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: 1309947
Sex: F
Age: 38
State: IN

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Sulfa Asprin

Symptom List:

Symptoms: Chills, fever, muscle aches, headache, fatigue, muscle weakness, dizziness

Other Meds: Buspirone, cymbalta, simvistatin, and sinthroid

Current Illness:

ID: 1309948
Sex: M
Age: 27
State: PA

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe, Additional Details: Pt asked for some water then tilted his head back and passed out. He was very warm and sweaty. My technician and I lowered him to a exercise mat where he recovered. I offered him water and a granola bar. He drank the water, declined the bar. Pt was observed in waiting area for 30 min. I suggested he call a friend or family member to pick him up, he said he was ok to drive.

Other Meds:

Current Illness:

ID: 1309949
Sex: F
Age: 25
State: CA

Vax Date: 04/13/2021
Onset Date: 05/06/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: RIGHT FACIAL PARALYSIS-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium

Other Meds:

Current Illness:

ID: 1309950
Sex: F
Age: 21
State: CT

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Medium

Other Meds:

Current Illness:

ID: 1309952
Sex: F
Age: 31
State: CA

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Additional Details: Patient complained of moderate lightheaded/dizziness. BP was 128/77. We had her stay an extra 5 minutes at which point she felt better enough to go home with friend.

Other Meds:

Current Illness:

ID: 1309953
Sex: F
Age: 50
State: IN

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Rash started next day. Diagnosed with shingles 4 days later

Other Meds:

Current Illness:

ID: 1309954
Sex: M
Age: 53
State: TX

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Nausea, fever 100.5, malaise. Lasted 3 hours and then disappeared.

Other Meds:

Current Illness:

ID: 1309955
Sex: F
Age: 30
State: CA

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: pt stated "im going to pass out" rn help her to floor she recovered immediatly. gave water and candy. pt forgot to mention and document history of passing out or black out after immunization. pt is fine and doing well

Other Meds:

Current Illness:

ID: 1309956
Sex: M
Age: 44
State: NC

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Pain at Injection Site-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Additional Details: Patient reported that after shot his left thigh and stomach broke out in a red, itchy rash. He took some oral benadryl and applied hydrocortisone cream twice daily in order to make the rash go away. Rash lasted about 7 days

Other Meds:

Current Illness:

ID: 1309957
Sex: F
Age: 30
State: SC

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Additional Details: didn't have any pain at injection site but system wanted to check one of it. would not let me go further

Other Meds:

Current Illness:

ID: 1309958
Sex: M
Age: 56
State: FL

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: PNC, Erythromycin, Codeine

Symptom List:

Symptoms: Pt. reported feeling dizzy 5 min. after getting vaccinated. BP done 94/40. Pt. stated, "I suffer from anxiety and depression." "This afternoon I have an appointment with my psychiatrist." An IV was placed and NS was started. At 11:32am BP 126/80, HR 97, O2Sat 100%, R 19. Pt. also stated, "I have a history of alcoholism and last night I had a drink." "I think I'm dehydrated." At 11:37am BP was 113/78. Pt. agreed to be transported to the hospital. At 11:41am pt. was transported to the hospital.

Other Meds: Lisinopril, Amlodipine

Current Illness:

ID: 1309959
Sex: F
Age: 54
State: MA

Vax Date: 05/09/2021
Onset Date: 05/10/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Mild, Systemic: Vomiting-Medium

Other Meds:

Current Illness:

ID: 1309960
Sex: M
Age: 41
State: IN

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: Morphine; dextromethorphan

Symptom List:

Symptoms: Moderate fever, arm pain, high heart rate, high blood pressure, high WBC, high Absolute Neutrophil

Other Meds: Valacyclovir 1mg; Rosuvastatin calcium 5mg; men's one-a-day multivitamin

Current Illness: N/A

ID: 1309961
Sex: F
Age: 18
State: AZ

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Seizure-Medium

Other Meds:

Current Illness:

ID: 1309962
Sex: F
Age: 20
State: IN

Vax Date: 05/10/2021
Onset Date: 05/11/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Severe body aches, chills, sore throat, coughing, runny and stuffed nose, back pain, nausea.

Other Meds:

Current Illness:

ID: 1309963
Sex: M
Age: 40
State: TX

Vax Date: 04/12/2021
Onset Date: 05/01/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Numbness started on Day 2 of the vaccine and has never stopped. Started with left ring and pinky fingers. Received Vaccine #2 on 5/11/2021 and now there is a line down my left arm from the point of the shot to my middle finger and it is entirely numb, leaving me with 3 fingers that are numb - left pinky, ring and middle finger.

Other Meds:

Current Illness: none

ID: 1309964
Sex: F
Age: 63
State: NY

Vax Date: 04/12/2021
Onset Date: 04/26/2021
Rec V Date: 05/12/2021
Hospital: Y

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: Platelet count of 4, bleeding (nose, urine. stool), petechiae & bruising over body. Patient given platelet transfusion, high dose dexamethasone and IVIG. Platelet count rose to 29. Discharged and follow-up with hematology

Other Meds: albuterol, loratidine, omeprazole, venflafaxine

Current Illness:

ID: 1309965
Sex: F
Age: 53
State: PR

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Additional Details: PATIENT COMPLAINT ABOUT SWELLING AND REDNESS ON EYE AND FACE; PATIENT WAS CONTACTED 4HRS LATER AND WAS BETTER AFTER TAKING BENADRYL. SHE DECIDES TO SEE HER PCP AFTER

Other Meds:

Current Illness:

ID: 1309966
Sex: F
Age: 30
State: CT

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: She received the pfizer vaccine on the left arm. Patient complained of itchy throat and swelling so nurse who gave shot provided water. Started sweating and called 911. Patient was alert and responsive and was monitored until the paramedics arrived. She was visibly sweating and shaking but otherwise responsive. Did not mention throat closing worsening. Was monitored by the nurse who gave and pharmacist.

Other Meds:

Current Illness:

ID: 1309967
Sex: M
Age: 51
State: IL

Vax Date: 04/24/2021
Onset Date: 05/03/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Organ Failure following Second Shot - otherwise healthy person - Kidneys showed failure on 5/3/2021 at an ER visit- Blood Pressure became elevated- Kidneys have been failing since second shot

Other Meds: None

Current Illness: None

ID: 1309968
Sex: M
Age: 62
State: OH

Vax Date: 04/02/2021
Onset Date: 05/02/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Continuous pain in left arm

Other Meds: None

Current Illness: None

ID: 1309969
Sex: F
Age: 61
State: MI

Vax Date: 03/13/2021
Onset Date: 04/09/2021
Rec V Date: 05/12/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Acute Inflammatory Demyelinating Polyneuropathy/Guillain-Barre Syndrome, 6-day in-patient hospital admission, IVIG for 5 days, outcome undetermined as yet. Initial symptoms include severe low back pain for a week followed by bilateral leg weakness and ascending paralysis.

Other Meds: Multivitamin daily

Current Illness: None

ID: 1309970
Sex: M
Age: 45
State: NJ

Vax Date: 05/04/2021
Onset Date: 05/07/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dull headache and nausea for over a week.

Other Meds: Flonase

Current Illness: Environmental allergies

ID: 1309971
Sex: M
Age: 22
State: NY

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Medium, Systemic: Nausea-Severe, Systemic: Tachycardia-Severe, Additional Details: Pt has vaso-vagal reaction: syncope, low blood pressure, increased pulse, profuse sweating

Other Meds:

Current Illness:

ID: 1309972
Sex: M
Age: 22
State: NY

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Medium, Systemic: Hypotension-Medium, Systemic: Nausea-Severe, Systemic: Tachycardia-Severe, Systemic: Weakness-Mild, Additional Details: Patient had vaso-vagal reaction: syncope, low blood pressure. increased pulse, profuse sweating/ flushing, nausea

Other Meds:

Current Illness:

ID: 1309973
Sex: M
Age: 22
State: PA

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Visual Changes/Disturbances-Severe, Additional Details: Heavy breathing and feeling of dehydration

Other Meds:

Current Illness:

ID: 1309974
Sex: F
Age: 21
State: FL

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Fainting / Unresponsive-Mild

Other Meds:

Current Illness:

ID: 1309975
Sex: F
Age: 40
State: FL

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Customer c/o uncontrollable shaking after taking the second dose. At customer was leaving the park at check point one customer pulled over to report shaking to staff. EMS and nurse responded to call. BP 149/82, HR 74, O2 99 and glucose 96.

Other Meds: n/a

Current Illness: n/a

ID: 1309976
Sex: F
Age:
State: NJ

Vax Date: 05/01/2021
Onset Date: 05/11/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: Kna

Symptom List:

Symptoms: None stated.

Other Meds: Losartan and amlodipine

Current Illness: No

ID: 1309977
Sex: M
Age: 60
State: IN

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: slight fever, body aches, headaches, weakness head congestion

Other Meds: metfomin invokana glipizide trajenta

Current Illness: none

ID: 1309978
Sex: F
Age: 53
State: MA

Vax Date: 04/28/2021
Onset Date: 04/30/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: allergic to macrobid, keflex

Symptom List:

Symptoms: i have a crinking sounds in my left ear. It is not constant but rather comes and goes throughout the day. When I am at the sink, or in the shower with the water running, the noise seems to be reverberating in my ear very loudly. The noises started day 2 (4/30/21) after the 2nd dose (4/28/21) and have been occurring on and off every day since. It's been 15 days after the 2nd dose and i am still hearing the noises. Only yesterday did they seem to lessen a bit.

Other Meds: multi vitamin

Current Illness: none

ID: 1309979
Sex: F
Age: 57
State: MI

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Right after shot was given. Instantly tasted, throat was dry. Around 6 p.m. my right ear starting hurting, then headache. After waking up at 3:30 a.m. body aches, full headache, upset stomach, just felt like a major fog.

Other Meds: Paroxetine 10 mg Letrozele 2.5 mg Turmeric 2 Tablets daily Glucosamine 2 Tablets

Current Illness: Nothing

ID: 1309980
Sex: M
Age: 27
State: TX

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Mild, Systemic: Shakiness-Mild, Additional Details: Patient fainted and had seizures like symptoms along with cramps. Patient fainted for less than a minute. Was breathing and talking soon afterwards. 911 was called.

Other Meds:

Current Illness:

ID: 1309981
Sex: M
Age: 27
State: CO

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Tinnitus-Medium

Other Meds:

Current Illness:

ID: 1309982
Sex: M
Age: 42
State: TX

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Confusion-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: patient was given jassen vaccine. during 15 minutes observation. patients appeared to black out for 3 seconds. patient can breath ok. no epipen injection was given. after 30 min. patient is coherent. BP 117/75. normal sinus rythm. 911 was called. Patient stated that he doesnt want to go to the hospital and doing fine. Patient had pee himself.

Other Meds:

Current Illness:

ID: 1309983
Sex: M
Age: 22
State: VA

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: Headache-Mild

Other Meds:

Current Illness:

ID: 1309984
Sex: F
Age: 60
State: MO

Vax Date: 04/24/2021
Onset Date: 05/09/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Few problems at times of 1st dose, and no problems at time of 2nd injection, but went outside to do yard work 2 weeks later and found myself extremely short of breath with very little exertion. I had donated blood the day before, so that might be a contributing factor, but wanted to put this on the record just in case.

Other Meds: Multivitamin, levothyroxine 125mcg, vitamin d, potassium, omeprazole, osteo biflex

Current Illness: None

ID: 1309985
Sex: F
Age: 59
State:

Vax Date: 05/10/2021
Onset Date: 05/01/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: cipro, bactrim, latex

Symptom List:

Symptoms: arm started burning, hives on roof of mouth, developed ringing in the ears that wont go away. Provider only said to take Benydral.

Other Meds: bystolic, Esomeprazole

Current Illness: IBS

ID: 1309987
Sex: M
Age: 57
State: IL

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 05/12/2021
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Symptoms: Mild headache, body aches and seizure. Resident has a history of seizures EMS was contacted and resident was administered Gabapentin and Tylenol. Resident is fully recovered

Other Meds:

Current Illness:

ID: 1309988
Sex: M
Age: 73
State: VA

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/12/2021
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Allergies: Sulfa Drugs; vomiting

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Symptoms: pain, soreness at injection site for 36 hours; fatigue, body aches, moderate sinus headache for 36 hours.

Other Meds: aspirin, 81 mg/day; rosuvastatin 40 mg/day, zetia 10 mg/day

Current Illness: None

ID: 1309989
Sex: M
Age: 18
State: TX

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/12/2021
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Symptoms: Systemic: Fainting / Unresponsive-Medium

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Current Illness:

ID: 1309990
Sex: M
Age: 33
State: IL

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/12/2021
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Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild

Other Meds:

Current Illness:

ID: 1309991
Sex: M
Age: 55
State: MI

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 05/12/2021
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Allergies: None

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Symptoms: Initially just mild fatigue and "brain fog" but by the next day the fatigue "brain fog"/malaise/disorientation was so intense I could barely stay awake and could not function at my desk job. This continued at that intensity for about a week. I couldn't do ANYTHING...was previously running 7 miles/day but in the past month since vaccine I have only had the energy to walk around the block one time. The cognitive impairment has been debilitating at work where I can not concentrate or process complex topics. I'm an IT executive so this is part of my daily job and was no problem prior to the vaccine. By the second week I was starting to make very tiny progress each day. I would be OK for an hour or 2 after waking up but then the fatigue and malaise would return and I wouldn't be able to work. This is often accompanied by headache. Generally the duration of symptoms has been getting shorter each day but very slowly. On may 9 my impairment was so great I couldn't even drive (was like being a bit drunk). Finally, Monday May 10, the intensity of the symptoms was light enough that I was able to work a full day despite the mild headache and fog. The same continued on May 11, so I hope I am close to being over this.

Other Meds: Allegra

Current Illness: None

ID: 1309992
Sex: M
Age: 47
State: OH

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 05/12/2021
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Symptoms: Patient stated he had food allergies and was starting to feel itchy (face/mouth) after 15 minute wait period. Advised to wait 15 more minutes. After another 15 minutes, his lips were feeling numb. Was administered Benadryl

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Current Illness:

ID: 1309993
Sex: M
Age: 61
State: NV

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/12/2021
Hospital: Y

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Symptoms: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hyperventilation-Medium, Additional Details: patient's husband says pt was admitted to hospital with burning in chest, heart, throat swelling, anxiety and trouble breathing.

Other Meds:

Current Illness:

ID: 1309994
Sex: M
Age: 33
State: MD

Vax Date: 05/09/2021
Onset Date: 05/10/2021
Rec V Date: 05/12/2021
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Allergies: none

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Symptoms: Tinnitus (ears ringing)

Other Meds: Xyzal Pantoprazole

Current Illness: none

ID: 1309995
Sex: M
Age: 42
State: IN

Vax Date: 05/10/2021
Onset Date: 05/11/2021
Rec V Date: 05/12/2021
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Allergies: None

Symptom List:

Symptoms: Moderna vaccine 2. Fever, body pains, Severe headache. Muscle twitching.

Other Meds: Synthroid

Current Illness: None

ID: 1309996
Sex: F
Age: 30
State: IN

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/12/2021
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Symptoms: Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Medium, Systemic: Hyperventilation-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Tachycardia-Medium

Other Meds:

Current Illness:

ID: 1309997
Sex: F
Age: 32
State: IN

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/12/2021
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Symptoms: Pain in injection site and throughout left arm for 24 hours, whole left side of body felt "heavy" and weak, headache, drowsiness, fatigue

Other Meds: Buspar, Lamictal, Vyvanse, Pristiq, Omeprazole, Propranol

Current Illness: Sinus infection

ID: 1309999
Sex: F
Age: 55
State: CO

Vax Date: 04/09/2021
Onset Date: 05/11/2021
Rec V Date: 05/12/2021
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Allergies: none

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Symptoms: Menstrual spotting post-menopause. I haven't had my period in over 4 years and I had spotting last night.

Other Meds: Estradiol 0.025mg Progesterone 75mg

Current Illness: none

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm