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: 1602930
Sex: F
Age: 16
State: NJ

Vax Date: 08/19/2021
Onset Date: 08/21/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Moderate Jaw pain

Other Meds: None

Current Illness: None

ID: 1602931
Sex: F
Age: 23
State: IA

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

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

Lab Data:

Allergies: food: coconut medicine: chlorahexadine (mouth wash)

Symptom List:

Symptoms: arm is moderately to extremely itchy at the muscle on arm I got the shot

Other Meds: Escitalopram, Clonazepam, Buspirone, & trazadone

Current Illness: N/A

ID: 1602932
Sex: M
Age: 46
State: HI

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

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

Lab Data:

Allergies: Guaifenesin; sensitive to stimulants, steroids

Symptom List:

Symptoms: Within 24 hours of the dose, I developed 100 fever, leg pain, tingling extremities, rash and hives. 24 hours after the 1st dose I started experiencing eye pain, primarily in the left eye. I nodded off to sleep around 9:30 pm. I woke up around 10:00 pm and I COULD NOT SEE; MY EYE SIGHT WAS GONE. This lasted for about 10 seconds. I called to my wife for help and had a big surge of adrenaline which helped to get my eyes working again. I could see, but my vision was very blurry for the remainder of the evening. In the morning, my blurry vision had cleared up however my left eye was blood shot and there was some discharge. To this day, I still have leg pain, eye pain, tingling in my extremities, rash and hives.

Other Meds: none

Current Illness: none

ID: 1602933
Sex: F
Age: 26
State: LA

Vax Date: 08/18/2021
Onset Date: 08/19/2021
Rec V Date: 08/21/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: patient is complaining of chest pains and also stuttering. starting the day after the injection

Other Meds:

Current Illness:

ID: 1602934
Sex: F
Age: 56
State: PR

Vax Date: 04/08/2021
Onset Date: 08/02/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Right finger inflammation for no reason

Other Meds:

Current Illness:

ID: 1602935
Sex: F
Age: 54
State: AZ

Vax Date: 07/01/2021
Onset Date: 07/12/2021
Rec V Date: 08/21/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Sore muscle in left arm until present. I have pain in upper back and knees.

Other Meds: Melatonin, multivitamin, probiotics, calcium.

Current Illness:

ID: 1602936
Sex: F
Age: 32
State:

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Attendee complained about anxiety and being lightheaded. So was retained at the site. 1 hour after vaccination the attendee fainted, aroused within 5 seconds and was awake alert and oriented x 4. Attendee was retained at the site for another 25 minutes. She refused to have anyone come get her and she left the site independently.

Other Meds:

Current Illness:

ID: 1602937
Sex: F
Age: 40
State: VA

Vax Date: 08/19/2021
Onset Date: 08/19/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I received the vaccine in the left arm around 3:20 pm on 8-19-21. I sat on the bench at the pharmacy for approximately 5 minutes after receiving the Moderna vaccine. I felt fine. I got up and walked to my car. It was now approximately 7 minutes after receiving the vaccine. I felt my heart begin to race, and felt light headed/dizzy. I knew I couldn?t drive home in this condition. I laid my car seat back in the parking lot. About a minute after these symptoms began, my hands began tingling uncontrollably, similar to a pins and needles feeling, only 20 times worse. My hands became rigid and paralyzed. I could not bend my hands at all. I considered calling 911 but could not bend my hands to pick up my phone. I laid there for about 5 minutes without improvement. Finally, I began to regain use of my hands. I stayed in my car until all symptoms subsided. I felt ok to drive home approximately 20-25 minutes after receiving the vaccine. I still feel somewhat shaky and it has been 2 days.

Other Meds: Levythyroxine

Current Illness: None

ID: 1602938
Sex: M
Age: 67
State:

Vax Date: 02/24/2021
Onset Date: 03/29/2021
Rec V Date: 08/21/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: got first dose 2/24/21 and 3/24/21 and he started developing eye rash ~3/19/21, leading to diagnosis of heliotropic rash to dermatomyositis and ILD.

Other Meds: methylPREDNISolone (MEDROL DOSEPAK) 4 MG tablet follow package directions 21 tablet 0 cyclobenzaprine (FLEXERIL) 10 MG tablet Take 1 tablet by mouth 3 times daily as needed for Muscle spasms.

Current Illness: Hypertension, R rotator cuff tear

ID: 1602940
Sex: F
Age: 64
State: OH

Vax Date: 04/05/2021
Onset Date: 08/21/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies: animals

Symptom List:

Symptoms: vertigo

Other Meds: simvastatin Advair

Current Illness:

ID: 1602941
Sex: M
Age: 13
State: FL

Vax Date: 08/21/2021
Onset Date: 08/21/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient fainted after receiving the vaccine.

Other Meds: None

Current Illness: None

ID: 1602942
Sex: F
Age: 37
State:

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

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

Lab Data:

Allergies: Penicillin, tetracycline, doxycycline, cephlacor

Symptom List:

Symptoms: Extreme Fatigue, Diarrhea, Arm Tenderness

Other Meds: Saxenda, Zoloft, Zyrtec, Diamox, Armour Thyroid

Current Illness: None

ID: 1602944
Sex: F
Age: 35
State: NM

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Migraine, fever, chills, extreme muscle weakness, shortness of breath intense muscle pain, kidney pain, blue lips, nausea

Other Meds: None

Current Illness: Egg whites, gelatin

ID: 1602945
Sex: M
Age: 10
State: CA

Vax Date: 08/08/2021
Onset Date: 08/08/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: COVID vaccine given to a patient under the age of 12 due to error in parental reporting of patient's date of birth.

Other Meds: n/a

Current Illness: unknown

ID: 1602946
Sex: M
Age: 30
State: IN

Vax Date: 08/18/2021
Onset Date: 08/19/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt states the day following the vaccine his skin felt irritated to the touch, and was experiencing "crawling like" sensations

Other Meds:

Current Illness:

ID: 1602947
Sex: F
Age: 46
State:

Vax Date: 06/18/2021
Onset Date: 06/18/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: headache heavy period

Other Meds:

Current Illness:

ID: 1602948
Sex: F
Age: 20
State:

Vax Date: 08/21/2021
Onset Date: 08/21/2021
Rec V Date: 08/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Route:
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Lab Data:

Allergies:

Symptom List:

Symptoms: The patient began itching on arms and legs approximately five minutes post vaccination.

Other Meds:

Current Illness:

ID: 1602949
Sex: F
Age: 51
State: CT

Vax Date: 07/26/2021
Onset Date: 07/26/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Numbness and tingling on whole left side, including arm, leg, face and head.

Other Meds: Vitamin C chewable daily Ibuprofen several (6+) hours prior

Current Illness: Sore throat - negative for strep

ID: 1602950
Sex: F
Age: 50
State: TX

Vax Date: 08/18/2021
Onset Date: 08/19/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I was on my second day of my menstrual cycle so I was experiencing heaviness which is normal but I feel maybe I should not have got the shot at that time. The same evening I felt something but I figured it was normal because I don't even get flu shots , I haven't had a vaccine since I was a kid and I don't get sick so I felt that my body was reacting to It. The next morning was awful, I was sore, I had a fever, chills, I tried to eat but had nausea, my head was hurting, I stayed on my couch and bed all day. Since I don't get sick I had no Tylenol or any fever reducer in my home. I felt to bad to get out and go to the store for some. The next morning I had to work, my coworkers have never seen me like that. I was still nausea's and sore. They gave me Tylenol and Advil, later I still felt nausea's. I feel better today but I don't think I will get the second vaccine just because of how my reaction was to the first one. I hope by giving you my experience that it will help someone else.

Other Meds: Lamotrigine, Briviact, vitamin D

Current Illness: None

ID: 1602951
Sex: F
Age: 46
State: TX

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

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

Lab Data:

Allergies: Phenobarbital, Tegretol, fluerosciene dye

Symptom List:

Symptoms: Elevated blood pressure despite taking blood pressure medication

Other Meds: Cyclosporine, Mycophenolate, prednisone, hydralazine, atenolol, clonidine, euthyrox, astorvastatin, magnesium, sodium bicarbonate, low dose aspirin, oyster shell calcium, women?s one daily multivitamin, vitamin d3, vitamin b12, slow iron, S

Current Illness:

ID: 1602952
Sex: F
Age: 60
State: CO

Vax Date: 08/17/2021
Onset Date: 08/19/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List:

Symptoms: Lymph Node in neck has a painful nodule, pain radiates up neck and and radiates across clavicle area all the way to the vaccination site on left arm. Very painful to touch.

Other Meds: Taken at 9:30 pm on day of vaccine: Metoprolol ER 50 mg, Famotidine 40 mg, Temazepam 15 mg, Gabapentin 300 mg, Ginger Root 550 mg, B12 1000 mcg, D3 50 mcg, Calcium/Magnesium/Zinc 1000mg/400mg/25mg,

Current Illness: Surgery to reverse temporary loop ileostomy7/12/2021

ID: 1602953
Sex: F
Age: 74
State: CA

Vax Date: 02/01/2021
Onset Date: 02/08/2021
Rec V Date: 08/21/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: During the week following the first Covid 19 2/1/21 I had a couple of days with Migraine and the ?normal symptoms ? but increasingly feeling winded and nauseous. I also had a couple of days at the end of the week where I had severe leg cramps. I found myself with low blood oxygen and high resting pulse so on Monday 2/8/21, after a phone conference with Dr. she sent me to the ER At Hospital , where they kept me until the following Thursday. I had a Pumonary Embolus and respiratory failure. They preformed Trombolysis.

Other Meds: Prednisone, Calcium, C vitamin.

Current Illness: Poly Myalgia Rheumatica PMR, Sciatica, Osteoporosis.

ID: 1602954
Sex: M
Age: 21
State: CA

Vax Date: 06/15/2021
Onset Date: 06/16/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies: allergies to dust and mold

Symptom List:

Symptoms: Patient presented to health clinic for his 2nd dose of the COVID Moderna vaccine. While being processed for 2nd dose vaccination, the client reported that approximately 24 hours after receiving her first Moderna dose, he experienced chest pressure x3 days. Client notes aggravating factors include staying still and alleviating factors include moving around and taking "deep breaths". Client reports taking a total on 3 aleve doses, 1 dose every day for 3 days following onset of symptoms. Co-Lead RN was advised by Vaccinator, regarding client report. Co-Lead RN responded. The client states symptoms resolved after third day. Client denies experiencing shortness of breath or any other symptoms at the time that he experienced chest pain. Client did not follow up with PCP or seek medical attention for symptoms. Client denies medical history and notes he has allergies to mold and dust. Co-Lead RN, consulted with medical team Medical. Medical team recommended that client proceed with 2nd dose Moderna COVID 19 vaccination. Co-Lead RN informed client who agreed to plan of care. Client received 2nd dose Moderna COVID 19 vaccination and was observed for 30 minutes. No symptoms reported by client. Co-Lead RN educated client on ED precautions. No additional interventions indicated at this time.

Other Meds: none as reported by client

Current Illness: none reported by client.

ID: 1602955
Sex: F
Age: 51
State: OK

Vax Date: 08/04/2021
Onset Date: 08/04/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I received the shot by a student tech. I went back to work. At the end of the work day (appx 5 hours later) I started to feel a heating sensation in my left arm. By time I reached home, I felt drained. A family member made an observation that I received the shot high in my arm; unlike their experience where the shot was received lowered. I could not reach my hand above my head without the assistance of my right arm. For the next few days, I did the following (alternated taking Tylenol and Advil), massage arm with rubbing alcohol (91%), exercise arm, and used a heating pad. There was no soreness were I received the shot. The pain was in the muscle. It was extremely intense when I tried to make a circular motion between the positions of 12 o'clock thru 3 o'clock and vice versa. There was a popping in my shoulders when making the motion. It hurt when I put my arm behind back between shoulder blades. It hurt when making certain motions when getting dressed (e.g. pulling socks apart to put on feet). This continued for about 11 days. I still feel slight pain, but it appears to be going away.

Other Meds: I take the following daily around 6:30am - Multi-vitamin, Vitamin D, Iron, Collagen Support

Current Illness: None

ID: 1602956
Sex: F
Age: 12
State: OK

Vax Date: 08/21/2021
Onset Date: 08/21/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies: unkown

Symptom List:

Symptoms: Pt reported for 1st pfizer covid vaccine. about 5-10 minutes after the vaccine, the pt reported difficulty breathing and numbness in her arm. The patient was crying , but was continually able to talk. EMS was called. PT left after clearance from ems.

Other Meds: cetirizine

Current Illness: unkown

ID: 1602957
Sex: F
Age: 46
State: TX

Vax Date: 06/01/2021
Onset Date: 07/01/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tachycardia , bradycardia , chest pain , fatigue Currently wearing holter monitor and scheduled for echocardiogram

Other Meds: Levothyroxine

Current Illness: None

ID: 1602958
Sex: F
Age: 41
State: SC

Vax Date: 08/21/2021
Onset Date: 08/21/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: panic attack, after getting the vaccine patient set for 15 mins, left and then smoke a cigarate and while leaving the store patient had heart palpitations, patient came back, asked her to sit down, gave some water and chocolates.

Other Meds: na

Current Illness:

ID: 1602959
Sex: F
Age: 53
State: AZ

Vax Date: 08/15/2021
Onset Date: 08/16/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies: no known allergies

Symptom List:

Symptoms: Patient developed growing erythema, warmth and swelling burning tenderness, fatigue starting the day of vaccination and continuing on for 6 days afterwards. She also developed a rash on her abdomen that resolved and an area redness the size of a pencil eraser on plantar base of left great toe.

Other Meds: none

Current Illness: none

ID: 1602960
Sex: F
Age: 64
State: CA

Vax Date: 03/31/2021
Onset Date: 04/08/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies: Anti-inflammatories

Symptom List:

Symptoms: Eight days after the initial vaccination, I developed COVID rash at the injection site and on my face. It cleared at the injection site, but not on my face. I also had a headache and nausea for the first 7 days (no fever). Because of the severity of the reaction to the first injection, I checked with my PCP and rheumatologist before the second injection. Labs were run that only showed an elevated white blood cell count. They encouraged me to proceed with the second vaccination. The hives surged after that and eventually I was unable to manage them with anti-histamines. I am now on Xolair and anti-histamines, in an effort to manage the hives.

Other Meds: Cetirizine (10 mg taken around 5 p.m. daily) Arthritis pain acetaminophen (650 mg, taken as needed to control joint pain) Cosamin DS 1500 Complex with 1200 mg Chondroitin (2 Capsules Oral daily am and pm ) One a day Women?s 50+ multivitam

Current Illness: None

ID: 1602961
Sex: F
Age: 42
State: WA

Vax Date: 08/18/2021
Onset Date: 08/18/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: Patient came to our facility and got Janssen vaccine . while entering her information in state immunization system found that she already had her Moderna two doses one in December and January . Patient did not mention about that to us before getting the Janssen vaccine and stated that she did not get any Covid vaccine in her consent form.

Other Meds: no

Current Illness: no

ID: 1602962
Sex: F
Age: 46
State:

Vax Date: 07/30/2021
Onset Date: 08/02/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Periods within 2 weeks of each other Fatigue

Other Meds:

Current Illness:

ID: 1602963
Sex: F
Age: 53
State: GA

Vax Date: 08/21/2021
Onset Date: 08/21/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies: PENICILLIN

Symptom List:

Symptoms: PT REPORTED LIGHT-HEADEDNESS AND COLD SWEATS

Other Meds:

Current Illness:

ID: 1602964
Sex: F
Age: 35
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient. Received her second dose of Pfizer (LOT#: EC3183) at 1835 on 8/17/21. Patient alerted EMT and reported feeling lightheaded, dizzy, was experiencing shortness of breathe and chest pressure. EMT took patients vital signs. BP: 158/78, HR: 49, O2: 100%. Patient stated that the same thing happened with her first dose 40 minutes after completing her observation time. Symptoms resolved with food and rest. Patient also stated that heart rate is low and is normal for her. At 1850 patient stated that she "feels chills" and the chest pressure and dizziness had improved and that she feels sleepy. EMT retook patients vitals signs at 1850. BP: 130/91, HR: 48, O2: 100%. At 1900 patient stated that she had not had any water today and no longer was experiencing any chills or any other symptoms. EMT retook patients vital signs at 1900. BP: 114/72, HR: 43, 02: 100%. EMT retook and reassessed patient at 1911. BP: 104/72, HR: 44, O2: 98%. Patient stated that she was no longer feeling any symptoms. EMT moved patient to zero gravity chair at 1920. Patient completed her observation time. EMT educated patient on adverse effects of COVID vaccine and when to seek EMS. Patient verbalized understanding of education. Patient stood up on her own and walked out of vaccination site with a steady gait at 1924.

Other Meds:

Current Illness:

ID: 1602965
Sex: F
Age: 62
State: TX

Vax Date: 05/23/2021
Onset Date: 06/25/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: June 20 at 4 weeks after the vaccination, I began feeling very tired and lathargic. june 26 i took my temperature at it was 101. for the next ten days I was in bed , eating very little, and foggy thinking. the worst part was the 103.5 temperature when I was not able to speak in a complete sentence without coughing . I had trouble breathing and after a virtual appointment with my doctor was perscribed zpak and albuterol and cepcol. I was unable to sleep with my CPAP machine because I was coughing during the night in bed. It was almost 3 weeks later when I was back to my normal self of eating , for the next 3 month (to day) I require exceessive sleep - 10 to 13 hours a night with 2 hour naps a couple times a week. I have seem a sleep doctor and am pleased to report my CPAP machine settings are new and now functioning well so that I can sleep uninterrupted with the RESMED machine therapy.

Other Meds: 10,mg amitriptline , 75 mg synthroid, B vitamins, digestive enzymes, mirlax

Current Illness:

ID: 1602966
Sex: F
Age: 56
State: NE

Vax Date: 01/29/2021
Onset Date: 02/01/2021
Rec V Date: 08/21/2021
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Allergies: tramadol, blue clothing dye

Symptom List:

Symptoms: Body aches, fever, nausea, dizziness, weakness, tiredness, extreme flu-like symptoms

Other Meds: Insulin, Metformin, simvastatin, triamterene/HCl, ramipril, levothyroxin, sulindac, accetaminaphin, Airborne immune support gummies

Current Illness:

ID: 1602967
Sex: F
Age: 73
State: CA

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 08/21/2021
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Allergies: Penicillin

Symptom List:

Symptoms: Pt recieved Moderna for 1st 2 doses of vaccine. Pfizer was administered and upon examination of pt card, She had recieved Moderna for first 2 doses.

Other Meds: Zoloft, Levothyroxine, lisinopril

Current Illness: N/A

ID: 1602968
Sex: F
Age: 30
State: KS

Vax Date: 08/19/2021
Onset Date: 08/20/2021
Rec V Date: 08/21/2021
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Allergies: Rizatriptan 10mg tab

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Symptoms: Patient called the pharmacy on 8/20/21 with complaint of fever, flu-like symptoms, pain, and nausea. She was instructed to take Tylenol or ibuprofen but stated she vomited the ibuprofen back up and did not feel well. Patient was recommended to follow up in the ER if her symptoms did not improve. She went to the emergency room and was given an IV and was prescribed an antibiotic, nausea medication, and itching medication. Patient was discharged from the ER in the same day.

Other Meds: Pantoprazole 40mg daily

Current Illness: none reported

ID: 1602969
Sex: F
Age: 17
State: AL

Vax Date: 08/21/2021
Onset Date: 08/21/2021
Rec V Date: 08/21/2021
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Symptoms: 09:08 PATIENT STATES THINKS SHE MAYBE HAVING A LITTLE HARAD TIME BREATHING. PATIENT HAS NO LIP OR TONGUE SWELLING AND IN NO APPARENT DESTRESS. 09:20 PATIENT TATES FEELS FINE MOM STATES FEELS OK WITH LEAVING AND FOLLOWING UP WITH URGENT CARE IF SYMPTOMS RETURN FURTHER NEEDS. PATIENT LEFT WITH MOM IN NO APPARENT DISTRESS.

Other Meds:

Current Illness:

ID: 1602970
Sex: F
Age: 27
State: MO

Vax Date: 08/20/2021
Onset Date: 08/21/2021
Rec V Date: 08/21/2021
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Allergies: None

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Symptoms: Fever, horrendous body aches even in fingers and toes, headache, sensitivity to light and sound, no appetite

Other Meds: Wellbutrin xl

Current Illness: None

ID: 1602971
Sex: F
Age: 32
State: AR

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 08/21/2021
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Allergies: Spironolactone.

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Symptoms: Stabbing pains in heart all night / anytime I lay down. Cannot get into hospital as they are full of Covid patients in my area but called my doctor. I have never had stabbing chest pains in my entire life, it kept me awake all night and is still occurring during the day.

Other Meds: None.

Current Illness: None.

ID: 1602972
Sex: F
Age: 54
State: SC

Vax Date: 08/12/2021
Onset Date: 08/13/2021
Rec V Date: 08/21/2021
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Allergies: Lactose Intolerant

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Symptoms: Excessive swelling in armpit that extended to shoulder blade. Swelling lasted a few days (5-6), pain at injection site. Extreme/abnormal fatigue, unusually extreme feeling of malaise, intermittent dizziness affecting normal activity, Also, higher level of pain in lower back, nerve pain in legs and feet still ongoing and requiring use of OTC (Tylenol), however the pain is still present, sometimes constant and sometimes intermittent. Patient feels the vaccine caused increased pain sensations in back, legs and feet.

Other Meds: No Prescriptions, No OTCs Vitamin Supplements usually taken in the morning (Lutein, Beta Carotene, Calcium/Magnesium, Vitamin C and Minerals) - None were taken on the morning of the day I received the vaccine out of concerns I had over p

Current Illness: None

ID: 1602973
Sex: F
Age: 63
State: IL

Vax Date: 04/07/2021
Onset Date: 04/01/2021
Rec V Date: 08/21/2021
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Allergies: None

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Symptoms: Started out pain in both hands by the thumb. Pain then went to my left elbow area, then to my right elbow area. Started getting into my toes and fingers.

Other Meds: Synthroid, Lisinopril, Rosuvastatin, Calcium 600, Glucosamine/Chrondroitin, Daily Vitamin, Aleve when needed.

Current Illness: None

ID: 1602974
Sex: M
Age: 58
State: GA

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 08/21/2021
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Symptoms: Patient received the second dose 16 days after the first dose. Patient stated he had a headache from the shot.

Other Meds:

Current Illness:

ID: 1602975
Sex: M
Age: 39
State: CA

Vax Date: 08/17/2021
Onset Date: 08/18/2021
Rec V Date: 08/21/2021
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Allergies: none

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Symptoms: Small right thalamic ischemic stroke (proven on MRI) with left-sided total body numbness.

Other Meds: none

Current Illness: none

ID: 1602976
Sex: M
Age: 45
State: FL

Vax Date: 08/21/2021
Onset Date: 08/21/2021
Rec V Date: 08/21/2021
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Allergies: none

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Symptoms: syncope, vagal response: within one minute after administration, fainted. Elevated feet prior to administration as he has history of fainting with shot administration. Wife splashed water on his face, I placed cold wet compress at base of neck, we managed to contain him in chair with feet elevated. took about one minute to regain consciousness, BP readings were 84/54 mmHg HR 50, then 108/60mmHg HR 62 about 2 minutes later. EMS was called as he was fainting. They came and assessed him and diagnosed vagal response. They left him at pharmacy to recover fully. Last BP reading before leaving pharmacy was 95/65mmHg HR 62, about 10-15 minutes after.

Other Meds: unknown

Current Illness: unknown

ID: 1602977
Sex: M
Age: 63
State: AZ

Vax Date: 08/21/2021
Onset Date: 08/21/2021
Rec V Date: 08/21/2021
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Allergies: None

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Symptoms: A few days after the first shot I went for a bike ride. After the ride I could not stop shaking and my blood felt like it had been poisoned. My ears were ringing also. I had to take a week off from exercise. Today, one week later, I tried to workout which I have done on a regular basis all my life. I had to stop halfway through because my body started shaking very badly and my ears rang. I was so out of sorts I had to lay down. This has never happened to me before. I think this shot has made me very ill.

Other Meds: None

Current Illness: None

ID: 1602978
Sex: F
Age: 40
State: CO

Vax Date: 08/13/2021
Onset Date: 08/21/2021
Rec V Date: 08/21/2021
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Allergies: None known

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Symptoms: 8 days after my vaccine, I developed a rather large triangular rash at the injection site. The skin is red, puffy, hot, and itchy.

Other Meds: Birth control pill, Women's multi-vitamin, probiotics

Current Illness: None

ID: 1602979
Sex: M
Age: 29
State: FL

Vax Date: 08/21/2021
Onset Date: 08/21/2021
Rec V Date: 08/21/2021
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Symptoms: patient stated that he was feeling lightheaded and dizzy. gave him a bottle of water and put some icepacks on his neck to cool him off and stood by him for 5 minutes , after that he felt better

Other Meds:

Current Illness:

ID: 1602981
Sex: F
Age: 22
State: LA

Vax Date: 08/21/2021
Onset Date: 08/21/2021
Rec V Date: 08/21/2021
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Allergies: Penicillin

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Symptoms: After administering the vaccine, I asked the patient to have a seat in the pharmacy lobby/waiting area for 15 minutes. While seated, the patient lost consciousness for approximately one minute. After regaining consciousness, she said she had a tingling sensation in her arm and started to feel dizzy. EMS arrived shortly after and checked her vitals then took her via ambulance to Hospital for observation.

Other Meds: None

Current Illness: Unknown

ID: 1602982
Sex: F
Age: 12
State: SC

Vax Date: 08/21/2021
Onset Date: 08/21/2021
Rec V Date: 08/21/2021
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Allergies: none listed

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Symptoms: After the shot was given, she walked with her mother and sister to sit down for 15 minutes. Before I could get inside the pharmacy my cashier said the little girl is sick. She was sitting in the chair with her legs stretched, her head was back and her eyes were closed. Her mom and I lifted her on the mat on the floor and her mom and dad kept talking to her to try to arouse her. We placed a cold pack and cool napkins on her forehead and back of her neck. She was pale she opened her eyes but was not talking. She kept closing her eyes and putting her head back. We kept talking to her and her mom asked her if she knew where she was and she answered pharmacy. The parents did not want to call 911 because this has happened before a long time ago when she cut herself in the shower. In that previous incident 911 came and she recovered in about 5 minutes. Today mom and dad said the same thing was happening but this time was longer than 5 minutes. She was able to stand on her own with support from dad and they left with her slowing walking out.

Other Meds: unknown

Current Illness: none listed

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm