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: 1416738
Sex: F
Age: 12
State: NY

Vax Date: 05/25/2021
Onset Date: 05/25/2021
Rec V Date: 06/22/2021
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: 1416739
Sex: F
Age: 42
State:

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

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Within 3 minutes after the pfizer vaccine was given, my heartbeat became very accelerated for a few minutes, my blood pressure went up to 143-99. The effect of my heart passed and I went home, and another episode happened where I felt the acceleration softer, that was about 1.5 hours after having the vaccine. The blood pressure remained high all day reaching 173-104. The next day it happened but I started having a headache and today, which is the third day, I only have a little headache for now. I am blood type ab +

Other Meds: Lorsartan 25 mg Eutirox 50 mg

Current Illness:

ID: 1416740
Sex: M
Age: 82
State: NY

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 06/22/2021
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: 1416741
Sex: U
Age: 53
State: NY

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/22/2021
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: 1416742
Sex: U
Age: 53
State: NY

Vax Date: 05/29/2021
Onset Date: 05/29/2021
Rec V Date: 06/22/2021
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: 1416743
Sex: F
Age: 30
State: NY

Vax Date: 06/04/2021
Onset Date: 06/04/2021
Rec V Date: 06/22/2021
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: 1416744
Sex: M
Age: 39
State: NY

Vax Date: 05/30/2021
Onset Date: 05/30/2021
Rec V Date: 06/22/2021
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: 1416745
Sex: M
Age: 63
State: SC

Vax Date: 03/04/2021
Onset Date: 03/07/2021
Rec V Date: 06/22/2021
Hospital: Y

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: GUIllion Barre syndrome

Other Meds: Diabetic insulin, cossaar blood pressure

Current Illness: N/A

ID: 1416746
Sex: M
Age: 28
State: NY

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 06/22/2021
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: 1416747
Sex: F
Age: 30
State: NY

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/22/2021
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: 1416748
Sex: M
Age: 55
State: NY

Vax Date: 06/06/2021
Onset Date: 06/06/2021
Rec V Date: 06/22/2021
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: 1416749
Sex: F
Age: 57
State: KY

Vax Date: 02/14/2021
Onset Date: 06/07/2021
Rec V Date: 06/22/2021
Hospital: Y

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

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: Patient became positive for covid on 6/07/21

Other Meds: Zofran, Albuterol inhaler, Prilosec, Phenergan, Xarelto, Synthroid, Neurontin

Current Illness: labial cyst,

ID: 1416750
Sex: U
Age: 12
State: NY

Vax Date: 06/04/2021
Onset Date: 06/04/2021
Rec V Date: 06/22/2021
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: 1416751
Sex: U
Age: 23
State: NY

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 06/22/2021
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: 1416752
Sex: F
Age: 47
State: OH

Vax Date: 06/17/2021
Onset Date: 06/18/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs, Codeine and cephalosporins - breaks out in hives and swelling

Symptom List:

Symptoms: Patient got the 2nd dose of Moderna Vaccine on June 17th, she started noticing stingling on her palms the next day and after 2 days, she started having swellings and itching on both hands, left hip, lower back and both thighs, by Sunday the 20th her face lips and tongue was swollen, she went to the Emergency Room, she was told to wait for the reactions to phase out, she then self medicate by taking Benadyl tablets and tylenol, this has greatly reduced the itching and swelling as at today June 22nd 2021

Other Meds: None

Current Illness: None

ID: 1416753
Sex: F
Age: 34
State: PA

Vax Date: 05/03/2021
Onset Date: 05/08/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Patient had a profound reaction to COVID vaccine. Experienced numbness in hands, Raynauds phenomenon, nausea, continued vomiting from 5p-12am. Temperature went from 98.6F at 330pm, 98.3F at 6pm, 102.9F at 830pm, 98.3F at 1000pm

Other Meds:

Current Illness:

ID: 1416754
Sex: M
Age: 49
State: NY

Vax Date: 06/04/2021
Onset Date: 06/04/2021
Rec V Date: 06/22/2021
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: 1416755
Sex: M
Age: 28
State: NY

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 06/22/2021
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: 1416756
Sex: F
Age: 18
State: NY

Vax Date: 05/27/2021
Onset Date: 05/27/2021
Rec V Date: 06/22/2021
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: 1416757
Sex: U
Age: 15
State: NY

Vax Date: 05/30/2021
Onset Date: 05/30/2021
Rec V Date: 06/22/2021
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: 1416758
Sex: F
Age: 15
State: NY

Vax Date: 05/23/2021
Onset Date: 05/23/2021
Rec V Date: 06/22/2021
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: 1416759
Sex: U
Age: 29
State: NY

Vax Date: 05/29/2021
Onset Date: 05/29/2021
Rec V Date: 06/22/2021
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: 1416760
Sex: U
Age: 55
State: NY

Vax Date: 05/12/2021
Onset Date: 05/12/2021
Rec V Date: 06/22/2021
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: 1416761
Sex: M
Age: 18
State: NY

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/22/2021
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: 1416763
Sex: F
Age: 18
State: NY

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/22/2021
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: 1416764
Sex: M
Age: 12
State: NY

Vax Date: 06/05/2021
Onset Date: 06/05/2021
Rec V Date: 06/22/2021
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: 1416765
Sex: F
Age: 12
State: NY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium

Other Meds:

Current Illness:

ID: 1416766
Sex: M
Age: 57
State: MS

Vax Date: 06/18/2021
Onset Date: 06/20/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild

Other Meds:

Current Illness:

ID: 1416767
Sex: M
Age: 41
State: IN

Vax Date: 06/18/2021
Onset Date: 06/19/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: mushrooms, chicken, chocolate, cats, and dogs.

Symptom List:

Symptoms: headache, itchy/burning eyes, muscle aches, bone pain, cold chills/hot flashes, insomnia, diarrhea, pain in testicals, and nausea

Other Meds: blood pressure meds, cholesterol med, anxiety med, allergy meds, vitamin D, magnesium, Requip, and baby asprin

Current Illness: None

ID: 1416768
Sex: M
Age: 32
State: DE

Vax Date: 06/16/2021
Onset Date: 06/20/2021
Rec V Date: 06/22/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 32yo M, presents to clinic after episode of syncope, and on presentation to clinic c/o SOB/DOE SpO2: 88-90%, left calf swelling, EKG showing S1Q3T3 signs and symptoms concerning for PE. Pt denies any prior history of blood clots and no risk factors on initial presentation. Pt reports only thing new has been receiving Moderna COVID-19 vaccine on 16 Jun 2021. He was transferred immediately via ambulance to hospital for high level of care, where PE was confirmed w/ Chest CT, and also noted to have markedly elevated D-dimer and cardiac enzymes. Pt was then reportedly transferred to hospital for definitive tx.

Other Meds: None

Current Illness: None

ID: 1416799
Sex: F
Age: 41
State: MA

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1416800
Sex: F
Age: 53
State: MA

Vax Date: 05/07/2021
Onset Date: 06/04/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: After I got my second Moderna shot my right arm hurt but I thought it was normal but it has been almost 3 weeks and 3days ago it started to hurt really bad and now I can?t use my right arm because I have so much pain and I have no range of motion I can?t lift my right arm over my head or even out to my side I went to the emergency room and waited 3 hours to be seen and finally they took xrays and said I have bursitis in my right arm from getting the vaccine or how it was given to me I don?t think the girl gave me the shot in the right place and she gave it to me to high or to deep in my arm causing really bad pain now to wear my arm is in a sling!

Other Meds: Suboxyn

Current Illness: None

ID: 1416801
Sex: F
Age: 50
State: SC

Vax Date: 05/19/2021
Onset Date: 05/20/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Strong cramps and hot flashes. Feel off balance

Other Meds: Omprozole

Current Illness:

ID: 1416802
Sex: F
Age: 50
State: TN

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Reported itching in arms. Hives noted to neck and side of neck. Complained of slight tightness to chest but did say this was 'normal' with nerves.

Other Meds: lisinopril 10 mg

Current Illness: None

ID: 1416803
Sex: F
Age: 59
State: DC

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

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

Lab Data:

Allergies: Sulfur

Symptom List:

Symptoms: Headache, fatigue about 4 hours after the vaccine.

Other Meds: amLODIPine 5 mg Clobetasol Propionate daily Sertraline HCl 25 MG Oral Tablet Omega 3 CAPS Magnesium TABS Vitamin D-3 TABS Sertraline HCl - 25 MG

Current Illness:

ID: 1416804
Sex: F
Age: 15
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: bradycardia-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Shakiness-Medium

Other Meds:

Current Illness:

ID: 1416805
Sex: M
Age: 62
State: CO

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

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

Lab Data:

Allergies: mefloquine

Symptom List:

Symptoms: Fever, 101.3, 101.9 Chills, body ache, headache 14 hours

Other Meds: Crestor (generic), 20mg/day.

Current Illness: none

ID: 1416806
Sex: F
Age: 62
State: IL

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: symptoms after 1st vaccine - one day after nausea and second shot - three days of fever chills, on third day severe stomach pain where she could not stand up

Other Meds: Vitamin C, B and D, Magnesium, Calcium

Current Illness: none

ID: 1416807
Sex: F
Age: 27
State: VT

Vax Date: 05/03/2021
Onset Date: 05/04/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I am on oral contraceptives and my period started in the middle of a pack two weeks after the end of my last period. I have been on the same birth control for 11 years and this has never happened. I did not miss a pill or take one late. I had extreme cramping within 24 hours of the first vaccine. The day after the cramping started, I had the heaviest period I've had since I began birth control 11 years ago.

Other Meds: Apri

Current Illness:

ID: 1416808
Sex: F
Age: 48
State: MA

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: Demorol

Symptom List:

Symptoms: First dose within the first 6 hours hours i had muscle aches,migraine,chills and 102.0 fever. The second dose was the same symptoms which subsided after 12 hours. May 19th i went to the emergency room with a localized migraine and numbness in my head along with numbness in my left arm.I was diagnosed as having a mini stroke.

Other Meds: None

Current Illness: None

ID: 1416809
Sex: M
Age: 44
State: MA

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Went to bed with the chills, never checked temperature. Woke up in the middle of the night with chest feeling heavy , was hard to breath, Sat up on edge of bed and then passed out and fell backwards in bed. Came to and passed out again. Came to again and took temperature and had 101.3 temp. Ran a fever and had chills for most of the day. Fever was gone by the following day and felt back to normal, just a little fatigued.

Other Meds: None

Current Illness: None

ID: 1416810
Sex: F
Age: 46
State: AL

Vax Date: 04/01/2021
Onset Date: 04/26/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: Soy

Symptom List:

Symptoms: Extreme nausea, vomiting, GI Pain, even worse with the second dose to the point I had to go to the ER for fluids and IV nausea and vomiting meds

Other Meds: Breo, Xolair, Albuterol, Buspar, Protonix, Levothyroxine, Motegrity, Saxenda, Singulair, Desloratidine

Current Illness: None

ID: 1416811
Sex: F
Age: 29
State: NJ

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Pain at Injection Site-Medium, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe

Other Meds:

Current Illness:

ID: 1416812
Sex: F
Age: 43
State: SC

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

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Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Pain at Injection Site-Mild

Other Meds:

Current Illness:

ID: 1416813
Sex: F
Age: 50
State: IL

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 06/22/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: Hypertension-Mild, Systemic: Nausea-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Tachycardia-Mild, Systemic: Vomiting-Mild, Additional Details: Initial BP reading: 204/124 which reduced to 127/87 5 minutes later. HR readings every few minutes: 102, 120, 116, 112

Other Meds:

Current Illness:

ID: 1416814
Sex: F
Age: 19
State: IL

Vax Date: 06/04/2021
Onset Date: 06/10/2021
Rec V Date: 06/22/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List:

Symptoms: Seen for OV 6/18/21 A week after second vaccine enlarged lymph node on back of neck base of skull. Pt to schedule follow up appt for lump.

Other Meds: Beyaz ocp

Current Illness: none

ID: 1416815
Sex: F
Age: 53
State: SC

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 06/22/2021
Hospital:

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Lab Data:

Allergies: Caflex

Symptom List:

Symptoms: I started getting pain in my left ear that i thought was an ear infection. I went to the E.R. My scalp started to break out with blisters and I went to my primary doctor and she stated it look like shingles. She gave me steroids to clear it up. It was very painful I couldn't brush my hair.

Other Meds: Estradiol

Current Illness: None

Date Died: 05/03/2021

ID: 1416816
Sex: M
Age: 31
State: OH

Vax Date: 02/17/2021
Onset Date: 05/03/2021
Rec V Date: 06/22/2021
Hospital:

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Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Woke that morning very lethargic and hard to arouse. Mom states had been doing very well, exercising and losing weight. States he felt good up until that day. DEATH

Other Meds: None

Current Illness: unknown

ID: 1416817
Sex: M
Age: 56
State: NY

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 06/22/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List:

Symptoms: approximately 5pm my heart started RACING. similar to when I have one of my irregular heartbeat episodes. i laid down and relaxed. usually they will stop within 1 hour. this was different, it continued all night, weakening me as the night progressed. i stayed in bed hoping i wasn't having a heart attack, ready to call an ambulance if necessary. after quite a few hours, it subsided and my heartbeat went back to normal. it was a very scary event.

Other Meds: Metoprolol, Simvistatin, Triampterene, multivitamin

Current Illness: none

ID: 1416818
Sex: F
Age: 17
State: IN

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

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Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Immediately after receiving the last vaccine patient had an episode of syncope. She regained consciousness quickly and was moved to our Trendelenburg chair. Vitals were checked within a few minutes (BP 108/62 P 70) and she was given water as well. She was accompanied by her mother and was able to leave after about 15 minutes.

Other Meds:

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm