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
38,462
AK1,234
AL2,877
AR1,863
AS34
AZ8,671
CA35,818
CO6,856
CT4,655
DC942
DE939
FL19,457
FM3
GA7,612
GU54
HI1,282
IA2,866
ID1,537
IL11,479
IN17,647
KS2,774
KY3,607
LA2,720
MA8,612
MD7,424
ME1,957
MH6
MI10,509
MN7,086
MO5,390
MP12
MS1,446
MT1,460
NC9,013
ND801
NE1,757
NH1,945
NJ9,328
NM2,290
NV2,221
NY19,162
OH11,217
OK2,899
OR4,842
PA13,184
PR1,288
QM1
RI1,300
SC3,341
SD762
TN4,924
TX18,809
UT2,592
VA8,769
VI28
VT1,133
WA8,278
WI6,615
WV1,405
WY505
XB4
XL1
XV2

ID: 1299867
Sex: F
Age: 49
State: NV

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: Neomycin, cilantro, pineapples, mango, papaya

Symptom List:

Symptoms: After my vaccine and two days later I started to experience migraine headaches which I never suffered from before. I went to Quick care facility to seek treatment. To this day, I still have the migraine headaches and I can not function well and carry out my daily activities.

Other Meds: None reported

Current Illness: None reported

ID: 1299868
Sex: F
Age: 63
State: CA

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: I received the vaccination at 9:45 am 5/6. At approximately 4 pm, I started getting chills, aches, and a headache. However, around 6 pm my hands started shaking violently. When I tried to pick up a Tylenol out of my son's palm, I couldn't. My hand was violently shaking 3-5 inches either way. I fell asleep shortly thereafter, and when I awoke several hours later, the shaking had stopped and I just had "normal" chills. Through the night, I had nausea and dry heaves. 24 hours after the vaccine most side effects have subsided. However, I am concerned that it affected my nervous system as I still have intermittent pain on the back of my right hand.

Other Meds: none

Current Illness: none

ID: 1299869
Sex: F
Age: 62
State: MA

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: latex, Lisinopril

Symptom List:

Symptoms: Blood clot. PT had blood clot removed at hospital.

Other Meds: N/A

Current Illness:

ID: 1299870
Sex: F
Age: 40
State: NY

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin

Symptom List:

Symptoms: Ague Fever, muscle ache, headache, chills which lasted for about 30 hours. Fever went down after taking ibuprofen. Currently (48 hours after vaccination) still tired, similar to recovering from a have fever and flu.

Other Meds: Vitamin C, D, B, Zinc, Fish oil

Current Illness: no

ID: 1299871
Sex: M
Age: 41
State: OH

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: patient experienced sharp pain and problems breathing when going up stairs or standing . none while sitting down.

Other Meds:

Current Illness:

ID: 1299872
Sex: M
Age: 58
State: MN

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: Ragweed

Symptom List:

Symptoms: Extreme Fatigue , Blurry Vison, Inability to Focus/Concentrate - Brain Fog

Other Meds: Paxil Lisinopril Flomax Singular Zyrtec

Current Illness: none

ID: 1299873
Sex: M
Age: 72
State: IN

Vax Date: 03/03/2021
Onset Date: 04/13/2021
Rec V Date: 05/08/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Right leg burning, red, swollen. Doppler showed XL blood clot and numerous small clots in right leg. Put in Eliquis for2-3 wk. brought to hospital on 5.6.21 with worse swelling, red, and right foot very painful. CT showed clots in legs and in lungs. Still in hospital as of 5.8.21

Other Meds: Jardiance Novolog Lantus Atenolol Paxil Pantoprazole Furosemide Buspirone Gabapentin Olmesartin

Current Illness: Diabetic Heart disease

ID: 1299874
Sex: F
Age: 52
State: MT

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: Bactrim, Flagel, Augmentin, amoxicillin. soy, rye, barley, rye, rice, tomatoes , strawberries, chocolate, fish, shellfish.

Symptom List:

Symptoms: throat swelled, sweating, couldn't breath, light headed, fast heart rate. was given Benadryl and monitored closely for 30 min. (until I felt better)

Other Meds: estradiol, medroxyprogesterone, vitamin d3

Current Illness: none

ID: 1299875
Sex: F
Age: 26
State: PA

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: Shell fish, mushroom Seasonal allergy

Symptom List:

Symptoms: My daughter had 4 mild seizures after she received the 2nd dose of the Pfizer. Her first seizure was 25 minutes after and other seizures were 25-30 minutes apart until I gave her Clonazepam for her on going seizures.

Other Meds: Synthroid, Trileptal & Levetiracetam ( seizure medicines), Iron, Sodium Chloride, D3 vitamin, Elderberry, Multi- Vitamin

Current Illness: None

ID: 1299876
Sex: F
Age: 49
State: NV

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: Neomycin, cilantro, pineapple, mango, papaya

Symptom List:

Symptoms: After my vaccine, one day after my right arm and leg broke out little red bumps, were itchy and blistery, looked like hives. I went to clinic where I was prescribed Prednisone, Bactrim and a topical cream. My symptoms lasted two weeks then they started to go away.

Other Meds: None reported

Current Illness: None reported

ID: 1299877
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: redness and swelling at injection site

Other Meds:

Current Illness:

ID: 1299878
Sex: F
Age: 56
State: CA

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: Bactrim, prednisone ; Migraine allergies to bananas, pineapple; Fibro allergies to caffeine, sugar

Symptom List:

Symptoms: Shot #1 (036A21A) 03-16-21 Shot at 4:00 p.m. ? bad migraine that night 03-17-21 Bad migraine 03-18-21 Shingles outbreak Ongoing for3 weeks 04-17-21 IBS, Extreme Fatigue (overlapping w/ Shot #2) Shot #2 (042B21A) 04-14-21 Shot at 4:00 p.m. 04-15-21 -- I felt OK during the day, had the sniffles 9:30 p.m. ? I had a moderate head cold with sneezing and sniffles ? took Nyquil 04-16-21 Severe head cold, chest congestion, asthma flare, some trouble breathing ? took DayQuil and Sudafed all day Migraine Ongoing and still today?.. 05-08-21 I still have chest congestion, trouble breathing, sinus congestion, cough ? taking DayQuil and Sudafed all day every day Still having more migraines than usual ? using more Imitrex Tablets and Spray than usual; More fatigue than usual; using Asthma inhalers more than usual

Other Meds: Daily Rx Levothyroxine Rx 100 mcg /day Monthly Rx Magnesium Sulfate Infusion Rx 2 gr. IV drip (Migraines) Daily OTC: Baby Aspirin (81 mg.) (Rx) Metagenics Vit. D3 5,000 iu Metagenics EPA-DHA 720 fish oil 1,000 iu Metag

Current Illness: Various shingles outbreaks

ID: 1299879
Sex: M
Age: 30
State: CA

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: Penecillin, doxycycline hyclate, sulfa drugs

Symptom List:

Symptoms: Recurring fever, chills, cold sweats, body pain / soreness, massive headache, constant discomfort, lethargy

Other Meds: Pantoprazole

Current Illness: Shortness of breath possibly due to acid reflux

ID: 1299880
Sex: F
Age: 52
State: CO

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: CLIENT BECAME DIZZY, DIAPHORETC-POST VACCINE 5 MINUTES. ESCORTED TO EXAM ROOM-PRONE WITH LEGS ELEVATED. CONTINUES TO C/O DIZZINESS, FLUSHING AND WEAKNESS. UNABLE TO SIT UPRIGHT WITHOUT INCREASE IN SYMPTOMS. C/O WEAKNESS. RAPID RESPIRATIONS BUT DENIES DIFFICULTY BREATHING. EMS CONTACTED. TRANSPORTED TO HOSPITAL.

Other Meds: NONE

Current Illness: NONE

ID: 1299881
Sex: M
Age: 26
State: MI

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: NO

Symptom List:

Symptoms: Light headed , he passed out and fall on the floor

Other Meds: No

Current Illness: No

ID: 1299882
Sex: M
Age: 42
State: PA

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: syncopal event in observation area, refused hospital transport

Other Meds: mescalamine

Current Illness: collitis

ID: 1299883
Sex: M
Age: 58
State: MN

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: Ragweed

Symptom List:

Symptoms: Extreme Fatigue, Inability to Focus, Concentrate , Brain Fog

Other Meds: Paxil Lisinopril Flomax Singular Zyrtec

Current Illness: none

ID: 1299884
Sex: F
Age: 35
State: MN

Vax Date: 04/28/2021
Onset Date: 05/02/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: about a week after getting my second dose, i broke out in hives, across my abdomen and both thighs, along with my back. they were red swollen and extremely itchy. several of them also joined together to make one huge hive. at first i thought i'd been bitten by something and go freaked about that many bites all at once, but after looking at pictures of bug bites (ugh) i concluded that they were hives and behaved the way mosquito bites do on me. they went away after a shower on the 2nd but reappeared on the 3rd early in the morning, even more widespread and itchy. i took an antihistamine and they went away. i took another dose later in the day when it seemed like it might be starting again. they've been gone since then even without taking more antihisamines.

Other Meds: lamotrogine, metformin, duloxitine, trazadone, bupropion

Current Illness:

ID: 1299885
Sex: F
Age: 31
State: SC

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: Aleve

Symptom List:

Symptoms: Pt states she developed a rash a few hours after vaccine. Rash on face, neck, chest and back.

Other Meds: None

Current Illness: None

ID: 1299886
Sex: M
Age: 16
State: MI

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: nuts, eggplant, sesame seeds, honeydew, coconut

Symptom List:

Symptoms: Patient being observed post covid vaccination for hx of anaphylaxis with nuts and many foods. At 30 minute mark, he was observed to have faint hives at left side of face and under chin. Trunk clear. No s/sx of distress. Evaluated by EMS - mouth, throat, lungs clear to auscultation . Patient and his mom decline Benadryl IM - discharged to home. Intends to take PO Benadryl.

Other Meds: albuterol, benadryl, epi pen

Current Illness:

ID: 1299887
Sex: F
Age: 27
State: TN

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: Latex and penicillin

Symptom List:

Symptoms: Hot flashes, swelling of mouth and throat, fatigue, bloody nose, shaky, nausea, loss of appetite and taste, achy and pain and nerve aching, migraines

Other Meds:

Current Illness:

ID: 1299888
Sex: M
Age: 62
State: CA

Vax Date: 03/27/2021
Onset Date: 03/29/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Severe cough. Doctors ruled it likely a side effect of the Jansen vaccine, and also decided that combined with Meloxicam, a medication that promotes bleeding, led to a torn flank and internal bleeding. Hospitalized for 2 days. Rehab ongoing.

Other Meds: Acyclovir, alvesco, atorvastatin, benzotropine, carbidopa-levodopa, Citalopram, Clonazepam, entacopone, fluticasone, lamivudine, Meloxicam, nevirapine, nortriptyline, Omeprazole, propranolol, quetiapine, testosterone, topiramate, Ventolin,

Current Illness:

ID: 1299889
Sex: F
Age: 47
State: MI

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Large swollen lymph nodes under left arm Very painful and visible

Other Meds: Wellbutrin Xyzal Multivitamin Vitamins C, D3 Ginko Biloba Probiotic Biotin

Current Illness: None

ID: 1299890
Sex: M
Age: 64
State: MA

Vax Date: 05/01/2021
Onset Date: 05/02/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: -Tinnitus occurred within 24 hours of receiving second Moderna Dosage. - Still occurring after 6 days, with no relief. Actual increasing after the 4th day.

Other Meds: Vitamin D-1.25 mg, once a week

Current Illness: No

ID: 1299891
Sex: F
Age: 78
State: TX

Vax Date: 02/23/2021
Onset Date: 04/20/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: amoxicillin, nitrofurantoin macrocrystalline, and sulfa (sulfo

Symptom List:

Symptoms: This full body rash itches and burns. PHOTOS OF SIMILAR APPEARING RASHES, AS CAUSED BY COVID19 VACCINES, MAY BE FOUND ON:

Other Meds: MEMANTINE HCL TAB 5MG twice daily; Vitamin D3 400mg once day

Current Illness: MCI, hyperlipidemIa

ID: 1299892
Sex: F
Age: 35
State: NJ

Vax Date: 04/29/2021
Onset Date: 05/06/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: Ceclor

Symptom List:

Symptoms: Initial event (the evening after) stomach pains/cramps, next day slight dizziness like a cold was coming on. Redness and swelling at the injection sight remained and began to get larger, redder, and more uncomfortable seven days after. Area continuing to grow in size on day 9 (today)

Other Meds: Claritin

Current Illness:

ID: 1299893
Sex: F
Age: 43
State: NY

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 24 Hours after injection, I had a high fever and headache for the next 24 hours. Over the next week, extreme itching all over my body. A week later, my rosacea flared. The autoimmune response set off an inflammation of my face in the locations where my rosacea is commonly triggered. I recovered from the fever but the skin itching and face swelling has not calmed down - I need to take doxycycline and Alleve to lower the rosacea swelling and redness.

Other Meds:

Current Illness: Rosacea

ID: 1299894
Sex: F
Age: 59
State: NJ

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient's first dosage of covid vaccine was on 04/17/2021. Patient was given second dosage on 05/07/2021. This is only 20 days separation from 1st dose, Manufacturer recommendation is 21 days from 21st dose

Other Meds:

Current Illness:

ID: 1299895
Sex: F
Age: 45
State: OH

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient has had pain in the left arm/deltoid since injection. Pain prevents her from lifting.

Other Meds:

Current Illness:

ID: 1299896
Sex: U
Age: 26
State: IL

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: A 26 yo male experienced a syncopal episode for approx. 12 seconds X2 at 10 min after receiving J&J vaccine (L) deltoid. No post-itch symptoms and no loss of bowel or bladder. He became nauseous with emesis X1. Declined transport to hospital. His uncle provided transport home.

Other Meds: METFORMIN

Current Illness: N/A

ID: 1299897
Sex: F
Age: 24
State: WA

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

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

Lab Data:

Allergies: Mucinex (gives me vertigo)

Symptom List:

Symptoms: Vertigo/Dizziness starting the same day of vaccination. More noticeable over time and persisting almost 4 days post vaccination. Settles when at rest. Becomes increasingly noticeable and to the point of debilitating when moving/bending/driving.

Other Meds:

Current Illness:

ID: 1299898
Sex: M
Age: 37
State: CA

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient came into the vaccine clinic for their 2nd dose booster. They were mistakenly given Moderna Vaccine instead of the Pfizer vaccine. No adverse reactions occurred. The patient was alert, oriented, ambulatory, stable, and left the clinic in stable condition.

Other Meds:

Current Illness:

ID: 1299899
Sex: M
Age: 37
State: MN

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: Not that I know of

Symptom List:

Symptoms: Headache, facial pain mostly on the left side, and ear ringing (left ear)

Other Meds: Sertraline

Current Illness: None

ID: 1299900
Sex: F
Age: 33
State: WI

Vax Date: 04/28/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: shaking reaction to an unknown injected numbing agent at a dentist office, environmental allergies to mold/dust/pollen

Symptom List:

Symptoms: Itchy, swollen, partially red, and raised area around injection site, noticed 10 days after injection. No pus, drainage, or broken skin. Red area approx 1.5" diameter. Symptoms mild as of completion of this form, I am submitting the form because I had only heard of this delayed reaction spoken of for the Moderna vaccine, whereas I had the Pfizer vaccine. I had had some arm soreness onset about 6 hours or so after I received the vaccine, but I had not noticed this continuing red spot until today.

Other Meds: Bystolic 2.5 mg, quinapril/hydrochlorothiazide 10/12.5 mg, omeprazole 30 mg, all doses 1x/day

Current Illness: none known

ID: 1299901
Sex: F
Age: 44
State: OR

Vax Date: 04/24/2021
Onset Date: 05/01/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Was alarmed by sensations that I would lose consciousness as I was lying on the couch watching a movie with my kids. Used a pulse oximeter and heart rate was dipping into 50's during the sensation. Intestinal spasms started and was followed by diarrhea. I decided to go to sleep. The next morning woke fine, then was seated doing some computer work and the sensation started again, accompanied by sharp, stabbing chest pain, again intestinal spasms and diarrhea. Pulse rate was again dipping. I went to urgent care, had an EKG, they felt it was slow so sent me to the ED. Had another EKG and some monitoring. Chest pain continued, and sensation that I would lose consciousness continued into the following day. The only diagnoses was Vasovagal presyncope.

Other Meds: none

Current Illness: none

ID: 1299902
Sex: F
Age: 47
State: WI

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
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Allergies: tarantulas, Aleve, amoxicillin, Lyrica, naproxen, Vigamox, sulfa antibiotics, tramadol

Symptom List:

Symptoms: The patient complained of tongue swelling, hoarse voice and a dry throat. She did not have difficulty breathing and refused EpiPen administration. The patient contacted the pharmacy on 5/8/21 to report a rash.

Other Meds: alendronate, bupropion, celecoxib, cetirizine, clonazepam, cyclobenzaprine, escitalopram, estradiol, Flovent, Sudafed, Vitamin D, methylphenidate, mometasone nasal spray, morphine, oxcarbazepine, pantoprazole, rizatriptan, valacyclovir, Vas

Current Illness:

ID: 1299903
Sex: U
Age: 21
State: MA

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
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Symptoms: Pt was vaccinated at the drive through clinic on 4/23. When he was asked at our clinic if he received a vaccination within the last 14 days he said "No". Pt was given the vaccine and then resented his vaccination card. The vaccinator realized the 1st dose was only 14 days ago. We referred pt to his PCP

Other Meds:

Current Illness:

ID: 1299904
Sex: F
Age: 0
State: AZ

Vax Date: 03/23/1947
Onset Date: 03/30/2021
Rec V Date: 05/08/2021
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Allergies: Sulfa drugs

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Symptoms: The day after the vaccination i had aches and chills, lasted about 24 hours and then went away completely. About a week after the vaccination i started to get pains in my joints and bones, especially the left elbow. I also had a swollen underarm gland in the left armpit. Now over a month later the swelling has gone away but I still feel achy at times. Recently, I have been experiencing a fatigue and real tiredness that prevents me from being as active as I had been. Not sure it is from the vaccine or my diuretic or my blood pressure medication, but I have been on those about one year with no problem. I am wondering if it is the vaccine. I never had joint pains prior to the vaccine.

Other Meds: .025 xanax at night only, Losartan Potassium 25mg daily, Hydrochlorothiazide 12.5 daily, Vit C, D, B.

Current Illness: None except chronic low back pain from severe stenosis and feet issues due to sensory peripheral neuropathy.

ID: 1299905
Sex: F
Age: 34
State: PA

Vax Date: 04/30/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
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Allergies: Penicillin, amoxicillin, zithromax

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Symptoms: A week after the injection I have a small red bump, about a half inch in diameter, at injection site. My arm is itchy around the bump, but the bump itself is painful to the touch. My upper arm in general is still a little sore, although much better than the day after my shot. Additional reactions: The evening of my shot and the day after I had typical symptoms. My entire arm, from shoulder to wrist, was very sore. This started within 30 minutes of injection. I had nausea starting about 2-3 hours after injection. That lasted the majority of the following day, on and off. I was able to eat and drink. The second day after injection I felt mostly back to normal aside from my arm being sore. My arm gradually felt better through out the week. However, the whole week I was extremely tired.

Other Meds: Metro cream 2x/day, biotin 10k mg

Current Illness: None

ID: 1299906
Sex: F
Age: 48
State: NJ

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
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Symptoms: Patient was given second dose of Pfizer covid vaccine 20 days after first dose instead of the manufacturer recommended 21 day separation.

Other Meds:

Current Illness:

ID: 1299907
Sex: F
Age: 32
State:

Vax Date: 04/23/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
Hospital: Y

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Symptoms: cerebral venous sinus thrombosis causing tonic-clonic seizures

Other Meds:

Current Illness:

ID: 1299908
Sex: M
Age: 44
State: FL

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/08/2021
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Allergies: None

Symptom List:

Symptoms: Burning sensation and swollen red raised skin at eyelids, and under eyes. Grey half moon circles under eyes. Sore to touch

Other Meds: None

Current Illness: None

ID: 1299909
Sex: F
Age: 17
State: TX

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 05/08/2021
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Symptoms: There was no adverse reaction but the patient was under the age of 18. She was vaccinated at an offsite clinic. She was turned away at least once but slipped back in and was vaccinated by someone who checked the year but not the month and date before vaccinating her. Her father was present and was vaccinated as well and was part of the push to get her sent back through.

Other Meds:

Current Illness:

ID: 1299911
Sex: F
Age: 59
State: WA

Vax Date: 03/31/2021
Onset Date: 04/26/2021
Rec V Date: 05/08/2021
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Allergies: None

Symptom List:

Symptoms: 26 days after 1st Moderna vaccine patient developed shortness of breath. Patient ended up having a positive d-dimer. CT scan done the following week showed severe bilateral pulmonary emboli in all lobes of both lungs.

Other Meds: Alprazolam Atenolol Atorvastatin Hydroxyzine Buspirone Lexapro

Current Illness: None

ID: 1299912
Sex: F
Age: 41
State: FL

Vax Date: 05/04/2021
Onset Date: 05/06/2021
Rec V Date: 05/08/2021
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Allergies: Sulfa Codeine

Symptom List:

Symptoms: Hives - lower arms/trunk/legs (since Thursday evening)

Other Meds: Daily vitamins, cranberry, nadolol 20 mg, fiber pills

Current Illness: Seasonal allergies (live in)

ID: 1299913
Sex: F
Age: 68
State: AL

Vax Date: 02/17/2021
Onset Date: 02/20/2021
Rec V Date: 05/08/2021
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Allergies: codeine, morphine, tetracycline, bactrim, flagyl

Symptom List:

Symptoms: lymph nodes began swelling on left side of neck. Other lymph nodes in neck swelled later. Began having trouble swallowing. Lymph nodes eventually went down but still have trouble swallowing

Other Meds: pravastatin, estradiol 10 mg, allegra

Current Illness: uti--taking keflex

ID: 1299914
Sex: F
Age: 41
State: IN

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/08/2021
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Allergies: None

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Symptoms: 5 hours after second shot I started getting body aches and pain everywhere and the pain increased over the next several hours. I took ibuprofen every 4 hours. It had subsided tremendously by 5 pm the next day. I was significantly better 12 hours after the second shot.

Other Meds: Vyvanse 40mg

Current Illness: None

ID: 1299915
Sex: F
Age: 68
State: NJ

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
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Symptoms: Patient was inadvertently given second dose of Pfizer covid vaccine 20 days after first dose instead of manufacturer recommended 21 days separation

Other Meds:

Current Illness:

ID: 1299916
Sex: F
Age: 62
State: MD

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
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Symptoms: 15 min post vaccination c/o generalized itching. 25 Benadryl given. Pt declined to stay for further eval or treatment.

Other Meds:

Current Illness:

ID: 1299917
Sex: F
Age: 70
State: NJ

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 05/08/2021
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Symptoms: Sore arm. 16 hours after 2nd shot got 100 degree fever, aches, sore neck for two days. Then four days later got intense dizzyness, nausea, and vomiting for one day.

Other Meds: Calcium, multivitamin, vitamin c

Current Illness:

Total 2021 VAERS Injuries: 355,806

Page last modified: 03 October 2021 5:28pm