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
88,334
AK1,815
AL6,133
AR3,993
AS45
AZ14,539
CA64,759
CO12,159
CT8,719
DC1,747
DE1,868
FL41,499
FM3
GA16,132
GU92
HI2,477
IA4,739
ID2,763
IL21,496
IN23,655
KS4,844
KY8,414
LA5,328
MA15,281
MD13,105
ME3,277
MH8
MI20,143
MN12,873
MO10,275
MP30
MS3,073
MT2,392
NC17,450
ND1,440
NE3,023
NH3,124
NJ19,456
NM4,089
NV4,600
NY36,525
OH20,140
OK6,525
OR8,918
PA24,920
PR2,483
QM2
RI2,092
SC6,952
SD1,243
TN10,038
TX38,745
UT4,482
VA15,477
VI62
VT1,780
WA15,487
WI11,573
WV2,461
WY894
XB5
XL1
XV2

ID: 1466609
Sex: M
Age: 41
State: MI

Vax Date: 07/13/2021
Onset Date: 07/13/2021
Rec V Date: 07/13/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pfizer vaccine given as second dose. Received Moderna for first dose. First dose of Moderna given 6/17/21.

Other Meds:

Current Illness: None

ID: 1466610
Sex: M
Age: 20
State: CT

Vax Date: 07/12/2021
Onset Date: 07/12/2021
Rec V Date: 07/13/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Severe fever, throbbing headache, dizziness, mild hallucinations. Started about 9 hours after vaccination, fever diminished after about 2 hours. Other symptoms lasted most of the night.

Other Meds: None

Current Illness: None

ID: 1466611
Sex: F
Age: 36
State: AZ

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 07/13/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: One sided facial swelling, drooping, double vision, and then diagnosed with Adie's Tonic Pupil

Other Meds:

Current Illness:

ID: 1466612
Sex: F
Age: 34
State: NY

Vax Date: 06/28/2021
Onset Date: 06/29/2021
Rec V Date: 07/13/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Sulfa drugs

Symptom List:

Symptoms: I was administered a TDAP (tetanus) vaccine (Sanofi Pasteur, Lot# U6964AA) intramuscularly to my left deltoid following a severe bicycle injury on 6/28/21 by NP at Urgent Care. The days following my visit, I experienced muscle soreness and tenderness around the injection site in the left arm which seemed typical. However, the symptoms have since worsened, expanded to left side of neck. Left shoulder is now immobilized and I am experiencing excruciating pain and discomfort that inhibits function and use of my left arm. I am unable to lift my arm more than 45 degrees in any direction and trying to lift it above my head results in extreme pain. I have since visited a local orthopedic urgent care facility (7/9/21) and received X-rays (4 projections of left shoulder) - no evidence of displaced fracture or dislocation (due to bike injury) was noted. Additional comments were: 'Joint spaces are grossly preserved. Mineralization is unremarkable for the patient's age. Nonspecific subtle sub-centimeter lytic lesions seen in the left proximal femoral diaphysis, nonaggressive appearing. Regional soft tissues are grossly unremarkable'. Current understanding is that I am having a severe local reaction to the TDAP (tetanus) vaccine (Sanofi Pasteur, Lot# U6964AA) I received on 6/28/21. I wanted to report this incident as an adverse event as this seems an atypical reaction to a common TDAP vaccine.

Other Meds: Synthroid, Pre-Natal vitamins

Current Illness: N/A

ID: 1466613
Sex: F
Age: 4
State: WA

Vax Date: 07/07/2021
Onset Date: 07/09/2021
Rec V Date: 07/13/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List:

Symptoms: My daughter had a small reaction to the vaccinations(polio and dtap) and at first it was just near the injection site maybe the size of a dime. two days after the injection the rash began to grow. 4 days after the injection it was the size of a golf ball. then 5 days after the injecton site the redness and rash grew to be the size of an adult handprint and then more. it continued to spread.

Other Meds: none taken at the time of vaccination

Current Illness: none

ID: 1466614
Sex: M
Age: 58
State: NV

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 07/13/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Amoxicillin

Symptom List:

Symptoms: Approximately ten hours after the vaccine, I began having what I consider an extreme reaction. Intense body aches, chills, headache, fever, sweating, and general feeling of being very unwell. Along with the expected symptoms, I had shaking that was not just from having chills, rapid resting heart rate that was running well above 100. My normal resting heart rate is in the 60s and sometimes even 50s. I also had a feeling of "deep, intense cold." The symptoms gradually eased after the first 24 hours but persisted enough that I was in bed for three days. After the three days, I struggled with extreme fatigue and felt like I was always freezing cold. I was also having strange changes in my heart rate.My heart would race and then slow down again. After about three weeks, I began to have palpitations which continued to get worse over the following months, especially with any exertion. The fatigue and cold feeling lasted for a few months, and my hands were always ice cold. I am still having the palpitations/arrhythmias. Around April, I felt like I was getting out of shape because of the fatigue and inability to do what I normally did. I decided to start increasing my activity, walking exercising, etc. in order to combat the fatigue and "get back in shape." This caused an increase in my palpitations, chest discomfort and shortness of breath which caused me to go home from work a few times and to seek medical attention. I was unable to get right in to see a doctor so I purchases a device for my tablet so that I could try and capture what was occurring and show the doctor. I eventually saw my GP and was referred to a Cardiologist. I was having PVCs. and at this point I had on average eight per minute with episode of many more at times. This has continued and fluctuates in intensity. I think maybe it is slightly improving but sometimes I still have episodes of increased arrhythmias so this is not resolved and is still continuing and limiting my normal activities. The cardiologist ruled out Mi or ischemia as a cause. We believe there is inflammation in the heart muscle. I should note here that prior to this I have never had any problems with my heart. Not even high blood pressure.

Other Meds: Topical creams for psoriasis. Vitamin C, Vitamin D, zinc, NAC

Current Illness: In mid December 2020, I had a confirmed high level exposure to CoVid-19 and a possible mild/asymptomatic case. This was one month before my first dose of Moderna. After my first dose, my psoriasis flared up.

ID: 1466615
Sex: F
Age: 19
State: CA

Vax Date: 07/12/2021
Onset Date: 07/12/2021
Rec V Date: 07/13/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List:

Symptoms: Client had been sitting almost 15 minutes when she alerted EMT she was feeling dizzy at 2005. EMT provided client with water and goldfish snack. Client drank and ate. PHN arrived at 2012, client sitting upright in chair, alert and oriented x4. Client stated she was on her phone and when she looked up she "felt dizzy for a few seconds". Vitals at 2012 by EMT: blood pressure 116/76, pulse 83, oxygen 98%. Client denied blurry vision, headache, nausea, chest pain or shortness of breath. Per client no pertinent medical history, no current medications and no known allergies. Per client ate prior to getting vaccine. PHN advised client to complete 30 minute observation, per client would try to stay as long as she could. PHN advised client to follow up with provider and gave ER precautions. EMT stayed with client remaining of observation. At 2019 client stated dizziness had resolved. Vitals at 2019 by EMT: blood pressure 110/66, pulse 83, oxygen sat 98%. Per client "feeling fine". EMT had client stand and take a few steps, per client no dizziness. Client accompanied by Mother who would drive client home. Client left facility at 2025 with steady gait.

Other Meds: none

Current Illness:

ID: 1466616
Sex: M
Age: 57
State: CA

Vax Date: 05/29/2021
Onset Date: 06/22/2021
Rec V Date: 07/13/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Approximately three weeks after the 2nd Moderna vaccination on 6/22/2021 I noticed that when reclined in my chair watching television both my feet began to tingle and go numb. I had to stand up and walk around for about 10 minutes for the numb feeling to lessen. When I sat down again it started over again. Over the next several days the numbness continued and began to progress. The next day on 6/23/2021 when sitting at my desk working on my computer my entire leg began to feel numb starting around my calves and especially my left leg. My toes felt about 80% numb and my leg below the knee felt 20 to 50% numb. This numb feeling progressed to a burning throbbing pain in left foot. I had to stop working and stand

Other Meds: None

Current Illness: None

ID: 1466617
Sex: M
Age: 58
State: OH

Vax Date: 07/02/2021
Onset Date: 07/03/2021
Rec V Date: 07/13/2021
Hospital:

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Symptom List:

Symptoms: 6/4/2021 5:00PM first dose Pfizer EW0182, the second day (6/5/2021) morning, eyes see objects were very blurry, and double images for a whole day, cannot do anything that day, then it seemed okay. (6/6/2021 morning is ok, recovered). The second dose at 7/2/2021 5:00PM Pfizer EW0181 , and the next day until now (already 10 days) , see things blurry and double images. but the blurry degree is less than the first time (6/5/2021)

Other Meds: vitamin D, Vitamin C,

Current Illness:

ID: 1466618
Sex: F
Age: 13
State: TX

Vax Date: 07/10/2021
Onset Date: 07/10/2021
Rec V Date: 07/13/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: Patient had fainted about 5 minutes after the vaccine was give. Patient was pale and non-coherent before fainting. Patient was placed on the floor, her feet were raised and chest compressions were started for 15 seconds before patient came too. EMS was called and arrived shortly after the patient came too EMS checked the patients vitals and gave the okay that there was no need for a hospital visit and the patient was fine. The EMS concluded that it was nothing more than a vagal response to the shot.

Other Meds:

Current Illness:

ID: 1466619
Sex: F
Age: 57
State: FL

Vax Date: 05/28/2021
Onset Date: 07/11/2021
Rec V Date: 07/13/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: Fully vaccinated individual dx with COVID 19

Other Meds:

Current Illness:

ID: 1466620
Sex: F
Age: 51
State: MD

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 07/13/2021
Hospital:

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Lab Data:

Allergies: n/a

Symptom List:

Symptoms: patient called store today to report that she still has a sore arm, injection site pain, and does not have full range of motion. she says it feels like she just got the vaccine, but its been over 2 months since the vaccine.

Other Meds: n/a

Current Illness: n/a

ID: 1466621
Sex: M
Age: 41
State: GA

Vax Date: 01/01/2021
Onset Date: 02/26/2021
Rec V Date: 07/13/2021
Hospital:

Vax Type:
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Allergies:

Symptom List:

Symptoms: Acute onset neck pain while sleeping began on date reported. Remained severe for ~5 days. Since then, waxing and waning pain. Significant improvement by June 2021 but not resolution.

Other Meds:

Current Illness:

ID: 1466622
Sex: F
Age: 57
State: UT

Vax Date: 03/08/2021
Onset Date: 06/27/2021
Rec V Date: 07/13/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: June 27, 2021 abscess appears on right buttocks July 1, 2021: Dr visit, she drains it. given Percocet for pain, and Clindamycin HC1 300 MG 2 cps orally every 8 hrs of 7 days July 2, 2021: Dr visit, she finishes draining it July 7, 2021: Dr visit, she drains, washes and dresses it

Other Meds: Viville Dot estradiol transdermal system .75 Rabeprazole Sod Montelukast 10mg Asmanex HFA 100 mcg Atorvastatin 5 mg

Current Illness: none

ID: 1466623
Sex: F
Age: 48
State: FL

Vax Date: 06/25/2021
Onset Date: 06/25/2021
Rec V Date: 07/13/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Pt reports GI symptoms (nausea, vomitting), tingling in fingers, fever. Pt believes she has developed Guillian Barre.

Other Meds:

Current Illness:

ID: 1466624
Sex: F
Age: 63
State: NJ

Vax Date: 05/16/2021
Onset Date: 05/19/2021
Rec V Date: 07/13/2021
Hospital:

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Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: I developed a Urinary Tract Infection approximately 3 days after the vaccine. (This was the 2nd vaccine.) This was very unusual. I estimate that I haven't had a UTI for about 15 years. The exception was that I got one after the 1st vaccine. I reported this separately (see confirmation # 584913.)

Other Meds: Daily multivitamin Zinc

Current Illness: UTI on 4/29/21 (following first COVID-19 vaccine). I reported this in separate VAERS report (confirmation # 584913).

ID: 1466625
Sex: M
Age: 43
State: CT

Vax Date: 04/08/2021
Onset Date: 06/16/2021
Rec V Date: 07/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: Sudden onset of double vision. Eye sight becomes progressively more strained throughout each day.

Other Meds: Daily vitamin, fish oil, CoQ10, magnesium

Current Illness: none

ID: 1466626
Sex: F
Age: 46
State: VT

Vax Date: 03/12/2021
Onset Date: 04/12/2021
Rec V Date: 07/13/2021
Hospital:

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

Lab Data:

Allergies: None known.

Symptom List:

Symptoms: See previous.

Other Meds: Beachbody Shakeology (Chocolate Vegan) Maca powder Vitamin D

Current Illness: I was sick with side effects from the vaccine which started about 12 hours after getting vaccinated. I was "down and out" for about 48 hours -- achy, tired, extreme headache, weakness. A few weeks later I had stabbing back/rib pain (which I think was from sleeping incorrectly). This seemed to start the tingling.

ID: 1466627
Sex: M
Age: 65
State:

Vax Date: 07/03/2021
Onset Date: 07/12/2021
Rec V Date: 07/13/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: There was no issue from the vaccination itself; sore arm, a bit tired and achy the next day only. I was stung multiple times by hornets yesterday, and the reaction to the stings was much more severe that what I have experienced in the past. My wife has also experienced the same thing with stings she has received since getting our second shot. basically swelling, redness in ~2" radius from the sting location, itchy as heck. Typically I would have ~0.3-0.5" redness radius. Took Benadryl (25mg) no other issues other than the reaction to this still is much worse than in the past, and i was wondering about the vaccine (pfizer) possibly influencing this and figured i'd report my experience.

Other Meds: lipitor, pantaloc

Current Illness: none

ID: 1466628
Sex: F
Age: 40
State: NJ

Vax Date: 07/09/2021
Onset Date: 07/11/2021
Rec V Date: 07/13/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Xopenex, chlonodine

Symptom List:

Symptoms: My gland is extremely swollen and hard in my neck under my jaw. My gums are super sensitive and hurt.

Other Meds: Adderall, Levothyroxine, triamterene, Trintellix, Rexulti, prilosec, prevastatin, iron

Current Illness: None

ID: 1466629
Sex: F
Age: 49
State: OK

Vax Date: 05/13/2021
Onset Date: 07/12/2021
Rec V Date: 07/13/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: hair dye, sunflower seeds

Symptom List:

Symptoms: Received series #1 of 2 on 13MAY2021, received series #2 on 01JUN2021. first dose received in left deltoid causing moderate soreness for several days following vaccination. On 12JUL2021 I began experiencing severe left shoulder pain at or around 10/11am. The pain was persistent becoming more moderate as the day went on. Around 6/630pm I began to feel extreme fatigue, the soreness in my left shoulder throbbing at this time, I began to feel body ache, lethargic. I felt warm to the touch all over my body. All I could manage to do was lie down at this point. I am a healthy individual otherwise. I have not felt ill until having received this COVID vaccine. I could not tolerate laying down as my body was in a lot of pain. I got up took 1 tablet of ibuprofen 800mg and laid back down eventually falling asleep. I awoke in the morning for work feeling better. Ever since receiving this COVID vaccine, I keep experiencing cold like symptoms off and on, that were not a problem prior to receiving this vaccine. I am concerned that this vaccine has had an ill effect on my body. I find it odd that the pain in my left shoulder would be accompanied by the body ache, temperature, lethargy after receiving the vaccine in that very shoulder. I am wondering if the medication has not caused damage to my shoulder or has this medication suspended in the location of my left shoulder and will it continue to cause these side effects of feeling ill, cold-like symptoms for a prolonged amount of time, if not permanently.

Other Meds: none

Current Illness: none

ID: 1466630
Sex: F
Age: 50
State: FL

Vax Date: 07/08/2021
Onset Date: 07/13/2021
Rec V Date: 07/13/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: chest pain, palpitations, elevated HR today: 121/84 HR102

Other Meds:

Current Illness:

ID: 1466631
Sex: F
Age: 58
State: CA

Vax Date: 04/06/2021
Onset Date: 04/16/2021
Rec V Date: 07/13/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Lucidipril

Symptom List:

Symptoms: On April 16th started to have a low grade fever, had a horrible cough the fever went away a day after that. His coughing got worst and he went to his doctor stated it was a bad sinus infection. Went to an urgent care was diagnosed with pneumonia and they gave him antibiotics. Two weeks later his pneumonia came back. Eight weeks after the shot he went to his cardiologist and they told him it was because of the shot.

Other Meds: Metoprolol; Ramipril; Lipitor; Baby Aspirin; Multivitamin; Vitamin D

Current Illness:

ID: 1466632
Sex: F
Age: 52
State: NC

Vax Date: 06/30/2021
Onset Date: 06/30/2021
Rec V Date: 07/13/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Allergic to Codeine, Climdamycin

Symptom List:

Symptoms: Day 1- 3: Red and swollen with rash and severe pain at injection site. Extreme fatigue, headache, joint pain on right knee. Day 3-10: Severe stomach cramping with diarrhea, headache Day 11- 14: Sinus pressure, congestion, unable to pop ears

Other Meds: Prescriptions- Synthroid-Protonix Multivitamin/Probiotic/Vitamin B

Current Illness: No

ID: 1466633
Sex: F
Age: 60
State:

Vax Date: 04/08/2021
Onset Date: 05/09/2021
Rec V Date: 07/13/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient presented to the ED on 5/9/2021 and 5/11/2021 for right ureteral stone and acute pyelonephritis, and was subsequently hospitalized on 5/11/2021. These visits are within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1466634
Sex: F
Age: 82
State: SD

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 07/13/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies: Iodine

Symptom List:

Symptoms: Woke up with hives from waste up, shortness of breath, and took test to monitor if issues was going on with heart, bloodwork showed that she was allergic to (PEG) in vaccine

Other Meds: None

Current Illness: None

ID: 1466635
Sex: F
Age: 18
State:

Vax Date: 07/06/2021
Onset Date: 07/06/2021
Rec V Date: 07/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Moderna 2nd dose given too early. First dose was on 6/21/21 and second dose was given 7/6/21.

Other Meds:

Current Illness:

ID: 1466636
Sex: M
Age: 17
State:

Vax Date: 07/10/2021
Onset Date: 07/12/2021
Rec V Date: 07/13/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chest pain-- suspected myocarditis

Other Meds: None

Current Illness: None

ID: 1466637
Sex: M
Age: 54
State: IL

Vax Date: 05/12/2021
Onset Date: 06/17/2021
Rec V Date: 07/13/2021
Hospital: Y

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Pt. states received the Moderna 1st shot 05/12/2021, 3 weeks later started experiencing difficulty walking, muscle mass narrowing. Fell in home 07/04/2021 ER visit. 21 days hospitalized and diagnosed with Lou Garrett Disease. Prescribed HBP pills, muscle relaxers.

Other Meds: N/A

Current Illness: N/A

ID: 1466638
Sex: M
Age: 77
State: FL

Vax Date: 01/04/2021
Onset Date: 02/05/2021
Rec V Date: 07/13/2021
Hospital: Y

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

Lab Data:

Allergies: Percocet (2005), hydro codone (May 6, 2021)

Symptom List:

Symptoms: Weakness in legs for a couple of months, lower back pain, followed by weakness in arms. After consulting several doctors went to hospital on June 27. Took 5 days of nonstop testing to finally identify it as a motor neuron disease, ALS. In a rehab center now. Cannot walk or stand.

Other Meds: Testosterone (Testim) daily Multivitamin, vitamin D3, Vitamin B12, Triple Flex, Magnesium gluconate, Prilosec,

Current Illness: None

ID: 1466639
Sex: M
Age: 64
State: MN

Vax Date: 05/06/2021
Onset Date: 06/03/2021
Rec V Date: 07/13/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient presented to the ED and was subsequently hospitalized for Abdominal aortic aneurysm (AAA) without rupture within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1466640
Sex: F
Age: 43
State: MI

Vax Date: 05/04/2021
Onset Date: 05/07/2021
Rec V Date: 07/13/2021
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Allergies: Sulfa drugs; Penicillin.

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Symptoms: On 4/6/2021 at 8AM, I got the 1st dose Moderna vaccine (lot 025B21A IM LA), nothing significant except I felt a little tired. On 5/4/2021 at 8:30AM, I went ahead and got my 2nd dose of Moderna (lot 048B21A IM LA). Around noon, I started getting flu-like symptoms-nausea, dizziness, sleepy, no appetite, headache, low grade fever, and chills. It got better at the end of the evening. I took Tylenol and went to bed. On 5/7/2021, I thought I was getting hemorrhoids. I went to the pharmacy to buy some OTC products. I also thought I was having a UTI as well. I took a picture with my phone of my private parts and realized it was all red and inflamed down there. I called a telehealth doctor and was referred to another doctor to be seen in person. On 5/8/2021 I went in person to see the doctor and the doctor diagnosed me with shingles. I was also tested for all other STDS to rule it those out. I was prescribed a medication Valtrex for 7 days which resolved my shingles.

Other Meds: Multivitamin; Lisinopril.

Current Illness: None.

ID: 1466641
Sex: F
Age: 59
State: CA

Vax Date: 01/29/2021
Onset Date: 02/01/2021
Rec V Date: 07/13/2021
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Allergies: no known food or medication allergies

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Symptoms: I became depressed and had to have my depression meds increased

Other Meds: Abilify, Prozac, Welbutrin, Crestor, Aspirin, pantaprozole, Vit C, Vit E, Omega 3-6-9

Current Illness: No illnesses, but I broke my ankle 5 Jan 21

ID: 1466642
Sex: F
Age: 12
State: PA

Vax Date: 06/21/2021
Onset Date: 06/25/2021
Rec V Date: 07/13/2021
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Allergies: Shrimp, chocolate

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Symptoms: Per MD Note: She developed the shortness of breath on 06/25, which was four days after she received her first dose of the mRNA Pfizer vaccine. The child describes experiencing shortness of breath, but denies any cough, tightness of the chest, or fever. Since onset, her shortness of breath has been occurring random episodes, but more so at rest than with activity. She mentions that these episodes do not make her conscious of her breathing.

Other Meds: Unsure

Current Illness: Unsure

ID: 1466643
Sex: F
Age: 45
State: MO

Vax Date: 07/06/2021
Onset Date: 07/07/2021
Rec V Date: 07/13/2021
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Allergies: none reported

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Symptoms: silver dollar size whelp at point of injection raised about 1/16 of an inch with bright redness throughout whelp. Physician ordered antibiotics (unknown) to cover risk of cellulitis.

Other Meds: unknown

Current Illness: none reported

ID: 1466644
Sex: F
Age: 53
State: IL

Vax Date: 07/08/2021
Onset Date: 07/08/2021
Rec V Date: 07/13/2021
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Allergies: Keflex, Haldol

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Symptoms: SOB, Elevated BP, Face flushed and warm, fatigue, chest pain

Other Meds: Losartan, omeprazole, amlodpine

Current Illness: NA

ID: 1466645
Sex: F
Age: 71
State: PA

Vax Date: 03/01/2021
Onset Date: 03/09/2021
Rec V Date: 07/13/2021
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Allergies: NKDA

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Symptoms: tinnitus

Other Meds: none

Current Illness:

ID: 1466646
Sex: M
Age: 39
State: FL

Vax Date: 04/24/2021
Onset Date: 04/27/2021
Rec V Date: 07/13/2021
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Allergies: NA

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Symptoms: My Knee became swollen and sore. Restricted movement.

Other Meds: Amlodipine 5mg

Current Illness: NA

ID: 1466647
Sex: F
Age: 63
State:

Vax Date: 02/04/2021
Onset Date: 03/14/2021
Rec V Date: 07/13/2021
Hospital: Y

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Symptoms: Patient presented to the ED on 3/14/2021 for chest pain and was subsequently hospitalized for essential hypertension and angina of effort, S/P CABG x 3 within 6 weeks of receiving COVID vaccination.

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Current Illness:

ID: 1466648
Sex: F
Age: 71
State:

Vax Date: 02/25/2021
Onset Date: 03/16/2021
Rec V Date: 07/13/2021
Hospital: Y

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Symptoms: Patient presented to the ED and was subsequently hospitalized for NSTEMI within 6 weeks of receiving COVID vaccination.

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Current Illness:

ID: 1466649
Sex: F
Age: 47
State: WI

Vax Date: 06/30/2021
Onset Date: 06/30/2021
Rec V Date: 07/13/2021
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Symptoms: 6/30/21, 20 minutes after headache and fatigue. More tired that usual over next few days and hard to concentrate. 7/2/21-7/13/21 twitching in my legs upon waking (think activated bartonella bacteria from lyme co-infection), 7/3/21-7/8/21- circulation poor in lower legs-had to move around a lot, veins protruding from lower legs-which I've never had before and some swelling in ankles, feet and fingers, 7/1/21 heart beating fast going up flight of stairs but quickly went back to normal also got menstrual cycle 10 days early- was heavier with blood clots (typically 28 day cycle), bruise under area received vaccine

Other Meds: omega 3, vitamin c and d

Current Illness:

ID: 1466651
Sex: F
Age: 77
State:

Vax Date: 02/19/2021
Onset Date: 03/11/2021
Rec V Date: 07/13/2021
Hospital: Y

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Symptoms: Patient presented to the ED and was subsequently hospitalized on 3/11/2021 for acute cystitis with hematuria and acute kidney injury. Patient presented to the ED and was subsequently hospitalized on 4/19/2021 with generalized weakness and confusion. These visits are within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1466652
Sex: M
Age: 57
State: IN

Vax Date: 03/07/2021
Onset Date: 04/11/2021
Rec V Date: 07/13/2021
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Allergies: None

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Symptoms: Tingling Numbness, Restricted movement and pain all in the left arm

Other Meds: Buspirone, Amlodipine, Metopolol, Atorvastatin, Taltz Autoinjector

Current Illness: None

ID: 1466653
Sex: M
Age: 51
State: NC

Vax Date: 04/05/2021
Onset Date: 04/09/2021
Rec V Date: 07/13/2021
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Symptoms: Had the expected fever within 24hrs which okay. But 5 days later out of the blue I felt shaky, disoriented, sweats, fatigued hardly had the energy to stand or even speak, I was fearing I was having some kind of heart attack or stroke. Something in my body was telling me something was very wrong, I have never had a feeling like this before in my life it was pretty scary. I went to a place to be alone and sit since I could hardly stand, I sat for an hour and started to feel some relief. It took almost 4 hours until some sense of normal was back. I came home and went to sleep for the event tired me out immensely. Since that days event and still ongoing I have been having random dizzy spells, I have days with absolutely not enough energy to walk out of bed and have called out of work because of it. I get the feeling I am unplugged and then plugged back in as far as energy goes almost every day. I have worse and better days with that. About 2 to 3 times a week I experience sudden pains and tingling that can go anywhere on my body but seems to focus more on all my extremities and back. Feels like fire/pins/needles and it stays with me for a few hours to an entire day the pain ranges from a 5 to an 8. My legs feel stiff every day now and at times sore yet I have done nothing exertive to cause that. With the stiffness I have trouble getting my shoes and socks on, and getting up from sitting. All these symptoms I didnt have until I took the shot.

Other Meds:

Current Illness:

ID: 1466654
Sex: F
Age: 49
State: OH

Vax Date: 04/08/2021
Onset Date: 04/15/2021
Rec V Date: 07/13/2021
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Allergies: Yes

Symptom List:

Symptoms: Had soreness at injection site, fatigue, weaker muscle cramps and headache, anemic.

Other Meds: Blood pressure meds

Current Illness: Cardiovascular Disease

ID: 1466655
Sex: M
Age: 74
State: FL

Vax Date: 03/13/2021
Onset Date: 07/13/2021
Rec V Date: 07/13/2021
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Allergies: beta blocker

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Symptoms: Nerve pain, burning sensation on total body. From top of head to feet, includes stomach, arms, back, legs, head

Other Meds: clonodine

Current Illness: high blood pressure

ID: 1466656
Sex: F
Age: 33
State: CA

Vax Date: 03/30/2021
Onset Date: 04/02/2021
Rec V Date: 07/13/2021
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Allergies: None

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Symptoms: 3 days after 2nd dose I began to experience vaginal bleeding and ultimately 2 weeks later I had a miscarriage. I had to have a D&C on 4/23 and still have been experiencing heavy bleeding

Other Meds: Prenatal vitamins

Current Illness: None

ID: 1466657
Sex: M
Age: 50
State: TN

Vax Date: 04/01/2021
Onset Date: 06/01/2021
Rec V Date: 07/13/2021
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Symptoms: On June 21, at approximately 8:30 a.m., my husband started with chest pain going thru to his back, he could not take the pain, saying that he felt very bad, which we had to take him to the nearest hospital to the emergency room. On the way he vomited, having sweats and arriving at the hospital he said that he could not walk, I brought him a wheelchair and he went into the hospital telling me that one foot felt cramp and numb that he could not move it, after the doctors checked him and two hours later he told me that he no longer feel both legs. Since that day he could not move from his stomach down to the tips of his feet, And after a few days and several tests they could not find any reason why he had paralysis, the doctor said that it was a syndrome called Guillen Barr? and to date he is still hospitalized without being able to move his feet and waiting for help to receive therapy since we do not have the monetary resources for these services.

Other Meds: Insulin, metformin, Clopidogrel, metoprolol, atorvastatin and Trulicity

Current Illness: Diabetes

ID: 1466658
Sex: M
Age: 58
State: CA

Vax Date: 03/20/2021
Onset Date: 06/06/2021
Rec V Date: 07/13/2021
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Allergies: No

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Symptoms: Tinnitus around June 6th and I still experience these symptoms. In both ears, but mostly in my left ear. When it's at its worse, it's worse ears. No treatments. Started getting hair loss as well. That started around a month prior to getting Tinnitus about mid-May.

Other Meds: Preputia; Tams Elin; Ibuprofen

Current Illness: No

ID: 1466659
Sex: F
Age: 41
State: AL

Vax Date: 04/21/2021
Onset Date: 05/02/2021
Rec V Date: 07/13/2021
Hospital: Y

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Allergies: Relafin, Phenagryn, Iodine, Zosyn, Penacillin

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Symptoms: Doctors think that this caused blood clots in my left leg from my groin down to my toes. Had 5 surgeries in order to try to clear them, but had to have a 6th surgery to amputate below the knee.

Other Meds: OTC Medicines Tylenol - As needed Potassium Gluconate - 550mg Vitamin B12 - 5000mcg Cinnamon - 1000mg Cetirizine - 10mg Fiber ? 3 a day Prescriptions: Meloxicam - 15 mg - Inflammation Methocarbamol ? 750 mg ? Muscle Spasms Montelukast

Current Illness: Sinus Infection

Total 2021 VAERS Injuries: 679,999

Page last modified: 03 October 2021 5:28pm