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: 1371418
Sex: F
Age: 36
State: AZ

Vax Date: 04/10/2021
Onset Date: 04/15/2021
Rec V Date: 06/03/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Augmentin, Promethazine.

Symptom List:

Symptoms: Have had a headache daily since vaccination. Took a while to realize that it has been since the vaccination that this has been ongoing. Have always had problems with headaches, and migraines. This has been ongoing, first attributed it to allergies/sinus problems/stress, gave the ongoing headache many excuses. Last night realized that this is likely an adverse reaction to vaccination. Ibuprofen, Tylenol, Tylenol Migraine, Aleve: None Work. Have not yet been to PCP to seek treatment, as I was attempting to resolve on my own. Will be making an appointment with PCP to seek further treatment.

Other Meds: Buspirone 5mg BID, Zinc, Vit D, Vit C w/ Rose Hips, Allegra, Sudafed.

Current Illness: None

ID: 1371419
Sex: M
Age: 71
State: LA

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 06/03/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccine was not stored frozen properly

Other Meds:

Current Illness:

Date Died: 02/20/2021

ID: 1371420
Sex: M
Age: 58
State: AZ

Vax Date: 02/17/2021
Onset Date: 02/20/2021
Rec V Date: 06/03/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: patient expired 3 days after first vaccination. Did not present to our facility for care after vaccination; did not have any adverse reactions during vaccination waiting period. Per the Medical examiner, patient passed away at his residence, and his death was not related to the COVID vaccine.

Other Meds: unknown

Current Illness: unknown

ID: 1371421
Sex: F
Age: 44
State: KS

Vax Date: 05/21/2021
Onset Date: 05/22/2021
Rec V Date: 06/03/2021
Hospital:

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Lab Data:

Allergies: SHELLFISH, SULFA DRUGS, ZOHYDRO ER, PENICILLIN

Symptom List:

Symptoms: 8 AM THE DAY FOLLOWING VACCINATION, When she woke up, she had slight chest pain and cough (results from the shot). The chest pain got worse during the day (5/22/2021). Every breath by around 5 p.m., felt like she was getting stabbed in the heart and chest pain felt worse and then she sought out the Emergency room. By around 7 p.m., the ER reported it was not a heart attack, but a reaction the Covid 19 shot (Moderna). They proceeded to give her an IV (unsure of the doses) that calmed her and the chest pain was still there and not as bothersome. By 3 days later (72 hours), her chest pain went completely away..

Other Meds: BUPROPION XL 150MG, ZOLPIDEM ER 12.5 MG, HYDROCODONE/ACETAMINOPHEN 10/325MG TAB, ALPRAZOLAM 1MG TABLET, ATORVASTATIN 20MG, SERTRALINE 100MG TAB, LATUDA 60MG, LISINOPRIL 10MG, ATENOLOL 100MG, VYVANSE 60MG CAPSULE

Current Illness: NONE REPORTED

ID: 1371422
Sex: F
Age: 44
State: TX

Vax Date: 03/29/2021
Onset Date: 04/01/2021
Rec V Date: 06/03/2021
Hospital:

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Lab Data:

Allergies: NA

Symptom List:

Symptoms: Swelling began bilaterally in ankles. Swelling continued and spread to feet, toes, knees, wrists, hands, and fingers over the following weeks. Pain increased over this timeline as well. Still unknown what is causing the issue.

Other Meds: multivitamin, probiotic, glucosamine, omega-3

Current Illness: NA

ID: 1371423
Sex: M
Age: 42
State: OK

Vax Date: 03/01/2021
Onset Date: 03/31/2021
Rec V Date: 06/03/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Pain in arm shooting and burning not able to use the left arm at all since the time of vaccine severe pain numbness burning shooting pain down from vaccine site to fingertips

Other Meds:

Current Illness:

ID: 1371424
Sex: M
Age: 57
State: VA

Vax Date: 05/30/2021
Onset Date: 05/30/2021
Rec V Date: 06/03/2021
Hospital:

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Lab Data:

Allergies: None.

Symptom List:

Symptoms: He got his vaccine, towards later evening he started to get chills and shakes. Then somewhere between 11-12:00 PM he started having breathing problems, but it was so bad that he was considering having somebody take him to the hospital, but he did not. This went on for hours until he finally passed out and went to sleep and woke up the next morning and was fine. He was fatigued the entire next day and had a really bad headache, which he took some Naproxen sodium and took an Excedrin, and the headache did go away, and he seems to be back to normal.

Other Meds: None.

Current Illness: None.

ID: 1371425
Sex: F
Age: 17
State: TX

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

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Symptom List:

Symptoms: Patient under age 18 was vaccinated with JModerna, which is a vaccine error. (If the person may receive a second dose, it will be per policy off-label use for a 17-year old). Troubleshooting: Scribe and vaccinator did not validate age; screeners at the beginning of the process did not ask or turn away. Parent validated age as 18. Unreported as error, found in data mining.

Other Meds:

Current Illness:

ID: 1371426
Sex: M
Age: 0
State: MO

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 06/03/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Pt. is 4 months old and a Kinrix was administered instead of Pediarix. Pt. has not adverse s/s at this time.

Other Meds: None

Current Illness: None

ID: 1371427
Sex: F
Age: 82
State: GA

Vax Date: 01/13/2021
Onset Date: 05/10/2021
Rec V Date: 06/03/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Hospitalization due to shortness of breath, diagnosed with bilateral pulmonary embolism. The PUI lives in a Senior Living facility and she was taken to the hospital for blood clots in her lungs. They did a Covid test and she was positive, but she had not had any symptoms and was vaccinated in February. The later had another Covid test done at the hospital, where where she was for 3 days and the test came back negative.

Other Meds:

Current Illness:

ID: 1371428
Sex: M
Age: 20
State: CT

Vax Date: 05/10/2021
Onset Date: 05/11/2021
Rec V Date: 06/03/2021
Hospital:

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Lab Data:

Allergies: N/A

Symptom List:

Symptoms: severe tightness in chest. rapid heart beat. sharp pains. felt like a heart attack.

Other Meds: N/A

Current Illness: N/A

ID: 1371429
Sex: F
Age: 51
State: IL

Vax Date: 04/09/2021
Onset Date: 04/22/2021
Rec V Date: 06/03/2021
Hospital:

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Lab Data:

Allergies: Sulfa/Keflex

Symptom List:

Symptoms: Patient developed Shingles on head, face, and in eye. Symptoms started 12 days after vaccine.

Other Meds:

Current Illness: None

ID: 1371430
Sex: F
Age: 33
State: TX

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

Vax Type:
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Allergies:

Symptom List:

Symptoms: Patient received first dose Moderna, second dose Pfizer 5/29/2021. Troubleshooting: Scribe and vaccinator did not look at card to see what was given prior. Counseled by staff that she had received two doses of mRNA vaccine and there was no need for a third dose. Possible language barrier, but pt checked Moderna in the computer.

Other Meds:

Current Illness:

ID: 1371431
Sex: F
Age: 54
State: TX

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 06/03/2021
Hospital:

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Lab Data:

Allergies: Shellfish, bees, medications allergies

Symptom List:

Symptoms: I had the vaccine and about ten minutes later my throat started to feel real itchy and my tongue felt like it was swelling and the place where I got the vaccine, which is a clinic on the building where I work, they gave me Benadryl. After that I still had the itching in my throat so I had to take a second Benadryl. I went home and I took Tylenol. After that my throat was feeling a little bit better but my arm started hurting really bad.

Other Meds: Vitamin D, magnesium

Current Illness: None

ID: 1371432
Sex: F
Age: 51
State: LA

Vax Date: 06/01/2021
Onset Date: 06/02/2021
Rec V Date: 06/03/2021
Hospital:

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Lab Data:

Allergies: Red & Yellow Dye

Symptom List:

Symptoms: Severe fatigue, bone pain, fever, cough, sore throat., larangytis, phlem.

Other Meds: D, B, K, Zinc, Allegra, DHEA, Estrogen, Testosterone

Current Illness: None

ID: 1371433
Sex: F
Age: 48
State: IA

Vax Date: 05/05/2021
Onset Date: 05/07/2021
Rec V Date: 06/03/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: 101 temp for 3 days, sinus drainage, headache, sinus pain and pressure, sore throat 2 days after injection. Cough started slow and got worse and worse. Lasted 3 weeks. Went to the doctor and was given a heavy dose of steroids, antibiotics and codeine. Was told treating bronchitis. No testing was done of any other kind. Body aches and fatigue started after week 1. Shortness of breath, dizziness and headaches persisted with meds through week 3 after injection. Stomach issue started with bad headaches again. Bloating diarrhea, body aches, extreme tiredness for 4 days. Currently 4 weeks out from shot, still have sinus pain pressure, drainage, headaches and shortness of breath. I am a runner. I stopped all physical activity because of cough and shortness of breath.

Other Meds: none

Current Illness: none

ID: 1371434
Sex: F
Age: 70
State: IL

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 06/03/2021
Hospital:

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Lab Data:

Allergies: Ampicillin AmpicillinVomitingNot SpecifiedAllergy2/3/2011Past UpdatesDeletion Reason: Carisoprodol CarisoprodolUnknownNot SpecifiedAllergy4/2/2011Past UpdatesDeletion Reason: Cyclobenzaprine CyclobenzaprineNauseaNot SpecifiedAllergy4/2/2011Past UpdatesDeletion Reason: Latex LatexRashNot SpecifiedAllergy3/18/2011Past UpdatesDeletion Reason: Lorazepam LorazepamNauseaNot SpecifiedAllergy4/2/2011Past UpdatesDeletion Reason: Metoprolol Succinate [Metoprolol Tartrate] Metoprolol Succinate [Metoprolol Tartrate]AnaphylaxisNot SpecifiedAllergy4/2/2011Past UpdatesheadacheDeletion Reason: Naproxen NaproxenNauseaNot SpecifiedAllergy4/2/2011Past UpdatesDeletion Reason: Propranolol PropranololNauseaNot SpecifiedAllergy4/2/2011Past UpdatesDeletion Reason: Tramadol TramadolUnknownNot SpecifiedAllergy4/2/2011Past UpdatesDeletion Reason: Trazodone

Symptom List:

Symptoms: pt became dizzy and aheadache

Other Meds: Fosamax Multivitamin Coreg

Current Illness: none that pt is aware of

ID: 1371435
Sex: M
Age: 89
State: TN

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was accidently given a double dose of vaccine. No adverse symptom as of yet.

Other Meds:

Current Illness:

ID: 1371436
Sex: F
Age: 47
State: SC

Vax Date: 04/01/2021
Onset Date: 04/06/2021
Rec V Date: 06/03/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: Monday April 5th I started bleeding. I thought it was my normal period. Tuesday I started having major abdomin pain. It was so bad I couldnt walk. The pain would subside and then I would bleed alot. Then the pain would start again. The pain would subside and I would start bleeding alot again. This was like labor. Wednesday I had a lot of tissue come out of me so I realized this must be a miscarriage. My doctor told me to take a pregnancy test and sure enough it tested positive I was about 5- 7 weeks pregnant. As far as pregnancy history, I also miscarried February 11th. (went in for the ultrasound and fetus wasnt moving around 9 weeks). Had first child at 35 and 2nd at 40. My instincts tell me the vaccine had something to do with my 2nd miscarriage (April 5th).

Other Meds: adrenal success (herbal supplement)

Current Illness: none

ID: 1371437
Sex: F
Age: 53
State: MD

Vax Date: 02/05/2021
Onset Date: 02/14/2021
Rec V Date: 06/03/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: HCTZ, Lisinopril, IV Contrast Dye, Flagyl, Penicillin, Tetanus

Symptom List:

Symptoms: A large granuloma and several small granulomas developed under the skin in my right arm and hand following the first vaccine. I had the second given in the other arm, and within 10 days, it started growing granulomas. (We are assuming they are granulomas. Biopsy results are due to be given to me tomorrow, June 4, 2021.) These nodules/granulomas are also growing in my toes and fingers and it is painful. Additional symptoms include night sweats, fatigue, body and joint pain, which is sometimes severe. The granulomas are visible under the skin. If they begin to affect the use of my arms, etc., they will have to be surgically removed. It took me a very long time to get anyone to listen to me or help me.

Other Meds: Zyrtec, Amlodipine Besylate, Carvidopa-Levodopa, Simvastatin*

Current Illness: None/Con't.: Montelukast, ProAir Inhaler, Ropinirole, Zoloft

Date Died: 06/01/2021

ID: 1371438
Sex: M
Age: 90
State: WI

Vax Date: 02/16/2021
Onset Date: 06/01/2021
Rec V Date: 06/03/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Clinet was vaccinated on 2/16/21 and on 3/9/21

Other Meds:

Current Illness:

ID: 1371439
Sex: F
Age: 32
State: VA

Vax Date: 04/10/2021
Onset Date: 04/14/2021
Rec V Date: 06/03/2021
Hospital:

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

Allergies:

Symptom List:

Symptoms: Numbness in left arm and hand and diagnosed with Pleurisy almost 2 months after vaccine. Chest pain started 2 weeks after second Moderna dose and increased in time until I was admitted into Hospital

Other Meds:

Current Illness:

ID: 1371440
Sex: M
Age: 18
State: PA

Vax Date: 05/18/2021
Onset Date: 05/22/2021
Rec V Date: 06/03/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Spontaneous pneumothorax- hospitalization chest tube

Other Meds: None

Current Illness: None

ID: 1371441
Sex: F
Age: 71
State: NE

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

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

Lab Data:

Allergies: aspirin, potassium choloride, tetanus toxoid

Symptom List:

Symptoms: Pfizer COVID19 Vaccine EUA Admitted acute from specialty clinic for respiratory distress and anemia. Negative for COVID per rapid test.

Other Meds: ferous sulfate, aspirin, omega 3s, paroxetine, vitamin D, Ventolin, Norvasc, lipitor, omeprazole, spironolactone, tylenol, calcium-vitamin

Current Illness:

ID: 1371442
Sex: M
Age: 39
State: LA

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccine was not stored frozen properly

Other Meds:

Current Illness:

ID: 1371443
Sex: F
Age: 27
State: IN

Vax Date: 06/01/2021
Onset Date: 06/02/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Currently 31 weeks pregnant, estimated delivery Aug 5 Chills, fever, vomiting, joint pain, nausea, headache, dizziness, syncope Resolved at 12:30 on 6/3

Other Meds: Prenatal Levothyroxine Fluoxetine CoQ10 Vitamin D Mega Red

Current Illness: Pregnant 31 weeks

ID: 1371444
Sex: F
Age: 57
State: WA

Vax Date: 06/01/2021
Onset Date: 06/02/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: ?Moderna COVID-19 Vaccine EUA Woke at 4:00 am with the chills and a fever. My entire body was weak and ached. Had a severe headache. My arm at the site of the injection was swollen and hard. I took Tylenol every 4 hours and iced my arm. I was unable to do anything. I stayed in bed all day. With shot one after ten days I developed covid arm (a rash around the injection site).

Other Meds:

Current Illness:

ID: 1371445
Sex: F
Age: 14
State:

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Felt lightheaded and dizzy after vaccination. Did not eat prior to vaccine. Drank juice and felt better. VSS. BP: 112/66, HR 56, O2 95% ORA

Other Meds: none

Current Illness: none

Date Died: 05/20/2021

ID: 1371446
Sex: M
Age: 67
State: MI

Vax Date: 03/08/2021
Onset Date: 05/14/2021
Rec V Date: 06/03/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Admitted for syncopal episode on 5/14/21, found to have lung lesion with necrotizing granulomatous inflammation, deceased 5/20/21

Other Meds:

Current Illness:

ID: 1371447
Sex: M
Age: 64
State: NE

Vax Date: 05/06/2021
Onset Date: 05/10/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Four days after the second dose, the onset of dizziness, lightheadedness, disconnection, and queasiness, racing heart. Within a week the racing heart subsided but then the onset of tingling weakness in the upper legs (thighs). Hands are a bit shaky. These symptoms tend to come in waves, once or twice a day, and last up to three to five hours.

Other Meds: 10 mg Zolpidem taken 05/09/2021

Current Illness: none

ID: 1371448
Sex: F
Age: 25
State: OR

Vax Date: 05/26/2021
Onset Date: 06/02/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List:

Symptoms: Delayed period. Arrived over 10 days late

Other Meds: N/a

Current Illness: N/a

ID: 1371449
Sex: F
Age: 28
State: CA

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: Macrolids.

Symptom List:

Symptoms: Slow onset of fatigue starting around 7pm. Appetite fine, but heavy body feeling, body aches, feverish feeling (fever unknown). Took 800mg Ibuprofen around 8:30pm with excellent results and relief from body and severe pain at injection site. Nausea and queasiness slow onset around 11:30pm. Took Mirtazapine and went to bed around 12:30am. Woke up at 9am and have general pain at injection, body aches, particularly in the forearms, biceps, and lower back. Feverish feeling (fever unknown), fatigue, chills, neck soreness (more on the left).

Other Meds: None, only birth control and vitamin D at 7:30pm the night prior.

Current Illness: No

ID: 1371450
Sex: F
Age: 74
State: MD

Vax Date: 04/16/2021
Onset Date: 04/29/2021
Rec V Date: 06/03/2021
Hospital: Y

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

Lab Data:

Allergies: PCN

Symptom List:

Symptoms: myocardial infarction, pulmonary embolisms

Other Meds: lipitor, norvasc, toprol, lexapro, ASA, hydralazine, lasix

Current Illness: none

ID: 1371451
Sex: F
Age: 38
State: TX

Vax Date: 04/08/2021
Onset Date: 04/21/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: None diagnosed - maybe gluten

Symptom List:

Symptoms: Since becoming fully vaccinated, I've had two viral infections or episodes physically triggered. One was an upper respiratory illness which was mistreated with antibiotics as a bacterial infection. This latest viral episode manifests itself with fever blisters on my upper lip, fatigue, stomach pain, body aches, dehydration. It could've been triggered by excessive sun exposure, but fever blisters are not reoccurring whatsoever for me. Both of these incidences are atypical for my body. I suspect either I'm temporarily & mildly immunocompromised. Or I'm experiencing a hyper immune system that is overreacting to the presence of dormant viruses. It's in "fighting mode."

Other Meds: 25 mg sertraline

Current Illness: None

ID: 1371452
Sex: M
Age: 41
State: AK

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/03/2021
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Allergies: denies

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Symptoms: Pt was seen at plant for 2nd Covid 19 vaccine with other employees. He had card with Pfzier identified as first Covid vaccine given. He was in line to receive Moderna 2nd vaccine per scheduled vaccines with plant. Advised partifipants they were getting 2nd Moderna and discussed my personal side effects as well as effectiveness of Moderna. After vaccine given one of coworkers noted half of employees, 5 people including patient was there for 2nd Pzier vaccine. Pt was advised of error and discussed potential side effects. He was monitored for 30 minutes with no adverse effects. Hours later contacted employer and pt remained asymtomatic. He is scheduled for recheck exam. Pt did not have an adverse reaction.

Other Meds: unknown

Current Illness: unknown

ID: 1371453
Sex: M
Age: 41
State: AK

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/03/2021
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Allergies: denies

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Symptoms: Pt was seen at plant for 2nd Covid 19 vaccine with other employees. He had card with Pfzier identified as first Covid vaccine given. He was in line to receive Moderna 2nd vaccine per scheduled vaccines with plant. Advised partifipants they were getting 2nd Moderna and discussed my personal side effects as well as effectiveness of Moderna. After vaccine given one of coworkers noted half of employees, 5 people including patient was there for 2nd Pzier vaccine. Pt was advised of error and discussed potential side effects. He was monitored for 30 minutes with no adverse effects. Hours later contacted employer and pt remained asymtomatic. He is scheduled for recheck exam. Pt did not have an adverse reaction.

Other Meds: unknown

Current Illness: unknown

ID: 1371454
Sex: F
Age: 48
State: CA

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 06/03/2021
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Allergies: Penicillin

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Symptoms: Starting 5/14 evening, I started having tingling and pins and needles in my extremities, and that same evening, I started having shortness of breath/difficulty breathing. I was wide awake and had a very difficult time sleeping. I woke up numerous times hot and flushed and at 1am, I could barely breathe because my heart was beating extremely fast. I was very scared. I couldn't even slow my breath with meditation or breathing. I somehow finally fell back asleep after about 2 hours, even though my heart continued to beat very fast. I woke up the next morning naturally exhausted. I have since experienced occasional tachycardia and frequent bouts of tingling and pins and needles particularly in my extremities. Yesterday, 6/2, I woke up with extreme pins and needles in my extremities to the point of pain and discomfort, particularly my hands/fingers but throughout my body, and they kept up all day long and well into the night, worsening into the night. I woke up today with less pins and needles, but there are still felt in my upper limbs, particularly my left arm/hands.

Other Meds:

Current Illness:

ID: 1371455
Sex: F
Age: 54
State: CA

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 06/03/2021
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Allergies: Strong allergies to dairy and intolerance to gluten. For medicines Remacaid, Stilara, Budesonide, Dilutid

Symptom List:

Symptoms: The first vaccination dose when we went to the car we sat in the car for 15-30min. After about an hour I started to have Paraoxysmaldyskinesia and seizures (they are secondary condition to the MS). And I began to have this in the car. I started to have paralyze in both legs but my left leg began to hurt. And I began to have terrible diarrhea and I have Chron's disease and I have a Ileospomy bag (and I've had this since March of 2017). A week later after vaccination I had an infusion of Entyvio (biologic) which is regularly scheduled and happened to be a week after the shot. It helped the diarrhea. I contacted my GI doctor to ask if they could move up my infusion to so it could be after my next dose. They said all their patients are seeing diarrhea after vaccination and no they couldn't move it up. I continued to have pain in my legs, fatigue even after going up stairs, difficulty walking. In 2014 I had Sciatic in that leg and a blood clot so I thought it was due to that and never assumed it was a blood clot. And the pain was getting worse each day but I assumed it was all related to the Chron's and not a blood clot.

Other Meds: Valacyclovir, Diflucan, Percocet 5mn/325 acetaminophen, Gabapentin, Diazepam

Current Illness: I have MS and Chron's disease.

ID: 1371456
Sex: M
Age: 83
State: MI

Vax Date: 03/31/2021
Onset Date: 04/29/2021
Rec V Date: 06/03/2021
Hospital: Y

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Symptoms: Admitted for CVA, left sided weakness

Other Meds:

Current Illness:

ID: 1371457
Sex: F
Age: 54
State: TX

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 06/03/2021
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Allergies: Shellfish, bees, medications allergies

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Symptoms: I had the second dose and after 15 minutes my throat and mouth was itchy and started to close and then they gave me an EPI pen shot. After that I was able to breath and they monitored me for a couple hours. They told me to go home and to take Tylenol and Benadryl again.

Other Meds: Vitamin D, magnesium

Current Illness: None

ID: 1371458
Sex: F
Age: 35
State: CA

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 06/03/2021
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Allergies: no

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Symptoms: Within a couple minutes, I had a shooting pain in my left ear - that went away in 30 seconds. And then that evening, about 6 hours after, I was achy, had the chills, I had sweats and I was incredibly tired. That lasted for about 36 hours. My headache didn't go away - it wasn't on my forehead, it was on the back of my head. That headache didn't go away for two weeks - four weeks. It was really painful. Around that Monday or Tuesday, after the vaccine, I started getting the ringing in my ear. If you go to a concert - loud music venue - and you come home and your ears are ringing. That is how it is all the time/consistent ringing and it's only in my right ear. My head hurt so badly, I don't know if it was Monday or Tuesday for when it started. I had a virtual appt with Primary Care Doctor - he said that there had been reports of Tinnitus from after the vaccine. He recommended not to do J&J again - if they do a booster. If you make a line from top of one ear to to top of other ear - all that area was excruciating pain on the back of my head. I had massages for it and had them work on my head to help the pain.

Other Meds: no

Current Illness: none

ID: 1371459
Sex: F
Age: 66
State: OK

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 06/03/2021
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Allergies: Pineapple Codeine Gluten

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Symptoms: At 4:30 I couldn't form words correctly. I took aspirin 81mg and I went to Urgent Care. I saw the doctor within 20-25 minutes but by then I was able to speak slowly and form words correctly. About 10 minutes later I could speak quickly and form words correctly. The doctor sent me to ER where I had a Cardiogram, CT scan and a chest x-ray. I believe I also had blood work done there. Six hours later I left and went home. I saw my own doctor a couple days later. She had me wear a heart monitor for 24 hours and a doppler monitor. She had more blood work done and an MRI. She then changed my medicine from pravastatin 20 to pravastatin 40. She also had me take an 81mg aspirin every day. My test didn't show any problems. I haven't had any symptoms since.

Other Meds: Lisinopril 10mg Estradiol 1mg Viactive Calcium Vitamin D3 5000iu Loratadine 10mg

Current Illness: None

ID: 1371460
Sex: F
Age: 59
State:

Vax Date: 02/09/2021
Onset Date: 02/15/2021
Rec V Date: 06/03/2021
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Allergies: strawberry, lavender, NSAIDs, Nutmeg, Latex

Symptom List:

Symptoms: Pt had possible shingles outbreak on face within 1 week of vaccine - then developed primary genital herpes outbreak approximately 3 months later.

Other Meds:

Current Illness: none

ID: 1371461
Sex: F
Age: 80
State: CT

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 06/03/2021
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Allergies: Fish Egg white sensitive to many medications Penicillin Allergy

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Symptoms: A few hours after vaccine, right arm started to get red and swell. Patient had chills, fever, headache. Feeling unwell. Two to three days later she felt like she had Covid-19 again. Right Arm continued to swell from shoulder to elbow for 3 weeks. The arm was hot to the touch. Fever, headache, chills, diarrhea for 3 days. Had Covid-19 feeling all over again. Poor taste and sense of dread. Did not seek medical treatment for swelling in arm or symptoms.

Other Meds: Vitamin D Probiotic aspirin as needed B-vitamin

Current Illness: Had Covid-19 infection on November 8th admitted to hospital on November 10th. Treated with Rendisevere for Covid-19. Hospitalized for 3 days. Became long hauler with symptoms of bad taste, headache, aches and pains. Felt like she could not get rid of it.

ID: 1371462
Sex: F
Age: 29
State: NJ

Vax Date: 03/11/2021
Onset Date: 04/29/2021
Rec V Date: 06/03/2021
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Allergies: Pine tree pollen, cats

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Symptoms: Menstrual periods following the vaccine have been more intense: higher volume of blood lost, more painful cramping, increased breast tenderness and swelling, increased duration of period by roughly 2 days.

Other Meds: Adderall 10mg, Bupriopion 300mg, multivitamin

Current Illness:

ID: 1371463
Sex: F
Age: 66
State: NE

Vax Date: 04/03/2021
Onset Date: 05/21/2021
Rec V Date: 06/03/2021
Hospital: Y

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Allergies: augmentin, cyclobenzaprine hydrochloride, acetaminophen, ibuprofen

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Symptoms: Moderna Covid19 Vaccine EUA Admitted acute due to ileus

Other Meds:

Current Illness:

ID: 1371464
Sex: F
Age: 32
State: CA

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/03/2021
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Symptoms: Pfizer for the patient's 2nd dose instead of Moderna. There were no other signs and symptoms noted.

Other Meds:

Current Illness:

ID: 1371465
Sex: F
Age: 93
State: MI

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
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Allergies: NKA

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Symptoms: This is for documentation only. Patient stated she received her 1st dose of Pfizer on May 13th, 2021. Confirmed by her daughter. However, the state reporting system says she got Johnson and Johnson. Patient received dose of Pfizer today. No apparent adverse reaction at this time. Patient was held for 30 minutes. No problems. Patient did not bring her vaccination card to appointment

Other Meds: Cardiac Med (Unknown by patient)

Current Illness: Cardiac

ID: 1371466
Sex: F
Age:
State: WI

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Onset Date: 04/30/2021
Rec V Date: 06/03/2021
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Symptoms: My husband received the Moderna vaccine. The first dose on the 27th of March. The second dose three weeks later.. A few days later began having moth sores, which came in pairs and took two weeks to dissapear. Close to the end of this my lymph nodes were swollen, first the right, then the left. At the same time a rash mostly on my face , but covering my whole body. Now I have my period for three days. I am in menopause. I am 55 years old.

Other Meds:

Current Illness:

ID: 1371467
Sex: M
Age: 62
State: MO

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 06/03/2021
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Symptoms: Eyes open in fixed stare for approximately 30 seconds. Would not respond verbally. Was pale and skin clammy. Cool cloth to base of neck. Waiting in personal van with passengers seat partially reclined. Back to normal state by end of 15 minutes wait. VS were BP 97/66, pulse 57, pulse ox 97% Held for additional 15 minutes to further monitor. Was able to lay down for first Covid vaccination and had no adverse reaction(s). States his mother also reacts porky to any injection.

Other Meds: Multi Vitamin

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm