VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1059218
Sex: M
Age: 67
State: MO

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Lisinopril cough; erythromycin GI upset

Symptom List:

Symptoms: No side effects until abruptly at 30 hours after the dose I had the most severe episode of very loud tinnitus and vertigo. Resolved after 150 minutes. Interestingly, 8 days after the first dose (lot number EL 3247) had a similar but slightly milder reaction that lasted 24 hours. I do have Meniere?s with intermittent episodes like this for many years, but these two events were profoundly more severe than any in the past.

Other Meds: Losartan 100 mgm. Zoloiden 5 mgm. Ranitidone 150;mgm. Assorted vitamins B, C, and D

Current Illness: Well controlled HTN and preDM

ID: 1059219
Sex: M
Age: 32
State: WA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Body ache Arm ache Weakness Headache Cold shivers

Other Meds: Nature made adult Multi vitamins Finpacea 1mg DHT Blocker blend Tylenol Vitamin D Vitamin B12 Fish Oil tablets Ashwagandha

Current Illness: No

ID: 1059220
Sex: F
Age: 35
State: NC

Vax Date: 01/26/2021
Onset Date: 02/04/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: ??I had a SEIZURE?? -only symptoms I had right before it happened were: 1-headache and 2-Dizziness -lasted almost 4 minutes, it was tonic clinic -911 was called and I went by ambulance to ER

Other Meds: **DAILY MEDS** ?30 mg Adderall 2x a day ?20 mg Adderall 1x a day ?2 Women?s Multivitamin 1x a day ?2 Vitamin C Gummies 1x a day ?2 Vitamin D (2000 MG) Gummies 1x a day ?2 Chewable Magnesium= (400mg) 1x a day ?Skyla IUD (new as of 1/23/20) -

Current Illness: NONE

ID: 1059221
Sex: M
Age: 22
State: MD

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/27/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA The patient was in his usual state of health until he received his second dose of the Moderna COVID-19 vaccine on Tuesday 2/23. He had previously had no side effects from the first dose other than soreness at the injection site. After the 2nd dose, he noticed arm soreness at the injection site more quickly than before. 10-12 hours later, he noticed headache and subjective fever, which was relieved by Tylenol. On Wednesday he woke up with subjective fever and chills, and felt sternal chest pain during deep breathing and attempted cough, but did not notice any effect from positional changes. Other than attempting to cough to elicit pain, he did not experience any other symptoms such as runny nose, coughing, sneezing, congestion, shortness of breath, palpitations, abdominal pain, diarrhea, or dysuria. The following day, he noticed that the chest pain was more severe and persistent throughout the day. The pain location would vary from the sternal area to the left side of his chest. The intensity of pain would vary between a 2-3/10 to 7-8/10. When the pain peaked, it would be accompanied by feelings of fever, chills, and brief headache, and he felt that the pain would "spread" across his chest. The pain would persist for a variable amount of time but then eventually disappear before returning. The pain was not affected by deep breath, position, or analgesics (he took an ibuprofen at around 2 AM when he couldn't sleep). After he fell asleep he was not woken up by pain. On Friday, he pain continued to be intermittent, and peaked during a work meeting. At that point he told his boss and an MD co-worker, who recommended that he presented to the ED. The EKG that was obtained in triage showed sinus tachycardia widespread ST elevations, PR depressions, with reciprocal changes in aVR. At this time he was continuing to experience chest pain. After getting a room in the ED, he no longer felt pain. He received a 2nd EKG showing improvement in ST elevations in some, but no all leads. He received ibuprofen and he continued to feel no symptoms. He was found to have a troponin elevation of 8.84 that peaked to 11.2. Transthoracic echo showed no motional wall abnormalities, normal EF, no pericardial effusion. He was admitted to the CICU out of concern and workup for myopericarditis.

Other Meds: None

Current Illness: None

ID: 1059222
Sex: F
Age: 71
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Left and right arms sore and achy for 3 days; felt tired and ill the night of the shot and all the next day; general malaise feeling; loss of appetite; headache; slight swelling of sinuses and rash on face. Took Benadryl the first and second nights, used hydrocortisone cream on rash, took Tylenol. End of day three feeling better, almost normal.

Other Meds:

Current Illness:

ID: 1059223
Sex: F
Age: 67
State: NY

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

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

Lab Data:

Allergies: Pencillin, dust grass trees hay ragweed mold

Symptom List:

Symptoms: Hives, took antihistamine still whole skin feels itchy, nothing visible.

Other Meds: Claridin D, Singular, Diovan, nexium, Brio, Flonase, Vitamin D, Crestor 6 mg. restatsis,

Current Illness: None

ID: 1059224
Sex: F
Age: 65
State: CO

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Multiple chemical sensitivity (MCS). Fragrances. Cleaning products, diesel, etc.

Symptom List:

Symptoms: Fatigue, chills and migraine beginning within 2 hours and lasting approximately 36 hours. Another round of fatigue about 5 days after injection. Soreness in arm, then hard swelling, then red round rashy spot with itching at 7 days after shot. 12 days later arm is still itchy.

Other Meds: Hormone replacement therapy: DHEA, progesterone, estradiol. L-methylfolate. Melatonin. L-lysine. Magnesium citramate. MultiVitamins.

Current Illness: None

ID: 1059225
Sex: F
Age: 22
State: NC

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

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

Lab Data:

Allergies: Latex

Symptom List:

Symptoms: 1 hour after shot. Numbness in face, tingling in face; tiredness and fatigue , headache, hand tingling, gradually swelling of the throat, neck tenderness and swelling, trouble swallowing and. breathing, chills and fever, itchiness ; dizziness

Other Meds: N/A

Current Illness: N/A

ID: 1059226
Sex: F
Age: 41
State: AL

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

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

Lab Data:

Allergies: Gluten, Penicillin, dairy , nickel

Symptom List:

Symptoms: Nausea, headache, fever, chills, body aches, severe arm tenderness, swelling, warmth and redness and fatigue; Tylenol, Pepcid, fluids and rest; approximately 24hrs

Other Meds: Tylenol, elderberry, resveratrol, vitamin D, vitamin C, zinc, omega 3s

Current Illness: None

ID: 1059227
Sex: M
Age: 68
State: MD

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

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

Lab Data:

Allergies: Allergic to latex tape -- gives me a skin rash

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Joint pain and swelling sensation

Other Meds: Drug Dosage Prescription Metoprolol Succinate 100 mg 1 tab 2x daily Lisinopril 20 mg 1 tab 2x daily Flecainide 100 mg 1 tab 2x daily Tamulosin 0.4 mg 1tab 1x daily Simvastatin 20 mg 1 tab 1x daily Escitalopram (Lexapro?) 10 mg 1 tab 1x dail

Current Illness: None

ID: 1059228
Sex: F
Age: 37
State: CA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Injection site itchiness redness very hot painful hard lump the size of a large grape. Very hard and painful

Other Meds: Lexapro, iron, zyrtec,propanelol,prilosec

Current Illness: None

ID: 1059229
Sex: F
Age: 37
State: NY

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: 16 week and 6 days pregnant. Due date is 8/8/2021. I received my 1st dose of Moderna COVID vaccine around 5/45pm on Thursday 2/25 by a woman at the High School. The shot felt fine at the time but I did notice she went a bit higher up on my shoulder. However, the morning after, I was experiencing extreme shoulder pain with limited range of motion as the day progressed on 2/26. By night time of 2/26, I couldn?t remove my bra and had to ask my husband for assistance. I?m scared and terrified that I won?t be able to hold my newborn baby when he?s born. This is all I can think about. I don?t even care that I?m in severe pain. All I can think about is how this is going to ruin my experience caring for my child without full range in one of my arms. It?s 2:37am where I am and I can?t sleep because of the shoulder pain.

Other Meds: Prenatal vitamins and Synthroid 50mg

Current Illness: No

ID: 1059230
Sex: F
Age: 72
State: CA

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

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

Lab Data:

Allergies: Enbrel, Amoxicillin, Sulfa, Atorvastatin, Latex, Nifedipine, Singulair, Co-Trimazole

Symptom List:

Symptoms: Sever shortness of breath, palpitations, HTN (200s systolic)

Other Meds: Losartan, Diltiazem, Plavix, Advair Diskus, Pepcid

Current Illness:

ID: 1059231
Sex: F
Age: 48
State: WI

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Fever, joint pain, headaches, fatigue, stomach issues (nausea, diarrhea), body aches

Other Meds: Generic Lexapro

Current Illness: None known

ID: 1059232
Sex: F
Age: 29
State: KS

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/27/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Moderate pain and inflammation in left armpit area starting 12 hours after 2nd injection. Pain and sensitivity in area continued for 3 days. Also mild fatigue and general achy feeling for 2 days after shot.

Other Meds: Daysee, multivitamin, vitamin D3

Current Illness: None

ID: 1059233
Sex: M
Age: 38
State:

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

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

Lab Data:

Allergies: penicillin, morphine

Symptom List:

Symptoms: Patient initially had Covid at the beginning of January and was diagnosed on January 2 with a positive test. After recovering from Covid he received the first dose of Covid vaccine at the end of January. He tolerated that well. He then got the second dose of Covid vaccine on February 24-he had previously finished a 5-day course of prednisone for shortness of breath. He was doing okay when he got the second dose of the vaccine; he subsequently developed a fever of up to 103.5 and significant shortness of breath and came to the hospital emergency department-we did not find a cause for his fever, suspect vaccine reaction because it developed after taking the vaccine. He was admitted overnight to the hospitalist for fever of unknown origin. ER doctor was reporter

Other Meds: albuterol, as needed ativan, recently finished a course of prednisone

Current Illness: had covid about 1 month prior to first dose of vaccine.

ID: 1059234
Sex: F
Age: 34
State: CA

Vax Date: 02/15/2021
Onset Date: 02/20/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Sunday night Feb 22 I experienced a lot of itching around injection site area. I iced area by Feb 23 area was inflamed, rough, red, and very itchy .. it began to widen and spread out. Tuesday Feb 24 area was very red and spread out, I called my doctor and was prescribed antibiotics to treat a possible case of cellulitis. I continued to apply hydrocortisone on the area and by weds it seemed to have gotten better. Thursday feb 24 .. the area spread further down my arm and is now blotchy and very itchy but only on the outer area. Today the area is inflamed and still very big and spreading. Very itchy .. I called the pharmacy to report the events and began taking the antibiotics today. I have not seen any improvement at this point and am hoping this goes away soon.

Other Meds: Protonix 20 MG - Hydroclorothiazide 25 MG - Cetirzine 10 MG - Bislove-FE 1/20

Current Illness: None

ID: 1059235
Sex: F
Age: 65
State: HI

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: The muscle pain dissapated after a few days but recurred a week later along with an approximately 2 1/2 by 3 iinch area of redness, warmth and slight hardening surrounding the vaccination site. This area later began to itch. It is still a little warmer than the other upper arm and itchy and slightly tender but not as hard or red as it was previously.

Other Meds: Atorvastatin, Body Mint, Elderberry D3fense, Multivitamin, Cal

Current Illness: none

ID: 1059236
Sex: F
Age: 55
State: AL

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Lactose intolerance

Symptom List:

Symptoms: Dizziness, feeling faint, ringing in ears, muscle aches, and tiredness.

Other Meds: Montalukast, chlorthalidone, emergen-c

Current Illness: Hbp

ID: 1059237
Sex: F
Age: 44
State: MD

Vax Date: 12/30/2020
Onset Date: 01/20/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Xzylocaine

Symptom List:

Symptoms: Left axillary lymphadenopathy and breast pain. Second vaccine received 1/26/21. Symptoms persist through current time (2/27/21). Symptoms checked by diagnostic mammogram and ultrasound, with findings consistent with lymphadenopathy. Symptoms include breast and axillary pain, swelling and itching.

Other Meds: Multivitamin

Current Illness: N/a

ID: 1059238
Sex: F
Age: 56
State: GA

Vax Date: 02/11/2021
Onset Date:
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Delayed reaction to both shots. 11-12 days after, low grade fever ( continues) Lower leg pain, mild chills each evening.. last shot 2/11

Other Meds: Gabapentin Propranolol Sertraline

Current Illness: None

ID: 1059239
Sex: F
Age: 66
State: CA

Vax Date: 02/17/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Rash under both arm pits snd now rash across chest and under arm pits.

Other Meds: Prevastatin Sodium 20 mg, 3 times per week. Fenofibrate 160mg, 1 per day

Current Illness: None

ID: 1059240
Sex: M
Age: 58
State: AZ

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Fluconazole - Had Valley Fever in 2017 and had to discontinue medication because of resulting rash.

Symptom List:

Symptoms: No initial symptoms other than sore arm at injection site which lasted for about 23 hours. On January 28 in the middle of the night woke up with pain in left hand. Could not move left hand. Was sleeping on back - not on arm or hand. No restricted blood-flow. Massaged hand and it became responsive. This was followed by burning and tingling sensation in hand. Hand was cold to touch first day. Burning and tingling and muscle tension increased for first couple days. Would be intermittent and location varied. Hands and feet most common. Left back scapular area and left pectoral muscle common. Muscle tightness would cause joint pain without signs of any redness. No temperature. No discoloration. Not as bad in middle of the day. After a few days. When second shot was administered on February 9 at 12:10 AM went home and all sensations stopped for about 12 hours. Took Tylenol with some benefit to diminish but not end symptoms. In past few days have read about taking antihistamines which has often helped. Symptoms are not as intense as they started out to be, but they continue to linger. Muscle tightness has largely given way to fluttering sensation or paresthesia and burning is mostly in bottom of left foot only. Any muscle tightness can be rubbed out (massage) for the most part. Occasional joint tightness continues in fingers - crack knuckles and it improves.

Other Meds: Three Ibuprofen 4 hours before vaccination for neck pain.

Current Illness: NA

ID: 1059241
Sex: F
Age: 65
State: TX

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Codeine Demerol Steroids Levequin Onions Eggs

Symptom List:

Symptoms: Face red Coughing Trouble breathing Nauseous Heart racing Fainted Inability to speak due to throat swelling up

Other Meds: Allegra Levothrozine Potassium Estradiol Prilosec Singular Amlodipine Epi pen Pro air symicort

Current Illness: High blood pressure Copd Lupus Fibromylagia Asthma Tmj Allergies

ID: 1059242
Sex: F
Age: 46
State: CO

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Eggs

Symptom List:

Symptoms: Severe meningitis starting 30 min after vaccine. Stiff neck; headache; nausea; eye pain; light sensitivity; altered consciousness; blacking out; dizziness. Still sick after two weeks later.

Other Meds: Verapamil

Current Illness: No

ID: 1059243
Sex: M
Age: 31
State:

Vax Date: 02/19/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Cardiac event with ST elevation on EKG, and elevated troponin. Pt has no cardiac history.

Other Meds: None noted

Current Illness: None noted/reported

ID: 1059244
Sex: F
Age: 68
State: MD

Vax Date: 02/15/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Patient claimed that she is experiencing delayed local sensitivity in the arm she recieved the shot-Medium

Other Meds:

Current Illness:

ID: 1059245
Sex: F
Age: 25
State: MN

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Itching at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypertension-Severe, Systemic: Nausea-Medium, Systemic: Vomiting-Medium

Other Meds:

Current Illness:

ID: 1059246
Sex: F
Age: 60
State: NH

Vax Date: 02/19/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Upon receiving shot hot a small lump and was itching. Subsided in a couple of days. Day 8 woke up with 2 in raised lump , red, itching.

Other Meds: Lisinopril 20 mg, multi vitamin, B complex

Current Illness: None

ID: 1059247
Sex: F
Age: 71
State: SC

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Flushed / Sweating-Mild, Additional Details: pt felt flused after 10 minutes. Refused benadryl due to previous reaction. Took asa 81 mg and zyrtec 10 mg. Symptoms resolved.

Other Meds:

Current Illness:

ID: 1059248
Sex: F
Age: 79
State: CO

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)

Other Meds:

Current Illness:

ID: 1059249
Sex: M
Age: 82
State: NY

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1059250
Sex: F
Age: 44
State: VA

Vax Date: 02/22/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
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Allergies: Vancomycin

Symptom List:

Symptoms: Patient reports numerous aphthous ulcers in her mouth 2 days after getting the second dose of the vaccine. She also reported swelling in her lips and tongue but I did not observe any swelling. She does have many small shallow ulcerations in the buccal mucosa. There is no lymphadenopathy and her vital signs are all stable. She otherwise, appeared well.

Other Meds: Malarone

Current Illness: Denies

ID: 1059251
Sex: F
Age: 53
State: WI

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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Symptoms: Systemic: Allergic: Anaphylaxis-Severe. Systemic: Allergic: Difficulty Breathing-Severe. Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe. Systemic: Allergic: Itch Generalized-Severe. Systemic: Chest Tightness/Heaviness/Pain-Severe. Additional Details: Patient experienced tightness in the throat, followed by coughing, complained of itchy back, was given 2 Benadryl, 2 EpiPens; then transported by ambulance to the ER.

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Current Illness:

ID: 1059252
Sex: F
Age: 55
State: OH

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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Symptoms: Error: Booster Given Too Early

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Current Illness:

ID: 1059253
Sex: M
Age: 16
State: RI

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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Symptoms: Systemic: Fainting/Unresponsive-Medium. Additional Details: Patient fainted about 5 minutes after receiving 2nd dose of vaccine. Pt hit his head on a table on way down. EMS called. PT was alert and oriented, but was taken to the hospital for evaluation by ambulance.

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Current Illness:

ID: 1059254
Sex: F
Age: 49
State: CO

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/27/2021
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Symptoms: Systemic: Numbness (specify: facial area, extremities)-Medium

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Current Illness:

ID: 1059255
Sex: F
Age: 35
State: CT

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/27/2021
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Allergies: kiwi

Symptom List:

Symptoms: With the first dose, I had only arm pain. After the second dose, 23 hours in, I had fever, chills, cold sweats, L sided neck pain and stiffness, Left sided headache, brain fogginess, insomnia, muscle aches in my legs, exhaustion. I was unable to get out of bed for 24 hours. After 24 hours of this, my headache lingered for 2 days as well as my neck stiffness and malaise. I would likely not get a 2nd dose ever again because the symptoms were so awful. I am a Registered Nurse.

Other Meds: Synthroid, junel

Current Illness: none

ID: 1059256
Sex: M
Age: 76
State: CO

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
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Symptoms: Error: Wrong Dose of Vaccine - Too High

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Current Illness:

ID: 1059257
Sex: F
Age: 48
State: CO

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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Symptoms: Error: Wrong Dose of Vaccine - Too Low

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Current Illness:

ID: 1059258
Sex: F
Age: 82
State: MN

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital: Y

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Allergies: environmental allergies

Symptom List:

Symptoms: Dyspnea and fatigue with elevated troponin followed by hospital admission and subsequent PEA/Bradycardic arrest. Subdural hematoma found. EF 25%. Likely underlying undiagnosed MM.

Other Meds: Calcium Zyrtec Tylenol

Current Illness: Lumbar compression fracture Likely undiagnosed multiple myeloma Undiagnosed cardiomyopathy with EF 25%

ID: 1059259
Sex: M
Age: 77
State: OH

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/27/2021
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Symptoms: Error: Wrong Dose of Vaccine - Too High

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Current Illness:

ID: 1059260
Sex: F
Age: 69
State: OH

Vax Date: 02/19/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
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Symptoms: One week after receiving first shot, just below the injection site started itching bad; red rash; swollen; warm to touch; approximately 5 inches round. I had been taking penicillin and augmentin in January for an abscessed tooth.

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Current Illness:

ID: 1059261
Sex: F
Age: 73
State: OH

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/27/2021
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Symptoms: Error: Wrong Dose of Vaccine - Too High

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Current Illness:

ID: 1059262
Sex: M
Age: 44
State: ME

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/27/2021
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Allergies: None

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Symptoms: Shortly after taking my 1st shot I started having problems getting and keeping an erection. I had my second shot on 2/26/21. Just wanted to report this. Not sure if it is related to the shot or just a coincidence. I have never had this problem before. If it doesn't get better I will have my annual physical in a couple of months and will let my doctor know about it.

Other Meds: None

Current Illness: None

ID: 1059263
Sex: M
Age: 67
State: MA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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Symptoms: Systemic: Fainting / Unresponsive-Severe, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Additional Details: Patient was sitting in observation and his head and eyes rolled back. He was observed to go into a shock state, possibly seizure for a few minutes. After a few minutes, patient regain orientation and was alert and was able to answer questions before the ambulance arrived. Patient left with the ambulance to the emergency room.

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Current Illness:

ID: 1059264
Sex: M
Age: 67
State: MA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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Symptoms: Systemic: Fainting / Unresponsive-Severe, Systemic: shortness of breath-Severe, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Additional Details: Patient was sitting in observation when he suddenly had his head and eyes rolled back. Patient's daughter alerted the pharmacist on duty that he felt like he couldn't breathe. Patient went into a possible seizure. His eyes rolled back and his body went stiff. After a few minutes, patient was alert and oriented enough to answer questions coherently before the ambulance arrived. Patient went on the ambulance.

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Current Illness:

ID: 1059265
Sex: F
Age: 49
State: TX

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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Symptoms: Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: she mentioned that this is a common reaction after vaccinations. she felt hot, sweat, nausea symptoms. nurse practioner on duty monitored her while she waited in the wait area for abour 20mins. she was feeling fine before she left. Rph called her about an hour and half later and she was back to normal.

Other Meds:

Current Illness:

ID: 1059266
Sex: F
Age: 70
State: MD

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 02/27/2021
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Allergies: Sulfa, codeine, peanuts

Symptom List:

Symptoms: Started with mild itching, then slight rash. Itching and redness increased over 2 - 3 days and then diminished. Rash was about 3 - 4 inches in diameter at highest level of symptoms.

Other Meds: Alendronate Sodium, Calcium, Vitamin D, Vitamin K, Magnesium, Turmeric, Fish Oil,

Current Illness: None

ID: 1059267
Sex: F
Age: 33
State: TX

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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Symptoms: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: After the injection I noticed a swelling and a little red on the injection site. After monitoring her pt stated that she has some tingling on her right thumb and monitored by NP for about 40min to an hour and felt ok and went home and an hr later called for follow up and she was 100% better. she was given water while here. rph spoke to her family member while she was here. and I called her about 8:39pm and spoke with her and she said she is doing ok.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm