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: 1470240
Sex: F
Age: 63
State: NC

Vax Date: 03/23/2021
Onset Date: 03/26/2021
Rec V Date: 07/14/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: Arm was sore but pains started throbbing up and down her arm and hasn't stop, sometimes the pain starts at the shoulder blade and go all the way down. Can barely move arm at times

Other Meds: Hydrochlorothiazide

Current Illness: no

ID: 1470241
Sex: F
Age: 51
State: CA

Vax Date: 05/20/2021
Onset Date: 05/27/2021
Rec V Date: 07/14/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Reports onsent of symptoms 5/26/2021: dry (nearly constant) cough with no specific aggravating factors; SOB and sore throat. No congestion or altered sense of taste of smell; no emergency s/s; no GI symptoms reported. She is 1 week s/p dose #2 of Moderna and denies any past HX of COVID-19 infection. Pt scheduled with urgent care provider on 5/28/2021 by phone. She was also advised to dial 911 or go to the nearest ED if any emergency s/s present.

Other Meds:

Current Illness:

ID: 1470242
Sex: M
Age: 32
State: IA

Vax Date: 03/29/2021
Onset Date: 04/02/2021
Rec V Date: 07/14/2021
Hospital: Y

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: - Recieved first dose March 29th - Hands and Feet were Tingly/Numb April 2 - Saw Acute Care April 7, Sent to ER and admitted to Hospital - Hospital for 6 days and recived IVIG - Recieved second IVIG Treatment Middle of April - Completely unable to walk or sit up unassisted for roughly 2 weeks. - Still have issues with numbness, weakness, coordination, vision and energy.

Other Meds: None.

Current Illness: None.

ID: 1470243
Sex: F
Age: 34
State: CA

Vax Date: 05/26/2021
Onset Date: 05/27/2021
Rec V Date: 07/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Called hospital call ceneter. Pt c/o severe body pain/joint pain, also stated yes to constant and extreme dizziness and feeling weakness since yesterday after she got her J&J covid vaccine appt on 5/26/2021 . recommended pt to go to nearest ED /Call 911. Pt stated she will go to ED Pt speech clear, AO X3.

Other Meds:

Current Illness:

ID: 1470244
Sex: F
Age: 64
State: PA

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 07/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: caines" [other] Not Specified From dentist, heart racing, facial redness, Fentanyl Not Specified Hives Hepatitis B Virus Vaccine Not Specified Other See Comments Flu like illness Influenza Virus Vac Qv 19-20 (4 Yrs Up)cell Deriv. Not Specified Hives Had hives and leg numbness after 2019 flu shot Latex Not Specified Hives Penicillins Not Specified Hives. Sulfa (sulfonamide Antibiotics

Symptom List:

Symptoms: Patient developed bruising around her left eye 24 hours after the second vaccine. This subsided, but then she had bleeding from her right ear on 6/14/21. This also resolved, but then she had atraumatic bruising on left upper arm 7/13/21

Other Meds: Albuterol as needed. Ibuprofen as needed

Current Illness: None

ID: 1470245
Sex: F
Age: 48
State: NH

Vax Date: 04/28/2021
Onset Date: 05/05/2021
Rec V Date: 07/14/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 7 days after my 2nd shot, I started experiencing tingling in the feet which progressed to my hands until on May 11th, I couldn't walk on my own and my husband took me to Emergency at Medical Center. They transferred me to other Medical Center that same day where I had multiple blood tests, MRIs, CT scans, lumbar puncture. I spent 8 days there and was transferred to Rehab Facility for 3 weeks. They are pretty sure it is GBS. I am in a wheelchair and have started to use a walker. My fine motor skills are diminished- difficult to type, hold small objects, etc.

Other Meds: ortho cyclen synthroid

Current Illness: none

ID: 1470246
Sex: F
Age: 56
State: IN

Vax Date: 05/12/2021
Onset Date: 05/12/2021
Rec V Date: 07/14/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Pt developed tachycardia confirmed by her Smart Watch and Physician Assistant. Her rate went up to 170s. On June 17, 2021 she suffered a left thalamic infarct by MRI. She continues have tachycardia usually in the rates of 120s

Other Meds: Estrace Vaginal Cream Spironolactone, Amitriptyline

Current Illness: None

ID: 1470247
Sex: M
Age: 73
State:

Vax Date: 02/09/2021
Onset Date: 03/06/2021
Rec V Date: 07/14/2021
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 3/6/2021 for seizures. Patient presented to the ED on 3/9/2021 for seizures and was subsequently hospitalized for toxic metabolic encephalopathy. These visits are within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1470248
Sex: M
Age: 43
State: CA

Vax Date: 05/29/2021
Onset Date: 06/01/2021
Rec V Date: 07/14/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: Patient called in stating his arm and top of shoulder are swollen and "bruised" from vaccine, no arm/back pain, felt like his blood pressure was raised and slight fever. Just discovered today that his back looks "bruised". Denied emergency symptoms, but states wants to be seen in person. Offered urgent care provider appointment 5/30/21, but declined, wants to go to emergency room to be seen in person.

Other Meds:

Current Illness:

Date Died: 05/30/2021

ID: 1470249
Sex: F
Age: 26
State: TX

Vax Date: 05/27/2021
Onset Date: 05/27/2021
Rec V Date: 07/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: The first dose of vaccine (lot number EW0176) was taken on 05/06/2021, and the second dose of vaccine (lot number EW0186) was taken on 05/27/2021. within 12 hours of second does she had gotten severe headache, she couldn't eat for severe vomiting, she said she felt like she was hit by a truck, and had the chills. she would go from really cold to really hot. She couldn't keep anything down even water. On the third day after the vaccine she was very sick and we ( the family) thought she was sleeping but when we went to try and wake her up we discovered her dead.

Other Meds: Zoloft

Current Illness: None

ID: 1470250
Sex: F
Age: 54
State: AR

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 07/14/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: After my first vaccine on 12/17/2020 I had swollen clavicle glands on the left side (same side as my vaccine) and never seen a physician concerning the swelling After my second vaccine on 01/09/2021 received vaccine in opposite arm (Right Arm) and again my clavicle gland swelled on the side that I received the vaccine On 07/03/2021 I became sick with what I thought was a head cold on 07/06/2021 I tested positive for COVID-19

Other Meds: Wellbutrin, Celebrex, Vit C, Zinc, and D3

Current Illness: NONE

ID: 1470251
Sex: F
Age: 42
State: NC

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 07/14/2021
Hospital:

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Lab Data:

Allergies: amoxicillin

Symptom List:

Symptoms: dizziness, loss of consciousness, several minutes unable to regain consciousness, blood pressure remained low, after trip to ER required two bags of liquids to bring blood pressure up to a safe level for discharge

Other Meds: none

Current Illness: none

ID: 1470252
Sex: M
Age: 52
State: AZ

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 07/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: 1. Woke up at 2am with sweats and chills (Fever). An hour later had pain on my left flank (seemed like pain from the same area that I had previously had a Diverticulitis event. Previous Diverticulitis event the pain gradually increased in that area. This time it was immediate. Chills and Sweats (Fever) lasted until 7-8AM. Started Antibiotics and diet Monday afternoon (2/15/21). Pain on my left flank lasted until I completed my Antibiotics Treatment 8-9 days later. 2. At some point within about 3 weeks of the 2nd Vaccination I noticed I was wheezing at night while I slept (it would wake me up). I was not really short of breath, but while laying down would wheeze. I had asthma as a child, but since I was a teenager, I have not had any Asthma or Wheezing issues. Doctor gave me a course of Steroids and Albuterol which I am still using daily. It has gotten better but I still need the inhaler daily.

Other Meds: Synthroid 100mcg, Lisinopril 2.5 mg, Atorvastatin 20mg, Nexium 20mg, COQ10, Fish Oil, Vitamin D, Vitamin B, Allegra.

Current Illness: None

ID: 1470253
Sex: M
Age: 36
State: WI

Vax Date: 03/12/2021
Onset Date: 07/05/2021
Rec V Date: 07/14/2021
Hospital:

Vax Type:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: sore throat,nasal congestion,headache

Other Meds:

Current Illness:

ID: 1470254
Sex: F
Age: 39
State: CA

Vax Date: 05/22/2021
Onset Date: 06/02/2021
Rec V Date: 07/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Pt c/o feeling tired/fatigue, usually feeling exhausted during evening time on/off since she got her 2nd dose covid vaccine Pfizer on 05/22/2021. Also stated she got low grade fever this morning but did not check temperature. She stated she is checking her O2 sat and PR regularly at home,O2 sat remains >95% and HR between 70s-90s. Pt speech clear, comfortable. AO X3. Also denies emergency sx at this time. urgent care provider visit scheduled for consultation.

Other Meds:

Current Illness:

ID: 1470255
Sex: F
Age: 67
State: MI

Vax Date: 04/08/2021
Onset Date: 06/28/2021
Rec V Date: 07/14/2021
Hospital: Y

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

Lab Data:

Allergies: Latex (rash), nickel (rash), sodium hypochlorite (rash)

Symptom List:

Symptoms: Patient was diagnosed and treated for COVID-19 pneumonia at another facility from 6/27/2021 to 7/7/2021. She presented to the outside facility again on 7/8/2021 due to worsening shortness of breath, cough, chest pain, and oral thrush. Patient presented to emergency department again on 7/12/2021 at Covenant Healthcare for worsening hypoxia, shortness of breath, and cough. She was admitted for further management and is currently admitted at time of writing.

Other Meds: acetaminophen (TYLENOL EXTRA STRENGTH) 500 MG tablet acetaZOLAMIDE (DIAMOX) 250 MG tablet albuterol (PROAIR HFA) 108 (90 BASE) MCG/ACT HFA inhaler albuterol (VENTOLIN HFA) 108 (90 BASE) MCG/ACT HFA inhaler ammonium lactate (LAC-HYDRIN) 12 %

Current Illness: Urinary tract infection on 3/23/2021

ID: 1470256
Sex: F
Age: 66
State: IN

Vax Date: 07/12/2021
Onset Date: 07/13/2021
Rec V Date: 07/14/2021
Hospital:

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

Lab Data:

Allergies: Indocin, methotrexate

Symptom List:

Symptoms: Sore, stiff right arm, sore muscles and joints, especially right knee

Other Meds: Albuterol, baby aspirin, atenelol, Fexofenadine, folic acid, gabapentin, hydrocodon-acetaminophin, hydroxychloroquine, losarten poNorvasc, norvasc, phentermine, simvastatin, sulfasalazine, tizanidin, xarelto, mutivitamin

Current Illness:

ID: 1470257
Sex: F
Age: 39
State: OR

Vax Date: 06/02/2021
Onset Date: 06/03/2021
Rec V Date: 07/14/2021
Hospital:

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

Lab Data:

Allergies: Isosorbide

Symptom List:

Symptoms: 6/3/2021 10:00 am very tired 11:00 am headache (Tylenol taken) 12:30 muscle aches 2pm fever started 100.2 4 pm muscles hurting a lot 101.6 (Tylenol taken) 6 pm muscles hurt so bad I started shaking 102.3 9pm shortness of breath, muscles in severe pain and whole body shaking 103.1 (Tylenol taken) Called advice nurse - she states to wait till temp reaches 104 to go to ER. 10:30pm fever started to drop 102.7 - muscle pain and shaking persisted Couldn?t sleep. Awake till 3am fever and muscle pain and shaking continues. Temp: 102.3 (Tylenol taken) Finally able to sleep 3am till 8:30 temp 101.2 8:30am 6/4/2021 Muscles hurt less and shaking stopped 10:30 felt better but not 100% very fatigued

Other Meds: Lamotrigine 200 mg Duloxetine 120 mg Multivitamin, biotin, vitamin C, vitamin D,

Current Illness: None

ID: 1470258
Sex: F
Age: 20
State: MI

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was administered 0.6ml No symptoms

Other Meds:

Current Illness:

ID: 1470259
Sex: F
Age: 18
State: IA

Vax Date: 07/08/2021
Onset Date: 07/08/2021
Rec V Date: 07/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient was given Adult dose of Hepatitis A at age 18.

Other Meds: None

Current Illness: None

ID: 1470260
Sex: F
Age: 72
State: GA

Vax Date: 01/12/2021
Onset Date: 05/30/2021
Rec V Date: 07/14/2021
Hospital:

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

Lab Data:

Allergies: penicillin seasonal

Symptom List:

Symptoms: Pt's , May 27 fell and broke distal fibula , cellulitis then a few weeks later/ after antibiotics (clindamycin) pt had no energy, said dr told her to stop taking due to side effects. One evening had severe pain in foot, that was broken doctor ordered Doppler ultrasound calf muscle DVT. Took Xarelto after 6 days her urine was very dark and pink dr said stop taking Xarelto . due to symptoms. by Friday went to get another ultrasound. blood clot dissolved Vascular surgeon ordered another ultra sound and said that the other ultrasound was inaccurate and she still had it . now waiting on dr to call

Other Meds: calcium , vitamind, baby aspirin , astradial transdermal, progestreine lipitor

Current Illness: slight vertigo symptoms at 2nd vax

ID: 1470261
Sex: F
Age: 39
State: CA

Vax Date: 06/01/2021
Onset Date: 06/02/2021
Rec V Date: 07/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt c/o severe body aches, congested, diarrhea 3-4 times since morning, headache. Reports dizziness and weakness in emergency screening. Pt was advised to call 911 or go to nearest ED for further treatment and evaluation,

Other Meds:

Current Illness:

ID: 1470263
Sex: F
Age: 18
State: NC

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 07/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I experienced an overwhelming amount of itching and right after getting vaccinated I experienced extreme swelling in my fingers my right ankle and underneath my feet. I was told to take Zyrtec. It helped but I still experienced itchiness and swelling. I consulted a dermatologist who diagnosed me with dermatographism and concluded my skin responds to the excessive itching by a trauma response known as petechiae. I also have gained a lot of weight since become vaccinated and rapidly. I have not changed my eating habits.

Other Meds: None

Current Illness: None

ID: 1470264
Sex: F
Age: 81
State: OR

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

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: Nausea, chills, sore arm, shaking, fever of 101, loss of appetite.

Other Meds: Naproxen.

Current Illness:

ID: 1470265
Sex: F
Age: 16
State: MI

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was administered 0.6ml No symptoms

Other Meds:

Current Illness:

ID: 1470266
Sex: F
Age: 36
State: OK

Vax Date: 03/04/2021
Onset Date: 07/10/2021
Rec V Date: 07/14/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient is pregnant with a due date of 12/3/21. I am reporting as this is my second patient who has tested positive for Covid-19 after vaccination during pregnancy. (I understand that this is well within the effectiveness range, but wanted to report in case this is happening more frequently with others in pregnancy. ) She began having symptoms on 7/4/21 with runny nose , congestion and headache. She then had loss of taste and smell and got tested. Her Covid-19 swab was positive on 7/10/21. She is currently 19 weeks pregnant. As her symptoms have remained mild, I do not expect any complications for pregnancy.

Other Meds: Advair, prenatal vitamins

Current Illness: none

ID: 1470267
Sex: F
Age: 43
State: NJ

Vax Date: 07/12/2021
Onset Date: 07/13/2021
Rec V Date: 07/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Exhaustion, generalized pain, 101.3 fever. Numbness and tingling with pain on whole right arm (vaccine was administered on left). Nausea. Went to urgent care. Dr. Stated that paresthesia can be a side effect.

Other Meds: None

Current Illness:

ID: 1470269
Sex: F
Age: 64
State: WA

Vax Date: 06/17/2021
Onset Date: 06/20/2021
Rec V Date: 07/14/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: PERICARDITITIS THAT RESULTED IN ER VISIT AND CONSULTATION WITH CARDIOLOGIST. DID NOT RESULT IN HOSPITALIZATION.

Other Meds: NONE

Current Illness: UNKNOWN

ID: 1470270
Sex: M
Age: 53
State: FL

Vax Date: 05/04/2021
Onset Date: 05/07/2021
Rec V Date: 07/14/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: severe and long lasting pain in hip flexors Still occurring as of today 7/14/2021

Other Meds: none

Current Illness: none

ID: 1470271
Sex: F
Age: 35
State: NJ

Vax Date: 02/01/2021
Onset Date: 04/30/2021
Rec V Date: 07/14/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: In April, I noticed swelling in my left leg and went to urgent care, this swelling spread to my left arm as well. I was diagnosed with peripheral edema. I started getting hand and food pains, and joint inflammation. Went to primary doctor who sent me to rheumatologist, rhematologist sent me to neurologist. I am still tryin to find the cause of my swelling, pain, inflammation, and heat radiating from my left side.

Other Meds: Benadryll, clonazepam (twice a week)

Current Illness: NONE

ID: 1470272
Sex: M
Age: 0
State: SC

Vax Date: 07/14/2021
Onset Date: 07/14/2021
Rec V Date: 07/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: After the vaccine 4 hours later I started to hyperventilate. Woke up next morning throwing up, diarrhea , extreme lethargy, muscle aches and absolutely no energy. I've missed 3 days of work and I can't get out of bed I'm so sick. I can't provide for my family in the shape I'm in. I truly need help. My medical doctor told me yesterday all my symptoms WERE VACCINE RELATED

Other Meds:

Current Illness:

ID: 1470273
Sex: F
Age: 36
State: TX

Vax Date: 03/05/2021
Onset Date: 03/08/2021
Rec V Date: 07/14/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: After the first shot was fatigue, her heart was beating fast, chills, fever, abdominal pain and her body was aching. On April 2nd was having severe abdominal pain, felt weak, had an headache, and was tire. Went to urgent care the next morning. Abdominal pain was worse and was feeling very tired her symptoms wasn't going away. Seen a cardiologist on April 19th did some lab work to check for an auto immune. Gave her meds to slow the thyroid hormones. Her symptoms has gotten worse since both shots still shaking.

Other Meds: None

Current Illness: None

ID: 1470274
Sex: F
Age: 62
State: TN

Vax Date: 04/16/2021
Onset Date: 06/03/2021
Rec V Date: 07/14/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Pt. states received 2nd Moderna 04/16/2021 vaccine, and 06/03/2021 waiting with menstrual period symptoms (includes bleeding), lasting 3 days, experiencing another 07/06/2021 3 day period of discharge and discomfort. 06/13/2021 Primary visit and ordered monthly check-in/ 07/13/2021 appt. with physical exam (Ultrasound- Internal) no results noted. A1C down 6.5 Recommendation for an appt. with OBGYN (date unknown).

Other Meds: Iron, Cavalog, Lordapien, Isariev, Gapaden

Current Illness: N/A

ID: 1470276
Sex: F
Age: 36
State: MN

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 07/14/2021
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Allergies: Misoprostol, Minocycline

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Symptoms: Pt had first Pfizer covid shot 3/18 with numbness tingling into L arm, then bilateral LE's and short time in head, all resolved by day 18. Had separate VAERS for that. Was adviced not vaccine-related, recommended second dose. The patient did end up receiving the second dose of Pfizer 4/8/21 and is now about 12-13 weeks out with pretty severe ongoing symptoms; symptoms were "10 times worse" night of vaccine than first experience, and have persisted. Paraesthesias described as ?pins and needles? with occasional ?ice pick jabbing?, tremor both visible and perceived, that seem to be worsening. she had tinnitus, consulted with ENT and did Prednisone for 5 days, with resolution but tremor and tingling worse on that so stopped. She has seen ENT, Allergist, Neurology, family medicine x3. Has upcoming follow-up with Neurology and will be consulting with Functional Medicine. Are you getting other reports of similar neurologic symptoms/side effects? I'm troubled by her experience as an otherwise healthy no med/no medical condition patient now with severe daily symptoms, and wondering what could be the pathophysiology and/or possible treatment options. I do appreciate your attention to this concern, as well as to your ongoing surveillance and diligence in this vaccine roll-out.

Other Meds: Prenatal Vitamin

Current Illness: None - paraesthesia, numbness, tingling with first vaccine 3/18/21 with separate VAERs report

ID: 1470277
Sex: F
Age: 53
State: NC

Vax Date: 04/10/2021
Onset Date: 06/26/2021
Rec V Date: 07/14/2021
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Allergies: No

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Symptoms: The 26th, I woke up and my knee joint hurt me terribly and my elbows were hurting. Sunday, the same joints hurt, and my right shoulder joint also hurt and my wrists. Then Monday neck and throat hurt and Tuesday more joints hurt. Wed, I couldn't lift my right arm and my fingers and hands, and wrists hurt. I went to the doctor, shot of Kenalog in my butt. I didn't go to work. Gradually over the following days my symptoms subsided. My ear and joint in my shoulder still hurt.

Other Meds: Citalopram; losartan; pantoprazole; multivitamin; valacyclovir; topiramate; trazadone; Donepezil; amoxiclav; q-nasal spray; ipratropium nasal spray; allergy shot

Current Illness: Ear infection

ID: 1470278
Sex: F
Age: 64
State: CA

Vax Date: 04/22/2021
Onset Date: 06/04/2021
Rec V Date: 07/14/2021
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Symptoms: Pt c/o headache and fatigue since she got her 2nd COVID vaccine Pfizer on 4/22/21 . Pt speech clear, comfortable. . Also denies emergency sx at this time. Advised pt to monitor her sx. And pt education given, pt assure understanding. Notified pt if her sx not getting better or getting more worse call back or consult with her MD, also if any emergency sx arises call 911 or go to nearest ED.

Other Meds:

Current Illness:

ID: 1470279
Sex: F
Age: 74
State: IL

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 07/14/2021
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Allergies: AMOXICILLIN

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Symptoms: SERIOUS RASH I HAD THE RASH FOR 2 MONTHS. FINALLY WAS CLEARED UP. MY DOCTOR SAID I SHOULD NOT GET SECOND DOSE

Other Meds: LEVOTHYROXIN 88MCG ONCE DAILY METOPROLOL 50MG TWICE DAILY

Current Illness: NONE

ID: 1470280
Sex: F
Age: 15
State: WA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 07/14/2021
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Symptoms: Vaccine administered to patient who was 15 at time of vaccination.

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Current Illness:

ID: 1470281
Sex: F
Age: 60
State: NJ

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

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Allergies: Demerol

Symptom List:

Symptoms: I began having a high heart rate and I felt my heart beating out of my chest. Heart rate was up to 115. I felt pretty weird. I went to cardiologist and had all the cardiac tests done: wore a heart monitor for 48 hours, echocardiogram, several EKG's, and a stress test. All the tests came back normal. But I still didn't feel good. Cardiologist put me on Bystolic and it helps.

Other Meds: Synthroid, Amlodipine, Pantoprazole, Bystolic, Simvastatin, calcium, vitamin D, align

Current Illness: I was feeling fine.

ID: 1470282
Sex: F
Age: 47
State: TN

Vax Date: 04/20/2021
Onset Date: 05/18/2021
Rec V Date: 07/14/2021
Hospital: Y

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Allergies: None

Symptom List:

Symptoms: Rabdomylosis which lead to kidney failure

Other Meds: Many

Current Illness:

ID: 1470283
Sex: M
Age: 75
State: ME

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 07/14/2021
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Symptoms: Blood clotting. Blood clot try to pass through dialysis machine. Interfere with dialysis. Clotting issues have happen almost every time at Dialysis since since getting first vaccine. Problem is ongoing.

Other Meds:

Current Illness: None

ID: 1470284
Sex: M
Age: 49
State: DC

Vax Date: 05/19/2021
Onset Date: 06/01/2021
Rec V Date: 07/14/2021
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Allergies: Sulfa drugs

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Symptoms: Lichen Planus

Other Meds: Paroxetine Fenofibrate

Current Illness: None

ID: 1470285
Sex: F
Age: 36
State: KS

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 07/14/2021
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Allergies: No

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Symptoms: After my 2nd dose I had a bad headache the day after. Now I have noticed that I get similar headaches more often, maybe once every 4-6 weeks that are severe enough that I need to take ibprophin and at times am sensitive to light. My period has also been irregular as it used to come on the dot every 28 days and now it varies more. It's hard to discern whether this is related to the vaccine or whether it is related to the parathyroidectomy I had in Dec 2019, or related to stress because I work in a hospital during the pandemic.

Other Meds: Vitamin D, Women's multivitamin

Current Illness: No

ID: 1470286
Sex: F
Age: 23
State: NM

Vax Date: 03/09/2021
Onset Date: 07/13/2021
Rec V Date: 07/14/2021
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Allergies: No allergies

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Symptoms: Covid 19 screening, contact to a positive covid.

Other Meds: None

Current Illness: None

ID: 1470287
Sex: F
Age: 59
State: NC

Vax Date: 04/06/2021
Onset Date: 04/01/2021
Rec V Date: 07/14/2021
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Symptoms: On April 19 woke up with severe sore throat on left side, on 4/26 still sore so went to primary care doctor and was diagnosed as acid reflux. 6 weeks later was still experiencing voice hoarseness, pain in my joints and severe swelling in my lower legs and feet, after many blood test and exam by an ENT Dr. I was diagnosed with a viral infection.

Other Meds: synthroid 50 mcg atenolol 50 mg

Current Illness:

ID: 1470288
Sex: F
Age: 38
State: TX

Vax Date: 07/09/2021
Onset Date: 07/12/2021
Rec V Date: 07/14/2021
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Allergies: NKA

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Symptoms: Right sided lymph node swelling (submental and submandibular), with soreness at swollen sites.

Other Meds: None

Current Illness: None

ID: 1470289
Sex: M
Age: 60
State: GA

Vax Date: 05/18/2021
Onset Date: 06/26/2021
Rec V Date: 07/14/2021
Hospital: Y

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Symptoms: Hospitalization Case began symptoms on 06/25/2021 consisting of productive cough, diarrhea, syncope, chest pain, and chills - reports pneumonia, diabetes mellitus, cardiovascular disease, and chronic liver disease as pre-existing medical conditions - case was transported to hospital via EMS, admitted 06/25/2021-06/28/2021

Other Meds:

Current Illness:

ID: 1470290
Sex: F
Age: 35
State: CA

Vax Date: 05/12/2021
Onset Date: 06/06/2021
Rec V Date: 07/14/2021
Hospital: Y

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Allergies: Codeine, hydrocodone

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Symptoms: Sick day of shot, bad cough within 5 days, misdiagnosed with bronchitis, started passing out, x-ray shows blood clots.

Other Meds: Birth control, Vitamin D

Current Illness:

ID: 1470291
Sex: F
Age: 68
State: MI

Vax Date: 06/15/2021
Onset Date: 07/01/2021
Rec V Date: 07/14/2021
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Allergies: no

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Symptoms: numbness from top of head all the way to the bottom of feet, heavy feeling in foot and arm on the left side, on right big toe numbness

Other Meds: Trazodone 200mg, Hydrohybamoate 50mg, Tamsulosin 0.4mg, Adderall, Mirtazapine 45mg, Atorvastatin 20mg, Aripiprazole 5mg, aspirin tabs 81mg, Doxepin 100mg,

Current Illness: no

ID: 1470292
Sex: M
Age: 63
State: MO

Vax Date: 07/12/2021
Onset Date: 07/12/2021
Rec V Date: 07/14/2021
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Allergies: penicillin, maybe

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Symptoms: pain of 3 - 4 on the 1 - 10 scale in the right deltoid muscle where the shot was given.

Other Meds: multi-vitamin

Current Illness: none

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm