VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1334077
Sex: F
Age: 66
State: MI

Vax Date: 02/19/2021
Onset Date: 03/01/2021
Rec V Date: 05/20/2021
Hospital: Y

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

Lab Data:

Allergies: codeine

Symptom List:

Symptoms: Patient with progressively worsening weakness and frequently falling. Noted that her hands were "prickling." She has actually fallen several times including last night. She has trouble going up even two steps apparently. Her feet are numb as well. She has a change on her torso as well. She had a "zing" in the anterior portion of her torso. This is worst than the posterior torso. She had an EMG (see #19) and LP. She was started on IVIG. She reported improvement at the time of this filing (currently on day#3 of IVIG)

Other Meds:

Current Illness: none

ID: 1334078
Sex: F
Age: 31
State: IL

Vax Date: 05/18/2021
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: Gentamicin eye drops

Symptom List:

Symptoms: Arm pain began roughly 2 hours after injection. By 8 hours the arm was a 7/10. The following day the pain was 9/10 for the majority of the day. Today the pain has significantly diminished to 2/10. No other symptoms.

Other Meds: None

Current Illness: None

ID: 1334079
Sex: F
Age: 23
State:

Vax Date: 05/07/2021
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:

Symptom List:

Symptoms: Everything was fine until a couple day ago. iv been feeling ver ver dizzy and tingling sensations in my arm. For example i will be driving and the dizziness comes randomly and i need to pull over.

Other Meds:

Current Illness:

ID: 1334080
Sex: F
Age: 14
State: WA

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:

Symptom List:

Symptoms: Patient received vaccine, stood up to walk around corner, then collapsed, hitting her head on floor. An EMT was in the area and stepped in. Pt was unresponsive for about a minute, pulse very weak. 911 was called. Pt was moved into a separate room once slightly responsive, she was very pale and seemed confused and was very nauseated. Her blood pressure dropped to 68/44, but over the course of a few minutes started coming back up. EMTs arrived and took patient to hospital to evaluate.

Other Meds:

Current Illness:

ID: 1334081
Sex: F
Age: 20
State: SC

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: NKDA

Symptom List:

Symptoms: Patient was sitting in observation after receiving first dose of Moderna and within 5 minutes began to feel dizzy and visual disturbances. We gave the patient some bottled water and ice pack and she started to feel better, but ultimately her mother wanted me to call EMS. Ems instructed no food or drink until they got there. The EMS took her blood pressure which was in the 80s/50s. The patient said she was feeling better but was fearful of another dizzy spell and wanted to go with EMS out of an abundance of caution. From the time she received the vaccine to the time she left with EMS it was no more than 30 minutes.

Other Meds:

Current Illness: None reported

ID: 1334082
Sex: F
Age: 40
State: AZ

Vax Date: 04/11/2021
Onset Date: 04/12/2021
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: extreme exhaustion for 36 hours, nauseated - wanted to throw up until about 6pm the next day....appx 24 hours total but didn't start until I woke up the day after the shot

Other Meds: Zyrtec, Zoloft, Synthroid, Singular, Vitamin D (5000)

Current Illness: Allergies

ID: 1334085
Sex: F
Age: 39
State: UT

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

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

Lab Data:

Allergies: Gadolinium. PCN

Symptom List:

Symptoms: About 5 minutes after she received her vaccine, she developed a posterior headache, worsening numbness and weakness, a sensation of tightness in her throat, blurred vision, and some chest pressure. Patient was transferred to the ED for observation. She was normotensive and saturating well on room air. Neurologic exam was performed and and EKG, both were within normal limits. The patient was administered 25 mg diphenhydramine and throat tightness symptoms improved. The patient was discharged to home.

Other Meds: None

Current Illness:

ID: 1334086
Sex: M
Age: 65
State: MN

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: Penicillin

Symptom List:

Symptoms: Blurred Vision in right eye, Headaches. I have an appointment with Dr on Monday 5/24

Other Meds: Metroprolol, Simvistatin, Valesartin

Current Illness:

ID: 1334087
Sex: M
Age: 24
State:

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:

Symptom List:

Symptoms: Pt complained of dizziness, racing heart rate, face swelling/numbness and throat tightness. Zyrtec 10mg given. MD recommended epinephrine injection. Patient refused. EMT called to bedside for EKG. MD recommends transfer via ambulance to ER. Patient declined after thorough education of importance of going to ER. Patient declined and signed to leave Against Medical Advise.

Other Meds:

Current Illness:

ID: 1334088
Sex: F
Age: 44
State: CA

Vax Date: 05/18/2021
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: Mango and Melon

Symptom List:

Symptoms: dizziness, itching, difficulty breathing

Other Meds:

Current Illness:

ID: 1334089
Sex: F
Age: 52
State: MN

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: Started with body aches, low grade fever, chills, night sweats. Exactly the same as when I had covid last month.

Other Meds: Levothyroxine, cytomel, amlodipine, losartan, citalopram, vitamin D

Current Illness: Recovered from Covid 19 approximately April 15

ID: 1334090
Sex: F
Age: 11
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:

Symptom List:

Symptoms: A 11-year-old patient was inadvertently immunized with Pfizer-BioNTech COVID-19 vaccine which is approved for 12 years-old and older. Patient was observed for the recommended 15 minutes post-vaccination with no adverse events noted.

Other Meds:

Current Illness:

ID: 1334091
Sex: F
Age: 34
State: CA

Vax Date: 04/18/2021
Onset Date: 05/16/2021
Rec V Date: 05/20/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: axillary vein thrombosis (left)

Other Meds:

Current Illness:

ID: 1334092
Sex: M
Age: 23
State: CA

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Same day fever associated with chest pain that was positional. Admitted to the hospital, diagnosed with Myopericarditis based on elevated troponin, CRP, clinical history, and cardiac MRI.

Other Meds: none

Current Illness: none

ID: 1334093
Sex: F
Age: 0
State: CA

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: No

Symptom List:

Symptoms: Upon arrival, patient notified vaccinating RN that she became dizzy after she received her first dose. RN offerred for patient to lay down on the cot for the injection. Patient declined. Patient was vaccinated at 0930 and escorted to an observation chair. At 0940, pt complained of feeling dizzy. Patient was helped to the cot and placed in a supine position. Initial vital signs: 120/64 P=88, Resp-16 O2Sat-RA Skin cool & dry 0945 Pt stated that she felt back to normal. 114/64, P-83-91 O2sat-100% Skin cool & dry Pt helped to a sitting position on cot. 0951 118/71, P-96 O2Sat-98% Skin cool & dry. Patient stated she felt normal and told her mother that she felt ready to leave. Patient instructed to drink lots of fluids and avoid strenous activities today. Patient helped to a standing position and stated she felt fine. Pt assissted out of clinic by

Other Meds: unknown

Current Illness: Unknown

ID: 1334094
Sex: M
Age: 46
State: CA

Vax Date: 05/03/2021
Onset Date: 05/07/2021
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: Called health system call ceneter to report feeling tired, chills and slight fever but did not check temp since 5/4/2021 after got 2nd dose covid vaccine Pfizer on 5/3/2021.Pt denies any emergency sx at this time. Pt took tylenol on 5/4 and 5/5 with relief. Home management pt education given, pt assure understanding. Pt requested MD consult appt for today, Scheduled telephone visit with urgent care MD 5/7/21

Other Meds:

Current Illness:

ID: 1334095
Sex: F
Age: 14
State: KS

Vax Date: 05/17/2021
Onset Date: 05/17/2021
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: Per parent: child and parent were informed at check in for clinic that both Janssen and Pfizer vaccines were available. Child was excited to hear that she could have a one dose vaccine and mother was unaware that Janssen was not licensed for people under 18. Nurse providing vaccine did not recognize child's age after child and parent said they would take Janssen. Second nurse at clinic overheard part of conversation and asked providing nurse (after child had received a vaccine) if that child was 18. Providing nurse was then reminded that Janssen is not approved for people under 18. Pediatrician was consulted 2 days after event by parent. Parent was also contacted by myself and informed that there is no information currently available about any different types of expected side effects just because of age. Parent also informed that child did not need to have any other vaccine in addition to this one. Parent expressed understanding.

Other Meds:

Current Illness:

ID: 1334096
Sex: F
Age: 14
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: NKDA

Symptom List:

Symptoms: Syncopal event, no injury accorded, accompanied with mother. Vital signs stable, AAO x 4. Able to stand and walk unassisted

Other Meds: None

Current Illness: None

ID: 1334097
Sex: F
Age: 30
State: PA

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: PENICILLIN

Symptom List:

Symptoms: PATIENT PRESENTED WITH RED RASH ON LEFT ARM STARTING AT INJECTION SITE AND RUNNING DOWN TOWARDS HER ELBOW. SHE STATED HER ARM HURT AND THAT THERE WAS SOME SWELLING.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1334098
Sex: F
Age: 34
State: VA

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: Allergic to sulpha drugs, ciprofloxacin, and penicillin

Symptom List:

Symptoms: Significantly worse tinnitus (I would occasionally have mild tinnitus before - now it is constant and loud)

Other Meds: Zyrtec, zinc, vitamin d, vitamin c, milk thistle, magnesium, multivitamin

Current Illness: N/a

ID: 1334099
Sex: M
Age: 43
State: IN

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: Baclofen; bee stings

Symptom List:

Symptoms: Swollen armpit, headache, muscle fatigue and tired.

Other Meds: Atenolol, Hydrochlorothiazide, Finasteride, Lexapro

Current Illness: N/A

ID: 1334100
Sex: F
Age: 54
State: TX

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: Bactrim, codeine

Symptom List:

Symptoms: Bloody diarrhea x2 resolved same day Painful mouth ulcers resolved after 72 hours

Other Meds: None

Current Illness: None

ID: 1334101
Sex: F
Age: 64
State: CO

Vax Date: 05/02/2021
Onset Date: 05/03/2021
Rec V Date: 05/20/2021
Hospital: Y

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

Lab Data:

Allergies: None reported

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA: one day after immunization patient admitted to hospital for weakness and confusion. Patient tachycardic but afebrile. Diagnosed with urinary tract infection, administered antibiotics and intravenous fluids, clinically improved and discharged home medically stable.

Other Meds: amlodipine

Current Illness: COVID-19 infection

ID: 1334102
Sex: F
Age: 46
State: WA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
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: Severe arm pain at injection site for 3 solid days. Still have temporary arm pain for 3-4 hours every day. More so if I?m using my arm for sanding or scrubbing type activities

Other Meds: Lipitor Lexapro

Current Illness: Diabetes

ID: 1334103
Sex: F
Age: 45
State: CA

Vax Date: 05/14/2021
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: Morphine (oxy derivatives), gluten sensitivity

Symptom List:

Symptoms: Migraine, muscle aches, weak, exhausted, a lump and red rash on left arm near injection. On the 16th, diarrhea and continued exhaustion (lasted 5 days)

Other Meds:

Current Illness:

ID: 1334104
Sex: F
Age: 14
State: PA

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: Nickel

Symptom List:

Symptoms: Patient immediately became sweaty, dizzy,and experiencing hearing loss after receiving her first dose.Patient was seated on floor with elevated legs before she was wheeled back for observation. Patient was visually pale and sweaty.Patient denied any anxiousness before receiving her vaccine. Patient had vitals assessed and was given snacks and juice . Patient was reassessed after 15 minutes and reported feeling better and was sent home with parent. Patient and parent were advised to reach out to family doctor is any late onset of symptoms.

Other Meds: None

Current Illness: None

ID: 1334105
Sex: M
Age: 53
State: NM

Vax Date: 05/12/2021
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:

Symptom List:

Symptoms: Vertigo - I felt dizzy upon waking and the world seemed to be spinning. I had no other symptoms (no fever). It got a bit better during the day, then recurred the next morning.

Other Meds:

Current Illness:

ID: 1334106
Sex: M
Age: 16
State: WA

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 indicated at time of vaccination

Symptom List:

Symptoms: After receiving the first dose of Pfizer vaccine, the patient walked over to the observation area and fell from standing to the floor and hit back of head on floor. When medical personnel approached, the patient's eyes were open and he tried to get up from the floor. Answering questions appropriately. A neuro assessment was performed (PERL), oriented x3, equal grasps, 911 was called. Transported to local ED with mother.

Other Meds: Unknown

Current Illness: None indicated at time of vaccination

ID: 1334107
Sex: M
Age: 13
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:

Symptom List:

Symptoms: patient after getting the vaccine felt dizzy , stayed with him and the father to make sure he is feeling better , the patient said he feels much better and the father said that he son looks good , verified with patient said he doesn't feel dizzy anymore

Other Meds:

Current Illness:

ID: 1334108
Sex: F
Age: 57
State: CA

Vax Date: 05/04/2021
Onset Date: 05/06/2021
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 had trouble focusing my left eye. This lasted approximately 1-2 weeks.

Other Meds: levothyroxine 50 mcg Vitamin D

Current Illness: none

ID: 1334109
Sex: M
Age: 34
State: CA

Vax Date: 04/01/2021
Onset Date: 04/26/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: None that I know of

Symptom List:

Symptoms: Racing heartbeat, Diarrhea, Chest pain, Hypnic jerks, Overall weakness and tingling throughout the body especially the legs

Other Meds: None

Current Illness: None

ID: 1334110
Sex: F
Age: 41
State: WA

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:

Symptom List:

Symptoms: 10:58AM Pt complains of heart rate "going too fast." Pt denies chest pain, sob, dizziness or nausea. Vitals signs were obtained and pt was given water and juice. Pt reports "I feel fine except for my heart rate going fast." Aid (EMS) was called and attended to pt. Pt was cleared by EMS and was safe for pt to go home with her husband driving. Pt reported "I feel okay now." 11:15AM Pt reported a second time of feeling her heart rate "going fast again." Pt denies chest pain, sob, dizziness or nausea. Aid was called and attended the pt. Pt remained alert and oriented, speech and gait at baseline. Pt skin warm and dry. Aid collected vital signs. Aid advised pt to seek medical attention if symptoms re-occur. Pt reports "feeling better" and agrees to seek medical attention if previous symptoms return. Pt driven home by her husband.

Other Meds:

Current Illness:

ID: 1334111
Sex: M
Age: 52
State: PA

Vax Date: 05/03/2021
Onset Date: 05/04/2021
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: Brain fog, fatigue, loss of coordination, mood swings. Symptoms have persisted for 16 days. It continues to affect my ability to perform daily work/home activities. I have not sought treatment yet

Other Meds: Wellbutrin, methylphenidate, testosterone, multivitamin, vitamin d, fish oil , coq10, dhea, pregnenolone

Current Illness: None

ID: 1334112
Sex: M
Age: 56
State:

Vax Date: 03/05/2021
Onset Date: 04/01/2021
Rec V Date: 05/20/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1334113
Sex: M
Age: 60
State: PA

Vax Date: 04/13/2021
Onset Date: 04/20/2021
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: Right side Neck lymph node swelled shortly after vaccination now in process of ultrasound, ct. scan, biopsy performed and mass on right side of neck that they want to remove for further testing. This has all took place shortly after I received Moderna!

Other Meds: no

Current Illness: no

ID: 1334114
Sex: F
Age: 20
State: NJ

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: felt tired within 30 minutes of receiving the vaccine; later that night had extreme chills and could not sleep, the next day on 4/24 throwing up stomach acid and then went to hospital after having chest pain, received fluids and when testing came back okay, I was discharged and felt better

Other Meds: 60mg of Cymbalta daily, birth control pill daily

Current Illness:

ID: 1334115
Sex: F
Age: 30
State: OR

Vax Date: 05/18/2021
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: Zoloft

Symptom List:

Symptoms: Allergic reaction - Angioedema. Wheezing. Prescribed steroids and antihistamines

Other Meds: Doxycycline Hyclate Hydroxyzine Bupropion Topiramate Phentermine Zolpidem Magnesium Oxide Mirena - levonorgestrel intrauterine device One-A-Day Women's Active Metabolism Multivitamin

Current Illness: None

ID: 1334116
Sex: M
Age: 44
State: IL

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/20/2021
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Allergies: NKDA

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Symptoms: Patient appeared for second Moderna COVID-19 dose. Due to paperwork and communication error, patient received Janssen COVID-19 dose instead. Patient was informed of the administration error. Documentation was corrected. Patient experienced no adverse outcomes from the vaccine as of 36 hours after vaccination.

Other Meds: loperamide HCL 2mg capsule PRN, tigan 300mg capsule QID, ibuprofen 800mg q6-8hrs PRN, promethazine 25mg/ml IM q6hrs PRN, selenium sulfide 2.5% topical solution

Current Illness: none

ID: 1334117
Sex: F
Age: 43
State: MA

Vax Date: 03/17/2021
Onset Date: 03/29/2021
Rec V Date: 05/20/2021
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Allergies: none known

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Symptoms: Started with the right arm turning purple or changing colors when elevated above the head. This continued for a few weeks. Then I started to get a tingling sensation in the elbow that went into the right pinky. I visited my primary doctor to see what was going on. She did an evaluation, prescribed Ibuprofen and physical therapy, and had a cervical spine x-ray done. The X-ray looked great when it came back. I could not get an appointment with PT for several weeks so I finally went to the chiropractor on 5/13. He worked on the shoulder area stretching it out. By the morning of 5/15 I was being taken to urgent care and eventually the ER because the arm was swelling and fingers were turning blue. They did blood tests, EKG, chest x-ray, and finally an ultrasound that showed a blood clot. It was DVT in the subclavian vein. I was given a blood thinner and sent home. I had a more thorough ultrasound on 5/17 that sent me back to the ER and with vascular surgeons to discuss immediate surgery with lysis therapy. It was decided that the blood clot had probably been there for weeks and the success rate of the surgery would not be as good.

Other Meds: Junel FE

Current Illness: none

ID: 1334118
Sex: F
Age: 60
State: TX

Vax Date: 05/11/2021
Onset Date: 05/12/2021
Rec V Date: 05/20/2021
Hospital: Y

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Allergies: None.

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Symptoms: She got her vaccine, had no reactions. She woke up on 5/12/21 and had extreme headache, blood pressure was high, nausea and vomiting, extreme pain behind her eyes, blurry vision. Later in the afternoon she had diarrhea. She called her PCP that evening and he prescribed Ondansetron (Zofran). On Thursday she continued to have the blurred and double vision with some nausea and dizziness and headaches which have been on-going, especially on the left side of her head. She went to the ER on Friday evening 5/14/21 where her BP at it's highest point was 195/126 and a pulse of 99. They started doing some actions to determine if she was having a stroke. They did a CT scan and gave her medications to get her BP down, started an IV. She was then admitted to HCF that evening. They kept her overnight and did an MRI on 5/15/21, had to start wearing an eye patch on her left eye due to dizziness and was not able to walk without covering the one eye and needed assistance to walk across the room. Everything was clear on the MRI and CAT scan. She saw two resident internist and then she saw a neurologist while being in the hospital. The neurologist diagnosed her with left third nerve palsy as a result from the vaccine and the high BP. They released her that evening with instructions to see an Ophthalmologist the following week, which she did on 5/17/21 and saw Dr. He concurred with the neurologist diagnosis and felt that there was really nothing that they needed to do and for it to run it's course and let it heal which will take anywhere from 2 weeks to 4 months. She was informed to continue to wear the eye patch until the dizziness and double vision improve. There is pain still behind the left eye, and still has high BP and have prescribed medications for that. Her PCP started her on Amlodipine/HCTZ 10/12.5 mg. She then ended up in the ER again last night on 5/19/21. They put her on fluids as she started vomiting again and could not keep any of the medications down that she was prescribed. So they gave her fluids and started a steroid in the IV fluids to help with the pain and inflammation behind her eye, as well as headache medications as well. She was then sent home last night and now the pain in her eye is about a 5 since receiving the steroids. She was also started on Prednisone 20 mg to start today as when she was in the ER they told her to start that. She has not had any nausea or vomiting today, and seems to be OK, but is still taking the Zofran for this. She was able to eat a little bit today and hold it down, but has not had much in the way of an appetite since receiving the vaccine.

Other Meds: Lisinopril 40 mg, Levothyroxine .88 mcg.

Current Illness: None.

ID: 1334119
Sex: F
Age: 40
State: MA

Vax Date: 05/14/2021
Onset Date: 05/16/2021
Rec V Date: 05/20/2021
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Allergies: Food: avocados Environmental: ragweed, tree pollens, dust Medications: none known

Symptom List:

Symptoms: 8 hours after the shot was received, started with headache, overnight moved to horrible chills, full body aches, lasted about 15 hours. More importantly, ~40 hours after the shot (got it at noon on a Friday, started middle of the night on a Saturday); woke up from full body hives. The hives were in sheets, incredibly itchy, in places all over my body (back, feet, arms, neck). They lasted in that intensity for another ~24 hours; then settled a little bit, but very itchy hives have continued to break out in patches all over my body (face, armpits, ankles, legs, lower back etc). They last for several hours, then die down (on own or by using OTC ointments) and pop up in another location. Extremely itchy bumps, but not painful to the touch. It has been about 5 days of steady state and now just starting to see fewer patches.

Other Meds: RX: Mirena; spironolactone OTC: Flonase

Current Illness: None

ID: 1334120
Sex: F
Age: 26
State: OR

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
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Allergies: n/a

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Symptoms: Approximately 18 hours after the vaccination, I started to feel unusually hot. I got up to walk to a different room and had white flashes in my eyes and started to get dizzy. I then sat down and started sweating all over and shortly after I fainted.

Other Meds: Junel FE birth control, Biotin 5000 mcg, Magnesium citrate 250 mg, Iron 63 mg, Calcium w/ D3 600 mg, Vitamin D3 1000 IU

Current Illness: n/a

ID: 1334121
Sex: M
Age: 57
State: WI

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
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Allergies: morphine allergy

Symptom List:

Symptoms: lightheadedness when standing up, heachache, upper back stiffnesss, hot and cold sweats, vomiting

Other Meds: no meds

Current Illness: none

ID: 1334122
Sex: M
Age: 24
State: IN

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/20/2021
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Allergies: Topiramate

Symptom List:

Symptoms: An intense fever began around 10:30 PM, about nine hours after injection into the upper right arm, with an intense headache accompanying it. OTC flu medication was taken at that time. In the morning the headache persisted (with light sensitivity) and extreme mental cloudiness was experienced. I was also light-headed and irritable. The fever had ceased by the morning but the whole day was characterized by being constantly physically and mentally fatigued. As I write this, (20 May, when the shot was administered 18 May), some mental cloudiness remains and some physical fatigue remains, but the other symptoms have abated.

Other Meds:

Current Illness:

ID: 1334123
Sex: F
Age: 80
State:

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 05/20/2021
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Allergies: None

Symptom List:

Symptoms: Headache, muscle aches, fever, and a metallic taste in mouth 10 mins after shot was given

Other Meds: Lisinopril, Atorvasatin, Oxybutynin

Current Illness: None

ID: 1334124
Sex: F
Age: 14
State: MO

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

Symptom List:

Symptoms: Within first five minutes sudden ringing in ears, nausea, dizziness, sweating. An urge to pass out/faint. Symptoms subsided after 10 minutes.

Other Meds: Fluoxetine

Current Illness: None

ID: 1334125
Sex: M
Age: 15
State: CA

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 05/20/2021
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Allergies: na

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Symptoms: Sunday afternoon(5/16) got Pzifer COVID vaccine Dad says on Monday am early they woke him for school and he was asking where was he and why they were waking him up- kinda like in a dream like state and confused looking; they told him to just get up- he was able to get out of bed but seemed out of it -this lasted a few hours- he went back to sleep and when he woke back up he was not confused anymore but very tired; he also had some nausea and vomited; No fever; no cough; no body aches; L arm is a little sore- not as much today; each day a little better has had a little headache- but not much of one; Last night had better appetite so ate a lot of food then vomited again; has not really have an appetite before last night ; this am able to eat and kept food down today; Sleeping more but was restless sleep until last night as well Back in school for the past month; No school work this week- tried some math this am but trouble focusing so just stopped doing work

Other Meds: na

Current Illness: na

ID: 1334126
Sex: F
Age: 50
State: WA

Vax Date: 03/25/2021
Onset Date: 03/27/2021
Rec V Date: 05/20/2021
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Allergies: Latex, glue used on bandages

Symptom List:

Symptoms: The headaches and dizziness, were actually associated with LOW BLOOD SUGAR. Did not realize until the week of 4/26/21. I do NOT have diabetes although can run on the higher end. I would wake up below 70 and after eating still not get past 80.

Other Meds: Exemastane, Flonase

Current Illness:

ID: 1334127
Sex: F
Age: 58
State: IN

Vax Date: 03/24/2021
Onset Date: 05/02/2021
Rec V Date: 05/20/2021
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Allergies: None known

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Symptoms: After 5 weeks, my arm is still numb and if I move it a certain way, it feels like a bee sting or jabbing a needle in my arm pain.

Other Meds: Lozarthan Magnesium

Current Illness: None

ID: 1334128
Sex: F
Age: 24
State: VA

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
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Symptoms: patient experienced syncope reaction after having vaccine. he was just slouched over in the chair. came out of fainting pretty quickly and started sweating. we gave him an ice pack for his neck to cool off and some water. i checked on him this morning and he's perfectly fine.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm