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: 1532041
Sex: F
Age: 33
State:

Vax Date: 02/01/2021
Onset Date: 07/28/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: U07.1 - COVID-19 virus infection breakthrough infection covid

Other Meds:

Current Illness:

ID: 1532042
Sex: M
Age: 12
State: ID

Vax Date: 07/28/2021
Onset Date: 07/29/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Rash on face and neck, swollen lips, itchy tongue, voice alteration and throat discomfort.

Other Meds:

Current Illness:

ID: 1532043
Sex: F
Age: 40
State:

Vax Date: 01/07/2021
Onset Date: 07/26/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: U07.1 - COVID-19 virus infection breakthrough infection covid

Other Meds:

Current Illness:

ID: 1532044
Sex: M
Age: 58
State: OR

Vax Date: 06/30/2021
Onset Date: 06/30/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies: no known allergies

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient had already had a Johnson and Johnson vaccine on 3/19/21. At the clinic, which was a large public event, he did not disclose that he had already had a vaccine, and the setting did not allow for complete checking of medical records prior to administering the Pfizer vaccines

Other Meds: finasteride fluoxetine Multivitamin

Current Illness: none

ID: 1532045
Sex: F
Age: 70
State:

Vax Date: 02/16/2021
Onset Date: 07/26/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: U07.1 - COVID-19 virus infection breakthrough infection covid

Other Meds:

Current Illness:

ID: 1532046
Sex: F
Age: 51
State: MD

Vax Date: 08/03/2021
Onset Date: 08/04/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Pain, swelling around injection site lasting over 3 days

Other Meds: Ceterizine, synthroid

Current Illness:

ID: 1532047
Sex: M
Age: 60
State:

Vax Date: 04/20/2021
Onset Date: 08/05/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: U07.1 - COVID-19 virus infection breakthrough infection covid

Other Meds:

Current Illness:

ID: 1532048
Sex: M
Age: 58
State: SC

Vax Date: 07/27/2021
Onset Date: 07/31/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Pharyngeal swelling

Symptoms: 4 days after the shot I woke up with Vertigo and it was mostly annoying. It became worse on Sunday evening. It has persisted through today Friday, 10 days after the shot and shows no signs of letting up.

Other Meds: Bupropion 150, Amitryptaline 10mg, Flomax, Vitamin D, Zinc, Livalo, Vitamin C, CoQ10, melatonin, baby aspirin

Current Illness: No

ID: 1532049
Sex: M
Age: 39
State: OH

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: I experienced trouble with breathing, back aches, knee aches and a lump in my thigh.

Other Meds: Yes

Current Illness:

ID: 1532050
Sex: M
Age: 12
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: PATIET IS OK,JUST VACCINE WAS GIVEN BY MISTAKE

Other Meds:

Current Illness:

ID: 1532051
Sex: F
Age: 36
State: LA

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

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

Lab Data:

Allergies: None

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

Symptoms: Immediately after the injection, I had a strong taste of metal in my mouth that lasted for over 24 hours. Within five minutes of injection, I had a warm burning sensation from head to toe. The burning sensation settled down into a pins and needles sensation throughout my body that has continued for the past 48 hours. I have never had an adverse reaction to any vaccine, and I have no underlying medical conditions that would cause a pins and needles sensation.

Other Meds: CoQ10, multivitamin, Vitamin D, vitamin C, zinc

Current Illness: None

ID: 1532052
Sex: F
Age: 48
State:

Vax Date: 01/11/2021
Onset Date: 07/28/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: U07.1 - COVID-19 virus infection breakthrough infection covid

Other Meds:

Current Illness:

ID: 1532053
Sex: F
Age: 13
State: NJ

Vax Date: 07/09/2021
Onset Date: 07/20/2021
Rec V Date: 08/06/2021
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: Missed menstrual cycle

Other Meds: none

Current Illness: none

ID: 1532054
Sex: F
Age: 68
State: MA

Vax Date: 07/28/2021
Onset Date: 08/05/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies: None known

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

Symptoms: Upper right arm swollen,red, hot and itchy. Body aches. Tiredness.

Other Meds: N/A

Current Illness: N/A

ID: 1532055
Sex: F
Age: 45
State: NC

Vax Date: 02/10/2021
Onset Date: 02/15/2021
Rec V Date: 08/06/2021
Hospital: Y

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

Lab Data:

Allergies: Yes

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

Symptoms: I had persistent daily headaches. I have development migraine with brain stem aroha and haptic headaches. I have had multiple hospital stays and ER visits. And I have also had hemiplegia as a results of the migraines. I been hospitalized once and 6 trips to the ER. Still receiving ongoing medical care.

Other Meds: Yes

Current Illness: Yes

ID: 1532056
Sex: F
Age: 70
State: VA

Vax Date: 03/08/2021
Onset Date: 03/15/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies: Uloric

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

Symptoms: one week after 2nd dose, tongue swelled and lesions underneath, week later, metallic taste of food, March 30 woke up with Tinnitus

Other Meds: losartin, amlodopine, allopurinol, nexium, colchicine, multi vitamin, vitamin D, C

Current Illness: none

ID: 1532057
Sex: M
Age: 39
State: NJ

Vax Date: 07/10/2021
Onset Date: 07/25/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Ringing in the ears

Other Meds:

Current Illness:

ID: 1532058
Sex: F
Age: 53
State:

Vax Date: 03/06/2021
Onset Date: 07/31/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: U07.1 - COVID-19 virus infection breakthrough infection covid

Other Meds:

Current Illness:

ID: 1532059
Sex: F
Age: 47
State:

Vax Date: 08/06/2021
Onset Date: 08/06/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: NA

Other Meds:

Current Illness:

ID: 1532060
Sex: M
Age: 16
State: PA

Vax Date: 07/22/2021
Onset Date: 07/31/2021
Rec V Date: 08/06/2021
Hospital: Y

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

Lab Data:

Allergies: Azithromycin: hives

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

Symptoms: One week after the patient received the second dose of the COVID-19 Pfizer vaccine, he started experiencing episodes of seizure-like activity, dizziness, and syncope. He experienced these symptoms on day 9 after receiving the vaccine, and continued experiencing episodes on day 10 when he presented to the emergency department. He was diagnosed with high-grade second degree heart block, requiring the implantation of the pacemaker and a 6 day hospitalization with time in the pediatric intensive care unit. The patient is improving clinically is currently still in a deconditioned state however is recovering from the new diagnosis and recent procedure.

Other Meds: Melatonin as needed

Current Illness: None

ID: 1532061
Sex: M
Age: 14
State: KS

Vax Date: 08/06/2021
Onset Date: 08/06/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: After given the second COVID vaccine, patient was sitting out in the lobby and in about 10 minutes, the patient stated he started feeling nauseous, dizzy, lightheaded, and his left arm, left leg, and his head started feeling tingly. Took patient back at 1325 to get a set of vitals; BP was 134/83, HR was 95, and O2 was 99%. Patient stated after I was done with vitals, his symptoms resolved. Patient was given water and offered PB crackers. Patient went back to the lobby until 13:40 and before he left, I took another set of vitals. BP was 132/74, respirations were 20, temp was 97.9, HR 98, and O2 was 97%.

Other Meds:

Current Illness:

ID: 1532062
Sex: F
Age: 15
State: NC

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

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

Lab Data:

Allergies: none

Symptom List: Unevaluable event

Symptoms: Patient is 15 year old that received Moderna vaccine. No complication following vaccine. Paramedic took vaccine to home so counseled staff about appropriate age for vaccine.

Other Meds: none

Current Illness: none

ID: 1532063
Sex: M
Age: 59
State:

Vax Date: 04/01/2021
Onset Date: 07/28/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: U07.1 - COVID-19 virus infection breakthrough infection covid

Other Meds:

Current Illness:

Date Died: 08/04/2021

ID: 1532064
Sex: M
Age: 76
State: TN

Vax Date: 02/12/2021
Onset Date: 08/04/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List: Injection site pain, Pain

Symptoms: Case had COVID vaccines x 2. Last vaccine given at HCF on 2/12/21. Case presented to ED on 7/24/2021 with covid like symptoms. Postitive test for COVID 19 and was admitted to another HCF on 7/24/2021. He expired at that facility on 8/4/21.

Other Meds: Unknown

Current Illness: Unknown

ID: 1532065
Sex: M
Age:
State:

Vax Date:
Onset Date: 05/03/1921
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Covid Vaccine: Right Deltoid 1 Min: felt like took a fastball to the arm, duration 7 1/2 hours 30 min: ache in entire arm and hand, duration 4 hours 60 min: felt like caffeine buzz, duration 4 hours 75 min: entire right side of face went numb, duration 5 minutes 9 hour later: body aches, duration 40 minutes, resolved with Advil 16 hours later: fatigue, duration 2 days

Other Meds:

Current Illness:

ID: 1532066
Sex: F
Age: 84
State:

Vax Date: 02/23/2021
Onset Date: 07/28/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: U07.1 - COVID-19 virus infection breakthrough infection covid

Other Meds:

Current Illness:

ID: 1532067
Sex: M
Age: 15
State: OR

Vax Date: 08/02/2021
Onset Date: 08/03/2021
Rec V Date: 08/06/2021
Hospital: Y

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

Lab Data:

Allergies: No known

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient experienced fever, myalgias, anorexia/nausea/emesis 1d following COVID vaccine, 2d after had chest pain with emesis, presented to ED and was hospitalized with myocarditis. Treated with IVIG, ketorolac, acetaminophen as well as milrinone to support cardiac function. Currently hospitalized in PICU 4d following vaccine administration.

Other Meds: None

Current Illness: None

ID: 1532068
Sex: F
Age: 67
State: CO

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Heart palpitations enough to go to doctor. I had had an EKG and echocardiogram and blood work. Bloodwork indicated heart ok but liver enzymes were elevated also seemed related to the covid vaccine because later the enzymes were back to normal . Wore CARDIAC AMBULATORY MONITOR-14 DAY showed frequent PVCs considered to be benign. Palpitations went away by mid-July and liver enzymes returned to normal

Other Meds: Fish oil, Vit D, Calcium Magnesium

Current Illness: none

ID: 1532069
Sex: F
Age: 12
State: NY

Vax Date: 08/06/2021
Onset Date: 08/06/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Patient was feeling fine post injection, she stood up and stated that when she stood up she felt hot and her vision was blurry. Pt then fell and grabbed her mother's arm. She was caught by her mother and lowered to the floor. Pt denied hitting her head or any other injuries during the fall. EMS was called and pt was given water.

Other Meds: None

Current Illness: None

ID: 1532070
Sex: M
Age: 34
State: TX

Vax Date: 08/06/2021
Onset Date: 08/06/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List: Nausea

Symptoms: Patient recieved his Pfizer vaccine on 08/06/2021 @ 11:29 Am. The patient came back to the nurse complaining of being light headed, flushed, and a little shakey. , RN took the patient's vitals whcih were blood pressure 138/90, heart rate, 98, and oxygen 96%. The patient was given crackers and water and was advised to wait an additional 15 minutes to make sure he didn't have any more complications. The patient returned back to normal within about 4-5 minutes.

Other Meds: Unknown

Current Illness: Unknown

ID: 1532071
Sex: M
Age: 46
State:

Vax Date: 02/27/2021
Onset Date: 07/30/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: U07.1 - COVID-19 virus infection breakthrough infection covid

Other Meds:

Current Illness:

ID: 1532072
Sex: F
Age: 47
State: IA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Not enough time between 1st and 2nd dose

Other Meds:

Current Illness:

ID: 1532073
Sex: F
Age: 37
State: OR

Vax Date: 07/01/2021
Onset Date: 07/22/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies: none known

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

Symptoms: Patient received her second dose of the Moderna vaccine one week early. There are no known complications for the patient.

Other Meds: NOne known

Current Illness: obesity

ID: 1532074
Sex: F
Age: 76
State: OH

Vax Date: 07/30/2021
Onset Date: 07/30/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Tremor

Symptoms: A couple hours after vaccination her hand swelled up. Vaccine was given on 7/30 and she is still experiencing pain and swelling in her hand

Other Meds: None

Current Illness: No

ID: 1532075
Sex: F
Age: 45
State: AR

Vax Date: 07/31/2021
Onset Date: 08/06/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Patient reported similar reaction with last dose as experienced with first. She described injection site as discolored, bruised with a round knot about 4 inches in diameter beneath the skin. Also, itching noted with last dose only.

Other Meds:

Current Illness:

ID: 1532077
Sex: M
Age: 41
State: GA

Vax Date: 08/06/2021
Onset Date: 08/06/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies: UNKNOWN

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

Symptoms: CALL TO ASSIST CLIENT WHILE IN OBSERVATION PERIOD. CLIENT PALE, DIAPHORETIC, LIGHTHEADED AND WEAK, STATES "I FEEL LIKE I'M GOING TO FAINT. TAKEN VIA WHEELCHAIR TO LAB, ASSISTED TO STRETCHER CHAIR WITH FEET UP. INITIAL VS: 112/66, HR 54, O2 ROOM AIR 99%. DEPARTURE: 129/74, HR 51, O2 95% RA AND KEPT UNDER DIRECT RN OBSERVATION FOR AN HOUR. AFTER STANDING AND WALKING DOWN THE HALL AT 2 P.M. WITH RN, CLIENT STATES THAT HIS LEGS FELT HEAVY AND HE FELT TIRED. O2 SAT WHILE WALKING 91%, HR 51. AFTER RETURNING FROM WALK, CLIENT STATES HE FELT "O.K" BUT "TIRED". BRIEFLY AFTER, O2 SAT DROPPED TO 87% AND HR TO 47 AND THEN BACK UP AFTER A FEW SECONDS TO 95%, HR 51. OXYGEN SATURATION AND HR FLUCTUATION BETWEEN 90-99% AND 50-54 BP

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1532078
Sex: M
Age: 0
State: CA

Vax Date: 04/28/2021
Onset Date: 07/29/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Left arm is in pain three months later and it is currently disabling and handicapping my arm actions and I took Tylenol to relieve the pain but that does not help and I just started experiencing these arm disabling handicaps.

Other Meds: Tylenol/moringa/keto fat burner pills

Current Illness: N/A

ID: 1532079
Sex: F
Age: 56
State:

Vax Date: 05/20/2021
Onset Date: 07/27/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: U07.1 - COVID-19 virus infection breakthrough infection covid

Other Meds:

Current Illness:

ID: 1532080
Sex: F
Age: 49
State: CA

Vax Date: 08/06/2021
Onset Date: 08/06/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Patient received Moderna, but previously received Janssen. Pt declined any symptoms

Other Meds: Colace, Loratadine, vitamin c

Current Illness: N/A

ID: 1532081
Sex: F
Age: 74
State:

Vax Date: 08/04/2021
Onset Date: 08/05/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: patient stated bloating lasting 2 days following vaccine

Other Meds:

Current Illness:

ID: 1532082
Sex: F
Age: 22
State: PR

Vax Date: 08/06/2021
Onset Date: 08/06/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies: Turkey, iodine, seafood, and Advil

Symptom List: Pain in extremity

Symptoms: 22 year old female patient presents with dizziness and blurry vision 5 minutes after vaccination. Pale and sweaty from head to toe.

Other Meds:

Current Illness:

ID: 1532083
Sex: F
Age: 18
State: MD

Vax Date: 08/02/2021
Onset Date: 08/03/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies: nkda

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

Symptoms: fevers x 3 days started 8/3 up to 101.5, nausea x 3 days, sore throat/congestion x 3 days

Other Meds: none

Current Illness: none

ID: 1532084
Sex: F
Age: 71
State:

Vax Date: 02/18/2021
Onset Date: 08/03/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: U07.1 - COVID-19 virus infection breakthrough infection covid

Other Meds:

Current Illness:

ID: 1532085
Sex: F
Age: 49
State: MT

Vax Date: 01/13/2021
Onset Date: 08/04/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Tested positive for COVID after being fully vaccinated.

Other Meds:

Current Illness:

ID: 1532086
Sex: F
Age: 56
State:

Vax Date: 04/29/2021
Onset Date: 08/04/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: COVID-19 virus infection breakthrough infection covid

Other Meds:

Current Illness:

ID: 1532087
Sex: F
Age: 34
State: MO

Vax Date: 08/04/2021
Onset Date: 08/05/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: The day of receiving the vaccine I had a very sore arm where the shot was administered. Fatigue level increased. Approximately 24 hours after receiving the shot I had increase fatigue, headache, Muscle pain and weakness and chills. 48 hours after the vaccine I felt relieved of all of the symptoms and felt normal.

Other Meds: Lamictal, levothyroxie, folic acid, prenatal club house

Current Illness: No

ID: 1532088
Sex: M
Age: 36
State: OR

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

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

Lab Data:

Allergies:

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

Symptoms: The night of the vaccination my dreams were incredibly bizarre, I had developed a headache before bed that continued for an hour or so. My shoulder hurt for four days or so and all my joints began to hurt for about a week. When I was at work my thought process was bad and verbs were difficult to think of so I resorted to pantomime at one point. My brain worked normally, maybe better than normally after a couple of days but I am still having weird dreams, albeit less and less frequently. I think it did something to my brain.

Other Meds:

Current Illness:

ID: 1532089
Sex: M
Age: 18
State: MI

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

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

Lab Data:

Allergies: NKA

Symptom List: Injection site swelling, Limb discomfort

Symptoms: The evening after receiving vaccine began having headache, severe nausea and vomiting, chills, and body aches. Headache and body aches lasted 4-5 days as well as deminished appetite. Took over the counter medications for headache. Was not seen by health care provider for any further treatment.

Other Meds: none known

Current Illness: Toe injury- was given antibiotic to take, but did not start taking because was not feeling well after vaccination.

ID: 1532090
Sex: M
Age: 60
State:

Vax Date: 04/29/2021
Onset Date: 08/04/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: U07.1 - COVID-19 virus infection breakthrough infection covid

Other Meds:

Current Illness:

ID: 1532091
Sex: M
Age: 49
State: HI

Vax Date: 03/18/2021
Onset Date: 08/05/2021
Rec V Date: 08/06/2021
Hospital:

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

Lab Data:

Allergies: scallops

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

Symptoms: devloped COVID-19 infection

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am