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: 1385246
Sex: F
Age: 62
State:

Vax Date: 03/20/2021
Onset Date: 03/23/2021
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: U07.1 - COVID-19 virus infection

Other Meds:

Current Illness:

ID: 1385247
Sex: F
Age: 25
State: NY

Vax Date: 05/26/2021
Onset Date: 05/27/2021
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: 5/28/21 12:00 pm: queasiness, nausea, vomiting, fever, chills. Pain and soreness in left neck and left arm. Pain and soreness in left inner thigh. 5/29/21 9:00 am: fever, swelling of left side lymph nodes including ones on the face, neck, arm, armpit area. Pain and soreness in left inner thigh. More than usual pain and soreness in left neck and left arm. 5/30/21 10:00 am: Extreme swelling of left side lymph nodes. Lymph nodes in the armpit tender to touch, painful to move left arm. Neck swollen and extremely painful on the left side. Pain and soreness in left inner thigh. 5/31/21: Lymph nodes still extremely painful and swollen from left side of face, neck, and down to armpit. Pain and soreness in left inner thigh. 6/1-6/3/21: Side effects as described above continue to persist. 6/4/21: Left breast is swollen and double the size compared to right breast. Extremely tender and painful to touch. Right breast is minimally sore. Lymph nodes still tender, painful and swollen from left side of face, neck, and down to armpit. Pain and soreness in left inner thigh. 6/5-6/7/21: Left breast is still swollen and larger than usual. Extremely tender and painful to touch. Lymph nodes still remain swollen, but not as painful and tender. Left thigh pain still persists. 6/8/21 11:30pm: Lymph nodes in armpit area begin to get very painful again. Tender and painful to the touch, swelling. Painful to sleep on left side, painful to move left arm. Left breast is still swollen, larger than usual and tender. Right breast is completely normal. Left thigh pain still persists. 6/9/21 11:50am: Lymph nodes in neck are swollen and very painful again, lymph nodes in armpit area are painful and tender. Hurts to move left arm. Tightness in upper left arm area. Left breast is still swollen and sore. Left thigh pain still persists.

Other Meds: Zoloft 50mg Zyrtec 10mg Birth Control- Lo Loestrin Fe

Current Illness: None

ID: 1385248
Sex: M
Age: 58
State: NY

Vax Date: 05/14/2021
Onset Date: 06/09/2021
Rec V Date: 06/09/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: found to have bilateral pulmonary embolism. No other provoking event on history

Other Meds:

Current Illness:

ID: 1385249
Sex: F
Age: 62
State: MD

Vax Date: 06/07/2021
Onset Date: 06/08/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Massive migraine, nausea, whole body aches, chills, inability to sleep, painful injection site, lower back pain, chest pain, sweats. This was equal to or worse that when I had Covid during the winter.

Other Meds: None

Current Illness: None

ID: 1385250
Sex: U
Age: 27
State:

Vax Date: 04/08/2021
Onset Date: 04/08/2021
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: Dizziness initially now resolved left ambulating for home.

Other Meds:

Current Illness:

ID: 1385251
Sex: M
Age: 61
State: WA

Vax Date: 05/01/2021
Onset Date: 05/15/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Moderna. The above reaction times do not make sense when giving month year only of vaccination. After each vaccination two weeks after I had what felt like pulled muscle or tendon not caused by me doing anything strenuous of out of the norm. After first one was in right upper chest (solar plexus) after sevond was left back neck muscle.

Other Meds: Not disclosing

Current Illness: Not fisclosing

ID: 1385252
Sex: F
Age: 11
State: NE

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

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

Lab Data:

Allergies: No allergies

Symptom List:

Symptoms: Patient was vaccinated with Pfizer dose 1 on 6/7. No symptoms.

Other Meds: n/a

Current Illness: n/a

ID: 1385253
Sex: F
Age: 66
State:

Vax Date: 02/25/2021
Onset Date: 06/01/2021
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: COVID-19

Other Meds:

Current Illness:

ID: 1385254
Sex: F
Age: 60
State: MI

Vax Date: 05/07/2021
Onset Date: 05/07/2021
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: Should have had Moderna as she had Moderna for her first dose in the covid vaccine series

Other Meds:

Current Illness:

ID: 1385255
Sex: F
Age: 42
State: IN

Vax Date: 05/01/2021
Onset Date: 06/03/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: After 10 days, my feet and hands developed a feel that the very small veins in my hands and feet are dying, are being clogged. Very painful, happens when i rest my hands and feet usually.

Other Meds: none

Current Illness: I already had some feeling of blood cloths being clogged in my leg. I believe I was exposed to covid prior to the vaccine, but never had more than one symptom at a time, so I never got tested. I believe I had COVID toe. But that went away, the nail fell and the only sympton that lingered for a while was the feeling of few arteries being clogged. Those symptons were gone by the time I took the vaccine. With the vaccine, I had the same type of problem, however it was my very small veins that felt clogged, and a lot more painful, because it involved a lot more little veins. very painfull when it occurred.

ID: 1385257
Sex: F
Age: 35
State: CT

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: After receiving my first vaccine on 4/2 my menstrual cycle was 14 days long. Typically my period only lasts 4-5 days long. I received my second vaccine on 4/23. I did not menstruate in May at all. Multiple negative pregnant tests after now being 7 weeks since my last period

Other Meds: Prenatal vitamins

Current Illness: None

ID: 1385258
Sex: U
Age: 61
State:

Vax Date: 04/08/2021
Onset Date: 04/08/2021
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: Dizziness refused vitals. Left with family for home.

Other Meds:

Current Illness:

ID: 1385259
Sex: F
Age: 56
State:

Vax Date: 04/08/2021
Onset Date: 04/27/2021
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: U07.1 - COVID-19 virus infection

Other Meds:

Current Illness:

ID: 1385260
Sex: M
Age: 63
State: CA

Vax Date: 05/04/2021
Onset Date: 05/18/2021
Rec V Date: 06/09/2021
Hospital: Y

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

Lab Data:

Allergies: Sensitivity to codeine (makes me very weak and drowsy)

Symptom List:

Symptoms: Shortness of breath, gradually progressed over two weeks time to become more pronounced. Doctor visit on 6-5-21 and lab tests showed elevated D-Dimer results, indicating presence of a blood clot, where CT scan showed presence of "extensive" clotting, primarily in lower lobes. Was prescribed blood thinner medication (Xarelto). Remained in E.D. overnight under observation. Results over the past four days are that breathing is getting better.

Other Meds: Atorvastatin 20 mg daily

Current Illness: None

ID: 1385261
Sex: M
Age: 77
State: MO

Vax Date: 04/05/2021
Onset Date: 06/02/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Case developed extreme fatigue and disorientation resulting in a fall. Case was taken by ambulance to Hospital. Case suffered a stroke, admitted to hospital 06/02, then into ICU 06/07/2021.

Other Meds: Unknown

Current Illness: Unknown

ID: 1385262
Sex: F
Age: 61
State: TX

Vax Date: 06/05/2021
Onset Date: 06/08/2021
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: Patient noted to by hypotensive during routine clinic follow up visit and sent to ER for further evaluation.

Other Meds:

Current Illness:

ID: 1385263
Sex: M
Age: 11
State: CA

Vax Date: 06/05/2021
Onset Date: 06/05/2021
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: PARENTS LIED ABOUT THEIR KIDS AGE. WE COULDN'T VERIFY ACCURATE DOB

Other Meds:

Current Illness:

ID: 1385264
Sex: F
Age: 51
State: FL

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: My left arm is weak in the muscle and in pain when I stretch it. I cannot use it the way I usto prior to the vaccine. I cannot reach or stretch my arm the way I usto. When I sleep, I especially find it more painful, even though I have not laid on my arm. I just know factually my arm is weaker and in pain.

Other Meds: Daily multi vitamin only and otc was Tylenol

Current Illness: No illness

ID: 1385265
Sex: M
Age: 18
State: IN

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Miscommunication b/w prescriber, patient, and/or pharmacy regarding the vaccine that was intended to be administered

Other Meds: unknown

Current Illness: unknown

ID: 1385266
Sex: F
Age: 61
State:

Vax Date: 03/31/2021
Onset Date: 04/15/2021
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: COVID-19 virus infection

Other Meds:

Current Illness:

ID: 1385267
Sex: U
Age: 31
State:

Vax Date: 04/08/2021
Onset Date: 04/08/2021
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: 1000 C/O Dizziness BP 124/64, HR 66, Sats 100% Resp 15. Monitored 15 more mins. 1025 Dizziness resolved left ambulating home.

Other Meds:

Current Illness:

ID: 1385268
Sex: M
Age: 63
State: NY

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

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

Lab Data:

Allergies: DUST, MOLD POLLEN, IV SULFA DRUGS

Symptom List:

Symptoms: FLU-LIKE SYMPTOMS - MILD FEVER, BODY ACHES, GENERAL MALAISE FOR 24-36 HRS.

Other Meds: RED YEAST RICE, MILK THISTLE, B COMPLEX, VITAMIN D, KRILL OIL, ALLOPURINOL, COLCHICINE, LOPID, ATENELOL, FLONASE, FEXOFENADINE, NICOTINAMIDE

Current Illness: NONE

ID: 1385269
Sex: M
Age: 75
State: AL

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: pt states he started sweating really bad and his arm was hurting. He felt paralyzed on his left side of his body saying he could hardly move. He has cramping in fingers, feet and legs. Feels like his muscles are being attacked. He ran fever for 2 days after taking vaccine. His nose was very runny like running water and some blood come out on the tissue that he used to clean nose. On 6/9/21 pt states his arm is still very sore feeling like a bad tooth ache it hurts so bad. He cant sleep due to the arm pain and he still has cramping in the muscles on his left side of his body and can barely turn his head due to the pain in neck. Pt will contact his PCP.

Other Meds: atorvastatin 10mg qhs, allopurinol 300mg qd, amlodipine 10mg qd, losartan-hctz 125 mg qd, metoprolol tartrate 25mg bds, Tylenol

Current Illness:

ID: 1385270
Sex: M
Age: 18
State:

Vax Date: 04/07/2021
Onset Date: 04/07/2021
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: Pt received vaccine and walked to chair, immediately after sitting patient said he felt light-headed then immediately passed out. He is unsure if he last conscious. The vaccine nurses immediately went to assess the patient and was awake and oriented. VS 44, 86/46 02 sat 98%. Pt is accompanied by his father. Both reported that the patient had a syncopal episode approximately 4 years ago after he had his blood taken. Currently, the BP is 110/62. 02 is 98% on 2l nasal cannula. Blood sugar is 126. paramedic arrived. VS 115/63 heart rate 55. Patient stood up and immediately felt light-headed again and felt as if he was going to pass out again. Pt transferred accompanied by paramedic to the hospital for further evaluation.

Other Meds:

Current Illness:

ID: 1385271
Sex: M
Age: 14
State: CA

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

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

Lab Data:

Allergies: amoxicillin, haldol, sulfa antibiotics

Symptom List:

Symptoms: Gi upset, vomiting, diarrhea, dizziness, 1 episode of fainting (?vasovagal)

Other Meds: singulair, depakote, synthroid, clonidine, seroquel, cetirizine, risperdone

Current Illness: had abdominal discomfort (constipation vs. gastroenteritis)

ID: 1385272
Sex: F
Age: 36
State: AL

Vax Date: 05/10/2021
Onset Date: 05/11/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills, fever, lack of energy, flu like symptoms, aching, soreness at injection site, swelling at injection site

Other Meds: Tylenol Claritin

Current Illness: None

ID: 1385273
Sex: F
Age: 12
State: IN

Vax Date: 06/07/2021
Onset Date: 06/08/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Chills, slight fever, under 100.00 deg. and headache.

Other Meds: none

Current Illness: seasonal allergies

ID: 1385274
Sex: M
Age: 24
State: WA

Vax Date: 05/15/2021
Onset Date: 05/18/2021
Rec V Date: 06/09/2021
Hospital: Y

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Patient developed chest tightness, pressure, palpitations and had +EKG changes and troponin elevation. He was admitted to hospital 5/18/21-5/20/21 for studies and treatment, final diagnosis was pericarditis.

Other Meds: None prior to cardiac event.

Current Illness: None

ID: 1385275
Sex: F
Age: 47
State:

Vax Date: 04/07/2021
Onset Date: 04/07/2021
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: Pt complain of lightheadness and palpitations. Reports that she takes metoprolol and a baby aspirin daily. VSS- 125/80 88 18 98% sat on RA. Reports feeling better after being observed. Pt left without incident.

Other Meds:

Current Illness:

ID: 1385276
Sex: F
Age: 57
State: TX

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Sore arm almost immediately. Chills and headache 24 hours later. Positive Covid test about 10 days later. Covid symptoms were mostly gastrointestinal and not too terribly bad. Lasted about a week.

Other Meds: N/A

Current Illness: N/A

ID: 1385277
Sex: F
Age: 52
State: NY

Vax Date: 04/21/2021
Onset Date: 06/03/2021
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: Shingles

Other Meds: Multivitamin, B12, D3, probiotics

Current Illness:

ID: 1385278
Sex: F
Age: 18
State: NY

Vax Date: 06/09/2021
Onset Date: 06/09/2021
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: Patient fainted approximately 5 minutes after receiving vaccine. She was walking around the store and fell onto the ground. The patient sat in a chair and drank water for approximately 15 minutes until she felt better and was able to leave the store with her mom.

Other Meds:

Current Illness:

ID: 1385279
Sex: F
Age: 64
State: CA

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List:

Symptoms: I have developed tinnitus and am experiencing hearing loss. It is sometimes very intense and sometimes mild but 2 months out still a problem.

Other Meds: no supplements or prescriptions

Current Illness: none

ID: 1385280
Sex: M
Age: 47
State: AZ

Vax Date: 04/30/2021
Onset Date: 05/20/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: body rash/ spots

Other Meds: N/A

Current Illness: N/A

ID: 1385281
Sex: M
Age: 39
State:

Vax Date: 04/07/2021
Onset Date: 04/07/2021
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: Patient c/o light headedness. VS:118/91 65/ 02 sat 98%. Pt reported that he has not eaten since he woke up. Patient given a bottle of water and a snack and was told to eat after he leaves here. Pt stated that he felt better prior to leaving.

Other Meds:

Current Illness:

ID: 1385282
Sex: F
Age: 38
State: MI

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: amoxicillin, tetracycline, ibuprofen, wheat, gluten, dairy, ALL NUTS

Symptom List:

Symptoms: I had a fever of 104 for 3 days, but my intestines were so painful for weeks afterwards. It is now 4 months after and I am still having gastro issues and have been to my Gastroenterologist, my PCP, had a colonoscopy and endoscopy, and have had to be on hardcore pain killers and have missed a lot of work due to the side effects from the vaccine.

Other Meds: Vitamin D, Vitamin B6, Vitamin B12, xanax .25, bentyl

Current Illness: none

ID: 1385283
Sex: F
Age: 49
State: WA

Vax Date: 05/11/2021
Onset Date: 05/13/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Heart Problems. Though I was having a heart ache. Nothing on tests went away after 3 days.

Other Meds: None

Current Illness: None

ID: 1385284
Sex: F
Age: 76
State: MA

Vax Date: 03/29/2021
Onset Date: 04/12/2021
Rec V Date: 06/09/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient's Covid-Test was positive on April 13 . she was in sub intensive unit from April 20 to May 12. the I dose received of Vaccine was Astrazeneca brand

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Current Illness:

ID: 1385285
Sex: M
Age: 38
State: WI

Vax Date: 06/07/2021
Onset Date: 06/07/2021
Rec V Date: 06/09/2021
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Allergies: NKA

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Symptoms: red warm and sore left upper arm ( vaccine was administered in Right arm - hours after - next day warm to touch - painful swollen with are of rash

Other Meds: Ibuprofen PRN - None within a week of vaccine Anti diarrhea PRN - None within a week of vaccine

Current Illness: None

ID: 1385286
Sex: F
Age: 75
State: IN

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 06/09/2021
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Allergies: niacin, aspirin, caffiene, alcohol, sulpha, penecillin, novacaine products

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Symptoms: 5 minutes after I left the site, about 20 minutes after receiving the shot in my RIGHT arm, I got hives on the underside of my LEFT arm.

Other Meds: dicyclomine, fish oil, red yeast rice, gingko biloba, vitamin D, Areds II, omeprazole, turmuric/circumin

Current Illness: mild flu-like symptoms 3 weeks previous

ID: 1385287
Sex: M
Age: 63
State: VA

Vax Date: 03/03/2021
Onset Date: 03/14/1921
Rec V Date: 06/09/2021
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Allergies: Sulfa

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Symptoms: None stated.

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Current Illness:

ID: 1385288
Sex: F
Age: 32
State: TX

Vax Date: 06/02/2021
Onset Date: 06/03/2021
Rec V Date: 06/09/2021
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Symptoms: Pt developed a rash on both forearms. Hydrocortisone cream was applied and the rash went away after approximately 24 hours.

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Current Illness:

ID: 1385289
Sex: M
Age: 41
State: VA

Vax Date: 05/19/2021
Onset Date: 05/21/2021
Rec V Date: 06/09/2021
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Symptoms: 5/21/21 10:00pm shortness breath, chest pain, shoulder pain, jaw pain, metallic taste, fatigue ?mini heart attack? symptoms 5/26-5/27 trouble breathing, fatigue, light headed 5/29 pain in left arm 5/30 night - second ?mini heart attack? symptoms General fatigue, hard to breath, overall feeling bad 6/2 - bruise on arm and lump Extreme headache, fatigue, chest pain, arm pain Emergency room visit = blood clots

Other Meds: Hydromorphone, flexeril, gabapentin, proAir, servent diskus, vit D, vit B, multi vit, hawthorn, red yeast rice, coQ10

Current Illness:

ID: 1385290
Sex: M
Age: 17
State:

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 06/09/2021
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Symptoms: Patient received the vaccine 2 months prior to 18th birthday. No adverse event reported.

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Current Illness:

ID: 1385291
Sex: M
Age: 47
State:

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 06/09/2021
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Symptoms: Pt reported feeling hot. Denies any other symptoms. Resolved with drinking water. No sever reaction noted. No CP, SOB, swelling or hives noted. Patient in stable condition. Patient educated on signs and symptoms of severe reactions. Sent home in stable condition.

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Current Illness:

ID: 1385292
Sex: M
Age: 41
State: NH

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 06/09/2021
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Allergies: Bactrim and Azithromycin

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Symptoms: Pt got hives all over his body just after he left out clinic. Pt brought photos of the hives to the second clinic (we didn't give him his second dose)

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Current Illness:

ID: 1385294
Sex: F
Age: 34
State: IN

Vax Date: 06/07/2021
Onset Date: 06/07/2021
Rec V Date: 06/09/2021
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Symptoms: Fatigue, nausea, low grade fever (under 100*F), chills lasting 24 hours

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Current Illness:

ID: 1385295
Sex: F
Age: 57
State: OR

Vax Date: 06/01/2021
Onset Date: 06/08/2021
Rec V Date: 06/09/2021
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Allergies: penicillin, amoxicillin, mango

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Symptoms: woke up with pain under arm and some minor swelling...pain continued and on Wednesday, injection site itches, is red and hard to the touch. itching continues and pain under arm has not subsided.

Other Meds: none

Current Illness: none

ID: 1385296
Sex: F
Age: 55
State: CA

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 06/09/2021
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Allergies: Brieo Ellipta - for asthma; Aver -for asthma; Vancomycin; Haldrol; Percocet; all the opiates - can't have

Symptom List:

Symptoms: The next day after vaccine, about 4:00pm - pain hit me and it was so severe I started to throw up from the pain. Short term memory/brain fog has been an issue. I've had massive migraines. Complete body aches - even my bones hurt. The worse one was on both of my arms - above the wrist - and it was horrible (mostly on the right). One big blur of pain - I'm in a lot of pain all the time. I have a constant headache. I keep losing consciousness and that started after the vaccine. It use to hit every three hours. Now it's more than that. I have been two ERs in the couple of weeks. I've been to the doctor, too. I am referred to a neurologist - can't get me in until middle of July. I pass out and when I wake up from it I am in excruciating pain - my whole body hurts. I can only take Tylenol because I'm on Warfarin. I use Tylenol as needed and ice pack and heating pad for the pain. I started to almost lose consciousness when I have been completing this but I'm okay - it is like a blanking out of the moment.

Other Meds: Tylenol; Hydroxyzine Pamoate - every four hours - dosage 50 mg; Trazadone 50 mg -at bedtime one pill; Seroquel - 50 mg - 1 at bedtime; Gabapentin - 600 mg - 4 times daily; Warfarin - blood thinners - take as directed - 10 mg on Monday and a

Current Illness: no

ID: 1385297
Sex: M
Age: 39
State: ID

Vax Date: 09/20/2020
Onset Date: 09/23/2020
Rec V Date: 06/09/2021
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Allergies: raglan, Robaxin, cognisin

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Symptoms: My joints started to swell (especially my knees and elbows), low grade fever, and body aches for a few days

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm