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: 1371926
Sex: F
Age: 13
State: CA

Vax Date: 06/02/2021
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: Pt lost consiousness in chair & staff brought patient to floor. C/O dizziness & fast heart rate. Was nervous & doesn't like needles. BP 102/54; HR 69; RR 18. Pt was provided water; laid in supine position w/extremities lifted. Chest stable & conscious. Alert & able to verbalize name & location. Monitored for 30 minutes. Informed to seek medical attention if sx start again.

Other Meds:

Current Illness:

ID: 1371927
Sex: F
Age: 41
State: VA

Vax Date: 05/19/2021
Onset Date: 05/20/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: Augmentin

Symptom List:

Symptoms: Orbital Swelling around the eye

Other Meds: Vitamin D, Centrum

Current Illness: None

ID: 1371928
Sex: M
Age: 14
State: FL

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Seizure for 2 second, blurry vision, pale skin, fatigue, and drowsiness

Other Meds: None

Current Illness: None

ID: 1371929
Sex: M
Age: 49
State: AZ

Vax Date: 05/12/2021
Onset Date: 05/20/2021
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: seizure (one time)

Other Meds: Rx for blood pressure medication

Current Illness: none

ID: 1371930
Sex: F
Age: 63
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:

Symptom List:

Symptoms: There was no adverse event, patient took Moderna as first shot and came in today and received Pfizer as the 2nd dose. performing the injection didn't know that the 2 vaccines were not to be mixeEd.

Other Meds:

Current Illness:

ID: 1371931
Sex: F
Age: 36
State: UT

Vax Date: 04/15/2021
Onset Date: 04/19/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: Azithromycin, Ibuprofen, Shellfish, Coconut

Symptom List:

Symptoms: I got a severe fever, chills, and body aches (so badly I couldn't move) 24 hours after having received the 1st dose. Then my lymph swelled up for 3 days. From my collar bone to my shoulder blade and under my arm, it was extremely swollen and painful. I thought I had a rib out! When the swelling subsided (day 4 or 5), my heart started fluttering, palpitating, and I felt extreme anxiety. I also felt achy in my entire body for the following month. Pain in all my joints. A LOT of inflammation. I was worried. I got a dr. appt and had an EKG. Nothing was found and nothing was suggested. Upon seeing a second doctor, he suggested I take aspirin. This has helped A TON! I am still having a lot of heart fluttering. This is NOT NORMAL it happened within a week of getting the shot and it is scary.

Other Meds: Vitamin D and Selenium

Current Illness: None

ID: 1371932
Sex: F
Age: 38
State: IN

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: Mango

Symptom List:

Symptoms: Headache for 6 weeks, fever for 5 days, sore throat for 5 days, no libido, fatigue, bruising,

Other Meds: Na

Current Illness: None

Date Died: 05/20/2021

ID: 1371933
Sex: M
Age: 65
State: MI

Vax Date: 05/07/2021
Onset Date: 05/20/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: On May 19th at approximately 10-1030 pm. My father suffered a heart attack with no warning and died instantly. He was fine all day long, fine since the second shot. We don?t believe the vaccine was the cause but maybe it jumpstarted something. We wanted to alert someone for knowledge or research. We did not have an autopsy.

Other Meds:

Current Illness:

ID: 1371934
Sex: F
Age: 26
State: CA

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: No known allergies

Symptom List:

Symptoms: Patient received first dose of Pfizer on 6/3/2021. She said she had ringing in her left ear 10 minutes after. She waited for 15 minutes of observation and left with her husband. She started to feel numbness on the left side of her face, involving her eye, cheek and chin. She decided to come to COVID vaccine clinic rather than return to the clinic where she received the vaccine. Denies shortness of breath or lip/throat swelling. Nurse practitioner on site assessed patient, did a neuro assessment and found it to be normal. Nurse practitioner ordered 10 mg Zyrtec sublingual, it was administered. Symptoms slightly improved but did not subside completely. Patient observed for an hour. Symptoms did not progress. Nurse practitioner discharged patient with instructions to return if symptoms progressed or started to involve airway.

Other Meds: None reported

Current Illness: None reported

ID: 1371935
Sex: F
Age: 59
State: CA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: Patient called back saying that after she got her first dose she felt a chill going down to her hips and when she got to the parking lot after 15 minutes have passed she suddenly felt really weak on her legs. Her legs felt so weak she couldn't even go to the restroom by herself and had to start using a cane. After speaking with her over the phone I urged her to go to the ER but she said she could not and will not have an appointment until 6/7/21. I told her to call the pharmacy back and update us on the status of her adverse event.

Other Meds: metformin, alogliptin, pioglitazone, glipizide, aspirin, losartan, latanoprost

Current Illness:

ID: 1371936
Sex: F
Age: 37
State: VA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Bee stings

Symptom List:

Symptoms: That afternoon my throat started to hurt a little as if i was getting strep. That evening i went to the doctors and they swab my throat for strep and everything came back negative. After running on tuesday my lower body started to feel a little achy, the pain started to cause swelling throughout my legs to my feet. Later that evening around bedtime my upper body started to have excruciating pain and my arms felt so heavy and were very painful to lift them up. I then called the doctor for an appointment and I was able to be seen the next day. They did blood work on me I don't recall the term they used but the results came back high for something that has to do with inflammation. I was prescribed Ibuprofen for the pain and the swelling.

Other Meds: Birth control pills 1x day

Current Illness: n/a

ID: 1371937
Sex: M
Age: 26
State: TN

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: NKDA

Symptom List:

Symptoms: Diffuse maculopapular rash, urticaria, lip angioedema

Other Meds: Bactrim DS

Current Illness: cellulitis right calf

ID: 1371938
Sex: M
Age: 64
State: MN

Vax Date: 04/08/2021
Onset Date: 05/06/2021
Rec V Date: 06/03/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient hospitalized for initiation of HD with nephrology within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1371939
Sex: M
Age: 75
State: CO

Vax Date: 05/25/2021
Onset Date: 05/28/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient received 1 dose of Janssen vaccine at pharmacy on 5/25/21. Patient visited hospital emergency department on 5/28/21 after experiencing new a syncopal episode with abdominal pain and vomiting, then acute left-sided chest and arm pain after with new atrial fibrillation diagnosis which was managed. Patient revisited same ED later on 6/1/21 for significant fatigue/weakness and diagnosed with STEMI.

Other Meds: Armour Thyroid 2 mg, ibuprofen 600 mg, docusate (Colace)

Current Illness:

ID: 1371940
Sex: F
Age: 30
State: NY

Vax Date: 05/16/2021
Onset Date: 05/26/2021
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: I experienced a miscarriage a week after having the Pfizer to vaccine and I'm not being given much information from the vaccine facility they gave me a piece of paper with a phone number to vaers in this doesn't even look like a phone number or a fax number to their facility

Other Meds:

Current Illness: Several weeks before the second dose that I received for the Pfizer vaccine I was not feeling well nauseous and I learned after taking a pregnancy test that it was because I was pregnant.

ID: 1371941
Sex: M
Age: 14
State: MN

Vax Date: 05/26/2021
Onset Date: 05/28/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: swollen armpit and along side of chest under left arm.

Other Meds:

Current Illness:

ID: 1371942
Sex: F
Age: 44
State: IN

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

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

Lab Data:

Allergies: Penicilin

Symptom List:

Symptoms: Became very drowsy around 4:00pm on June 1. I felt completely wiped and stayed in bed the rest of the evening and the next day. Symptoms went away around 4:00pm on June 2nd. After my 1st COVID vaccine, I was very lethargic, achy, and had a fever.

Other Meds: Lexapro & multi-vitamin

Current Illness: None

ID: 1371943
Sex: F
Age: 50
State: TX

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient has been suffering from headaches, rashes, chest pain, and numbness to her hands and fingers. Patient was order a CT scan of the chest. CT scan indicates mild pericarditis as well as post inflammatory lung changes. Echocardiogram is pending to confirm the diagnoses of pericarditis. Patient had MRI of the head and brain and that showed up as unremarkable. Patient continues to have these symptoms and denies having any of these symptoms before the COVID-19 vaccine.

Other Meds:

Current Illness:

ID: 1371944
Sex: M
Age: 17
State: VA

Vax Date: 05/14/2021
Onset Date: 05/16/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: High fever - I gave him Tylenol. For two days, and the second day I gave him Advil. He was very tired. I let him sleep. I gave him a lot of water. Urgent Care - For the shot broke his skin and caused him an infection, he had Prescription punicic acid ointment - 2% . The ointment worked to help the infection.

Other Meds: Vit C; Vit D; Multi-Vitamin; Turmeric gummies

Current Illness: no

ID: 1371946
Sex: F
Age: 29
State: NE

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Tingling and numbness on left side (arm and leg), then a week later, tingling and numbness also started on right side (arm and leg). A few days later, I developed some facial numbness and the sensation of the skin tightening and that has stayed to some degree consistent. A week or so later, I noticed my legs and arms felt weak at times and I was incapable of normal levels of exercise, like I'd been able to do previously. Around the same time I noticed my blood vessels were more prominent. This included the blood vessels in my extremities as well as one on the left side of my neck and some around my eyes. I had a few days of throbbing pain and the feeling of inflammation around the blood vessel in my neck, but that went away eventually. I have had a feeling of tightness in my neck, that makes swallowing a little more difficult at times.

Other Meds: hydrocortisone, fludrocortisone, levothyroxine, vitamin D

Current Illness:

ID: 1371947
Sex: F
Age: 41
State: CA

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

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

Lab Data:

Allergies: Grass, pollen, sycamore pollen, dust mites, apples, cherries, pistachios, shrimp, soy, bananas, avocados, chocolate, almonds

Symptom List:

Symptoms: I had the vaccine and a couple of hours later I was extremely fatigued and two days after I had pain to the point that I had to take Tylenol to sleep because my arm was very painful and two weeks after my arm was swollen and red. My period after was extremely painful, worse than normal. I went to the doctor since I had an appointment and I told her about my situation. After the second dose I was getting a hematoma on my right thigh about 3-4 inches in diameter and hot to the touch.

Other Meds: 300 mg Gabapentin, 100 mg Norflex Er, 25 mg Benadryl, 200 mg Celebrex, Tylenol 500 mg, Allegra 180 mg, Nasacor nasal spray, B complex Vitamin, 30 mg zinc, 5 mg Dexanfetamine, 200 mg progesterone, zyrapeptide 120000 IU

Current Illness: None

ID: 1371948
Sex: F
Age: 18
State: IL

Vax Date: 04/26/2021
Onset Date: 04/26/2021
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: Fever and syncope followed by chronic headaches since

Other Meds: Allegra 180mg

Current Illness: None

ID: 1371949
Sex: M
Age: 33
State: OR

Vax Date: 05/27/2021
Onset Date: 05/27/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: After the individual received his vaccine he went to the medical monitoring area with two additional members of his party. At approximately 1412 the individuals friends alerted me that he needs help. I walked approximately 40 feet to find a 33 year old male patient that was unconscious and seizing. The seizure lasted about 20-30 seconds with the patient waking up confused. I instructed someone from my team to call 911 and request an ambulance. Another team member and myself assisted the patient to a wheelchair and moved him to our treatment area approximately 50 feet away. The patient was somewhat confused, hot & sweaty and fatigued. I took a basic set of vital signs and got: BP 90/70 Pulse 56 Respirations 22 LOC x 4 No CBG The ambulance arrived within 10 minuets and another round of vitals were taken. The patients blood pressure and pulse were still low. A CBG of 120 was achieved. The patient was still hot / sweaty and fatigued. The patient lied down on a cot and soon started feeling better. He stopped sweating and his BP / Pulse started rising to within normal limits. The two paramedics on site conducted a 12 lead ECG and didn't notice any amoralities. Due to this incident being the first of its kind for the patient and without being a able to find a definitive known cause it was recommended that the patient be transported to the local hospital for further evaluation. The patient declined and stated that he would have his friends take him if he starting feeling really bad. It was strongly advised that he be transported via medics to the hospital but in the end the patient refused.

Other Meds: Unknown

Current Illness: Unknown

ID: 1371950
Sex: F
Age: 18
State: NY

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:

Symptom List:

Symptoms: Patient had a typical vasovagal response. She lost conscious for seconds, then regained consciousness. She was slightly dizzy but we had her lay on her back with feet elevated. After 5 minutes she was back to normal. Patient was observed for 20 more minutes with no issues.

Other Meds:

Current Illness:

ID: 1371951
Sex: F
Age: 83
State: CO

Vax Date: 03/01/2021
Onset Date: 03/15/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: flagyl-cipro combination, definitely Moderna vaccine !

Symptom List:

Symptoms: 2 WEEKS AFTER THE INJECTION i DEVELOPED SEVERE TREMORS IN RIGHT AND LEFT HANDS, CAUSING THE DROPPING OF ITEMS, DIFFICULTY CARRYING LIQUIDS, PLACING ITEMS IN MICROWAVE, HANDLING KNIVES DISHES, APPLYING MAKEUP, STYLYNG HAIR AND ANYTHING ELSE INVOLVING MY HANDS. I know how I functioned before this vaccine, and I know darn well how what a diffcult time I am having now. I also know who is at fault at pushing the vaccine! Dr. lied about the safety, and that is what I believe and no one can change that. I will never be the same, this will never go away and shame on the drug companies for doing sloppy work. That's my true outcome and I stand on it!!!!!!

Other Meds: multi-vitamin, low dose aspirin, vitamin E, vitamin C, glucosamine-chondroitin-msm, calcium-magnesium-zinc, bone up, vitamin D.

Current Illness: None.

ID: 1371952
Sex: M
Age: 71
State: MN

Vax Date: 04/16/2021
Onset Date: 05/12/2021
Rec V Date: 06/03/2021
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 with chest pain and was subsequently hospitalized. Diagnosis was NSTEMI. This was within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1371953
Sex: M
Age: 56
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was being administered 2nd dose when the syringe leaked contents out and the full dose was not administered. A second syringe was administered with 0.3ml since it was unknown how much was actually administered on the first attempt. Patient has been experiencing muscle pain in the injection site and is having trouble lifting arm up completely

Other Meds:

Current Illness:

ID: 1371954
Sex: F
Age: 54
State: NC

Vax Date: 01/25/2021
Onset Date: 01/28/2021
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: Sore arm, sore throat over the next few days along with lymph node swelling.

Other Meds: Beutron 150mg/2xdaily Nexapra 10mg/1xdaily Filiforme 360mg/1xdaily Zyrtec 10mg/1xdaily Efferate 50mg/1xdaily Multi-Vitamins

Current Illness: None

ID: 1371955
Sex: F
Age: 20
State: AZ

Vax Date: 05/27/2021
Onset Date: 05/28/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: Bactrum

Symptom List:

Symptoms: Slight arm pain following vaccine same day but next day I had high fever, chills, fatigue, nausea, muscle pains, and a migraine that debilitated me completely.

Other Meds:

Current Illness:

ID: 1371956
Sex: M
Age: 16
State: MD

Vax Date: 05/25/2021
Onset Date: 05/29/2021
Rec V Date: 06/03/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: In the evening on 5/29 pt experienced chest pain in the center-left chest, was advised at urgent care where he was found to have elevated troponin levels with normal vitals, exam, EKG, and chest X-ray. He was admitted to the hospital where he continued to have intermittent chest pain and had increase in troponin levels during his admission. He was then transferred to a different hospital where he continues to have elevated troponins and is being worked up for possible myopericarditis.

Other Meds: None

Current Illness: None

ID: 1371957
Sex: F
Age: 34
State: TN

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

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

Lab Data:

Allergies: Mushrooms

Symptom List:

Symptoms: Covid Arm- approximate 3 inch rash at injection site. Resolved on it's own in 2 to 3 days. No treatment needed

Other Meds: N/A

Current Illness: N/A

ID: 1371958
Sex: M
Age: 44
State: MO

Vax Date: 05/26/2021
Onset Date: 05/30/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Allergic reaction started on 5/30/21 (4 days after receiving the vaccine) - rash on left arm and abdomen, shallow breathing/wheezing a few hours after the rash developed. Patient went to the ED and the rash resolved by 6/1/21.

Other Meds: Triazolam

Current Illness:

ID: 1371959
Sex: M
Age: 16
State: KS

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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: Patient was given Moderna vaccine on 4/1/21 at the age of 16. At this time, Moderna is not approved for use in patients under the age of 18.

Other Meds: None

Current Illness: None

ID: 1371960
Sex: F
Age: 25
State: MN

Vax Date: 05/29/2021
Onset Date: 05/29/2021
Rec V Date: 06/03/2021
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Symptoms: My joints hurt and my body hurts to move

Other Meds: Paxil, aspirin (81 mg), topirimate, spironolatone.

Current Illness:

ID: 1371961
Sex: M
Age: 30
State: CA

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
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Allergies: none

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Symptoms: Patient Fainted 2 minutes after vaccine. He was sitting in chair and fell (caught by family) and woke up instantly. As I arrived, 10 seconds after fall, his eyes were open but he could not see anything. He was able to state his name, date of birth, and where he was, just couldnt see. "Everything is all black." After closing eyes for 30 seconds, opened and he could see, but everything was green. Vision color was back to 100% after 20 minutes but still blurry. Patient BP was normal. Sweating.

Other Meds: none. just water

Current Illness: none

ID: 1371962
Sex: M
Age: 87
State: TX

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 06/03/2021
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Symptoms: I think it was the patient's wife that told me that after the patient had his COVID vaccine, his mental status decreased. He wasn't able to add or subtract, thought they were moving, but they weren't moving. He has had symptoms for 2 weeks and getting worse. She told me that the doctor is doing a brain scan, not sure if patient has had a stroke.

Other Meds:

Current Illness:

ID: 1371963
Sex: F
Age: 29
State: TX

Vax Date: 05/05/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
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Allergies: NKDA

Symptom List:

Symptoms: NONE

Other Meds: NOMEDICATION

Current Illness: NO

ID: 1371964
Sex: F
Age: 74
State: MN

Vax Date: 03/24/2021
Onset Date: 04/19/2021
Rec V Date: 06/03/2021
Hospital: Y

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

Other Meds:

Current Illness:

ID: 1371965
Sex: M
Age: 30
State: CA

Vax Date: 03/17/2021
Onset Date: 04/02/2021
Rec V Date: 06/03/2021
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Allergies: None

Symptom List:

Symptoms: Severe allergy symptoms from April to current date June 3rd 2021. I have never had allergy symptoms since birth. A couple weeks after my first shot I got a constant runny nose and sneezing. The symptoms became amplified immediately after my second shot and have not gone away. My doctor tested my blood for allergies and everything came back negative. Second course of action was to x-ray my sinuses and they came back as a ?normal study?. I am now taking Claritin daily to be able to function at work but I?m still stuffed up and my ears feel clogged causing me to not be able to hear very well.

Other Meds: None

Current Illness: None

ID: 1371966
Sex: F
Age: 13
State: NV

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
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Allergies: n/a

Symptom List:

Symptoms: Moderna was given to underage pt (13 years old) instead of Pfizer

Other Meds: n/a

Current Illness: n/a

ID: 1371967
Sex: F
Age: 74
State: TX

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 06/03/2021
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Allergies: none

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Symptoms: bloody stool, sweating, bowel is black, no apatite, vomiting COVID test positive just went back to the Doctor and COVID test negative Pain in Neck Cough and sneezing but I think that's unrelated to the Vaccine.

Other Meds: yes but to many to list.

Current Illness: none

ID: 1371968
Sex: F
Age: 35
State: AZ

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/03/2021
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Allergies: Citric acid, weeds grasses

Symptom List:

Symptoms: Pounding headache, night sweats, body aches, chills, dizzy ness, chest pain, fatigue, shortness of breathe and increased resting heart rate. Average RHR 67 when sitting heart rate never went below 90bpm

Other Meds: Adderall XR 30mg, adderall IR 10mg, xanax .5mg, diazepam 5G suppository

Current Illness: None

ID: 1371969
Sex: M
Age: 59
State: NV

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 06/03/2021
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Allergies: N/A

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Symptoms: 103.7 Fahrenheit fever next day, chills, waking up in cold sweats, severe headache, was regaining taste and smell from Covid-19, then the taste and smell went away again, metal taste. About 3 days long. Took tylenol, which helped with fever. Metal taste has not gone away. Needed to increase his intake on oxygen tank.

Other Meds: Multivitamin, aspiriin

Current Illness: N/A

ID: 1371970
Sex: F
Age: 51
State: AZ

Vax Date: 05/11/2021
Onset Date: 05/26/2021
Rec V Date: 06/03/2021
Hospital: Y

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Allergies: none

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Symptoms: Unexplained acute pancreatitis on May 26, 2 weeks and a day after 2nd dose. I had severe abdominal pains and vomiting that started at 11:15 am. I was taking the the emergency room where it was diagnosed with CT scan and blood work. My Lipase levels were over 6,000. I was admitted into the hospital and treated with saline, no food and water, and pain killers for 3 days. No issues with other organs and I am not a heavy drinker. They found no reasons why I got this.

Other Meds: Latanoprost, Sumatriptan (as needed), Vitamin D, E, B12, Tumeric, Saffron, L-Glutathione, Fisetin

Current Illness: none

ID: 1371971
Sex: M
Age: 33
State: PA

Vax Date: 05/27/2021
Onset Date: 05/27/2021
Rec V Date: 06/03/2021
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Symptoms: a customer got dizzy when in a chair for several minutes after getting covid shot. He said he got dizzy, had blurred vision, and his back hurt. He was helped up and 991 was called while I sat with him. 911 asked him questions. he refused help and followed him out. He stated he never had problems with vaccines before.

Other Meds:

Current Illness:

ID: 1371972
Sex: F
Age: 57
State: CA

Vax Date: 05/19/2021
Onset Date: 05/30/2021
Rec V Date: 06/03/2021
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Allergies: Erythromycin, Septra, Vicodin, Clindamycin, Latex

Symptom List:

Symptoms: The same night (5/19) I received the Moderna vaccine (5 hrs later), I experienced itching at the site. Eleven days later (5/30), more itching, redness, raised round circle around the site, the size of a lime. As of today (6/3) continuing to be very itchy at times. The red circle is getting larger, the size of a grapefruit, warm to the touch, somewhat hard, and swollen. NOTE: The vaccine was administered at pharmacy

Other Meds: Supplements: Fish oil, Vitamin D, Vitamin C, Turmeric, Glucosamine, Biotin.

Current Illness: None

ID: 1371973
Sex: M
Age: 65
State: MN

Vax Date: 04/29/2021
Onset Date: 05/17/2021
Rec V Date: 06/03/2021
Hospital: Y

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

Other Meds:

Current Illness:

ID: 1371974
Sex: F
Age: 51
State: CA

Vax Date: 05/13/2021
Onset Date: 05/18/2021
Rec V Date: 06/03/2021
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Allergies: Amoxicillin, Potassium Dichromate, Gold sodium thiosulfate, Fragrance Mix

Symptom List:

Symptoms: Eye floaters - large increase in floaters. Vision blurriness, decreased clarity. Allergic symptoms not going away, runny and stuffy nose, itchy throat, red eyes, some itching at injection site.

Other Meds: NONE

Current Illness: None

ID: 1371975
Sex: M
Age: 25
State: TX

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

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Symptoms: Patient c/o chest pain, shortness of breath, headaches, sweaty and shaky. EMS was called and patient refused to go on ambulance and left building with transportation.

Other Meds: patient states being on multiple medication including insulin

Current Illness: N/A

ID: 1371976
Sex: M
Age: 18
State: FL

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 06/03/2021
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Allergies: Dairy

Symptom List:

Symptoms: The morning after my shot maybe 12 hours later I woke up with a 104.5? fever and my right armpit was the size of a tennis ball and hurt a lot. I was extremely tired I could not go to work. I did not eat all day but I did take a lukewarm shower and some Tylenol.. About 5 PM my fever broke and it still took another 24 hours for me to feel myself again. It has been five weeks and I still have a golf ball sized lump in my right armpit even after massaging it and exercising and sweating every day.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm