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
63,479
AK1,562
AL4,914
AR3,110
AS44
AZ12,730
CA54,886
CO10,464
CT7,347
DC1,568
DE1,561
FL33,514
FM3
GA12,508
GU74
HI2,078
IA4,130
ID2,361
IL18,091
IN22,023
KS4,061
KY6,276
LA4,395
MA13,121
MD11,272
ME2,858
MH8
MI16,697
MN10,689
MO8,360
MP30
MS2,487
MT2,035
NC14,437
ND1,184
NE2,562
NH2,717
NJ16,033
NM3,532
NV3,784
NY30,921
OH17,029
OK5,673
OR7,479
PA21,111
PR1,959
QM2
RI1,833
SC5,601
SD1,087
TN8,048
TX31,896
UT3,791
VA13,180
VI48
VT1,592
WA13,026
WI9,856
WV2,120
WY754
XB5
XL1
XV2

ID: 1391272
Sex: M
Age: 75
State:

Vax Date: 03/10/2021
Onset Date: 06/07/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I21.4 - NSTEMI (non-ST elevated myocardial infarction) (CMS/HCC)

Other Meds:

Current Illness:

Date Died: 06/10/2021

ID: 1391273
Sex: F
Age: 60
State: CO

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

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

Lab Data:

Allergies: Penicillins, Sulfa, Codeine

Symptom List:

Symptoms: Went unresponsive at home after experiencing diarrhea. Pulses were lost at home and regained by EMS prior to transport to the emergency room. Pulses lost again in the emergency room. ACLS performed for approximately 40 minutes before pronouncement of death was made.

Other Meds:

Current Illness:

ID: 1391274
Sex: M
Age: 80
State: NY

Vax Date: 03/12/2021
Onset Date: 05/18/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies: cats claw, ace inhibitors, cat dander

Symptom List:

Symptoms: Pt had covid 19 infection in dec 2020 and recovered and was sent to rehab facility on 1/6/21 and ultimately discharged home with his family. He received his 1st and 2nd covid 19 vaccines on 2/10 and 3/12/21 and was admitted on 5/18 and shipped to another hospital after coming to the er with a non traumatic subarachnoid hemorrhage. He was discharged home on 5/20 and his daily aspirin was discontined. He returned back to the ER on 6/1/21 with the family c/o the pt not thriving , difficulty ambulating and progressive decline. Head CT and chest x ray were negative. cbc was normal, tsh normal. covid 19 negative. urinalysis was negative, cmp was normal, cbc was at his baseline. He was ultimately discharged to a nursing home on 6/4/21.

Other Meds: flomax, norvasc, aricept, omeprazole, lipitor

Current Illness: Pt had covid 19 infection in dec 2020 treated with antibiotics, steroids and remdesivir and went to rehab on 1/6/21

ID: 1391275
Sex: F
Age: 31
State: NH

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

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

Lab Data:

Allergies: kiwi, latex, bananas, mangoes, amoxicillin, aspirin, ultram, Bactrim, iodine, medical tape,

Symptom List:

Symptoms: swollen lymph node in armpit Low grade fever Chills Sore joints Muscle ache Fatigue

Other Meds:

Current Illness:

ID: 1391276
Sex: M
Age: 35
State: VA

Vax Date: 01/11/2021
Onset Date: 01/25/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Heart palpitations two weeks post vaccine and lasting for six to eight weeks. Full cardiac work up done with no major findings. EF at 65% and mild valve issues noted on 2D. Symptoms have somewhat stabilized at this time but I still have irregular heart beats.

Other Meds: None

Current Illness: TMJ

ID: 1391277
Sex: M
Age: 85
State:

Vax Date: 02/16/2021
Onset Date: 05/29/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: N17.9 - Acute kidney failure, unspecified D69.6 - Thrombocytopenia, unspecified

Other Meds:

Current Illness:

ID: 1391278
Sex: F
Age: 28
State: VA

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

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: HEADACHE, CHILLS, NIGHT SWEATS, RUNNY NOSE, TEMPERATURE

Other Meds: NONE

Current Illness: NONE

ID: 1391279
Sex: M
Age: 60
State: NJ

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Total body/joint aching and fever for 36 hours

Other Meds: none

Current Illness: none

ID: 1391280
Sex: F
Age: 33
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: O20.0 - Threatened abortion "HREATENED MISCARRIAGE ABDOMINAL CRAMPING VAGINAL BLEEDING - PREGNANT

Other Meds:

Current Illness:

ID: 1391281
Sex: F
Age: 51
State: FL

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient states that she is having numbness to face. Feels like tongue is swollen. Reports stiffness to neck. Patient instructed to massage area. Patient reports symptoms no longer persist.

Other Meds: none

Current Illness: none

ID: 1391282
Sex: F
Age: 40
State: NY

Vax Date: 05/04/2021
Onset Date: 06/01/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: Cipro

Symptom List:

Symptoms: 16 week Anatomy scan showed crembrem hyplasia amnd fluid in ventricles that resulted in pregnancy termination

Other Meds: Folic acid baby aspirin

Current Illness: None

ID: 1391283
Sex: F
Age: 68
State: NY

Vax Date: 05/04/2021
Onset Date: 05/28/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Pt had her 2nd covid 19 vaccine on 5/4/21 and was admitted to the hospital with an acute cryptogenic stroke on 5/28/21 with sudden R sided facial droop with NIHSS of 6, R sided weakness, expressive aphasia and was given TPA as ct head was neg for hemorrhage. CTA head and neck negative for any stenosis, ldl was 74, follow up mri brain post TPA was negative. Pt also had hyponatremia on admit of which was corrected by discharge. She also fell pta and was admitted with a colles fracture which was reduced at the bedside by orthopedics and casted. She was admitted from 5/28-5/31 and discharged home with her family.

Other Meds: aspirin, lipitor, hctz, lisinopril, metoprolol, hypothyroidism

Current Illness: none

ID: 1391284
Sex: M
Age: 58
State: GA

Vax Date: 05/06/2021
Onset Date: 05/19/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Heart palpatations, rapid beat,dehadration,

Other Meds:

Current Illness:

ID: 1391285
Sex: F
Age: 48
State: IN

Vax Date: 05/12/2021
Onset Date: 05/15/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 3 days after 2nd dose Ic started having pain in left side of chest which got stronger

Other Meds:

Current Illness:

ID: 1391286
Sex: M
Age: 72
State: NY

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Flu like symptoms, injection site tenderness, muscle and joint ache, head ache, temperature 99.9, general weakness. Symptoms began 10 hours following injection and lasted approximately 36 hours, full recovery in 48 hours. Treatment: ibuprofen and acetaminophen.

Other Meds: Mulit-vitamin, loratadine 10 mg, aspirin 81 mg, Aleve 220 mg.

Current Illness: none

ID: 1391287
Sex: M
Age: 52
State: VA

Vax Date: 04/22/2021
Onset Date: 04/25/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Racing heart rate, dizziness from this symptoms. Smoke smell, which I continue to smell to even now as I type this note.

Other Meds: none

Current Illness: none

ID: 1391296
Sex: M
Age: 55
State: NY

Vax Date: 04/10/2021
Onset Date: 04/20/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Pt received his 2nd vaccine on 4/10/21. he reported that after that he began to experience intermittent palpitations which came and went before they persisted with associated near syncope prompting him to come to the emergency room on 6/1/21 where he was diagnosed and admitted with new onset rapid atrial fibrillation. He has no history of sleep apnea, does not drink alcohol, his tsh was normal, troponins were normal, cardiac crp was normal, d dimer was neg and PE was ruled out. he was started on metoprolol and eliquis and broke to sinus rhythm. echo was normal with no atrial enlargement and normal ejection fraction, no valvular disease, chest x ray normal, cmp and cbc normal. He was discharged home on 6/2/21. He will need follow up with cardiology.

Other Meds: actos, lipitor, glyburide, losartan, metformin, aspirin, victoza

Current Illness: none

ID: 1391297
Sex: M
Age: 27
State: OH

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Fainting / Unresponsive-Mild

Other Meds:

Current Illness:

ID: 1391298
Sex: F
Age: 58
State: FL

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Red hot right ear, red rash right cheek, right nostril side completed blocked, severe vertigo , disequilibrium, wavy imbalance feeling

Other Meds: 1 a day vitamin ,krill,B12, omeprazole,flexiril

Current Illness: None

ID: 1391299
Sex: M
Age: 74
State: TX

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Booster Given Too Early

Other Meds:

Current Illness:

ID: 1391300
Sex: M
Age: 74
State: ME

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: no known drug allergies documented

Symptom List:

Symptoms: Patient reported that an hour or two after receiving second dose of Moderna vaccine, he had excrutiating pain on the left side of his skull and vision problems. He has been seen by his PCP for follow-up and other causes of symptoms are being investigted.

Other Meds: none on file

Current Illness: unknown

ID: 1391301
Sex: M
Age: 14
State: IN

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe heartburn, headache, chills, fever, lethargy

Other Meds: Sertraline, bupropion, L Methylfolate

Current Illness: None

ID: 1391302
Sex: F
Age: 56
State: NJ

Vax Date: 06/08/2021
Onset Date: 06/10/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Extreme headache, tired, tingles all over, dizziness, palpitations, rash on arm by injection site, rash is spreading

Other Meds: Dialtezem, EffexorXR

Current Illness:

ID: 1391303
Sex: F
Age: 23
State: NM

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1391304
Sex: M
Age: 89
State: NM

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1391305
Sex: F
Age: 64
State: NY

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: Shellfish

Symptom List:

Symptoms: Persistent soreness and pain in left upper arm, continuing to date (2 1/2 months after vaccination)

Other Meds: Lisinopril/HCTZ 10-12.5 MG

Current Illness: None

ID: 1391306
Sex: F
Age: 35
State: KS

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: swelling in both feet and ankles-Medium, Additional Details: Patient reported swelling of the feet and ankles at around 9pm the night of vaccination. Patient has since recovered since then and reported the event the following day.

Other Meds:

Current Illness:

ID: 1391307
Sex: M
Age: 28
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Pain at Injection Site-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Hypotension-Mild, Additional Details: Pt was sitting on chair in the observation area and he fell over hitting his head on the side panel. Pt got up immediately and sat back on the chair. Pt was pale but allert and responsive. After drinking some water and extended observation time, pt was able to walk away. EMT was called but pt refused service.

Other Meds:

Current Illness:

ID: 1391308
Sex: F
Age: 11
State: NJ

Vax Date: 06/09/2020
Onset Date: 06/09/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Fainting / Unresponsive-Severe

Other Meds:

Current Illness:

ID: 1391309
Sex: F
Age: 62
State: IA

Vax Date: 06/07/2021
Onset Date: 06/08/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Swelling, redness, pain at injection site, warm to touch, extremely tender and sore. Increased breathing difficulty, fever, fatigue,

Other Meds: Duloxetine Bupropion Bumetanide Aripprazole Buspirone Ferrous sulfate Potassium Spiriva Cymbacort Pro Air

Current Illness: None

ID: 1391310
Sex: M
Age: 59
State: CA

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Pain at Injection Site-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Joint Pain-Mild, Additional Details: Pt claimed that after 6 days after vaccination, his left arm is still sore when moved. He also claimed that he is limited mobility of his left arm due to the vaccine with out feeling some level of pain.

Other Meds:

Current Illness:

ID: 1391311
Sex: F
Age: 16
State: TX

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Fainting / Unresponsive-Mild, Additional Details: Pt did not have breakfast before her shot at 11am. She got the shot and sit down. Mom came over and said her daughter passed out. Rph and techs rushed over. We laid her down to the floor and call emergency number. After a few minutes, she wake up and feel better. Mom said thank you and took her to eat.

Other Meds:

Current Illness:

ID: 1391312
Sex: F
Age: 17
State: FL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Mild

Other Meds:

Current Illness:

ID: 1391313
Sex: F
Age: 90
State: FL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Client was feeling al little bit anxious about vaccination symptoms and stating that she was having difficulty breathing. Pt. instructed on relaxation, breathing techniques. Pt. fully recovered.

Other Meds:

Current Illness:

ID: 1391314
Sex: F
Age: 32
State: KY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium

Other Meds:

Current Illness:

ID: 1391315
Sex: M
Age: 20
State: AR

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Abdominal Pain-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild

Other Meds:

Current Illness:

ID: 1391316
Sex: F
Age: 61
State: MA

Vax Date: 03/10/2021
Onset Date: 04/27/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received 1st dose 2/10/21, 2nd dose on 3/10/2021 She presented to the ED on 4/27 with dyspnea and found to have large pericardial effusion with early tamponade. Was transferred to hospital and on 4/28 had therapeutic pericardiocentesis. Started on colchicine for presumed viral/immune pericarditis. Seen in cardiologist office on 6/9/2021. Doing wqell with resolution of effusion.

Other Meds: Rosuvastatin, omeprazole, symbicort

Current Illness:

ID: 1391317
Sex: F
Age: 60
State: GA

Vax Date: 04/05/2021
Onset Date: 04/15/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Started out as joint pain and heaviness. Progressed to extreme swelling in both hands. Progressed to upper arm pain. Treating with steroids. Treating with occupational therapy. So far refractory to steroids.

Other Meds: women's vitamins

Current Illness: none

ID: 1391318
Sex: F
Age: 32
State: FL

Vax Date: 05/13/2021
Onset Date: 05/18/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: Na

Symptom List:

Symptoms: Left foot went numb immediately after vaccine. 5 days later i got a headache with throbbing and pressure and tingling that has lasted 3 weeks and 4 days. No medication helps the headache

Other Meds: Doxicicline was stopped day prior to vaccine. Havent taken again

Current Illness: N/a

ID: 1391319
Sex: M
Age: 33
State: PA

Vax Date: 06/07/2021
Onset Date: 06/10/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
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Lab Data:

Allergies: Bees

Symptom List:

Symptoms: Approximately 48 hours following shot area red raised area developed around the site of the shot similar to bug bite. Tender to touch.

Other Meds: None

Current Illness: None

ID: 1391320
Sex: M
Age: 51
State: MD

Vax Date: 04/11/2021
Onset Date: 04/26/2021
Rec V Date: 06/11/2021
Hospital: Y

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Allergies: none

Symptom List:

Symptoms: gradual onset of paresthesias beginning exactly 14 days after vaccine administration. patient was then admitted to hospital on 5/22 when symptoms worsened and he was ultimately diagnosed with Guilliam Barre Syndrome.

Other Meds: none

Current Illness: none

ID: 1391321
Sex: M
Age: 16
State: MD

Vax Date: 06/10/2021
Onset Date: 06/10/2021
Rec V Date: 06/11/2021
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Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Additional Details: a patient passed out in the store today after receiving their 2nd shot and they hit their chin on a shelf in one of the isles when they were falling. An ambulance came and the patient left in the ambulance. The patient was awake and alert when the ambulance arrived. The patient was made aware to sit and wait 15 minutes after the shot was given but the patient did not wait and preceded to leave but the patient did not wait and preceded to leave and that?s when he got dizzy walking

Other Meds:

Current Illness:

ID: 1391322
Sex: M
Age: 60
State: NJ

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 06/11/2021
Hospital:

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Allergies: None

Symptom List:

Symptoms: Severe dental pain (9/10) beginning several days after vaccination, affecting upper left and lower right molars. Molar on lower right turned out to have an abcess, and required a root canal and crown. Mild tooth ache on upper left continues at low level. Immediate post vaccine course after 1st injection complicated by swollen and painful (injection) arm; after second vaccination - course complicated by pain in injection arm, fever to 104, myalgia and fatigue.

Other Meds: Losartan 100 mg QD, Simvastatin 40 mg QD, Diphenhydramine 25 - 50 mg prn

Current Illness: None

ID: 1391323
Sex: M
Age: 31
State: IL

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

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Lab Data:

Allergies: None.

Symptom List:

Symptoms: Injection site pain, tiredness, muscle pain, and nausea

Other Meds: None.

Current Illness: No.

ID: 1391324
Sex: F
Age: 32
State: FL

Vax Date: 06/07/2021
Onset Date: 06/10/2021
Rec V Date: 06/11/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: BLISTER WITH FLUID-Severe, Additional Details: PT COMPLAINED ABOUT BLISTER,PAIN, REDNESS AND ITS NOT GONE.

Other Meds:

Current Illness:

ID: 1391325
Sex: F
Age: 42
State: SC

Vax Date: 05/25/2021
Onset Date: 05/27/2021
Rec V Date: 06/11/2021
Hospital:

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Symptom List:

Symptoms: Approximately 2 days after the vaccine, I started experiencing shortness of breath, fatigue, profound muscle weakness in my lower legs and lower arms, and tremors. The symptoms got worse over the next 3-4 days and then started to gradually lessen. I'm now 2+ weeks post vaccine and I still have arm weakness and some leg weakness.

Other Meds:

Current Illness:

ID: 1391326
Sex: F
Age: 60
State: NC

Vax Date: 04/22/2021
Onset Date: 04/27/2021
Rec V Date: 06/11/2021
Hospital:

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Lab Data:

Allergies: Keflex, Penicillin

Symptom List:

Symptoms: Erratic blood pressure. Decreased heart rate. Weakness. Fatigue, increase in PVC?s. I am an athlete and was simply unable to workout due to response. I did workout the two days after the vaccine and perhaps I shouldn?t have done that. The following week I was exhausted and ended up I?m emergency room with dropping pulse rate and erratic blood pressure, swelling in my face and ankles.

Other Meds: Multi vitamin, Tumeric Tea

Current Illness: Possible seasonal allergies

ID: 1391327
Sex: M
Age: 31
State: TX

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

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Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Confusion-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Seizure-Severe, Systemic: Shakiness-Severe

Other Meds:

Current Illness:

ID: 1391341
Sex: F
Age: 16
State: NY

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

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Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Pt. received COVID-19 vaccine on 06/05/21 and developed a mild fever on 06/06/21, but had not had a fever since that day when coming to the ED on 06/10/21. On 06/07/21 while the pt. was at school pt. became dizzy and pupils dilated. Pt. was picked up from school and rested for 3 hours and she did not remember how she got home or how she got to the school nurse..Pt.in ED for similar symptoms 6/7/21 and 6/9/21 before coming again on 06/10/21 with a negative work up. Pt. has been on school zoom meetings and has been looking at pillows and thinking they are people and they were moving and talking to her. Pt. walking into walls, trouble walking and intermittent confusion and multiple episodes of conversations that she does not recall and time periods which she can not remember. Pt. was transferred to a higher level of care in another facility.

Other Meds: Amphetamine/Dextroamphetamine 20mg CP24

Current Illness:

ID: 1391342
Sex: M
Age: 17
State: MI

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

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Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: LOSS OF VISION SHORT TERM-Mild, Systemic: Flushed / Sweating-Mild

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 559,999

Page last modified: 03 October 2021 5:28pm