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

Date Died: 04/03/2021

ID: 1327468
Sex: F
Age: 63
State: MD

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 05/18/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: She did not have control of her bowels when sneezed or coughing. She complained of trouble breathing and in a lot of pain. She passed away on April 3 with pneumonia

Other Meds: Albuterol Fluticasone Prednisone Advair Hydrochlorothazide Theophylline Amolodipine besylate Baby aspirin Clopidoqrel Cetirizine Metoprolol tartrate Gabapentin Atorvastatin Incruse Famotidine Montelulcast

Current Illness: Copd

ID: 1327469
Sex: F
Age: 49
State: OH

Vax Date: 05/05/2021
Onset Date: 05/09/2021
Rec V Date: 05/18/2021
Hospital: Y

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

Lab Data:

Allergies: Allergies: Erythromycin - unknown PCN - rash

Symptom List:

Symptoms: Patient, 5/8 for anemia/iron deficiency readmit 5/9 for stroke symptoms and transferred to Hospital after receiving tPA. The patient received a J&J COVID vaccine 5/5. Patient found to have a right MCA stroke and went to IR for thrombectomy with partial recanalization. Patient with hemorrhagic conversion 5/11 leading to right hemicranectomy for mass effect. Patient with risk factors for stroke of HTN and obesity. Cannot confirm or rule out relationship to COVID J&J vaccine. This was not a case of the stroke type that has been associated rarely with the J&J vaccine (cerebral venous sinus thrombosis) but shall report to the FDA VAERS program.

Other Meds: Flexeril 10mg po qhs prn Diclofenac gel 1% 2gm topically QID Lacosamide 200mg BID Lamotrigine 200mg TR 400mg daily Lisinopril 20mg daily

Current Illness: Iron-deficiency anemia HTN History of seizure disorder (remote meningioma excision) Osteoarthritis

ID: 1327470
Sex: F
Age: 49
State: OH

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: augmentin, penicillin

Symptom List:

Symptoms: Patient has had diarrhea multiple times a day since the day after she received the second dose.

Other Meds: Telmisartan 80 mg; estradiol 1 mg; emgality 120mg/ml; Montelukast 10 mg

Current Illness: none

ID: 1327471
Sex: F
Age: 69
State: KS

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies: Niacin Strawberry

Symptom List:

Symptoms: Reports having her first COVID shot in March. She did well x 10 days then became very ill including nausea/vomiting/diarrhea. She received her 2nd COVID vaccine in early April. Developed the chills the night of the 2nd vaccine. Reports having to use the BR in the middle of the night and could not get out of bed. She reports to this day she feels her arms are "paralyzed." She has had labs and XR's of her shoulders. She was referred to Ortho. She was given an inj into the L shoulder and felt good x 1 day. Pain is worse on the L than the R. She requested an inj for the R as she cannot move her bilateral hands. Reports needing help with dressing, getting anything down from higher cabinets. CRP and Sed rate were very high per care everywhere. She was using Diclofenac but this was not helpful. Now taking Gabapentin TID and Ibuprofen 800 mg almost every 6 hours. She cannot sleep on her sides. Not sleeping well as a result. Reports when she first wakes she cannot even lift her arms or brush her teeth. Has to shower x 20 min to move her arms. She does not want to blame the COVID vaccination but this started after receiving her 2nd vaccine She cannot tell if the Gabapentin is helping. She is very fatigued but cannot tell if this is r/t med or because she is not sleeping. Denies travel, bug bites, tick bites.

Other Meds: Estradiol 3x/weekly Calcium and Vit D Multi-vitamin

Current Illness: Felt ill including fever, chills, and fatigue from 1st vaccine. resolved in 10 days or so. No additional illness.

ID: 1327472
Sex: F
Age: 13
State: MN

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Shortly after receiving vaccine patient fainted in waiting area. Ran to check on patient and she got up on her own accord. Helped patient and mom to a bench in the waiting area, had pharmacy technician grab some orange juice while pharmacist waited with patient and parents to monitor for other signs of reaction.

Other Meds:

Current Illness:

ID: 1327473
Sex: F
Age: 61
State: GA

Vax Date: 01/11/2021
Onset Date: 05/14/2021
Rec V Date: 05/18/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Hospitalization for 1 day

Other Meds:

Current Illness:

ID: 1327474
Sex: F
Age: 73
State: NH

Vax Date: 04/16/2021
Onset Date: 05/14/2021
Rec V Date: 05/18/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Generally healthy 73-year-old woman transferred from LRGH for weakness. Yesterday she is tripped and fell in the bathroom landing on her tailbone sending a jarring discomfort up through her spine but she was able to feel normal walk around all day and even drive to Rhode Island and back. When she got back she started feeling tired and she noticed when she woke up around 10 or 11:00 at night to go to the bathroom that she had weakness proximally in her upper more than lower extremities and some tingling. She does feel a mild headache, some aching in her neck, aching in her back, and her weakness progressed to the point where she had difficulty getting up. In the emergency department she had increasing weakness, difficulty speaking and swallowing therefore she was intubated for airway protection. She underwent brain MRI with and without contrast. She was briefly extubated on 5/16 however continued to have progressive weakness requiring reintubation. Neurology was engaged and patient underwent lumbar puncture in interventional radiology. Patient is on ventilator 5/18/21.

Other Meds: Sertraline 200 mg daily

Current Illness: Generally healthy

ID: 1327475
Sex: F
Age: 26
State: RI

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies: Bovin protein

Symptom List:

Symptoms: Patient fainted about 10 minutes after receiving vaccine. Upon regaining consciousness patient was pale, sweating, and light headed. After about 30 minutes the patient was feeling well enough to leave with her sister.

Other Meds:

Current Illness:

ID: 1327476
Sex: F
Age: 48
State: VA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
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Lot:
Dose Series:
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Vax Site:

Lab Data:

Allergies: Droperidol, Naproxen

Symptom List:

Symptoms: Left neck pain/ swelling . Started almost immediately after injection. Radiated from injection up to shoulder, up to neck. Shoulder and arm pain went away after 3 days, however neck pain has continued daily since then

Other Meds: prednisone, celexa, metoprolol, Tikosyn, Advil, xarelto

Current Illness: none

ID: 1327477
Sex: M
Age: 49
State: CA

Vax Date: 05/12/2021
Onset Date: 05/15/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient had vaccine on the 12th. Leg pain three days later. Diagnosed with DVT six days later. No risk factors for DVT. Unknown lot number for vaccine. Not done at my faciluty

Other Meds: none

Current Illness: none

ID: 1327478
Sex: F
Age: 43
State: ID

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies: Lactose intolerant

Symptom List:

Symptoms: I woke up in the morning a week after the shot and I had a very itchy, inflamed, and red arm in the site of the injection. It was probably 3 inches around the site and I called a mobile medicine doctor and they came to me. They diagnosed cellulitis and prescribed an antibiotic but I do not remember the name. I discontinued the antibiotic after one dose.

Other Meds: Zinc, Vitamin D, Vitamin C, Quercetin

Current Illness: None

ID: 1327479
Sex: F
Age: 50
State: TX

Vax Date: 03/24/2021
Onset Date: 05/15/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: Shortly after the first shot, I had severe pain in my LEFT arm (opposite arm of shot), in the same vacinity the shot was given. It was a constant stabbing/throbbing pain that lasted a few days. Then on 5/15 a month later, (LEFT arm, opposite arm of shot, same vacinity as the shot), I had the same stabbing/throbbing, constant pain start and last for at least 24 hours only this time the pain was significantly worse and even difficult to do things like open a jar, etc. I took Tylenol as I am not supposed to take other pain medicine and it did not help. I iced it but that didn't help either.

Other Meds: none

Current Illness: none

ID: 1327480
Sex: M
Age: 11
State: CA

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccine given before 12 year birthday. Pt 11 yrs old.

Other Meds:

Current Illness:

ID: 1327481
Sex: F
Age: 26
State: MI

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: light headed

Other Meds:

Current Illness:

ID: 1327482
Sex: F
Age: 53
State: MA

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: no

Symptom List:

Symptoms: difficulty breathing, itch

Other Meds: no

Current Illness: MS

ID: 1327483
Sex: F
Age: 32
State: MO

Vax Date: 04/08/2021
Onset Date: 04/19/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Ceclor

Symptom List:

Symptoms: I experienced chest pains, felt like hard time breathing, little cough that felt like an asthma attach but not quite. I've had PE blood clots I went to urgent care on 04-23-2021, where they did CT scans of the chest and upper abdomen and lab work and my exams were negative. I can say today that I have recovered from my symptoms.

Other Meds: None reported

Current Illness: Lupus, PE blood clots

ID: 1327484
Sex: F
Age: 27
State: CA

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Swelling of tongue & throat; numbness of face. BP 145/103; HR 1212; RR 23. Allergic to Lamictal. Given Benadryl 25mg PO x1. Sx resolved, released home & recommended follow up with PCP. 2nd dose of Moderna cancelled & made appt for J&J in 28 days

Other Meds:

Current Illness:

ID: 1327485
Sex: F
Age: 24
State: IN

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Fever 102.1, body chills, body aches, nausea, vomiting, could not keep food or liquids down, headaches. All symptoms started on 5/08/21 and continued until 5/12/21.

Other Meds: NA

Current Illness: NA

ID: 1327486
Sex: M
Age: 67
State: FL

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: Headache during first night Headache, fever & chills during second night Treated with acetaminophen

Other Meds: NONE

Current Illness: NONE

ID: 1327487
Sex: F
Age: 56
State: NJ

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe headache, body aches, fever up to 102.3, chills, sweating, nausea. This lasted until 5/13. The fever abated to 101.8 with Tylenol. Pain at injection site both to touch, upon movement, and just sitting still.

Other Meds: Zyrtec

Current Illness: None

ID: 1327488
Sex: M
Age: 18
State: PA

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

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

Lab Data:

Allergies: no known drug allergies

Symptom List:

Symptoms: Two minutes after administration of J&J vaccine, patient asked this nurse for water and said, "I feel dizzy." Patient was diaphoretic and pale. Patient remained seated in chair. Felt this was for 15 minutes. His feet were elevated, cold compress to neck, fan directed at patient. Patient never lost consciousness. Took cold water and pretzels. BP at 14:57 was 104/76. Symptoms totally resolved by 1500. Patient and mother report a history of vasovagal fainting with previous blood work/exposure to needles.

Other Meds: unknown

Current Illness: unknown

ID: 1327489
Sex: F
Age: 50
State: OH

Vax Date: 03/01/2021
Onset Date: 03/20/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Hello, I received the J&J vaccine on 3/12/2021. Eight days later on the 20th when I went to bed I had a lot of pain in my left heel and left thumb. The next day, on a Sunday, the pain was now in my left heel, left thumb at the big knuckle and top and bottom below my thumb, and just behind the inside of my left ankle, and I had a terrible headache. I was unable to grasp anything or widen my grip because the pain was so intense in my thumb. It was so bad I went to my local ER who did xrays and told me it was just osteoarthritis. The next day, Monday, the pain was terrible. It was in my left thumb, the middle of my left hand, left ankle, the arch of my left foot top and bottom, the big knuckle at the bottom of my left big toe, my right hand was also now hurting at my middle finger the big knuckle at the bottom. I went to see my family doctor who really was unsure at the time what was going on and said it's still just must be the osteoarthritis. The next day on Tuesday I still have the headache I was out unable to open my own water bottles or prescription bottles because the pain was so intense in my left hand. It was now extremely painful to walk on my left foot and I had no appetite. The following day on Wednesday the pain was bad and my right hand that I was unable to touch my ring finger or my pinky with my thumb. As hard as I try my thumb just would not reach those two fingers oh. I now couldn't open any of the doors in my house unless I use the base of my Palms on both hands turn the knob. I now couldn't even comb my own hair or pull my pants up wipe myself properly. I couldn't hold a pencil or anything because the pain was so unbearable. I had no appetite and now I have diarrhea. I called my husband at work and had him come home and we went to the emergency room because it was a bigger facility. The doctor there told me he thought it was something more like rheumatoid arthritis or lupus. This was by far my worst d ay even though I was unable to work this entire week. Oh and did I mention the only reason I got that back who was because my boss with bullying me and pressuring me every day to get the vaccine. He even went so far as to come of my office and he wanted to use my keyboard to schedule my vaccine himself. The next day on Thursday I was still having a hard time walking I still couldn't touch my ring finger on my pinky with my right hand still unable to open anything with either one of my hands. My husband had to open all the water bottles and prescription bottles and just set the caps on them before he went to work. I now had flashing light in my eyes which lasted about a week. The following day I had all the same symptoms but now my left foot was so swollen I couldn't even get a shoe on it. The big knuckle at the base of my right hand hurts so bad at this point and so does the big knuckle at the base of my left thumb. The swelling and the pain is just unbearable at this point. The following day on Saturday my mom had come up from Florida and stay with me for two weeks take care of me someday the next day on March 28th I start all the same symptoms but now my muscles were quivering on the back of both thighs. By the middle of next week I still had all of the same pain and now I'm realizing that I can't span open my fingers on my right hand and I'm unable to snap my fingers. Side note as of today I still cannot snap my fingers on my right hand. At this point I have been keeping a diary every day of where my pain was in what the pain level was each day. So strange that it's affecting joints on both sides but just in my hands the inside of my wrist and my left foot. Are April 28th I finally got into the rheumatologist. He had me go to the hospital and get blood work done and x-rays. On Thursday May 6th I was unable to go to work. It seems like I can go to work about 3 days a week and the pain is so intense that I'm missing about two days a week. Dr called me and said all of my tests came negative for rheumatoid arthritis.He told me not just because I was a patient but if I was his own sister he would suggest going to the Clinic right away. He said they have a larger database and if anybody else was having the same reaction to the covid vaccine they would know about it. My husband came home from work and made the four-hour drive to the Clinic. I was there Thursday and Friday they the blood work a sonogram x-rays the whole gamut of tests. The rheumatologist in the ER said that he thinks it's still something like rheumatoid arthritis or lupus but that was in the early stages and not showing up positive on the test. On Friday I met with dr. a rheumatologist oh, and the chairman at the Clinic. They said this is a very rare reaction to the J&J vaccine and they're hopeful by prescribing me a non-steroidal anti-inflammatory and Voltaren gel that hopefully I will have some relief within a week and they were hopeful that the symptoms will go away within 3 months. They also took me off work for the next week. Did I mention got the first month that was going on they have me on 50 mg of Prednisone for one week then 100 mg of Prednisone for 2 weeks and then back down to 50 mg for one week. After being on that high dosage of Prednisone for an entire month I still have all of the swelling and pain in my joints. My joints are very stiff at this point. The prednisone maybe eased the pain just a touch but the pain and swelling was definitely there, and the pain is excruciating. I'm feeling so alone, and scared because I don't know anybody else that's having the same reaction. I'm also fearful I'm going to lose my job I'm missing so much work. But I also feel like my boss pressured me into this and now I'm suffering. If anybody is having the same reactions to Johnson & Johnson vaccine please reach out to me. I have my vaccination card I can show you and I have a ton of doctor and hospital records to verify my story. I'm really worried because I'm not sure what's going on with me, how long it's going to last, and is it going to come back if I do get these symptoms to go away. My work place offers no paid extended leave, and has repeatedly asked me I'd I was quitting my job. I'm only having these problems because I was pressured and bullied into getting this vaccine. I completely blame my boss. I would have never got vaccinated if he wasn't on me about it every single day repeatedly. I'm at a loss as to what to do from here. I have no income coming in. Do I qualify for unemployment or some sort of disability benefits? If anybody can please give me some suggestions I'm open to whatever you have to say

Other Meds:

Current Illness:

ID: 1327490
Sex: M
Age: 74
State: NJ

Vax Date: 04/12/2021
Onset Date: 04/15/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Route:
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Lab Data:

Allergies: Noneh

Symptom List:

Symptoms: Fever,chills, lack of taste, diarrhea, same symptoms as when I had covid19 last year in May.

Other Meds: Metoprolol, aspirin,ramipril,Lipitor,Omega 3 supplements

Current Illness: CAD,hyper cholesterolemia,HTN

ID: 1327491
Sex: F
Age: 23
State: CA

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: codeine, olives, vaccine

Symptom List:

Symptoms: Pt presented to ER early the following am, with seizures. Pt reports having a small reactions immediately after vaccine administration. Pt reports muscle stiffness, eyes rolling back, shaking, diaphoretic. Pt also reports having a second episode of syncope when she arrived home.

Other Meds: unknown

Current Illness: asthma, migraine, idiopathic scoliosis, IGA deficiency, weakness in R leg

ID: 1327492
Sex: F
Age: 68
State: CO

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: All alcoholic beverages, possibly iodine

Symptom List:

Symptoms: No symptoms with first vaccine. Extremely mild nausea with the second, however also a stomach ache & cramping that has persisted 5 days after second vaccine.

Other Meds: Vitamins A thru E, fish oil, lutein, glucosamine chondroitin, herbs: hawthorn berry, devils clay, curcumin, SLF Forte, potassium, magnesium taurate, kelp

Current Illness: None

ID: 1327493
Sex: M
Age: 48
State: CO

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Strong shoulder pain started on Sat 4/17 in the early morning that woke me up. Went away by 10a after taking tylenol and having a coffee. Sun 4/18: pain again woke me up and was more severe. Had to get out of bed to move around as pain was pretty bad. Went to urgent care. Found nothing serious (not a heart attack or clots, etc). Referred me to go see my PCP if it did not resolve in a few days. Thu 4/22: went to PCP. Pain had subsided for the most part, but started having reduced range of motion when lifting arm straight forward...could not get past 90 degrees (straight out) without pain and a feeling of physical binding in the joint. Suspected bursitis. Prescribed a steroid pack and muscle relaxer. Sat: 4/24: my son noticed my shoulder blade sticking out when attempting to reach for a glass of water while seated. Decided to make appt with an orthopedic. Fri 4/30: went to orthopedic. Took xray. Found no physical damage, trauma, etc. Noticed winged scapula as reason for lack of range of motion. Prescribed physical therapy. Fir 5/14: still same lack of range of motion and no pain. Went to first PT appt. They took range of motion measurements and agreed I was limited. Tested for other pain or signs of trauma and found none. Prescribed a PT regimen. After my own research combined with symptoms, and no physical trauma as the source. My suspicion is Parsonage Turner Syndrome brought on by the vaccination.

Other Meds: None

Current Illness: None

ID: 1327494
Sex: F
Age: 34
State: TX

Vax Date: 04/26/2021
Onset Date: 04/28/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Urinary Tract infection set in within 48 hours of covid shot. Recovered Then got second round of shot and the same thing happened again.

Other Meds: none

Current Illness:

ID: 1327495
Sex: F
Age: 30
State: OH

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/18/2021
Hospital:

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Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: Patient had an allergic reaction , itching and throat irritation , we gave benadryl and epipen and patient was better in about 20 minutes

Other Meds: unknown

Current Illness: unknown

ID: 1327496
Sex: F
Age: 33
State: OK

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/18/2021
Hospital:

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Lab Data:

Allergies: sulfa drugs

Symptom List:

Symptoms: patient passed out shortly(3-5 minutes) after receiving her vaccine. Patient got dizzy, fuzzy then blacked out for about 30 seconds then came to. After a few minutes patient was feeling better and left about 20-30 minutes after incident.

Other Meds:

Current Illness:

ID: 1327497
Sex: M
Age: 37
State: NY

Vax Date: 04/08/2021
Onset Date: 05/04/2021
Rec V Date: 05/18/2021
Hospital:

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Allergies: Doxycyline

Symptom List:

Symptoms: After the first shot I began to feel a pressure in my neck. A few days after the second shot, I was walking across a street and my neck began to choke and my jaw locked up for about 10 seconds. It released a bit but was still very uncomfortable. I sought immediate medical help and was given steroids. The medical professional on staff said it was from the vaccine, but that I would be fine. I am now three weeks out from my second vaccine and my neck (rt side) is still stuck in spasm, and there is a growing numbness with a few painful spots growing up the right side of my face up to my eye. My Dad is an ophthalmologist, and he examined me. Confirmed the spasms in my neck and diagnosed the cheek numbness as infra-orbital neuralgia. He said he "strongly believes it is from the vaccine". I went back to the original facility the next day (5/17/21) and am now being referred to an ENT.

Other Meds: Zoloft Provigil Buspirone

Current Illness: NA

ID: 1327498
Sex: F
Age: 22
State: CA

Vax Date: 02/05/2021
Onset Date: 04/04/2021
Rec V Date: 05/18/2021
Hospital:

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Lab Data:

Allergies: N/a

Symptom List:

Symptoms: Right facial numbness and tingling along with mandibular muscle tensing and ringing in ear

Other Meds: Propranolol Zoloft

Current Illness: Chronic migraines, anxiety, PCOS

ID: 1327499
Sex: F
Age: 31
State:

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

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Symptom List:

Symptoms: Fever and chills 10 hours after injection Pain at injection site immediately after Headache, fatigue, muscle soreness 24 hours after

Other Meds: Oral contraceptive

Current Illness:

ID: 1327500
Sex: F
Age: 41
State: OH

Vax Date: 04/13/2021
Onset Date: 04/19/2021
Rec V Date: 05/18/2021
Hospital:

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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: The day following the vaccine, I had the typical flu like symptoms but didn't think much of them. Not quite a week later, I was feeling very unwell. I am a nurse, as is my spouse. I told him I felt like my BP was off. He checked it and I was basically in hypertensive crisis - 196/98. My BP stayed elevated this way for several days, but finally came down the following week. During this time, and continuing for about 2 weeks, I noticed my heart would often race, I felt lightheaded at times, sometimes I felt like I couldn't regulate my body - almost as though I was in constant fight or flight (very random adrenaline rushes). It felt like my autonomic nervous system was completely out of whack. I still don't feel 100% all the time, but am better.

Other Meds: N/A

Current Illness: N/A

ID: 1327501
Sex: F
Age: 74
State: PA

Vax Date: 02/27/2021
Onset Date: 03/09/2021
Rec V Date: 05/18/2021
Hospital:

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Lab Data:

Allergies: Codeine, Neurontin, Provera.

Symptom List:

Symptoms: She got the vaccine, had no issues other than regular symptoms. The following day had a temp of 100, tired, and was achy and fine by that Monday. On 3/9/21 she developed goose bumps all over her body, even her face, and then had freezing chills that lasted every day around 5:00 PM and lasted for hours for weeks and weeks. To this date she is still getting a weird sensation like a shiver and goosebumps multiple times a day, every day. She has had a woozy feeling, not real stable feeling at times. She has seen her PCP, and also has had multiple telehealth appointments including an infectious disease provider who said he reported it to the CDC. Because of the fainting the night before the vaccine, she had to have an echocardiogram that was normal, an MRI of the brain/neck to make sure she did not have an injury when she fell and is scheduled for an EEG tomorrow. If everything continues to be normal then the reactions are related to the vaccine.

Other Meds: Atenolol, Candesartan, Lyrica, Vitamin B complex, Vitamin D, baby aspirin, Lipitor.

Current Illness: Night before on 2/27/21 @ 2:00 AM, she got up to use the bathroom and passed out hurting her neck and low back. Scheduled for 2nd dose at 10:30 AM. She was not in optimum condition after falling and passing out but went and got the vaccine anyway.

ID: 1327502
Sex: F
Age: 79
State:

Vax Date: 03/07/2021
Onset Date: 03/10/2021
Rec V Date: 05/18/2021
Hospital: Y

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Symptom List:

Symptoms: Patient had several ED visits within 6 weeks of receiving COVID vaccination. DOS include 3/10/21, 3/18/21, 3/24/21, 4/4/21, 4/7/21. Patient presented to the ED and was subsequently hospitalized on 4/18/21 and 4/20/21. Two more ED visits on 4/21/21 and then was hospitalized on 5/1/21.

Other Meds:

Current Illness:

ID: 1327503
Sex: M
Age: 31
State: OH

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/18/2021
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Symptoms: Approximately 10 minutes after receiving the Janssen vaccine the patient walked up to the pharmacy counter and asked a technician if it was normal to feel clammy after the vaccine. Immediately after the patient passed out.

Other Meds:

Current Illness:

ID: 1327504
Sex: M
Age: 23
State:

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 05/18/2021
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Symptom List:

Symptoms: As per patient, he got the second dose of Pfizer COVID vaccine on the 05/13/2021, and the following day, 05/14/2021, he had fever with chills and muscle aches; however, those subsided. Then, on following day, 05/15/2021, he woke up with chest pain/pressure like and burning pain throughout the day, and then the patient's pain became more severe; however, it became less around the night, at 11 p.m. and then he went to sleep, and he woke in the morning with the pain, around 3:30 am. The pain was 6-7/10, pressure-like, burning sensation, no radiation, associated with mild nausea.

Other Meds:

Current Illness:

ID: 1327505
Sex: F
Age: 65
State: TN

Vax Date: 04/12/2021
Onset Date: 04/14/2021
Rec V Date: 05/18/2021
Hospital:

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Lab Data:

Allergies: Cannot take anything that would interfere with my blood thinner. Taking blood thinner because of Anti-Phospholipid Syndrome.

Symptom List:

Symptoms: Approximately 46 hours after my 2nd shot, I started to become dizzy. My blood pressure rose to 161/96. From 4/14/2021 through 4/25 /2021I experienced dizziness and nauseous effects to the point of feel like I was gagging. However, I would feel better if I sat perfectly still. When I would get up and start to move around the house, the symptoms resumed. It seemed to mimic motion sickness.

Other Meds: Warfarin 8mg, Levothyroxine 125mcg, Escitalopram5mg, Zolpidem12.5mg, Provastatin40mg

Current Illness: No

ID: 1327506
Sex: F
Age: 34
State: WI

Vax Date: 12/23/2020
Onset Date: 05/17/2021
Rec V Date: 05/18/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: Test and s/x onset 5/17/21- Cough, headache sinus pressure Two young children positive prior... suspect high viral exposure is to blame for breakthrough infection. Her symptoms are mild.

Other Meds:

Current Illness:

ID: 1327507
Sex: F
Age: 24
State: NY

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

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Allergies:

Symptom List:

Symptoms: The patient was given her vaccine at 1:05 pm and after her dose as she went to sit in the observation area she passed out. She fell to the ground and hit her head. She was unconscious for about 1-2 minutes and then came to. EMS arrived to evaluate her and she was taken to the Hospital

Other Meds:

Current Illness:

ID: 1327508
Sex: F
Age: 53
State: MA

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/18/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: difficulty breathing, itchy

Other Meds:

Current Illness: MS

ID: 1327509
Sex: M
Age: 41
State: CA

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

Vax Type:
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Lab Data:

Allergies: Ibuprofen, PCN class

Symptom List:

Symptoms: member complained of dizziness and headache after vaccine administration. Patient brought to lay down on a gurney. Headache resolved after patient in supine position. Vitals stable with noted hypertension: 194/129 that remained elevated for 30 minutes. Dizziness and headache resolved. Dr encouraged member ED assessment of continued hypertension. Member agreed to have wife (at bedside) drive him immediately to the ED. Per EMR, member went to emergency and was admitted 5/4- 5/6/2021 and placed on antihypertensives and hypothyroid meds.

Other Meds: None

Current Illness: None

ID: 1327510
Sex: M
Age: 19
State: FL

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

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Lab Data:

Allergies: no

Symptom List:

Symptoms: patient was very anxious before getting vaccine. after vaccine administration patient felt dizzy right away and could n t answer questions . patient was feeling very dizzy and was about to faint 911 called patient felt better after and was able to go home

Other Meds: no

Current Illness: no

ID: 1327511
Sex: F
Age: 33
State: GA

Vax Date: 05/16/2021
Onset Date: 05/17/2021
Rec V Date: 05/18/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: 24 hours out I had runny nose and sneezing. 40 hours out my arm started hurting so badly that I cannot lift it above my head.

Other Meds:

Current Illness: None

ID: 1327512
Sex: M
Age: 23
State: CA

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

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Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Patient is complaining of fatigue, generalized body ache, fever, sore throat, nausea, vomiting, diarrhea.

Other Meds: ADVIL

Current Illness: UNKNOWN

ID: 1327513
Sex: F
Age: 27
State: IN

Vax Date: 05/16/2021
Onset Date: 05/17/2021
Rec V Date: 05/18/2021
Hospital:

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Allergies: None

Symptom List:

Symptoms: Vomited at 12:30 am, 2am, and 3am the following morning after receiving vaccine. Extreme lethargy and muscle soreness throughout body.

Other Meds: Advair, bupropion, Alyacen

Current Illness: None

ID: 1327514
Sex: M
Age: 38
State: VA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 05/18/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient fainted immediately following vaccination. Initial BP was 147/107; decreased to 132/88 within about 30 minutes and patient was released to home.

Other Meds:

Current Illness:

ID: 1327515
Sex: F
Age: 39
State: OH

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 05/18/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever; chills; muscle aches.

Other Meds: St John's Wart, Centrum Women's Multivitamin

Current Illness: None

ID: 1327516
Sex: F
Age: 13
State: CA

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

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Lab Data:

Allergies: NKA

Symptom List:

Symptoms: @3:52pm pt c/o headache, dizziness and nausea. Pt. placed in gurney to restwith HOB elevated. V/S monitored. Vitals: 102/63 BP, P-62, RR-17, o2 - 98% RA Patient had sips of water with relief of nausea noted. Vitals monitored @4:18pm vitals BP: 100/70 , P-73, RR-17, o2 -99% RA @4:20pm - pt. verbalized recovered from symptoms. Pt. sent home. Advised to notify primary MD of recent COVID-19 S/E. #21: pt. stable and sent home

Other Meds:

Current Illness:

ID: 1327517
Sex: F
Age: 34
State: CA

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 05/18/2021
Hospital:

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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Hives over entire body mostly concentrated on upper body but also on legs and feet

Other Meds: Prenatal vitamins

Current Illness: Not an illness but 2 weeks post-partum

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm