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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1415456
Sex: F
Age: 32
State: OH

Vax Date: 05/18/2021
Onset Date: 06/14/2021
Rec V Date: 06/21/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pregnant at 32 weeks and 35 weeks for doses of vaccine, pregnancy was uncomplicated prior to vaccination. At 36 weeks diagnosed with intrauterine growth restriction and placental insufficiency necessitating induction of labor.

Other Meds: Prenatal vitamins Fish oil Pepcid Tums

Current Illness: None

ID: 1415457
Sex: M
Age: 17
State: WI

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

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

Lab Data:

Allergies: Nitrite/Nitrates

Symptom List:

Symptoms: Pt was given Janssen Covid vaccine at age 17.

Other Meds: Omeprazole

Current Illness: none

ID: 1415458
Sex: F
Age: 24
State: NC

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

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

Lab Data:

Allergies: na

Symptom List:

Symptoms: Proquad ordered/ pulled/ given in error to adult patient who needed MMR vaccine.

Other Meds: na

Current Illness: na

ID: 1415459
Sex: M
Age: 45
State: NV

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

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: pt received Janssen vaccine around 10:28a. Patient was sitting in the post vaccination area. Around 3-5mins, he fainted, hit the floor. I ran out once this was brought to my attention. I found him on floor, blood on the floor and he was shaking and then stop. I don't know how long he was shaking but it stop. I checked the pt and he regained conciousness. I asked if he is ok. He ask what happened because he does not remember. He speaks another language and an associate was there to translate. We asked if he wants us to call 911, he refused. The firefighter/paramedics suggested they will come over anyway to make sure he is ok, he does not have to go with them to go to the hospital. Pt did not want to go to hospital because he does not have insurance. He was checked by a medic who also speaks his language. He checked pt's vital signs, asked questions like allergies, medical conditions, asked what day is today and what is his name (which were the same questions I asked before medic arrived). Medic informed patient the importance of seeing to a dr, the sooner the better. Pt still does not want to be taken to the hospital. Patient signed a refusal form. Nephew picked up the pt

Other Meds: NONE

Current Illness: NONE

ID: 1415460
Sex: M
Age: 26
State: OR

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

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Patient blacked out briefly while in waiting area and urinated. Patient was seated the entire time and did not fall to the floor.

Other Meds: n/a

Current Illness: no

ID: 1415461
Sex: M
Age: 20
State: SC

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

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: Following vaccine administration, pt claimed to feel a little "dizzy." had him lie down on the floor. he refused a yoga mat. mother requested to put some paper towel that was wet to cool his forhead. patient was very communicative and cognizant the entire time. had his feet elevated. observed him for 20 minutes. Checked pulse and it was 75. After sitting for approximately 15 minutes, he was able to sit up without problem. He was not dizzy and I observed no restriction in movement to indicate hypotension. While laying down he stated the inside of his mouth felt tingly which happens when he is nervous. At about the 15m mark, patient was able to drink fluids (mother purchased a drink from cafe) and felt immediately better. Prior to administration, hestated that he has never had a vaccine reaction. He did state following injection that he felt the needle. He tensed his arm muscle as I was about to vaccinate. He said he felt the needle which made him feel a little nervous. I asked to observe him for another 15 minutes, but mother wanted to take him home. Offered to get him a scooter, but patient and mother refused. Techincian offered to walk him to the door to make sure he was safe and had no issues walking while mother brought car around. He was under constant observation.

Other Meds: unknown

Current Illness: unknown

ID: 1415462
Sex: M
Age: 57
State: AZ

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt reports no adverse events that occurred. However, vaccine was expired >24 hours.

Other Meds:

Current Illness:

ID: 1415463
Sex: M
Age: 41
State: WA

Vax Date: 04/30/2021
Onset Date: 05/07/2021
Rec V Date: 06/21/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient describes shortness of breath beginning one week after the second dose of vaccine

Other Meds: Hydroxychloraquine, MVI

Current Illness: Cutaneous lupus

ID: 1415464
Sex: F
Age: 68
State: MI

Vax Date: 03/26/2021
Onset Date: 04/02/2021
Rec V Date: 06/21/2021
Hospital:

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

Lab Data:

Allergies: Pain medications, dust, pollen, pet hair

Symptom List:

Symptoms: Prior to adverse event, fairly severe symptoms included headache, chills, fever, extreme aches, fatigue, and diarrhea. Adverse events symptoms: chest and back pain, indigestion below breast bone, shortness of breath, inability to run ( typically 5 miles every other day), elevated heart rate.

Other Meds: Lipitor, Zyrtec, Claritin, Armour thyroid, Bio-identical hormones

Current Illness: None

ID: 1415465
Sex: F
Age: 29
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Situation: There was an Adverse reaction to the patient couple of minutes after her Pfizer Vaccine at 9:55 AM PST. The patient advised she felt nauseous and dizzy but she advised that she was pregnant also. At 10:20 AM HR 75, Oxygen 98%, Temp: 98.6, 102/70. At 10:35 AM HR 80, Oxygen 99%, Temp 98.9. At 10:40 AM HR 67, Oxygen 99%, Temp 98.9, 116/78 BP. She sat down since she was shaking and shivering and called her significant other since she was advised not to drive home. The patient indicated she had a Stomach infection that was not treated since she did not want to harm the baby. 10:45 AM She was released with her significant other and 911 was not called. Patient declined to have EMS activated and was informed by RN to seek medical attention upon discharge. Patient agreed to seek medical care.

Other Meds:

Current Illness:

ID: 1415466
Sex: F
Age: 33
State: UT

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

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

Lab Data:

Allergies: Seasonal allergies, nickel, meat, penicillin

Symptom List:

Symptoms: It started out where my bones and muscles hurt. I felt very depleaded. The next day I was lightly dizzy and got rashes. I got one on my left leg. Then the spot where I have gotten the shot looked like a rash as well. The next day I got like a splitting head ache pretty bad. I get cold sores so unfortunately this activated a cold sore each time I got the shot. I went to the doctor to get medication for my cold sore and talk to them about the rash. I had a persistent yeast infection under my armpit, also a molar in my mouth chipped and I looked it up and it said it was because of lack of vitamin D. First time I went to the ER because my throat was sore and they did a Covid test and it was negative. The second time I went to the doctor and they just recommended steroid cream for the rash and antifungal cream for the yeast infection. I feel like I am more susceptible to rashes now. Now I am taking vitamin B12, vitamin D3, multi vitamin, calcium pill, antifungal cream, antibiotic for my teeth.

Other Meds: None

Current Illness: None

ID: 1415467
Sex: F
Age: 41
State: CA

Vax Date: 05/17/2021
Onset Date: 06/19/2021
Rec V Date: 06/21/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Patient got 1st dose Moderna at store (number) and 2nd dose Pfizer at store (number). I have no part in this incident. Vaccine was administered by an agency Nurse. Patient told my clerk, she did not feel well after second dose and went to her Drs office. She said she was in a diabetic coma and she does not have diabetes. She also said to my clerk shes not saying this is related to the vaccine.

Other Meds: Unknown

Current Illness: Unknown

ID: 1415469
Sex: F
Age: 72
State: NY

Vax Date: 03/15/2021
Onset Date: 03/17/2021
Rec V Date: 06/21/2021
Hospital:

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

Lab Data:

Allergies: Allergic to aspirin; antibiotics; and a few other medications (does not know the name of them).

Symptom List:

Symptoms: My right arm was achy and I kept getting tingly off and on. The next day it went to the left arm and I thought I was having a heart attack. I went to my doctor after my knees started hurting and I called the nurse practitioner and she ordered an X-ray; then, a week later I went back to my doctor and he prescribed a CBB drops medication for me and then after that did not work, he prescribed some gabapentin. The medication helped a little bit but then when I went to bed last night, I couldn't get to sleep at all.

Other Meds: Verapamil; valsartan; Lantus Solostar Pen; thyroid pills; metformin; Advair FHA

Current Illness: No I did not.

ID: 1415471
Sex: F
Age: 60
State: MN

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 06/21/2021
Hospital:

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

Lab Data:

Allergies: possible amoxicillin

Symptom List:

Symptoms: Vestibular signs, mild dizzyness as if sea sick, not debilitating but definately annoying going around corners started day after first vaccine then progressed for about 2 weeks then started to fade. signs went away for 2 days after the second vaccine, then signs recurred to about same level then faded, normal approximately 5 weeks after 2nd vaccine

Other Meds: L-thyroxine 0.15mg daily, Vit D and Vit C

Current Illness: none

ID: 1415472
Sex: M
Age: 50
State: TX

Vax Date: 05/15/2021
Onset Date: 05/24/2021
Rec V Date: 06/21/2021
Hospital: Y

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: MULTIFOCAL MOTOR NEUROPATHY PATIENT IS BEING GIVEN IV-IG TREATEMENTS THAT WILL CONTINUE OVER THE NEXT 24 MONTHS

Other Meds:

Current Illness: NONE

ID: 1415473
Sex: M
Age: 17
State: WI

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

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

Lab Data:

Allergies: Undefined environmental

Symptom List:

Symptoms: Patient given vaccine then mother was given her vaccine. After RN administered vaccine to mother, patient reported he "felt weird." Patient suddenly got very pale in his face, so RN able to get patient to lie down and elevate feet. As patient was getting into supine position on exam table, patient passed out and was unconscious for one minute. A second RN entered room at the time and obtained vitals. Patient had strong pulse and was breathing upon assessment. Pulse ox upper 90s the entire time. Initial HR 50s, BPs 80s/40s. Within 10 minutes, HRs 60-70s and BPs 100s/50s. Patient was able to sit up independently, answered questions appropriately. Patient able to eat crackers and drink Gatorade with no issues. Patient able to stand without assistance and then escorted to observation room to be observed for an additional 30 minutes. Patient left with family with no further complications.

Other Meds: Unknown

Current Illness: Unknown

ID: 1415474
Sex: F
Age: 20
State: MN

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: patient went back to work and about an hour and so after receiving shot, pt felt like her tongue was swollen and painful and had an itchy throat. Her work EMT gave her Benadryl tablets and monitored her for a while. She said this took care of the effects

Other Meds:

Current Illness:

ID: 1415475
Sex: F
Age: 68
State: NJ

Vax Date: 06/09/2021
Onset Date: 06/10/2021
Rec V Date: 06/21/2021
Hospital:

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

Lab Data:

Allergies: penicillin, sulfur, eggs, gluten and yeast

Symptom List:

Symptoms: pt complains of intermittent tingling and numbing of 2 fingers on her left hand (the same side the vaccine was administered on)

Other Meds:

Current Illness:

ID: 1415476
Sex: M
Age: 15
State: WA

Vax Date: 06/07/2021
Onset Date: 06/10/2021
Rec V Date: 06/21/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chest pain, elevated Troponin I

Other Meds:

Current Illness:

ID: 1415477
Sex: F
Age: 37
State: WA

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

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

Lab Data:

Allergies: Lavender, Vicodin

Symptom List:

Symptoms: Symptoms, most severe to least: Seizure (non-epileptic): 3:05-3-45pm, May 12th, 2021 2:55-3:25am, May 15th, 2021 Approx 1-2pm, May 27th, 2021 4:45-5:20, June 6th, 2021 These are a half-hour+ of jerking (arms and legs) many times a minute, back arching, muscle locks, and muscle spasms. I retain consciousness and control between jerks, usually, though they are very painful and exhausting. Note: I do have a medical history of Tourette?s, so these non-epileptic seizures are not new to me, and are generally manageable at home with hydration and safety practices unless they last more than a few hours. But I hadn?t had any in a couple years prior to the shot, as they are far more rare than they were a decade ago. Weakness (cannot walk or stand unsupported, cannot lift heavy (and sometimes even light) objects, wobbly legs, shaky arms, etc.) 2:50pm, May 12th to present This weakness rapidly increased from wobbly legs in the waiting room to unable to walk on my own or stand unsupported. It was extremely bad the first few days, then from May 17th seemed to slowly get a bit better day by day as I could walk a few steps and lift a jug of milk, then relapsed and has varied in terms of how extreme it is day by day. Currently I am using a walker to get around the house, except on days where I am too weak for that and have to stay mostly in bed. Weakness on evening of Jun 1st was so bad that my head felt like a bowling ball I was trying to balance, and I could not hold my head up unassisted as it would fall forward, backward, or to the side. I went to bed early (7:30 about) and in the morning I could move my head again normally. Lots of falls and partial falls (Often body ?locks down? after a fall and I cannot move my legs, and sometimes arms, to get up again unassisted, so I?ve been on the floor 5+ minutes.) Most falls from standing or walking position, but a few have been from sitting or kneeling. Some of these feel like legs or back giving out due to weakness, others feel like my legs or back just stopped working right. Dizzines: 2:45pm, May 12th to Evening May 14th It?s been on/off since, but has mostly cleared up. Severe Fatigue: 3:00pm, May 12th to present Very tired, need a lot of extra sleep, hard to focus on things. Even climbing stairs or walking a bit with the walker can be exhausting and I need a long break of sitting to recuperate. Some days am so weak and tired I have to stay in bed, and can?t get much done. Pain: May 12th to present. It increases with activity and sometimes at night in back/right hip/left wrist especially. Left wrist is the most severe in persistence ? it will often buckle in pain if I try to support myself with it or catch myself from a fall with it. Pain in my right leg was also so bad the night of the 13th it was difficult to sleep. My spine, left wrist, and right hip/pelvis seem to have the worst on/off pain, though my back and legs often ache a lot in the early morning. ?Glitchy? muscles: May 12th to present, worsening. Goes along with the weakness, but it feels like a muscle (especially legs) will glitch out and not work right. This slowly got worse for about a week after the shot, and has been pretty bad since. While sometimes the glitching causes my legs to buckle or I?ll drop something because my hand releases, it more commonly is just weird things like my legs and feet turning sideways or pointing weird. Minor to moderate stabby headache: 2:50pm 12th to present, intermittent, managed by Tylenol. It was worse the first week after, but now seems to be every few days. Earaches: ~May 17th to present. On and off, often accompany headaches - every few days. Both ears, sometimes just right. Sore arm: From injection around 2:40pm May 12th to morning of the 14th There are spots in the upper left arm which are still sore when pressed. As mentioned under the pain section, my left wrist still hurts immensely when weight is put on it. Minor Fever (estimate 99-100 degrees max) and/or Hot/Cold flashes: Had chills and low fevers? It seemed on and off for a few days after the vaccine, so more than just recorded. Night of the 12th, broke around 2am on the 13th Night of the 14th, broke around 2:45am on the 15th Afternoon of the 15th, broke around 6pm June 9th, some of the day on and off Abdominal Cramps & nasuea: 12th-14th (not on period or pregnant at that time.) Bowl issues: Mild Diarrhea for a couple of weeks after the shot. It also was more difficult to go pee/empty my bladder, as muscles seemed week and it could take 20 minutes to empty my bladder incrementally. I also had some minor leaking. This cleared up, though, no current bowl issues. Shortness of breath: Mild shortness of breath after the shot for a couple days where I could not speak at extra volume, read aloud or talk for a length of time, or take ?deep? breaths. This has mostly resolved though sometimes I will briefly get a little short of breath. Muscle twitching and jerks: Since childhood. Since May 12th it has been worse than in the past few years, though. Started calming down a bit about June 10th. Brain fog: For about a month after the shot, it was really hard to focus or keep on top of things. It got to the point my kids would literally move my head towards them and say, "mommy, you aren't listening!" to get my attention, and my sister and others also complained that I wasn't focusing on them. It was really hard to manage paperwork and arranging doctors as well.

Other Meds: Vitamins, sometimes.

Current Illness: None

ID: 1415479
Sex: F
Age: 11
State: MN

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was 11 years old at the time of Vaccination. Patient is below FDA approved age for the Pfizer Vaccine. Parents

Other Meds:

Current Illness:

Date Died: 04/27/2021

ID: 1415480
Sex: F
Age: 69
State: PA

Vax Date: 03/16/2021
Onset Date: 04/24/2021
Rec V Date: 06/21/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Massive pulmonary embolism, pulseless electrical activity

Other Meds: Nortriptaline, gabapentin, simvastatim

Current Illness:

ID: 1415481
Sex: F
Age: 63
State: CA

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 06/21/2021
Hospital:

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

Lab Data:

Allergies: fish

Symptom List:

Symptoms: Migrain, light sensitivity , brain fog .lots of pressure

Other Meds: vitaminD, VitaminC, multivitamin, B complex,

Current Illness: none

ID: 1415482
Sex: F
Age: 63
State: MN

Vax Date: 06/19/2021
Onset Date: 06/20/2021
Rec V Date: 06/21/2021
Hospital:

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: High fever, headache, chills and arm pain.

Other Meds: I took 2 Tylenol as instructed by the pharmacist.

Current Illness: None.

ID: 1415483
Sex: F
Age: 57
State: WA

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: On June 20, 2021, I developed menstrual cramping and light spotting. Have been menopausal for eight (8) years with no history or diagnosis of disease or gynecological issue. Did on-line research and found that post-menopausal bleeding is an identified side effect of COVID 19 vaccination. Symptoms have persisted for 24 hours as of the time of this submission.

Other Meds: Altenolol, Olmesartan

Current Illness: None

ID: 1415484
Sex: M
Age: 14
State: OH

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

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

Lab Data:

Allergies: allergy to penicillin

Symptom List:

Symptoms: Patient sat for a few minutes. Got up to go to the restroom and felt light headed and dizzy. He was hot then cold.

Other Meds: n/a

Current Illness: none

ID: 1415486
Sex: M
Age: 26
State: NV

Vax Date: 04/20/2021
Onset Date: 04/22/2021
Rec V Date: 06/21/2021
Hospital:

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: I was vaccinated on 4/20/2021. When I woke up on the morning of 4/22/2021, I had a really bad headache, a sore right shoulder. I had problems with my bowels, with intermittent constipation and diarrhea. The headache and bowel issues lasted for a couple of months, but they eventually subsided. The sore shoulder lasted for only a week or so. I called my doctor. I was told the symptoms were pretty standard and that I had no reason to worry.

Other Meds: Cymbalta; gabapentin; methocarbamol; ibuprofen

Current Illness: None.

ID: 1415487
Sex: F
Age: 24
State: OH

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

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: I am now having the worst, heaviest periods and cramps I have ever experienced in my life. I am completely exhausted when I am on my period and sleep for hours, which is extremely unusual for me. I have experienced 3 menstrual cycles since receiving the vaccine.

Other Meds: None.

Current Illness: N/A

ID: 1415488
Sex: F
Age: 34
State: IL

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 06/21/2021
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Allergies: Allergic to Ciprofloxacin

Symptom List:

Symptoms: At time of vaccine was approximately 12 weeks and 6 days. Estimated DOD: 11/21/2021. Birth weight unknown. Symptoms included severe pain in arm that shot was administered over the course of same day of first shot. Extreme fatigue that continued well into four days after shot, even with extended sleep and rest. By Sunday of that weekend, an intense headache developed that did not respond to OTC medications. Mental cloudiness also for duration of five days.

Other Meds: Prenatal vitamins

Current Illness: None

ID: 1415489
Sex: F
Age: 62
State: CA

Vax Date: 04/09/2021
Onset Date: 04/22/2021
Rec V Date: 06/21/2021
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Allergies: Codeine, Vicodin

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Symptoms: Tinnitus: two weeks after receiving shot, my existing low-level tinnitus in both ears suddenly became much louder. 10+ weeks later, the tinnitus remains just as loud. Had right ear pain and pressure from

Other Meds: Centrum Silver multivitamins; Vitamin D3; cranberry extract tablets; Estriol 0.25% topical

Current Illness:

ID: 1415490
Sex: F
Age: 35
State: AZ

Vax Date: 06/18/2021
Onset Date: 06/19/2021
Rec V Date: 06/21/2021
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Symptoms: nausea, dizziness and hives, swelling in arms and feet. Saturday felt little dizzy and yesterday had hives with swelling. Bouts of nausea increasing. Patient called Telehealth for further management and instructed to Follow up at the urgent care or ER for unperson evaluation and management.

Other Meds:

Current Illness:

ID: 1415491
Sex: F
Age: 33
State: AZ

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 06/21/2021
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Symptoms: pt states they experienced fever, chills, nausea, achy. they also stated infected injection site and went to urgent care twice for antibiotics. hives for 2 weeks and hot arm.

Other Meds:

Current Illness:

ID: 1415492
Sex: M
Age: 53
State: FL

Vax Date: 06/14/2021
Onset Date: 06/17/2021
Rec V Date: 06/21/2021
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Allergies: None

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Symptoms: Itching on left side of face with a mild rash, with a blister that popped with little blood.

Other Meds: None

Current Illness: None

ID: 1415493
Sex: M
Age: 15
State: CA

Vax Date: 05/19/2021
Onset Date: 05/20/2021
Rec V Date: 06/21/2021
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Allergies: No

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Symptoms: The next day after the injection, my son woke up he had blurry vision in his left eye along with the usual sore arm and tiredness. It went away after five days.

Other Meds: No

Current Illness: No

ID: 1415494
Sex: M
Age: 13
State: NY

Vax Date: 06/14/2021
Onset Date: 06/16/2021
Rec V Date: 06/21/2021
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Allergies: Has history of allergy to motrin

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Symptoms: Patient developed tactile fever and shingles rash near the L arm, below the L axilla and the L upper back about 2 days after receiving the vaccine. Rash appears like vesicles in clusters. Patient describes rash as itching and has burning sensation at the site of the rash. Of note, patient had chickenpox infection around 1 year of age. Denies any recent illnesses.

Other Meds: None

Current Illness: No other illnesses

ID: 1415495
Sex: M
Age: 20
State: FL

Vax Date: 06/19/2021
Onset Date: 06/21/2021
Rec V Date: 06/21/2021
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Allergies: None

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Symptoms: Rashes and swelling in hands

Other Meds: Bendrayl

Current Illness: None

ID: 1415496
Sex: F
Age: 64
State: MN

Vax Date: 06/18/2021
Onset Date: 06/19/2021
Rec V Date: 06/21/2021
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Symptoms: COVID arm, cold sores

Other Meds:

Current Illness:

ID: 1415497
Sex: F
Age: 61
State: NH

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 06/21/2021
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Allergies: Stone fruits, nuts

Symptom List:

Symptoms: Pain in upper left arm. Restricted range of motion. Difficulty sleeping as I bend my arm. Have to find correct spot to bend it! PT Ongoing

Other Meds: Alendronate Sod Tablet 70mg

Current Illness: None

ID: 1415498
Sex: F
Age: 26
State: NJ

Vax Date: 06/04/2021
Onset Date: 06/07/2021
Rec V Date: 06/21/2021
Hospital: Y

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Allergies: Flagyl, Valaciclovir

Symptom List:

Symptoms: Glands in neck started hurting which got worst everyday after. Headaches and Joint pain, fever and dizziness

Other Meds: no

Current Illness: no

ID: 1415499
Sex: F
Age: 68
State: CA

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 06/21/2021
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Allergies: Latex-itching Shellfish-anaphylaxis once Peanuts-anaphylaxis once

Symptom List:

Symptoms: Observed 30 min post vaccine due to hx. Hoarseness noted upon leaving at 11:35 AM. Denied resp distress,itching,rash or GI sxs.11:39 BP 140/95,NAD, conversive, lungs CTAB, no rash. Pt chose to take her own OTC Benadryl 50 mg po at 11:40; slight cough began at 11:45 and pt used her own inhaler. Given her hx and stated adverse reactions to epinephrine, EMS called at 11:47, arrived 11:55. Left with EMS in NAD, given another Benadryl 50mg en route, arrived at ER 12:16. In ER stated SOB and was "tachypneic but not when distracted". Given epi 0.3 mg at 1249 and 1524 but no respiratory distress noted and had unremarkable physical exam. Discharged after 3 hrs with oral methylprednisolone 125 mg for home use.

Other Meds: Benadryl OTC prn

Current Illness: none

ID: 1415500
Sex: F
Age: 55
State: TX

Vax Date: 05/24/2021
Onset Date: 05/25/2021
Rec V Date: 06/21/2021
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Allergies: None

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Symptoms: Got shot about 1:30 pm. Approximately 12 hours later was awaken because I was freezing (chills), and exploding pain in left arm pit, and a fever of 103. All glands swollen and painful, where they were all visible. All Tuesday, I was flat on my back unable to function physically or mentally. Was sick until Wednesday when fever broke from taking medication for fever, DayQuil. Wednesday night I had to put towels under and above my because I was sweating profusely all night with soaked bedding. Thursday, I was very tired and felt weak. My glands are still swollen. When I went to get second shot today, Pharmacy said I needed to go see a doctor and they would not give me the second shot. I did have Covid at the end of February 2021, but it never went into my lungs where I had respiratory problems. Should I not have second shot? Now what?

Other Meds: None

Current Illness: None

ID: 1415501
Sex: F
Age: 17
State: MA

Vax Date: 05/17/2021
Onset Date: 05/28/2021
Rec V Date: 06/21/2021
Hospital: Y

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Allergies: No known allergies.

Symptom List:

Symptoms: Bilateral knee swelling and pain (severely limiting mobility to the point of being unable to walk due to pain/swelling), rash (c/f erythema nodosum) for 2-3 weeks (presented on 6/18/21). Concerning for flare of JIA vs other autoimmune etiology (infectious studies mostly negative, though some studies pending). Diagnostics ongoing.

Other Meds: naproxen, famotidine

Current Illness:

ID: 1415502
Sex: F
Age: 28
State: CA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 06/21/2021
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Allergies: Ketoconazole; mangos

Symptom List:

Symptoms: Immediately after the vaccine I felt very faint, and I was very flush. I had trouble breathing and I felt like I was gasping for air. I waited for 45 minutes until I left but I did not receive treatment. I took a Benadryl after one hour and I felt better. It did not happen again. Later that night I had flu-like symptoms that resolved quickly. I took a Tylenol that night. After the vaccine I was fine.

Other Meds: Birth control; albuterol PRN

Current Illness:

ID: 1415503
Sex: M
Age: 30
State: PA

Vax Date: 06/21/2021
Onset Date: 06/21/2021
Rec V Date: 06/21/2021
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Symptoms: Patinet received his Janssen Covid Vaccine today. He was fine in the immunization room and he went to the waiting area. Patient lost conciousness and fell on his partner. He regained conciousness in few seconds. He said he was feeling really lightheaded before he fell down. He had Syncope (Dizziness, and Loss of Consciousness for few seconds). He mentioned he did not drink much water today before the appt. We had him wait for 30 mins and he was fine when he left. Member of managements came to do an incident report and then he left. His partner was with him all the time.

Other Meds:

Current Illness:

ID: 1415504
Sex: F
Age: 32
State:

Vax Date: 06/02/2021
Onset Date: 06/14/2021
Rec V Date: 06/21/2021
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Symptoms: Extremely painful period. The worst pain I have ever felt. I almost fainted from the pain and I was sick a few times. This lasted for about 3 hours when my period first started. My period was one day late and the flow was normal.

Other Meds:

Current Illness:

ID: 1415505
Sex: M
Age: 66
State: NV

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 06/21/2021
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Allergies: none

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Symptoms: Chills, temp 100.2. Took aspirin. Cleared up by evening.

Other Meds: Amlodipine

Current Illness: none

ID: 1415506
Sex: F
Age: 38
State: VA

Vax Date: 06/21/2021
Onset Date: 06/21/2021
Rec V Date: 06/21/2021
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Symptoms: Seven minutes after the patient received the Pfizer Dose 1 COVID-19 vaccination, patient started to feel nervous and hot. While waiting to receive some water she started complaining of being dizzy and wanted to lie down. The pharmacist escorted her to the immunization area and the patient became weak and started loosing her balance. She was put in a sitting position on the floor with her legs out. She then went into a blank stare to the ground, her hands flexed to her side, and wet herself. She became alert within seconds and was talking and acting normally. We called EMS and they transferred her to an emergency room for evaluation.

Other Meds:

Current Illness:

ID: 1415507
Sex: F
Age: 73
State: KS

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 06/21/2021
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Allergies: Bee stings; Velosef; Cefazolin; Chlorhexidine; Hexachlorophene; Chromic gut suture; Depo-Provera; Dulera; Flovent HFA; Lovastatin; Seldane; Tramadol; Gadolinium Contrast Dye; Most opiates; Sulfa drugs; Shingrix Vaccine; Trulicity

Symptom List:

Symptoms: I got the second shot on March 12. I had a bad headache on the 4th day. I had flu symptoms with body ache and extreme fatigue. On the right side of my head, I had sharp pain behind my ear going into my neck. I was so tired I couldn't do anything. I called my PCP and went to the ER on April 1st. They did a CT scan and blood test, but they didn't find anything. They gave me a shot of Toradol because my headache was so bad. The headache came back and they are really bad with really bad nauseas. I seen my PCP and they started me on a dose pack. It helped but only while I was taking it. Once I got off of it, I felt terrible again. I went to a new PCP on March 4th and he started me on a second dose pack. They thought I had a massive inflammatory reaction. That also helped while I was on it. March 25th the flu symptoms got really bad and I started vomiting. March 26th I woke up with 101.8 fever. I called the doctor but wasn't able to see them because I didn't feel good enough to drive. March 27th in the afternoon I went to urgent care. They did influenza A, influenza B, and a covid test but they all came back negative. My white cell count was normal. My enzyme levels for liver and microalbumin were elevated to 1239. June 14th the right side of my head started throbbing so I went to dentist and he said it looked like I had an infection in my jaw. He put me on Augmentin.

Other Meds: NPH 70 30 Insulin; Hydrocortisone; Hydrocortisone

Current Illness:

ID: 1415508
Sex: M
Age: 29
State: NY

Vax Date: 06/21/2021
Onset Date: 06/21/2021
Rec V Date: 06/21/2021
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Allergies: No allergies to medications, food or other products

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Symptoms: Patient received vaccine at 5:50pm and within 2 minutes while under the required 15 minute observation, he passed out and fell forward. Patient hit his chin and mouth breaking a tooth and complaining of jaw pain. Emergency services were called and paramedics checked all vitals and stated vitals were normal. Patient refused treatment and to be transported to Hospital. Patient has been seated and is still under observation by pharmacist. Patient left with father at 6:28 pm. Patient seems to be stable and pharmacist recommended to be taken to the hospital for further observation. Will be checking in with patient within the next few hours.

Other Meds: No medications

Current Illness: None

ID: 1415509
Sex: F
Age: 21
State: CT

Vax Date: 06/10/2021
Onset Date: 06/13/2021
Rec V Date: 06/21/2021
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Allergies: No

Symptom List:

Symptoms: On Sunday, the 13th, I started to have scratchy throat; felt like sand in my throat every time I swallow. The following day, I started to have sinus congestion and sore throat and sneezing. Then the following day, the symptoms continued and I had to leave work early. That Tuesday, I lost my sense of taste and smell for a couple of hours but the next day they came back. I started to get better. Thursday I had high pulse and oxygen levels were a little high for the normal down to 95 and 96 and my usual is 100. I had a doctor I work with listen to my lungs and he couldn't hear anything. 15th I had a visit not with Primary care whoever was covering that day, they prescribed me with a nasal spray. ER heart rate was still high and they did blood work; X-ray; EKG; rapid Covid test and PCR negative result; everything came out fine. No treatment. But diagnosis of Upper Respiratory Infection. I had another visit with dr after ER visit for follow up.I still have the cough.

Other Meds: Vitamin C; Vitamin D; Vitamin A; Prenatals and Zinc

Current Illness: No

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm