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: 1484029
Sex: F
Age: 42
State: AZ

Vax Date: 05/01/2021
Onset Date: 06/01/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Dysphagia, Epiglottitis

Symptoms: nodule at injection site

Other Meds:

Current Illness: pancreatitis

Date Died: 04/15/2021

ID: 1484030
Sex: F
Age: 83
State: KY

Vax Date: 01/25/2021
Onset Date: 04/06/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: 4/6/21: unwell , tested for Covid 4/15/21: Patient condition continues to decline - family informed 4/15/2021, 8:56am Patient expired

Other Meds:

Current Illness:

ID: 1484031
Sex: F
Age: 54
State: NV

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

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

Lab Data:

Allergies: Sulfa

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: Burning, swollen lips. Felt tight and dry on the inside. Everything I put on them, including Vaseline or Aquaphor burned. Swelling eventually subsided but still have issues with tingling and tight, dry feeling no matter how moisturized I keep them. I did not put this together eith Covid vaccine until I eliminated all other possible options, but no medical issues, medication or health changes during this time. This is still a problem at this time and it's been 4 months.

Other Meds: Amitriptyline 10 mg Estradiol transdermal 0.0375 mcg Multivitamin

Current Illness: None

ID: 1484032
Sex: F
Age: 73
State: OR

Vax Date: 07/01/2021
Onset Date: 07/15/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: Meperidine, Propoxyphene

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient reported itching beginning at injection site and spreading around to various spots 2 weeks after her vaccine. I checked with her 2 days later to see if it resolved and it had.

Other Meds: Levothyroxine, Gabapentin, Clonazepam

Current Illness: none indicated

ID: 1484033
Sex: M
Age: 78
State: WA

Vax Date: 04/06/2021
Onset Date: 07/14/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: Cigarette smoke

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Extreme spike in blood pressure 230 systolic. First blood pressure reading since receiving vaccine. I was sent to Emergency Room. They found none of the usual suspects that cause this spike. Vaccination was my only new experience in many months. Never had near this high of a reading. Is there a connection?

Other Meds: None

Current Illness: None

ID: 1484034
Sex: F
Age: 55
State: NY

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Papaya

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: The adverse reaction began within hours of the vaccine. It began with flu like symptoms including chills, fatigue, and aches (no fever but Patience rarely runs a fever even if very ill). Aches included sharp pains in her right calf muscle. Flu like symptoms persisted for 5 days and began subside on the 6th day. Patience was able to return to work on the 9th day, although pain in her right leg persisted. Over the next several weeks she had a VQ lung scan, bilateral Doppler ultra sounds of both legs, and chest x-ray as well as an array of blood work which were all negative. The pain continued to worsen to the point where she was not able to walk or drive. She visited an orthopedic urgent care center for evaluation, where it was suggested a nerve in her back was causing the pain. She was prescribed Gabapentin and refereed to Physical Therapy and a back specialist. Because there was a long wait to get an appointment with the back specialist, and the pain was worsening, she went to a different orthopedist who took x-rays and MRI of the leg, as well as additional blood tests. The X-ray showed no breaks or injuries to the bone, and the MRI showed no soft tissue damage but it did show some minor inflamation of the muscle. Her labs were all normal except for a slightly elevated C-Reactive Protein and slightly low Hemoglobin. The orthopedist prescribed a boot and recommended rest and continued Gabapentin. Over the next three weeks the pain subsided. With the MRI results showing no bone damage, she discontinued the boot, and with no remarkable spine abnormalities she discontinued the Gabapentin, and is currently taking a combination of Tylenol and Advil, and has returned to work on a reduced schedule. The pain has subsided but is still present and flares up at times. She is starting to experience similar symptoms on the left leg. The treating Orthopedist has referred her to a Rheumatologist, appointment is pending as of this date

Other Meds: Meloxicam

Current Illness: None

ID: 1484035
Sex: F
Age: 40
State: CA

Vax Date: 07/14/2021
Onset Date: 07/14/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Slightly swollen painful tongueand throat with the feeling of tightening in the throat, migraines got worse, vomiting, Nausea, extreme fatigue, swollen painful and tight shouldershoulderl

Other Meds: N/a

Current Illness: Edema in lower left leg migraines and anemia

ID: 1484036
Sex: F
Age: 30
State: NC

Vax Date: 12/31/2020
Onset Date: 02/08/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Pharyngeal swelling

Symptoms: Dizziness, brain fog, migraine, joint pain and swelling, insomnia

Other Meds: Na

Current Illness: Na

ID: 1484037
Sex: M
Age: 32
State: AZ

Vax Date: 05/15/2021
Onset Date: 05/30/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Heart feels like it?s fluttering at random times of the day and night, hard to breathe during those episodes.

Other Meds: None

Current Illness: None

ID: 1484038
Sex: F
Age: 64
State:

Vax Date: 04/19/2021
Onset Date: 05/17/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: Silver possibly penicillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: My right leg at the knee could a longer bend and it went up into my right thigh this happened the next day in about two days it went into my left leg also and a little into my arms I called my rheumatologist and he prescribed prednisolone I took that for 10 days after the 10 days is all happened over again I had to wait two weeks before he was back From vacation to get to steroid shots in each knee. This is helped tremendously the prednisone was a waste of time but my right knee still hurts when I bend it a try to go up the steps I did not have this pain before the second shot of Pfizer. Also I have cramps in the right leg

Other Meds: Methotrexate, Levothyroxin, I Did not take the message text straight that Sunday night before the shop on Monday both times the version and the second shot I also waited a week after before restarting the methotrexate. I take multivitamins

Current Illness: RA rheumatoid arthritis but under control Thyroid also under control for years

ID: 1484040
Sex: M
Age: 43
State:

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: Penicillian

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: "Janssen COVID-19 Vaccine EUA" Seven minutes after recieving the vaccination I started to feel light headed so I sat on the floor and notified medical personnel. I then passed out for an unknown amount of time but long enough to urinate on myself. Medical staff put me on a bed and started taking vitals. My Blood pressure was low but had a high heart rate. Medical Personnel called the ER to see if I needed to be transfered but it was reccommended to continue observation. After an hour or two I was released to go home. I felt weak for over a week after the vaccination.

Other Meds: N/A

Current Illness: N/A

ID: 1484041
Sex: F
Age: 51
State: VA

Vax Date: 05/01/2021
Onset Date: 06/01/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Rash, Urticaria

Symptoms: Tinnitus in right ear, which is progressively getting worse. Whooshing sound in head, especially when laying down. Pressure behind eyes, intermittent swelling on upper cheek and eyelids. Vision problems, especially when changing position from laying down to getting up, sitting to standing, where there is a gray curtain that moves slowly across the field of vision. Head constantly feels pressured and almost as though there is fluid build up.

Other Meds: N/A

Current Illness: N/A

ID: 1484042
Sex: F
Age: 60
State: MO

Vax Date: 07/14/2021
Onset Date: 07/14/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: sensation as injection was moving thru body-down left arm and across shoulder blade- till in evening -up neck, flushing of face-left side of tongue tingling, general heat from body, alternate with chills, lymph node behind left ear very sensitive, 2nd day sore developed in front of left ear and on top of left side of tongue and under tongue, still first day symptoms, 3rd day sores continue half way to lip in a line, still all other symptoms- 4th day- line of sores is to mouth and on chin of only left side mouth has numerous small blisters- gums, cheek, still other symptoms. 5th day worse on sores - diagnosed with Shingles

Other Meds: triamterene Hctz 75/50 Enalapril 5mg Metformin 500mg Simvastatin 20mg

Current Illness: none

ID: 1484043
Sex: F
Age: 67
State: MI

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: all codeine, aspirin, tramadol, keflex

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: right side of face swollen and still swollen

Other Meds:

Current Illness:

ID: 1484044
Sex: F
Age: 54
State:

Vax Date: 05/01/2021
Onset Date: 06/24/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Acute tiredness. Vision deteriorated. Feet hurt for a simple walk.

Other Meds: None

Current Illness: None

ID: 1484045
Sex: F
Age: 47
State: MA

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

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

Lab Data:

Allergies: keflex

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: The day of the vaccine: late afternoon and evening 5:30 p.m. - 1:30 a.m. - Swelling in my throat and lymph nodes, trouble breathing, fever, chills, nausea, rash at the vaccine site on my arm. The next day upon waking up : Extreme pain and weakness in my entire body (including my arm)

Other Meds:

Current Illness:

ID: 1484046
Sex: M
Age: 65
State: CO

Vax Date: 07/17/2021
Onset Date: 07/17/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: Dizziness, Warm sensation @ Injection Site

Other Meds: None

Current Illness: None

ID: 1484047
Sex: M
Age: 57
State: NY

Vax Date: 06/24/2021
Onset Date: 07/07/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Ear pain, Hypoaesthesia

Symptoms: SWELLING OF RIGHT EYE , ITCHY RASH MULTIPLE ARES ON BODY

Other Meds: phenobarbitol, carbamezopine, amlodopine, isebertan, centrum multi

Current Illness: none

ID: 1484048
Sex: F
Age: 37
State: KS

Vax Date: 06/27/2021
Onset Date: 06/27/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Sweating, mouth went numb, itchy burning hands blotching on palms... Tight chest labored breathing tingling itching all over body... Extremely itchy cheeks and face

Other Meds: Zoloft 50 mg 1x daily.... orilissa 200mg xs daily

Current Illness:

ID: 1484049
Sex: F
Age: 30
State: IL

Vax Date: 07/06/2021
Onset Date: 07/13/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Covid arm- round red itchy rash that started one week after vaccine was given.

Other Meds: Zoloft

Current Illness: None

ID: 1484050
Sex: F
Age: 36
State: IN

Vax Date: 05/02/2021
Onset Date: 05/01/2021
Rec V Date: 07/18/2021
Hospital: Y

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

Lab Data:

Allergies: PCN

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: My blood pressure spikes from normal to 168/83, 199/120, 201/145, 199/128, 236/134, 183/116. My head, arms, and neck tingling like sharp pins and needles. I have lost my ability to speak, slurred my words, and been in able to catch my breath. I have passed out twice. I may go two day with a normal BP, but then it spikes for no reason. I have been women up with burning across my body an unable to catch my breath.

Other Meds: Topomax

Current Illness: Covid 19 one month prior

ID: 1484051
Sex: F
Age: 14
State: VA

Vax Date: 07/14/2021
Onset Date: 07/14/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Unevaluable event

Symptoms: 5 minutes after vaccination monitoring client had blurred vision, diaphoretic X@ altered pressure in ear, and alter mental status. Had eaten lunch- chick-fila and had no medical HX Vitals taken twice P48, BP 100/50, R16 O2 96% EKG sinus bradia, Near Syncopal P53, BP 88/51, R 20, O2 98%

Other Meds:

Current Illness:

ID: 1484052
Sex: F
Age: 49
State: CA

Vax Date: 07/09/2021
Onset Date: 07/10/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: Iodine Skin sensitivity to detergents & perfumes Allergies to dust & pollen

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Injection site swelling rash redness arm pain started within 12h from Injection time and subsided in 5 days. First couple of days pain was severe. Acetaminophen alone was not helpful. Advil dual action (Acetaminophen 250mg, ibulroden 125mg) seemed to provide releif along with cold compression. (wet towel) Day 6 rash barely visible. Day 7 a quarter size lump at injection site noticed. Day 8 swelling and rash returned with suburn tyoe of surface pain. Day 9 rash growing. Aprox size 10cm radius

Other Meds: None

Current Illness: Frequent headaches

ID: 1484053
Sex: F
Age: 55
State: IL

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Ampicillin Doxycycline

Symptom List: Injection site pain, Pain

Symptoms: On Friday, 4/9, I experienced a fever of 103.3, sore throat, earache on the left side, swelling on the neck and face, swollen tonsils, white stains on my tonsils, headache, toothache, and terrible muscle pain. When I went to the emergency room on 4/10, I received a dose of dexamethasone 15ml and was instructed to take Tylenol. On 4/11, I had no further symptoms after taking the dexamethasone. On 4/12 in the AM, my fever (101.4 F), sore throat, earache on the left side, toothache, headache, more swelling on the neck started to occur. I took Tylenol for the symptoms.; I was feeling very tired and weak the entire time and experienced severe dizziness. On 4/13, my body started to bruise up on the left side of my body (foot). Then, I developed a bruise on my left shin and left hand. I had severe tremors and shakes. I went back to the emergency room on 4/13 and lost consciousness in the waiting room. My left tonsil started to develop black spots on it. My doctors at the emergency room did not know what this was. I was given dexamethasone via IV and clindamycin 150MG X3/day X 6 days. On 4/13, my left buttocks developed shingles. On 4/16, I had a visit at my doctor's. I still had swelling on the face and neck, my bruises grew in size. My doctor prescribed me Valacyclovir 1gm X1 tablet X 3/day X 1 week. From 4./16, these symptoms persisted for about 10 days before I began to feel better.

Other Meds: Tylenol

Current Illness: None

ID: 1484054
Sex: F
Age: 60
State: CA

Vax Date: 07/14/2021
Onset Date: 07/14/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Client reported nausea, tingling in her left hand, and slight dizziness at 6:45ish. Vitals obtained at 6:53PM PM were as follows: BP 120/78, HR 71, O2 96%. The client reported a history of nausea when she is nervous. Client was provided an emesis bag. Vitals obtained at 6:58PM were as follows: BP 120/68, HR 65, and O2 98%. The client reported a history of hypotension. The client stated she has to be sure to stay adequately hydrated or she notices a decrease in her blood pressure. Current medications include Avapena. The client denied any s/s of anaphylaxis. At 6:55PM the client reported a headache. The client did eat today. At 7:02PM RN provided the client a cotton ball with peppermint oil on it to smell.. The client stated her headache was very light at 7:05PM. The client left at 07:10PM.

Other Meds: Avapena

Current Illness:

ID: 1484055
Sex: M
Age: 57
State: CO

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: First shot: symptoms appeared within 6 hours, headache, fatigue, fever, muscle aches and shortness of breath. stayed about a week (fever and headache_. Then had a bit of itchy outbreaks for about another week Reported all on Second shot: Symptoms appeared within 4 hours. Felt lightheaded just leaving the innoculation center. Within a couple of hours, felt really tired, fell asleep, woke an hour or so later, massive headache, feverish, light sensitive, achey, shortness of breath. Light sensitivity went away after a few days but all other symptoms were much more intense and of longer duration then the first shot reactions. I noted that my health app showed a drop in my O2 levels at night and unexplained increased heart rate episodes (over 160) this went on for weeks. Got more severed itchy episodes several weeks after the second shot and that lasted for acouple of weeks. Noted three of four tiny "blood blisters" that itched on the arm I got the shot on. Got really dizzy at points too. I had chest tightness and breathing difficulties leading to light headiness when wearing covid masks, which did not have previously. SEE CONTINUATION PAGE

Other Meds: HBP meds, SYNTHYROID,

Current Illness:

ID: 1484056
Sex: F
Age: 37
State: MO

Vax Date: 07/09/2021
Onset Date: 07/10/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: Lithum

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: severe body pain and weakness. Inability to walk and stand alone. Blood pressure dropped to 54/36 and other very low ranges, almost lost consciousness from low blood pressure multiple times.

Other Meds:

Current Illness:

ID: 1484057
Sex: F
Age: 40
State: NC

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

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

Lab Data:

Allergies: Penicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Feelings of vertigo three weeks after receiving vaccination. These feelings of the room spinning and nausea are ongoing. But do not happen all day or even everyday. It happens often, but not daily.

Other Meds: Sertraline

Current Illness: None

ID: 1484058
Sex: F
Age: 58
State: CA

Vax Date: 06/25/2021
Onset Date: 06/25/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: lient reported 20 mins after receiving vaccine she experienced headache, warmth in ears, and tingling of the lip lasting 30 minutes. Per client no shortness of breath or swelling. Client stated she did not take any medication or followed up with provider

Other Meds: lisinopril, warfarin, novolog

Current Illness: blood clot

ID: 1484059
Sex: F
Age: 34
State:

Vax Date: 07/11/2021
Onset Date: 07/18/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: Mild allergies to some types of fruit. Mild seasonal allergies. Allergies to some pets.

Symptom List: Nausea

Symptoms: Itchiness at the injection site, then swelling and pain. The swelling is getting bigger and so is the pain. It hurts to lift my arm up. This started a week after the injection....

Other Meds: Sertraline 25mg

Current Illness:

ID: 1484060
Sex: F
Age: 48
State: MA

Vax Date: 05/13/2021
Onset Date: 07/14/2021
Rec V Date: 07/18/2021
Hospital: Y

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Allergies:

Symptom List: Injection site pain

Symptoms: on July 14th, patient had a massive ischemic stroke; no risk factors. Patient did have COVID infection February 2021

Other Meds:

Current Illness:

ID: 1484061
Sex: F
Age: 27
State: IN

Vax Date: 06/30/2021
Onset Date: 07/12/2021
Rec V Date: 07/18/2021
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Allergies: Acetaminophen

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Developed a small rash (red itchy bumps)1 week after covid vaccine. 2 weeks later it spread down my arms, legs and torso. Seems to go away with antihistamines, the reactions happen off and on.

Other Meds: Zoloft

Current Illness: None

ID: 1484062
Sex: M
Age: 46
State: CT

Vax Date: 03/22/2021
Onset Date: 05/01/2021
Rec V Date: 07/18/2021
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Allergies: Seasonal, cat, dog, dust mites.

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: Approximately 3 weeks after second shot I developed tinnitus. Fully examined by ENT, no hearing loss or other explanation. Tinnitus still ongoing 3 months later.

Other Meds: Atvorostatin, losartan potassium

Current Illness: No

ID: 1484063
Sex: F
Age: 38
State: FL

Vax Date: 03/02/2021
Onset Date: 03/31/2021
Rec V Date: 07/18/2021
Hospital: Y

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Lab Data:

Allergies: contrast media, triptan meds, toradol, fioricet, compazine, haldol, tape, keppra

Symptom List: Tremor

Symptoms: first event 03/31/2021 patient reports having a seizure episode with migraine, hospitalized 5/28/21-5/30 and 7/1/21-7/3/21 and multiple er visits

Other Meds: lorazepam 1 mg twice daily, amiloride 5 mg bid, cimetidine 200mg bid, clonodine 0.3 every 8 hours, duloxetine 60 mg bid, hydralazine 100mg bid, gabapentin tid, hydralazine 100mg bid, metoprolol 100 mg tid, potassium 80 meq bid, phenergan25

Current Illness: renal disease, htn, normal pressure hydrocephalus with shunt,

ID: 1484064
Sex: M
Age: 58
State: SC

Vax Date: 04/30/2021
Onset Date: 06/04/2021
Rec V Date: 07/18/2021
Hospital: Y

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Allergies: none

Symptom List: Erythema, Pruritus

Symptoms: 1st shot was in the left arm, 2nd shot was is in the right. Experienced overwhelming headache for several days from Friday afternoon through Monday Morning. Was given a CT scan and was found to have bleeding on the base of the brain and swelling so heavy, they could not determine where the leak was.

Other Meds: none

Current Illness: none

ID: 1484065
Sex: F
Age: 60
State: OR

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

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Allergies: None

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Hands and feet were burning, very painful and felt locked up. By the end of the day the extreme pain had subsided but now, hands, feet, ankles, back and arms hurt. So much so it?s keeping me up at night. Prior to the shot I did have hand pain due to RA. But not like this. Shooting pains start from wrists and go down into palms. Those come and go. Mornings are terrible. The pain is getting worse. Taking over the counter pain pills reduces the pain a little bit.

Other Meds: None

Current Illness: None

ID: 1484066
Sex: M
Age: 78
State: WI

Vax Date: 05/25/2021
Onset Date: 06/14/2021
Rec V Date: 07/18/2021
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Allergies: None

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Symtoms were first noticed on Tuesday June 8th about two oclock in the afternoon when I noticed a slight burning sensation on my right shoulder. I had presumed this to be sunburn. The next day I noticed a few blisters and additional discomfort and subsequently applied OTC lotion. As the days progressed it looked as though it was poison-ivy as opposed to sunburn. Again applied OTC medications to relieve the pain. By Monday, June 14th, the situation had progressed in severity, necessitating a visit to the emergency room. I was examened by DR. who diagnoeded the problem as 'shingles', not poison-ivy. He subsequetly dianosed taking ValACYclovir for seven-days then recommended that I follow-up with a Primary Care Provider in seven-days. The valACHclovir helped stop the spread of the problem, but did't do much to relieve the discomfort. The following Tuesday, June 22nd I met with Dr. of the Health Clinic adjacent to the hospital. After vitals were all taken, we had a question and answer session where it was determined that nothing else could be done for Me except for the shingles to 'run their course'. Retuning home I continued to administer OTC lotions and sprays to help reduce some of the burning sensations experienced around the face, ear, neck, and shoulder which was becoming more severe. After several days of not being able to sleep or get any relief from the 'burning and stinging', I decided it was necessary to get a second opinion. I then notified another hospital, that I would be arriving for an examination that afternoon, July 12th. at approximately 2pm. Upon arrival and completion of completion of all vital signs by medical staff, I was met with a doctor. Upon examination and understanding the symptoms experienced, she prescribed 'Gabapentin' to help reduce the 'burning sensations' and 'Prednisone' to help reduce the 'skin rash and swelling'. Returning home and starting the prescribed meds, I did notice some immediate relief from the Gabapentin, which for the first time in more than a week or so, I was able to get a nights sleep. I didn't notice any changes taking the prednisone and had to presume that it helped stop the spead of the rash from going further. As I prepare this overview, it is now July 18th and once again experiencing severe pain and tighening of muscles around the face, neck and shoulder. Pain feels like 'stinging needles', 'miniture electical shocks' that course thru from above the ear, down thru the face neck and over to the chin-throat' area. Pain lasts but a brief second, but very painfull, making sleep impossible. Touching any area on the right side of my body from the scalp, across the face and neck down to my shoulder, back and collar bone result in extreme 'burning sensations'. I have a 12:45 pm appointmet at the hospital on Tuesday July 20th to meet with Dr. who will become my Primary Care Provider. I can only hope that we're able to come-up with some solution that will easy the severity of the 'stinging sensations and burning' that will allow me to sleep and get beck to resuming nornal activity. Up until this event, I had been an actrive, healthy, 78yo man who had never been sick nor been to a Dr. in over 20 years, which I contribute to the clean, healthy environment here. In summary, it is my firm belief that in view of recent media reports about the Guillian-Barr symtoms which affect the nerves and muscles, it is the result of having received the Johnson&Johnson vaccine that contributed to the onset of my developing shingles. Because I had not had the Shingles vaccine at any time, it might be advisable for those that are beyond a certain age who have not had the shingles vaccine NOT get the Johnson&Johnson vaccine if other alternatives are available.

Other Meds: Daily vitamin - Centrum Silver 1/4 Aspirin - generic valACHclovir

Current Illness: None

ID: 1484067
Sex: M
Age: 28
State:

Vax Date: 01/26/2021
Onset Date: 07/16/2021
Rec V Date: 07/18/2021
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Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Covid positive 7/17/2021. Rec'd covid vaccine 1/2021

Other Meds:

Current Illness:

ID: 1484068
Sex: F
Age: 50
State:

Vax Date: 07/17/2021
Onset Date: 07/17/2021
Rec V Date: 07/18/2021
Hospital:

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Allergies:

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: ? fever for about 24 hours, up to 38.5 ? chills ? headache/pain back of the head ? nausea ? menstruation started 8 days earlier (about 30 hours after the shot) ? swollen left upper arm, redness

Other Meds:

Current Illness:

ID: 1484069
Sex: M
Age: 65
State: KS

Vax Date: 04/21/2021
Onset Date: 07/07/2021
Rec V Date: 07/18/2021
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Allergies: NKDA

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Patient had no problems at the time of either first or second vaccine. He started having chest pain and hemoptysis on 7/2/2021 and was seen an a local emergency hospital on 7/6/2021. He was diagnosed with a pulmonary embolism, by CTA. No history of VTE and no provoking factors - had short flight prior to onset of symptoms.

Other Meds: tamsulosin, atorvastatin, omeprazole

Current Illness: None

ID: 1484070
Sex: M
Age: 71
State: AR

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 07/18/2021
Hospital:

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Allergies:

Symptom List: Pain in extremity

Symptoms: polycythemia. Now anemic with no clear issue. requiring oral iron & possibly iv iron.

Other Meds:

Current Illness:

ID: 1484071
Sex: M
Age: 15
State: CA

Vax Date: 06/23/2021
Onset Date: 06/23/2021
Rec V Date: 07/18/2021
Hospital:

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Allergies:

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Client reported one hour after receiving first dose of COVID vaccine Pfizer he developed a headache and dizziness that lasted one hour. The client only ate breakfast the day he received the first dose COVID vaccine Pfizer. The client ate breakfast today. He was provided a snack of chips and started eating them. Vitals obtained on 07/14/21 were as follows: BP 118/80, HR 87, O2 98%. The client denied SOB after first COVID vaccine Pfizer. The client did not follow up with a primary care doctor or allergist. The client denies any chronic conditions or medications. No known allergies.

Other Meds:

Current Illness:

ID: 1484072
Sex: M
Age: 90
State:

Vax Date: 02/08/2021
Onset Date: 05/26/2021
Rec V Date: 07/18/2021
Hospital:

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Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Patient experienced sudden and severe sweating over every inch of his body, described as if he was leaking out of every pore all at once. He got dizzy as if blood was rushing to head and attempted to make it into his bedroom where he knew he could safely collapse on the bed if needed. He reported seeing the room wobble as he was stumbling to his bed. He barely caught the edge of it before falling onto it. After several minutes, the sweating and wooziness subsided. When asked, he said he had never experienced any of those adverse effects before.

Other Meds:

Current Illness:

ID: 1484073
Sex: F
Age: 37
State: SC

Vax Date: 03/29/2021
Onset Date: 05/04/2021
Rec V Date: 07/18/2021
Hospital:

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Allergies:

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Five days after getting the first dose of Covid vaccine, I started having severe pain in buttocks/hip area that radiated down both legs. I tried sitting, standing, laying, propping, etc. Nothing relieved the pain! It lasted about 6 hours. I mentioned this episode to my General Practitioner during a virtual visit a couple of weeks later. Since then, I've had almost constant severe joint and muscle pain throughout my body every day. I plan to talk to my doctor about this at my next visit.

Other Meds:

Current Illness:

ID: 1484074
Sex: M
Age: 24
State: AZ

Vax Date: 06/22/2021
Onset Date: 07/04/2021
Rec V Date: 07/18/2021
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Allergies: None

Symptom List: Vomiting

Symptoms: About a week or two after my second shot, I started developing constant, uncontrollable blinking. It feels like a spasm and causes other parts of my face to spasm (my jaw especially). I think it was exacerbated by my use of Zyn nicotine pouches, because the issue got better once I discontinued use. A couple weeks have passed since I stopped using this product though and the blinking/spasms persist.

Other Meds: Melatonin, 5HTP, Theanine, Valerian root. None of them used on a daily basis.

Current Illness: None

ID: 1484075
Sex: F
Age: 67
State: MD

Vax Date: 05/19/2021
Onset Date: 05/20/2021
Rec V Date: 07/18/2021
Hospital:

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Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: The day following the first injection, I started experiencing a series of adverse events that have not subsided. Initially, my left arm was swollen and painful, I was nauseated, feverish and had chills, in addition to a persistent productive cough. I went to the ER on 6/24 after symptoms worsened and was diagnosed with pneumonia. I was given a course of Azithromycin and Cefdinir, which I completed. The fever subsided but even weeks after the second dose, I am still experiencing persistent coughing. The pain in my left arm has also persisted and is accompanied with occasional numbness. I am unable to comfortably lay on my left side or firmly grip objects with my left hand because of the pain.

Other Meds:

Current Illness:

ID: 1484076
Sex: F
Age: 55
State: MI

Vax Date: 05/04/2021
Onset Date: 07/15/2021
Rec V Date: 07/18/2021
Hospital: Y

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Allergies: none

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: This is not confirmed diagnosis however, part of the immediate differential diagnosis includes possible vaccine related thrombosis. Currently being worked up in the hospital for New - Onset aortic arch thrombus with thromboembolectomy to left arm. Patient has no previous history of blood clots, no family history of blood clots and the location of blood clot is in a very unusual location. Patient developed sudden onset symptoms of left arm arterial thrombosis that required immediate surgical embolectomy to restore blood flow to left arm. CT scan noted large aortic arch thrombosis and transferred to Hospital for escalation of care, cardiac surgery and vascular surgery evaluation. Hematology team consulted to begin workup for hypercoagulopathy.

Other Meds: none

Current Illness: none

ID: 1484077
Sex: M
Age: 38
State: WA

Vax Date: 07/13/2021
Onset Date: 07/15/2021
Rec V Date: 07/18/2021
Hospital: Y

Vax Type:
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Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: ? 7/13/21 1015AM 2nd COVID vaccine from Moderna received. ? 7/15/21 0200AM (times are approximate) o I started having chest pains in the middle of the night. Sitting or kneeling seemed to relieve some of the pain. It went away after 1500 mg Acetaminophen lasting approx. 3 hrs. ? 7/16/21 (times are approximate) o 0100-0500 Chest pain came back, same style of pressure. No breathing issues. 1500 mg Acetaminophen o 0900 Checked into ER. 7/17/21 Discharged from hospital 330PM

Other Meds: 1 tablet - Carditone /day. Usually taken at night for past 4 years. 1 - 1000 mcg Chromium Picolinate / day 1- 400 mg Magnesium Oxide / day

Current Illness: None

ID: 1484078
Sex: F
Age: 40
State: OR

Vax Date: 01/01/2021
Onset Date: 01/27/2021
Rec V Date: 07/18/2021
Hospital:

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Allergies: Fentanyl, Latex and Paper Tape

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Fever, headache, chills, body aches lasted over 2 weeks.

Other Meds: Acidophilus,Xanax,Vitamin C, Vitamin B, Vitamin D3, Zinc, Echinacea,Feosol, Lexapro, Cytomel, Synthroid, and Lisinopril.

Current Illness: None

ID: 1484079
Sex: M
Age: 37
State: MA

Vax Date: 03/26/2021
Onset Date: 04/01/2021
Rec V Date: 07/18/2021
Hospital:

Vax Type:
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Allergies:

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: It has been 4 months since I got the j and j shot and I still have pain at injection site, that radiates outward on my upper arm and shoots down to my elbow. It is always there, however certain motions and positions irritate it more.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am