling in my right arm (opposite arm that the shot was given in). Thee we tingling, pulsing and electric shock feelings continued for about 30 minutes. I felt them in my arms, legs, hands, back. It was not painful, but I felt like my body was being stimulated. I reported what I was feeling and the nurses expressed concern. Asked if I had any allergies (no). I explained that I had taken Ubrelvy for a migraine the days before. My face started to feel flush. Breathing was not affected. I eventually felt well enough to leave, but was told yo report my symptoms to the CDC.

Other Meds: Zonisamide 150 Nadolol Ubrelvy (as needed) - taken the day before shot Tordol 60mg (as needed) - taken within week of shot Lexapro 5 mg Essential oils applied to neck & shoulders: Peppermint, Deep Blue blend, On-guard blend

Current Illness: Migraine headaches

ID: 1295489
Sex: M
Age: 33
State: IN

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe headache, soreness at injection site, body and joint aches, chills

Other Meds: Amlodipine, famatodine, Claritin

Current Illness: None

ID: 1295490
Sex: F
Age: 30
State: GA

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

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

Lab Data:

Allergies: Chicken, beef, salmon, almonds, oats and Tree nuts.

Symptom List:

Symptoms: After 1st dose I experienced dizziness, fatigue and soreness in the left arm. That wasn?t too alarming for me. It is the experience after the second dose. My allergies have flared up. I have lip swelling itching all over my body. I have been taking Benadryl and hydrocortisone cream to combat the allergic reaction. I am also expecting the low grade fever, headaches, body aches and dizzy spells as well. These reactions happen May 5th. I woke up around 10 am. While laying in bed I only felt slight body aches. However when I got up to use the restroom that is when everything else suddenly came upon me.

Other Meds: Albuterol sulfate , symbicort, junel Fe and montolukst.

Current Illness: None

ID: 1295491
Sex: F
Age: 28
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: She felt dizzy and very anxious. Observed for 30 minutes before leaving the site. No action taken.

Other Meds:

Current Illness:

ID: 1295492
Sex: F
Age: 47
State: LA

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: benadryl

Symptom List:

Symptoms: covid arm, fever, head ache, body aches, fatigue, - for both shots

Other Meds: Metoprol fluoxetine montelukast furosemide tart cherrie extract coq-10

Current Illness:

ID: 1295493
Sex: M
Age: 23
State: FL

Vax Date: 05/03/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: After 2nd dose (May 3rd)...May 6th started to notice swelling in top half of both hands, stomach and chest developed hives and a rash. Not very bothersome, hands are very warm and extremely inflamed. Took allergy medications, they haven't done anything. No reactions after 1st dose, this is all after 2nd dose.

Other Meds:

Current Illness:

ID: 1295494
Sex: M
Age: 67
State: CA

Vax Date: 04/07/2021
Onset Date: 05/03/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Quivering twitching of left eye.

Other Meds: amlodipine Lisinopril

Current Illness: None

ID: 1295495
Sex: F
Age: 43
State: NJ

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received the 2nd dose of Moderna 1 day early. No adverse events.

Other Meds:

Current Illness:

ID: 1295496
Sex: F
Age: 64
State: PA

Vax Date: 01/13/2021
Onset Date: 01/26/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: UNKNOWN - EXPOSURE

Other Meds: amLODIPine-benazepril (LotreL) 5-20 mg per capsule cyclobenzaprine (FLEXERIL) 10 mg tablet(Expired) dextromethorphan-guaiFENesin (Mucinex DM) 30-600 mg tablet extended release 12 hr esomeprazole (NexIUM) 40 mg capsule FLUoxetine (PROzac) 40

Current Illness:

ID: 1295497
Sex: F
Age: 68
State: IL

Vax Date: 04/28/2021
Onset Date: 05/05/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: sulfa drugs

Symptom List:

Symptoms: I woke up at 2 am on Wednesday 5/5/2021, not quite 7 full days since second shot. My tongue was extremely swollen, almost filling my entire mouth, and almost to a point of blocking my throat. I looked at it in the mirror and it seemed most of the swelling originated under the tongue on the left side towards the front. I could talk, but it was very garbled. I was afraid to fall back asleep in case it were to get worse. By morning it was down about 75%. I googled the issue and realized it could be allergies to the spring weather, also took a Zyrtec 10 mg. By noon it was only about 10% swollen. Today, May 7, 2021, my tongue is still a bit tender, as if I'd had coffee that was too hot and burned the taste buds. I realize this may or may not be a side effect from the vaccine but just wanted to report it.

Other Meds: Quinapril; fluoxetine; leg cramp supplements; occcasionally Zyrtec

Current Illness: none

ID: 1295498
Sex: F
Age: 48
State: NH

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: Allergic to oxycodone HCL

Symptom List:

Symptoms: I began feeling numbness in my left cheek and a bit queezy a few hours after my second dose. The next day the numbness was still there, and I was achey all over. On the 3rd day the numbness was less and all other symptoms had disappeared. Gradually the numbness has been waiting until this past Wednesday. It is just as strong as it was initially. It has been 3 days of a stronger numbness in my left cheek.

Other Meds: Centrum multivitamin, B-Complex, Fish Oil 1200mg

Current Illness: None

ID: 1295499
Sex: F
Age: 79
State: NY

Vax Date: 04/17/2021
Onset Date: 04/19/2021
Rec V Date: 05/07/2021
Hospital: Y

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

Lab Data:

Allergies: Adhesive, Penicillins, Aspirin, Codeine, Tramadol, Theophylline

Symptom List:

Symptoms: Patient started to develop shortness of breath, worse with exertion after 2nd dose of Moderna. Not relieved with inhalers or nebulizers at home. Shortness of breath was relieved by Oxygen provided to her by EMS. Low BNP, elevated Troponins without significant peak noted. Treated for COPD exacerbation, which may have been set off by 2nd dose of Moderna. Patient being treated with 7 day course of increased steroids and Doxycycline.

Other Meds: albuterol neb, Budesonide Neb, Brovana, Combivent, Ventolin MDI, eliquis, pravastatin, loratadine, spironolactone, torsemide, carvedilol, diltiazem, escitalopram, daliresp, MagOx, Nitroglycerin Patch, Flonase Nasal, Xopenex HFA, Monteluka

Current Illness: Shortness of Breath, Muscle Aches, Headaches, Chills, Elevated Troponin, low BNP

ID: 1295500
Sex: F
Age: 77
State:

Vax Date: 04/24/2021
Onset Date: 04/26/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: fever, chills, body aches x 4 days fatigue and annoying earache x 2 weeks

Other Meds:

Current Illness: Diabetes

ID: 1295501
Sex: M
Age: 36
State: FL

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Abdominal pain. Felt like i was full. Was upper left quadrant abdominal. Couldnt eat or drink much without pain.

Other Meds: None

Current Illness: None

ID: 1295502
Sex: M
Age: 48
State: NY

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Syringe malfunctioned while administering second dose of Pfizer Covid vaccine. Began injection into left deltoid and when I depressed the plunger on the syringe, the needle retracted almost immediately before the full dose was administered. I estimate the patient only received 0.05ml of the 0.3ml dose they were supposed to.

Other Meds: None

Current Illness: None

ID: 1295503
Sex: F
Age: 74
State: IL

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Vaccination given two weeks early. First shot given 3/30/21. Second shot administered 4/13/21.

Other Meds: unknown

Current Illness: unknown

ID: 1295504
Sex: F
Age: 84
State: NJ

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient received the 2nd dose of Moderna 1 day early. No adverse events.

Other Meds:

Current Illness:

ID: 1295505
Sex: F
Age: 61
State: NH

Vax Date: 04/03/2021
Onset Date: 04/05/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Mild headache, started the same evening and lasting the next day. Stomach pain, sharp pain starting 1 week after vaccination lasting one day. *Ringing in both ears, starting 2 days after vaccination and still continuing. Worse at night. Bruise and pain at injection site, starting the same evening and continuing for about 1 week.

Other Meds: Lisinopril Oral Tablet 40 MG, Amlodipine Besylate Tablet 5 MG

Current Illness:

ID: 1295506
Sex: F
Age: 68
State:

Vax Date: 03/09/2021
Onset Date: 03/11/2021
Rec V Date: 05/07/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 3/11 ED Patient admitted for urinary tract infection without hematuria after recurrent falls. She reports that the weakness was actually in all 4 extremities. She did not hit her head or lose consciousness. ED work-up including a CT of the brain was unremarkable. She had a lumbar puncture as well which did not reveal any acute signs of infection or other etiologies. The patient was concerned that this could have been a result of receiving her Covid vaccination. She will be discharged home on cephalosporins. She was encouraged to follow-up with her primary care provider within 1 week and to call neurology office for follow-up particularly if she has any more episodes. She was encouraged to return to the emergency department if she continues to have episodes as well.

Other Meds:

Current Illness:

ID: 1295507
Sex: F
Age: 55
State: IN

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

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

Lab Data:

Allergies: Allergic to erythromycin and macrobid

Symptom List:

Symptoms: Second Moderna shot; uncontrollable shivering, skin painful all over body, prolonged and severe headache, nausea, vomiting. Lasted about 24 hours.

Other Meds: None

Current Illness: None

ID: 1295508
Sex: M
Age: 61
State: CA

Vax Date: 05/02/2021
Onset Date: 05/02/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Foggy mentally. Slowed thought process. Dull headache. Back of head lower. Sides of head above ears. Seemed harder to focus mentally and visually. Aspirin works but symptoms still coming back after 4-6 hours when aspirin wears off.

Other Meds:

Current Illness: Polycythemia

ID: 1295509
Sex: F
Age: 16
State: TX

Vax Date: 04/10/2021
Onset Date: 04/14/2021
Rec V Date: 05/07/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: My 16-year-old daughter, very healthy without any health conditions, got her first dose of the Pfizer vaccine on Saturday evening, April 10th, at around 5pm. On Wednesday, she started complaining of shortness of breath, chest pains, which she described as a feeling of someone stubbing her heart. By Thursday, she began blacking out repeatedly throughout the day, each blackout lasting about a minute. These progressed and whenever she blacked out, she would not remember what happened. At first, she and I brushed it off as maybe lack of calcium since she rarely drinks milk. But as they intensified, I began to become more concerned. I told her I cannot leave her by herself in the house as I prepared to go pick up her young siblings from school then schedule an appointment with her doctor. On our way back home, she blacked out again, however, it was for more than a minute. Straight away, I drove to the ER close by. The doctor came back to inform me that her heartbeat was irregular and concerning based on her age. In that same moment, she began complaining of excessive pain like someone punching her heart out, and then she passed out again. Still with my two other children, the whole ordeal began to frighten them and illicit some heavy tears. Being that this ER was general admission, the doctors insisted they call in the paramedics to transport her to another ER for children. However, after being transported to the other ER, her condition began to intensify rather quickly and the pediatric doctor at the second ER informed us we would have to be transferred to Childrens intensive care unit where the cardiologists could check her heart, find the ultimate cause, and monitor her closely. In that moment, as a mother, I was speechless and extremely terrified. Seeing my daughter being transferred from ER to ER, made it even tougher on me so much that I could no longer hold myself together. Here she was in terrible pain and being moved around with no clear diagnosis and treatment. From there on, we spent a couple days in the Cardiac ICU waiting and praying with friends for answers and the best treatment she could get to ease the pain. By about the third day of being in the ICU, the cardiologists informed me, she had Acute Myocarditis. This was so shocking in a sense that both sides of the family have no history of heart issues. Secondly, she is a very healthy child.

Other Meds: Vitamin C

Current Illness: None

ID: 1295510
Sex: M
Age: 88
State: NJ

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient received the 2nd dose of Moderna 1 day early. No adverse events.

Other Meds:

Current Illness:

ID: 1295511
Sex: M
Age: 48
State: CA

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

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Tiredness. Soreness at injection site. Mild to moderate flu-like symptoms. 101F fever. Treated with rest, liquids, and 500mg acetaminophen. Symptoms lasted 36 hours.

Other Meds: N/A

Current Illness: N/A

ID: 1295512
Sex: M
Age: 37
State: PA

Vax Date: 04/02/2021
Onset Date: 04/08/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: No Known Allergies

Symptom List:

Symptoms: Cough, chills, fatigue, body ache, headache, runny nose, Tylenol.

Other Meds: LisinopriL (ZESTRIL) 10 mg tablet

Current Illness: None

ID: 1295513
Sex: F
Age: 54
State: IL

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
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Lab Data:

Allergies: Shellfish, Gluten, Lactose

Symptom List:

Symptoms: Tingling sensation in arm that received vaccination

Other Meds: None

Current Illness: None

ID: 1295514
Sex: F
Age: 34
State: IN

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
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Lab Data:

Allergies: Lactose Intolerance

Symptom List:

Symptoms: Fever of 102.6 for 12 hrs, extreme nausea, body ache, stomach ache, chills, throbbing pain behind both ears. Took 800 mg of ibuprofen, rested all day. The day after that fever is gone body aches remain.

Other Meds: Topamax, Lexapro

Current Illness: None

ID: 1295515
Sex: M
Age: 65
State: NJ

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 05/07/2021
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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Patient received the 2nd dose of Moderna 1 day early. No adverse events.

Other Meds:

Current Illness:

ID: 1295516
Sex: F
Age: 41
State: CA

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 05/07/2021
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Allergies: none

Symptom List:

Symptoms: The injection site pain in my shoulder came on after about 4 hours, just as it did with dose 1. However, the pain intensified well past the level of pain that I experienced after the 1st dose. It made sleep difficult that night. I got up the next day, with a lot of pain in my shoulder, I felt very tired but attributed that to the fitful sleep the night before. However, by about 8:30am (about 3 hours after getting up), I felt worse. My neck, shoulder and upper back felt like as though they were mistreated with a baseball bat. I felt extremely tired, to the point that all I could do was lay down. My eyes were burning. By about 10am my head felt really hot but I had no fever. I took my temperature about every hour and never had a fever. By noon I felt no improvements and decided to take Tylenol. Within 45 minutes of taking it I felt completely normal and well. By the end of the day, even the pain in the injection site was gone.

Other Meds: birth control only (Nora-Be)

Current Illness: none

ID: 1295517
Sex: M
Age: 34
State: MO

Vax Date: 04/19/2021
Onset Date: 04/21/2021
Rec V Date: 05/07/2021
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Allergies: none

Symptom List:

Symptoms: I have developed fairly loud tinnitus in my right ear, it is worst in the morning and sometimes gets better through the day. I also had arm pain for a few days after the injection in the arm I received the injection in. That started about 6 hours after I received the vaccine.

Other Meds: none

Current Illness: none

ID: 1295518
Sex: F
Age: 30
State:

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 05/07/2021
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Lab Data:

Allergies: Bactrim, Flagyl - anaphlyaxis

Symptom List:

Symptoms: Pt is female who was evaluated pre-vaccine due to history of angioedema to Bactrim and Flagyl as a child. She received first COVID-10 Moderna vaccination on 1/2/21. Tolerated without issues, had body aches after, no fever. On 2/1/21, pt received second dose. 22 minutes into her 30 min monitoring she experienced headache (dull frontal with photophobia) and nausea. 5 minutes later began to have vocal changes and fullness in throat with difficulty swallowing. 25 mg oral Benadryl given without symptom resolution. EMS called and patient presented to the ED. Concern for anaphylaxis with airway involvement. Given epi-pen, Pepcid, steroids, 1 liter of fluid and another Benadryl...

Other Meds:

Current Illness: N/A

ID: 1295519
Sex: F
Age: 34
State: PA

Vax Date: 01/13/2021
Onset Date: 01/31/2021
Rec V Date: 05/07/2021
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Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Fever or Chills Cough Muscle or body aches Congestion or running nose

Other Meds: clotrimazole-betamethasone (LOTRISONE) cream fluticasone propionate (FLONASE) 50 mcg/actuation nasal spray

Current Illness:

ID: 1295520
Sex: M
Age: 49
State: CO

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
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Lab Data:

Allergies: no

Symptom List:

Symptoms: headache, body ache, nausea, chills, weakness the second day , took Tylenol, better today but still fatigue

Other Meds: lyrica, cymbalta, oxycodin, buspiron

Current Illness: none

ID: 1295521
Sex: F
Age: 28
State:

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 05/07/2021
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Lab Data:

Allergies: Dairy, eggs, peanut-containing products - anaphylaxis

Symptom List:

Symptoms: Pt is a 28 y.o. female past medical history of asthma with albuterol and Symbicort use daily, eczema, food allergies. Received and tolerated first dose of Pfizer COVID-19 vaccination on 2/12. Report of allergic reaction after receiving her 2nd COVID-19 Pfizer vaccine on 3/11/2021. She felt like her throat closing up and developed a facial rash. She had immediate onset of nausea and dry heaving while feeling a sense of warmth was beginning in her feet and radiating up through her body. She received IM epinephrine and 50 mg Benadryl by EMS in the field was transported to the Emergency Department for further evaluation treatment. At the ED she reports that her symptoms have begun to resolve and denies any respiratory difficulty. An additional 20 mg Pepcid given in ED. Symptoms completely resolved on discharge and EpiPen prescription refilled. Follow-up with allergist recommended.

Other Meds:

Current Illness:

ID: 1295522
Sex: F
Age: 78
State: WI

Vax Date: 05/04/2021
Onset Date: 05/05/2021
Rec V Date: 05/07/2021
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Lab Data:

Allergies: sulfa, Miralax, nambutame, leflunamide

Symptom List:

Symptoms: She arm, nadeau, and severe night sweats

Other Meds: clodine, candesartan, spironolactone, minoxidil , Tramodal, Ibuphrofen, Tylenol. hydroclorthyside, gabapention, low dose aspirin, sertraline, Orencia

Current Illness:

ID: 1295523
Sex: F
Age: 47
State: CA

Vax Date: 04/24/2021
Onset Date: 05/03/2021
Rec V Date: 05/07/2021
Hospital:

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Lab Data:

Allergies: No

Symptom List:

Symptoms: Vertigo.

Other Meds: Fluoxetine, alive brand multivitamins

Current Illness: No

ID: 1295524
Sex: F
Age: 32
State:

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

Vax Type:
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Lab Data:

Allergies: Bactrim, penicillins, Zosyn - anaphylaxis/throat swelling

Symptom List:

Symptoms: 32 yo F with H of anaphylaxis to SMP/TMP, Pip/Tazo, PCN; multiple environmental allergies; Crohn's dx; asthma. Pt received 1st dose of Pfizer COVID vaccine on 4/1/21 and 10 minutes after her dose she felt her throat closing up, cough, SOB, and rash. Given benadryl, IM epi x2, IM solumedrol 125 mg, albuterol, and famotidine at vaccine center and transported to ED as this failed to help her symptoms. Pt received 5 rounds of IM epinephrine total (3x 0.01mg doses, 1x 0.3 mg dose, and 2 doses at vaccine center) with improvement in symptoms hours after her last dose of epi on night of admission. She was monitored overnight and given IV solumedrol x1 in the morning. Received PRN pepcid with resolution of rash;...

Other Meds:

Current Illness:

ID: 1295525
Sex: F
Age: 70
State: NJ

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 05/07/2021
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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient received the 2nd dose of Moderna 1 day early. No adverse events.

Other Meds:

Current Illness:

ID: 1295526
Sex: M
Age: 21
State: TX

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 05/07/2021
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Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Fever started the night after I got the vaccine and continued for 2 days. My body ached and I was nauseous the whole next day as well. I took some acetaminophen and the symptoms were less severe, but did not go away until time was done

Other Meds: N/A

Current Illness: N/A

ID: 1295527
Sex: F
Age: 59
State:

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 05/07/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies: Codeine, gabapentin, Vicodin

Symptom List:

Symptoms: Pt is a 59 YOF who received her first COVID-19 Pfizer vaccination on 4/16/21. She has PMH significant for diabetes mellitus type II, hypertension, COPD. Almost immediately post vaccine, patient started exhibiting signs of slurred speech and right side weakness. Patient started improving when being moved to triage ? however after a few minutes, slurred speech and confusion returned. 911 called and patient transported to ED. On admission neurology consulted and initial CT head negative. Patient received IV tPA and MRI brain was obtained which showed left medial pontine infarct. Diagnosis: Left pontine stroke. NIH 4 on admission and discharge. No history of TIA nor stroke. Unclear if stroke is related to vaccine...

Other Meds: Duloxetine DR, dulaglutide, acetaminophen, albuterol,...

Current Illness:

ID: 1295528
Sex: F
Age: 44
State: OH

Vax Date: 01/13/2021
Onset Date: 02/02/2021
Rec V Date: 05/07/2021
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Allergies: NKDA

Symptom List:

Symptoms: Three weeks after my first Covid Vaccine, I began having irregular vaginal bleeding even though I am on Birth control pill. I have been having spotting/bleeding daily since 2/2/21. Second vaccine was on 3/10/21. No history of abnormal bleeding in the past.

Other Meds: Daily vitamin

Current Illness: NA

ID: 1295529
Sex: M
Age: 43
State:

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 05/07/2021
Hospital:

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Lab Data:

Allergies: Bee Venom

Symptom List:

Symptoms: 43 yo male with allergy of bee venom and PMH significant for GERD. Pt received first dose of COVID-19 vaccination on 3/26/21 with no adverse reaction. Received second dose on 4/16/21. The next day after second dose pt reports experiencing tinnitus that worsened over the next couple of days. Reports that he can hear it over music he is playing. Advised to follow up with PCP to look at treatment options.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm