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: 1055726
Sex: F
Age: 40
State: GA

Vax Date: 02/19/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List: Dysphagia, Epiglottitis

Symptoms: Bruising on legs. Dark lines appearing like broken blood vessels. Does not hurt.

Other Meds: n/a

Current Illness: n/a

ID: 1055727
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: I woke up at 5:45 am on February 9, 2021 with bright red, raised bumps on the back of my right shoulder extending down the back of my right upper arm. I also had a few spots on my right cheek under my eye, and on my left elbow. They were very itchy and warm to the touch. I took benadryl and it started to clear up. Around 12:00, the spots reappeared and started spreading across my right upper arm. I went to the doctor at 4:45pm on February 9th. He confirmed they appeared to be hives and recommended continuation of benadryl. Over the course of 4 days (February 9th through the 12th) the hives spread across my body (both arms, back, stomach, neck, face, both legs, left foot). They ranged in size from the size of a Q-tip end to banana size hives. They would almost completely clear up when I would take benadryl and reappear as the benadryl wore off. I woke up again on February 20th with about 20 small hives on my neck. They cleared up in about an hour without medication.

Other Meds:

Current Illness:

ID: 1055728
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: None stated.

Other Meds:

Current Illness:

Date Died: 02/25/2021

ID: 1055729
Sex: M
Age: 88
State:

Vax Date: 02/01/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: acute hypoxic respiratory failure, aspiration pneumonia, severe hypernatremia, AKI. Died right after admission due to worsening hypoxia and developed pulseless Vtach arrest.

Other Meds:

Current Illness:

ID: 1055730
Sex: F
Age: 57
State:

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: dust, grass, trees

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

Symptoms: Sore arm within two hours. Some fatigue and slight headache and slight nausea within the first 24 hours. All very minimal. Fever, chills, bad headache, sweats, general discomfort beginning around 24 hours after shot. Fever subsided 36 hours after shot. Headache persisted for over 48 hours. Some nausea between 48 hours and 72 hours after shot. Fatigue and haziness throughout.

Other Meds: none

Current Illness: none

ID: 1055731
Sex: F
Age: 67
State: MN

Vax Date: 02/16/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Augmentin allergy

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

Symptoms: Arm became swollen with a red rash and sore after six days. Patient called the nurse at the clinic and said it was happening quite often and it should be okay after a couple days. Nurse told patient it probably was an allergy. Patient took 1 benadryl capsule and it seemed to help. Patient also put ice on it.

Other Meds: Budesonide capsule, L-lysine vitamin, Super B complex vitamin, Calcium with Vitamin D

Current Illness: microscopic colitis

ID: 1055732
Sex: F
Age: 65
State: NM

Vax Date: 02/12/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: allergic to shellfish

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Rash, redness, itchiness and slight swelling around injection site. Raised area warm to the touch.

Other Meds: Armour thyroid

Current Illness: n/a

ID: 1055733
Sex: M
Age: 48
State: NY

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Pharyngeal swelling

Symptoms: Fever chills , Advil I

Other Meds: None

Current Illness: None

ID: 1055734
Sex: M
Age: 28
State: TX

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Scratchy throat and lump in throat sensation

Other Meds: Monteleukast

Current Illness:

ID: 1055735
Sex: M
Age: 84
State: HI

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/25/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient went into rapid afib at around 8 pm (6 hours after vaccination) Rate up to 180-190. Became hypotensive with BP as low as 76/56. Went to ER. Hospitalized overnight for observation

Other Meds: Sertraline 25 mg daily, Oxybutynin XL 10 mg daily, Finasteride 5 mg daily, Tamsulosin 0.4 mg daily, Brimonidine 0.1% ophthalmic drops 1 drop each eye daily

Current Illness: Hypertension I10.0, Hyperlipidemia E78.5, Paroxysmal atrial fibrillation I48.0, Prediabetes R73.03, Gout M1A.00X0, Mild cognitive impairment 31.84

ID: 1055736
Sex: F
Age: 41
State: IL

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: My arm was really sore. I had chills and night sweats throughout the night. I had fevers, chills, sweats, headache, fatigue the rest of the following day after the vaccine. I continued to have headaches for the next two nights.

Other Meds: No

Current Illness: I had my menstrual cycle on the same day as the vaccine.

ID: 1055737
Sex: F
Age: 73
State: NJ

Vax Date: 02/15/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Dust Tree pollen

Symptom List: Rash, Urticaria

Symptoms: Roughly 1 week after vaccine, shot site swollen itchy and slightly sore, today is day 10 since shot and symptoms persist.

Other Meds: Losartan Amlodipine rosuvastatin 81mg aspirin

Current Illness: None

ID: 1055738
Sex: M
Age: 36
State: CT

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/25/2021
Hospital: Y

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

Lab Data:

Allergies: Minocyline. Lialda/mesalamine

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

Symptoms: Received 2nd COVID pfizer vaccine approx 11:15am on 2/18/21. No known reaction from first dose on 1/25/21. Woke up morning of 2/19 and observed extensive petechiae and bloody nose consistent with low platelet count and ITP (immune thrombocytopenic purpura). I was previously diagnosed with ITP and platelet count was 262k confirmed by blood work a couple days before 2nd vaccine. Morning after got blood draw confirming platelets dropped to below 1k. Medical emergency and sent to ER. Admitted and received emergency treatment to increase platelet counts. Ended up requiring splenectomy on 2/22/21. Just discharged from hospital. Multiple medical providers advised me to submit report to VAERS.

Other Meds: Entyvio IV infusion for ulcerative colitis. Prednisone oral 40 mg daily for UC flare. N Plate weekly for ITP.

Current Illness:

ID: 1055739
Sex: M
Age: 30
State: HI

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Nil

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

Symptoms: After less then 5 minutes of receiving the Pfizer vaccine I experienced dizziness, difficulty breathing and I could feel my heart rate accelerating rapidly. This side affect lasted for about 5-10 minutes. After which I left and haven't felt right since and it's been about 8 hours since receiving the vaccine and at the time of writing it is now 1630 time.

Other Meds: Nil

Current Illness: Nil

ID: 1055740
Sex: M
Age: 69
State: TX

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: skin reaction to latex on adhesives when used for more than 1 week

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

Symptoms: Day after first shot, experienced some arm pain, elevated temperature, chills, very tired. Of concern, blood pressure spiked to 149/78 (usually 120/70) and stayed elevated all day. I contacted my cardiologist late in the afternoon and he advised me to come in if the blood pressure did not return to normal the next day. The next day, all symtoms disappeared and I felt normal. When I received my second shot yesterday the doctor giving the injection said the blood pressure spike after the first shot was unusual and asked me to submit a VAERS report. My symptoms after the second shot were a much more significant loss of mobility in the arm, which has returned to near normal. but no blood pressure issue

Other Meds: Ocuvite, Multivitamin adults 50+, aspirin 81mg, Atorvastatin 20mg, glucosamine chronditin 500 complex, Metoprolol Succinate ER

Current Illness:

ID: 1055741
Sex: F
Age: 51
State:

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
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: Swelling of the lips and tongue, numbness and tingling of the mouth, sweating of the lips and mouth. Patient refused to be seen by EMS

Other Meds:

Current Illness:

ID: 1055742
Sex: M
Age: 65
State: CA

Vax Date: 01/28/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

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

Symptoms: Bells Palsy onset 3 weeks post vaccination.

Other Meds: N/A

Current Illness: N/A

ID: 1055743
Sex: F
Age: 64
State: KS

Vax Date: 02/19/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Rash at injection site, 6 days post vaccine. 12 hours post vaccine chills, extemely sore arm, headache, body aches, dizziness lasting 48 hours.

Other Meds: synthroid, simvastatin, levocetirizine dihydrochloride, montelukast sodium, multivitamin

Current Illness:

ID: 1055744
Sex: F
Age: 49
State: CO

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

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

Lab Data:

Allergies: Mild allergy Penicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: (Newly) Skin red around injection site about 6 inches in diameter. Skin tight and hot. No symptoms prior to today. Some soreness and muscle aches. Arm pit soreness (left arm, same side injection site), similar to swollen or infected glands (which have had in past, unrelated to vaccine.)

Other Meds: none

Current Illness: none

ID: 1055745
Sex: F
Age: 36
State:

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
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: Tingling radiating to fingertips.

Other Meds:

Current Illness:

ID: 1055746
Sex: F
Age: 70
State: WA

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Sulfur

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

Symptoms: Covid Arm - onset on day 8 after vaccine. Large red area - approximately 6"x3 Warm, intense itching and sore to touch Lasted approximate 6 days - less reddening and itching as each day passed

Other Meds: Amlodipine 2.5 mg Pravastatin 10 mg Timolol Maleate 0.25 Vitamin D 1000 I.U. Estring Physillum Husk

Current Illness: None

ID: 1055747
Sex: F
Age: 28
State: CA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Numbness on lips, tingling.

Other Meds:

Current Illness:

ID: 1055748
Sex: F
Age: 74
State: WV

Vax Date: 02/12/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Christmas trees (bronchitis), grass, weeds & flowers in my garden (skin blisters), tape & band-aides on skin (blisters & skin comes off with tape), aspirin (dysfunctional platelet disorder)

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

Symptoms: Huge itchy red spot - rash around site of vaccination & smaller but darker red rash down the arm about 2" on the bicep

Other Meds: Pravastatin 80mg, Levothyroxin 112 mcg, Women's Daily +50 multivitamin, Potassium gluconate 99mg, OTC stool softener, Tylenol 650 mg

Current Illness: Breast cancer survivor 9 1/2 years - bilateral mastectomy (can only have injections in left are due to removal of lymph nodes from right arm), no other illnesses

ID: 1055749
Sex: F
Age: 68
State: TX

Vax Date: 02/09/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Sugar, flour, wheat, Levaquin

Symptom List: Injection site pain, Pain

Symptoms: Itching and rash began 2/21/21 at injection site. Today (2/25/21) trash now extends from to of L shoulder spiraling toward inside of arm 2 inches above L elbow. Some swelling, hot to touch, itching, no pain.Have put ice on it. Contacted doctor and sent picture. She said it was normal and not to worry.

Other Meds: Multivitamin, AREDS 2, vitamin C, calcium citrate with D3, Flonase as needed

Current Illness:

ID: 1055750
Sex: F
Age: 83
State: WA

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

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

Lab Data:

Allergies: SULFA

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient got Moderna vaccine on 02/15/2021. She was feeling good until today. She called pharmacy and complained that recently all at sudden her arm got swollen and having redness and tenderness at injection site. Just reporting this because she has this side effect after a 10 days.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1055751
Sex: F
Age: 27
State: TX

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital: Y

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

Lab Data:

Allergies: REPORTED HISTORY OF ANAPHYLAXIS TO TDAP VACCINATION AS AN INFANT

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

Symptoms: Patient began feeling nauseous about 30 minutes after vaccine, then dizzy. A few minutes later she appeared to faint and became unresponsive. She did not appear to be breathing and looked cyanotic. Epipen was administered and patient began responding a few moments later. EMS arrived and was taken to the emergency room. Patient reported feeling fine and was back at home around 7 pm.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1055752
Sex: F
Age: 38
State: SD

Vax Date: 01/08/2021
Onset Date: 02/01/2021
Rec V Date: 02/25/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: ITP noted appx 4 wks after 1st dose with heavy vaginal bleeding responsive to IVIG and steroids.

Other Meds: None

Current Illness: None

ID: 1055753
Sex: F
Age: 40
State: OH

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Vancomycin Erythromycin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 9pm- chills 11:30pm- fever, nausea, vomiting, tachycardia, diaphoresis Husband Called 911 2/24- all day fever, chills, headache, fatigue 2/25 last fever at 10:30am, still have chills, fatigue, headache

Other Meds: Plaquenil Methotrexate Aspirin Metoprolol Effexor

Current Illness: None

ID: 1055754
Sex: F
Age: 37
State: MD

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Arm became sore and swollen and warm to the touch. Also on the 4th day showed signs of a reaction, with red patches and appear to mimic the after effects of a bee sting of sorts.

Other Meds: Atrovastin Metformin

Current Illness: No

ID: 1055755
Sex: M
Age: 28
State: WA

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Nausea

Symptoms: On 02/24 wake up to fever of 101.4 and severe body aches and took day off from work. On next day woke up to nose bleeding with lot of clots coming out of my nose. Only medication i took was OTC ibuprofen that i took month ago as well for fever.

Other Meds: No

Current Illness: No

ID: 1055756
Sex: F
Age: 53
State: CA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Tachycardia approximately 30 minutes post injection lasting 20 to 30 minutes

Other Meds: Vit D, Synthroid, Adderall, Singulair, folate, biotin

Current Illness: None

ID: 1055757
Sex: F
Age: 76
State: NC

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Penicillian

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

Symptoms: Soreness, red swelling--growing from 3"x3-1/2" red raised spot hot to touch to 3" x 5" raised red spot hot to touch.

Other Meds: Gabapentin, Welchol, Metaxalone, Ambient, Hydrochlorothizide, Multivitamin, Omega 3, Ocuvite, Omeprazole, Lorsortan, Vitamin C, Vitamin D3, Baclofen, Synthroid,

Current Illness: N/A

ID: 1055758
Sex: F
Age: 51
State: NY

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: penicillin tetracyclin shell fish

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

Symptoms: syncope, patient was monitored and given IV fluids, low blood pressure

Other Meds: lexapro tamoxiphin

Current Illness: none

ID: 1055759
Sex: F
Age: 61
State: CA

Vax Date: 01/26/2021
Onset Date: 02/10/2021
Rec V Date: 02/25/2021
Hospital: Y

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

Lab Data:

Allergies: Ampicillin, Eggs

Symptom List: Tremor

Symptoms: Loss of use right leg. Paralysis, numbness, tingling, severe pain, and muscle spasms. Acute onset without other trauma

Other Meds: Synthroid, Duloxetime, Gapapentin

Current Illness: CMT Type 1A Hereditary Neuropathy, Sarcoidosis, Thyroid, Psorasis

ID: 1055760
Sex: F
Age: 70
State: NY

Vax Date: 02/12/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Nickel/aluminum Azithromycin

Symptom List: Erythema, Pruritus

Symptoms: "COVID Arm"--Twelve days after receiving the vaccine, a large circular pink rash developed at the injection site. It is warm to the touch and it is itchy. It is my understanding that this reaction is uncommon but harmless and nothing to worry about. It should go away in a few days.

Other Meds: lisinopril/HCTZ 20/25 Vitamin D3 UI 1000

Current Illness: None

ID: 1055761
Sex: F
Age:
State: NC

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/25/2021
Hospital:

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

Allergies: Iodine , Shellfish

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

Symptoms: Swelling and pain at the injection site 12 hours after vaccination. The pain progressed distally to the elbow and resolved after 3 day. On 21Feb 2021, Tenderness,warmth, swelling and erythema was noted 4 inches below the injection site. A mild non-itchy rash with induration approximately 4 inches was noted. The tenderness, warmth at the site and induration has not resolved at the time of report. No medication was taken for the symptoms. No medical intervention needed.

Other Meds: Multi vitamin, Metformin, Citalopram, Wellbutrin, Zyrtec.

Current Illness: DMII

ID: 1055762
Sex: F
Age: 53
State:

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Tingling in L arm, lightheaded, dizziness, evaluated by EMS-cleared

Other Meds:

Current Illness:

ID: 1055763
Sex: F
Age: 60
State: TX

Vax Date: 02/12/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Initial first three days - Rash, swollen arm, headache and sore arm. It went away and two weeks later after exertion the rash returned along with the swelling and soreness.

Other Meds: Potassium, Biotin, Omega-3, Multi-Vitamin, Citalopram, D-amphetamine ER, Anastrozole and Bupropion

Current Illness: none

ID: 1055764
Sex: F
Age: 65
State: CT

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Allergic to shellfish, kiwi, latex, ceclor, bee stings, cat & dog dander, guinea pigs & horses & pollens - all trees, grasses & shrubs

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

Symptoms: Red, Itchy rash on face & neck, skin hot to touch, burning sensation on face day after shot - also some edema under right eye - small sack of fluid - lasted a few days - took benadryl to relieve itching - dissapated after 4 days but skin was very dry & chapped for about 10 days after

Other Meds: 25 mcg levothyroxine 25 mg hydrochlorothiazide My doctor told me to take 1 benadryl an hour before the vaccine due to my previous allergic reactions

Current Illness: No

ID: 1055765
Sex: F
Age: 37
State: IL

Vax Date: 02/07/2021
Onset Date: 02/15/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Shingles - rash, pain, discomfort on left torso... back pain 10 days after shot; rash appear around 14 days after

Other Meds: None

Current Illness: None

ID: 1055766
Sex: M
Age: 29
State: TX

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pain in extremity

Symptoms: Strong ache in right deltoid (injection site); Pain in right deltoid preventing motion of deltoid; Flu-like fatigue; 102F-103F fever for 60 hours.

Other Meds: None

Current Illness: None

ID: 1055767
Sex: F
Age: 50
State: MN

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: One week after my first monderna shot (Wednesday to Wednesday) I noticed my left arm at the injection site was itchy. The skin feels hard and thick, for lack of better descriptive words. The area around the injection site is red and sore. That?s all I?ve experienced so far.

Other Meds: IUD

Current Illness: None

ID: 1055768
Sex: M
Age: 70
State: WI

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: No adverse events were noted at the time of this report. This report is being filed to document a vaccination error that occurred during the vaccination process.. During the dilution process to prepare a Pfizer Covid vaccine 1.4 mL of normal saline was used instead of the correct 1.8mL as specified by the manufacturer resulting in a overly potent dose. Exactly one shot was given out of the vial prior to the error being discovered. No additional doses were used out of the incorrectly diluted vial. The patient was made aware of the error as soon as it was discovered and contacted at the end of business day to confirm no adverse events at that point.

Other Meds:

Current Illness:

ID: 1055769
Sex: F
Age: 59
State: TX

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Unknown

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

Symptoms: Wrong 2nd dose COVID Vaccine was administered. Nurse on site inadvertently administered Pfizer 0.3 ml IM as 2nd dose However, patient should have received Moderna 0.5 ml IM as 2nd dose Nurse reported error immediately to patient and supervisor , assessed patient for change in VS and any s/sx indicating reaction. Assessed patient for more than 30 minutes with no negative reaction noted. Patient advised regarding VAERS reporting in case symptoms occur at a later point.

Other Meds: Not reported

Current Illness: Unknown

ID: 1055770
Sex: F
Age: 78
State: TX

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Bone on left wrist turned red & was swollen for 2-3 days. In addition joint on index finger on right hand turned red & bruised.

Other Meds:

Current Illness:

ID: 1055771
Sex: F
Age: 57
State: AZ

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, sulfa

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fever, headache, body aches

Other Meds: Sertraline, Singulair, amlodapine,

Current Illness: None

ID: 1055772
Sex: M
Age: 48
State:

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Facial flushing, diaphoresis, nausea, patient refused to be seen by EMS

Other Meds:

Current Illness:

ID: 1055773
Sex: F
Age: 77
State: CA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Redness and sore left arm, tired, headache,sleepy

Other Meds: Metformin, simvastatin, inhaler, fish oil, cinnamon tablets

Current Illness: None

ID: 1055774
Sex: F
Age: 31
State: PA

Vax Date: 01/07/2021
Onset Date: 01/01/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Erythema Nodosum in bilateral legs

Other Meds: Birth control(tri-linyah)

Current Illness: Nope

ID: 1055775
Sex: F
Age: 43
State:

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Blurry vision, neck pain, patient refused to be seen by EMS.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am