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: 1352103
Sex: F
Age: 17
State: PA

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: no know

Symptom List:

Symptoms: patient felt a lot of nausea - thought she was going to throw up but she didnt

Other Meds: none know

Current Illness: none know

ID: 1352104
Sex: F
Age: 34
State: WA

Vax Date: 03/30/2021
Onset Date: 04/30/2021
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 allergies

Symptom List:

Symptoms: Severe pancytopenia. Bone marrow biopsy consistent with aplastic anemia, currently hospitalized. Transfusion dependent for platelets currently and may be transferred soon to tertiary hospital for aplastic anemia treatment.

Other Meds: Cetirizine 10 mg, fluticasone HFA 110 mcg/inh, fluticasone 27.5 mcg/inh nasal spray, ibuprofen 200 mg, levothyroxine 25 mcg, albuterol 90 mcg/inh inhaler

Current Illness:

ID: 1352105
Sex: M
Age: 57
State: OH

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: About four hours following vaccination, the patient called the pharmacy with symptoms of arm pain at injection site, shoulder pain in left shoulder, and decreased range of motion in left shoulder. The patient also stated that he felt the vaccine had been given too high on the arm causing his symptoms.

Other Meds: None

Current Illness: No

ID: 1352106
Sex: F
Age: 79
State: PA

Vax Date: 02/14/2021
Onset Date: 02/20/2021
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: Tinnitus ongoing

Other Meds: Valsartan HCT, zocor, valciclovir, B12, vitamin E, emergenCe, myralax, probiotic, eye vitamins,

Current Illness:

ID: 1352107
Sex: F
Age: 42
State: FL

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: The pt came back to the pharmacy after receiving the Moderna vaccine. The pt was flushed, skin was really red and she complained that the throat was tightening. I immediately gave her Benadryl and a bottle of water and after about 20 minutes the pt's face was no longer red and she said her throat didn't feel like it was tightening. The pt was fine when she left and I informed her that the pharmacist on duty would contact her on Thursday.

Other Meds: N/A

Current Illness: N/A

ID: 1352108
Sex: M
Age: 35
State: CA

Vax Date: 03/15/2021
Onset Date: 04/20/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: About 3-4 weeks after receiving my second covid shot, I noticed the formation of a single bump in abdominal wall went to doctor and diagnosed (Lipoma). A few weeks later, the growth continued to enlarge and I found another bump (lipoma). My physician did not say or imply this was the result of the vaccine. Also, I haven't read any articles seeing this as a potential side effect of the vaccine. However, I've never had a single (let alone 2) lipoma's in my life. I'm sure this is coincidental but I wanted to report it, just in case others are reporting similar events and there is potentially a trend.

Other Meds: No

Current Illness: No

ID: 1352109
Sex: F
Age: 47
State: DE

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

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

Lab Data:

Allergies: tramadol, sulfa drugs, erythromycin, penicillins

Symptom List:

Symptoms: Patient says that everything tastes like metal. She can't raise either arm above her head. She is sore under her breasts up to the shoulders. She has swelling in the antecubital crease. She also has shortness of breath.

Other Meds: prednisone, ProAir, hctz, amlodipine, oxycontin, Wellbutrin, gabapentin

Current Illness: was hospitalized 5 days prior for asthma

ID: 1352110
Sex: F
Age: 45
State: SC

Vax Date: 03/25/2021
Onset Date: 03/30/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Welt/bug bites that started on 3/30 on my legs. They burn & hot to touch. Then start to itch.

Other Meds: Tirosint 125 mcg, Liothy S.R., Charlotte 24 FE, vitamin D, Magnesium

Current Illness: NA

ID: 1352111
Sex: F
Age: 58
State: OR

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

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

Lab Data:

Allergies: aspirin, thimerosal

Symptom List:

Symptoms: Shortly after the vaccine, patient described getting itchy all over as well as flushed. Patient was given benadryl (50 mg) by mouth and dealt with symptoms for about 3 days. Issue is resolved, but patient is consulting with MD to see if she should take the second dose.

Other Meds: None known.

Current Illness: None Known

ID: 1352112
Sex: F
Age: 37
State: NY

Vax Date: 05/19/2021
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: Migraine. Abdominal pain. Menstrual bleeding. Crhamps. Colic.

Other Meds: Propranol 40 mg qd Folic ?cid 1 mg qd Fluoxetine 20 mg day Sulbutiamide qd

Current Illness: Migraine

ID: 1352113
Sex: F
Age: 14
State: PA

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:

Symptom List:

Symptoms: patient became dizzy and lightheaded. patient passed out.

Other Meds:

Current Illness:

ID: 1352114
Sex: F
Age: 56
State: MA

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: Prednisone, Eryhromycin, Epipnerphine, Minocycline FE infusion

Symptom List:

Symptoms: I was taken to a corner away from the conference room. I was close to the exit where the ambulance was in the parking lot. I received the COVID 19 vaccine in my left deltoild. Suddendly I felt very flush as if my blood was leaving my face. My face and throat began to swell. I could not speak. My hand and feet were tingling. I felt very dizzy as if I was swaying. I could not sit up in the chair. I heard people speaking they seemed far away. My lips were and eyes lips twitching and continues to swell. Place in ambulance heard them say my BP 180/120. While in ambulance was given Benadryl 50mg IM in right deltoid. Thet could not find IV access. Ambulance moving so fast shift in back and forth. I was held at hospital.

Other Meds:

Current Illness: Asthma

ID: 1352115
Sex: F
Age: 33
State: CA

Vax Date: 05/08/2012
Onset Date: 05/10/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Bactrim, Ceclor

Symptom List:

Symptoms: 1 day after shot I had flu symptoms and was basically out of the whole day. 2 days after my fever cleared and I noticed a pain in my left leg calf. I thought it was because of my shot but that it was just body aches. The pain increased and eventually spread to my inside thigh. I went to the urgent care on 5/17/21 and an ultrasound discovered blood clots (Deep Vein Thrombosis) Please note that I also had traveled 5 hours on a flight on 5/6/21 but I was stretching on the flight and have never had a DVT before.

Other Meds: Iron and Multi-Vitamin

Current Illness: Anemia

ID: 1352116
Sex: F
Age: 60
State: CA

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: Numbing of the mouth and Confusion along with a headache

Other Meds: None

Current Illness: None

ID: 1352118
Sex: F
Age: 54
State: UT

Vax Date: 03/10/2021
Onset Date: 03/20/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Excruciating arm pain near injection site for 10 weeks. Unable to lift arm. Attempted to treat with predazone and diclofenac. Temporary relief.

Other Meds: Norethridone and omeprazole

Current Illness:

ID: 1352119
Sex: M
Age: 17
State: MI

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: NKDA

Symptom List:

Symptoms: Patient passed out after receiving vaccine. He hit his head and stated his teeth hurt.

Other Meds: N/A

Current Illness: N/A

ID: 1352120
Sex: F
Age: 37
State: DC

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: penicillin and clarithromysin allergy

Symptom List:

Symptoms: I received my second Moderna dose and approximately 1 minute later I was extremely nauseous and felt like vomiting. I was kept for an hour by the nurses for observation on 3/13/21. I had fever, nausea, vomiting, fatigue, chills, exhaustion, restlessness for 50 hours. Skip ahead to 3/26/21, approximately two weeks after my shot...I began getting many symptoms. My symptoms were: decreased appetite, nausea, vomiting, nasuea was worse at night, bloating, distended stomach, increase in urination, abdominal cramping, increased sense of smell, my menstual cycle was 7 days early, acid reflux, heartburn, GERD, extreme fatigue and tiredness, migraines, and an increase in regular headaches, constipation. These symptoms lasted until 5/16/21.

Other Meds: lexapro, 10 mg azasteline nasal spray zyrtec

Current Illness: no

ID: 1352121
Sex: F
Age: 59
State: NM

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

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

Lab Data:

Allergies: antihistamine (Benadryl-anaphylactic throat shutting), Claritin was ok , pseudoephedrine, codeine, cortisone, aspirin, azithromycin (<--rashes, started low grade hives, increase in temperature, throat scratchy, HA, GI symptoms-n/v), tetracycline (passed out), Tylenol (nausea), tropical fruits, and berries (lips tingling, tongue tingling and swelling-"double expresso, shot of pure Vodka cleared everything up". Any time anything that triggers the system, strong espresso and Vodka and after body isn't fighting it.

Symptom List:

Symptoms: Within 2 minutes and her heart rate was over 112 beats per minute. Alsolso felt dizziness, lightheaded, vertigo, brain fog, tinnitus, rash on upper back, puffy red lips, white spots on the soles of the feet, stomach cramps, had problems forming sentences,had a hard tine even trying to call husband, itchy eyes, felt itchy and hot on her injection arm, had difficulty breathing, had to to take deep breaths, chills, freezing, headache, tongue started to swell, neck started to swell in the thyroid area, started to feel tired and sleepy, had to get assisted to the bathroom, the walls started to move in. The patient took Claritin 1 hour and a half i because they didn't want to give her her epi pen because her heart rate was too high and she is allergic to Benadryl. Stayed at the site for 2 hours, drank a lot of water, couldn't walk and she had to stay in a wheelchair. She said it took around 2 weeks to feel normal. She had spells of feeling dizzy and confused with brain fog for 2 weeks. Felt tinnitus for around 10 days after the vaccine. tinitis lasted 10 days brain fog 2 weeks: didn't know how to figure out how to turn car on. fatigue lasted about 4 weeks white spot on feet went away 2 weeks.

Other Meds: 2 drops of iodine and vitamin D

Current Illness: None

ID: 1352122
Sex: F
Age: 69
State: WA

Vax Date: 05/11/2021
Onset Date: 05/12/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: Bee Venom High 2/20/2012 Past Updates... Ciprofloxacin High 9/13/2010 Past Updates... Other reaction(s): rash, lip swelling Codeine Nausea And Vomiting High Past Updates... Latex High 1/1/1950 Past Updates... Levofloxacin High 12/5/2017 Past Updates... Other reaction(s): tendon pain Doxycycline Medium 12/17/2017 Past Updates... Other reaction(s): heart burn Erythromycin Nausea And Vomiting Medium Past Updates... Amoxicillin Trihydrate Not Specified 1/1/1950 Past Updates... Penicillins Not Specified 7/7/2016 Past Updates... Sulfa Antibiotics

Symptom List:

Symptoms: I got my first Moderna shot on May 11th. I was extremely tired the next day and just napped most of the day. The second day I was a little better but still felt a little drugged. This condition has continued to the point that I am ready for bed by four in the afternoon, a sharp difference from my usual 11:00 pm. Afraid to drive because you might fall asleep at a red light. No prior similar symptoms . Also including periodic slight fevers to 99.3, my normal temp is 96.8, headaches and being extremely cold. Also a lot of muscle aches, everywhere, and dizziness.

Other Meds: Quantity Refills Start End aspirin 325 mg tablet 2/14/2013 Route: (none) ciclopirox (PENLAC) 8 % solution 6 mL 1 1/14/2021 Sig: Apply a thin layer to affected nails daily.. Route: (none) CRESTOR 5 MG tablet 90 tablet 4 4/14/

Current Illness: Pulmonary nodule - monitoring

ID: 1352123
Sex: F
Age: 38
State: AZ

Vax Date: 05/25/2021
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: no

Symptom List:

Symptoms: I had swollen my face and half side of lift side .

Other Meds: ibuprofen

Current Illness:

ID: 1352124
Sex: F
Age: 26
State: CA

Vax Date: 05/21/2021
Onset Date: 05/24/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: Ibuprofen, ephedrine, whey protein

Symptom List:

Symptoms: Warm, red rash around injection site. Over the past 48 hrs it has moved down left arm.

Other Meds: Nortrel 1/35

Current Illness: None

ID: 1352125
Sex: M
Age: 61
State: CA

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:

Symptom List:

Symptoms: Numbing of the mouth

Other Meds:

Current Illness:

ID: 1352126
Sex: F
Age: 23
State: CA

Vax Date: 05/25/2021
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:

Symptom List:

Symptoms: pt experiencing fever, HA, and chest tightness

Other Meds:

Current Illness:

ID: 1352127
Sex: F
Age: 17
State: CA

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: Penicillin

Symptom List:

Symptoms: Pt fainted several minutes following vaccination. Pt's mother was vaccinated, then patient, then patient's sister. Pt left vaccination chair following vaccination to allow her younger sister to sit. She stood for several minutes, leaning against wall/counter but immediately after her sister's vaccine she fainted. She slid down the counter but her mother and the vaccination caught her before she landed on the floor. She lost consciousness for approx. 30 seconds, regaining it slowly. While no health conditions were reported on the VAR form the pt appeared to possess traits of a developmental difficult such as Down's syndrome. While she awoke she didn't want to speak and appeared nervous. After approx. 2 min the patient spoke voluntarily. After several more minutes of deep breaths, patient sat up and answer questions regarding the time and place and personal history. She moved to another area to sit, was given water, and after approx. 25 min, left with her family.

Other Meds: No known medications.

Current Illness: No reported illnesses

ID: 1352128
Sex: M
Age: 21
State: FL

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: N/A

Symptom List:

Symptoms: Patient received vaccine and within a couple of minutes, became completely pale, started sweating, and felt nauseous. Continued for 20-30 minutes and then started to resolve. Did not need additional assistance and came into store later on and was feeling better.

Other Meds: N/A

Current Illness: N/A

ID: 1352129
Sex: F
Age: 41
State:

Vax Date: 04/05/2021
Onset Date: 04/05/2021
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: sirva

Other Meds:

Current Illness:

Date Died:

ID: 1352131
Sex: M
Age: 58
State: MO

Vax Date: 03/04/2021
Onset Date: 03/08/2021
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: death

Other Meds:

Current Illness:

ID: 1352132
Sex: F
Age: 32
State: SC

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: Allergic to ceclore broke out into hives as a infant

Symptom List:

Symptoms: Brain felt like it was on fire after day 2 stayed that way for a month and I had two severe noise bleeds never have one in my life until the shot I also was very fatigue for over a month. I was given bultaphane and prednisone to take for a month by tidelands Dr . I did wait almost a week prior to going to doctor but symptoms got worse I went to doctor.

Other Meds: I took my prescriptions still and did everything like i normally do.

Current Illness: None

ID: 1352133
Sex: F
Age: 16
State: WV

Vax Date: 05/21/2021
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: no

Symptom List:

Symptoms: 5 days after vaccination- loss of smell and taste, shortness of breath, sneezing, coughing, ear infections, fatigue, and headache.

Other Meds: buspar

Current Illness: no

ID: 1352134
Sex: F
Age: 50
State: FL

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

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

Lab Data:

Allergies: No known allergies.

Symptom List:

Symptoms: 3/15/21: Within a few hours of the vaccine, I felt fatigued, followed by chills, severe body aches, fever, and dehydration (in that order). Improved by Day 5. 4/5/21: Lump on left thigh appeared. Raised up, hard, red, and warm. Went to Clinic ER immediately. Ultrasound of area and blood work showed no obvious abnormalities. Symptoms were diagnosed as "insect bite". Lump became painful several hours later. Antibiotics, Benadryl, and Corticortisone prescribed for 10 days. Took medication as instructed. Improvement by Day 7. Lump shrunk but did not completely resolve. Swelling and pain gone. Completed medication on 4/15/21. 4/22/21: Lump returned on left thigh, quickly turning into a large, solid mass. Red, warm, more swollen than the first time, and more tender to the touch and painful. 4/23/21: Went to Walk-In Clinic , Nurse Practitioner ordered MRI and more blood work. 4/25/21: Lump appeared on right thigh, same characteristics as the left thigh, also quickly turning into a large mass. Very painful. Hip size increased from 40 to 42 inches within a few days from the swelling. Unable to wear underwear due to how excruciatingly painful the area(s) were. Painful to sit, painful to stand up, painful to remain standing. Sharp shooting pains. Legs would feel as though they would give in if I stayed standing up too long. 4/28/21: Returned to Walk-In Clinic due to unbearable pain and nightly fevers. Antibiotics were prescribed on this visit, and a referral to a general surgeon and a Hematologist were made by the Nurse Practitioner who tended to me, . 5/3/21: Went to see Orthopedic Surgeon Dr. . He reviewed the MRI with me and showed me the areas where fluid was all over in the area affected (thigh). Referred me to Dr. , Rheumatologist. 5/4/21: Dr. examined both thighs and determined a biopsy under general anesthesia was needed in order to do deep tissue removal. He also ordered more blood work. 5/4/21: Initiated surgery preparations: Lab work, COVID testing, EKG, Chest X-Ray, Visit with General Practitioner to be cleared for the surgical procedure, Visit with surgery department. 5/6/21: Surgical biopsy under general anesthesia performed. 5/13/21: Visit with Dr. to remove surgical gauze, and examine the area. 5/14/21: Visit with Dr. for pathology / biopsy results. I was informed that inflammation levels in my body were at 45%, where they should normally be at 8%. Pathology concluded that an external cause was to blame for the inflammation, further stating that it was a foreign substance consistent with silicone injected in the area. It is noted that I have no silicone implants in any part of my lower body. Nor have I had any silicone injected in my thighs. 5/17/21: While using a pair of scissors and exercising normal pressure to cut a paper tag from new clothing, the area below my right thumb suddenly became swollen, purplish, and extremely tender. After two hours of no improvement, went to Health where they took an X-ray and determined it was a Sprain. I did not exercise any force to justify a sprain in that region. I was prescribed cortisone for 6 days. 5/20/21: Follow up visit with Dr. , Rheumatologist, for second opinion on pathology results. Dr. ordered blood work done in-office, as well as ordered additional blood work to be done at the lab. Results pending. After also examining all of my blood work done up until that point, she deduced that the issue with my hand was also likely caused by inflammation in my body, and whatever is causing the swelling in my thighs. The area of the hand turned black and blue the likes of severe trauma, yet there was no blunt force to the area. At the time of this reporting, I continue on blood thinner and anti-inflammatory medication for another 10 days to complete the 30 days post surgery. Additional blood work has been ordered to measure the inflammation levels and proceed accordingly. Currently I feel throbbing in my legs mostly at night when I lie down. Prior to the Johnson & Johnson COVID-19 Vaccine, I had no medical issues. My only visits were routine control visits annually. I do not drink or smoke; and exercise regularly (until this happened).

Other Meds: N/A

Current Illness: None.

ID: 1352135
Sex: F
Age: 32
State: MD

Vax Date: 05/16/2021
Onset Date: 05/26/2021
Rec V Date: 05/26/2021
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Allergies: Amoxicillin, penicillin

Symptom List:

Symptoms: I had an increased heart rate for 2 days after my first shot, according to my Fitbit it was about 10 bpm more than my average. I also developed some spots on my right arm which is where I got my shot. They are on my upper arm right where I got the shot. I don?t know if it?s related.

Other Meds: None

Current Illness: None, I did want to mention that I had an increased heart rate for 2 days after my shot as well. It was an increase of about 10 bpm according to my Fitbit

ID: 1352136
Sex: F
Age: 14
State: WA

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/26/2021
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Allergies: Bactrim

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Symptoms: Patient with history of syncope following vaccine administration came to the pharmacy for COVID vaccine. She was accompanied by her father. They warned me of the history prior to giving the vaccine. Within a minute after administration, patient fainted in the chair and slide accompanied by myself and dad to the floor. She was out for about a minute. She rested on the floor for 5 minutes and then moved to the chair, where she recovered for 10 minutes. When she felt able to walk, she went the the pharmacy lobby and continued to recover until 4:18pm.

Other Meds: none

Current Illness: 0

ID: 1352137
Sex: F
Age: 39
State: TX

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 05/26/2021
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Allergies: None

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Symptoms: On the second day after the first shot, a muscle ache started in the arm with the injection (left). Then, 3 days later the ache subsided to allow for arm weights training to resume. At that time a 5-inch rash that felt hot to the touch started at the injection point and it continued there for around 2 weeks before fading away. After the second shot on 5/19/2021, there was a muscle ache for 2 days, and a much smaller 1" barely unnoticeable rash at the right-arm injection point. I also felt feverish, but did not check the precise temperature on the night after I got the second shot. I might have had some heart palpitations together with this fever, but it was at night, so I can't be sure. And I felt exhausted on the following day, but it didn't stop me from working on my research (entirely). I did not treat these symptoms because they were reported as "Covid-arm"/normal side effects on sites I checked. I just wanted to report these side effects for your statistics. I now feel okay and I think the side effects are all over 7 days after the second shot. I mentioned these to the pharmacy, and when they told me there was a form, I told them I would fill it out on your website.

Other Meds: B-complex vitamins

Current Illness: None

ID: 1352138
Sex: F
Age: 17
State: CA

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/26/2021
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Symptoms: Patient received the Moderna vaccine and is 17 years of age.

Other Meds:

Current Illness:

ID: 1352139
Sex: F
Age: 74
State: CA

Vax Date: 02/17/2021
Onset Date: 03/15/2021
Rec V Date: 05/26/2021
Hospital: Y

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Allergies: neomycin

Symptom List:

Symptoms: Great difficulty breathing, diagnosed with pulmonary embolism and one clot in right leg on May 15. First went to hospital with extreme breathing difficulty on March 15 but no diagnosis was made. this was one month after first Moderna vaccination. Two months later, with same issues (also extremely swollen ankles) and same tests, the embolisms were seen on CT test with contrast.

Other Meds: Ajovy, Lipitor, Zetia, Norvasc, Cequa, Latanoprost, Nurtec, Black Cohash, Magnesium, Melatonin, CoQu10, Fish Oil, B-2 D3, Ambien 5mg

Current Illness: none

ID: 1352140
Sex: F
Age: 16
State: CA

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/26/2021
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Symptoms: Pt has history of anorexia. When she arrived at 1:00pm stated she had only eaten 1/2 banana today. Stated she has lightheaded and dizziness frequently and right then. RN instructed her to go and eat something before her vaccine could be given. She returned at 2:15 after eating a whole roast beef sandwich. Vaccine was given and she immediately began feeling even more lightheaded than her norm, per her. She was assisted to lay flat on the floor and feet placed up on the chair. She stated that helped but still was feeling poorly. 911 was called. She was diaphretic and got a severe headache, stating she was blacking out and unable to see. She never lost consciousness. Mother remained at side. EMT took her to hospital.

Other Meds:

Current Illness: Anorexic

ID: 1352142
Sex: M
Age: 26
State:

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/26/2021
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Symptoms: after receiving his shot, pt walked to his chair to wait his 15minutes. shortly after sitting down, pt lost consciousness and fell out of his chair. the patient regained consciousness seconds after falling to the floor. breathing and pulse were normal. pt had some water and was taken home by his stepmom

Other Meds:

Current Illness:

ID: 1352143
Sex: M
Age: 21
State: TX

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 05/26/2021
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Allergies: NKDA NKMA

Symptom List:

Symptoms: Vials from the above lot # and expiration date of 10/9/21 (per QR code) were received on 4/13/21 and placed into our refrigerator (2-8degrees C). This made the use by date of 5/13/21. The vial used for this patient was the final vial from this supply. The dose was logged out and expiration date was noted as 10/9/21 instead of the use by expiration of 5/13/21. The remaining doses were not used and were wasted/discarded appropriately. The dose was administered to the patient as noted above without incident. The error was discovered later that day or the next and an incident report was written. The manufacturer was contacted by Dr through email. The recommendation given is to contact the patient and have them get re-immunized with new in-date dose of Moderna vaccine and continue with dosing schedule.

Other Meds: Albuterol

Current Illness:

ID: 1352144
Sex: M
Age: 22
State: CA

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/26/2021
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Allergies: No allergies noted.

Symptom List:

Symptoms: At 2:15pm patient was seated in the observation area after receiving vaccine. Patient was observed while his head fell back and appeared to have fainted. Patient stated he had not eaten since yesterday. Vital signs were taken blood pressure noted at 117/56, pulse 62, 02 sat 99%. Patient was given a snack and verbalized he felt better. Vital signs were taken again fifteen minutes later and were noted at blood pressure 118/70, pulse :82, O2 99%. Patient was driven home by a friend.

Other Meds: No known medications noted.

Current Illness: No known illnesses noted.

ID: 1352146
Sex: F
Age: 53
State: PA

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/26/2021
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Allergies: Biaxin and Floxin

Symptom List:

Symptoms: Fever as high as 102.3 for 48 hrs, lowered with Tylenol. Heart racing with fever. Fever broke, then had a red rash on my chest, part of neck and near arm pits. Not itchy or hot. Rash never spead down trunk or onto back or arms or legs. Rash resolved after 24 hrs, did take Benadryl. Did not seek medical attention.

Other Meds: None

Current Illness: None

ID: 1352147
Sex: M
Age: 37
State: IL

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/26/2021
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Allergies: SHELLFISH, WASP STING, FIRE ANTS

Symptom List:

Symptoms: SHORTLY AFTER RECEIVING VACCINE (APPROXIMATELY 1/2 MINUTE) PATIENT FAINTED. HE SLOWLY SLID OUT OF CHAIR AND I (PHARMACIST) CAUGHT HIM GOING DOWN AND HE LANDED ON HIS LEFT SIDE, ALMOST FACE DOWN. I SHOUTED OUT HIS NAME SEVERAL TIMES, ROLLED HIM ON HIS BACK, AND CHECKED FOR BREATHING. NO BREATH SOUNDS OR CHEST RISING, COULD NOT FIND A PULSE, AND THEN HIS EYES ROLLED UP AND BACK. A STORE CUSTOMER CALLED 911 AND I BEGAN COMPRESSIONS. AT COUNT 20 HE BEGAN TO MOVE AND TRIED TO TALK. STOPPED COMPRESSIONS, AND ROLLED PATIENT ON HIS LEFT SIDE. I WAS ABOUT TO CHECK BLOOD PRESSURE WHEN PARAMEDICS WALKED IN AND TOOK OVER. PARAMEDICS CHECKED VITALS, TEMPERATURE, BLOOD GLUCOSE AND RAN EKG. THEY SAID THEY COULD NOT SHARE RESULTSWITH ME, BUT STATED PATIENT REFUSED TO GO TO THE ER/HOSPITAL. AFTER ABOUT 30 MINUTES PATIENT WALKED OUT OF THE STORE ON HIS OWN.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1352148
Sex: F
Age: 84
State:

Vax Date: 03/25/2021
Onset Date: 05/04/2021
Rec V Date: 05/26/2021
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Allergies: None

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Symptoms: On May 4th, I woke with pain and stiffness in the joints of my fingers on both hands. No swelling or redness. The pain persists throughout the day but is worse in the mornings. It is slowly improving, but I still have stiffness and pain.

Other Meds:

Current Illness: None

ID: 1352149
Sex: M
Age: 45
State: NJ

Vax Date: 04/09/2021
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Rec V Date: 05/26/2021
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Allergies: No

Symptom List:

Symptoms: Since I got the vaccine I felt cold and I had flu till now and my buddy so tired but the main problem is MY BLOOD PRESSURE IS TOO HIGH SINCE I TOOK IT UNTIL NOW it's over one month. My blood pressure never get down 160.

Other Meds: Amlodipine Besylat tab10mg Metoprolol tartar tab 100 mg Atrovastaten tab 20mg Allopurinol tab 300mg

Current Illness: I have high blood pressure Gout

ID: 1352150
Sex: M
Age: 14
State: WA

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/26/2021
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Allergies: Penicillin

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Symptoms: 5/25/21 @ Approximately 12:03 pm, 14 year old Patient fainted while waiting in vaccination waiting area after his first COVID-19 vaccination (Pfizer). Patient stated that he started to have ringing in the ears and some blurred vision. Patient's father instructed patient to lay down on the three chairs in vaccination waiting area. At this time store employee came out to assist patient and patient's father. I (employee) came out to assist moments later when I saw what was happening (I had just finished a consultation with another patient). We elevated patient's legs, put and ice pack under his neck, and called 911. Patient was awake but not very talkative. Patient was very alert and talkative in Clinical Service room at the time of immunization, which was a big change from how he was immediately after fainting. Patient appeared sweaty and pale in color. Patient's blood pressure was taken at 12:09 pm and was 88/51 pulse 53 (patient was still laying down at this time). Respiration rate was 20 breaths per minute. At 12:12 pm blood pressure was taken again as patient appeared more responsive and talking more. His BP was 101/63 and pulse 63. Immediately after second blood pressure reading, EMS arrived and they took over. Patient was responsive and drink water and sitting up at this point. EMS checked patient out and was cleared shortly after. EMS stated that this will not defer patient from getting his second COVID vaccination. Before patient left he was continuing to drink water and was eating some crackers.

Other Meds: None

Current Illness: None

ID: 1352151
Sex: F
Age: 60
State: CA

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 05/26/2021
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Allergies: nka

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Symptoms: PATIENT INITIALLY RECEIVED MODERNA 28 DAYS AGO. THE NURSE INADVERTENTLY ADMINISTERED THE PFIZER /BIONTECH VACCINE. NO SIGNS OR SYMPTOMS EXHIBITED. EXPLAINED TO PATIENT OF THE ERROR AND RELAYED TO HER THAT BOTH VACCINES MECHANISM OF ACTION ARE SIMILAR. AS WELL AS SIMMIAR SIDE AFFECTS

Other Meds: unknown

Current Illness:

ID: 1352152
Sex: F
Age: 42
State: NJ

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

Symptom List:

Symptoms: chills started around 9:45pm lasting thru the night, also developed a fever and headache. Felt very fatigued till about 2:30pm on 5/26/2021

Other Meds: Omega3 supplements

Current Illness: none

ID: 1352153
Sex: F
Age: 44
State: HI

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/26/2021
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Allergies: PCN

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Symptoms: evaluation of chest tightness. She reports chest pain?described as tightness in her left chest. Pain does not radiate. She states she experienced symptoms about 10 minutes after taking her first Pfizer Covid?19 vaccine at 14:10 today. She also reports mild shortness of breath and lightheadedness. She states symptoms feel like anxiety. No rash, throat discomfort, leg swelling. Patient states she is starting to feel better at this time. Presentation likely consistent with anxiety. Vaccine adverse/allergic reaction was also considered but less consistent at this time. Patient states feels like anxiety reaction. Discussed consideration for as needed medication for intermittent anxiety attacks?safety precautions were discussed.

Other Meds: MVI

Current Illness: No recent fevers, chills, cough, leg swelling, rash

ID: 1352154
Sex: M
Age: 47
State: MD

Vax Date: 04/20/2021
Onset Date: 04/28/2021
Rec V Date: 05/26/2021
Hospital: Y

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Allergies: Penicillin Sensitivity

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Symptoms: The Covid vaccine was given April 20 of 21 within eight days of having the vaccine I started to develop shortness of breath fatigue chest pain, I ended up at our local emergency room and was admitted with pulmonary embolism, blood clots in both lungs I stayed a total of three days hospitalized.

Other Meds:

Current Illness: None

ID: 1352155
Sex: M
Age: 66
State: TX

Vax Date: 01/08/2021
Onset Date: 01/25/2021
Rec V Date: 05/26/2021
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Allergies: No known allergies

Symptom List:

Symptoms: In the evening of 25-Jan-2021, after my dinner I was watching the TV that after 15 minutes my Left arm from shoulder downwards felt suddenly numb with no sensation. I called my wife and sensing that it may be a stroke took 4 tablets of 81 mg of Baby Aspirin. Some sensation seem to come back after some time (may be an hour or so afterwards), but half of my left palm and little finger remained some what numb. Night passed quietly and kids were anxious that I did not call ambulance or go to ER. Next morning I went to the nearest ER and was diagnosed with Transient Ischemic Attack. All the tests were negative CT scan of Head & Trunk did not reveal anything, only D-Dimer was slightly elevated. I was given a tablet of Aspirin 325 mg and prescribed Eliquis 2.5 mg twice daily for use and advised to follow up with a Neurologist. ER did advise for admission in hospital and a MRI work up, but I declined.

Other Meds: Atenolol-50 mg once daily ; Flecainide-50 mg twice daily

Current Illness: None

ID: 1352156
Sex: F
Age: 37
State: MA

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/26/2021
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Allergies: None

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Symptoms: I experienced a variety of symptoms including darkened veins, head pressure and headache, tingling/ numbness in bottom left half of face, heart palpitations and chest tightness, sleepy/ restless legs, and a bruised/ sore left orbital the morning after the shot. The heart palpitations occurred on the 4th day after the vaccination. Most symptoms persisted over the course of three weeks.

Other Meds: birth control pill, allegra, multivitamin

Current Illness: None

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm