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: 1039970
Sex: M
Age: 69
State: LA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fatigue, headache, chills, nausea, fever a fast heartbeat

Other Meds: Combigan

Current Illness: None

ID: 1039971
Sex: F
Age: 41
State: NC

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: neomycin otic soln lead to anaphylaxis and itching throat and trouble breathing. sulfa leads to itchy throat and trouble breathing.

Symptom List: Anxiety, Dyspnoea

Symptoms: 3:30 shot, 4:02pm itchy throat, trouble breathing 97.8degrees, 103bpm, 99sp02, itchy throat worsening. 4:05pm albuterol hfa 2 puffs. 4:08pm EpiPen right leg, 97%sp02 110bpm. 4:12pm 2liters of oxygen placed on patient nos. 4:13pm EpiPen left deltoid. 4:18pm 155/102mmHg.

Other Meds: Ventolin hfa

Current Illness: asthma normally

ID: 1039973
Sex: F
Age: 51
State:

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
Dose Series:
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Lab Data:

Allergies: Amoxicillan, Levaquin

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

Symptoms: Fever, chills, body aches lasting about 30 hours.

Other Meds: Levothyroxine

Current Illness:

ID: 1039974
Sex: M
Age: 66
State: CT

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Sore arm. Mild nausea. Tiredness. All for 24 hours

Other Meds: None

Current Illness: None

ID: 1039975
Sex: F
Age: 68
State: AK

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Food Allergies/Sensitivities-Aspirin-Non-Steroidal Anti inflammatory Drugs and Yellow Number #5 (tartrazine)/natural salicylates (Samters Triad), and IBS.

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

Symptoms: After 20 minutes of obtaining patient (me) felt a rapid heart beat (i.e., Tachycardia) and called nurse over who in turn got the Doc who was on call for the drive through to come over. Confirmed rapid heart beat and said I need to remain under observation and he would come back again in 5 minutes. After he left had intense bowel and abdominal pain. He came back and rapid heart beat subsided and I left and went home. Continued to have abdominal pain and it was severe for next 36 hours along with a headache. Felt a bit better after 36 hours but still after 72 hours abdominal pain continued again and took a dose of Imodium. Did not feel well systematically as well and called health care professional and got an emergency appointment for the next morning at 8:00 am. Unfortunately, after talking with Dr. next day I began to feel depressed with suicidal ideation involvement, this was approximately 90 hours after getting that damn shot. As a professor of psychology I only every had severe depression with suicidal ideation occur once before and that was after I was giving a new allergy medication which they had to take me off of after one week. It is obvious to me that you people rushed the science on these vaccines and were pushed to come up with a vaccine before "he should not be named was still President". Shame on you for not completely vetting the science and shame on the people who made millions off of these vaccines. In no way were people that have special genetic underpinnings such as myself including in the clinical trails. I read the findings of the clinical trails and it is disconcerting to know that instead of a 2% adverse reactions for the Moderna shot it has now being estimated that 25% or the population has an adverse event after the first shot and now can not get the 2nd and 45% of people who are getting the shot are suffering the ill effects from mRNA and these nano particulars and what is now appearing to be a problem with the lipids (i.e., polyethylene glocol). Stop experimenting with all of us and use the tried and true platforms, even if they are less effective. Or better yet stop ridding by the seat of your parents and get your protocols in order which allows people to choice for themself, in consult with they physician, of which is best for them.

Other Meds: Symbicort for asthma

Current Illness: Taste bud issues

ID: 1039976
Sex: F
Age: 87
State: PA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: Nexium

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

Symptoms: Pt possibly received normal saline diluent instead of the Pfizer vaccine. There was an error in preparation. Pt was contacted on 2/16/21. No adverse reaction reported.

Other Meds: Aspirin 81mg, Iron pill 325mg, Tylenol 500mg

Current Illness: Unknown

ID: 1039977
Sex: F
Age: 17
State: CA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: unknown. Vaccine was given to patient under 18 years of age.

Other Meds: none

Current Illness: none

ID: 1039978
Sex: F
Age: 70
State: CA

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

Vax Type:
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Lab Data:

Allergies: Sulfa, bee sting

Symptom List: Pharyngeal swelling

Symptoms: After first shot, sore arm. Went away in three days. After second dose, two days later I have a fever, G.I. problems, body aches, some trouble catching my breath, and fatigue. The fatigue, trouble catching my breath, GI problems and bodyaches lasted a full week. I haven?t seen my doctor because I have taken medicines at home that are over the counter. However, this kind of reaction has not been reported so I thought I should tell somebody. I?m going to be fine, but it was a surprise. I can breathe better today, so I will not seek medical attention.

Other Meds: Crestor, Tirosint, Leothyroxin

Current Illness: Surgery to remove thyroid

ID: 1039979
Sex: F
Age: 75
State: MN

Vax Date: 02/03/2021
Onset Date: 02/14/2021
Rec V Date: 02/18/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Can't take Codene or compazine

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: noticed hardness in upper arm was around injection site. Then it started itching and turning red. The hardness has gone away but the redness continues to move down the arm and there is still itching.

Other Meds: I am on high blood pressure medication and breast cancer medication and I take asprin and fish oil and vitamin D and a multi-vitamin. On low-dose thyroid medication - just started that on January 26th, 2021.

Current Illness: Not that I recall

ID: 1039980
Sex: F
Age: 78
State: CA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 10 minutes after vaccination, patient noted onset of dizziness, feeling "strange", tingling in her left hand, and palpitations. At 15 minutes after vaccination, her blood pressure was found to be 200/84 LA and HR90 . O2 sat 98% on RA. T 98.2 F. Pt remained alert and in no distress, but continued to feel dizzy and unwell. Her repeat blood pressure was 184/84. EMS was notified and patient was transported to the emergency room.

Other Meds: Blood pressure medication

Current Illness:

ID: 1039981
Sex: M
Age: 68
State: CO

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/18/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: None

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

Symptoms: Patient called in stating: "About 3AM on 02/10/2021, he woke up with painful muscles, along with stiffening of muscles. Lasting thru the rest of night, and now states he is still just sore as if he had a bad fever. Leg cramps are common, but this was more painful. " Treatment suggested was to increase fluid intake and report back if any further problem.

Other Meds: Vitamin C, D

Current Illness: No known illnesses at the time of vaccination

ID: 1039982
Sex: M
Age: 30
State: PA

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/18/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Route:
Vax Site:

Lab Data:

Allergies: NKA

Symptom List: Rash, Urticaria

Symptoms: Patient received IM injection of vaccine. He sat down for the 15 min observation period. After a couple minutes got up to go to the rest room. He came out of the rest room and stated he got dizzy and fell and hit his head. His head was bleeding. Refused 911 but convinced him to go to the ER down the street from our facility. He reported back after the ER visit that he was fine and told us that he has a history of fainting from injections.

Other Meds: unknown

Current Illness:

ID: 1039983
Sex: F
Age: 40
State: OH

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/18/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: Brazil Nuts

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

Symptoms: Muscle aches developed around 8 hours after injection, large red rash occurred around injection site, slightly raised and warm to the touch. This rash dissipated in 48 hours. 1 week after the injection, large bump occurred at same site and a large, red, itchy rash appeared 24 hours after. This rash is still present now 8 days after vaccination.

Other Meds: None

Current Illness: None

ID: 1039984
Sex: F
Age: 0
State: NY

Vax Date: 06/18/1980
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: none reported

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

Symptoms: pt received the Moderna Covid 19 vaccine on 2/8/21. PT stated having muscle ache/pain at injection site and then on approximately 2/16/2021, the pt developed a rash at the site on the injection that covered a majority of the deltoid area

Other Meds: none

Current Illness: none reported

ID: 1039985
Sex: F
Age: 34
State: CA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Covid19 vaccine Pfizer: Pt received vaccine at 1620. At 1630, pt started feeling dizzy and nauseous. On on evaluation pat diaphoretic. Laid on floor with feet up. BP 113/85, P85, O2Sat 99% on room air. After ~10 min on the floor pt stated that she was starting to feel better. Pt moved to chair and provided water to drink but did not want to eat anything (due to food allergies). After 5 min sitting up pt felt dizzy again (PB 127/88, P81, 02Sat 99% on RA). Pt brought back to floor with feet elevated. At 1700 pt sat up again. Continued to be symptomatic (BP 121/90, P 80, 02Sat 99% on RA. Pt brought to ED for further observation, report given to triage nurse. Pt. Remained alert and oriented throughout. Discharged from ED after glucose check WNL and ECG (Normal sinus rhythm with sinus arrhythmia. Rightward axis. No previous ECGs available)

Other Meds:

Current Illness:

ID: 1039986
Sex: F
Age: 81
State: CA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 10 minutes following vaccination, patient complained of dizziness and feeling warm. Vitals showed elevated blood pressure 193/78, normal pulse, oxygenation, and temperature. She noted mild improvement in symptoms after 30 minutes, but patient was still unsteady to ambulate independently. BP remained elevated 189/73, 191/86. She denied headaches, SOB, chest tightness, difficulty breathing, GI symptoms, rash. Patient noted history of intermittent elevated BP with systolic measurement in 250s, but no diagnosis of hypertension or hypertensive medications. She reported feeling well this morning and having normal breakfast prior to appt. Ambulance transport was called due to hypertension and persistent dizziness. Patient refused transport upon arrival and was taken by personal driver.

Other Meds:

Current Illness:

ID: 1039987
Sex: F
Age: 60
State: MA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/18/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: Seasonal

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

Symptoms: Red, itchy, painful

Other Meds: Allegra, vit C and d3, zinc, elderberry, centrum multi, salmon oil

Current Illness: None

ID: 1039988
Sex: F
Age: 14
State: IA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Day of vaccination (Monday) - arm sore, Tuesday - body aches, muscles sore, headache, Wednesday- muscles less sore, headache, Thursday - symptom free

Other Meds: None

Current Illness: None

ID: 1039989
Sex: M
Age: 76
State: AL

Vax Date: 01/28/2021
Onset Date: 02/01/2021
Rec V Date: 02/18/2021
Hospital: Y

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

Lab Data:

Allergies: Unknonw

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient had an NSTEMI wihtin 3 days of receiving the vaccine.

Other Meds: Unknown

Current Illness: Unknown

ID: 1039990
Sex: M
Age: 67
State: NY

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Flushing of the face began five minutes post 2nd vaccination dose. His vitals were within normal limits. He was brought to the medical evaluation area and monitored for over 30 mins with no further incident. He denies any SOB, chest pain, dizziness, numbness or tingling of the tongue. Wife at bedside. Refused to be transported to nearby ER for further evaluation. Patient requested to follow up with PCP.

Other Meds:

Current Illness:

ID: 1039991
Sex: F
Age: 81
State: MN

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: aspirin

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

Symptoms: L arm/deltoid pain persisting for 3 weeks after vaccination, decreased ROM of L arm due to pain. no redness or bruising at vaccine site. Unable to abduct arm past 40 degrees due to pain.

Other Meds:

Current Illness:

ID: 1039992
Sex: F
Age: 95
State: AL

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Unevaluable event

Symptoms: PFIZER-BIONTECH COVID-19 VACCINE EUA. ADMINISTRATION ERROR: Resident received first and second doses of Pfizer COVID-19 vaccine on 1/6/21 and 1/27/21 respectively. On 2/17/21, the resident screening form and consent form reported in error that they had not previously received any doses of COVID-19 vaccines. The individual was vaccinated with a third dose of Pfizer COVID-19 Vaccine in error.

Other Meds:

Current Illness:

ID: 1039993
Sex: F
Age: 41
State: IA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: Reglin codeine percuset

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

Symptoms: As soon as I received the vaccine it felt like I drank a hot alcoholic shot, my throat was thickening and hard to swallow, tingling and numbness on my face I felt hot inside and cold shivering, I was a little out of it, very tired nauseus and I had a really hard time swallowing saliva, 30 mins later I had no feeling in my face, my lips felt huge like I had just had novacaine, my eye felt like it was drooping, I went to employee health I was given Benadryl and I took it for two days and one day I did not take the Benadryl and my face started drooping all over again so I took Benadryl and it went back to normal. I was advised not to get the second vaccine. I fully recovered.

Other Meds: topomax, wellbutrin, linzest, veltrex

Current Illness: no

ID: 1039994
Sex: F
Age: 36
State: CO

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Confusion, Bells palsy for an hour.

Other Meds:

Current Illness:

ID: 1039995
Sex: M
Age: 69
State: FL

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: bug bites sometime bother me, sulfa

Symptom List: Injection site pain, Menorrhagia

Symptoms: At day 8 thru 12 experiencing slight rash, warm to touch, itch and spreading down and under arm from injection site. Pharmacist said to take Benadryl , use cordazone creme and call doctor if continues to spread or get worse

Other Meds: multi vitamin, vit D, magnesium

Current Illness: none

ID: 1039996
Sex: F
Age: 45
State: NC

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: lemons and shellfish leads to itching and swelling.

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

Symptoms: 3:30 shot received. 4:00 tongue numb, tingling in mouth. 4:25pm 50mg Benadryl. 4:29pm 200/100mmHg. 4:25pm pulse 108bpm 98%sp02. 4:35pm 230/104mmHg, 116bpm, 98%sp02. 4:40pm slight trouble breathing, 98%sp02, 105bpm. 4:43pm 240/150mmHg. 4:44pm 230/130mmHg.

Other Meds:

Current Illness: pt normally has 192/89mmHg

ID: 1039997
Sex: F
Age: 71
State: GA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Keflex, PCN

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 1222 : C/O HEART RACING, FEELING LIGHTHEADED. P 120 INITIALLY. COLOR OK. BP 180/90, P 96. MOVED TO EXAM ROOM SO PT COULD LIE DOWN. HUSBAND PRESENT. 1227 : BP 172/90, P 88 OXY SAT 98%, RR 16. 1232 : 160/90, P 92, R16. STARTING TO FEEL A LITTLE BETTER. C/O SLIGHT HEADACHE. OFFERED WATER. TOLERATING WATER. NO PROBLEMS SWALLOWING. NO OTHER COMPLAINTS. 1238 : 168/90, P 88 RR, 16. 1245 : 158/88, P 75, RR 16. STATES THIS IS CLOSER TO WHAT HER BLOOD PRESSURE HAS BEEN RUNNING LATELY. FEELING MUCH BETTER. 1251 : BP 140/82, P 80, RR 16, OXY SAT 96%. LEFT WITH HUSBAND.

Other Meds: HTN medication

Current Illness: none known

ID: 1039998
Sex: M
Age: 47
State: CA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: Previous topical reaction to 1st COVID-19 vaccine - rash

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Pt. Report ?warm? feeling in neck, upper chest, upper back. Started ~15 minutes post vaccine. V/S - 140/79, 98%-O2, 77-HR, 18-Resp. Pt. in 30 min. observation due to reported topical allergic reaction post 1st dose. Pt. reports ?warm? feeling subsided, released to home. Education is feeling worsens to report to urgent care or PCP. If issues with breathing notify EMS. Patient expresses understanding.

Other Meds: None

Current Illness: None

ID: 1039999
Sex: M
Age: 44
State: CA

Vax Date: 02/02/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: Unknown

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

Symptoms: 10 days following vaccination with first dose of Pfizer-BioNTech vaccine, individual reported to the vaccine clinic that he developed symptoms of Bell's Palsy. Specific symptoms included facial droop and inability to close eye on one side. Individual sought urgent medical treatment and was diagnosed with Bell's Palsy and placed on a course of antiviral and steroids. Individual was advised by outside provider to not receive second dose of vaccine.

Other Meds: Unknown

Current Illness: Unknown

ID: 1040000
Sex: F
Age: 65
State: AZ

Vax Date: 01/21/2021
Onset Date: 02/01/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: None known (BUT - reaction to Pfizer COVID vaccine - rash/hives/swelling of face)

Symptom List: Nausea

Symptoms: Rash/hives over most of body, particularly torso after dose 1. Treatment with methyl prednisone; hydroxyzine; Increased rash/hives following dose 2 plus swelling of cheeks/face. Rx written today (Feb 18) for additional steroids and hydroxyzine following telemedicine visit with primary care provider

Other Meds: Insulin (hum along (Lispro u-100); benazepril w/HCTZ; levothyroxine; atorvastatin; baby aspirin; zolpidem; multivitamin; AREDS2; Calcium +D; milk of magnesia

Current Illness: None

ID: 1040001
Sex: F
Age: 1
State: CA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
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Allergies: n/a

Symptom List: Injection site pain

Symptoms: MyChart message sent from parent: "At about 1:45pm I put her down for a nap. She cried her normal cry until about 2:05 I decided it had been 20 mins & it didn?t sound like she was going to nap. When I entered the room she clapped & was happy like she has in the past & she knew I was taking her out. I sat her down to play with this baby shark walker. I was pressing all of the buttons to make it go on. I heard something weird & I looked over she was completely blue. She looked like someone who overdosed on drugs like on tv. She was pale & everything was blue & purple & she was unresponsive. I started shaking her & I got up & was trying to dial 911. After 30 seconds she became conscious again & was looking at me drowsy. She was awake for about 15-20 seconds & then she rolled her eyes back & was completely limp. She didn?t respond at all. So I completed the call to 911. While I was trying to tell the operator my address I sat her upright from a laying position & was shaking her & she woke up. Her skin went back to normal completely & she just looked tired. Her cheeks were clammy & her forehead seemed normal. By the time the ambulance showed up which was 22 mins after I called 911. All her vitals were fine & at the hospital were fine." MD Note 02/18/2021: Mom said vaccines and blood work were done on day of her 1yo physical. And she went to the park and played. After getting home, mom tried to put her down for a nap and after 20minutes she didn't seem like she was going to fall asleep. Mom said she was happy when entered the room and mom said she went to pick her up and she flailed back but didn't make a noise. Mom tried to make her smile and noticed she wasn't making noise. She was pale and lips were blue and that lasted about 30 seconds. Mom said she was not responsive mom said she was able to arouse her and then her eyes rolled back again and she was limp for about 30-60 seconds. She then sat her up and she was back to normal. Paramedics came about 20 minutes later and took to ER. Vitals were all normal. First MD was a pediatric ER MD and then brought attending who thought it was a breath holding spell. Chest Xray and Chest CT were normal. EKG was not done. Mom said this morning the owlet alerted that her heart rate was above 220 but was very brief. Alarm went off and by the time mom got there her HR was 117. Mom said she has had temper tantrums before and turned red but not blue. Since then has been acting like her normal self.

Other Meds: n/a

Current Illness: n/a

ID: 1040002
Sex: F
Age: 78
State: GA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/18/2021
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Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Lost muscle control, could not raise up out of bed, could not walk, lost bladder control, slept 24 hours, no appetite, weakness, headache, fatigue

Other Meds: 81 ml aspirin 125 mcg vitamin D Multivitamin Equate for 50 yrs or older Tylenol PM 20 mg Rosuvastatin 0.125 Digoxin .5 Metoprolol 2X daily elderberry 1 tsp 10 mg Cetirizine

Current Illness: heart disease lung cancer treated and released copd shingles

ID: 1040003
Sex: F
Age: 26
State: CA

Vax Date: 01/28/2021
Onset Date: 02/02/2021
Rec V Date: 02/18/2021
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Allergies: NKA

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

Symptoms: Red rash that started on left shoulder and neck that radiated to upper torso. Sxs began on 2/2/21. (Had nausea, fever, body aches and chills that began day of vaccine.)

Other Meds: One a day vitamin

Current Illness: None

ID: 1040004
Sex: F
Age: 27
State: CA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/18/2021
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Allergies: unknown

Symptom List: Tremor

Symptoms: Pt received Covid vaccine on 2/10/2021. Pt stated she began having headache, fever, chills, body aches, and nausea on 2/11/2021. And today (2/18/2021)Pt stated she is having chills, body aches, and headache. Today Pt c/o chills, body aches and headache. Pt was seen by her Provider yesterday and no medications were prescribed. Pt was seen by Provider here at the clinic today and advised Pt to go home and rest and drink plenty of fluids and eat light.

Other Meds: unknown

Current Illness: unknown

Date Died: 02/17/2021

ID: 1040005
Sex: F
Age: 72
State: NY

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
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Allergies: No known allergies

Symptom List: Erythema, Pruritus

Symptoms: Patient was found unresponsive and had passed away.

Other Meds: Unknown

Current Illness: Unknown

ID: 1040006
Sex: F
Age: 31
State: NY

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
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Allergies: None

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

Symptoms: The symptoms started on the morning of Tuesday Feb 16th with fevers and chills, a headache, pain in my joints especially my left hand. I've had extreme fatigued and slept 14 out of 24 hours on Tuesday into Wednesday. I took Wednesday and Thursday off from work. Currently (Thursday Feb 18 5:30pm) I am experiencing swelling in my face and numbness on the right side. My breathing is fine but my head is foggy and my words are slurred.

Other Meds: None

Current Illness: None

ID: 1040007
Sex: F
Age: 66
State: CA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
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Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: 10 minutes following Pfizer first dose vaccination patient c/o dizziness and flushing. Vitals showed elevated blood pressure 171/80. Patient was given cool compresses and water and felt some improvement in symptoms. She then noted shakiness and had intermittent shaking in her hands or lips. She was given apple juice and felt symptoms of shakiness resolve within 10 minutes. After another 15 minutes patient reported that flushing resolved completely and dizziness had largely resolved. Repeat BP showed: 178/80, 162/71 largely unchanged when measured standing. We recommended ambulance transport due to persistently high BP which patient refused. She will seek urgent care and discuss with primary care. Ambulance transport was strongly recommended, but patient refused and left clinic by wheelchair with husband.

Other Meds:

Current Illness:

ID: 1040008
Sex: F
Age: 67
State: CA

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 02/18/2021
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Allergies: Latex

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Intense pain in lower left quadrant of abdomen, lasting approx. 8 days, but lessening each day; also constipation for 5 days, then 3 days of diahrea before becoming regular again.

Other Meds: levothyroxin 100mg, progesterone 200mg, B-17 500mg,

Current Illness: Had taken valacyclovir for a cold sore that felt like it was going to start on my lip, but stopped taking it at least 3 days before the 1/27/2021 first dose of the Pfizer vaccine.

ID: 1040009
Sex: F
Age: 68
State: CA

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
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Allergies: penicillin

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

Symptoms: I received my 1st covid shot on Friday, February 5th. My left upper arm was sore for a few days but no issues. On Friday, February 12th (a week later), my left upper arm began hurting again. On Saturday, February 13th my arm was sorer and itchy with 2 red spots at/near the site of the injection that were "hard" compared to the rest of my upper arm. On Sunday morning, February 14th the area was still red, itchy, and by mid-afternoon both areas seemed to be merging. Monday, February 15th, my upper arm was still a bit itchy, less red, and spreading (now 5" long compared to Sunday morning at 4") Tuesday, February 16th, the area is less red/itchy. It seems to be fading.

Other Meds: levothyroxine 88mcg, fenofibrate 160mg, sertraline 50mg,

Current Illness: n/a

ID: 1040010
Sex: F
Age: 55
State: PA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
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Allergies: Unknown

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

Symptoms: Pt possibly received normal saline diluent instead of the Pfizer vaccine. There was an error in preparation. Pt was contacted on 2/16/21. No adverse reaction reported.

Other Meds: Unknown

Current Illness: Unknown

ID: 1040011
Sex: F
Age: 16
State:

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
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Allergies: none

Symptom List: Pain in extremity

Symptoms: Monday, Feb 15- Mild Headache, Feb 16 - mild body ache, Feb 17 - symptoms resolved

Other Meds: none

Current Illness: none

ID: 1040012
Sex: F
Age: 30
State: IN

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 02/18/2021
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Allergies: No

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

Symptoms: For a couple days right after the injection, my arm was sore. Then more than a week after, my arm got really red, swollen, hot, and itchy. It lasted for 3-4 days and then gradually eased up, the itching lasting the longest.

Other Meds: Wellbutrin, metformin, hydrochlorothyazide, Zyrtec, omeprazole, magnesium, probiotic

Current Illness: No

ID: 1040013
Sex: F
Age: 46
State: VA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
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Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Lips felt big to client ?5-10 min, also was wearing 2 masks,throat felt ok, history face swelling with ibuprophen,

Other Meds:

Current Illness:

ID: 1040014
Sex: F
Age: 27
State: AZ

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
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Allergies: none

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

Symptoms: Nausea and vomiting and bodyache

Other Meds: none

Current Illness: none

ID: 1040015
Sex: F
Age: 59
State: MA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
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Allergies: Unkown

Symptom List: Vomiting

Symptoms: Patient was in the observation area and approximately 10 minutes after injection she developed a rash up her right arm. She felt fine otherwise. She reports she never gets an vaccines and was getting nervous. Paramedics responded patient sat for a long time and the rash disappeared, her vitals were received and she refused further treatment.

Other Meds: Unkown

Current Illness:

ID: 1040016
Sex: M
Age: 71
State: CA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
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Allergies: Sulpha, iodine, onion, garlic, shellfish, broccoli, cabbage, peppers (green, orange and red),

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: None stated.

Other Meds: Lansoprazole (30 mg), Magnesium Bisglycinate Chelate (400 mg)

Current Illness: Hypoglycemia, Heart Arrhythmia, Acid Reflux

ID: 1040017
Sex: F
Age: 72
State: VA

Vax Date: 02/01/2021
Onset Date: 02/10/2021
Rec V Date: 02/18/2021
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Allergies: Fluoroquinolones

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

Symptoms: Ten days after vaccination, after initial mild swelling, and pain resolved, a large red area that was in the same place as the original redness and swelling, appeared on my arm. No discomfort or itching. Lasted about a week and is fading 8 days later.

Other Meds: Atorvastatin, Flonase, Singulair, Claritin, Metformin, Calcium/Vitamin D, Baby aspirin, Zoloft, Synthroid, Micardis CPAP

Current Illness: None

ID: 1040018
Sex: M
Age: 37
State: NE

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
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Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient reported he was not feeling well to this nurse, c/o pain in chest and felt like he was going to pass out. Patient assisted to lay down on floor by 3 staff, knees bent. Patient alert, pink, warm, dry, c/o dizziness and discomfort in chest. Breathing unlabored, VS noted pulse 66, O2 sats 97%, BP 143/81 left arm auto cuff. Patient skin assessed, no rash or hives noted, mask removed, lips and tongue normal shape and appearance. Patient denies any difficulty breathing. Reports feeling better laying down. Patient reports not eating lunch today as he normally would. Denies diabetes or hypoglycemia issues. 1229 Pulse 62, 98% O2 sat on RA, BP 149/93 auto cuff lying down. Patient assisted to sit up, denies dizziness, given granola bar and 6 oz apple juice to eat and drink. Patient reports feeling in his chest is gone while eating. Patient reports feeling better eating. At 1233 BP 154/99 sitting with pulse of 69. Patient assisted to stand, denies dizziness, BP 149/98 standing, pulse 73. Patient denies dizziness or pain, states feels better. Patient was d/cd walking with staff escorting and wheelchair at standby at 1238. Reviewed patient's situation with caregiver and what to monitor for at home.

Other Meds:

Current Illness:

ID: 1040019
Sex: F
Age: 79
State: NC

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
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Allergies: penicillin, sulfa drugs

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

Symptoms: Extreme weakness leading to patient falling and unable to get up. Nausea, headache, large itchy welt on arm lasting 7 days.

Other Meds: Armour thyroid, chemotherapy 3 weeks before vaccination, lovastatin

Current Illness:

ID: 1040020
Sex: M
Age: 88
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital: Y

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

Symptoms: Shortness of breath beginning 4 days after vaccination. Pacemaker was checked per wife and it was fine.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am