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: 1321354
Sex: M
Age: 30
State: OH

Vax Date: 05/10/2021
Onset Date: 05/11/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies: No.

Symptom List:

Symptoms: Low grade fever - Tuesday to Saturday Extreme headache: Tuesday Body aches, cold sweat, and minor headache: Tuesday - Saturday Blood Clot found in my leg behind my knee Saturday (today). Symptoms of pain and swelling started Tuesday. Reached high pain point Thursday and it didn't get better so I was recommended to go to the emergency room.

Other Meds: Ancestral Supplements Beef liver. Vitamin E. Pure Himalayan Shilajit.

Current Illness: No.

ID: 1321355
Sex: F
Age: 13
State: NE

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Patient was sitting with her mother in front of the pharmacy for the 15 min waiting period after vaccination, and mom alerted us to "something going on here." I (pharmacist) went over to the patient and she appeared to be having a seizure, hands clenched, eyes rolled back in head, and she shook a small amount for a short period of time, though mom believes she just passed out. Mom and I protected head and held her in place, it was over within a few seconds. A Nurse Practitioner was in the clinic next door and we alerted her. Together, we laid her down, asked her questions, took pulse with pulse oximeter and blood pressure. All seemed within normal range. We called 911 due to appearance of seizure. Rescue squad came and evaluated her.

Other Meds: Mom states no other medications and no other disease states, daughter agreed.

Current Illness: Mom states none.

ID: 1321356
Sex: F
Age: 64
State: CA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies: Drinking alcohol, cashews (too many 12 plus) magazine print, Cipro

Symptom List:

Symptoms: 1. light pink rash on about 6" on upper torso toward neck. Went to upper back and under arms. Little pain. 2. swelling lymph node which turned red in underarm right arm. Vaccine was on left arm. 3. little sore throat. No tongue swelling. 4. itchy under arms. 5. Felt like shingles infection that I had about five years ago and it got into eye. I got zostravax 2017

Other Meds: Green Magma health supplement, Vit C 1000 mg, multi vitamin (Costco) Co Enzyme Q 10, Fish Oil capsule

Current Illness: High cholesterol Pre diabetes

ID: 1321357
Sex: F
Age: 79
State: TX

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 05/15/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: after getting the vaccine in morning, later that same evening patient felt sluggish, nauseaus, tired. Daughter finally convinced patient to see a doctor. Md prescribed her a cough medication. She still felt bad for another 2-3 weeks, so she finally went to the emergency room where she diagnosed with blood clots in the legs and the lungs. She staying in hospital approx. 4-5 days before being released.

Other Meds: unknown

Current Illness: unknown, none listed on her form and does not get medications at our location

ID: 1321358
Sex: F
Age: 15
State: TX

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: When come in the counseling room for vaccinate, patient was scare and nervous. Dad had to hold her hand to calm her a little. About ten or fifteen minutes after the shot, she complaint that her vision was blurry and that she cannot see. She also complaint of nausea and about to pass out. Patient seem to get anxiety attack in a moment. I stay to monitor patient for about 10 minutes. Dad believed she got anxiety over the shot that's why she experience all this symptoms. Patient sat another 5-10 minutes and was resumed to normal

Other Meds:

Current Illness:

ID: 1321359
Sex: F
Age: 29
State:

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies: latex, gaba, betadine

Symptom List:

Symptoms: Patient stated that she had blurred vision, dizzy , nausea and that her throat was hurting

Other Meds: glipizide, albuterol

Current Illness: Recent IUD placement

ID: 1321360
Sex: F
Age: 45
State: TN

Vax Date: 04/20/2021
Onset Date: 04/23/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: tingling sensation all over the body, when symptoms got worse I went at Spectrum 'medical here in my hometown Nurse Practitioner thought I had a covid vaccine allergy, so she prescribe me Pepcid 40mg and Zyrtec, which developed in a worse side effect, I started to have panic attacks and low blood presure, the crisis still are happening now every single day even though i cut the medication by myself. then went to visit the doctor again and she order a complete list of blood work. Everything apparently came out normal, but I am suffering for trembling , sweating, cold hands and feet a few times per day. As of now she referred me to a neurologists, they are trying to set up an appointment in this upcoming week,

Other Meds: levothyroxine 75mg

Current Illness: none

ID: 1321361
Sex: M
Age: 87
State: TX

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 05/15/2021
Hospital: Y

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: PATIENT GOT 1ST DOSE ON 4/17/2021 , AND PATIENT START HAVING A PALPITATION THAT INCREASED AND HE HAD TO BE ADMITTED NEXT DAY ON 4/18/2021. TO THE HOSPITAL AND HE IS IN REHAB NOW (PER WIFE) .

Other Meds: Regeneron on 1/1/21

Current Illness: Diabetes

ID: 1321362
Sex: M
Age: 18
State: CA

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: PATIENT FAINTED A FEW MINUTES AFTER RECEIVING THE SHOT AND WOKE UP AFTER A FEW SECONDS. WE LET THE PATIENT LIE DOWN AND ELEVATED HIS LEGS. WE ALSO ASKED PATIENT TO STAY FOR 30 MINUTES FOR OBSERVATION.

Other Meds: N/A

Current Illness: N/A

ID: 1321363
Sex: F
Age: 41
State: CT

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Within about 1/2 hr, I had mild breathing trouble, metallic taste and itchy tongue and throat. About 24 hours later I (May 12) had a rash covering my chest and stomach with more itchy throat/ tongue (I would say moderate). I went to urgent care and was given a steroid shot and prescription. I continued to have a rash and breathing has gotten worse. I returned to urgent care today (May 15), I was given a breathing treatment and prescribed an inhaler as well as another steroid shot. I am still having symptoms, both rash and labored breathing.

Other Meds: Vitamin D

Current Illness: None

ID: 1321364
Sex: F
Age: 44
State: CA

Vax Date: 05/07/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Rash suddenly appeared around injection site approximately 1 week after first dose. Rash is moderately itchy, red, and slightly swollen, also feels warm to the touch

Other Meds:

Current Illness:

ID: 1321365
Sex: M
Age: 22
State: OR

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt passed out in chair about a minute or so after administration of vaccine. He brought along his girlfriend who was in the consultation room with him. Prior to administration, pt informed me that he was afraid of needles. After administration, we discussed the type of needle that was used (vanish point syringe) and the mechanism of how it works. He seemd anxious so I advised that it was ok for them to sit in the room for a few minutes instead of getting up to wait in the lobby, I left the door open for them. I walked back into the pharmacy and his girlfriend alerted me that he had passed out. He regained conscious within a few seconds. I advised he sit with his head between his legs, as he mentioned feeling light headed, feeling hot and sweaty. he threw up a little into the trash. pt sat in room for at least 30 minutes until he felt better. was given a few cups of water while sitting. did not leave until he felt comfortable and no longer light headed. pt mentioned that his last vaccine was about 2 years ago and the same response occured then.

Other Meds:

Current Illness:

ID: 1321366
Sex: M
Age: 23
State: IL

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies: amoxicillin or PCN per pt

Symptom List:

Symptoms: Approximately 10 minutes after receiving the second dose Pfizer vaccine, pt collapsed. Pt was able to regain consciousness within a few seconds without external factors/help/medication. Pt was orientated to location/name/age upon regained consciousness. EMT was called. Upon checking his blood pressure, EMT was concerned about hypotension and transported pt to hospital. Pt stated that he feel hot and his hands were shaking. Per pt, this reaction did not happened with the first vaccine but happened a few years ago with another vaccine.

Other Meds: none reported per pt

Current Illness: Unknown

ID: 1321367
Sex: F
Age: 24
State: IN

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Large welt at injection site that is very tender and swollen, like half a golf ball size. Slightly sore throat, wheezing and muscle soreness and fatigue.

Other Meds: Wellbutrin, Lexapro, yaz

Current Illness: None

ID: 1321368
Sex: F
Age: 17
State: CA

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient got vaccinated at 4:03 p.m. At 4:10 p.m., patient had involuntary muscle movements and lost consciousness. Per parent, patient has history of panic attacks presenting like same symptoms observed., vital signs taken: BP 154/89 and 120/77, PR: 138; blood glucose: 124, EKG: sinus tachycardia; oxygen given at 4:26 p.m. and discontinued at 4:37p.m.; patient transported to hospital at 4:45 p.m.

Other Meds:

Current Illness:

ID: 1321369
Sex: M
Age: 37
State: GA

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient said he felt a warm feeling

Other Meds:

Current Illness:

ID: 1321370
Sex: M
Age: 62
State: MI

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies: penicillin-per consent form

Symptom List:

Symptoms: severe syncope, pt was pale and sweaty and 'felt funny'...administered epipen and pt stated he felt better then lost consciousness again and thready pulse...called 911, EMT came, gave oxygen and started infusion, took him to hospital. Pt discharged after several hrs

Other Meds: n/a

Current Illness: n/a

ID: 1321371
Sex: F
Age: 24
State: MD

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies: Not that I know of

Symptom List:

Symptoms: Bulge developed on clavicle (left) , continues to swell larger and cause pain to the left arm/shoulder/neck region. This is after BOTH shots.

Other Meds: N/A

Current Illness: N/A

ID: 1321372
Sex: F
Age: 29
State:

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever, chills, body aches and fatigue starting 7 hours after the shot, and lasting for 24 hours

Other Meds:

Current Illness:

ID: 1321373
Sex: M
Age: 45
State: NJ

Vax Date: 05/10/2021
Onset Date: 05/13/2021
Rec V Date: 05/15/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Diagnosed with Myocarditis. Severe chest pain began at 2:30am. Went to hospital ER at 4am. Was given an ekg and blood test which showed a potential heart attack and was treated with Nitroglycerin at 4:30 am. Was given a cardiac catheterization at 6am that showed no heart attack and no arterial obstructions but showed one wall of the heart was not functioning properly. Heart issue was confirmed later in the day by an echocardiogram study. Was admitted to the hospital. Had an additional attack of chest pains at approximately 2:30pm the next day which was treated with 3 tablets of Nitroglycerin. Blood tests showed markers for inflammation.

Other Meds: None

Current Illness: None

ID: 1321374
Sex: M
Age: 62
State: PA

Vax Date: 04/25/2021
Onset Date: 04/26/2021
Rec V Date: 05/15/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: He has been having diarrhea for the past 2 weeks ever since he received a second Covid vaccination he has been increasingly weak and could barely make it into the pulmonary function lab. At the pulmonary function lab, he was found to have new onset atrial fibrillation and worsening hypoxemia from baseline. Taken to ED from the lab on 5/12, found to have right middle lobe and right lower lobe consolidation and ground glass changes. Admitted. Conditioned worsened, respiratory acidosis and shock, started on biped and pressors. Taken to ICU. Found to have RV failure. Today he was intubated.

Other Meds: albuterol, trelegy, lassie, gabapentin, Ativan, oxycodone, aldactone, lisinopril

Current Illness:

ID: 1321375
Sex: F
Age: 57
State: CA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies: Chocolate, Caffeine.

Symptom List:

Symptoms: Rapid Heartbeats 5 minutes after 1st dose high blood pressure. High Blood Pressure after 2nd dose and still having it,

Other Meds: Synthroid 75mg one hour prior to vaccination

Current Illness: None

ID: 1321376
Sex: M
Age: 16
State: OR

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

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

Lab Data:

Allergies: UNKNOWN

Symptom List:

Symptoms: reports "throat feels a little tight " and "hard to swallowing". Brought to observation area. Vss ( baseline HTN per his report). reports seasonal allergies. Oropharynx red upon inspection and drainage noted at back of throat. Able to drink fluids with difficulty. Reports immediate improvement of symptoms after PO fluids. Discussed symptoms of anaphylaxis with him. Released him to home after discussion of serious symptoms and what to contact ems for

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1321377
Sex: F
Age: 19
State: OK

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient previously had Pfizer Covid 19 vaccine on 4/21/21 but was given Moderna shot today. So far, there are no symptoms, signs or treatment.

Other Meds: Unknown

Current Illness: none

ID: 1321378
Sex: F
Age: 70
State: TX

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

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Nausea Feeling sick Low blood pressure Clammy skin Signs and symptoms started 5 minutes after the administering the vaccine. Vaccine administered at 12:22. At 12:27, the consumer complaints of nausea and feeling sick. Consumer remained awake, alert, and oriented. The consumer denies shortness of breath, chest pain, or difficulty breathing. Vital signs checked: BP 80/50 (manually), 86/50 (electronically), heart rate 65, oxygen saturation 94-97%. Consumer admitted taking her cardiac medications 10 to 15 minutes before we arrived for the in-home vaccine administration. The EMS arrived around 1:00 pm, assessed the consumer, BP remains low. At 01:40 pm, the consumer was transported to the hospital by the EMS. NOTE: Consumer states, she took cardiac medication 10-15 minutes before the vaccine was administered. She verbalized, the medication has not been take for a while (about 6 weeks), just resumed medication on 5/14/2021. BP reading 12:28 80/50 manually, 86/50 electronically 12:48 - 60/45 Called 911, fluid offered 12:55 - 161/87 1:00 - 104/54 EMS Arrived 1:05 - 106/54 1:06 - 108/70 1:15 - 77/45 1:40 - Consumer transported to the hospital by the EMS. Consumer remains awake, alert and oriented. Denies shortness of breath, chest pain, or difficulty breathing.

Other Meds: Isosorbide mononitrate 10 mg Cilostazol 50 mg Tramadol 50 mg

Current Illness: Thyroid

ID: 1321379
Sex: M
Age: 27
State: CA

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was administered the Pfizer vaccine and was asked to wait around the pharmacy for 15 minutes post vaccination. After 5 minutes, patient started feeling dizzy and started to faint. He was accompanied by his parents, father tried waking patient up a few times but he was unresponsive to wake and started to tilt his head backwards and falling over. We called the paramedics and administered the epipen. Father did notify us that patient is fine and was discharged from the ER on the same day.

Other Meds:

Current Illness:

ID: 1321380
Sex: F
Age: 45
State: CA

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: shot administrator, injected vaccine to high up on the arm/ shoulder , pain and loss of range a motion in right arm/shoulder 3 days after vaccine

Other Meds: none

Current Illness: none

ID: 1321381
Sex: F
Age: 47
State:

Vax Date: 04/16/2021
Onset Date: 04/19/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Bruises on right side of arm and leg developed 3 days after the vaccine. Patient had wart-like looking spots on the elbow that was itchy and burning. Patient experienced heavy breathing, but did not describe as "gasping for air" or an anaphylactic reaction.

Other Meds:

Current Illness:

ID: 1321382
Sex: F
Age: 29
State: IN

Vax Date: 04/26/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Extreme heavy period, blood clots larger than golf balls for over 24 hours, extreme fatigue,

Other Meds: CBD, vitamin B, vitamin E, evening primrose oil

Current Illness: NA

ID: 1321383
Sex: M
Age: 21
State: MI

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

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

Lab Data:

Allergies: Allergy to bee venom (Thoat swelling)

Symptom List:

Symptoms: receive vaccine at 12:20pm. At 12:27 patient felt his throat beginning to swell and throat was "really scratchy". After drinking some water patient stated his throat felt better. at 12:45 patient stated his symptoms were mostly gone. At 1:15 patient was allowed to go home after 30 minutes of no symptoms with recommendation that if symptoms returned to go immediately to the ER

Other Meds: Zoloft, Singulair, Epipen

Current Illness: None

ID: 1321384
Sex: F
Age: 67
State: NM

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies: cefotaxime (anaphylaxis), inapsine, shellfish

Symptom List:

Symptoms: 12 hours after vaccine started to have congestion, hives/welts (50-cent piece size) on head, neck and chest, itching, difficulty breathing, "bronchial asthma-type symptoms", GI cramping, throat felt like it was closing. She is still having difficulty breathing, congestion, itching, and hives are still present.

Other Meds: trazodone, furosemide, hydroxychloriquine, extra strength Tylenol, ibuprofen, multivitamins, metoprolol

Current Illness: none

ID: 1321385
Sex: F
Age: 60
State: MA

Vax Date: 05/12/2021
Onset Date: 05/14/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies: Hay fever

Symptom List:

Symptoms: Red itchy rash on the left arm.

Other Meds: Propranolul HCL ER 60mg

Current Illness: none

ID: 1321386
Sex: F
Age: 49
State: FL

Vax Date: 04/14/2021
Onset Date: 04/17/2021
Rec V Date: 05/15/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: After three days of the cycle completed, my legs were very weak. By the next week both arms started to hurt so bad specially in the middle of the nite, 2am, 3am and 5pm. Lastly for the past two weeks my hands were getting numbed and having restless legs syndrome. Also my past injuries have been hurting me a lot. So far it has been a month and I got worse, that is why I decided to go to the doctor this past Thursday , May 13. She has prescribed me some steroids and barbiturates in order to sleep because I can?t sleep during the night.

Other Meds: NA

Current Illness: NA

ID: 1321387
Sex: F
Age: 53
State: GA

Vax Date: 04/23/2021
Onset Date: 04/28/2021
Rec V Date: 05/15/2021
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Allergies: None

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Symptoms: Swollen lymph node in the neck.Congestion and mucus green and yellow?s color

Other Meds: None

Current Illness: None

ID: 1321388
Sex: M
Age: 12
State: VA

Vax Date: 05/14/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
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Allergies: Sulfa drugs

Symptom List:

Symptoms: Fever of 102.2 began 27 hours after the shot. Extremely sore arm, hurts to move it. Headache. Dry eyes. Fatigue - extremely tired, took a 3 hour nap. Cold - not chills, just cold in general. Gave motrin, but fever is still at 102.0 nearly 3 hours later.

Other Meds: Albuterol, Vitamin C, Zyrtek

Current Illness: None - entire household has been in strict quarantine since March 2020 due to being compromised.

ID: 1321390
Sex: F
Age: 61
State: CA

Vax Date: 05/14/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
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Allergies: Penicillin, sulfa

Symptom List:

Symptoms: High fever, body pain, stuffy nose, dry cough, extreme tiredness

Other Meds:

Current Illness:

ID: 1321391
Sex: F
Age: 60
State: VT

Vax Date: 05/06/2021
Onset Date: 05/09/2021
Rec V Date: 05/15/2021
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Allergies: Meds: penicillin, cephalosporins, ibuprofen, imitrex Food: tree nuts, peanuts, avocado, shellfish allergy; gluten intolerance Other: latex

Symptom List:

Symptoms: On 5/8/2021 I awoke several times with muscle spasms in my legs. On 5/9/2021 I noticed that my left 2nd toe was numb. Over the next three days the numbness spread to the 3rd and 4th toes, and adjacent skin on the dorsal aspect of the left distal foot. There is no motor deficit, only sensory. On 5/12/2021, I first experienced extreme tenderness over the lateral aspect of my left neck, at the site of the brachial plexus. On 5/13, this same extreme tenderness in my left axilla at the site of the brachial plexus. On 5/15 a raised, tender red welt appeared over the vaccination site on my left deltoid, and I noticed a few hives on my left upper extremity.

Other Meds: Levothyroxin 125mcg QD Omega-3 1280mg+ D-3 QD Nattokinase 100 mg QD Herbal tea: tumeric, ginger, meadowsweet QD

Current Illness: Right hip pain which I assumed was from Lyme disease for which I was treated in November, 2020.

ID: 1321392
Sex: F
Age: 52
State: AZ

Vax Date: 05/14/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
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Symptoms: No energy, extreme fatigue, lethargic, brain fog. Slept for 12 hours

Other Meds: Trazodone, sertraline, atorvastatin, lisinopril, spironolactin, turmeric supplements, probiotics supplement, ibuprofen

Current Illness:

ID: 1321393
Sex: F
Age: 28
State: MD

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 05/15/2021
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Allergies: Tree nuts Sulfa drugs

Symptom List:

Symptoms: Fever 101 Chills Body aches Nausea

Other Meds: N/a

Current Illness: N/a

ID: 1321394
Sex: M
Age: 15
State: OR

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 05/15/2021
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Allergies: No

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Symptoms: No signs or symptoms noted

Other Meds: Unkown

Current Illness: No

ID: 1321395
Sex: M
Age: 15
State: CO

Vax Date: 05/14/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
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Allergies: None

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Symptoms: Not long after receiving the vaccine, the pharmacist called me to say he had not diluted the vaccine correctly and he gave patient at least .8 mm instead of .3 mm. He then went on to say that because patient received a higher dose than he should have, the CDC advised that he would not require a second does of the COVID vaccine. Upon researching that myself, I see that CDC guidelines instead state that if an error is made with the first dose, the second dose should still be administered 21 days later. These are both serious errors.

Other Meds: None

Current Illness: None

ID: 1321396
Sex: F
Age: 60
State: MO

Vax Date: 05/07/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
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Allergies: Sulfa, penicillin

Symptom List:

Symptoms: Patient received dose on 5/7/21. She presented to the pharmacy 5/15/21. On 5/15/21, she was outdoors at a game and her arm started to itch. She was wearing lots of clothes to stay warm and wasn't able to look at her arm until she got home. Upon inspection, her arm was swollen and slightly red. The inflammation began near the injection site and worked down the arm in the shape of an egg. The size was a little smaller than a tennis ball but larger than a very large egg. She is to contact me if swelling gets worse, but will be trying cool compress and diphenhydramine in the mean time.

Other Meds: None aware of

Current Illness: None aware of

ID: 1321397
Sex: F
Age: 42
State: PA

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 05/15/2021
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Allergies: Shrimp, penicillin, inulin, adhesive

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Symptoms: Armpit rash, trunk rash

Other Meds: Azithromycin, nasonex, singulair, claritin

Current Illness: Sore throat with post nasal drip during allergy season

ID: 1321398
Sex: F
Age: 38
State: DE

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 05/15/2021
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Allergies: None

Symptom List:

Symptoms: Beginning the day after the first dose, I began having menstrual spotting. This had continued every day since.

Other Meds: Vyvanse 10mg

Current Illness: None

ID: 1321399
Sex: M
Age: 23
State: UT

Vax Date: 05/12/2021
Onset Date: 05/12/2021
Rec V Date: 05/15/2021
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Symptoms: I got th eJassen COVID-19 Vaccine EUA at 10:50am. When the needle was removed, blood ran down my arm. That has never happened, but it might have been the nurse. I had nausea for a few minutes afterwards, but I think that was due to the blood. I didn't feel like eating after the shot. Hours later, around 5pm or so, I started to feel hypersensitive and weak. I also started to have a fever that went up to 102.2 farenheit before decided to take ibuprofen. I had shakes, a heartbeat of 146, and a headache. It lasted all through the night and into the next day. Around 11:20am, whenever I moved my head, I would feel pain in my head. By the end of this day, I started to feel more like myself. By the start of the third day, all I had was pain in my left arm from the shot. It was strange that the pain got worse from Day 1 to Day 3, but that might be from how the vaccine was given and the blood that ran down my arm at that time. Another thing is my appetite has gone down a lot. I don't want to eat and when I do, I just want to stop. It's been a couple days, so I'm hoping my appetite will come back.

Other Meds:

Current Illness:

ID: 1321400
Sex: M
Age: 25
State: NC

Vax Date: 05/14/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
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Allergies: None

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Symptoms: At 3:00 AM on the day after I woke up with my right eyelid swollen and producing goop. Other than that I had fatigue, sore injection site, and a headache.

Other Meds: None

Current Illness: None

Date Died: 05/15/2021

ID: 1321401
Sex: F
Age: 76
State: CA

Vax Date: 05/12/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
Hospital: Y

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Allergies: nka

Symptom List:

Symptoms: Pt presented with coffee ground emesis and acute st elevation myocardia infarction. She was DNR. She was admitted and expired in a few hours.

Other Meds: colace

Current Illness: uti

ID: 1321402
Sex: F
Age: 78
State: TX

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/15/2021
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Allergies: anti-inflam

Symptom List:

Symptoms: Low grade fever, nausea, extreme pain in all joints, hands swollen and stiff, headache. diaherra for 2 days,, sleep on and off for 3 days. Just starting to feel a little better. It was hell. 10 days.

Other Meds: Leyothtroxine, Gabapentin, Baclofen, Cozaar, Lomotil, Desipramine, Robinul, Welchol, Align, Vitamin C, Calraye, Calcium, Vitamin D. Centrum Silver, B-12, B-15

Current Illness: none

ID: 1321403
Sex: M
Age: 13
State: CA

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/15/2021
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Symptoms: 13 year old male who received his first dose of vaccination stated that he felt his throat was swelling and nausea. Vital sign were taken and they were all within normal limits including Oxygen saturation of 100%. No tearing, nasal discharge, no rash, No wheezing per EMS. EMS evaluated the sound of heart and the lungs and did EKG on the site. He was alert and oriented in place and time. He was able to communicate. EMS were on site and no medication were given. Patient and his parent chose to go to the ED by ambulance. He was stable when he left with the ambulance.

Other Meds:

Current Illness:

ID: 1321404
Sex: M
Age: 58
State: NY

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

Symptom List:

Symptoms: Fever, malaise.

Other Meds: Atacand, Norvasc

Current Illness: Hay fever

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm