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: 1314644
Sex: F
Age: 37
State: MA

Vax Date: 04/08/2021
Onset Date: 04/17/2021
Rec V Date: 05/13/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: superficial thrombophlebitis left saphenous vein

Other Meds:

Current Illness:

ID: 1314645
Sex: F
Age: 65
State: CA

Vax Date: 02/10/2021
Onset Date: 03/10/2021
Rec V Date: 05/13/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: After initial vaccine I experienced intermittent headaches. After second vaccine I have experienced low grade migraines. The migraines are daily now. I am on Tylenol 3 times daily as of 2 weeks ago.

Other Meds: Neurontin, amitriptylin, Duragesic patch, vitamins C,B, daily, magnesium, glucosamine, calcium, cucumerin, fiber tabs and probiotic

Current Illness:

ID: 1314646
Sex: F
Age: 31
State: FL

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

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

Lab Data:

Allergies: Ketamine

Symptom List:

Symptoms: 31 yo F presented with dizziness and blurred vision. EMS eval. Pt's insulin pump was noted as running. BP 122/81, BS 466, HR 100, Temp 96.7. Pt care transferred to responding EMS unit, Pt transported to local hospital emergency room for further treatment.

Other Meds: Circodeline, Chol Meds, Insulin, Adderall, Percocet

Current Illness: None

ID: 1314647
Sex: M
Age: 54
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received Moderna vaccine for first dose and we administered Pfizer for second dose.

Other Meds:

Current Illness:

ID: 1314648
Sex: M
Age: 76
State: NJ

Vax Date: 02/06/2021
Onset Date: 04/26/2021
Rec V Date: 05/13/2021
Hospital:

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

Lab Data:

Allergies: Percocet, Mandol

Symptom List:

Symptoms: Diagnosed with Covid-19 via Rapid Test on 04/30/2021. Received Pfizer vaccines in Feb 2021. Took Covid Rapid Test (NEGATIVE) on 04/18/2021 prior to leaving for vacation home. Arrived in 04/22/2021 and only went out in public twice, both times masked and social distancing. On 04/26/2021 I started having flu like symptoms, cough, fever (99-100 degrees F), headache, body aches, shortness of breath. 04/27/2021 I lost my sense of smell and taste. 04/30/2021 since I was still feeling unwell, I went to Urgent Care in for evaluation. Rapid Covid test POSITIVE for CV-19. Prescribed rest, fluids, Tylenol for fever and monitor breathing. Returned home 05/07/2021. As of today, 05/13/2021 I continue to have cough, lack of taste and mild shortness of breath and feeling generally lousy.

Other Meds: allopurinol, atenolol, atorvastin, potassim citrate ER, sertraline,

Current Illness: Prostate cancer,

ID: 1314649
Sex: M
Age: 47
State: WA

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

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

Lab Data:

Allergies: Shellfish

Symptom List:

Symptoms: Fever, 102 degrees. Muscle aches through body.

Other Meds: None

Current Illness: None

ID: 1314650
Sex: F
Age: 0
State: MO

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

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Pt stated she fetl tingling all over then tongue tingling.. laid her down.. stated dry mouth.. gave water...pt waited in office for 30 minutes... Began to leave feeling better, then returned complaining of tightening in chest... EKG normal.. Oxygen normal... sent to ER with son as driver

Other Meds: unknown

Current Illness: unknown

ID: 1314651
Sex: F
Age: 63
State: IN

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

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

Lab Data:

Allergies: See Page 2

Symptom List:

Symptoms: 5/5/21 6:00 pm: Headache, Foggy, Extreme Exhaustion Treatment: Took 2 Bayer Aspirin; 5/6/21 morning: Headache, Foggy, Chills, General Body Aches, Extreme Exhaustion; afternoon: Headache, Foggy, Chills, General Body Aches, Joint pain, Extreme Exhaustion Treatment: Took 2 Bayer Aspirin every 2 hours, took warm bath, took nap 5/7/21 morning: Headache, Foggy, Chills, General Body Aches, Joint pain, Extreme Exhaustion afternoon: Headache, Foggy, Chills, General Body Aches, Joint pain, Extreme Exhaustion, nausea, runny nose; painful rash on torso, back, lower arms, and legs Treatment: Bayer Aspirin every 2 hours, warm baths, naps, 1/2 benadryl, emetrol See Page 2

Other Meds: See Page 2

Current Illness: Diabetes

ID: 1314652
Sex: F
Age: 55
State: TX

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 05/13/2021
Hospital:

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

Lab Data:

Allergies: Denies allergies

Symptom List:

Symptoms: Patient called at 10:51am. She stated that she had questions about vaccine. Patient states she received 2nd Covid19 vaccine on 03/26/2021. The next day, om 27th of March, she awoke with bumps and swelling on arms. Right side was worse than left arm. (The vaccine was administered in left arm). She denies having fever, shortness of breath, dizziness, chest pain, or any other distress symptoms. The bumps are irritating and causes her to scratch. Because of the scratching , her skin has holes where the bumps are. As of today , the bumps are still there but she noticed a spreading rash on breast, chest, and neck. Patient states the rash/hives on her breast , chest,and neck area are not the same as the bumps on her arms. Patient states that she does not have insurance and has not seen a physician in 2 years. Was refused a Gold Card because her lack of a permanent resident. She has PO Box listed as her resident. Encouraged/advised patient to seek medical attention to be assessed by a healthcare professional. (Suggested going to clinic ,will see walk-in patients without insurance).

Other Meds: No meds

Current Illness: Denies any illness. Has not seen a doctor in 2 years

ID: 1314653
Sex: M
Age: 14
State: NE

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fainting, patient fainted after administration and was being monitored for 30 minutes sitting down in our pharmacy.

Other Meds:

Current Illness:

ID: 1314654
Sex: M
Age: 32
State: NY

Vax Date: 03/25/2021
Onset Date: 04/01/2021
Rec V Date: 05/13/2021
Hospital:

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

Lab Data:

Allergies: penicillin allergy reported from age 3 or 4

Symptom List:

Symptoms: 1 week after first covid vaccine had a rash on arm, went to urgent care and given steroid topical which helped. This Sunday, 2 weeks after second dose, woke up with bilat flanks, tricep and thighs, went to urgent care. Took zyrtec and got up. Woke up and had recurred. Started methylprednisolone 4mg taper dose pack #21.

Other Meds: none

Current Illness: none

ID: 1314655
Sex: F
Age: 48
State: MD

Vax Date: 03/28/2021
Onset Date: 04/08/2021
Rec V Date: 05/13/2021
Hospital:

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

Lab Data:

Allergies: Sulfas, Hydrocodone, Iodine contrast, Yellow Jacket bees

Symptom List:

Symptoms: April 8 - during normal exercise heart rate monitor registered at 177bpm (102%) for 4.5 minutes. Typically heart rate during same exercise is not higher than 90%, 158bpm. April 11 - winded after going up half a flight of stairs April 12 - low throbbing pain under right arm April 13 - low throbbing pain in right calf and top of right quad April 13 - contact PCP with symptoms and concern over J&J pause April 14 - PCP suggested a ECG and a d-dimer blood test April 15 - ECG showed abnormal (normal in August 2020) April 16 - blood test d-dimer results were 0.78 (no prior test to reference). PCP suggested Ultrasound for right leg. Oncologist recommended stopping tamoxifen April 19 - Ultrasound of right leg showed no clo Ultrasound showed no clots. April 22 - PCP recommended retesting D-Dimer in a few weeks to see if the value changed. May 7 - retested D-Dimer. Test score was 0.40 within normal limits.

Other Meds: Tamoxifen, Vitamin D, Unithroid

Current Illness:

ID: 1314656
Sex: F
Age: 43
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Six newly drawn doses were added to a tote containing 3 expired doses (expired around 10 hours before). The patient received one of these 9 doses.

Other Meds:

Current Illness:

ID: 1314657
Sex: F
Age: 33
State: MO

Vax Date: 03/25/2021
Onset Date: 05/03/2021
Rec V Date: 05/13/2021
Hospital:

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: I was diagnosed with shingles on May 10, 2021. I experienced my first spot on May 3, 2021, but I was unsure what it was. I have been otherwise healthy & would have no reason to contract shingles with my health and at the age of 33.

Other Meds: None.

Current Illness: None.

ID: 1314658
Sex: F
Age: 42
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Client had vaccine fainted fell out of chair. Abrasion to right cheek , eye and left elbow reported right head pain from the fall. Stated she felt like she hit on her right shoulder. Diaphoretic b/p 104/72 99%PSO2 pulse 68. Did not want to go to ER. 2:10 diaphorectic fainted again. b/p 110/68 pso2 98% pulse 62. woke quickly taken to ER via wheelchair @2:13

Other Meds:

Current Illness:

ID: 1314659
Sex: M
Age: 64
State: TX

Vax Date: 03/14/2021
Onset Date: 04/24/2021
Rec V Date: 05/13/2021
Hospital:

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

Lab Data:

Allergies: nkda

Symptom List:

Symptoms: DVT LUE brachial vein on 4/24/2021

Other Meds: amlodipine

Current Illness: none

ID: 1314660
Sex: F
Age: 48
State: CA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 05/13/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: WOKE UP WITH SEVERE BACK PAIN ON LEFT SCAPULA, STABING PAIN ON JOINTS (HANDS, TOP OF FEET, GROIN, KNESS FINGERS, TOP OF HANDS. CONTINOUSLY FOR 2 WEEKS. ON/OFF SINCE...

Other Meds: ONE A DAY WOMEN'S MULTIVITAMIN TAB OMEGA FISH OIL TAB AVOCADO OIL TAB

Current Illness: NONE

ID: 1314661
Sex: M
Age: 64
State: MO

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 05/13/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Experienced "Covid Arm" after the second injection, fairly substantial upper arm pain for 72 hours. Still experiencing slight numbness in lower arm currently.

Other Meds: Losartan 100 mg OD

Current Illness:

ID: 1314662
Sex: F
Age: 61
State: VA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 05/13/2021
Hospital:

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

Lab Data:

Allergies: celebrex: urticaria, edema

Symptom List:

Symptoms: chills, muscle aches, headache, fatigue for 3 days.

Other Meds: Mobic 15 mg Daily prn (aware don't mix w/ motrin) Tylenol 500mg PRN Ibuprofen 800mg PRN Zyrtec 10 MG Daily Azelastin 137mcg nasal spray BID Patanol 0.1% 1 drop both eyes BID refresh tear prn liqui tears prn Proventil 90 mcg PRN (> 1 year s

Current Illness: allergic rhinitis

ID: 1314663
Sex: F
Age: 29
State: CA

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 05/13/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: I had "pre-seizure" symptoms, which I will get if I ever forget to take my medication. On the days leading up to getting the vaccine and the days following, I had been taking my medication daily and was making sure to get enough sleep and reduce stress. I got my vaccine on the 21st, and I felt very jittery all day on the 22nd. I couldn't keep my eyes closed to take a nap as it made me feel like a seizure was coming (my past episodes have always been nocturnal). I felt very restless and I felt like I was actively fighting off a seizure for the whole day and into the following morning. I took an extra dose of my Keppra, which did not seem to help. The symptoms mainly subsided around 8:00am on the 23rd, but I still felt jittery and restless until that evening. The morning of the 24th, I felt back to normal.

Other Meds: Keppra XR, low dose daily (250mg?)

Current Illness: N/A

ID: 1314664
Sex: F
Age: 32
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Six newly drawn doses were added to a tote containing 3 expired doses (expired around 10 hours before). The patient received one of these 9 doses.

Other Meds:

Current Illness:

ID: 1314665
Sex: M
Age: 68
State: GA

Vax Date: 05/10/2021
Onset Date: 05/13/2021
Rec V Date: 05/13/2021
Hospital:

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

Lab Data:

Allergies: Acetaminophen. Darvocet, Propoxyphene

Symptom List:

Symptoms: Patient is not showing or exhibiting any sign or symptoms of any adverse reaction. No changes from the patient baseline.

Other Meds:

Current Illness:

ID: 1314666
Sex: F
Age: 63
State: IL

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 05/13/2021
Hospital:

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

Lab Data:

Allergies: Dust Food sensitivities: All foods in nightshade family, legumes, garlic, foods rich in lectins.

Symptom List:

Symptoms: Approximately 30 minutes after receiving the vaccine, I felt a numbness and tingling sensation in my left lower lip. Pain at the injection site increased throughout the next 48 hours. Numbness and tingling spread to the left side of my face and left hand, in the first 24 hours. I was unable to reach a health care professional at the clinic, but left several messages that were not responded to. By the eve of the following day, I experienced increased swelling of my lower lip, tongue, throat, and left eye, at which point I consulted with a relative in the health care profession who suggested I try an oral dose of ibuprofen. It was nearing 9 pm and we started to drive to the nearest emergency medical location, in the event that the ibuprofen did not help. I took two 25ml capsules at that time. After about 30 minutes, I felt some relief. I took one more 25ml capsule before going to bed. The next day, symptoms began to disappear by midday.

Other Meds: Vitamin D L-Lysine

Current Illness: none

ID: 1314667
Sex: M
Age: 52
State: MO

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

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

Lab Data:

Allergies: PCN

Symptom List:

Symptoms: Vaccine was thawed at on 4/12/21. Received at clinic on 4/30/21 and put in freezer. Dethawed on 5/12/21 and given to pt on 5/13/21. Questioning viability of vaccine and if 3rd dose should be given?

Other Meds: VENTOLIN HFA, FLEXERIL, DOXAZOSIN, FINASTERIDE, HYDROCODONE, ZYZAL, LISINOPRIL, NALOXONE, FISH OIL

Current Illness: NONE

ID: 1314668
Sex: F
Age: 58
State: NJ

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

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

Lab Data:

Allergies: Meloxicam 15mg

Symptom List:

Symptoms: My left arm pain started the same night of the 2nd dose of Covid-19 vaccine. It is still pain now after 5 week from the shot.

Other Meds: L-Thyroxine 50mcg Simvastatin 10mg

Current Illness:

ID: 1314669
Sex: F
Age: 38
State: FL

Vax Date: 05/11/2021
Onset Date: 05/13/2021
Rec V Date: 05/13/2021
Hospital:

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

Lab Data:

Allergies: Betidine iodine Vancomycin

Symptom List:

Symptoms: Red hot and swelling and itchy Taken Tylenol and applying ice

Other Meds: Zolft Tamoxifen Tylenol Synthroid

Current Illness:

ID: 1314670
Sex: F
Age: 50
State: PA

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

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

Lab Data:

Allergies: penicillin, bactrim ds, wool

Symptom List:

Symptoms: With autoimmune issues - I was unaware that getting this shot would throw my body into a severe flare up. by 8 pm on the day of the shot - continuing for 3 days - I had an extreme PSA flare up in which my joints all swelled, could barely move, terrible pain widespread throughout my body. Had I known that people with automimmune diseases may end up with a severe flare due to the vacccination - I would have opted to NOT get the vaccine. It is my understanding that the test groups did not include people with the autoimmune diseases. In addition to the severe autoimmune flare up - since that has resolved, I have had an upper respiratiory cold - runny nose, sneezing, now coughing and congestion every since. So once past the 3 days of flare, I have had now 6 days of cold type symptoms that nothing seems to help - no over the counter cold or sinus medicines are helping at all.

Other Meds: Losartan Potassium, Duloxetine HCL, Hydrochlorothiazide, amlodeipine besylate, carvedilol, probiotics,

Current Illness: History includes auto immune - PSA, psoriasis, fibromyalgia - no active flare in month prior to vaccination

ID: 1314671
Sex: M
Age: 30
State: MD

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

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

Lab Data:

Allergies: Amoxicillin

Symptom List:

Symptoms: Tingling in mouth and throat. No rash, sob, nausea. Very well appearing, observed for 1.5 hours, symptoms completely subsided, and released to home.

Other Meds: Denies

Current Illness: Denies

ID: 1314672
Sex: F
Age: 56
State: OH

Vax Date: 04/16/2021
Onset Date: 05/07/2021
Rec V Date: 05/13/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: fallen, bruises, platelets extremely low at 18

Other Meds: chlomazipan, venlafaxine, tizanidne, warfarin, lamotrine,

Current Illness:

ID: 1314673
Sex: M
Age: 28
State: FL

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

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: I saw him through the window and patient was felling little dizzy so I step outside of pharmacy to patient waiting area and ask him how he was feeling . He couldn't speak English and had the sister translate to ask him how he was feeling and the sister said he was nervous and feeling dizzy . I checked his heart rate and berating, notice his heart rate was high . He was having a anxiety attack and palpitation . we called 911 and also I gave a bottle of water to him , he drank some water and started feeling better ,then ems came and they took over from there.

Other Meds: no

Current Illness: no

ID: 1314674
Sex: F
Age: 46
State: CA

Vax Date: 02/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/13/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: About 7-8 hours after receiving my first dose of the Pfizer Covid 19 Vaccine, I began my menstrual cycle 10 days early. For several days following this, I had the heaviest period that I have had in decades. At one point, large blood clots were present and I typically do not experience them at all during my menstrual cycle.

Other Meds: Vitamin C and Vitamin D

Current Illness: None

ID: 1314675
Sex: M
Age: 21
State: FL

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: 21 yo M presented with near syncope, pale, diaphoretic, difficulty breathing. EMS eval. BP 108/70, HR 165, 4-lead. Pt care transferred to responding EMS unit, Pt transported to local hospital emergency room for continued treatment.

Other Meds: None

Current Illness: None

ID: 1314676
Sex: M
Age: 50
State: MD

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
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Symptoms: Left arm pain at injection site. shooting pain down the left arm. Persistent pain for 30 days since vaccine. No improvement with steroid or gabapentin.

Other Meds:

Current Illness:

ID: 1314677
Sex: F
Age: 40
State: PA

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/13/2021
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Symptoms: Covid Arm, Chills, excessive sweating, nausea, achy legs,

Other Meds: Lexapro, Wellbutrin, Adderall, lamictol

Current Illness:

ID: 1314678
Sex: F
Age: 33
State: FL

Vax Date: 03/21/2021
Onset Date: 04/20/2021
Rec V Date: 05/13/2021
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Allergies: latex

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Symptoms: On 04/20/2021 I had a miscarriage I was 6 weeks pregnant. My due date was around Christmas.

Other Meds: Prenatal vitamins

Current Illness:

ID: 1314679
Sex: M
Age: 72
State: TN

Vax Date: 03/05/2021
Onset Date: 04/29/2021
Rec V Date: 05/13/2021
Hospital: Y

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Allergies: Penicillin -wellbutrin

Symptom List:

Symptoms: patient developed multiple pulmonary emboli less than 2 weeks after receiving COVID vaccine

Other Meds: xanax prednisone

Current Illness: none

ID: 1314680
Sex: F
Age: 41
State: NJ

Vax Date: 05/11/2021
Onset Date: 05/12/2021
Rec V Date: 05/13/2021
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Allergies: None

Symptom List:

Symptoms: I had the chills, body aches and fever for approx 12 hours.

Other Meds: None

Current Illness: None

ID: 1314681
Sex: F
Age: 28
State: TX

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 05/13/2021
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Symptoms: Patient stated she was feeling dizzy and heart racing about 10 min after receiving the vaccination. Pt reports that she has a history of anxiety attack. Talked with patient for about 10 min and worked her through her breathing to decrease any potential anxiety attack. Pt started to state that she felt like she could no longer breathe and was having difficulty breathing. Pt's started to produce hives around her throat, her hands felt cold to touch and pt then passed out. At that point, Epipen was administered to patient and 911 was called. Pt woke up after Epipen was administered and said she was able to breathe again. EMS came to observe pt and took pt to Emergency Room.

Other Meds: Epipen was administered to patient

Current Illness:

ID: 1314682
Sex: F
Age: 52
State: IN

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 05/13/2021
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Allergies: Seasonal Allergies

Symptom List:

Symptoms: I was unable to use my left arm for 3 days, the first 2 nights while laying down, my left arm throbbed with pain. After the 3rd day my arm was able to move however I needed help dressing and undressing. I have slowly regained use of my left arm, however, I cannot lift my arm sideways. If I attempt to lift my arm there is a sharp pain and it takes my breath away. I also still need assistance dressing. The pain is in my upper arm below my shoulder and at the top of my bicep toward the inside of my arm.

Other Meds: Lisinoprol Metoprolol Effexor

Current Illness: None

ID: 1314683
Sex: F
Age: 31
State: CA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 05/13/2021
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Allergies: Suprax and Sulfa drugs, Tamiflu, swordfish

Symptom List:

Symptoms: Around 7pm, fatigue started setting in, but by 7:30pm chills and a fever began and patient retired to bed. Around 9pm, patient requested additional blankets and a glass of water. Around 11:20pm, patient was awoken by severe chills, dehydration, a heart rate of 127 bpm and a fever of 103 degrees Fahrenheit. ORS were administered in 1 liter of water and consumed within 30 minutes. At this point, patient was unsteady on her feet. OTC 500mg acetaminophen and 200mg ibuprofen were taken. Then, a medical professional was consulted and advised an additional 500mg acetaminophen be consumed. Patient returned to bed. Patient awoke feeling overheated around 3am. Patient attempted to cool herself with damp cloth for 15 minutes before turning on a cold shower. Patient then returned to bed with wet hair. Awoke around 6am and took another 1000mg acetaminophen due to headache, but thermometer was now reading 98.2. Fever broke during the course of night. Slight fatigue and body aches remained the next day. No further adverse affects.

Other Meds: Tri-Sprintec, Peak and Valley Balance My Stress Adaptogen blend containing Ashwagandha, Reishi Mushroom, Eleuthero Root and Cocoa powder 1 tsp, Omega 3 supplement 1380 mg

Current Illness: chafed, possibly slightly infected nipples

ID: 1314684
Sex: F
Age: 40
State: CA

Vax Date: 04/07/2021
Onset Date: 04/14/2021
Rec V Date: 05/13/2021
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Allergies: Gluten

Symptom List:

Symptoms: The first symptom I noticed was extreme brain fog and forgetfulness. Then, 6 days after the vaccine, I started having terrifying episodes of acute dysautonomia and panic attacks that included dissociation. These episodes persisted intermittently for 3 weeks. Between the episodes, I was extremely fatigued, brain dead, and unable to concentrate, with a fine resting tremor and constant heart palpitations. I am finally getting treatment from a chiropractic neurologist for subacute encephalitis that caused the dysautonomia and limbic system derangement. A month later, I am still restricted in my activities and have some remaining symptoms of ANS and brain dysfunction, but I am getting better.

Other Meds: Glandular thyroid support L-tyrosine, ashwaghanda, milk thistle, NAC, magnesium

Current Illness:

ID: 1314685
Sex: F
Age: 78
State:

Vax Date: 03/24/2021
Onset Date: 04/04/2021
Rec V Date: 05/13/2021
Hospital: Y

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Symptoms: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.

Other Meds:

Current Illness:

ID: 1314686
Sex: F
Age: 57
State: CO

Vax Date: 04/21/2021
Onset Date: 05/12/2021
Rec V Date: 05/13/2021
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Symptoms: Pt had 1st covid vaccine 4/21/21, 2nd covid vaccine 5/13/21 in AM. 1.5 hours after her 2nd shot, she developed R sided rib/chest pain. Went to ER and found to have subacute pulmonary embolus on LEFT side of chest.

Other Meds: Hydroxychloroquine (PLAQUENIL) 200 mg Oral Tab Take 1 tablet by mouth daily with a meal azaTHIOprine (IMURAN) 50 mg Oral Tab Take 2 tablets by mouth daily Albuterol (PROAIR/PROVENTIL/VENTOLIN) 90 mcg/actuation Inhl HFAA Inhale 1 to 2 puffs

Current Illness: Had some mild illness and had negative covid test on 4/6/21.

ID: 1314687
Sex: F
Age: 37
State: FL

Vax Date: 05/12/2021
Onset Date: 05/12/2021
Rec V Date: 05/13/2021
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Allergies: Sulfa, Morphine

Symptom List:

Symptoms: Patient experienced increased heart rate, palpitations, and shortness of breath. Entire arm of injection site was sore to the touch. According to the patient, her chest "felt heavy". Pharmacy staff called 9-1-1 and paramedics arrived to escort the patient to the hospital. Pharmacist followed up with patient and they shared that they experienced redness on chest and stiff neck.

Other Meds: None

Current Illness: None

ID: 1314688
Sex: F
Age: 55
State: WV

Vax Date: 05/06/2021
Onset Date: 05/12/2021
Rec V Date: 05/13/2021
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Allergies: ASA and vancomycin

Symptom List:

Symptoms: Injection site red, swollen and warm to touch starting on day 6 after vaccination was given

Other Meds: Rosuvastatin 20mg, buspirone 7.5mg, carbamazepine 100mg, Clopidogrel bisulfate 75mg, cymbalta 30mg, levemir 75 units twice daily, ondansetron and ozempic

Current Illness: none

ID: 1314689
Sex: M
Age: 36
State: WA

Vax Date: 04/07/2021
Onset Date: 05/04/2021
Rec V Date: 05/13/2021
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Symptoms: Unilateral rash on left thigh. Pain due to touch.

Other Meds: Restasis

Current Illness:

ID: 1314690
Sex: F
Age: 44
State: CA

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 05/13/2021
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Allergies: Latex,tegaderm, any adhesive -burning sensation on skin Levoquin -hives Bactrim -firey, burn under skin

Symptom List:

Symptoms: I woke up feeling terrible, like I was in a haze. I went to my previously scheduled doctor's appointment. They told me I looked awful.

Other Meds: Percocet, Syntrhoid Cytomel Lexapro B12 vitamin C D K2 Iron Magnesium

Current Illness: Hypothyroidism, changed meds about a month before from 88 syn to 100, and 15 cytomel to 20 cytomel Degenerative disc disease

ID: 1314691
Sex: M
Age: 57
State: WI

Vax Date: 04/27/2021
Onset Date: 05/08/2021
Rec V Date: 05/13/2021
Hospital: Y

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Allergies: NKA

Symptom List:

Symptoms: History of Present Illness: Patient has a history of sinus problems. He was schedule for sinuplasty and had preoperative evaluation on 04/21/2021 with WBC 5.8, Hb 15.5, PLT 193,000. He had J&J covid vaccination on 04/27/2021. He underwent sinuplasty on 05/05/2021. Subsequent to his surgery he was having headache. He had some nasal discharge with blood. He took tramadol but had persistent pain. His symptoms were worsening up with some weakness of his right upper extremity. Was having generalized fatigue and weakness. He states he was getting short of breath with a flight of stairs. He had decreased appetite. He was given Vicodin for his headache with some improvement. He noted discoloration and bruising with pain pain in his left internal thigh area. Was noticing some changes in his vision but no loss of vision. He presented to the ED on 05/11/2021 and laboratory showed WBC 8.7 Hb15.2, PLT 6,000, segs 77%, lymphs 9%. He had no dark colored urine. INR 1.4 PTT 33, immature platelets 30.2. His bili was 2.1. He was treated with dexamethasone 40 mg. There is tiny focus of restricted diffusion in the both cerebellar hemispheres measuring up to 0.4 cm white matter left cerebellar hemisphere of left parietal junction measuring 0.5 cm compatible small lacunar infarcts. Chronic paranasal sinusitis. Patient described minimal blood with flushing his sinuses. Patient was ultimately transferred to Hospital after 3 days (on 5/11) for further acute care management given the multiple clots and bleeds associated with severe thrombocytopenia.

Other Meds:

Current Illness: none

ID: 1314692
Sex: F
Age: 19
State: CA

Vax Date: 04/25/2021
Onset Date: 05/03/2021
Rec V Date: 05/13/2021
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Allergies: none

Symptom List:

Symptoms: She first complained to me of dryness in her left eye. it progressively got worse by the end of the night. I gave her lubricant eye drops but she said it didn't help much. The following morning, she began feeling a tingly sensation on the left side of her face. Ever day or every other day, she complained of worsening symptoms. The tingling feeling has grown to numbness and lack of feeling, which has begun to spread to her ear, tongue, neck. She unknowingly bites the inside of her cheek when eating. Her muscles and facial movements on the left side are less apparent than on the right side.

Other Meds: melatonin

Current Illness: none

ID: 1314693
Sex: M
Age: 90
State:

Vax Date: 02/26/2021
Onset Date: 04/05/2021
Rec V Date: 05/13/2021
Hospital: Y

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Symptoms: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm