VAERS 2021 Database www.vaers.hhs.gov

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

Total Manufacturer

Incidents per State

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

ID: 1372544
Sex: F
Age: 25
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: Bee stings (Only reaction: swelling at site of sting)

Symptom List: Dysphagia, Epiglottitis

Symptoms: All of the following side effects occurred for 36 hours following my vaccination: Extreme fatigue; headache; fever; chills; night sweats; nausea; vomiting; dizziness; blurred vision; weakness; muscle aches throughout entire body; pain at injection site (only experience 24 hours after injection)

Other Meds: Lo Loestrin Fe (once daily); Vyvanse 60mg (once daily); Escitalopram 20mg (once daily); Buspirone 15mg (twice daily); One A Day Women's Vitacraves (once daily); Iron supplement (once daily); Biotin supplement 1,000mcg (once daily); CoQ10 2

Current Illness: Anxiety; ADHD

ID: 1372545
Sex: F
Age: 17
State: VA

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: Anxiety, Dyspnoea

Symptoms: no issues that pt has reported - 17 year old received vaccine when it is 18+

Other Meds: no known

Current Illness:

ID: 1372546
Sex: M
Age: 18
State: OK

Vax Date: 05/31/2021
Onset Date: 05/31/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: Mixed Series. Patient come in for a COVID shot. He said it was his 2nd, but did not have his immunization card with him. When asked, he said he had had Moderna for his 1st dose. We gave him Moderna. When pt brought his vaccine card in a few days later to be completed, it was discovered that he actually received Pfizer for his 1st dose. Timing was appropriate (4/18/21 for Pfizer, 5/31/21 for Moderna).

Other Meds:

Current Illness:

ID: 1372547
Sex: M
Age: 79
State: CA

Vax Date: 02/24/2021
Onset Date: 03/20/2021
Rec V Date: 06/03/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: IVP dye, plant pollens

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Sudden and complete loss of vision in left eye for about 1 minute followed immediately by sudden and complete recovery of vision. No other symptoms. Lovastatin increased from 20mg/day to 40mg/day. Aspirin increased from 81mg every other day to 81mg every day. I have not subsequently experienced any symptoms to date.

Other Meds: Lovastatin 20mg/day. Hydrochlorothiazide 12mg/day. Calcium 600mg/day. Aspirin 81mg every other day. Hydrochlorothiazide (12mg/day|) taken to help prevent calcium kidney stones. I do not have high blood pressure. Docusate sodium (stool sof

Current Illness: None

ID: 1372549
Sex: F
Age: 24
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:

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Swollen lymph nodes on side of injection

Other Meds:

Current Illness:

ID: 1372550
Sex: M
Age: 51
State: FL

Vax Date: 05/08/2021
Onset Date: 05/09/2021
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: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: High fever for 10 hours the first time I took temperature was 106.3 F . I took several showers to lower the fever and acetaminophen but it was not enough and the fever continue all day Severe headache, pain all over the body Severe pain on the lower back that almost cannot walk

Other Meds: Metformin

Current Illness: None

ID: 1372551
Sex: M
Age: 25
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: Stated None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient had a syncopal episode, pallor; VS taken- bradycardia; 4 lead and 12 leads EKG done- abnormal rhythm. ASA and oxygen given. Paramedics called.

Other Meds: Stated None

Current Illness: Stated None

ID: 1372552
Sex: F
Age: 96
State: PA

Vax Date: 05/28/2021
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: none listed

Symptom List: Pharyngeal swelling

Symptoms: Became lethargic. Wasn't answering simple question. Did not have trouble breathing. Looked as if she was falling asleep. Son was with her and said this was very unusual for her.

Other Meds: unknown

Current Illness: none listed

ID: 1372553
Sex: F
Age: 55
State: WA

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

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

Lab Data:

Allergies: Ultram, tagaderm, hazelnuts, pet dander, pollens

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Extreme fatigue, body aches to the point of not wanting to get out of bed, headaches (I rarely get headaches), nausea, diarrhea, it progressively is getting worse rather than better, at first I only had a day of pain, now it?s up to 5 days in a row. I had a negative Covid test yesterday - it?s not Covid.

Other Meds: Lexapro 5mg, Vit D3 - 5000iu, Brahmi,

Current Illness: None not even a cold

ID: 1372555
Sex: F
Age: 68
State: HI

Vax Date: 05/20/2021
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: Sensitivity to Tetracycline. Allergy to mold, animal dangers, dust, wool

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Began to experience wheezing and coughing and nasal drainage with clear phlegm. Necessitated me to use Proventil rescue inhaler 2-3 times a day whereas previously had used inhaler 2-3 times a year. Also on Day 10 post had 6 inch long red rash on right thigh site of injection.

Other Meds: Prevention inhaler p.r.n, Vitamin C, Melatonin, Zinc, Pectasol, Breast Defend, Osteoprime Ultra, Strontium, NAC, Alpha-Glycosyl Isoquercitrin, Mega Sporebiotic, Evening Primrose Oil. Vitamin D/K2, Cod Liver Oil DHA/ EPA Forte Capsules, CBD

Current Illness: None

ID: 1372556
Sex: F
Age: 40
State: OH

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

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

Lab Data:

Allergies: None

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Wheezing, hives all over body, itching. Treatment: EpiPen, Benedryl. Hives and itching still present.

Other Meds: Gabapentin

Current Illness: None

ID: 1372557
Sex: M
Age: 48
State: NC

Vax Date: 03/20/2021
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: Rash, Urticaria

Symptoms: Partial loss of hearing in left ear. Initially assumed to be allergies. Following second vaccine shot on 4/7/2021 (Lot #ER8737) conditioned worsened. Additionally following second vaccine dose, tinnitus in left ear became much worse.

Other Meds: ambien

Current Illness: none

ID: 1372558
Sex: F
Age: 41
State: NJ

Vax Date: 05/23/2021
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:

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Light intermenstrual bleeding 10 days after second shot. One day after second shot experienced fatigue and body aches. Developed a large, swollen circular rash, warm to the touch at injection site, with arm pain. Pain lasted about 3 days, rash cleared after 7 days.

Other Meds:

Current Illness:

ID: 1372559
Sex: M
Age: 50
State: OH

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: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: Severe head ache

Other Meds:

Current Illness:

ID: 1372560
Sex: F
Age: 51
State: MI

Vax Date: 05/21/2021
Onset Date: 05/31/2021
Rec V Date: 06/03/2021
Hospital: Y

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

Lab Data:

Allergies: Cipro, clarithromycin, keflex, penicillins, smallpox vaccine, sulfadizine, toradol, tramadol, trazodone, zoloft, adhesive tap, biaxin, ceclor, wool, ace inhibitors, metformin

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Patient had noticed some mild bruising 1 month ago and had recently received Janssen vaccine on 5/21/2021. She developed severe bruising to the site of injection on left arm. Later she developed more bruising on abdomen, wrist and arms. She presented to the hospital with right flank pain with kidney stone and found to be severely thrombocytopenic of which likely was ITP. Received IVIG and steriods with improvement in her platelet response. Thankfully no bleeding. Patient has been in hospital for 4 days and still hospitalized at the time of this report.

Other Meds: Ibuprofen, Pantoprazole, Diazepam, Estradiol, Glimepiride, Synthroid, Topiramate, Fosamax, Pioglitazone, Vitamin C3, Calcium, Tumeric, Flinstone vitamin.

Current Illness:

ID: 1372562
Sex: M
Age: 11
State: NJ

Vax Date: 05/13/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Patient returned for second dose of Pfizer COVID 19 vaccine. Patient noted by immunizer for second dose to be underage per current EUA authorization. No reported adverse reactions. Second dose not administered due to age.

Other Meds:

Current Illness:

ID: 1372563
Sex: M
Age: 36
State: CA

Vax Date: 05/18/2021
Onset Date: 05/19/2021
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: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: - Strong side effect the day of the vaccination and the day after. - Hospitalized due to possible heat attack and diagnozed with possible inflamation close to the heart or minor blood clots.

Other Meds: None

Current Illness: None

ID: 1372564
Sex: M
Age: 22
State: TX

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: Ear pain, Hypoaesthesia

Symptoms: Patient got up from seat to get water, begin to see lights, fell forward/ employee caught him, didn't quite remember falling, we had patient lie on ground, elevate feet, placed cold pack on head, and cloth underneath head. Called EMS, they arrived shortly

Other Meds: NEXIUM

Current Illness: NONE

ID: 1372566
Sex: M
Age: 20
State: UT

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: patient stated that 1-2 days after immunization their arm become inflamed and almost purple. It was painful and has slowly returned to normal. Some nerve sensations are felt.

Other Meds: na

Current Illness: unknown

ID: 1372567
Sex: M
Age: 0
State: MI

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: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Nursing facility called us and request to provide vaccine to their residents , and I was inform only one person was getting the second dose but everyone else was getting the first dose and it Moderna. When entering the vaccine into the MCIR, I noticed the patient received Janssen and Janssen vaccine on May 17 2021. I spoke with employee and he informed Dr.and Nurse. I was told by employee the patients doing fine they will monitor him for any adverse reaction.

Other Meds:

Current Illness:

ID: 1372568
Sex: F
Age: 47
State: MS

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:

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Heart palpitations, shortness of breath, chest pain, painful lumps under my armpits, headache

Other Meds:

Current Illness:

ID: 1372570
Sex: F
Age: 32
State: TX

Vax Date: 06/01/2021
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: Unevaluable event

Symptoms: Sore around injection site within four hours of recieving vaccine, dose 2, pfizer. 101 degree Fahrenheit fever developed eight hours after injection. Fever lasted 48 hours. Swollen armpit (assuming this is swollen lymph nodes) discovered in the morning of June 3, 2021 (injection received morning of June 1, 2021).

Other Meds:

Current Illness:

ID: 1372571
Sex: M
Age: 52
State: FL

Vax Date: 05/28/2021
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: NKDA

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Patient only had adverse events after the second dose of covid shot on 05/28/2021. Patient starting getting fever, headache, body aches and lethargy from 5/29-6/2. He woke up this morning (6/3) with cold sores on his lip and he broke out in hives from head to toe. Patient does not come a primary care doctor. Recommended patient to be seen at an urgent care.

Other Meds:

Current Illness:

ID: 1372572
Sex: F
Age: 41
State: OR

Vax Date: 04/08/2021
Onset Date: 04/17/2021
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: Injection site pain, Pain

Symptoms: Tingly/numbness in right arm immediately with injection. Lasted about an hour. Fatigue and achiness the following day. 4/17-4/19 tingly and soreness in neck and shoulders. Virtual visit with doctor on 4/19 to discuss if symptoms were related to blood clots and/or vaccine. Week of 4/25 extremely swollen and sore lymph nodes. 5/4 -5/6 fever (101). COVID test 5/5 and negative result received 5/7. Fever returned higher (102.9) on 5/8. Virtual visit with doctor 5/10 to discuss fever and fatigue symptoms. 5/13 UTI test. No infection but blood in urine. Off and on fever and extreme fatigue continue along with loss of appetite and weight loss. 5/18 in person doctor visit to check symptoms, another UTI test and bloodwork. Blood work came back normal, UTI normal, still blood in urine. 5/20 X-ray to check for pneumonia (none found) and ultrasound on kidneys and bladder to check for infection, kidneys stones (none found). Also had more blood work done that day to check for mono (had as a teen with similar symptoms). 5/24 confirmed reactivated mono. Symptoms have slowly improved since 5/23. Another test is scheduled for the future to check the blood in urine again.

Other Meds: Multi-vitamin, vitamin D, vitamin C, Juice Plus supplements

Current Illness: None

ID: 1372574
Sex: F
Age: 33
State: DE

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: clindamycin

Symptom List: Injection site pain, Menorrhagia

Symptoms: about 5 minutes after receiving, patient experienced tingling in fingers, which changed from one finger to another then also down outer aspect of palm of right hand. Shortly after, legs started feeling cold sensation in them and then started feeling "achey " in legs; called physician, who recommended patient wait longer than typical wait period, which patient did...waited one hour after shot. assisted her to standing and walked to vehicle. followed up with a phone call to her twice through out day and patient was ok.

Other Meds: wellbutrin; birth control

Current Illness: unknown

ID: 1372575
Sex: F
Age: 22
State: MA

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

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

Lab Data:

Allergies:

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: Swollen lymph nodes

Other Meds: Birth control

Current Illness:

ID: 1372576
Sex: M
Age: 54
State: MI

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

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

Lab Data:

Allergies: Penicillin allergy

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Severe allergic reaction, I still have the allergy, I have been treated with prednisone, which altered the blood sugar, I have thin skin syndrome and my fingers break making my work difficult.

Other Meds: None

Current Illness: None

ID: 1372577
Sex: F
Age: 66
State: CO

Vax Date: 02/24/2021
Onset Date: 02/25/2021
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: Chills, Fatigue, Headache, Myalgia

Symptoms: 2/25 early AM severe left side chest pain. 4/1 rash on back Grover's Disease, 5/22 extreme ankle pain swollen and red foot for 24 hours, 5/31 extreme lower back pain for 12 hours. Unusually Fatigued, sad, and lifeless.

Other Meds: Levothyroxine

Current Illness: No

ID: 1372579
Sex: F
Age: 37
State: CA

Vax Date: 05/08/2021
Onset Date: 05/21/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Feelings of dizziness and vertigo that started 2 weeks after the second shot and has continued for 2 weeks .

Other Meds:

Current Illness:

ID: 1372580
Sex: F
Age: 41
State: OH

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: N/A

Symptom List: Nausea

Symptoms: Around 7:30 in the evening at work I started having a migraine. I could hardly lift my arm and the site was immediately swollen. My whole arm became red, hot and painful. I left work. I was very tired . All night long I was up nauseous, my throat hurts, pain in my chest. For a time I felt as if I couldn?t catch my breath. The worst is every bone in my body feels broke and continues to fill like my bones keep breaking over and over. The pain is unbearable. It?s 8:45 in the evening 24 hours later and I feel worse. I literally can not move my body hurts so bad. I?m sweating and then have chills. My left arm has pins and needles down to my finger tips. I have to take another day off of work tomorrow. When I got my first shot in May, a week later to the day my arm that I received the shot was very swollen, itchy, hives, red, hot, all the way down to my elbow. My son got his second shot also the same day as me and he is also sick today. Not as bad as myself, but was sent home from work. He feels like he can not breath, body aches and tired. I?m just wondering why I?m so sick?

Other Meds: Vitamin D

Current Illness: N/A

ID: 1372581
Sex: M
Age: 46
State: TX

Vax Date: 04/07/2021
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: Medication: sulfa

Symptom List: Injection site pain

Symptoms: ACCUTE APPENDICITIS

Other Meds: EZETIMIBE, LISINOPRIL, HYDROCHLOROTHIAZIDE, ATENOLOL, MEN'S 45+ MULTI-VITAMIN.

Current Illness: None

ID: 1372582
Sex: F
Age: 20
State: OR

Vax Date: 05/13/2021
Onset Date: 05/15/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: I had a sore arm the first day after the shot. Two days after I woke up from my sleep with very bad chills and a 102 fever at 11:30 pm. After two hours, the chills stopped but my fever was still at 102. I went back to sleep at 3:00 am and woke up without a fever but still felt very tired and groggy for the next two days. Also, am not sure if it is related, but I am usually very regular on my menstrual cycle, but was 20 days late after getting the first vaccine. I know this because I track my menstrual cycle. Also, when my period did finally come, it was the most painful period that I have had in a while. The cramping was very painful and I bled very heavily. Although, I got my second shot on the 27th of May and had no symptoms. I also, to my knowledge, did not have covid prior to getting either shot.

Other Meds: probiotic iron calcium

Current Illness:

ID: 1372584
Sex: M
Age: 56
State: AL

Vax Date: 03/23/2021
Onset Date: 03/26/2021
Rec V Date: 06/03/2021
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Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: I have been diagnosed with Ulcerative Colitis where I had sporadic diarrhea. After the first Pfizer shot I started light bleeding. After the my second shot I started bleed heavily. I reported this to my doctor; underwent a quick mini-colonoscopy; and I was quickly put on Humira. After 4+ weeks on Humira, the bleeding appears to be slowing.

Other Meds: Mesalamine 3.6 GM daily; Budesonide 9 MG

Current Illness:

ID: 1372585
Sex: M
Age: 44
State: IN

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/03/2021
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Allergies: None

Symptom List: Tremor

Symptoms: sore throat, congestion,muscle pain.

Other Meds: None

Current Illness: None

ID: 1372586
Sex: M
Age: 61
State: MD

Vax Date: 06/02/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
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Allergies: Non as I know

Symptom List: Erythema, Pruritus

Symptoms: After the second dose of Moderna vaccine I slept at night for about 2 hours and I was feeling muscle fatigue. When I woke up, my body temperature was 100.4 F. Around 10 am I went to the kitchen to prepare my breakfast. During this time I was feeling that my head was heavy. Then I start to feel that I cannot stay anymore and I sat down on my stool. I don't know what happened after that because I lost my consciousness. After that I found myself lying on the back of my kitchen floor and I was completely wet. Few minutes later my body temperature was normal 97.88 F and I started to feel much better.

Other Meds: Vitamin D3, Turmeric.

Current Illness: hemorrhoid, tonsillitis, varicose veins

ID: 1372587
Sex: F
Age: 82
State: MO

Vax Date: 06/01/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
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Allergies: Pennicillin asprin sulfa

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Quiet. Not think correctly. Low Fever. Warm hands

Other Meds: Eliquis preservision

Current Illness: None

ID: 1372588
Sex: F
Age: 13
State: CA

Vax Date: 05/20/2021
Onset Date: 06/01/2021
Rec V Date: 06/03/2021
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Allergies: None

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Motor tics - head thrusting every 2-5 minutes, painful

Other Meds: None

Current Illness: None

ID: 1372589
Sex: F
Age: 26
State: NJ

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
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Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Moments after receiving the vaccine, while walking to the post vaccine area, patient reported right sided headache and generalized weakness. Weakness became progressively worse over 30-40 minutes, progressing to difficulty standing. Weakness generalized, not noted to be focal/unilateral. Speech slow and soft but clear. 911 called, transported to Emergency Department . Vital signs 121/76 hr 69 O2 100% rr 18. Denied pain at the time of transport.

Other Meds:

Current Illness:

ID: 1372590
Sex: M
Age: 47
State: MI

Vax Date: 05/26/2021
Onset Date: 05/27/2021
Rec V Date: 06/03/2021
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Allergies: NONE

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: PATIENT HAD A GOLF BALL SIZE LUMP UNDER HIS RIGHT ARMPIT THE NEXT DAY FOLLOWING THE VACCINE, SOUGHT TREATMENT FROM HIS DR 06/02/2021, PATIENT SAID DR PRESCRIBED ANTIBIOTIC AND ULTRASOUND TEST-OUTCOME UNKWON AT THIS TIME.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1372592
Sex: M
Age: 38
State: WA

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 06/03/2021
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Allergies: None

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Immediately after the shot, I began to feel light headed. The first time I felt like I was going to faint was 04/11/2021 within 24 hours of getting the shot. I began to feel lightheaded over the next few weeks. On May 2, 2021, I collapsed and fainted

Other Meds: Lisinipril-HCTZ 10 - 12.5 MG Tab

Current Illness: None

ID: 1372593
Sex: F
Age: 50
State: CT

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 06/03/2021
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Allergies: Lactose intolerance

Symptom List: Pain in extremity

Symptoms: First shot: immediately dry mouth and itchy throat. Within 1/2 hour eyesight was very slightly blurry. Second dose: Immediately after receiving shot had itchy inner ears and a dry, itchy throat. Within 1 hour after my face swelled up and I looked sunburned an had no wrinkles. (I am 51, so I definitely have wrinkles and all the lines in my face disappeared.) Swelling and symptoms were gone within 4 hours.

Other Meds: Biotin

Current Illness: none

ID: 1372594
Sex: M
Age: 72
State: CA

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

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: None stated.

Other Meds: Percoset, Advil, Allopurinol,

Current Illness: Tightness in chest immediately after first vaccination. This progressed simultaneously with a pinched nerve in my neck that made my left hand weak. I had symptoms like that of a heart attack and was in tremendous pain. Went to the ER and after copious tests ruled out heart .. tons of MRIs etc and today the neurologist said I had a bout of Brachial Plexus and that he feels certain it was an immune response to my vaccination. He suggested I make this report and this was pretty severe.

ID: 1372595
Sex: F
Age: 52
State: AL

Vax Date: 06/01/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
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Allergies: None

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Horrible tinnitus started on the second day after my 1st COVID immunization.

Other Meds: None

Current Illness: None

ID: 1372597
Sex: F
Age: 4
State: ME

Vax Date: 10/29/2019
Onset Date: 10/01/2019
Rec V Date: 06/03/2021
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Allergies: None

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Day after vaccine pain in left arm and behavior was fearful at every movement. Behavior changed and was angry and kicking and hitting walls repeatedly with hands and feet. hypersensitivity to noises, decrease facial expressions, and increased bowel accidents. Cough started 2 days later. 5 weeks later In middle of night with continued cough and severe wheezy cough, extremely high temperature 105, and was making forceful jerking movements while not able to respond to parent. Eventually woke up. Called doctor and they said gove Tylenol for temp movements were from high temp. Next morning eyes were dark. Cough persisted for a week and visited doctors who diagnosed her with pertussis. Since then diagnosed with Autism, Sensory Disorder, OCD, and Anxiety.

Other Meds: None. Not even vitamins

Current Illness: None

ID: 1372598
Sex: M
Age: 78
State: CA

Vax Date: 04/08/2021
Onset Date: 04/11/2021
Rec V Date: 06/03/2021
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Allergies: None

Symptom List: Vomiting

Symptoms: Three days after vaccination clinical depression recurred and became severe within one week.

Other Meds: Sertraline Mirtazapine Psorinum (homeopathic remedy) Multi-vitamins

Current Illness: None

ID: 1372599
Sex: F
Age: 33
State: IN

Vax Date: 05/06/2021
Onset Date: 05/31/2021
Rec V Date: 06/03/2021
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Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Dizziness, vertigo, especially when standing up from sitting ir sitting up/standing up from lying down

Other Meds: Cymbalta

Current Illness: Concussion

ID: 1372600
Sex: M
Age: 16
State: CA

Vax Date: 05/18/2021
Onset Date: 06/01/2021
Rec V Date: 06/03/2021
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Allergies: None

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Tonic Clonic seizure

Other Meds: Mirtazapine, Prozac, Daytrana

Current Illness: None

Date Died: 04/16/2021

ID: 1372601
Sex: M
Age: 86
State:

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 06/03/2021
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Symptom List: Injection site swelling, Limb discomfort

Symptoms: Noticeable decline after 2nd Moderna vaccine, patient could no longer get out of bed, stopped eating and was unable to communicate verbally

Other Meds: L-dopa, synthroid,b12,vitamin c, zinc, baby aspirin, namenda, cogentin

Current Illness:

ID: 1372603
Sex: M
Age: 34
State:

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
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Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Pt in for 2nd dose of COVID vaccine, negative reaction to first vaccine. Pt states he felt very dizzy after the injection. Staff (not including myself) witnessed pt have vasovagal fainting response (for about 3 seconds) and he fell straight down to ground from standing position. Paramedic(s) state they heard the pt hit the ground, and responded to the nurse stn quickly. This writer was passing out water to another pt when noticed the activity happening and was beckoned to come to the nurse's stn. Pt alert at this time, has c/o HA, no N&V, states does feel some dizziness, v/s 144/92, O2= 98%, R=16, responds to commands but keeps asking ?What happened? ? hand strength is stable, pupils are equal and reactive to light, no bleeding of head,ears, nose,etc, noted. Ice pack applied to pt?s forehead, does have profuse sweating. No significant medical hx, no allergies. 1205pm: 133/84, p=87, O2= 98% R 16, aware of name/ place/location, but continues to ask ?what happened?, no LOC noted. Advised team to call 911, pt needs to go for further exam of head injury, though he remains stable and alert. GF of pt unable to drive pt because she doesn't know how to drive stick shift. 1210pm: 135/86, p 94, R 16, 02 sat 98%, pt remains alert, sweating has stopped,denies dizziness at this time, does continue to say that ?back of head hurts? 1220pm paramedics have arrived, BP 128/68, p 85, R 16, 02 sat 98%. Assessment done by paramedics. Pt to go to hospital via ambulance, 1225pm pt left via gurney to ER. GF waiting for a ride for someone to come drive the car for her to meet pt at ER. Pt left alert, slowly starting to remember that he fell after injection he states.

Other Meds:

Current Illness:

ID: 1372604
Sex: F
Age: 52
State: CA

Vax Date: 04/22/2021
Onset Date: 04/26/2021
Rec V Date: 06/03/2021
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Allergies: None

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: A few days after the second shot, I started experiencing vertigo, and extreme headaches. This lasted for 6 weeks. Although it's better now, I still do not feel 100%. I had daily dizzyness, whenever I got out of bed, or up from a sitting position

Other Meds: Metformin, 500 mg per day, Januvia, 100 mg per day, Simvistatin, 20 mg per day, Vitamin D pill

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am