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
86,266
AK1,790
AL6,052
AR3,927
AS45
AZ14,383
CA63,899
CO12,038
CT8,639
DC1,732
DE1,848
FL41,014
FM3
GA15,501
GU91
HI2,436
IA4,697
ID2,720
IL21,245
IN23,521
KS4,770
KY8,221
LA5,260
MA15,147
MD12,990
ME3,250
MH8
MI19,891
MN12,671
MO9,957
MP30
MS3,043
MT2,359
NC17,232
ND1,424
NE2,998
NH3,103
NJ19,267
NM4,046
NV4,545
NY36,103
OH19,901
OK6,455
OR8,828
PA24,703
PR2,449
QM2
RI2,071
SC6,870
SD1,232
TN9,874
TX38,316
UT4,441
VA15,315
VI61
VT1,768
WA15,318
WI11,432
WV2,426
WY883
XB5
XL1
XV2

ID: 1351428
Sex: F
Age: 18
State: CA

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

Vax Type:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: About a week after the vaccine I had welts all over my body. They were like the welts that I had when I had Covid-19 in July of 2020. The welts came and went for a while and they were mainly on my left side. I woke up with them and then they would come and go during the day. They were hard raised welts and it lasted for three weeks. I also seemed to have allergic reactions to some foods. I went to the ER on 04/29/2021 three weeks after the vaccine. The welt on my wrist was very red and swollen and I was concerned. I was prescribed an antihistamine. It helped with the rash and other symptoms.

Other Meds:

Current Illness:

ID: 1351429
Sex: F
Age: 63
State: CA

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: headache and nausea starting a few hours after shot. Nausea off and on since then, headache for the 8th day now, and not getting better

Other Meds:

Current Illness:

ID: 1351430
Sex: F
Age: 43
State: HI

Vax Date: 04/09/2021
Onset Date: 04/27/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: None reported

Symptom List:

Symptoms: I developed Covid after my J&J vaccine. I experienced cough all night, felt cold, runny nose and stuffy nose, congestion, felt low energy, and felt very tired. Then after two days later after my cold, I lost my sense of taste and smell. My symptoms lasted four-six days. I went to the doctor I got tested for Covid and was positive and within a week my symptoms started to go away. I have no symptoms today.

Other Meds: None reported

Current Illness: None reported

ID: 1351431
Sex: F
Age: 83
State: CA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: Aluminum and aspartame

Symptom List:

Symptoms: The morning after injection was given, she was itchy all over her body, even her head. Skin became flaky and this lasted for approximately 7 days. Patient is allergic to aluminum and as far as I know this information is in her medical records. called her and made an appointment with her. She was not informed of any adverse reactions that could or told there was aluminum in the injection serum. notified about the itching and was informed not to take the second injection.

Other Meds: Levothroxin #112

Current Illness: None

ID: 1351433
Sex: F
Age: 65
State: MD

Vax Date: 04/02/2021
Onset Date: 04/14/2021
Rec V Date: 05/26/2021
Hospital: Y

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

Lab Data:

Allergies: Na

Symptom List:

Symptoms: Initially, experienced swelling in left foot, leg, progressive pain, difficulty walking. Referred for test, after seeing doctor on 4/21/21, progressive pain, gradual and increasing shortness of breath. Went to Urgent care on 4/26/21. Recommended Emergency care. Hospitalized 4/26/21 to 4/30/21. Diagnosed DVT, Pulmonary Embolism, Afib.

Other Meds: Hydrochlorothiazide

Current Illness: Hypertension Diabetes

ID: 1351434
Sex: M
Age: 92
State: CA

Vax Date: 01/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/26/2021
Hospital: Y

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

Lab Data:

Allergies: TDAP

Symptom List:

Symptoms: COVID 19 INFECTION WITH SYMPTOMS

Other Meds: ASA 325 DAILY; BIOTIN 800MCG DAILY; BISACODYL 5MG Q 12 HOURS AS NEEDED FOR BOWEL MOVEMENT; CALCITRATE 200MG TID, CRESTOR 20MG AT HS; VIT B12 100MCG DAILY; IRON 324 MG WITH MEALS; FLUTICASONE SPRAY 50MCG/ACTUATION ONE SPRAY NASAL DAILY; LISI

Current Illness: NONE LISTED

ID: 1351435
Sex: F
Age: 40
State: MD

Vax Date: 02/20/2021
Onset Date: 03/07/2021
Rec V Date: 05/26/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Route:
Vax Site:

Lab Data:

Allergies: Latex

Symptom List:

Symptoms: I have not had a menstrual cycle for 16 years since having an IUD. Since my second vaccine I have been having heavy irregular menstrual bleeding sometimes up to twice per month.

Other Meds:

Current Illness:

ID: 1351436
Sex: F
Age: 17
State: NC

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient received vaccine at 17 years of age instead of 18 no adverse reaction noted.

Other Meds: none

Current Illness: none

ID: 1351437
Sex: F
Age: 28
State: CA

Vax Date: 01/19/2021
Onset Date: 03/01/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: sulfa medication

Symptom List:

Symptoms: I got the second vaccine and I had severe abdominal pain and I went to the UTI and they sent me to the ER and they taught it was appendicitis but it was not and they sent me home and it turned out to be COVID again and I had fever and severe abdominal pain.

Other Meds: None

Current Illness:

ID: 1351438
Sex: F
Age: 45
State: IL

Vax Date: 04/28/2021
Onset Date: 05/27/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Blue Dye

Symptom List:

Symptoms: Still feeling nauseous since I have had my shot. It hasn't improved.

Other Meds: N/A

Current Illness: N/A

ID: 1351439
Sex: M
Age: 15
State: NY

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

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

Lab Data:

Allergies: Peanut _ hives only

Symptom List:

Symptoms: Patient developed a short lived near syncope spell x 30 mins after receiving Pfizer vaccine while getting up from exam bed no injury to report he reported feeling warm and appeared pale and clampy and diaphoretic vitals: B/P 126/90 pulse 77 oxy 99%. He showed no symptoms of allergic reaction no rash no angioedema, lungs were clear with obstruction reporting no tingling or swelling of the tongue he was observed for 30 mins walking around normally before being transitioned back to his guardian he did not lose conscience discharge vitals B/P 123/85 sat 100% pulse 82.

Other Meds: None

Current Illness: no

ID: 1351440
Sex: F
Age: 40
State: MT

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: Tree nuts Shellfish

Symptom List:

Symptoms: At noon, the same day I received the vaccine, I had a headache. At 4pm I had a fever. At 5pm I had chills and was shaking continuously for 48-72 hours. Then I had a headache off and on. 2 weeks after, I had fatigue and was feeling nauseas that lasted for 2 weeks.

Other Meds: Vitamin D3 5,000units, 1xday

Current Illness:

ID: 1351441
Sex: F
Age: 44
State: MA

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

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

Lab Data:

Allergies: paxil cymbalta lithium

Symptom List:

Symptoms: Patient received 1st dose of COVID 19 vaccine. Pt. reported some dizziness and denied having eaten anything prior to vaccination so pt was moved to cardiac chair. Approx 5 minutes after vaccination RN observed pt's eyes fluttering shut and unresponsive. Pt was unresponsive to verbal commands and sternal rub. Vitals were obtained and within normal limits, code blue called in hospital and pt transferred to ED via ambulance at approx 1325

Other Meds: proair- 90mcg lasix 20 mg neurontin 300 mg lisinopril 5,g ativan 1mg meclizine 25 mg meloxicam 15 mg omepazole 40mg ondansetron 8 mg minipress 2 mg trazodone 50 mg tylenol 650 mg prn cetirizine 10 mg vitamin D3 2000 units benedryl 25 mg prn

Current Illness: Seen for chest pain and heel pain 4/26/21 Ankle and foot swelling, urinary incontinence 5/26/21

ID: 1351442
Sex: F
Age: 63
State: IN

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 05/26/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Route:
Vax Site:

Lab Data:

Allergies: Sulfa, penecillin

Symptom List:

Symptoms: Fever for 3 days at this point - 100, worst is joint pain, all on my right side (shot was on left side). Right wrist and forearm feels like it was broken - pain, and inability to put any pressure on my right hand/wrist - extreme pain from simple touch like touching a kleenex to my nose, lifting an empty plastic glass, even touching my wrist in the bed when sleeping. Pain in my right hip, right shoulder, a previously broken toe - bizarre. Have worn a wrist brace. Dizziness, grogginess extreme exhaustion.

Other Meds: Raw Calcium, Salmon Oil, Levothyroxine Sodium - 25 mcg daily

Current Illness: seasonal allergies

ID: 1351443
Sex: F
Age: 61
State: OH

Vax Date: 05/24/2021
Onset Date: 05/26/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List:

Symptoms: Right arm had extreme itchiness and rash 6-8inches from injection site down right arm covering entire arm. Patient claimed she had no shortness of breath and no pain other than normal soreness in arm, but did feel warm to touch. She did say the rash covered the entire area on arm.

Other Meds: unknown

Current Illness: none

ID: 1351444
Sex: M
Age: 53
State: ND

Vax Date: 04/14/2021
Onset Date: 04/26/2021
Rec V Date: 05/26/2021
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 on 4/26/2021, within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

Date Died: 05/06/2021

ID: 1351445
Sex: F
Age: 55
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Slight malaise after first dose. After second dose, she complained of body aches throughout the rest of the day until she was transported to the hospital.

Other Meds:

Current Illness:

ID: 1351446
Sex: M
Age: 68
State:

Vax Date: 03/20/2021
Onset Date: 03/27/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: hand arthralgias and swelling

Other Meds:

Current Illness:

ID: 1351447
Sex: F
Age: 37
State: IN

Vax Date: 04/14/2021
Onset Date: 04/20/2021
Rec V Date: 05/26/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
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Lab Data:

Allergies: amoxicillin/penicillin/minocycline

Symptom List:

Symptoms: 3/17 - COVID (think Covid may have effected thyroid levels, noticed a difference in body temp one week after covid) 4/14 - Moderna vaccine 4/15-4/16 - sore arm 4/20 - Chills/body temp change, didn't feel sick 4/21 - Injection site redness, raised bump 4/22-rash on shoulders/chest (went away by 4/24 on its own), mild joint pain 4/23- joint pain (hips) and Erthyma Nodusum symptoms started 4/27-5/3- Did 7 days of prednisone which kepts things at bay 5/4-5/10 - used Advil to help with inflammation didn't work 5/11 - back on prednisone and referred to dermatologist 5/13 - dermatologist, confirmed Erthyma Nodusum, gave Kenalog injection and higher dose of steriods, gave minocylcline and had an allergic reaction to that and switched to omnicef. Currently still on antibiotic and finishing up steriods.

Other Meds: Synthyroid,

Current Illness: Covid one month prior to vaccine

ID: 1351448
Sex: F
Age: 51
State: CA

Vax Date: 04/23/2021
Onset Date: 04/30/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: ON 4/30/21--- RED, HEAT, SWELLING TO GOLF BALL SIZE TO 2" ABOVE ELBOW FOR 3 DAYS. TOOK IBUPROFEN, BENEDRYL EVERY 6 HOUS 5/4/21-- LITTLE BETTER BUT STILL RED . GETTING SMALLER. FRONT OF ARM AND UP AROUND SHOULDER STILL INFLAMMED AND RED

Other Meds: N/A

Current Illness: NONE

ID: 1351449
Sex: F
Age: 62
State: GA

Vax Date: 04/13/2021
Onset Date: 05/24/2021
Rec V Date: 05/26/2021
Hospital: Y

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

Lab Data:

Allergies: NO KNOWN DRUG ALLERGIES

Symptom List:

Symptoms: 4/13- GOT COVID VACCINE 4/20- HAD COVID TEST FOR UPCOMING PROCEDURE, IT WAS NEGATIVE 4/22- HAD OUT PATIENT INNER EAR PROCEDURE 4/24- DID NOT FEEL GOOD 4/24-5/1- RAN A HIGH FEVER 4/29- WENT TO PCP AND HAD A COVID TEST, IT WAS POSITIVE 5/1- WENT TO ER AND WAS HOSPITALIZED ( WAS ON OXYGEN, 6-7 CONTINOUS) 5/7- CAME HOME WITH NO OXYGEN

Other Meds: LOSARTAN POTASSIUM 25MG, VIT. D. 1.25MG

Current Illness: UTI

ID: 1351450
Sex: M
Age: 45
State: AZ

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Massive headache, fever, nausea, and diarrhea

Other Meds: None

Current Illness: None

ID: 1351451
Sex: F
Age: 62
State: CA

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: abrupt recurrence of hip pain, contralateral knee pain

Other Meds:

Current Illness:

ID: 1351452
Sex: F
Age: 18
State: MO

Vax Date: 05/20/2021
Onset Date: 05/21/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Polyarthralgia significant enough to require ED evaluation for pain management (received Toradol and discharged)

Other Meds: Wellbutrin XR 150 mg

Current Illness: None

ID: 1351453
Sex: F
Age: 69
State: MN

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: I woke up middle of night and I have a weaker numb right leg, but I couldn't move it was paralyzed. In the morning I still could not move my right leg. It eventually slowly came back so I could walk but has left it weaker then before I had the shot to this date. I spent 4 days in our condo before I felt I could walk.

Other Meds: Alendronate Sodium tab 70mg Gabapentin 300mg Clonazepam 1mg Dalfampridine er 10mg Cyanobalami-n 1000 MCG/ML D3 calcium

Current Illness: none

ID: 1351454
Sex: F
Age: 53
State: CA

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, codine

Symptom List:

Symptoms: Frequent and ongoing diarrhea multiple times each day, stomach pains, fatigue

Other Meds: Xaralto 2.5 mg x 2 Aspirin 81 mg x 2 Metoprolol 25 mg Atorvastatin 40 mg

Current Illness: None

ID: 1351455
Sex: F
Age: 42
State: AL

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: C/o severe headache approximately 10 minutes after receiving Moderna vaccine. BP 100/72 initial check, then 10 minutes later went to 140/100. Patient refused evaluation by EMT. Called husband to come get pick her up. Tried to notify patient but no answer.

Other Meds:

Current Illness: none known

ID: 1351456
Sex: M
Age: 24
State: VA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: patient fainted immediately after for about 1 second, his head dropped but then he woke back up. right after the dose he began breathing quickly, so i instructed him to take his mask off and lay back if he needed. i grabbed him a water and took his blood pressure/hr. EMS was called, patient denied care. HIS BP WAS 104/73 AT 12:53 PM AND HIS hr WAS 72 BPM. I did notice some mild seizure like physical symptoms as he woke up - arms and shoulders jerked a little for a few seconds. he said that the same, but worse, reaction happened after his first dose.

Other Meds: prescribed adderall, not taken day of vaccination

Current Illness: none

ID: 1351457
Sex: F
Age: 37
State: IL

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: pamine

Symptom List:

Symptoms: Participant has already filed 4 VAERS report with V-safe check in detailing the adverse events (VAERS ID 998892, 999016, 1032943, 1053857). Symptoms that she is still having 4 months post vaccine are the following: numbness and burning of all fingertips, all knuckles achy, bottom of both feet feels like pin and needles (nerve/neuropathy), intermittent throat swelling, breathing difficulty, and brain fatigue. She went to a neurologist who has diagnosed her with Guillain-Barre. No treatment prescribed.

Other Meds: multivitamins daily Vitamins D3 daily

Current Illness: none

ID: 1351458
Sex: F
Age: 78
State: CO

Vax Date: 04/03/2021
Onset Date: 04/06/2021
Rec V Date: 05/26/2021
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: three days after vaccination patient presents to clinic reporting cough, chills, and over one month worsening of dyspnea on exertion, lower extremity edema, and orthopnea. Patient immediately transferred to hospital, diagnosed with acute on chronic volume overload and acute diastolic heart failure exacerbation, diuresed, and discharged to home medically stable. On outpatient follow-up patient is improved clinically.

Other Meds: amlodipine, atorvastatin, carvedilol, vitamin B12, diclofenac gel, iron, furosemide, insulin, levothyroxine, losartan, Xarelto

Current Illness: worsening congestive heart failure

ID: 1351459
Sex: F
Age: 50
State: CO

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List:

Symptoms: Right elbow started hurting so much it was difficult to raise my arm to touch my face. Left elbow also hurts but less than right. I waited for symptoms to subside but over a month has passed and there is not much improvement.

Other Meds: Paroxetine, ginko biloba, ashwaganda, potassium, vitamin D and K, vitamin C, lutein, and raspberry leaf tea

Current Illness: N/a

ID: 1351460
Sex: M
Age: 27
State: NC

Vax Date: 04/08/2021
Onset Date: 04/23/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: None to my knowledge

Symptom List:

Symptoms: After like two weeks, before going to bed, I started having SOB and then a full-on chaotic panic attack. Chest pain, stomach was visually twisted and hurt, felt like I had a knot in my throat and full on anxiety. It took about a week for it to start going away after one Urgent Care visit, two ER visits, and a PC visit who prescribed me with clonazepan and Prozac. When I took both of them two weeks later, my symptoms and pain finally got better, but I am still having SOB, a little fatigue, my joints hurt once in a while, digestive problems, weird chest feeling. At least the heart pains went away.

Other Meds: Vitamin D, B-Complex, and Magnesium

Current Illness: I got covid around Feb 20th and recovered after two weeks. SOB persisted and slowly recovered up until The vaccine.

ID: 1351461
Sex: F
Age: 57
State:

Vax Date: 02/24/2021
Onset Date: 04/06/2021
Rec V Date: 05/26/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient hospitalized within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1351462
Sex: F
Age: 47
State: NJ

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: Zpack, cipro Food: Gluten

Symptom List:

Symptoms: Inflammation of joints ( knees, back) gums after first infection. Treated by immunologist. Celebrex was prescribed for 7 days. After second shot in March I felt almost dead for straight 6 days in bed. I felt like huge track ran over me or the worst case of flue. Join pains, back, knees pain for 6 days. I started to have gum bleeding and still gave it now. My lymph node got swollen to the size of an apple under left armpit ( injection site). I still have it swollen and it doesn?t go away and hurts. I started to have horrible spleen pain ( upper left abdomen). On day 5-6 i started to have dizzy spells. My head was going round and i felt like my left part is different from my right part of the brain . I almost got to the car excitant because the road was splitting apart the way i felt it. I could not work or do any everyday activities. I contacted my immunologist and she suggested Celebrex one more time which made it a bit better. I still have lymph node enlarged and back and knees pain I never had before immunization. It severely affected my ability to take care of my family. I feel sick and in pain still. My spleen still hurts every day on and off. I have a lot of body inflammation. I have unspecified immune deficiency dx. Maybe it contributed to all the symptoms but they do not go away and doctors don?t know what to do with sudden onset of health issues.

Other Meds: None

Current Illness: None

ID: 1351463
Sex: M
Age: 61
State: IA

Vax Date: 01/15/2021
Onset Date: 02/12/2021
Rec V Date: 05/26/2021
Hospital: Y

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Allergies: sulfa drugs

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Symptoms: Heart failure with reduced ejection fraction (15 to 20%) Atrial fibrillation with RVR at a ventricular rate of approximately 100 bpm.

Other Meds:

Current Illness: MVA in Dec seen in ED

ID: 1351464
Sex: F
Age: 12
State:

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/26/2021
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Symptoms: AE: Diaphoretic, nervous, dizzy( at 4:01pm) Treatment: no medication was given. patient was under observation. Outcome: symptoms resolved with observation and patient was sent to POV/Home.

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Current Illness:

ID: 1351465
Sex: M
Age: 76
State:

Vax Date: 03/19/2021
Onset Date: 05/25/2021
Rec V Date: 05/26/2021
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Symptoms: weakness, dizziness upon waking

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Date Died: 04/22/2021

ID: 1351466
Sex: M
Age: 88
State: MI

Vax Date: 04/01/2021
Onset Date: 04/16/2021
Rec V Date: 05/26/2021
Hospital: Y

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Allergies: Erythromycin, penicillins, Xanax [alprazolam], Allegra [fexofenadine]

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Symptoms: 88-year-old male with lymphoma that received a transfusion of 2 units of packed red blood cells prior to admission. The patient has a history of pleural effusions and he states after the blood transfusion, he became increasingly more short of breath and could not catch his air. He was dyspneic at rest and exertion. There is no cough. No fevers. He also has a history of cardiomyopathy and chest x-ray is suggestive of increasing sizes of his pleural effusions. Tested positive for COVID on 4/20/2021. Moved to hospice and expired on 4/22/2021.

Other Meds: Albuterol, allopurinol, Coreg, Plavix, digoxin, Lasix, lisinopril, Protonix, Zocor, Aldactone, Coumadin

Current Illness: Acute respiratory failure, pleural effusion, SOB

ID: 1351467
Sex: F
Age: 30
State: CA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 05/26/2021
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Allergies: none

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Symptoms: About 6 pm that evening of my shot I started running a fever. Chills, temperature fluctuated between 101-104. This lasted 1 day,

Other Meds: birth control

Current Illness: none

ID: 1351468
Sex: F
Age: 34
State: FL

Vax Date: 05/21/2021
Onset Date: 05/22/2021
Rec V Date: 05/26/2021
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Allergies: Penicillin, gluten

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Symptoms: Fever, aches, chills, swollen lymph nodes under left arm, muscle pain and muscle weakness, hives across abdomen, severe headache, brain fog

Other Meds: Quercitin, Claritin, magnesium, vitamin C, oil of oregano

Current Illness: None

ID: 1351469
Sex: F
Age: 85
State: OR

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/26/2021
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Allergies: unknown. Do not take a lot of stuff Allergic to poison oak and tree pollens

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Symptoms: My arm got progressively sore. within the week it migrated to the muscle next to my breast and up my neck. Two weeks later it settled in my shoulder and was very painful. It was akin to bursitis which I have never had in that shoulder but years ago I had bursitis in my other shoulder so I know what it feels like. But, now it has migrated to a sore neck and causing stiffness when I try to turn my head. It seems to hurt worse when I lay down and try to sleep than it does when I am sitting or standing. I have not gone to the doctor so I cant answer item 19. Driving is too painful so I probably wont go to the doctor and hoping it will get better. But, I am wondering if I should get my second shot in June or not.

Other Meds: one a day vitamins with heavy vitamin D Lisinipril

Current Illness: One month prior had flu shot and a common cold

ID: 1351470
Sex: F
Age: 63
State:

Vax Date: 04/14/2021
Onset Date: 05/19/2021
Rec V Date: 05/26/2021
Hospital: Y

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Symptoms: Patient hospitalized on 4/23/21 and 5/19/21. These visits are within 6 weeks of receiving COVID vaccination. Diagnoses were mass of pancreas and pancreatic adenocarcinoma, respectively.

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ID: 1351471
Sex: F
Age: 62
State: AZ

Vax Date: 04/28/2021
Onset Date: 05/07/2021
Rec V Date: 05/26/2021
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Allergies: Penicillin, tetanus

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Symptoms: 9 days after 1st Moderna vax I developed a rash below injection site, over my bicep area, I used cold compress and rash went away after a couple days.

Other Meds: B12, iron, bone supplement

Current Illness:

ID: 1351472
Sex: F
Age: 48
State: PA

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 05/26/2021
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Allergies: sulfa drugs

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Symptoms: 2 days after the vaccine i went to the doctor, for something else, and i had significantly high blood pressure. 174/102, I have no history of high blood pressure. Doctor told me to watch my symptoms. I was not having chest pain, shortness of breath or any heart attack symptoms. Monitor it for the next 24 to 48 hours. The next day I checked my blood pressure, 185/110, At a clinic they did EKG, normal, Heart rate was fine. Rest drink water and rested. About 2 hours later they did another EKG. everything was normal, but my blood pressure was still high. I was given Clonidine blood pressure, and it brought down my blood pressure within an hour to 2 hours. I made an appointment for the next day. My blood pressure went up again that night 170/84, and I took another Clonidine. and it came down again. The next morning , I went to my doctor , 174/106 and a real bad headache by the time I arrived at Dr. office. Doctor reported hypertension. and ordered blood work. The friday before the vaccine, I had an annual check up and I was normal, The doctor did another EKG and it was fine. The doctor Lisinopril-hcz , diuretic , making sure she did not have a kidney infection that was causing my blood pressure to go up. Switched the meds bc my blood pressure was going to low. Feb. 8, he switched me to just lisinopril without the diuretic.

Other Meds: none

Current Illness: none

ID: 1351473
Sex: M
Age: 37
State: OH

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/26/2021
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Symptoms: patient was given moderna for a second dose instead of pfizer

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ID: 1351474
Sex: F
Age: 34
State: NH

Vax Date: 04/18/2021
Onset Date: 05/22/2021
Rec V Date: 05/26/2021
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Allergies: N/a

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Symptoms: Raised, Red, Itchy Circular Rash around injection site. Rash was firm to touch, very itchy. Bright pinkish red color. Circular extending around injection site Fairly evenly about 1-1.5 inches. Rash lasted approx 72 hours then itching lessened and color faded and texture returned to normal pretty quickly after this time period. Was 100% gone within a week. Treatment: at home. Did not report to physician. Used Gold bond topical anti itch lotion which relieved itch dramatically. Outcome: signs and symptoms gone within a week.

Other Meds: Omeprazole 20mg, Citalopram 20mg, Fish Oil, Daily Multivitamin, Melatonin 3mg

Current Illness: sinus infection with unrelenting coughing- tested negative for COVID-19

Date Died: 05/09/2021

ID: 1351475
Sex: F
Age: 76
State: MN

Vax Date: 04/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/26/2021
Hospital: Y

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Symptoms: Patient was hospitalized and died within 60 days of receiving a COVID vaccine series

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Current Illness:

ID: 1351476
Sex: M
Age: 25
State: PA

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 05/26/2021
Hospital: Y

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Allergies: None

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Symptoms: Student started having chest pain the next day on 5/19/2021. Seen at student health on 5/21/21 for atypical chest pain. Had normal EKG. Labs drawn for D-Dimer and troponin. Sent to ED next day when troponin came back at critical level - 7.42. He was admitted from ED to hospital 5/22/21 with myocarditis - discharged on 5/52/21 with final Dx of Non-ST elevation myocardial infarction, Of note he has a twin who was diagnosed with myocarditis last year.

Other Meds: None

Current Illness: None

ID: 1351477
Sex: M
Age: 63
State:

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/26/2021
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Symptoms: pt felt dizzy, like heart racing - pt had cold water & sat a few minutes longer then stated he was ok to leave. Pt has parkinsons & wife said he gets anxiety.

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Current Illness:

ID: 1351478
Sex: F
Age: 76
State:

Vax Date: 02/25/2021
Onset Date: 03/15/2021
Rec V Date: 05/26/2021
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Allergies: Morphine

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Symptoms: March 15th right upper thigh pain, sore to the touch. Around April 1st had to buy a cane to help with walking

Other Meds: atorvastatin, levothyroxine, metoprolol, losartan, Aspirin, Zeita, Fish Oil

Current Illness: No

Total 2021 VAERS Injuries: 670,539

Page last modified: 03 October 2021 5:28pm