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
88,334
AK1,815
AL6,133
AR3,993
AS45
AZ14,539
CA64,759
CO12,159
CT8,719
DC1,747
DE1,868
FL41,499
FM3
GA16,132
GU92
HI2,477
IA4,739
ID2,763
IL21,496
IN23,655
KS4,844
KY8,414
LA5,328
MA15,281
MD13,105
ME3,277
MH8
MI20,143
MN12,873
MO10,275
MP30
MS3,073
MT2,392
NC17,450
ND1,440
NE3,023
NH3,124
NJ19,456
NM4,089
NV4,600
NY36,525
OH20,140
OK6,525
OR8,918
PA24,920
PR2,483
QM2
RI2,092
SC6,952
SD1,243
TN10,038
TX38,745
UT4,482
VA15,477
VI62
VT1,780
WA15,487
WI11,573
WV2,461
WY894
XB5
XL1
XV2

ID: 1383628
Sex: F
Age: 27
State: IL

Vax Date: 05/10/2021
Onset Date: 05/17/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Healthy 27 year old female with no medical history developed premature ventricular contractions approximately 7 days after second Moderna COVID vaccine. Developed shortness of breath and dizziness upon exertion (walking). Went to emergency room on 5/22/21 and diagnosed with PVCs and cardiomegaly.

Other Meds: Yasmin birth control

Current Illness: None

ID: 1383629
Sex: M
Age: 47
State: PA

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Experienced syncope after the injection. Excessive sweating occurred as I recovered.

Other Meds: Flonase, zrytec

Current Illness:

ID: 1383630
Sex: F
Age: 27
State: CO

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: nuts

Symptom List:

Symptoms: Pt returned to Pharmacist about 45 minutes after vaccination stating she felt short of breath and wheezy . I took her back into the vaccination room. Pt took 25mg of Benadryl and drank some water and was observed for about 20 minutes at which poinst she stated she was feeling better and thought she was fine to go home, which was just down the street, where her mother that was a nurse was there as well

Other Meds: propranolol 20mg bid, methylphenidate 54 qd, oral contraceptive

Current Illness: covid positive few months prior

ID: 1383631
Sex: M
Age: 38
State: AZ

Vax Date: 06/01/2021
Onset Date: 06/02/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: None

Other Meds: None

Current Illness: None

ID: 1383632
Sex: F
Age: 43
State: CA

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

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

Lab Data:

Allergies: NO

Symptom List:

Symptoms: HIGH UNCONTROLLED PRESSURE, DROWNING (LACK OF BREATHING), SHAKY HANDS, HAND AND FEET NUMBING, LACK OF ENERGY, DIZZINESS, SWEATING, PALPITATION (TACHYCARDIA). TREATMENT; LEUTIROX 112, LOSARTAN 50 VITAMINS B12; VITAMIN C; VITAMIN D; ZINC REST FOR SIX WEEKS FORBIDDEN DRIVING. IN JULY TAKE OTHER CBC BLOOD CHEMISTRY GENERAL URINE EXAMS. TEST RESULT HIGH PROTEINS, ALBUMIN, MCH MCHC MPV AND CHOLESTEROL OUT OF RANGE (HIGH).

Other Meds: LEVOTHYROXINE

Current Illness: NO

ID: 1383633
Sex: M
Age: 78
State: NC

Vax Date: 03/06/2021
Onset Date: 05/26/2021
Rec V Date: 06/08/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Sudden inability to move and delirious and hallucinating. Hospital ran numerous tests to find problem without being able to determine.

Other Meds: Clopidogrel 75 mg Potassium CL ER 10meq micro tab Atenolol 25 mg Atorvastatin 40 mg Lisinopril/HCTX 20-25 mg Phenytoin EX 100 mg Aspirin 81 mg Colace

Current Illness: None

ID: 1383635
Sex: F
Age: 45
State: AZ

Vax Date: 06/01/2021
Onset Date: 06/02/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: None

Other Meds: None

Current Illness: None

ID: 1383636
Sex: M
Age: 48
State: NY

Vax Date: 05/16/2021
Onset Date: 06/06/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Loss of taste primarily sweet. I?m not sure if it will be permanent or not.

Other Meds: Benadryl night before as I usually do.

Current Illness: None

ID: 1383637
Sex: M
Age: 71
State: PA

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: Celebrex,

Symptom List:

Symptoms: Fever chills major body aches Arm very sore couldn't lift arm for a day and got very dizzy and could not stand and walk without help

Other Meds: Folbic, Levothyroxine,Plavix, Prednisone, Atorvastatin, Lopressor, Baby Aspirin, Metformin ER, 500 mg, Glipizide, Vitamin D Multi vitamin, Afrin Nasal Spray Generic Brand Cold and Sinus Tablets (have to get behind Pharmacy counter,

Current Illness: Sinus headaches and infection

ID: 1383638
Sex: M
Age: 60
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Tinnitus

Other Meds:

Current Illness:

ID: 1383639
Sex: F
Age: 40
State: OH

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Drugs

Symptom List:

Symptoms: Symptoms are ongoing 8+ weeks post vaccine. I have had two doctors visits and numerous blood tests. All normal. I was perfectly healthy prior to this other than a vitamin D deficiency that is now within the normal range. No known prior COVID exposure/infection. Have been maintaining a small, strict family bubble since March 2020 - working from home, home schooling my son, no travel or even going into stores. I had the normal/expected next day reaction to the 2nd shot - extreme fatigue, body aches, headache. I rested for the full day on Saturday and felt better /normal by Sunday morning. However, by late Sunday afternoon, new symptoms came on. They started out on the left side of my body and then grew from there in the days that followed. First it was pain behind my left knee that radiated down to my ankle and later upward through my left thigh, hip, entire arm, and shoulder. From there, it progressed to all over pain in my joints on both side of my body and almost daily headaches - typically around the base of my skull. I am also experiencing prolonged periods (days and sometime weeks at a time) of constant muscle tension/soreness in both arms and legs and intermittent tightness in my chest. However, the pain has remained most intense/pronounced/persistent on my left side and a couple of different times in the last 8 weeks I've had bruising on my left foot and ankle. As a result of all of this, I am fatigued most days and it is all inhibiting my ability to function normally. I don't know whether it is related to the vaccine or not, but I know it isn't normal. My quality of life and ability to function as I typically have has decreased dramatically in the last 8 weeks and I am very worried and I don't know what to do. If someone can please contact me and advise whether they have received any similar reports and provided direction on some type of specialist or test that might be able to help, I would be forever grateful as I am scared and my primary care physician has basically just said I need to wait it out.

Other Meds: Prescription High Dose Vitamin D

Current Illness: None

ID: 1383640
Sex: M
Age: 72
State: IL

Vax Date: 05/02/2021
Onset Date: 06/06/2021
Rec V Date: 06/08/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Shortly after vaccine, upper respiratory issue started. Fatigue, falling, soiling bed sheets and pants regularly. Then went to hospital on june 7th with abdominal pain. Low bloid pressure and hight white blood count. Had blood clot. Urinary Infection Possible sepsis. Still in hospital.

Other Meds:

Current Illness: None

ID: 1383641
Sex: M
Age: 69
State: FL

Vax Date: 05/16/2021
Onset Date: 05/18/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: Two days after getting the Moderna covid-19 shot I started to get muscle and joint pain and still have it in my hands and shoulders . it has been 3 weeks now and I am do to have my second shot this weekend, and I am not sure if I should get it.

Other Meds: 81 mg aspirin / amlodipine 10 mg. / praluent 75 mg injection every 2 weeks

Current Illness:

ID: 1383642
Sex: M
Age: 49
State: IL

Vax Date: 05/26/2021
Onset Date: 05/29/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: None that I know of.

Symptom List:

Symptoms: Muscle soarness/ joint pain all over body. Seems to move around. Stuff joints and muscle pain in fingers, back, neck, feet, ankles, knees. Hard to get up and walk in the mornings. Can barely move my neck unless I take ibuprophen. Went to urgent Care and they took blood. Results should be in tomorrow.

Other Meds: Pantoprazole, Simvastatin, Flonase, ibuprofen .

Current Illness: None

ID: 1383643
Sex: F
Age: 58
State: CA

Vax Date: 05/30/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Rash, itchy sore bump at injection site 9 days after first vaccine.

Other Meds: None

Current Illness: None

ID: 1383644
Sex: F
Age: 59
State: WA

Vax Date: 05/25/2021
Onset Date: 05/27/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: No problems with first shot, but around day 3 after the second shot I noticed a red patch just below the injection site... it became raised around the edges and as it faded it looked like a light bruise. It is now two weeks since the second shot and it is still slightly red, sore and a little warm and a bit itchy.

Other Meds: metformin, Synthroid

Current Illness:

ID: 1383645
Sex: F
Age: 40
State: WI

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Patient is currently pregnant, unknown to pharmacy/pharmacist estimated date of delivery. Patient did NOT experience any adverse event in the 20 minutes following vaccination. This report is to file the mis-administration of a Moderna second dose after a Pfizer first dose.

Other Meds: Unknown

Current Illness: Unknown

ID: 1383646
Sex: M
Age: 17
State: CA

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: sycope

Other Meds:

Current Illness:

ID: 1383647
Sex: F
Age: 34
State: IL

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Tinnitus in right ear

Other Meds: Levothyroxine, liothyronine, multivitamin

Current Illness:

ID: 1383648
Sex: M
Age: 45
State: AZ

Vax Date: 06/01/2021
Onset Date: 06/02/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: None

Other Meds: None

Current Illness: None

ID: 1383649
Sex: M
Age: 46
State: WA

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient claims that he wants to get is first dose of COVID vaccine, and request Janssen. Janssen dose was administered on 6/8/2021. Upon billing the vaccine, the pharmacy noticed that the patient already received 2 doses of Pfizer COVID vaccine in March 2021. Patient then admitted that he did received 2 doses of Pfizer COVID vaccine, and heard online that there will be higher potency if 2 different manufactures of COVID vaccines are administered. Patient claims that he doesn't experience any adverse reaction at the moment.

Other Meds:

Current Illness:

ID: 1383650
Sex: M
Age: 48
State: CT

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

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

Lab Data:

Allergies: Cloroflouoquinolone (Levoflaxin)

Symptom List:

Symptoms: Numbness left foot

Other Meds: Multivitamin

Current Illness: None

ID: 1383651
Sex: M
Age: 45
State:

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: client complained of dizziness 3 mins after receiving vaccine. Client signaled EMTs for assistance. EMT began assessment and vitals and EMT informed PHN and PHN. Upon arrival client sitting upright in chair, alert and oriented x4. PHN continued assessment. Per client felt dizzy, blurred vision and sweaty. Vitals at 1854: blood pressure 148/96, pulse 71, oxygen 99%. Client denied chest pain, shortness of breath, headache, no swelling or flushing noted. Medical history of hypertension, per client takes medication at night. Medication Micardis for blood pressure. No known allergies. EMT gave client water. Vitals at 1900: blood pressure 149/98, pulse 72, oxygen 99%. Client stated dizziness improving and blurry vision resolved. Vitals at 1905: blood pressure 139/86, pulse 70, oxygen 98%. Vitals at 1910: blood pressure: 147/92, pulse 68, oxygen 98%. Per client normal blood pressure 130s/80s. Per client dizziness resolved. 1915 vitals: blood pressure 128/91, pulse 68, oxygen 98%. PHN advised client to follow up with provider and gave ER precautions. Last vitals at 1920: blood pressure 140/95, pulse 64, oxygen 99%. Per client all symptoms resolved, able to stand with no dizziness. Wife present with client and would drive client home. Client left facility at 1922 with steady gait.

Other Meds: micardis

Current Illness:

ID: 1383773
Sex: M
Age: 59
State: OR

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: After second injection on 6/3/2021, I felt fine. Upon waking on 6/4, I had a fever of 101, severe headache and body pain. On 6/5, I developed a 5? x 5? irritated red patch on my injection arm. On 6/6 I awoke to no fever. I then noticed sores in my mouth and busies on my abdomen, left leg and left foot. I went to urgent care. They ran a CBC. My platelet count was down 30% since ,my last test a few months ago. My average was about 180,000 for the last 6 years. My test number was 127,000. I have no history of a low platelet count. This appeared within days of the 2nd vaccination along with the sores and spontaneous bruising. A CAT and v,MRI were performed that same day. Those tests were normal.

Other Meds: B12.

Current Illness: None

ID: 1383774
Sex: F
Age: 19
State: MI

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: A rash on my left arm that was visibly red, warm to the touch, hurt when touched, and itched.

Other Meds: none

Current Illness: None

ID: 1383775
Sex: M
Age: 29
State: MO

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: patient received his 2nd dose and as he was waiting the 15 minutes he passed out . patients significate other/ girlfriend . stayed with him . 911 called patient was okay , all vitals fine . patient had similar passing out first dose but dr said he was okay to get 2nd . patient denied any further treatment from paramedics

Other Meds: fluoxetine 10mg

Current Illness: none

ID: 1383776
Sex: F
Age: 42
State: MN

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Ringing in ears started approximately 48 hours after second dose. Happens a couple times a day and lasts 10 seconds. Not always the same ear.

Other Meds: Vitamin D3 1000IU, Losartan 50mg, Amlodipine 5mg, Atorvastatin 40mg and Citalpram 10mg

Current Illness: N/A

ID: 1383777
Sex: F
Age: 17
State: CT

Vax Date: 06/02/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient having pain 7am 6/8 upon awakening. Sharp, heavy 10/10 left sided chest pain radiated to L arm. Shortness of breath. pain worse with inspiration, no positional changes. Similar to previous myocarditis episode in 2019 (thought to be 2/2 virus as had fevers, fully resolved). No recent URI, last sick 1 year ago, no covid per knowledge. Had COVID vaccine week prior without side effects. Presented to hospital. Initial troponin 0.819> 4.43. CK-MB 42.8, CK 471. BMP, CBC, CRP within normal limits. ECG non ischemic however mild j-point elevation in anterior leads consistent with myocarditis. POCT echo normal. Patient admitted for IVIG, steroids, viral panel and monitoring.

Other Meds: Sprintec (norgestimate-ethinyl estradiol) daily

Current Illness: None

ID: 1383778
Sex: M
Age: 40
State: TX

Vax Date: 05/28/2021
Onset Date: 05/31/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: NSAID Sensitivity

Symptom List:

Symptoms: I received the shot the Friday afternoon. On that Monday (the 3rd day after the 2nd shot) I noticed small bumps on my right forearm. By Wednesday the 2nd of June the bumps presented as Shingles. It is now June 8th and I have Five Small clusters of Shingles on my right forearm, and they are now at the oozing fluid stage. Previously I have had 3 Shingles outbreaks on the chest and abdominal area since age 32. There are no clusters on the chest or abdominal area this time.

Other Meds: None

Current Illness: None

ID: 1383779
Sex: F
Age: 47
State: VA

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 06/08/2021
Hospital: Y

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

Lab Data:

Allergies: Lidocaine, Pecans, Walnuts, Cashews, Peaches, Hazelnuts

Symptom List:

Symptoms: Lightheadedness; Numbness and weakness in both arms; BP dropped from 130/70 to 119/64; Heart rate spike from 65bpm to 167bpm; shortness of breath; body shaking badly

Other Meds: None

Current Illness: Autoimmune Conditions (GA, Scleritis, PNGD)

ID: 1383780
Sex: M
Age: 36
State: AZ

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

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

Lab Data:

Allergies: Ambien, lactose intolerant

Symptom List:

Symptoms: My heart has been hurting since I received the vaccin. I get a sharp pain, especially at night. The pain goes all the way to my back.

Other Meds: N/A

Current Illness: I had an open heart surgery in June 2008 on my pericardium

ID: 1383781
Sex: F
Age: 72
State: CA

Vax Date: 05/08/2021
Onset Date: 05/18/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: My mother got her Moderna vaccine 1st dose last May 8,2021 , She had reaction called covid arm. With rash , redness and her arm was very swollen. we were not able to bring her to urgent care. She had her 2nd dose June 6, and she already got the reaction yesterday , same as her 1st dose .

Other Meds: NONE

Current Illness:

ID: 1383782
Sex: F
Age: 44
State: AZ

Vax Date: 06/01/2021
Onset Date: 06/02/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: None

Other Meds: None

Current Illness: None

ID: 1383783
Sex: M
Age: 67
State: CA

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe swelling, pain and redness of upper left arm at injection site for 5 days and redness, swelling and pain in left elbow for 7 days to date.

Other Meds: Losartan, testosterone

Current Illness: None

ID: 1383784
Sex: M
Age: 39
State:

Vax Date: 05/07/2021
Onset Date: 05/29/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Hives all over my body. They keep going away and coming back.

Other Meds:

Current Illness:

ID: 1383785
Sex: M
Age: 68
State: CA

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 06/09/2021
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Allergies: No classic allergies, but a malfunctioning liver enzyme, CPY2D6, that makes it difficult for me to take medication.

Symptom List:

Symptoms: Shooting pain down spinal column, followed by severe vertigo, followed by a complex partial seizure.

Other Meds: Lyrica, Percocet, Toprol, Benadryl, Goldenseal Root, Stool softener, Pancreatic enzymes

Current Illness:

ID: 1383786
Sex: F
Age: 44
State: CA

Vax Date: 06/01/2021
Onset Date: 06/05/2021
Rec V Date: 06/09/2021
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Allergies: Sulfa drugs ,

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Symptoms: Really sore arm starting 8 hours after injection . Following couple of day could not sleep. Today 4 days post vaccine i have a rash on my arm under where the shot eas given on the other side and bruising at the injection site

Other Meds: None

Current Illness:

ID: 1383787
Sex: F
Age: 36
State: IA

Vax Date: 05/27/2021
Onset Date: 06/05/2021
Rec V Date: 06/09/2021
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Allergies: Penicillin

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Symptoms: Left side - Stiff/sore neck developed ~6-7 days after injection, painful rash on left side of neck developed 9 days after injection and continued to worsen. Doctor confirmed it is Shingles 12 days after injection

Other Meds: Vitamin D3

Current Illness: None

ID: 1383788
Sex: F
Age: 14
State: WA

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 06/09/2021
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Allergies: NONE

Symptom List:

Symptoms: VACCINE GIVEN AT 5:30PM PATIENT HAD SYNCOPE AND FELL TO THE FLOOR BUT DAD CAUGHT HER AND LAID HER DOWN ON THE GROUND SINCE SHE COULD NOT SIT UP ON HER OWN. WE TOOK HER PULSE AT 5:34PM AND WAS 68 BPM. SHE BECAME PALE AND WAS NOT RESPONDING. REGAINED CONSCIOUNESS TOOK HER BP @ 5:40 WAS 102/80. SHE WAS RESPONSIVE AND PATIENT WAS ABLE TO WALK OUT WITH DAD. RESCUE CAME AND SHE DECIDED NOT TO GO TO THE HOSPITAL **(REFUSED), LEFT AT 5:55PM.

Other Meds: NONE

Current Illness: N/A

ID: 1383789
Sex: M
Age: 63
State: OR

Vax Date: 05/19/2021
Onset Date: 05/30/2021
Rec V Date: 06/09/2021
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Allergies: None

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Symptoms: Prickles on the surface of both forearms, but only after cycling. Within a few hours after cycling, then the prickles shrink back, and the skin is smoother. I've been treating the skin area with a cream called, Cortizone-10, Ultra Moisturizer. Five times since May 30th I have gone cycling, and all five times after cycling I see the prickles. They look just like the story from this lady, post-vaccine,

Other Meds: None

Current Illness: None

ID: 1383790
Sex: F
Age: 28
State: OK

Vax Date: 05/22/2021
Onset Date: 05/22/2021
Rec V Date: 06/09/2021
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Allergies: Codine, sulpha, naproxen, ibuprofen, all egg derived drugs. Latex. Food allergies consist of tree nuts and egg.

Symptom List:

Symptoms: Fever, chills, tingling in the lips, throat swelling, hives, high blood pressure, coughing, asthma attack. The lip tingling was within 30 minutes of my vaccine, and continued for 2 weeks. Throat swelling lasted the first week. Hives lasted 1 week 4 days. Coughing started on day 3 and lasted 3 days. Asthma attack happened one time, during the coughing phase. High blood pressure started the evening of the vaccine and has continued. Doctor has prescribed a low dose of blood pressure medication to help combat it. Fever and chills started on the first day and lasted through the second day.

Other Meds:

Current Illness:

ID: 1383791
Sex: M
Age: 32
State: HI

Vax Date: 03/27/2021
Onset Date: 06/08/2021
Rec V Date: 06/09/2021
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Symptoms: Patient positive for COVID after being fully vaccinated. Positive test 6/8/2021, Was vaccinated 3/27/21 and 4/17/21. Asymptomatic, tested after exposure at work.

Other Meds:

Current Illness:

ID: 1383792
Sex: F
Age: 46
State: TX

Vax Date: 09/18/2020
Onset Date: 10/31/2020
Rec V Date: 06/09/2021
Hospital: Y

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Allergies: NONE

Symptom List:

Symptoms: I WAS DIAGNOSED WITH CIDP ON 5/18/21. I RECEIVED FLU SHOT ON 9/20 STARTED WITH FEET AND LEG PAIN BY 10/20, SYMPTOMS GOT WORSE BY 12/20 I NOTICED NUMBNESS OF BIL TOES. GOT APPT WITH NEURO DOCTOR ON 1/14/21 SHE ORDERED BLOOD WORK, URINE AND EMG, PUT ME ON GABAPENTIN, EMG DONE ON 3/21, NEURO F/U VISIT 4/27 EMG WAS ABNORMAL, REST OF BLOOD WORK NORMAL, SHE ORDERED MRI OF THORACIC AND LUMBAR AND CHANGED GABAPENTIN FOR AMITRIPTYLINE BY THIS POINT SYMPTOMS WERE ON BIL HAND NUMBNESS AND WEAKNESS NOTED, MRI DONE 5/7/21 AND 5/18 F/U WITH NEURO AND SHE GAVE ME THE DX MRI COMPATIBLE WITH GBS CIPD AND PUT ME ON STEROIDS AND DRAW MORE BLOOD FOR ANTIBODIES. SHE ORDERED LUMBAR PUNCTURE AND WAS NORMAL, 5/24 TONGUE WAS NUMB AND WENT TO ER I WAS ADMITTED FOR 5 DAY AND START IVIG INFUSION 4 ROUNDS DONE 5/19 IT CAME BACK NORMAL. SYMPTOMS GOT WORSE MORE

Other Meds: ARMOUR 60 MG A DAY, WELLBUTRIN 150 MG A DAY, MULTIVITAMINS, VIT B COMPLEX

Current Illness: NONE

ID: 1383793
Sex: F
Age: 27
State: TN

Vax Date: 05/07/2021
Onset Date: 05/30/2021
Rec V Date: 06/09/2021
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Symptoms: Diagnosed with Bells Palsy by same doctors office that administered vaccine. Symptoms started a little over three weeks after first dose. Facial paralysis on the right side of face. Cannot fully blink right eye and achieve full smile as the other side of the face.

Other Meds:

Current Illness:

ID: 1383794
Sex: F
Age: 13
State: CA

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 06/09/2021
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Allergies: None Reported

Symptom List:

Symptoms: Pt. accompanied by her mother arrived at site around 0845 to be vaccinated with her second of the Pfizer vaccination. Pt. and parent confirmed no adverse reactions after first dose, no known medication or other allergies, no known past medical conditions and the pt. indicated she was not pregnant. The pt. was given her second vaccination and as the vaccinating nurse turned away from the patient to move her cart out of the way and shut the patient's car door the patient was slouched over and nearly falling out of the car. The vaccinating nurse caught the patient and lowered her down to the ground from her vehicle. Charge Nurse was in prep directly across from the incident. Site lead brought over the E-Kit Charge Nurse utilized sternal rub to awaken patient which she was responsive to. Pt. was pale in color and stated she felt very lethargic. Pt. confirmed the last meal she had was over 13 hours ago. Upon initial evaluation of patient's vitals pt. was hypotensive 74/45 and bradycardic 45. EMS was called. Vitals reassessment BP increased to 81/54. Within two minutes of the syncopal episode the patient was able to talk and A&Ox4 after she was able to state full sentences she was given water, capri-sun and a sucker. After arrival by EMS the patient was reassessed. Vitals stabilized within normal limits. Parent informed the patient is stable and upon her choice she can be transferred to the hospital via ambulance for further evaluation. Parent decline. Pt. vitals and appearance within normal limits when driven from site by parent. Parent stated she will call the daughter's PCP to see if she can be further evaluated in her doctor's office today. Mother also stated pt. has an appointment 06/14/2021 for regular physical and follow-up.

Other Meds: None reported

Current Illness: None Reported

ID: 1383796
Sex: F
Age: 25
State: ID

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

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Symptoms: Left arm swollen and red and in pain the size of a softball for 5+ days

Other Meds: None

Current Illness: None

ID: 1383798
Sex: M
Age: 19
State: IL

Vax Date: 06/07/2021
Onset Date: 06/08/2021
Rec V Date: 06/09/2021
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Allergies: none known

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Symptoms: Day after second shot woke up with migraine like headache (pounding on both temples and forehead) semi sensitive to light. body aches (felt very heavy) 100.4 degree fever. drastic temperature variation (very warm to cold) one nostril congested. very slight sore throat/ cough . self Treatment: slept most of it off after Tylenol and Benadryl. By late evening aprox 6:30 -7:00 pm headache subsided substantially, body aches almost gone. nose still slightly congested

Other Meds: none

Current Illness: none

ID: 1383799
Sex: F
Age: 23
State: CA

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 06/09/2021
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Allergies: Penicillin, Diflucan, blue dye

Symptom List:

Symptoms: Severe menstruation cramps/pain to the point of tears, inability to hold a conversation, or get out of bed. Symptoms began roughly 3.5 hours after second dose and are still continuing in waves nearly 8 hours later. I have had my menstrual cycle for nearly 15 years and have never experienced anything like this. Recently I had a well-women?s check-up/PAP and results were normal, so no reason to suspect any health issues that may suddenly cause this. I have tried applying heat, taking a magnesium supplement, and massaging my stomach to no avail.

Other Meds: Naproxen, vitamin D, fish oil, magnesium, turmeric, probiotic, women?s one-a-day multi vitamin, Enpresse (birth control)

Current Illness: N/A

ID: 1383800
Sex: F
Age: 46
State:

Vax Date: 05/01/2021
Onset Date: 05/20/2021
Rec V Date: 06/09/2021
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Symptoms: Fever started within 6 hours of receiving the second dose of the vaccination. Within the first 4 days post vaccination I had body aches, headache, fatigue, 1 day of vomiting and diarrhea. All other symptoms besides the fever and fatigue where gone by day 5 but fever persisted for 2 weeks and 5 days. On day 19 I had bloody urine that showed high white count, blood and traces of protein on the urinalysis.

Other Meds:

Current Illness:

Date Died: 03/29/2021

ID: 1383801
Sex: M
Age: 72
State: CO

Vax Date: 03/02/2021
Onset Date: 03/03/2021
Rec V Date: 06/09/2021
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Allergies: NONE

Symptom List:

Symptoms: RAPID DECLINE IN HEALTH; LACK OF INTEREST IN LIVING; REQUESTED HOSPICE AT AGE 72 WITH NO MAJOR TERMINAL ILLNESS; STOPPED SOCIALIZING, INTERACTING WITH ANYONE; LACK OF APPETITE; VERY WEAK AND FRAIL; DEATH FOLLOWING 2ND SHOT

Other Meds: OXYCODONE

Current Illness: COVID-19 IN 11/2020

Total 2021 VAERS Injuries: 679,999

Page last modified: 03 October 2021 5:28pm