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: 1411320
Sex: F
Age: 61
State: VA

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

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

Lab Data:

Allergies: Darvon Environmental, seasonal, & pollen allergens

Symptom List:

Symptoms: Bright red rash, intense itching, skin peeled like from bad sunburn - multiple areas. Hives - abdomen, upper back, forearms and hands. Intense extended itching! Facial, eyelid and neck swelling. Fri May 7th (last area that week) - Face and neck also developed bright red rash and itching. As rash decreased skin felt dry and papery. Did peel /exfoliate. Last area to have response.

Other Meds: Allegra D; Flonase nasal; daily Women's vitamin and misc vitamin and mineral supplements

Current Illness: None

ID: 1411506
Sex: F
Age: 26
State: NY

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

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Shortly after administering the patient's 1st dose of Pfizer, the patient fainted. I laid her on the floor and a gentleman helped me call 911. When the patient awoke, the store manger and I helped her get up and moved her to seats to lie down and gave her water. The EMS arrived 15 minutes after the call and stayed with the patient until 7:18pm after she refused going to the ambulance/hospital several times, saying she needed fluids and iron. The patient left the store alone without informing pharmacy staff around 7:22pm even though she told us someone was coming to pick her up.

Other Meds: N/A

Current Illness: No

ID: 1411507
Sex: F
Age: 74
State: WA

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies: I am allergic to Sulphur, prednisone, Advil, salicylates classification, oxycodone bacterium, trimethoprim, naproxen, vomiting medication.

Symptom List:

Symptoms: When I started taking the Tylenol per my doctor for the pain (most of the pain came from the right arm and I received my shot in my left arm). I received a cortisone shot in my arm; however, after I received the shot things started to getting worse. I didn't have any redness or swelling. I went to the ER and was treated for my symptoms. I'm still experiencing extreme pain in both arms, wrists, and the knuckles of both hands along with swelling (taking Ibuprofen and Tylenol).

Other Meds: No, I only took the medications prescribed by my doctor.

Current Illness: No

ID: 1411508
Sex: M
Age: 35
State: IL

Vax Date: 03/30/2021
Onset Date: 04/19/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Developed Arrhythmia in pattern of Bigeminy and mild to moderate Left Ventricle Hypertrophy

Other Meds:

Current Illness:

ID: 1411509
Sex: F
Age: 40
State: MD

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

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

Lab Data:

Allergies: Codine, Biaxin

Symptom List:

Symptoms: Hard red lump at injection site, and arm weakness 12:00pm 6/18/21

Other Meds: Berkley Jensen Allergy Relief 10mg Cetirizine Hydrochloride Tablets

Current Illness:

ID: 1411510
Sex: F
Age: 30
State: OK

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient received the Janssen COVID vaccine. She left the room and shortly after came to the window saying she felt faint, light headed, dizzy, and sweaty. She also reported her hearing fading in and out. I took her back into our immunization room and had her sit down. She had no visible signs on the injection site of a reaction. She did appear pale. I gave her an ice pack and placed on her and a technician gave her some water. She placed her head between her knees for a bit as well. Probably about 10 min after she felt better. She decide she was well enough to get up and decided to wait an additional 5-10min outside of the pharmacy before leaving.

Other Meds: NA

Current Illness: None

ID: 1411511
Sex: F
Age: 44
State: CA

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

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

Lab Data:

Allergies: cats, dogs, horses, hair dye

Symptom List:

Symptoms: Severe eye and facial swelling, nasal passages became completely clogged, throat became sore and difficult to swallow . Accompanied by headache and extreme fatigue

Other Meds: Vitamin c

Current Illness: none

ID: 1411512
Sex: M
Age: 63
State: NY

Vax Date: 03/19/2021
Onset Date: 03/26/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies: Momopril and seasonal allergies

Symptom List:

Symptoms: Fever and body aches

Other Meds: Lotrel, Lipitor and trimesters hc/tz (diaretic) Vitamin c, vitamin d, 81 mg chewable aspirin and allegra

Current Illness: None

ID: 1411513
Sex: M
Age: 32
State: CA

Vax Date: 06/03/2021
Onset Date: 06/07/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies: Aspirin, ibuprofen

Symptom List:

Symptoms: After 4 days I started having shortness of breath, itchiness when breathing and chest pain. At the one week mark I started having palpitations and high blood pressure.

Other Meds: None

Current Illness: No illnesses at the time or a month before, but had Covid-19 2 months prior to the first Pfizer vaccine dose

ID: 1411514
Sex: M
Age: 18
State: OR

Vax Date: 06/09/2021
Onset Date: 06/14/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: chest pain, shortness of breath x 5 days post vaccine

Other Meds: mirtazipine dicyclomine hyoscyamine zofran

Current Illness:

ID: 1411515
Sex: F
Age: 59
State: PA

Vax Date: 06/12/2021
Onset Date: 06/15/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs (Septra), Amoxicillin, Penicillin

Symptom List:

Symptoms: Itchy red - chicken pox like pimply rash surrounding injection site . Benadryl, calamine lotion.

Other Meds: Levothyroxine, Lisinopril, Lovastatin, Hydrochlorothiazide, Ketorolac Tromethamine, baby aspirin

Current Illness: N/A

ID: 1411516
Sex: F
Age: 15
State: NH

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

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: redness at the injection site approx. 2 inch in diameter

Other Meds: no

Current Illness: n/a

ID: 1411517
Sex: M
Age: 43
State: NC

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

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: PATIENT RECIEVED A THIRD MODERNA VACCINE DOSE ON 6/8/21 . FOLLOW UP TRAIGE CALL ON 6/18/21 PATIENTS REPORTS NO LOCAL OR SYSTEMATIC SIGNS OR SYMPTOMS

Other Meds: unknown

Current Illness: none

ID: 1411518
Sex: M
Age: 61
State: MA

Vax Date: 06/09/2021
Onset Date: 06/17/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Chest pain down right arm into right hand, radiating down into abdomen. Symptoms started 0800 hours 06/17/2021. Symptoms returned 06/18/2021 at 0600 hours. Emergency Department visit Dx: STEMI Treated with IV heparin and metoprolol

Other Meds: lamotrigine mirtazapine venlafaxine

Current Illness: N/A

ID: 1411519
Sex: M
Age: 28
State:

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

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: 12 hours after the vaccination I started to have tachycardia, fever and diarrea. I started taking panadol every 4 hours and the symptoms lasted for two days. Drink a lot of water for tachycardia.

Other Meds: Panadol when fever start, every 4 hours.

Current Illness: No

ID: 1411521
Sex: M
Age: 25
State: MA

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

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: After the vaccination, Patient went to sit in the chair, while sitting, he started to feel lightheaded and fainted. He came too after a few seconds. He fell off the chair but did not hurt himself. After he woke up , he sat back on the chair, a cool towel was put on his neck, he was fanned and given cold water to drink. After 20 minutes he felt better then left.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1411522
Sex: F
Age: 71
State: MD

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies: dairy, wheat, citrus, fresh fruit, cruciferous vegetables, caffeine, chocolate, FDC yellow and red; aspirin, demerol, darvon, codeine, NSAIDs; penicillin. Disk inhalers; camphor, menthol

Symptom List:

Symptoms: Upon the second injection, a hot, metallic taste came into my mouth immediately during the injection. That evening, I became lightheaded, experienced chills, bone throbbing, and muscle pain. Since then, all of my autoimmune and chronic symptoms have worsened: bone pain, extreme fatigue, "empty-brain (brain fog)," loss of balance, coordination, and short-term memory, extreme mental confusion, worsening of depression and anxiety, and heightened allergic reactions.

Other Meds: Synthroid; Nexium: Cymbalta: Clonazopam; Quvar; Ipatroprium Bromide with Albuterol for inhalers; Budesonide for inhalers; QNasl; vitamin D, vitamin B12, acetaminophen 650 mg 3xweek; methascopolamine for esophageal spasms;

Current Illness:

ID: 1411523
Sex: M
Age: 13
State: KY

Vax Date: 05/16/2021
Onset Date: 05/21/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Developed the first symptoms of pityriasis rosea less than one week after dose one of the vaccine. Was diagnosed with pityriasis rosea by his pediatrician 12 days after receiving his second dose of the vaccine.

Other Meds: None

Current Illness: None

ID: 1411524
Sex: F
Age: 44
State: KY

Vax Date: 06/17/2021
Onset Date: 06/18/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies: Progestins

Symptom List:

Symptoms: Patient states she became dizzy next day following the vaccine and attributes this to receiving the vaccine the day before.

Other Meds: Not known

Current Illness: None noted

ID: 1411525
Sex: F
Age: 39
State: MD

Vax Date: 04/01/2021
Onset Date: 06/14/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Experienced heart palpitations, tachycardia, dizziness and numbness in hands and arms

Other Meds: None

Current Illness: None

ID: 1411526
Sex: M
Age: 18
State: IN

Vax Date: 06/08/2021
Onset Date: 06/10/2021
Rec V Date: 06/18/2021
Hospital: Y

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

Lab Data:

Allergies: none known at this time

Symptom List:

Symptoms: Myocarditis/Pericarditis. Prior to hospitalization for Myocarditis/Pericarditis the patient had severe headache, fever/chills, temperature ranging from 100.8 to 104 degrees, right side mid back pain, brief moments of random intense pain in other parts of the body, lack of appetite and excessive fatigue.

Other Meds: Vit. D, Vit C

Current Illness: none

ID: 1411527
Sex: F
Age: 40
State: CA

Vax Date: 05/19/2021
Onset Date: 06/16/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient stated that after receiving the 1st dose of the vaccine she felt a slight fever, then when she was breast feeding the same day the baby started presenting with flu like symptoms the same day

Other Meds: N/A

Current Illness: Unknown

ID: 1411528
Sex: M
Age: 64
State: CA

Vax Date: 06/02/2021
Onset Date: 06/13/2021
Rec V Date: 06/18/2021
Hospital: Y

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

Lab Data:

Allergies: gabapentin, lyrica, Imdur, Lipitor, hctz

Symptom List:

Symptoms: 6/14/21, admitted for shortness of breath, initially thought to be CHF exacerbation, persistent hypoxia, underwent V/Q scan 6/16, showing bilateral pulmonary embolism, starte don heparin and then lovenox, still with persistent hypoxemia

Other Meds: Pepcid, Lisinopril, crestor, hydralazine, alvesco, Lasix, Humalog, Humulin, Flonase, coreg, asa, mulitvitmain, albuterol,

Current Illness:

ID: 1411529
Sex: F
Age: 59
State: OR

Vax Date: 06/14/2021
Onset Date: 06/15/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies: Allergies: Adhesive, Zyrtec, Polysporin, Neosporin, Erythromycin Food Intolerance: Almonds, Cashews, Walnuts, Gluten, Dairy Milk

Symptom List:

Symptoms: about 12:30am, seven hours after the injection I awoke with body aches & headache, took two Extra Strength Tylenol. Awoke @ 5:45am 06/15/21 with exreme fatigue, low grade fever, full body aches, headache & lack of apetite. 8:00am took 2 Extra Strength Tylenol. Body aches, headache, low grade fever & extreme fatigue worsened even with another dose of Tylenol. Slept 13 hours & awoke with same symptoms. Continued Extra Strength Tylenol every four to five hours through 06/15/21. 06/16/21 awoke with continued extreme fatigue. Extreme fatigue continues through today, 06/18/21.

Other Meds: 5-HTP, D3, Allegra, Cytomel, Singulair, Magnesium, Flexeril, Mycotaki, L-Methylfolate, CeleBrex, B12, Hydroeye

Current Illness: Sinusitis - finished antibiotics 6/11/21 - Omniceph

ID: 1411530
Sex: F
Age: 0
State: NY

Vax Date: 12/01/1953
Onset Date: 05/21/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: After receiving the second dose of moderna. My mom started experience some kind of vertigo. She has never in her life experience that. She went to ther doctor and he gave her some medication but it does not help. She faint and fell this week. Prior to the vaccine she was fine.

Other Meds:

Current Illness:

ID: 1411531
Sex: M
Age: 50
State: WA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: PATIENT GOT MODERNA FOR THE FIRST DOSE AND PFIZER FOR THE SECOND DOSE

Other Meds:

Current Illness:

ID: 1411533
Sex: F
Age: 18
State: IL

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Redness and swelling of a previous vaccine injection scar, not related to the Covid-19 vaccine, like the BCG vaccine, which occurred two days after receiving the second dose of the Pfizer vaccine. Pain is experienced upon pressure to the area.

Other Meds: Vyvanse and Metoprolol

Current Illness: None

ID: 1411534
Sex: F
Age: 18
State: OR

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient received second vaccine 11 days apart instead of 21 days apart

Other Meds: None

Current Illness: None

ID: 1411535
Sex: F
Age: 29
State: NJ

Vax Date: 06/16/2021
Onset Date: 06/17/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The day after receiving the vaccine, the patient woke up with discoloration, pain, and swelling on her right upper arm. She put an ice pack on her arm because of the pain. She developed a blister on the same area of discoloration (right upper arm). The blister seemed to get worse throughout the day so she came into the pharmacy the next day to report it.

Other Meds:

Current Illness:

ID: 1411536
Sex: F
Age:
State: IN

Vax Date: 05/20/2021
Onset Date:
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: given Pfizer #2 , when patient had received Moderna for her first dose

Other Meds:

Current Illness:

ID: 1411537
Sex: M
Age: 32
State: MO

Vax Date: 06/17/2021
Onset Date: 06/17/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient presented having had one dose of J&J in March and one dose Pfizer in May. He sought out the Pfizer vaccine b/c he wants protection against the delta variant. Per Health Dept medical director 2nd Pfizer dose was given with no guarantees of efficacy against delta.

Other Meds:

Current Illness:

ID: 1411538
Sex: F
Age: 15
State: CA

Vax Date: 06/10/2021
Onset Date: 06/10/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: A 15 yrs old female patient complained she could not see anything 10 minutes after receiving Pfizer vaccine. She seemed sleepy,and her face looked pale.She was responsive and conscious, She denied difficulty of breathing, She was hot to touch and asked for water. After approximately 5 minutes, her vision was back to normal,and her face color changed to its normal complexion. the patient has not received anything during this period. She was encouraged to be calm and breathe in and out slowly.Vitals not recorded. EMS arrived and patient went to the ER for further follow-up. Patient's mom confirmed patient remains stable an hour after the incident.

Other Meds: no

Current Illness: unknown

ID: 1411539
Sex: M
Age: 50
State: HI

Vax Date: 06/16/2021
Onset Date: 06/17/2021
Rec V Date: 06/18/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Pt in to have a port placed for chemotherapy, spiked a fever to 39.8 C

Other Meds:

Current Illness: metastatic colon cancer hyponatremia

ID: 1411540
Sex: M
Age: 22
State: WI

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

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

Lab Data:

Allergies: None reported

Symptom List:

Symptoms: Approximately 10 min into the post-vaccination waiting period, patient collapsed out of his chair. Patient stated that he started feeling hot and dizzy and that's all he remembers/

Other Meds: Unknown - new patient

Current Illness: None reported

ID: 1411541
Sex: F
Age: 32
State:

Vax Date: 06/10/2021
Onset Date: 06/17/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Left arm redness, swelling, warmth, pain began 6 days after vaccination.

Other Meds:

Current Illness:

ID: 1411542
Sex: M
Age: 62
State: WA

Vax Date: 05/10/2021
Onset Date: 05/15/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies: Milk eggs

Symptom List:

Symptoms: Had emergency room visit with my heart skipping beats. They said I have PVC.

Other Meds: Allergy pills

Current Illness: None

ID: 1411543
Sex: M
Age: 63
State: CA

Vax Date: 05/08/2021
Onset Date: 05/09/2021
Rec V Date: 06/18/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Allergies: None

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Symptoms: At approximately noon on May 9, 2021, I observed that I was having some difficulty with hearing in my right ear consisting of a "blocked" feeling with some distortion ? I have had occasional issues of this nature previously which have normally been rectified by "over the counter" products.On the afternoon of May 12, 2021, there had been no improvement, so I sought assistance at the facility located in town. Personnel there initially attempted to "flush" my ear without any improvement. I was then seen by a Dr. who was on duty at the facility ? Dr. indicated that there appeared to be some sort of plastic "tube" in my ear. Dr. indicated that this was best handled by a specialist in the field, and provided me with the information on a local practice. I was seen on May 18, 2021 at the offices of facility located near a Dr. I explained to Dr. what Dr. had seen ? he located the item and removed it from my ear. This item has not, as yet, been identified ? Dr. initially speculated that it may be part of a hearing aid, which I have NEVER had. I subsequently saw Dr. again on June 1, 2021, as the issues were persisting. At that time, a "Hearing test" was administered by a ophthalmologist. Dr. prescribed a course of 50 Prednisone (10 MG tablets) to be taken as follows at breakfast time: Six tablets for the first six days Four tablets for the next two days Two tablets for the next two days One tablet for the next two days Dr. reasoning at that time was that he believed that the vaccine may have provoked some sort of "immune deficiency". He advised that I should see him again in two weeks for a further hearing test/consultation. I completed the course of Prednisone on June 13, 2021. I underwent a further hearing test with ophthalmologist on the morning of June 15, 2021 as agreed ? prior to the test, I indicated to ophthalmologist that I expected the results to be, to all intents and purposes, identical to the previous one: this proved to be the case. I subsequently indicated to Dr. that the Prednisone had been, from my perspective, totally ineffective. He is, at the time of writing, unable to offer any explanation for the issue or "path forward" from it: I am presently seeking a second opinion.

Other Meds: None

Current Illness: None

ID: 1411544
Sex: F
Age: 19
State: CA

Vax Date: 05/14/2021
Onset Date: 05/18/2021
Rec V Date: 06/18/2021
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Allergies: None.

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Symptoms: Sharp heart pain and palpitations.

Other Meds: None

Current Illness: None.

ID: 1411545
Sex: F
Age: 29
State: UT

Vax Date: 06/14/2021
Onset Date: 06/15/2021
Rec V Date: 06/18/2021
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Allergies: None

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Symptoms: After second dose, I had a fever, and continue to experience shortness of breath, chest tightness and heart palpitations as of June 18th.

Other Meds: None

Current Illness: None

ID: 1411547
Sex: F
Age: 26
State: IA

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/18/2021
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Symptoms: None, pharmacy was notified that she received 3 vaccines total. Two were given at our pharmacy and shows one given at a store January 25, 2021. Patient didn't indicate she had had one on her form, she checked the box for NO

Other Meds:

Current Illness:

ID: 1411548
Sex: F
Age: 36
State: SC

Vax Date: 06/17/2021
Onset Date: 06/18/2021
Rec V Date: 06/18/2021
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Allergies: none

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Symptoms: 8am the following morning, I experienced a tightness across my heart and chest. It made it difficult to stand but it went away maybe in 5 minutes. Later that afternoon around 4pm, I was exercising in my home and about 30 min into my workout, I experienced the tightness again but this time it was confined to the area around my hear. It felt like a tightness, like something was squeezing my heart.

Other Meds: Zoloft 100mg Sunflower lecithin

Current Illness: none

ID: 1411549
Sex: F
Age: 35
State: MO

Vax Date: 06/18/2021
Onset Date: 06/18/2021
Rec V Date: 06/18/2021
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Allergies: none

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Symptoms: pt was nauseous and was shaking and was very dizzy

Other Meds: not sure

Current Illness: none

ID: 1411550
Sex: F
Age: 37
State: CA

Vax Date: 04/24/2021
Onset Date: 05/03/2021
Rec V Date: 06/18/2021
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Symptoms: Sharp throbbing pain on the left side of my back from my ribs down to lower back. Left side of back was swollen and hot. Hurt to breath and walk. No recent injury. Went to urgent care. Doctor said it was muscle spasms. Was given a shot of Toradol for the pain and prescribed muscle relaxers. Was advised to take pain killers. After a week the pain decreased.

Other Meds: Average over-the-counter vitamins.

Current Illness:

ID: 1411551
Sex: M
Age: 75
State: AZ

Vax Date: 06/18/2021
Onset Date: 06/18/2021
Rec V Date: 06/18/2021
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Symptoms: pt hx of kidney transplant, previous moderna vac (1/24/2021 and 2/24/2021). kidney transplant doc informed patient to get JJ shot due to titers. Pharmacist verified the janssen auth to get the shot. Office said yes. the JJ shot was administered at 3:00 pm. Due to not EUA, reporting.

Other Meds:

Current Illness:

ID: 1411552
Sex: F
Age: 43
State: IN

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 06/18/2021
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Allergies: None

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Symptoms: The morning after the shot I began experiencing itchy neck, that turned really red with small rash, more like rough sand paper feeling. The itchiness and redness stayed for the rest of the day and night. The following morning I noticed the rash spreading to my chest. I went to doctor where I was given Zyrtec. This calmed the itchiness and the redness. I didn't feel any itchiness by the following morning. The rash went away as well, but the roughness of my skin is still partially there. I didn't have any other symptoms, or any reaction around the injection site.

Other Meds: Lithium, Lamotrigine, Thyroid Supplement, Vitamin D, Fiber, Probiotic, Vitamin A

Current Illness: None

ID: 1411732
Sex: F
Age: 50
State: IL

Vax Date: 06/16/2021
Onset Date: 06/16/2021
Rec V Date: 06/18/2021
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Symptoms: Itching all over. tightness in chest.

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Current Illness:

ID: 1411733
Sex: F
Age: 37
State: CA

Vax Date: 05/24/2021
Onset Date: 05/26/2021
Rec V Date: 06/18/2021
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Symptoms: Sharp throbbing pain on the left side of my back. Running from my ribs down to my lower back. No recent back injury. Went to my chiropractor to be adjusted. He mentioned that it could be a reactions to the vaccine. I went home and took one Benadryl. The pain subsided. Took a muscle relaxer that night and some Advil.

Other Meds: Average over-the-counter vitamins

Current Illness:

Date Died: 06/12/2021

ID: 1411734
Sex: F
Age: 20
State: CA

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 06/18/2021
Hospital: Y

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Allergies: none

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Symptoms: Symptoms started with tightness of muscles and body aches, tightness of chest, increased blood pressure, herpes simplex A mouth sores - saw PMD received muscle relaxer, and antibiotic cream... in the 30 days prior to last event she had been having dizzy spells, chills, hot flashes, shortness of breqth, tightness of chest, darkened urine, muscle cramping and knotting, pitting edema, halo discoloration lower right extremity (she wasnt one to complain and thought her symptoms were from use of muscle relaxer) - woke AM 6/11/2021 with severe shortness of breath and was taken to ER - diagnosed with obesity, cardiomegaly, renal failure, severe anemia, hypoxia, and hypokalemia, she went into respiratory distress AM 6/12/2021 and then went into cardiac arrest. She died as a result.

Other Meds: Benzoyl Peroxide, Ibuprofen 600mg, SalonPas patches

Current Illness: none

ID: 1411735
Sex: F
Age: 44
State: PA

Vax Date: 02/25/2021
Onset Date: 03/29/2021
Rec V Date: 06/18/2021
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Allergies: Allergic to soy, gluten & onions

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Symptoms: Development if severe and consistent tinnitus, primarily in right ear with milder but consistent tinnitus in left ear

Other Meds: Tremfya (for psoriasis)

Current Illness: N/A

ID: 1411736
Sex: M
Age: 54
State: OH

Vax Date: 06/09/2021
Onset Date: 06/09/2021
Rec V Date: 06/18/2021
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Allergies: penicillin

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Symptoms: Within ? hour I started feeling dizzy and the left side of my jaw started to ache. I progressively felt worse as the day went on. a few hours after vaccination my upper left arm swelled up at the injection site. upper left arm pain. Then started to get headache and nauseated. Around 10pm I was running a fever of 101.1. Took Advil and went to bed. Woke up around 130am sweating profusely, temperature down to 99.4, then had extreme chills and nausea and my whole body was shaking, nothing helped. By 3am my fever was back up to 101.4, took more Advil and went back to bed. At 8am the next morning my temperature was back down to 99.1. checked temperature again around 11am and it was low, down to 96.1. By mid-afternoon my temperature had finally returned to normal. The next several days I felt tired and sluggish, dizzy off and on, and arm still hurts at injection site. I have diabetes and have neuropathy and the neuropathy in my feet has intensified and comes on more frequently.

Other Meds: atenolol, saw palmetto, tamsulosin, pantoprazole, 81 mg aspirin

Current Illness: none

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm