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: 1053116
Sex: F
Age: 37
State: MT

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Administration event: patient received Pfizer vaccine for second dose instead of Moderna. Error discovered after vaccine administration.

Other Meds:

Current Illness:

ID: 1053117
Sex: F
Age: 45
State: MO

Vax Date: 01/22/2021
Onset Date: 02/03/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: On 2/03/2021 13 days after the second vaccine my head started itching and tingling. The next day 2/04/2021 I developed hives and they have been ongoing. I gave it a week to get better. On 2/11/2021 I reported to the doctors office; at that time I thought it could be gum or vitamin b12. Theses were the only new things to my daily routine. I was given a steroid shot. The hives became even worse over night so I started a prednisone dose pack on 2/12/2021 and took it until last Friday 2/19/2021. The itching and welting stopped with the Prednisone but the red lines and circles still continued . Sunday night my head start itching and tingling. The next day Monday 2/22/2021 the hives returned. I called my doctors office yesterday and today 2/24/2021 I started another dose pack and have been referred to an allergy clinic. I hope this dose pack works because I cannot be seen until 3/30/2021

Other Meds: Ceftinir 300mg; Escitalipram 5mg; Spironolactone 25 ; Lisinopril 20mg, multivitamin, calcium and vitamin D, zyrtec, Azelastin nasal spray

Current Illness: I had a flu shot two week after my first Covid shot and developed a sinus infection and was on antibiotics the day of the second vaccine . .

ID: 1053118
Sex: F
Age: 55
State: NY

Vax Date: 02/04/2021
Onset Date: 02/07/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Lots of allergies

Symptom List:

Symptoms: Muscle joint pain, rash, trouble breathing, swelling, vomit, diarrhea.

Other Meds: Vitamin, estradiol, protonic, alprazalom, loratadine, aleve, tart cherry.

Current Illness: N/a

ID: 1053119
Sex: F
Age: 67
State: TX

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Zyvox

Symptom List:

Symptoms: Short of Breath, Dizzy, Pale, Low BP and Heart Rate, Syncope, Nausea.

Other Meds: Furosemide (Lasix) 20 Lactobacillis 10b Ondansetron (Zoran) 8 Potassium 10 Metoprolol (opressor) 25

Current Illness: Septic shock (HC Category) Chronic bronchitis (HC Category) Hypokalemia Malignant neoplasm of overlapping sites of left lung (HC Category) PAF (paroxysmal atrial fibrillation) (HC Category) Acute renal failure (ARF) (HC Category) Hyponatremia Encephalopathy chronic Thrombocytopenia (HC Category) Metabolic acidosis DVT of leg (deep venous thrombosis) (HC Category) Lung cancer (HC Category) COPD (chronic obstructive pulmonary disease) (HC Category) Cancer (HC Category)

ID: 1053120
Sex: F
Age: 43
State: UT

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Tylenol based pain relievers - N saids, Pork curing agents,

Symptom List:

Symptoms: Rash, reddening, pain, scaly layer of skin from shoulder to lower than elbow, outer and inner arm. Face numb. Condition was worst on days 8-14. Lack of balance and sleep.

Other Meds:

Current Illness: None

ID: 1053121
Sex: F
Age: 67
State: TX

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Motrin, latex, bee stings and cranberries.

Symptom List:

Symptoms: Took picture of reaction, then put alcohol on injection site for three days. Physically sick for two days after injection.

Other Meds: Prescriptions and aspirins

Current Illness: High blood pressure and high cholesterol controlled by medications.

ID: 1053122
Sex: F
Age: 71
State: CA

Vax Date: 02/15/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: warmth, redness at injection site..approx. 2x4 inches..very itchy..bumpy feel..almost like a cellulitis

Other Meds: levothyroxine, progesterone, estrogen patch,magnesium

Current Illness: none

ID: 1053123
Sex: F
Age: 60
State: KS

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Lymph node swelling day after followed by diarrhea for a few days. Starting about 8 days after chills, headaches, fatigue, nasal congestion, sore throat and still having lymph node swelling.

Other Meds:

Current Illness:

ID: 1053124
Sex: F
Age: 35
State: MO

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Lactose Intolerant

Symptom List:

Symptoms: Tired, foggy, feels like I have a cold coming on, achy, sleepy, loss of appetite

Other Meds: Fluoxetine 10mg Daily multivitamin

Current Illness: None

ID: 1053125
Sex: M
Age: 49
State: MT

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received Pfizer vaccine instead of Moderna for second vaccine. Administration error.

Other Meds:

Current Illness:

ID: 1053126
Sex: F
Age: 67
State: MD

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient complains of increase heart ate (on her watch) and feeling very anxious. BP 155/75. HR 98

Other Meds: Xanax

Current Illness: None

ID: 1053127
Sex: M
Age: 82
State: CA

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: keflex

Symptom List:

Symptoms: patient developed unprovoked deep venous thrombosis in left leg one day after receiving 2nd Moderna vaccine

Other Meds: Felodipine 10mg daily lisinopril 40mg daily levothyroxine 88mcg daily atorvastatin 20mg daily Fluticasone 2 sprays each nostril daily

Current Illness:

ID: 1053128
Sex: M
Age: 59
State: MN

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: vaccine was reconstituted with sterile water instead of normal saline and administered. Patient is not reporting any adverse effects at this time.

Other Meds:

Current Illness:

ID: 1053129
Sex: F
Age: 38
State: NJ

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Medications: relpax, synthroid, biaxin, extendryl, ultram Food: peanuts, fish, shellfish, algae, kelp, grapes, lemons, bananas, beans, squash, tree nuts, dairy, wheat/gluten Other: trees, pollen

Symptom List:

Symptoms: Red circle about 1.5? diameter, raised, feels hard under the skin

Other Meds: Plaquenil, amitryptaline, Zyrtec, seasonelle

Current Illness: None

ID: 1053130
Sex: F
Age: 68
State: MN

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered to the patient. The patient did not report any adverse effects.

Other Meds:

Current Illness:

ID: 1053131
Sex: F
Age: 70
State: CO

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: With shot # 1. Intense pain in the vaccinated arm, extending from hand to left, back shoulder blade starting a couple hours after the shot. Unable to sleep. Day two, used ice pack to attempt to move the arm, which only wanted to stick next to the body and not move. Attempts to use the arm were excruciating, so nothing worked on that level. Continued icing throughout day 2. End of day 2, took an Aleve and continued to ice the shoulder. Day three, took an Aleve; no improvement in the morning, then saw some improvement throughout day three, but not to the point of being able to use the arm. Total focus was on that arm. Day 4, pain improved to being able to use the arm for small tasks. Day 5, pain [but for injection sight] gone. Shot #2. Effects were entirely different but equally intense.

Other Meds: No over-counter drugs. Glucos. w/ MSM ; Daily Vit. ; Ceylon Cinnamon ; flax seed oil ; plant-based calcium ; garlic ; vegan Collagen ; Vit. C ; Vit D3 ; Immunity supplement

Current Illness: None

ID: 1053132
Sex: F
Age: 65
State: CA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Demerol

Symptom List:

Symptoms: Flu-like symptoms-- chills and aches. lasted about 12 hours. Started almost 24 hours exactly after I received the vaccine.

Other Meds: Omeprazole 20 mg. per day; Xzyal 5 mg per day.

Current Illness: None

ID: 1053133
Sex: F
Age: 56
State: NY

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Pt developed swelling limited to the left side of her tongue with erythema, difficulty speaking. she took mortin and zyrtec, presented to the ED about 10 hours after symptoms started. symptoms were improving at time of arrival.

Other Meds: Levothyroxine, Cytomel, multivitamins

Current Illness: None

ID: 1053134
Sex: F
Age: 45
State: CA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Claritin

Symptom List:

Symptoms: sore arm, headache, fatigued, breast pain

Other Meds: liquid iron, vitamin d 5000 iu, flonase

Current Illness: n/a

ID: 1053135
Sex: F
Age: 32
State: WI

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Starting 2/ 20, I woke up with 2 connected puffy red patches on my arm just below the vaccine site. I could tell it was below since I still had the bruise from the vaccine. Over the next few days, the spot on my arm continued to grow and spread. It has a darker red ring on the edges. It is currently about 2.5"x5" in size today (2/24). It started out about 2.5"x1" on 2/20. It has not faded yet.

Other Meds: Clobetasol foam on scalp

Current Illness: None

ID: 1053136
Sex: M
Age: 41
State: OK

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pfizer-BioNTech Covid-19 vaccine eua Evening of getting the second shot body aches started. The following evening still having body aches, inability to focus/brain fog, swollen and sore injection site

Other Meds: Metformin 500 mg once per day

Current Illness: None

ID: 1053137
Sex: F
Age: 39
State: NY

Vax Date: 02/21/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Macular rash on the trunk and upper extremities

Other Meds:

Current Illness:

ID: 1053138
Sex: F
Age: 69
State: MN

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered to the patient. The patient did not report any adverse effects.

Other Meds:

Current Illness:

ID: 1053139
Sex: F
Age: 36
State: OK

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fatigue, muscle ache,headache, shortness of breath, chest pain,sore forearm,redness and knot at injection site

Other Meds:

Current Illness:

ID: 1053140
Sex: M
Age: 66
State: MN

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered to the patient. The patient did not report any adverse effects.

Other Meds:

Current Illness:

ID: 1053141
Sex: F
Age: 82
State: MT

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received first dose of vaccine. Experienced light headedness, feeling stuffy, and trouble breathing. Patient was transported to emergency room for evaluation. Patient was observed but did not require treatment or intervention.

Other Meds:

Current Illness:

ID: 1053142
Sex: F
Age: 71
State: MN

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: vaccine was reconstituted with sterile water instead of normal saline and administered. Patient has not reported any adverse effects at this time.

Other Meds:

Current Illness:

ID: 1053143
Sex: F
Age: 47
State: IL

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Covid arm Red Swollen itchy

Other Meds: Spirolactone Zyzal Psuedofedrine vitamin d Vitamin c Flonase Magnesium Vitamin b12

Current Illness: Sinus infection

ID: 1053144
Sex: M
Age: 65
State:

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: syncope, hypotension, chest pain

Other Meds: sumatriptan, hydrochlorothiazide, Norco

Current Illness:

ID: 1053145
Sex: F
Age: 75
State: NM

Vax Date: 02/09/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: mycins

Symptom List:

Symptoms: Two weeks later. Last night arm felt hot, a big red spot with an odd shape. called dr. was told to take Benadryl.

Other Meds: Sotalol, HCTZ, Lisinopril

Current Illness: no

ID: 1053146
Sex: F
Age: 63
State: OR

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Developed a blister on upper left inner forearm after about 10 hours. It resolved over night. After 24 hours, developed several small blisters (some that ran into each other) on inside of lower left forearm. They itch and hurt a little. Also have a few blisters on inside of lower right forearm, back of left leg, a couple on chest and trunk.

Other Meds: Vitamin D 1500mg Niacinamide - Vitamin B3 1000mg

Current Illness: none

ID: 1053147
Sex: F
Age: 24
State: CA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Rash, exanthem-like morbilliform eruption on trunk and proximal extremities 2 days after receiving vaccine. Has continued 3 weeks out. Primary symptoms are rash and pruritus.

Other Meds: None

Current Illness: None

ID: 1053148
Sex: F
Age: 65
State: MN

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered to the patient. The patient did not report any adverse effects.

Other Meds:

Current Illness:

ID: 1053149
Sex: F
Age: 31
State: NC

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Dizziness, nausea, blurred vision, blacking out, fainting

Other Meds: Prenatal multivitamin

Current Illness: None

ID: 1053150
Sex: F
Age: 41
State: IL

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: two medications: Arava; Kineret

Symptom List:

Symptoms: That evening you had sore arm injection site; muscle aches. I took Tylenol and that helped. Late Thursday is when I started feeling better. The symptoms went away completely after 36 hours.

Other Meds: Embreo (brand name); Potassium supplement; Vit A; Vit B complex; Vit C; Vit D; Vit E; Calcium/Magnesium/Zinc supplement; Standard Multi-Vitamin; Oral Contraceptive; Lisinopril; Hydrochlorothiazide (Noted in first report for Dose1 320492 -

Current Illness: arm soreness after vaccine for 1 day; Low potassium-- hypokalemia

ID: 1053151
Sex: F
Age: 70
State: CO

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Tetnus, Pneumonia shot, Penicillin, Heparin in Novocain,

Symptom List:

Symptoms: Dizziness upon returning home where I thought I would pass out. Fever 101, chills, headache, Dizziness continues. Today I am 2 weeks post vaccination and still too dizzy to drive.

Other Meds: Metoprolol, Spironolactone, Folate, B6, Loratadine, Quercetin, B12, baby asprin, Juice plus veggie, fruit, & berries. probiotic, vitC, D3, Zinc

Current Illness: none

ID: 1053152
Sex: F
Age: 73
State: MN

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered to the patient. The patient did not report any adverse effects.

Other Meds:

Current Illness:

ID: 1053153
Sex: F
Age: 26
State: MT

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: After receiving Pfizer Covid vaccine, patient developed symptoms of dizziness, nausea, a little shortness of breath. Reported she had a history of asthma and said she felt like "her limbs weren't working". She agreed to be taken to ED for evaluation. Was treated with fluids, ondansetron, and lorazepam IV push one time. Never treated for allergy/anaphylaxis.

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Current Illness:

ID: 1053154
Sex: F
Age: 65
State: NC

Vax Date: 02/22/2021
Onset Date: 02/01/2021
Rec V Date: 02/24/2021
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Allergies: Motrin

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Symptoms: Itching,redness at site and 4cm firm area Injection was given im.cottec6.part and I rubbed after injection Symptoms of itching lasted 30 hrs. Still javr.redness.and 25 .cent.size swellinh

Other Meds: Metoprolol 25mg Prozac 20mg day Vita.D 5 000 is Magnesium 500 Asa 81 mg Lunesta 3mg Tizanidine8mh daily Tramodol 60 mg tid Eye.drops.

Current Illness:

ID: 1053155
Sex: F
Age: 64
State: MD

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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Allergies: none

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Symptoms: Patient complains of tingling of the fingertips on her left hand. Denies weakness, numbness, dizziness, headache, sob and chest pain. Denies lip/throat tingling/swelling.

Other Meds: losartan

Current Illness: none

ID: 1053156
Sex: F
Age: 45
State: CA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/24/2021
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Symptoms: Sore arm, head ache, fatigue, dizziness, bad breast pain and swelling for a week

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Current Illness:

ID: 1053157
Sex: F
Age: 70
State: DE

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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Allergies: Penicillin, Sulfa, levaquin,Sudafed,, English walnuts, corn syrup

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Symptoms: Blurred vision 48 hours after vaccination

Other Meds: Cymbalta, hydrochlorthyazide , losarten

Current Illness: None

ID: 1053158
Sex: F
Age: 77
State: NY

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
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Allergies: Amoxicillin

Symptom List:

Symptoms: Chills causing 3 hours of body shaking and teeth chattering.

Other Meds: Hydrochlorothiazide 12.5 mg; Atorvastatin 20 mg

Current Illness: None

ID: 1053159
Sex: F
Age: 24
State: GA

Vax Date: 01/21/2021
Onset Date: 01/26/2021
Rec V Date: 02/24/2021
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Allergies: Augmentin

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Symptoms: No history of hypertension . After receiving 1st vaccine experienced high blood pressure 159/110. Blood pressure has remained elevated . continued to monitor blood pressure at home with elevation. Seen in urgent care after 2nd vaccine blood pressure 151/109. Started on blood pressure medication.

Other Meds: Tumeric, Multi- Vitamins, Emergen-C, Birth Control Pill, Vitamin D

Current Illness: none

ID: 1053160
Sex: M
Age: 66
State: MN

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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Symptoms: The Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered to the patient. The patient did not report any adverse effects.

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Current Illness:

ID: 1053161
Sex: F
Age: 67
State: CA

Vax Date: 02/16/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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Allergies: hydralazine, inorganic iodine

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Symptoms: Two hard, red, itchy patches each about the size of a quarter near the injection site. I looked online and it was described as "COVID arm." The article said I should report it.

Other Meds: Hydrochlorothiazide, , Klor Con (potassium), lisinopril, low dose aspirin

Current Illness: none

ID: 1053162
Sex: M
Age: 39
State: MT

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
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Symptoms: After receiving 2nd dose Pfizer COVID vaccine, patient developed symptoms of being light headed and dizzy. Observation RN reported he became flushed and appeared very anxious. She was going to continue to observe, but the patient requested to go ED for observation. Patient transported to ER, but did not require any additional treatment. Only required monitoring and was discharged.

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Current Illness:

ID: 1053163
Sex: M
Age: 77
State: MN

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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Symptoms: Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered. Patient is not reporting adverse effects at this time.

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Current Illness:

ID: 1053164
Sex: F
Age:
State: CT

Vax Date:
Onset Date: 11/30/1976
Rec V Date: 02/24/2021
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Allergies: None that I knew of at the time.

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Symptoms: I volunteered at a clinic to help old people get their swine flu vaccine. At the end the doctor announced that the people who helped out could get a free shot. I knew that my son who had a heart condition would need one so I wanted to get it first to see if it would be safe for him. Within a half hour after getting the shot my fingers on my left hand started to get numb and turn white - one at at time. Then, the right hand the same thing. It went away after a while. I do not remember how long it took but every time my hand got very cold they would again get white and numb. That lasted many for years later.

Other Meds: Most likely none. It was a long time ago. I am 79 now.

Current Illness: I do not think so.

ID: 1053165
Sex: M
Age: 69
State: FL

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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Allergies: SULFA DRUGS, BARBITUATES, AVOCADOS, BIVALVES

Symptom List:

Symptoms: ABOUT 2 HOURS AFTER INJECTION, I NOTICED DISCOMFORT IN MY JOINTS WHICH PROGRESSIVELY WORSENED OVER THE COURSE OF THE DAY AND ACCOMPANIED BY FEELING OF FATIGUE THAT INTERFERED WITH CONCENTRATION ON MY WORK.

Other Meds: METFORMIN, GLIPIZIDE, ENALAPRIL, BUPROPION, GEMFIBROSIL, TAMULOSIN, FINASTERIDE, TRULICITY, MULTIVITAMIN SUPPLEMENT

Current Illness: HYPERTENSION, MODERATE RHEUMATOID ARTHRITIS, TYPE 2 DIABETES

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm