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: 1577878
Sex: M
Age: 16
State: MI

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: temperature excursion - vaccine stored too long in freezer temperatures

Other Meds:

Current Illness:

ID: 1577879
Sex: M
Age: 34
State: PA

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: On 8/16/2021, the patient received Janssen covid-19 vaccination and was advised to wait for 15 minutes. Patient stood up around 4 minutes after vaccination & informed pharmacist that he was having a panic attack. Pharmacist went to assist patient & caught him as he fainted. Pharmacist technician called 9-1-1 immediately & they arrived within 10 minutes of the phone call. The patient was awake & conscious when they arrived & declined EMS care. The patient walked out & left with his girlfriend around approximately 2:35 pm.

Other Meds: Janssen Covid-19 Vaccine

Current Illness: None

ID: 1577880
Sex: F
Age: 32
State:

Vax Date: 07/12/2021
Onset Date: 07/12/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Hives

Other Meds:

Current Illness:

ID: 1577881
Sex: M
Age: 12
State: MA

Vax Date: 08/15/2021
Onset Date: 08/15/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: ipsilateral axillary swelling & pain warranting advil, tylenol & self advocated activity restrictions. difficult to discern lot # due to poor handwriting

Other Meds: none

Current Illness: none

Date Died: 07/27/2021

ID: 1577882
Sex: F
Age: 91
State: VA

Vax Date: 07/20/2021
Onset Date: 07/21/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies: Latex; sulfer

Symptom List:

Symptoms: Massive right MCA stroke 31 hours after receiving vaccine, resulting in death 5 1/2 days later.

Other Meds: Repaglinide; Nortriptyline HCL; Losartan Potassium; Levocetirizine; Fenofibrate; Donepezil HCL; Fluticasone; Olopatadine HCL

Current Illness:

ID: 1577883
Sex: F
Age: 13
State: MO

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: AFTER GIVE THE VACCINE, PT WAS TOLD TO SIT FOR 15 MINUTES TO WATCH FOR SIDE EFFECTS. AFTER ABOUT 2-3 MINUTES PT GOING TO BATHROOM PASED OUT AND FELL TO FLOOR HITTING BACK OF HEAD. PT WAS AWAKE AND EYES OPEN AS SOON AS RPh GOT TO HER WITHIN A COUPLE OF SECONDS. 911 WAS CALLED ICE PLACED ON BACK OF HEAD OF PT, AND TALKED TO PT TO MAINTAIN ALLERTNESS TILL PAREMETICS GOT THERE. WHEN PAREMETICS ARIVED THEY SAT PT UP, EXAMINED BACK OF HEAD, CHECKED HER TO BE ABLE TO STAND,. SHORTLY AFTER THE PT LEFT STORE WITH MOTHER.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1577884
Sex: F
Age: 75
State: MN

Vax Date: 04/07/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies: Cefepime, Rocephin, Haloperidol, Atorvastatin, Daptacel, Gabapentin, HMG-coa-r inhibitors, hydrochlorothiazide, Indomethacin, Lisinopril, Lithium, Lithium, Nitrofurantoin, Tdap vaccine, adhesive tape, latex, methotrexate, metoclopramide, prochlorperazine

Symptom List:

Symptoms: Patient developed symptoms of SOB and a cough on 08/06/2021. Presented to the ER on 08/13/2021 for these symptoms and tested positive for COVID-19 on 08/13/2021.

Other Meds: Lantus, Voltaren, Unifine, Synthroid, Vit D, Eliquis, Bumex, Flexeril, Zyloprim, Depakote, Multaq, Norco, Novolog, Toprol, Mirapex, Deltasone, Seroquel, Cymbalta

Current Illness:

ID: 1577885
Sex: F
Age: 42
State: PA

Vax Date: 05/21/2021
Onset Date: 05/22/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: I had a mild 48 hour reaction to the first shot but the second shot gave me a fever ranging from 100.2 to 102.7 for about 12-24 hours the day after the second dose. I also had horrible pain and fatigue for a week and about three days after the second dose I developed a rash on my neck chest and arms. The main reason I am filing this report is because it has been almost 13 weeks since the second dose and I believe this vaccine has affected my fibromyalgia because my pain and fatigue levels, which I had under control for the most part, are now much higher. Also things that should trigger a fibromyalgia flare don't and things that shouldn't trigger a flare do. It's as if my fibromyalgia is uncontrollable at the moment.

Other Meds: Magnesium, vitamin b, vitamin c, vitamin d, fish oil, citalopram, lisinopril, euthyrox

Current Illness:

ID: 1577886
Sex: F
Age: 74
State: FL

Vax Date: 02/06/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: infused iron

Symptom List:

Symptoms: fatigue, nausea, indigestion, aches

Other Meds: humalog via pump, xalatan5% ,simbrinza, crestor 10 mg, miralax, carvedilol 3.123 2x day, clopidogrel 75mg, torsemide 20mg on non dialysis days, alprazolam 0.50 2x day, baby aspirin, sertraline 50mg, norvasc 2,5mg , dialyvite 800 multivitami

Current Illness: esrd, cad,

ID: 1577887
Sex: M
Age: 41
State: NY

Vax Date: 05/23/2021
Onset Date: 06/15/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Temporary kaleidoscope vision in right eye along with partial loss of vision. Each episode lasted 3-4 hours. 4 episodes have been experienced so far.

Other Meds: none

Current Illness: none

ID: 1577888
Sex: M
Age: 63
State: TX

Vax Date: 04/01/2021
Onset Date: 08/14/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies: penicilian

Symptom List:

Symptoms: J&J vaccine for C19 per pt 4/2021 w/o actual date knowledge 8/8/2021- onset symptoms- GI and fever at home 8/14/2021- came to ED and admit same day- pt came in with body aches, cough, fatigue, progressive weakness, 8/10/2021- had C19 testing at pharmacy and reported as Covid positive

Other Meds: unknown

Current Illness: unknown

ID: 1577889
Sex: M
Age: 68
State: ME

Vax Date: 04/02/2021
Onset Date: 04/15/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 2 weeks after 2nd shot was awakened with terrible ringing in left ear, went to primary care doctor was sent for hearing test, was sent to ENT doctor then to audiology, have appoint with massage therapist Fri, the 20th of August, now taking xanax for anxiety

Other Meds:

Current Illness:

ID: 1577890
Sex: F
Age: 63
State: PA

Vax Date: 12/21/2020
Onset Date: 08/01/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Chlorphen-phenyltolox-pe-ppa MoxifloxacinOther (document details in comments) PhenazopyridineNausea Only

Symptom List:

Symptoms: ? Sinus Problem bilat ear pain/pressure, headache, cough, drainage, nasal congestion

Other Meds: benzonatate (TESSALON PERLES) 100 mg capsule cetirizine (ZyrTEC) 10 mg tablet cycloSPORINE (RESTASIS) 0.05 % ophthalmic emulsion estradioL (ESTRACE) 0.01 % (0.1 mg/gram) vaginal cream lisinopriL (ZESTRIL) 10 mg tablet nitrofurantoin, macroc

Current Illness:

ID: 1577891
Sex: F
Age: 54
State: WI

Vax Date: 08/11/2021
Onset Date: 08/11/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Shellfish, Vicodin

Symptom List:

Symptoms: Itchy mouth, ears, throat, back, forearms and ankles. Warmth to skin and redness in face, and arms and swelling in the hands. difficulty swallowing . Ringing in ears

Other Meds: Trazodone 50 mg at Bedtime, Montelukast SOD 10 mg at Bedtime

Current Illness: None

ID: 1577892
Sex: F
Age: 68
State: IN

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was given a 3rd dose of Covid-19 vaccine. It should have been Moderna that was given but Pfizer was given in error. Patient was notified immediately. No adverse effects reported. Patient understands and was not worried about the dose of Pfizer that was given.

Other Meds:

Current Illness:

ID: 1577893
Sex: F
Age: 81
State: MI

Vax Date: 07/20/2021
Onset Date: 07/20/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: temperature excursion - vaccine stored too long in freezer temperatures

Other Meds:

Current Illness:

ID: 1577894
Sex: F
Age: 45
State: TX

Vax Date: 07/30/2021
Onset Date: 07/30/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Within a couple hours I had a severe headache and slight muscle aches. That night I woke up in the middle of the night with severe back aches and pain in my joints. The worse was in my hips. I was relegated to my bed for over 2 days. I also began having issues with my vision. I get dizzy and at times have trouble focusing. Also was extremely nauseous for the first week steadily....as time has gone on it is not as bad....though always still there. I kept thinking it would go away...and now 3 weeks later and I am still having issues. I have extreme joint pain, esp in my hips & shoots down my legs and up my back, still issues with my vision, dizziness, stiffness and pain in my neck when I turn it tired all the time, and still have headaches, and an overall feeling of not being right.

Other Meds:

Current Illness:

Date Died: 05/11/2021

ID: 1577895
Sex: F
Age: 68
State: MN

Vax Date: 04/22/2021
Onset Date: 05/11/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Tramadol, Metformin, Morphine, Prednisone, Trazodone, Atorvastatin, Codeine, Demerol, Meperidine, Oxycodone

Symptom List:

Symptoms: Patient passed away on 05/11/2021.

Other Meds: Cipro, Spironolactone, Furosemide, Vit B, Nadolol, Ferrous Sulfate, Olanzapine, Novolog, Basaglar, lactulose, Zyprexa, Aldactone, Amaryl, lisinopril, Potassium Gluconate, Allegra, aspirin

Current Illness:

ID: 1577896
Sex: M
Age: 27
State: IL

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: No Known allergies

Symptom List:

Symptoms: A patient received 3 different types of COVID- Vaccine injections. Patient received Moderna Vaccine 02/17/2021 @ Health Center, received Janssen on 05/08/2021 @ Emergency Center, and received Pfizer on 08/13/2021. No Adverse reactions noted. Patient called to schedule appointment with a physician at family health center, Patient has not responded to phone call.

Other Meds: Unknown

Current Illness: Unknown

ID: 1577897
Sex: M
Age: 28
State: NC

Vax Date: 08/11/2021
Onset Date: 08/11/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: Approximately 12 hours post vaccination, patient experienced a mild fever (~100 degrees F) and swelling of the lips. Patient stated that lips swelled to a size approximately 25% larger than normal. Symptoms mostly resolved the following day without treatment. Six days later the lip still seems a little swollen and dry but is not noticeable to the casual observer.

Other Meds: none

Current Illness: none

ID: 1577898
Sex: F
Age: 42
State: GA

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Generalized rash beginning around 4pm - patient describes as hives. Angioedema begin about 11pm same day as vaccination and lasted to early next morning. Patient took Benadryl, Sudafed, Pepcid and Zyrtec. Rash gone in 2 days.

Other Meds:

Current Illness:

ID: 1577899
Sex: M
Age: 19
State: OH

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient is aged 19. Received adult dose of Hepatitis B as first dose in the series. No adverse events between dose 1 and dose 2. Discovered at time of second injection. Patient received age-appropriate dose for dose 2.

Other Meds:

Current Illness:

ID: 1577900
Sex: F
Age: 31
State: CO

Vax Date: 02/02/2021
Onset Date: 07/23/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Penicillin; nickels

Symptom List:

Symptoms: I had fever for a few days. I had a cough, chills, and body ache. I had congestive into a running nose. The cough keep on to the point where I had to get an inhaler to help.

Other Meds: Levothyroxine

Current Illness:

ID: 1577901
Sex: F
Age: 58
State: NY

Vax Date: 01/17/2021
Onset Date: 01/19/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Sore throat leading to Sinus infection into bronchitis Oral Thrush Shingles

Other Meds: Losartin HCL Buspirone Prozac

Current Illness:

ID: 1577902
Sex: F
Age: 24
State: PA

Vax Date: 12/22/2020
Onset Date: 07/27/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: LisinoprilAngioedema / Facial Swelling, Anaphylaxis, Swelling

Symptom List:

Symptoms: Cough Headache New loss of taste or smell Congestion or running nose

Other Meds: ALPRAZolam (XANAX) 0.25 mg tablet amLODIPine (NORVASC) 5 mg tablet buPROPion XL (WELLBUTRIN XL) 150 mg 24 hr tablet diclofenac (VOLTAREN) 75 mg EC tablet FLUoxetine (PROzac) 40 mg capsule(Expired) hydrOXYzine pamoate (VISTARIL) 25 mg capsul

Current Illness:

ID: 1577903
Sex: F
Age: 49
State: IA

Vax Date: 09/02/2020
Onset Date: 09/17/2020
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: environmental allergies to grasses, trees, pollen, etc

Symptom List:

Symptoms: Woke on the morning of 09/17/20 with a couple unexplained bruises, one on each forearm. Not concerning, but notable. Later that day I had traveled out of state. By that evening, I had 2 more small bruises on my legs. Over the next few days, I had more bruising on my body and was extremely fatigued. By 09/23/20, I had extreme bruising and that evening noticed bleeding from my gums when brushing my teeth. The next morning I had labs drawn which showed critically low platlets and was urgently referred to hematology that same afternoon. Received treatments of steroids and immunotherapy infusions through November 2020

Other Meds: Metformin, wellbutrin, omeprazole, temazepam, multiple vitamin

Current Illness: none

ID: 1577904
Sex: M
Age: 32
State: KY

Vax Date: 04/20/2021
Onset Date: 08/11/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Tested Positive for Covid

Other Meds:

Current Illness:

ID: 1577905
Sex: M
Age: 70
State:

Vax Date: 05/09/2018
Onset Date: 08/12/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: Contracted Shingles after receiving Shingrix vaccination 3 years later.

Other Meds:

Current Illness:

ID: 1577906
Sex: F
Age: 22
State: VA

Vax Date: 08/16/2021
Onset Date: 08/17/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Received vaccine 3 PM on 8/16/21. Arm soreness persists, 12:15 AM 8/17/21 cold/numb/pins & needles starts in upper right arm and goes all the way down to fingertips on right arm. Went to ER around 1:30 AM 8/17/21. Doctor rules out allergic reaction. Doctor says likely injection pressing on nerve. 3:30 AM 8/17/21 leaves emergency room. 10:42 AM 8/17/21 arm soreness persists and numb/cold feeling as well.

Other Meds: Junel FE 24 birth control

Current Illness: None

ID: 1577907
Sex: F
Age: 52
State: TX

Vax Date: 04/01/2021
Onset Date: 04/23/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Kiwi

Symptom List:

Symptoms: Despite being 2 years post menopausal, 3 weeks after my second vaccine my period resumed and has occurred every 3 weeks since.

Other Meds: Valsartan Amlodipine Bijuva Vitamin D Vitamin B12

Current Illness: None

ID: 1577910
Sex: M
Age: 62
State: VA

Vax Date: 08/04/2021
Onset Date: 08/06/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Headache, nausea, vomiting , dizziness, vertigo, muscle aches on shoulders, back, neck and abdominal

Other Meds: Lisinopril 10mg (once daily) Omeprazole 40mg (once daily)

Current Illness: None

ID: 1577911
Sex: F
Age: 14
State: GA

Vax Date: 07/27/2021
Onset Date: 08/14/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Beginning August 14, involuntary neck spasms started and continued throughout the day. They have continued and grown in frequency.

Other Meds: Daily gummy vitamin

Current Illness: None

ID: 1577912
Sex: M
Age: 78
State: MI

Vax Date: 02/20/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Moderna- 01/23/2021 C19 dose #1 Moderna- 02/20/2021 C19 dose #2 8/13/2021- Pt reported cough with green sputum, dizzy, positive test from 8/2/2021, constant headache and GI issues 8/15/2021- came to ED with same symptoms and worsening, no vomiting, known C19 positive from 8/2/2021 while visiting family in another location, no Covid testing in ED

Other Meds: Unknown

Current Illness: Unknown

ID: 1577913
Sex: F
Age: 56
State: MD

Vax Date: 08/02/2021
Onset Date: 08/07/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 7 days after shot my arm burned , swelled and was red , hot to touch . Dr gave me steroids 8/10, it seemed to get better but after the steroids finished the red arm came back , swollen and hot . I felt my heart was racing and it looks bruised at the lower area My dr put me on Bactrim yesterday for cellulitis. I am so sick .

Other Meds: Mimvey and probiotics, testosterone cream Armor thyroid pill in am

Current Illness: Sinus infection

ID: 1577914
Sex: F
Age: 30
State: PA

Vax Date: 01/05/2021
Onset Date: 08/01/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Cough Fatigue Muscle or body aches Headache

Other Meds: Outpatient Medications FLUoxetine (PROzac) 20 mg capsule meclizine (ANTIVERT) 25 mg tablet Clinic-Administered Medications levonorgestrel (MIRENA) 20 mcg/24 hr (5 years) IUD 52 mg

Current Illness:

ID: 1577915
Sex: F
Age: 31
State: VA

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 08/17/2021
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Lab Data:

Allergies: Codeine & anything in it's family.

Symptom List:

Symptoms: Heavy menstrual bleeding outside of normal cycle

Other Meds: Daily birth control Noreth-ee-fe 1.5-.03MG (21)-75. Ibuprofen at 8pm on Monday 8/16/21 for injection site cramping and pain. I stopped taking prescribed Dextroamphetamine on 8/7/21.

Current Illness: None

ID: 1577916
Sex: F
Age: 27
State: TX

Vax Date: 04/29/2021
Onset Date: 07/28/2021
Rec V Date: 08/17/2021
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Lab Data:

Allergies: None

Symptom List:

Symptoms: sore throat persisting for eight days

Other Meds: Levora, Advil

Current Illness: None

ID: 1577918
Sex: F
Age: 61
State: NY

Vax Date: 03/06/2021
Onset Date: 03/11/2021
Rec V Date: 08/17/2021
Hospital:

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Lab Data:

Allergies: Penicilin

Symptom List:

Symptoms: Developed rash on back, stomach, arms, leg. Went to doctor. Took allergy test. Not allergic to food, etc. Given Benadryl and Allegra. Had to be on allergy medication for about a month.

Other Meds: None

Current Illness: None

ID: 1577919
Sex: F
Age: 17
State: KY

Vax Date: 07/19/2021
Onset Date: 08/12/2021
Rec V Date: 08/17/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: Covid19

Other Meds:

Current Illness:

ID: 1577920
Sex: M
Age: 37
State: WA

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 08/17/2021
Hospital:

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Lab Data:

Allergies: No

Symptom List:

Symptoms: Sore arm, swollen finger, headache.

Other Meds: Adderall

Current Illness: No

ID: 1577921
Sex: M
Age: 39
State: IL

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 08/17/2021
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Symptom List:

Symptoms: Approximately 30 to 60 seconds after receiving the vaccine, the patient blacked out, his eyes rolled back and he slumped over in his chair. He was extremely diaphoretic. After a few seconds, he came to and was transported by wheelchair to clinic room table where ice was applied to back of his neck and fan was turned on. EMS was called for evaluation. Pt was not transported, vitals were stable.

Other Meds:

Current Illness:

ID: 1577922
Sex: F
Age: 84
State: KY

Vax Date: 01/14/2021
Onset Date: 08/11/2021
Rec V Date: 08/17/2021
Hospital:

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Lab Data:

Allergies: None reported

Symptom List:

Symptoms: Tested positive for Covid 19 on 8/11/2021

Other Meds: None reported

Current Illness: None reported

ID: 1577923
Sex: M
Age: 75
State: MN

Vax Date: 02/25/2021
Onset Date: 08/15/2021
Rec V Date: 08/17/2021
Hospital:

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Lab Data:

Allergies: environmental allergens

Symptom List:

Symptoms: Patient has contracted Covid 19

Other Meds: albuterol HFA 108/90 mcg/ACT inhaler 2 puffs q4-6 h PRN, allopurinol 300 mg daily, tamsulosin 0.4 mg daily, celecoxib 200 mg daily, levothyroxine 125 mcg daily, simbrinza 1-0.2% suspension opthalmic 1 drop daily to LEFT eye, CBD oil gummy d

Current Illness: none

Date Died: 03/21/2021

ID: 1577924
Sex: F
Age: 94
State: MA

Vax Date: 02/23/2021
Onset Date: 03/21/2021
Rec V Date: 08/17/2021
Hospital:

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Symptom List:

Symptoms: Death on 3/21/2021 of respiratory illness

Other Meds:

Current Illness:

ID: 1577925
Sex: F
Age: 65
State: MI

Vax Date: 05/22/2021
Onset Date: 08/12/2021
Rec V Date: 08/17/2021
Hospital: Y

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Lab Data:

Allergies: NKA

Symptom List:

Symptoms: 8/12/2021- symptoms began as stated below 8/16/2021- ED arrival with increased SOB, cough, headache, fever, chills, nausea- "Covid outbreak at work/church" Covid swab in ED which was positive J&J vaccine on 5/22/2021per patient

Other Meds: Unknown

Current Illness: Unknown

Date Died: 08/10/2021

ID: 1577926
Sex: M
Age: 87
State: MO

Vax Date: 05/01/2021
Onset Date: 08/06/2021
Rec V Date: 08/17/2021
Hospital: Y

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Symptom List:

Symptoms: Sxs onset 7/26. -Death Disease Report says that the patient was admitted to ICU. Admitted to hospital on 8/6 and died on 8/10. *Death DIsease Report said he was NOT admitted to hospital due to COVID. *Death Disease Report said his death was NOT related to COVID.

Other Meds:

Current Illness:

ID: 1577927
Sex: F
Age: 87
State: MN

Vax Date: 02/17/2021
Onset Date: 07/21/2021
Rec V Date: 08/17/2021
Hospital:

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Lab Data:

Allergies: Ketamine, Codeine, Iodine, Acetaminophen, Nsaids, Tolemtin

Symptom List:

Symptoms: Patient had a pre op appointment on 07/21/2021 to have surgery for a stent change. Pre Op Covid swab was completed and came back positive on 07/21/2021. She was asymptomatic.

Other Meds: Prilosec

Current Illness:

ID: 1577928
Sex: M
Age: 75
State: KY

Vax Date: 02/04/2021
Onset Date: 08/17/2021
Rec V Date: 08/17/2021
Hospital:

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Symptom List:

Symptoms: Postive for Covid-19 after being fully vaccinated.

Other Meds:

Current Illness:

ID: 1577929
Sex: F
Age: 55
State: AL

Vax Date: 02/07/2021
Onset Date: 08/05/2021
Rec V Date: 08/17/2021
Hospital:

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Symptom List:

Symptoms: breakthrough COVID case post vaccine

Other Meds:

Current Illness:

ID: 1577930
Sex: F
Age: 47
State: NJ

Vax Date: 04/28/2021
Onset Date: 04/30/2021
Rec V Date: 08/17/2021
Hospital:

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Lab Data:

Allergies: No

Symptom List:

Symptoms: I have had a Severe period with extra heavy clots that has not stopped since the shot. As well I have all swollen lymph nodes in my arm pits and breasts and suspicious cancer is now appearing in several areas of my breasts.

Other Meds: Vitamins multi

Current Illness: No

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm