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
79,363
AK1,681
AL5,630
AR3,623
AS44
AZ13,729
CA60,367
CO11,366
CT8,143
DC1,670
DE1,742
FL38,161
FM3
GA14,034
GU87
HI2,271
IA4,455
ID2,539
IL20,147
IN22,923
KS4,429
KY7,376
LA4,969
MA14,445
MD12,355
ME3,082
MH8
MI18,686
MN11,737
MO9,289
MP30
MS2,816
MT2,213
NC16,075
ND1,302
NE2,838
NH2,964
NJ18,106
NM3,818
NV4,288
NY34,078
OH18,798
OK6,116
OR8,267
PA23,463
PR2,197
QM2
RI1,958
SC6,368
SD1,165
TN9,123
TX35,683
UT4,183
VA14,443
VI50
VT1,717
WA14,343
WI10,751
WV2,286
WY845
XB5
XL1
XV2

ID: 1375945
Sex: F
Age: 20
State: MA

Vax Date: 04/21/2021
Onset Date: 05/30/2021
Rec V Date: 06/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pericarditis

Other Meds:

Current Illness:

ID: 1375946
Sex: F
Age: 37
State: VA

Vax Date: 05/28/2021
Onset Date: 05/29/2021
Rec V Date: 06/04/2021
Hospital:

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

Lab Data:

Allergies: Ceclor

Symptom List:

Symptoms: Ever since patient has had shot they have been experiencing chronic headache, blurred vision, and dizziness

Other Meds: Sertraline, Sprionolactone, Tri-Lo-Mili, Mobic, Metformin

Current Illness: N/A

ID: 1375947
Sex: F
Age: 52
State: CA

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

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

Lab Data:

Allergies: Gluten and Penicillin

Symptom List:

Symptoms: Per patient 1 hour after receiving vaccine she felt LT sided headache, blurry vision, jaw pain, unilateral facial droopy. Lingering headache behind LT cheek bone.

Other Meds: No

Current Illness: No

ID: 1375948
Sex: M
Age: 55
State: GA

Vax Date: 04/05/2021
Onset Date: 04/10/2021
Rec V Date: 06/04/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: STEMI heart attack, clot in right coronary artery, 3 days in hospital 4/10/21 to 4/13/21

Other Meds: Amlodipine, fenofibrate, avorstatin

Current Illness:

ID: 1375949
Sex: F
Age: 37
State: MO

Vax Date: 03/15/2021
Onset Date: 04/14/2021
Rec V Date: 06/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: My menstrual cycle has been incredibly irregular. I have been having breakthrough bleeding and extremely heavy clotting which I have never had before. I have been bleeding for 25 days straight at the time of reporting this, and my clots are getting bigger and the bleeding is getting heavier.

Other Meds: Metformin, Progesterone, Myo-Inositoal, Pre-Natal

Current Illness:

ID: 1375950
Sex: M
Age: 39
State: CT

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Within the first 24 hours after the vaccine patient experienced: blackout 1.5 hours after the vaccine headache loss of vision, hearing, and sensations, nausea chest pain productive cough of different color sputum. Currently patient is experiencing productive cough and headache

Other Meds:

Current Illness:

ID: 1375951
Sex: F
Age: 23
State: CA

Vax Date: 05/28/2021
Onset Date: 05/31/2021
Rec V Date: 06/04/2021
Hospital:

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

Lab Data:

Allergies: acetaminophen (?) - vomiting

Symptom List:

Symptoms: significant myositis; difficulty standing creatine kinase 1,597 (Nl < 144)

Other Meds: ibuprofen 600 mg tid prn sumatriptan 100 mg prn

Current Illness: no

ID: 1375952
Sex: F
Age: 59
State: MA

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

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

Lab Data:

Allergies: Unknown (she does have an outpatient allergist)

Symptom List:

Symptoms: Patient developed facial flushing, hives on neck and c/o itching throat about 15 minutes after receiving vaccine. She was given 50mg of diphenhydramine. She was monitored for another 30 minutes with improvement in her symptoms. She had no shortness of breath. She states hives resolved completely over the course of a couple hours on the day of vaccine. She had fully recovered upon telephone contact 24 hours later. She was advised to get an allergy evaluation before receiving 2nd vaccine dose.

Other Meds: Unknown

Current Illness: Unknown

ID: 1375953
Sex: F
Age: 59
State: NY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The immunizing pharmacist had a syringe malfunction upon administering the vaccination, and vaccine leakage occurred down the patient's arm. Although the dose was injected, how much dose was administered could not be clearly determined.

Other Meds:

Current Illness:

ID: 1375954
Sex: F
Age: 59
State: VA

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

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

Lab Data:

Allergies: LATEX, EGGS REPORTED ON VARS. AT TIME OF VACCINATION SHE REPORTED ALSO PINEAPPLE, SEAFOOD, PEANUTS

Symptom List:

Symptoms: PATIENT WAS MONITORED FOR 15 MINUTES BUT STATED SHE FELT LIKE SHE HAD A LUMP IN HER THROAT. SHE HAD NO SHORTNESS OF BREATH OR ANY OTHER REACTIONS. SHE KEPT SAYING HER THROAT WAS BOTHERING HER AND SHE ASKED US TO CALL EMS. THEY ARRIVED AND SHE LEFT WITH THEM.

Other Meds:

Current Illness:

ID: 1375956
Sex: F
Age: 11
State: WI

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 06/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: An 11 year old patient was vaccinated. Patient presented to a vaccination clinic at a high school with her father. Procedures for the vaccination clinic required the parent or legal guardian to complete a prevaccination checklist. This checklist required the date of birth of the patient to be written and the parent/legal guardian signed a statement that certified that the individual receiving a vaccine was "at least 12 years old on this day" and that they offer their consent for the patient to be vaccinated. The father wrote the patient's date of birth as 2008 and the patient was vaccinated. The last step in the vaccination clinic involved entering the vaccination into the state immunization registry. Upon looking up the patient it was discovered that the patient's date of birth was 2009 not 2008. At this time the individual working on the registry notified the pharmacist. The pharmacist then retrieved the signed prevaccination checklist and questioned the parent about the responses. The parent admitted to falsifying the patient's date of birth so she could be vaccinated. The pharmacist informed the patient and her father that she would not be able to receive the 2nd dose until she turns 12 in November (or the eligibility is expanded further).

Other Meds:

Current Illness:

ID: 1375957
Sex: F
Age: 60
State: CA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 06/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received 2nd dose of Pfizer 14 days after 1st dose of Pfizer vaccine.

Other Meds:

Current Illness:

ID: 1375958
Sex: M
Age: 53
State: OR

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

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: GIVEN MODERNA VACCINATION AS SECOND DOSE, PFIZER GIVEN AS FIRST DOSE.

Other Meds:

Current Illness: NONE

ID: 1375959
Sex: F
Age: 31
State: NY

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

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

Lab Data:

Allergies: Sulfamethoxazole

Symptom List:

Symptoms: Right after the shot, symptoms lasted for over an hour: Nausea, fatigue, dizziness, difficulty swallowing, numbness and tingling in the hand. Two days after the vaccine: loss of sensation in both legs (from the knees down) , constant nausea, fatigue and dizziness. Almost three weeks after the vaccine (today): constant fatigue and dizziness, nausea

Other Meds: Synthroid 112 mcg

Current Illness: NA

ID: 1375960
Sex: M
Age: 12
State: CO

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

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: Patient became light headed and lost consciousness for a few seconds. He felt better, but fainted again a few minutes later.

Other Meds:

Current Illness:

ID: 1375961
Sex: F
Age: 34
State: IN

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

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

Lab Data:

Allergies: Latex, Codine,

Symptom List:

Symptoms: had a very sore arm and neck few hours after shot (9am). I could barely move my neck. I took a 1/2 pill of Tizanidine 4pm tablet. (so 2 mg) at 6pm. sore am and neck became much better. I was sitting around for hours working on my PC, then around 2am. My skin instantly felt like I had the worst sunburn of my life, and my entire body was shaking and shiving and I couldnt control it at all. I was shaking violently. I tried to lay down thinking maybe It was a fever and I suddently got cold. But I wasnt cold. Just insanely hot and shaking violently laying down made it worse. My spouse transported me to the ER.

Other Meds: Tizanidine (at 6pm) Tylenol (noon)

Current Illness: n/a

ID: 1375962
Sex: M
Age: 65
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: bells palsy 2 days after second dose

Other Meds:

Current Illness:

ID: 1375963
Sex: F
Age: 13
State:

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

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: As client exited facility she mentioned to her mom she felt faint. Client was then eased to ground by mom, staff provided chair to elevate feet. Provider and EMS paged. VS#1 BP: 102/50, HR: 89, O2: 99%. Mom reported youth is on her period, hx of fainting at sight of needles, on Prozac 20mg daily in the AM, experienced an anxiety attack immediately proceeding her 1st Pfizer dose. Water, Gatorade and snacks provided and consumed. Client placed in seated position, VS#2 98/59, HR: 81, O2: 99%. Client responded to questions appropriately. Client denied dizziness and light headedness. Client assisted into a chair, VS#3 96/62, HR: 99, O2: 99%. Client assisted into standing position by staff, VS#4 BP: 104/52, HR: 84, O2: 9

Other Meds: PROZAC 20mg daily

Current Illness: NONE REPORTED

ID: 1375964
Sex: F
Age: 65
State: WA

Vax Date: 04/01/2021
Onset Date: 04/10/2021
Rec V Date: 06/04/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Pericarditis. Antibiotics, steroids, 3 Er visits and 6 Dr. office calls. Cardiologist appointment

Other Meds: Fluoxetine, Trazodone, Pravastatin, Omeprazole, Levothyroxin

Current Illness: None back and hip issue

ID: 1375965
Sex: F
Age: 17
State: TX

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

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: PT FAINTED AFTER COVID VACCINE. PT WAS FINE AFTER A FEW MINUTES AND DRINKING GATORADE. MOTHER WAS PRESENT.

Other Meds: NONE

Current Illness: NONE

Date Died: 03/24/2021

ID: 1375966
Sex: M
Age: 92
State: ND

Vax Date: 01/12/2021
Onset Date: 03/21/2021
Rec V Date: 06/04/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Patient was hospitalized and eventually passed away.

Other Meds: unknown

Current Illness: unknown

ID: 1375967
Sex: F
Age: 71
State: NM

Vax Date: 05/06/2021
Onset Date: 05/15/2021
Rec V Date: 06/04/2021
Hospital:

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

Lab Data:

Allergies: penicillin, grains, sugar

Symptom List:

Symptoms: Skin rash broke out on abdomen about 9 days after injection. Red, hot, and itchy. I treated with apple cider vinegar and then Calamine lotion for the itch. As of this date 3 weeks later, I still have the rash. I am treating with a herbal treatment for Skin Rash from a Doctor. My primary physician told me to take Benadryl prior to the 2nd COVID shot, but I still got the rash.

Other Meds: Homeopathic remedy for food allergies to grains, sugar, and dairy. Magnesium, B complex, fish oil, Vit C Bioflavinoid, Vit D, and Trace Mineral supplements. Timolol and Latanoprost for glaucoma.

Current Illness: Skin rash on abdomen from the first COVID shot that went away after 1 week. Adverse report has been submitted on this event.

ID: 1375968
Sex: M
Age: 72
State: CA

Vax Date: 05/20/2021
Onset Date: 05/21/2021
Rec V Date: 06/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt seen in clinic 5/25/21 and found to have L-sided facial paralysis, possibly Bells Palsy reactivated by recent COVID vaccine. Pt reported that on 5/21, pt experienced drooling on L side, difficulty drinking from a straw, lower extremity weakness, and L-sided headache 7/10 constant, throbbing. Pt reported trying acupuncture which did not help. Dx: Seventh nerve palsy. Prednisone x 1 week prescribed. Pt seen in office again on 6/1/21 with improvement in L facial movement.

Other Meds:

Current Illness:

ID: 1375969
Sex: F
Age: 38
State: WI

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

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: Patient received vaccine with no apparent issue - sat in our waiting area per request for anticipated 15 minute + stay - Approximately 5 minutes after vaccination patient began to experience dizziness - elevated legs with chair with patient in sitting position - a minute later patient became unresponsive and appeared to have fainted/lost consciousness. Activated 911 system with local fire department and with patient not responsive - lifted patient from chair and placed on floor with cushion for head and elevated legs slightly - the patient had a pulse and was breathing the entire time and when able to communicate informed us she has a POTS condition - at this time EMT services arrived and stayed with patient for approximately 15 - 20 minutes talking the entire time - no transport to hospital - no drugs administered - patient may have followed up with walk-in/ER services but did not require transport and was released by EMT services

Other Meds: UNKNOWN

Current Illness: PATIENT HAS PREVIOUSLY EXPERIENCED POTS SYNDROM/CONDITION - PAROXYSYMAL ORTHOSTATIC TACHYCARDIA

ID: 1375970
Sex: F
Age: 87
State: NV

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 06/04/2021
Hospital: Y

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

Lab Data:

Allergies: Peanuts

Symptom List:

Symptoms: 1) Sudden Blurring of vision, lasting more than one month (still occurring), 2) partial loss of hearing in both ears, 3) nerve sensitivity when moving body and when objects (seats, walls, bed) touch skin, feeling like shooting pain on contact. 4) loss of muscle strength, and extremely sharp pain (like spear stabbing) when using muscles (see symptom #3 above). 5) fatigue and spontaneously falling asleep, even when standing or doing dishes. 6) toe nails deformity within weeks of shot, curling and turning sideways. 7) uncontrollable leg adema, severe with water leaking out of legs.

Other Meds: Claritin, aspirin , multivitamin, Magnesium supplement, Omega 3

Current Illness:

ID: 1375971
Sex: F
Age: 64
State: MO

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: By the evening on the day of the shot I noticed my arm getting red and swollen. It continued swelling until I went to the doctor today June 4th. He said I was having an allergic reaction and to take Benadryl. Started Benadryl at 4:45 this evening.

Other Meds: I takeatorvastatin and a multivitamin.

Current Illness: None

Date Died: 05/14/2021

ID: 1375972
Sex: M
Age: 81
State: MO

Vax Date: 02/20/2021
Onset Date: 03/13/2021
Rec V Date: 06/04/2021
Hospital: Y

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Symptom onset began on 4/29/2021. Tested (+) on 4/29/2021. Symptoms included fatigue, congestion, cough. Case was interviewed by public health department on 5/3/2021 and family reported he was in hospital and was admitted on 4/30/2021. Deceased as of 5/14/2021. Unknown if in ICU or mechanically ventilated.

Other Meds: unknown

Current Illness: chronic lung disease; former smoker

ID: 1375973
Sex: M
Age: 75
State: TX

Vax Date: 04/01/2021
Onset Date: 05/19/2021
Rec V Date: 06/04/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: had a stroke after second dhoy

Other Meds: only what was prescribed at the time

Current Illness: kidney failure, heart problems

ID: 1375974
Sex: M
Age: 65
State: CA

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 06/04/2021
Hospital:

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

Lab Data:

Allergies: no know allergies

Symptom List:

Symptoms: Patient received a dose of Moderna covid vaccine approximately 3 months after completing a covid vaccine series with the Pfizer product (1/12/21, 2/2/21). The Moderna vaccination was also 90 days after the patient received treatment with bamlanivimab (1/17/21). This "extra" vaccination was done at the behest of the patient's conservator. No adverse effects noted by patient's doctor.

Other Meds: amlodipine, ascorbic acid, B complex w/C, bisacodyl, Vit D3, clozapine, vit B-12, docusate, famotidine, folic acid, levetiracetam, levothyroxine, linaclotide, loratadine, lubiprostone, lorazepam, mag. oxide, muti-vitamin, fish oil, polyethy

Current Illness:

ID: 1375975
Sex: F
Age: 36
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient felt dizzy/lightheaded about 15 minutes after the vaccine - as she was getting up she fell and hit her chin - had to lay down and felt better after some rest and intaking water/food. No need

Other Meds:

Current Illness:

ID: 1375976
Sex: F
Age: 67
State: CA

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

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

Lab Data:

Allergies: penicillin, vancomycin, lates, some tape [not paper]

Symptom List:

Symptoms: Janssen covid-19 vaccine EUA - side effects 1. head 'fog' 2. voracious hunger [i've NE:VER had a flu vaccine] 21 hours in i'm still starving . what's the cure? 15 hours later I woke up at 6 a.m. because I was starving I had to make myself eggs and toast. 17 hours " I had a bagel. 18 hours " I made meatballs I was eating them like candy. [albeit my meatballs are delish carmelized onions, roasted garlic, basil, pesto...yum] I feel drugged. [ it's like a trip from the 70s flashback]. I feel weird. closest thing is dizzy but not dizzy just weird, very weird. head/brain fuzzy . The munchies continue. I never heard of these side effects before we'll see how long they last. only a pale yellow bruise where the injection went in. minimal arm soreness if any , no rash. I got a 12-page booklet for taking the vaccine yesterday I'm going to report the symptoms to the CDC, Johnson & Johnson janssen and whoever else wants to hear about them there's a big long list in the pamphlet they gave me. Maybe there's a cure. I hope it doesn't last too long I'll run out of food. 6 hours later I've got the munchies I'm eating everything in sight for dinner I had soup, two salad,s a steak, dessert and pretzels. I've never eaten that much ever. 4 hours down I started getting super hungry but I thought it was cuz I barely ate breakfast and lunch cuz I didn't know how this was going to react. I still don't feel a thing in the arm. yay hope it sticks. I can't even see where they gave me the shot. I will admit the shot did hurt a little when it went in, I don't know if it's cuz she pushed the plunger fast, or if it was cold from the refrigerator or what but I definitely felt a little something with it going in but not since. I realized that when I went into the hospital out building to get the vaccine I was talking to the nurse for a while because they had to go get my vaccine and she was telling me that three of her family members got the Johnson & Johnson and they didn't feel a thing, no sore arm no fever no nothing so I'm hoping that subliminally I absorbed that and that's why I'm having such a favorable results cuz I think I was really expecting something or other. Even though I know someone who got the jnj & didn't have a problem. I did my own research and nobody under 50 has had a problem and even those people had medical conditions and we're taking prescription drugs and so on which is not my case we'll see. The first hour has passed no rash, no soreness of arm nothing I'm a little bit surprised happily.

Other Meds: daily multivitamin &zinc

Current Illness: none

ID: 1375977
Sex: F
Age: 47
State: CA

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

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

Lab Data:

Allergies: Watermelon

Symptom List:

Symptoms: Patient-reported that her first dose went really well. Within five minutes after administration, patient reported feeling dizzy. Went to go grab water for patient, meanwhile patient witnessed another patient vomiting after his vaccine shot. Patient reported feeling more lightheaded and was assisted to the ground in a lying position. Patient reported feeling dizzy still and was speaking, but stated they could not move her body. EMS was called. HR 90 and BP was 160/90. After about 10 or so minutes, pt still could not move their body, but was still talking slowly. Patient was taken to hospital.

Other Meds:

Current Illness:

ID: 1375978
Sex: M
Age: 46
State:

Vax Date: 06/04/2021
Onset Date: 06/04/2021
Rec V Date: 06/04/2021
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Symptoms: Chest pain, difficulty breathing (SOB), and tachycardia. Evaluated by EMS-Cleared.

Other Meds:

Current Illness:

ID: 1375979
Sex: F
Age: 35
State: GA

Vax Date: 05/31/2021
Onset Date: 05/31/2021
Rec V Date: 06/04/2021
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Symptom List:

Symptoms: Tired, achy, nausea, head ache, muscle pain. Pain at injection site. Symptoms lasted 2-3 days.

Other Meds: Aviane

Current Illness:

ID: 1375980
Sex: F
Age: 65
State:

Vax Date: 05/27/2021
Onset Date: 06/04/2021
Rec V Date: 06/04/2021
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Symptoms: None stated.

Other Meds: Quinapril B-complex vitamin Glucosamine/condroitin Milk thistle

Current Illness:

ID: 1375981
Sex: M
Age: 28
State: CA

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 06/04/2021
Hospital: Y

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Symptom List:

Symptoms: 28 yold male previously healthy who presented with recurrent loss of speech and motor function without loss of consciousness beginning 5/8/2021. Pt received his 2nd Pfizer COVID MRNA vaccination on 5/7/2021

Other Meds:

Current Illness:

ID: 1375982
Sex: M
Age: 43
State: CA

Vax Date: 06/01/2021
Onset Date: 06/02/2021
Rec V Date: 06/04/2021
Hospital: Y

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Allergies: None

Symptom List:

Symptoms: Patient was sent out to the hospital on Wednesday night (June 2) due to a decrease in oxygen saturation levels. He was admitted into the ER with a diagnosis for recurrent seizures. Patient has a history of seizures, but a facility worker mentioned that the seizures did not look like the ones he would have.

Other Meds: Chewable Aspirin, Atorvastatin, Bisacodyl Suppository, Constulose, Famotidine, Fenofibrate, Fleet Bisacodyl Enema, DuoNeb, Levetiracetam Solution, Metoclopramide Solution, Metoprolol Tartrate, Niacin, Omega-3 Ethyl Esters, Phenobarbital, Sc

Current Illness: Patient was hospitalized between 1st and 2nd COVID doses for abdomen abscess

ID: 1375983
Sex: M
Age: 30
State: MA

Vax Date: 05/27/2021
Onset Date: 05/27/2021
Rec V Date: 06/04/2021
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Allergies: NKDA

Symptom List:

Symptoms: Patient c/o feeling lightheaded and dizzy during observation period. Was noted to be diaphoretic. He was placed on a stretcher. His HR was noted to be in 40s and BPs low about 70's systolic. He was monitored for an additional 45 minutes. His BP recovered but his HR remained in the 40s. His physical symptoms resolved. He declined transport via EMS to the ED and was transported home in the company of his wife. Upon follow up call on 5/28/21, he reported being back at baseline. PCP follow up was arranged for him and happened on 5/29/21 at Health Clinic. EKG showed a HR of 50 with an incomplete Right bundle branch block. No further intervention was done.

Other Meds: Unknown

Current Illness: None

ID: 1375984
Sex: F
Age: 16
State: CA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 06/04/2021
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Allergies: nkda

Symptom List:

Symptoms: wrong vaccine (Moderna) was given to specific age group. Pfizer should of been administered according to patient's age.

Other Meds: Dexmethylphenidate-TAKE 2 CAPSULES BY MOUTH DAILY IN THE MORNING ON SCHOOL DAYS

Current Illness: n/a

ID: 1375985
Sex: F
Age: 48
State: WA

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

Symptom List:

Symptoms: 6 day migraine, daily headaches ever since.

Other Meds: None

Current Illness: None

ID: 1375986
Sex: F
Age: 64
State: WI

Vax Date: 02/09/2021
Onset Date: 02/14/2021
Rec V Date: 06/04/2021
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Symptom List:

Symptoms: Exhaustion; couldn?t function

Other Meds: Synthroid .137 Effexor XR

Current Illness:

ID: 1375987
Sex: F
Age: 32
State: FL

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 06/04/2021
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Allergies: Biaxin

Symptom List:

Symptoms: I had fevers of 103.4 starting 6 hours after receiving vaccine. The fevers lasted for about 48 hours and would go down to about 101 when i took Tylenol. I had a consistent heart rate of 110 with spikes up to 150. I also experienced full body aches, chills, fatigue, and a sensation that my skin was boiling. I also developed a welt on my arm about 6 inches in length about 12 hours after first dose that felt like a giant bee sting. The red lump at the injection site lasted about 5 days.

Other Meds: Zyrtec

Current Illness: None

ID: 1375988
Sex: M
Age: 60
State: HI

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 06/04/2021
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Allergies: None

Symptom List:

Symptoms: Swollen left foot, pain in ankle Pain and swollen knees ( right side) Painin left shoulder

Other Meds: Hydrochlorazide,lisinopril,rosuvastatin,sildenafil 20mg, tamsulosin

Current Illness: None

ID: 1375989
Sex: F
Age: 0
State: ID

Vax Date: 06/04/2021
Onset Date: 06/04/2021
Rec V Date: 06/04/2021
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Allergies: NONE

Symptom List:

Symptoms: administered moderna vaccine to a 16 year old

Other Meds: NONE

Current Illness: NONE

ID: 1375990
Sex: F
Age: 46
State: CA

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

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Allergies: PCN, IV contrast

Symptom List:

Symptoms: Approx 20 min after injection developed erythema, non raised rash to chest, upper back and lower back with pruritis. Pt given 25mg diphenhydramine in clinic and monitored for another 20 min. Patient observed until 4pm, still had non raised erythema with pruritis. No difficulty breathing or facial swelling.

Other Meds: None

Current Illness: none

ID: 1375991
Sex: F
Age: 30
State: MA

Vax Date: 04/29/2021
Onset Date: 05/25/2021
Rec V Date: 06/04/2021
Hospital: Y

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Allergies: N/a

Symptom List:

Symptoms: Pregnancy still birth, 34 weeks, 3 days. Baby delivered at 5 lbs 3.8 ounces, 18 inches. Placental abruption

Other Meds: Levothyroxine, prenatal, omeprazole, turmeric, iron, fish oil

Current Illness:

ID: 1375992
Sex: M
Age: 55
State: WA

Vax Date: 04/17/2021
Onset Date: 06/02/2021
Rec V Date: 06/04/2021
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Allergies: No known allergies

Symptom List:

Symptoms: 5:40 am 6/2/2021 awakened to cold sweat. 8:00 am unable to keep morning coffee down. 11:00 eat 1/2 bagel with peanut butter, unable to keep it down. 2:00 and after further attempts at water, saltine cracker, unable to keep anything down 11:00 pm, attempt to drink sparkling water, unable to keep down. No appetite, inability to keep food down and cold sweats after vomiting each occurrence. June 3, once again able to tolerate food, energy low I assume from available energy from lack of food, progressive improvement through the day. Self managed care.

Other Meds: B complex 1 daily Benadryl 25 mg. 1 daily Diphenhydramine 25 mg. 1 daily Vitamin D3 50mcg (2000iu) 1 daily Naproxen Sodium 1 daily 220 mg B12 5000 mcg 2 daily

Current Illness: None, last illness 8/2017

ID: 1375993
Sex: F
Age: 69
State:

Vax Date: 06/02/2021
Onset Date: 06/03/2021
Rec V Date: 06/04/2021
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Symptoms: Redness at injection site and spread 1-1.5 inches down arm. No symptoms other than muscle soreness

Other Meds:

Current Illness:

ID: 1375994
Sex: F
Age: 37
State: TX

Vax Date: 02/19/2021
Onset Date: 03/01/2021
Rec V Date: 06/04/2021
Hospital:

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Symptom List:

Symptoms: Constant Headaches

Other Meds:

Current Illness:

ID: 1375995
Sex: F
Age: 86
State: CA

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 06/04/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe back and leg pain

Other Meds: None

Current Illness:

Total 2021 VAERS Injuries: 628,700

Page last modified: 03 October 2021 5:28pm