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: 1332403
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: VEINS APPEARING ON BODY/ ON THIGHS/ LOWER PARTS OF LEGS/ ON SHOULDER/ ON BOTH GROINS; This spontaneous report received from a patient . The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: 206A21A, and batch number: 206A21A expiry: UNKNOWN) dose was not reported, administered on 02-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced veins appearing on body/ on thighs/ lower parts of legs/ on shoulder/ on both groins. The action taken with covid-19 vaccine was not applicable. The outcome of veins appearing on body/ on thighs/ lower parts of legs/ on shoulder/ on both groins was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1332404
Sex: F
Age: 38
State: NY

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

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

Lab Data:

Allergies: Amoxicillin and codeine: flushing and throat "tightness." Black pepper, peppers, spices, tetanus toxoid: nausea/wretching. Never required Epinephrine

Symptom List:

Symptoms: Pt had similar reaction after first dose (see Vaers#77903 from 4/24/2021). Pt was cleared by two allergists. All testing reportedly negative for sensitivity. Advised to premedicate 1 hour prior with 8mg PO Zofran and 50mg PO Benadryl. Pt reported taking one hour prior as ordered. Immediately after vaccination, pt started belching and eventually wretching. Immediately transported to ER where she was given IV NS, IV pepcid 20mg and IV Benadryl 25mg. ER staff discussed with allergist and did not require steroids or epinephrine. Pt discharged after 5 hours observation.

Other Meds: Zyrtec, Zofran, Benadryl, iron supplement, b12 supplement. Calciium w/D supplement List from outside provider: ? azelastine (ASTELIN) 137 mcg (0.1 %) nasal spray Spray 2 sprays into each nostril 2 (two) times a day Use in each nostril as

Current Illness: Ongoing eval by allergy for wretching. All testing negative for allergens.

ID: 1332405
Sex: F
Age: 34
State: AZ

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 05/20/2021
Hospital: Y

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

Lab Data:

Allergies: No Known Food or Drug Allergies

Symptom List:

Symptoms: -Abrupt _______ , Nausea, Vomiting, Posterior Headache -Emergency Room Visit -Received tPA, which resolved symptoms -ICU admission for 2 nights

Other Meds: -Celexa 20mg qHS -Trazadone 25mg qHS -Lo-Estrin 24 Fe

Current Illness: None

ID: 1332406
Sex: F
Age: 80
State: IN

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Sulfa Drugs Tetnas

Symptom List:

Symptoms: Burning of mouth, lips, difficulty breathing. Lips swelled, cracked and peeled. Inside of mouth no longer burning , Swelling in lips has gone down, they have been peeling for days. Lips are red, still sore, but I'm hoping they are done peeling. I really don't feel I can handle another shot of this vaccine. I think I may have to cancel the second shot. I don't know what is it it, everyone keeps telling me it has no penicillin or sulfa drugs in it, but the symptoms are the same. The only difference is my hands haven't cracked and peeled along with my lips and mouth. I've had these problems since last tuesday night and am taking Benadryl trying to get some relief from it still. Please let me know if you have any solutions to prevent this.

Other Meds: estridiol .05 mg Atorvastatin 10 mg

Current Illness: N/A

ID: 1332407
Sex: F
Age: 27
State: CA

Vax Date: 04/24/2021
Onset Date: 05/01/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: My menstrual cycle has been consistent (occurring every month) and there have been no changes for the past 10 years. One week before the 1st Moderna COVID-19 vaccine date, my period arrived like normal. Exactly one week after taking the first dose, I received my period once again (twice in 1 month). This is very abnormal. There were no other factors affecting my lifestyle. I believe the vaccine has contributed to my abnormal period and this should be made aware to all volunteers prior to receiving their vaccine.

Other Meds:

Current Illness:

ID: 1332408
Sex: M
Age: 29
State:

Vax Date: 05/17/2021
Onset Date: 05/18/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: Gluten

Symptom List:

Symptoms: Dry nose Scratchy throat Chills Very tired Stuffy nose

Other Meds: No

Current Illness: I had a cold about three weeks prior

ID: 1332409
Sex: F
Age:
State: FL

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: PAIN IN THE LOWER RIGHT SIDE STOMACH; SWOLLEN STOMACH; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: 1820095, expiry: UNKNOWN) dose was not reported, administered on 14-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced pain in the lower right side stomach, and swollen stomach. The action taken with covid-19 vaccine was not applicable. The outcome of the pain in the lower right side stomach and swollen stomach was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1332410
Sex: F
Age: 63
State: WA

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: My arm still hurts almost 5 months later. I have shooting pains up to my shoulder and down my arm when I try to straighten it out. I wake up in pain every morning. I cant sleep on it. I do not have full range of motion.

Other Meds: Levoxyl, lisnopril, vitamin D3, glucosamine and chondroitin

Current Illness: None

ID: 1332411
Sex: F
Age: 47
State: CA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: Gluten, Latex, Corn

Symptom List:

Symptoms: Patient reports that during observation period status post vaccine she experienced lip swelling, tongue thickness and difficulty breathing. She denied symptoms other than ear redness and swelling to EMT following dose stating she did not want to be given Benedryl because she drove herself to the site for her vaccine. EMTs observed client and assessed for ear redness, vital signs were stable and client left the site after a 45 minute observation status post first vaccine. Client denied chest pain, dizziness and reported a headache later that evening that lasted 2 days. Client stated symptoms resolved on their own. She denied any other past medical history and stated she had anaphylactic allergies to gluten and latex.

Other Meds: Wellbutrin

Current Illness: None

ID: 1332413
Sex: M
Age: 29
State: NY

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever exceeding 100?F even after taking tylenol, body aches, running nose, bedridden for over 20hrs up to now. Symptoms have still not subsided at time of report.

Other Meds: None

Current Illness: None

ID: 1332415
Sex: F
Age: 28
State: WA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: Morphine Percocet

Symptom List:

Symptoms: -Hives almost immediately after receiving vaccine -Swollen, red, raised circle around injection site, about the size of my palm, started 1-2 days after injection, lasted 2-3 days -pain at injection site for at least 2 weeks afterwards -fatigue, chills, headache, malaise starting the day after the vaccine and lasting 2-3 days

Other Meds: Sulfasalazine 500mg x6 daily Duloxetine 60mg x1 daily Prenatal vitamins Krill oil Turmeric Adalimumab 40mg injection x1 every 10 days Cyanocobalamin 1mL (1,000 mcg) injection x1 every 3 weeks Diphenhydramine 50mg right before vaccine appoin

Current Illness:

ID: 1332416
Sex: F
Age: 48
State: CA

Vax Date: 04/19/2021
Onset Date: 04/26/2021
Rec V Date: 05/20/2021
Hospital:

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

Allergies: none

Symptom List:

Symptoms: I started noticing a hissing sound in my left ear. Initially noticed it was on and off since ~4/25. However, it persisted and especially noticeable at night since ~5/4. I tried using Debrox and visited ENT on 5/10. ENT Dr. cleaned wax but "tinnitus" persisted. I have no history of tinnutus and audiology test is also normal.

Other Meds: Levoxyl, vitamin D and calcium supplements

Current Illness: none

ID: 1332417
Sex: F
Age: 27
State:

Vax Date: 03/20/2021
Onset Date: 05/11/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Shingles: pain in the right left along sciatic nerve. Rash on right buttocks, and on right ankle. Still occurring, it has been 8 days since the pain in my right leg began.

Other Meds: duluxetine 20 mg, nexplanon bc implant

Current Illness: n/a

ID: 1332418
Sex: M
Age:
State: FL

Vax Date:
Onset Date: 05/16/2021
Rec V Date: 05/20/2021
Hospital:

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

Allergies:

Symptom List:

Symptoms: TIRED; SLIGHT HEADACHE; HALLUCINATING; COULD NOT MOVE; COULD NOT SPEAK; ALTERNATING BETWEEN HOT AND COLD; REMAINED AWAKE; ANXIETY; FEELING VERY HOT; FEVER; This spontaneous report received from a patient concerned a 48 year old male. The patient's height, and weight were not reported. The patient had no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 20YA21A expiry: UNKNOWN) dose was not reported, 1 total, administered on 16-MAY-2021 11:15 for prophylactic vaccination. No concomitant medications were reported. On 16-MAY-2021 evening around 19:00 or 20:00, the patient, had a fever, however he did not get a definite temperature reading because he did not use a thermometer. The patient felt very hot and began hallucinating or anxieties. It was reported that throughout the night he was alternating between hot and cold. The patient could not move or speak and the fever got worse during the night. The patient remained awake from that evening until the reporting morning. The patient took unspecified pain reliever and dosage was unknown but it was two tablets and was taken at 11 am on the reporting day. At the time of this report the patient felt tired and had a slight headache but he felt better. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from hallucinating, could not move, could not speak, alternating between hot and cold, anxiety, feeling very hot, and fever on MAY-2021, was recovering from tired, and slight headache, and the outcome of remained awake was not reported. This report was serious (Other Medically Important Condition).; Sender's Comments: V0: 20210528105- Covid-19 vaccine ad26.cov2.s-Hallucinating. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).

Other Meds:

Current Illness:

ID: 1332419
Sex: F
Age: 29
State: CA

Vax Date: 04/30/2021
Onset Date: 05/12/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Petechiae starting on the left side of mouth, then spread around my whole mouth and by my right eye by the next day, then to the forehead the following day. This was a 3 day period of the petechiae spreading before going to urgent care.

Other Meds: Birth control ring, ibuprofen

Current Illness: N/A

ID: 1332420
Sex: M
Age: 51
State: OH

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: muscle cramps pretty intense started at around 10:00p.m..

Other Meds: none

Current Illness: none

ID: 1332421
Sex: F
Age: 45
State: IL

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

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

Lab Data:

Allergies: Erythromycin Flagyl Latex Adhesive

Symptom List:

Symptoms: I have been getting a headache every day for 2 to 3 hours ever since I got the second house

Other Meds: Generic Lexapro 10mg

Current Illness:

ID: 1332422
Sex: F
Age: 59
State: NJ

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 05/20/2021
Hospital: Y

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: High blood pressure, over 180; Pulse rate over 115, Sweating, Dizziness, Chest pressure, Difficulty Breathing

Other Meds: No

Current Illness: Mo

ID: 1332423
Sex: F
Age: 35
State: VA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Red, raised circular area around injection has been growing since a few hours following injection. It is itchy, and painful to touch, and warmer than the rest of my arm.

Other Meds: Levothyroxin Duloxetine Gabapentin Walzyr Chamomile tea

Current Illness: None

ID: 1332424
Sex: F
Age: 31
State: AZ

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Heart pain 3-4 hours after injection. Heart pain subsides 13 hours after injection. Chest pain center near sternum, chest tightness in center of chest 8 hours after injection. Chest pain is ongoing since injection and is now day 5. The chest pain worsens when lifting heavy objects, bending over, and laying down.

Other Meds: Multi-vitamins vitamin C, primrose oil, candistat, B12 complex, cranberry

Current Illness: N/A

ID: 1332425
Sex: F
Age: 37
State: OR

Vax Date: 03/06/2021
Onset Date: 03/29/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Extreme bleeding with first and second period after receiving second shot. Heavy cramping, extreme fatigue that affected normal daily activities. My menstrual cycle has been abnormal since receiving second vaccine.

Other Meds: None

Current Illness: None

ID: 1332426
Sex: F
Age: 16
State: MO

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: On the next morning body pains big red painful marks all over her arm, stomach soreness

Other Meds: No

Current Illness: None

ID: 1332427
Sex: F
Age: 45
State: CA

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: Ketoconazone tablets

Symptom List:

Symptoms: Rash, bump feeling tender and swollen

Other Meds: Wellbutrin 300XL, acyclovir 400mg,

Current Illness: None

ID: 1332428
Sex: F
Age:
State: MA

Vax Date:
Onset Date: 04/07/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SKIN LESIONS THAT LOOK LIKE BLISTER; HIVES; FEVER; NAUSEA; HEADACHE; CONVULSIONS; BURNING SENSATION IN SPINAL COLUMN AND NECK; SWEATING; This spontaneous report received from a patient concerned a 31 year old female. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included unknown. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown expiry: UNKNOWN) dose was not reported, administered on 07-APR-2021 in Left Deltoid for prophylactic vaccination. The batch number was not reported and has been requested. On 07-APR-2021, the patient experienced adverse effects of fever, chills, nausea, burning sensation in spinal column and neck, convulsions, sweating and headache after receiving the JANSSEN COVID-19 VACCINE. On an unspecified date, the patient experienced skin lesions that look like blisters appeared on her arms, legs, feet, ankles, thigh, neck and face and also experienced hives which has been ongoing since then. The patient has not taken any medications for these adverse effects, but she takes sertraline as concomitant medication. On 13-May-2021, the patient stated that she visited the HCP who advised her to get OTC Zyrtec and prescribed a steroid cream which she is yet to pick from the pharmacy The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from convulsions, burning sensation in spinal column and neck, sweating, fever, nausea, and headache on 09-APR-2021, and had not recovered from hives, and skin lesions that look like blister. This report was serious (Other Medically Important Condition).; Sender's Comments: V0:20210532543-COVID-19 VACCINE AD26.COV2.S- Convulsions- This event is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event.

Other Meds: SERTRALINE

Current Illness:

ID: 1332429
Sex: M
Age: 50
State: NJ

Vax Date: 05/10/2021
Onset Date: 05/16/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I got my second dose of Phizer May 10th at facility. May 16th I started to have back pain over my left kidney. May 17th the pain was unbearable at night. I was not able to sleep. I went to the Clinic May 18th at 9am. I was diagnosed with Shingles.

Other Meds: None

Current Illness: None

ID: 1332430
Sex: M
Age: 14
State: CA

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: PATIENT FAINTED WITHIN 20 SECONDS OF RECEIVING PFIZER COVID-19 VACCINATION. PATIENT'S FATHER AND STORE MANAGEMENT CALLED 911. FATHER AND ADMINISTERING PHARMACIST MONITORED PATIENT; PATIENT REGAINED CONSCIOUSNESS SHORTLY AFTER FAINTING. PARAMEDICS ARRIVED APPROXIMATELY 10 MINUTES LATER AND FURTHER ATTENDED TO PATIENT. PARAMEDIC DIAGNOSED VASOVAGAL SYNCOPE. PATIENT AND FATHER WENT WITH AMBULANCE TO HOSPITAL FOR FURTHER EVALUATION.

Other Meds: NONE AWARE OF

Current Illness: NO KNOWN ILLNESSES

ID: 1332431
Sex: F
Age: 39
State: CA

Vax Date: 05/11/2021
Onset Date: 05/14/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The lymph nodes in my throat and armpit on the left side started swelling rapidly, I had high fever and nausea. The onset seemed to be sudden and within 1 hour I was feeling very sick. I took 500mg acetaminophen. The next day I felt better but still had to take acetaminophen due to some fever and still swollen lymph nodes. The swelling on my lymph nodes did not fully go away for 3 days. My face was visibly swollen on the left side. I also had bad diarrhea on Thursday and Friday without any change in my diet. I don't know if that was a side effect too.

Other Meds: Lithium

Current Illness:

ID: 1332432
Sex: F
Age: 37
State: NV

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: Zopfran I got a rash from like 10 years ago.

Symptom List:

Symptoms: I started with a fever at 1pm the day of vaccine and was tired. The next morning I woke up with a rash on my neck and had fever, and horrible diarrhea . At around 1, I got Benadryl, took two. The rash kept spreading. The rash spread and continued too until after I had safety taken Benadryl 3 times. It was on my neck, chest, and back of neck and inside elbow of my right arm. My rash cleared mostly by the next morning. But my diarrhea did not. And seems to have finally settled down kinda today. I have only had 4 trips today to the restroom with diarrhea. Other than that, I?m fine, you can still barely see my rash. I can tell it?s still slightly pink. But it?s gone enough.

Other Meds: Kirkland adult gummie vitamin. Nature made vitamin d 2500 IU. I?m low on vitamin D and can?t retain it well. Trunature women?s probiotic, Zyrtec, Flonase.

Current Illness: None. But I didn?t react well to the first dose. I had mild nausea and weakness, and extremely fatigued. But other than that, I?m health and active all day 5 days a week, and active when off. I eat well etc.

ID: 1332433
Sex: F
Age: 20
State: CA

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

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

Lab Data:

Allergies: NO

Symptom List:

Symptoms: Patient received Moderna COVID-19 vaccine dose 1. After Pharmacist administered vaccine, Patient stayed in waiting room for 15 minutes for observation. Patient was conscious but called Pharmacist over due to patient was shaking and sweating. The pharmacist monitored patient while Clerk called 911. Paramedics arrived and checked/monitored patient's symptom and overall well being. Patient was taken to the emergency room. Pharmacist contacted Patient around 07:20pm but unable to reach. Pharmacist contacted Patient's boyfriend who was present during shot. He stated that Patient was discharged two hours after and said Patient was doing well.

Other Meds: N/A

Current Illness: NO

ID: 1332434
Sex: F
Age: 60
State: NV

Vax Date: 05/16/2021
Onset Date: 05/17/2021
Rec V Date: 05/20/2021
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Allergies: PENICILLIN

Symptom List:

Symptoms: -extreme body ache (lasting 3 days) -bad headache -lost of appetite for two days. -extreme fatigue and sleepiness -round redness around shot area which is very sensitive. Looks like a rash but it is not. -swelling in shot injection area with the redness. -extreme sensitivity to left arm in shot injected area. -I cannot lift my arm all the way up without pain and cannot lean on it or sleep on it without pain.

Other Meds: none

Current Illness: Stomach ache due to nerves

ID: 1332435
Sex: F
Age: 30
State: IN

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/20/2021
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Allergies: Penicillin, tetracycline, levofloxacin, cotton seed oil, loriel kids products.

Symptom List:

Symptoms: Late onset of headache, body aches and fatigue around 6 pm on 5-18. Around 11:50 pm on 5-18 muscle cramping with sharp pains in left arm and left leg. Around 12:15, I became feverish and unnaturally cold. Shortly after, my whole chest and neck felt tight and almost as if I had advanced stage bronchitis. I took 2 Benadryl, 4 tylenol and my 90mg inhaler before laying down under 3 winter blankets. Waking up the next morning at 6:40, I still had chest tightness but had a sore throat, coughing, and swollen neck glands. I took 2 more Benadryl and 2 Tylenol for the headache, body aches, and mild fever before driving my child to school at 7:20. I went to an appointment at 11:00 am on 5-19 and left there around 11:45 still suffering from muscle cramping and aches (though much mellower than before) and proceeded to the store to buy Dayquil cold and flu which alleviated all but the persistent headache, fatigue, and injection site tenderness.

Other Meds: Tramadol, norflex, lyrica, diclofenac, multivitamins.

Current Illness: None

ID: 1332436
Sex: F
Age: 37
State: PA

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/20/2021
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Allergies: Iodinated contrast agents (hives)

Symptom List:

Symptoms: In addition to the expected flu-like and ISR in the R arm, L arm painful, very itchy, scaly rash noticed on day 2--still persisting with cracking and peeling on day 5; fatigue still requiring daytime sleeping after a few hours of being up; R arm rash was a very faint pink but swelling and pain is persisting Symptoms that resolved by day 3 are sharp toe pain, flank pain, and pain with deep breathing

Other Meds: Cetirizine Hydrochloride (10mg tablet); nightly Vitron C (Iron Supplement); daily

Current Illness: Dental caries--repaired 3days previously Receipt of 1st dose on 04/14--with ISR (pain and swelling ), flu-like feeling, joint pain, and fatigue---and 3 weeks later, pain in the opposite arm

ID: 1332437
Sex: F
Age:
State: OH

Vax Date:
Onset Date: 03/20/2021
Rec V Date: 05/20/2021
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Symptoms: BACK OF THIGHS WERE QUIVERING; SWOLLEN LEFT FOOT AND PAIN; FLASHING LIGHTS IN EYES; UNABLE TO WALK ON LEFT FOOT; NOT APPETITE; JOINT PAIN/LEFT ANKLE PAIN/LEFT WRIST PAIN/PAIN IN LEFT PALM; TERRIBLE HEADACHE; PAIN LEFT THUMB/LEFT HEEL PAIN/RIGHT HAND PAIN/COULD NOT OPEN BOTTLES DUE TO JOINT/HAND PAIN/UNABLE TO USE HAND/BAD HAND PAIN/TERRIBLE PAIN IN BOTH HANDS/LEFT HEEL PAIN/L FOOT PAIN/LEFT ARM PAIN; This spontaneous report received from a patient concerned a 50 year old female. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: 1802068, and expiry: UNKNOWN) dose was not reported, administered on 12-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 20-MAR-2021, the subject experienced pain left thumb/left heel pain/right hand pain/could not open bottles due to joint/hand pain/unable to use hand/bad hand pain/terrible pain in both hands/left heel pain/l foot pain/left arm pain. On 21-MAR-2021, the subject experienced joint pain/left ankle pain/left wrist pain/pain in left palm. On 21-MAR-2021, the subject experienced terrible headache. Laboratory data included: X-ray (NR: not provided) Not reported. Treatment medications included: tramadol. On 22-MAR-2021, the subject experienced unable to walk on left foot. On 22-MAR-2021, the subject experienced not appetite. Treatment medications included: prednisone. On 25-MAR-2021, the subject experienced flashing lights in eyes. On 26-MAR-2021, the subject experienced swollen left foot and pain. On 28-MAR-2021, the subject experienced back of thighs were quivering. On 28-APR-2021, Laboratory data included: Laboratory test (NR: not provided) Not reported, and X-ray (NR: not provided) Not reported. The action taken with covid-19 vaccine was not applicable. The patient recovered from flashing lights in eyes on 01-APR-2021, and back of thighs were quivering on 31-MAR-2021, had not recovered from swollen left foot and pain, terrible headache, and pain left thumb/left heel pain/right hand pain/could not open bottles due to joint/hand pain/unable to use hand/bad hand pain/terrible pain in both hands/left heel pain/l foot pain/left arm pain, and the outcome of joint pain/left ankle pain/left wrist pain/pain in left palm, not appetite and unable to walk on left foot was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1332438
Sex: M
Age: 52
State: WA

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/20/2021
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Allergies: None

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Symptoms: Sickest I felt in half dozen years. Terrible headache and fever and chills started 9 hours after injection and 36 hours after vaccine I'm stuck in bed and can't function.

Other Meds: None

Current Illness: None

ID: 1332439
Sex: F
Age: 31
State: PR

Vax Date: 04/11/2021
Onset Date: 04/12/2021
Rec V Date: 05/20/2021
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Allergies: No

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Symptoms: Weird tension on head, bleeding through mouth fo a month and a have

Other Meds: Destress supplements

Current Illness: No

ID: 1332440
Sex: M
Age: 16
State: HI

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
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Symptoms: Patient fainted after vaccine administration. After lying down for 20 minutes, patient felt back to normal.

Other Meds:

Current Illness:

ID: 1332441
Sex: F
Age: 74
State: CA

Vax Date: 02/14/2021
Onset Date: 02/17/2021
Rec V Date: 05/20/2021
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Symptoms: Woke up am 2/17 with burning-itching rash on my midrift. By 2/26 it had spread & was clearly nasty enough to go to doctors - diagnosed with Shingles . [ Had only taken the old shingles vaccine - moved/changed doctors, never realized there was a new better one to take now.] Did not realize I should report it to you til saw Dr this week, she instructed my to report it.

Other Meds: Metroprolol, Amlodipine, Atorvastatin; Vitamin D3, vitamin C, Aspirin, Flonase nasal spray; Rocklatin, Alphagan, Dorzolamide-Timolol.

Current Illness: Air borne spring allergies - itchy eyes, runny nose. nasal spray daily cleared it up.

ID: 1332442
Sex: M
Age: 38
State: WA

Vax Date: 05/04/2021
Onset Date: 05/05/2021
Rec V Date: 05/20/2021
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Allergies: peanuts, pollen

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Symptoms: Days 2-5 fever, nausea, aches Days 8-11 fever, diarrhea, stomach pain Day 10 - vomiting. Day 14 - hives all over body

Other Meds: albuterol

Current Illness:

ID: 1332443
Sex: U
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Symptoms: SEVERE BODY PAIN; NERVE ISSUES; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: Unk) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow up will be requested for this case. No concomitant medications were reported. On an unspecified date, the subject experienced severe body pain, and nerve issues. The action taken with covid-19 vaccine was not applicable. The outcome of the severe body pain and nerve issues was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1332444
Sex: F
Age: 31
State:

Vax Date: 04/28/2021
Onset Date: 04/30/2021
Rec V Date: 05/20/2021
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Allergies: Mango, mustard, sulfa drugs

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Symptoms: Heart palpitations started two days after 2nd dose and have continued for three weeks. Fairly constant and heavy irregular heartbeat. Visited primary today, took blood for blood work, and will be getting an ecg next week.

Other Meds: Fluoxetine, vitamin d, evening primrose

Current Illness:

ID: 1332445
Sex: F
Age:
State: FL

Vax Date: 05/01/2021
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Rec V Date: 05/20/2021
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Allergies: Medications are Codeine, Sulfa drugs,

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Symptoms: Fatigue, very High temp from 99-104 for two days, intense migraine(no light), very dizzy- could not function, nauseated,-can?t eat, rash & flushed face & felt as if I was allergic with itching all over, could not rest, could not sleep due to migraine pain, face very itchy, neck stiffness hard to lift my arms parallel with my body! I had to take Benadryl which didn?t really affect my allergic reaction until the 3rd day I noticed it begin helping with the allergy symptoms! I had Covid twice & these side affects were as bad as my worst day in Covid! I am now scared to take the second shot!

Other Meds: B/P Meds- Losartan 50mg 1 daily, Furosemide 20MG 1 daily, Chlorthalidone 25mg, 1 daily, Aspirin 81mg, 1 daily Pain meds - Hydrocodone-Acetaminophen 10-325mg 3X daily as needed. Cyclobenzaprine 10mg 1X 8hrs daily, Tizanidine HCL 4MG 1 X 8hr

Current Illness: Chronic fatigue, Fibromyalgia, blood pressure, degenerate disk disease, regional allergies.

ID: 1332446
Sex: F
Age: 60
State: OR

Vax Date: 04/21/2021
Onset Date: 04/28/2021
Rec V Date: 05/20/2021
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Allergies: no known allergies

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Symptoms: Delayed response 1-week after injection (4/28/2021) - itchy, red, swelling at the site of the injection, redness and swelling went from site of injection (deltoid) down to elbow. Swelling and redness lasted 10-days (and then decreased to occasional redness and little swelling until day 14.

Other Meds: Multiple vitamin-mineral oral estradiol 0.5 mg tablet medroxyprogesterone 2.5 mg tablet omega-3 fish oil calcium-magnesium-zinc

Current Illness: none

ID: 1332447
Sex: F
Age: 31
State:

Vax Date: 05/07/2021
Onset Date: 05/15/2021
Rec V Date: 05/20/2021
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Allergies: None

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Symptoms: A week after my vaccination, I have a subtle red rash and bruise still visible at the injection site. My arm muscle feels tired and week and almost a burning sensation. This sesatikn started with the rash. I did feel sore the day after my shot and these new symptoms didn?t start til later.

Other Meds: Adderall, birth control

Current Illness: None

ID: 1332448
Sex: F
Age: 73
State: WA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 05/20/2021
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Allergies: penicillin, epinephrine, chloroquine

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Symptoms: Headache, joint ache, heart arrhythmia, breathlessness. Major issues until 2/7/2021. Still have intermittent headaches and heart flutter that wasn't there before.

Other Meds:

Current Illness:

ID: 1332449
Sex: F
Age: 21
State: WI

Vax Date: 04/16/2021
Onset Date: 04/19/2021
Rec V Date: 05/20/2021
Hospital: Y

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Allergies: penicillin, shellfish

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Symptoms: Patient developed visual symptoms the week following administration of the COVID vaccine. Symptoms included blurry vision and double vision. Patient did not seek care. Patient received 2nd dose of Moderna vaccine on 5/12 and had escalation in symptoms after that dose. Patient finally saw her PCP on 5/18 who immediately sent her to optometry where she was noted to have papilledema. She was sent to the ED where an MRI/MRV confirmed increased intercranial pressure without space occupying lesion. LP showed elevated opening pressure of 45/ Patient started on Diamox for presumed IIH.

Other Meds: melatonin

Current Illness:

ID: 1332450
Sex: F
Age:
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Symptoms: RIGHT EYE BLOODSHOT DUE TO A BLOOD VESSEL BURSTING IN THE EYE; BORDERLINE MIGRAINES; DIARRHEA; EXTREME ILLNESS FOR TWO WHOLE WEEKS; COULD NOT EVEN GET OUT OF BED FOR THE FIRST WEEK; This spontaneous report received from a consumer (daughter) concerned a 58 year old female. The patient's height, and weight were not reported. The patient's past medical history included hip replacement surgery, and concurrent conditions included a little overweight. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) frequency 1 total, dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. Patient had some alarming symptoms. She was extremely ill for two whole weeks. She was nauseous, vomiting, (subsumed under borderline migraine) had diarrhea and could not even get out of bed for the first week. After those extreme symptoms subsided she had one eye( her right eye) was completely bloodshot due to a blood vessel bursting in her eye. She called her primary care doctor and they told her that they were uncertain if that was even a symptom or not. She also had very painful headaches (subsumed under borderline migraine), borderline migraines and her primary care doctor told her that if it persisted or got any worse to go to the emergency room or possibly go in to the doctor's office. Reporter stated that blood clots were not something that really ran in their family bloodline. Patient hadn't had any real health problems other than having a hip replacement surgery and being a little overweight. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from, diarrhea, extreme illness for two whole weeks, could not even get out of bed for the first week, and the outcome of right eye bloodshot due to a blood vessel bursting in the eye and borderline migraines, was not reported. This report was serious (Other Medically Important Condition).; Sender's Comments: V0: 20210532621-JANSSEN COVID-19 VACCINE Ad26.COV2.S- Eye blood shot. This event is considered unassessable. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event.

Other Meds:

Current Illness: Overweight

ID: 1332451
Sex: F
Age: 31
State: CA

Vax Date: 02/18/2021
Onset Date: 05/14/2021
Rec V Date: 05/20/2021
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Allergies: SHELLFISH, IBURPROFEN

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Symptoms: UNEXPLAINED HIVES/RASHES THROUGHOUT BACK AREA, ELBOWS AREA, AND WRISTS. RED, RAISED, WARM TO TOUCH, ITCHY, IRREGULAR SHAPE, AND CLUSTERS. OBSERVES TO OCCUR AFTER NAPS OR SLEEP NO PROFESSIONAL ATTENTION. HOME REGIME OF ZYRTEC ONCE DAILY.

Other Meds: TYLENOL EXTRA STRENGTH 500MG

Current Illness: N/A

ID: 1332452
Sex: M
Age: 18
State: OR

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
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Allergies: None

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Symptoms: Fever, nausea, headache, fatigue, and chills. Treated symptoms with Benadryl and Tylenol

Other Meds: Testosterone

Current Illness: None

ID: 1332453
Sex: F
Age: 56
State: AR

Vax Date: 05/08/2021
Onset Date: 05/09/2021
Rec V Date: 05/20/2021
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Allergies: Sulfa: Lactose intolerant: High fructose corn syrup

Symptom List:

Symptoms: The day after the vaccine was given I began experiencing the worst pain I'd ever experienced. On a scale of 1-10 it was easily between 18-20 from that day until the week point following the date of receiving the vaccine. I'm used to pain, being someone with more than one chronic pain condition but this was just off the scale. Then on the 8th day following the injection I woke up screaming, my scale doesn't go that high. However, I think it was a turning point, as my pain began improving from that point on. I'll admit I'm dreading the 2nd shot, but I will go through with it, otherwise what I suffered from the 1st shot was wasted effort.

Other Meds: Gabapentin; Duloxetin; Topiamate: Buporoprian: Valium: Hydrocodone: Diclofenac: Tizanidine: Rizatriptan: Cyclobenzaprine: Methocarbomal: Folate: Aspirin

Current Illness: fibromyalgia: costochondritis: osteoarthritis: sensory neuropathy: spinal stenosis: chronic back pain

ID: 1332454
Sex: F
Age: 44
State: CA

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
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Allergies: None

Symptom List:

Symptoms: chills, prickling skin (like the flu), intense body tremors, ligth nausea

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm