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: 1066950
Sex: M
Age: 64
State: TX

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient feeling flushed; slight headache; hot.

Other Meds: N/A

Current Illness: N/A

ID: 1066951
Sex: M
Age: 92
State: WV

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Prednisone

Symptom List:

Symptoms: In the early morning hours of Saturday 2/27, Dad woke with severe pain in his right arm, shoulder and shoulder blade. He realized the right side of his neck was swollen and his throat was swollen as well. He was having trouble swallowing, talking and his breathing felt obstructed. He tried to awaken my Mother but she couldn't understand what he was saying. He finally managed to get up with on walker and make his way to get a drink of water. After that his throat seemed to loosen up some and by later in the morning the swelling had subsided. He did not inform me until I called later in that morning to check on them and he did not feel he needed to see a doctor.

Other Meds:

Current Illness:

ID: 1066952
Sex: F
Age: 33
State: MI

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient got the vaccine and within minutes she became gray in color, limp, and her head went down. she then started to take deep breathes and her body stiffened right up and she stopped breathing for a second. we called 911 as soon as we noticed something was off with her. When she came to a few minutes later she knew she passed out but that was it. she did not go with the EMS, another staff member took her to the ER.

Other Meds: asthma and copd. pt used inhaler about 20 minutes prior to injection

Current Illness: none, had covid in later december

ID: 1066953
Sex: F
Age: 47
State: CA

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Stomach cramping, black/green stool just once a couple hours after shot. Strong headache that lasted for about 5 days off and on.

Other Meds: none

Current Illness: none

ID: 1066954
Sex: M
Age: 54
State: CA

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

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: PT HAD A SYNCOPLE EPISODE IN HIS CAR WHILE IN OBSERVATION. -12 LEAD. NEGATIVE -BS CHECK -SKINS COLOR CHANGE. COOL, PALE, DRY PT AMA. PT WIFE DRIVING PT HOME. MODERNA COVID19 EUA POD VACCINE VACCINE ADVERSE REACTION.

Other Meds: ASA, METFORMINE, LAPRADILE

Current Illness: NONE KNOWN

ID: 1066955
Sex: F
Age: 61
State: CA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Augmentin-hives, lisinopril-cough

Symptom List:

Symptoms: The patient received her second Moderna inoculation January 20, 2021 at 8 a.m. At around 7:30 p.m., she had a sudden onset of myalgias and chills. Within 30 minutes, she had a fever at 99.9? F. She went to bed without taking acetaminophen or NSAIDs based on new CDC recommendations of how to treat symptoms due to the COVID-19 vaccine. The patient hydrated and went to bed around 9 p.m. By 11 p.m., the patient?s fever was 100.4? F., accompanied by intense myalgias, chills and a migraine headache. She woke again at 1 a.m. with a fever of 101? F. At 2 a.m., she woke with right-sided pleuritic chest pain (severe pain with inspiration, some pain with expiration and no pain with holding of the breath), with her fever persisting at 101? F. And tachycardia to 109. By 7:30 a.m., her fever dropped to 100.4? F. But still tachycardia at 101. At this time, she took ubrogepant 50 mg, with resolution of her headache within about 30 minutes. Because she had rhinorrhea at this time, she decided to get tested for COVID-19 that day.

Other Meds: Amlodipine 10 mg QD, losartan 100 mg QD, alprazolam 0.5 mg QHS, atorvastin 10 mg QD, zinc 50 mg QD,

Current Illness: Not known at the time but recently diagnosed with Barrette esophagus and duodenal ulcer (2/17/2020)

ID: 1066956
Sex: F
Age: 82
State: MI

Vax Date: 02/26/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: redness, pain, burning sensation, slight swelling, and itchiness started to injection site 3 days after injection.

Other Meds:

Current Illness:

ID: 1066957
Sex: F
Age: 82
State: WI

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Reclast [Zoledronic Acid] PRURITUS ? Atorvastatin MYALGIA ? Covid-19 Mrna Vacc (Moderna) [ Covid-19 Mrna Vacc (Moderna)] PRURITUS ? Levaquin DIZZINESS ? Mobic GI UPSET ? Azithromycin PRURITUS ? Penicillins RASH and PRURITUS ? Pravastatin MYALGIA

Symptom List:

Symptoms: Patient waited additional 30 minutes after vaccine administration due to history of reactions. Fine for monitoring at hospital when the patient left she had facial flushing and itching.

Other Meds: diphenhydrAMINE-PSE-APAP 12.5-30-500 MG Tab ? allopurinol (ZYLOPRIM) 100 MG tablet ? Euthyrox 75 MCG tablet ? IBUPROFEN PO ? fluticasone (FLONASE) 50 MCG/ACT nasal spray ? metoPROLOL tartrate (LOPRESSOR) 25 MG tablet ? amLODIPine (NORVASC)

Current Illness: None

ID: 1066958
Sex: F
Age: 49
State: IL

Vax Date: 01/08/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Menthol Rash ? Penicillin G Rash

Symptom List:

Symptoms: 49 y.o. female who presents with abdominal pain. She reports a three week history of epigastric pain and nausea. Today she was at work and going up the stairs when she became diaphoretic, pale, and reports that she felt like she was going to "black out." During this time she was also short of breath. A coworker was nearby with a wheelchair and she recovered well. She reports that the pain is 7-8/10 in severity and is sharp and radiates to the right upper abdomen. S

Other Meds: Current Outpatient Medications: ? ADVAIR DISKUS 250-50 MCG/DOSE diskus inhaler, Inhale 1 puff by mouth every 12 hours for 30 days, Disp: 1 Inhaler, Rfl: 11 ? aspirin 81 MG EC tablet, Take 81 mg by mouth daily, Disp: , Rfl: ? Cholecalci

Current Illness:

ID: 1066959
Sex: F
Age: 28
State:

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: Experienced arm pain at injection site to start, which progressed to body aches, fatigue, chills, and flu-like symptoms in the 24-48 hrs following vaccination. Flu-like symptoms were moderate to severe.

Other Meds: oral birth control

Current Illness: none

ID: 1066960
Sex: F
Age: 59
State:

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

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: lightheadedness, migraine started. Waited extra 15 mins- Evaluated by EMS- Cleared

Other Meds:

Current Illness:

ID: 1066961
Sex: F
Age: 36
State: NM

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: codeine - unknown reaction

Symptom List:

Symptoms: Patient received her vaccine, 20 minutes later reported a rash forming on her chest, and mild chest tightness. She has a history of Mast Cell Activation Syndrome, and had pre-medicated with Zyrtec. At 1420 the nurse administered 25mg PO Benadryl. at 1450, she felt her symptoms and decreased, and went home with her spouse.

Other Meds: ALPRAZolam (Xanax) , By Mouth, TID gabapentin (gabapentin cap/tab) , By Mouth tiZANidine , By Mouth

Current Illness: unknown

ID: 1066962
Sex: F
Age: 69
State: NY

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

Vax Type:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: when I arrived home both my cheeks had a speckled rash. - It went away Five days later I started to get red blotches bigger than a quarter on my left neck 7 or 8 total and one each on my arms . the one on my right arm was a little bit larger than a golf ball. All are raised and very itchy. Have an appointment for tomorrow with dermatologist

Other Meds: I did not take any meds till Sunday, Feb 28th - then I took Walgreen allergy med - 1200 units of calcium 100 unit vitamin D

Current Illness: none

ID: 1066963
Sex: F
Age: 24
State:

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

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

Allergies:

Symptom List:

Symptoms: Lightheaded, feeling flushed, dizzy. Evaluated by ambulance. 3:05 pm feeling shaky. Given snack, feeling better. Discharged at 3:20 pm- symptoms resolved.

Other Meds:

Current Illness:

ID: 1066964
Sex: F
Age: 72
State: MI

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: no pain, no fever, redness, slight swelling

Other Meds:

Current Illness:

ID: 1066965
Sex: F
Age: 45
State: CA

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

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

Allergies: none

Symptom List:

Symptoms: 45 yo female with h/o htn c/oed of tingling of lips 13 min after covid vaccination. pt denies rash, hives, fludhing , chest pain, palpitation, gi sx or dizziness pt with stable vital signs exam unremarkable : esp no angioedema and no stridor or wheezing . most likely anxiety attack wtih parathesia which resolved after 50 min observation without intervnetion other than reassurance

Other Meds: none

Current Illness: none

ID: 1066966
Sex: F
Age: 80
State: WI

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Pt received vaccine and waited appropriate post-vaccination observation period. Pt exited COVID Vaccine Clinic. Returned to clinic at 1535 and c/o of warm sensation in body. Vital signs checked: 209/79, HR 79; Recheck: 201/84, HR 74 Emergency Response team called to transport Pt for evaluation of symptomatic hypertension Pt transported to Emergency Department

Other Meds: Blood pressure medication

Current Illness:

ID: 1066967
Sex: F
Age: 42
State:

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 03/02/2021
Hospital:

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

Allergies:

Symptom List:

Symptoms: Received vaccine 1/07/2021. 1/08/2021 had soreness to the injection site and the soreness continues Numbness then developed 5 days later on 1/12/2021. Numbness starts at the infection site and runs down the arm and numbness extends to the left thumb and part of the left index finger. 1/18 Left thumb ridge started. 1/19/2021 PCP advised take naproxen 500 twice a day, vitamin B12, EKG unremarkable; 1/28/2021 reported to ED 5:00am as began experiencing numbness sensation on the bottom aspect of her face, bilaterally about 4 hours ago while working. Still having persistent numbness in left arm. Arm swelling. CT unremarkable; 1/29/2021 Neurologist believes related to the vaccine and order EMG, treating conservatively; 2/17/2021 had EMG that was unremarkable

Other Meds:

Current Illness:

ID: 1066968
Sex: M
Age: 42
State: NY

Vax Date: 02/12/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: On the first day I had a huge lump underneath my armpit I did not become too concerned with that I read it was something that could happen regarding the lymph node. 10 days later I woke up at 3:30 in the morning and had to dial 911 my throat felt like it was closing and my lips were both swollen. I went in the ambulance they brought me to the emergency room where they gave me Benadryl a steroid and some IV fluids. as soon as I receive the Benadryl my throat started to open up and my lips both started to go down . My lip continue to swell for the next three days on and off often on. Every time it swelled up I took Benadryl and every time sure enough it went away . The day I came home from the hospital I thought I was doing much better until that following night I became severely nauseous. I don?t know if it was something that they had given me in the hospital or still a reaction that was going on in my body, but I had some sort of stomach bug I threw up that whole day, had chills sweats and a pounding headache that would not go away for over 48 hours .I was unable to eat or drink for 24 hours and had to go to an urgent care where they provided me with some medication for nausea. My concern right now is I am hearing that the second shot hits a lot harder than the first one and if this was a reaction to the shot I am very afraid of what will go on if I get the second one. I cannot take a chance with my life. I really want to shot I work in an environment where I am working with the department which is why I was able to get the vaccine so early I feel safe being vaccinated I am very disappointed that this happened I just cannot take a chance having a family etc. Also I have very bad medical in Sherance so I am dealing with all of the bills from this hospital stay I have a deductible which I can?t afford and then only 50% is covered afterwards. That is the reason I do not go to the hospital under no circumstance unless I am dying which that night I was that scared I felt the need I had to go.

Other Meds: None

Current Illness: None

ID: 1066969
Sex: F
Age: 59
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: nausea and dizziness. Waited extra 15 mins and given OJ. Pt self administered glucose tabs. Evaluated by EMS-Cleared

Other Meds:

Current Illness:

ID: 1066970
Sex: F
Age: 56
State: OK

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Demerol

Symptom List:

Symptoms: Within 12 hours I had extreme fatigue, extreme muscle/body ache, chills, brain fog. This lasted for about 48 hours. After 48 hours the rash started on top on both ankles. That lasted probably 8 days and didn't get better with cream. The muscle aches started in my neck and upper body and about 11days ago decided to settle in my knee (right). I though I maybe slipped or fell but didn't because of the pain. The pain is cross between a cramping muscle and shin pain. I've been walking with a limp. I got in yesterday with my PCP and sending me for an ultrasound to rule out a blood cot. He doesn't believe it is because it moves, I don't have any swelling or redness. I have just been really fatigue. I had BP done to make sure my Thyroid is ok and it is. The past 3 nights it has stopped waking me up at night. I've been doing epsilon salt baths, I can't put weight on it and still walk with a limp. I go for ultrasound tomorrow.

Other Meds: Levoxithyroid Vitamin D Zinc Multi vitamin

Current Illness: Influenza Type A the week before the second dose.

ID: 1066971
Sex: F
Age: 83
State: VA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Dilantin, sulfa, prednisone, vancomycin, pantoprazole sodium, sesame seeds, hay

Symptom List:

Symptoms: pt stated on the next day after getting the 2nd dose covid vax that she started getting nerve tingling sensation in her feet all the way up to her back and then next day she started getting this tingling in both hands as well. Today she has this tingling sensation in both feet, hands and now her right arm. Her right arm is still sore to the touch around the injection site. Pt has upped her dosage of her gabapentin due to the neuropathy symptoms. She contacted her PCP and they have scheduled to see her on 3/5/2021 for evaluation of her.

Other Meds: levothyroxine 75 mcg and 88 mcg alternated by days, lisinopril 2.5 mg, levetiracetam 1000mg x 2 daily, gabapentin 300mg, vitamins, probiotic, Zoloft

Current Illness: no

ID: 1066972
Sex: F
Age: 41
State: TX

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

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Skin rash on the arm where the vaccine was given, without symptoms

Other Meds: Collagen, melatonin, omega 3 and 6

Current Illness: No

ID: 1066973
Sex: F
Age: 0
State: TN

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 03/02/2021
Hospital: Y

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

Lab Data:

Allergies: sulfa drugs

Symptom List:

Symptoms: 2 days later began with headache, dizziness, weakness, on 1/25/21 was admitted to hospital with severe leg weakness, inability to walk, urinary incontinence

Other Meds: diclofenac, meclizine, metformin, simvastatin Was seeing a "doctor" who prescribed some sort of "black pills for infection"

Current Illness: c/o stiff, aching neck for ~5 months

ID: 1066974
Sex: F
Age: 54
State: MN

Vax Date: 02/09/2021
Onset Date: 02/25/2021
Rec V Date: 03/02/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Admitted to Hospital on 2/25/21 with 1 day of severe upper extremity weakness and numbness. Evaluated by Neurology and Neurosurgery teams and thought to be most consistent with transverse myelitis. Infectious Diseases consult and no clear preceding infectious illness.

Other Meds:

Current Illness: had first dose of Shingrix vaccine on 1/21/21

ID: 1066975
Sex: M
Age: 59
State: NY

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Sulfa base medications

Symptom List:

Symptoms: My skin turned red immediately after the injection. The EMT Staff examined me and my pulse, temperature and blood pressure were normal. After 45 minutes the redness abated and I came home, 1 March 2021 I came down with COVID symptoms with dizziness, blurry vision, redness, ringing in the ear and flu like symptoms of body aches. Then the neuralgia in the dextral ulnar nerve increased and clawing started. Then same happened on the sinistral ulnar nerve and Carpal tunnel in the other finders. I feared going to sleep for fear of awaking with paralysis. I drank vodka to calm myself down and Xanax to sleep (I know it is a dangerous combination). 2 March the red skin continues and when I awoke at 13:30 today I was still extreme and I called 911. The EMS visited and determined my blood pressure and pulse were normal. The dextral ulnar nerve problems continue,

Other Meds: Descovy, Tivicoy, Trazadone, Xanax, generic Xanax and Cialis. Vitamin B complex, C, E, Valerian, Melatonin

Current Illness: None

ID: 1066976
Sex: F
Age: 32
State: NY

Vax Date: 02/28/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Contact allergy to nickel

Symptom List:

Symptoms: Migraine, fever of 102, spreading rash and lump farther down on the arm from the injection site, chills, confusion/mental fog

Other Meds: 5htp, l-tyrosine, gaba

Current Illness: None

ID: 1066977
Sex: M
Age: 43
State: NY

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: Vespids, Cefalosporins

Symptom List:

Symptoms: Chills @ T+12 to 13 hrs. (from time of injection). Severe nausea and resultant dehydration/dizziness/Low BP @ T+20 hrs. (lasted about 5 hrs.) Fever and body ache in the 102-103*F range throughout March 1. Overall lethargy throughout March 1. Night sweats night of 3/1 into 3/2. Laryngeal tissue damage from stomach fluids due to extremity of nausea/vomiting.

Other Meds: Finasteride

Current Illness: None

ID: 1066978
Sex: F
Age: 35
State: CA

Vax Date: 09/10/2016
Onset Date: 09/10/2016
Rec V Date: 03/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Within 15 minutes of the injection, I experienced an irratic and elevated heartbeat, severe nausea, severe dizziness, difficulty breathing, weakness in limbs, and sudden sweating with chills. My sister said my face turned grey. I felt like I would pass out and die. I don't remember much afterwards, but I was taken home and told to rest. I had continued dizziness and bodily ichiness for one week.

Other Meds: None

Current Illness: None

ID: 1066979
Sex: F
Age: 69
State: ID

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

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Patient reports that just after leaving the pharmacy she experienced a sharp pain across her entire upper abdomen. She did not alert pharmacy staff at that time. She states that the pain continued into the night and became slightly more localized around the gallbladder. She also experienced persistent belching. She came in to the pharmacy on day 2 to report the symptoms and states that she currently continues to be tender to the touch in the upper abdomen and also has some pain when leaning forward. She has not consulted with her doctor as of today and will continue to report to the pharmacy.

Other Meds: Unknown

Current Illness: None

ID: 1066980
Sex: F
Age: 72
State: MI

Vax Date: 02/26/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
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Symptoms: redness, itching, rash-like, warm

Other Meds:

Current Illness:

ID: 1066981
Sex: F
Age: 41
State: TX

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/02/2021
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Allergies: N/a

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Symptoms: 15`45 C/O feeling faint and lethargic states anxiety for needles, BP103/70 HR 93, Pox 97,R 20 Placed in recline position with legs elevated, 15.55 ,, ,Snack and PO fluid offered ,accepted, 16.11 Pt states she is better, BP111/79 HR 95 R18, Spouse present to drive home,instructed to get Urgent care if symptom continues,

Other Meds: N/a

Current Illness: N/a

ID: 1066982
Sex: F
Age: 67
State: CA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
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Symptoms: Felt like tongue was enlarged and swollen. BP 146/83 (pulse 56). 100% O2 sat. Vitals stable.

Other Meds:

Current Illness:

ID: 1066983
Sex: F
Age: 61
State: OR

Vax Date: 02/21/2021
Onset Date: 02/24/2021
Rec V Date: 03/02/2021
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Allergies: oxycodone - nausea. Lisinopril - cough

Symptom List:

Symptoms: Hives at site of vaccine 3 days afterward. Then 7 days afterward full body hives starting base of skull, going up into scalp then descending down over torso -- very itchy.

Other Meds: acetaminophen, garlic, ibuprofen, imodium, omeprazole, telmisartan, trazodone

Current Illness: No

ID: 1066984
Sex: F
Age: 49
State: KY

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 03/02/2021
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Allergies: Sensitivity to Coedine Allergies to trees, pollen, cats, dogs, melons (cantaloupe & watermelon), shellfish.

Symptom List:

Symptoms: Beginning around 10:00 a.m. (about 18 hours after injection) my joints became very sore and I had a severe headache. I was tired and nauseous. As the day progressed the symptoms became more severe until they peaked around 5:00 that afternoon. I continued to have body aches and headache for another 8 hours but they lessened as time passed. My left arm continued to be sore for four days after the injection.

Other Meds: Zyrtec Airborne Nasacort Fluticasone Propionate/Salmeterol Diskus inhalation 100/50

Current Illness:

ID: 1066985
Sex: M
Age: 35
State: NJ

Vax Date: 02/04/2021
Onset Date: 02/25/2021
Rec V Date: 03/02/2021
Hospital: Y

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Allergies: NKA

Symptom List:

Symptoms: New onset headache, seizures, and encephalopathy

Other Meds: Metaxalone 800mg Dexilant 60mg Finasteride 5mg

Current Illness: No

ID: 1066986
Sex: F
Age: 1
State: MI

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/02/2021
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Allergies: NKDA

Symptom List:

Symptoms: Patient mother was called and stated that she was fine and playing. I did advice her that I will be calling her the following day to check up on her. She was given VIS information and was told to contact the clinic if she had any signs of symptoms.

Other Meds: NA

Current Illness: diaper rash

ID: 1066987
Sex: F
Age: 74
State: CA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
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Allergies: bee venom

Symptom List:

Symptoms: 75 yo female on plavix here for second covid without any issues with first covid c/o lightheadess 18 min after second covid. pt admitted to poor hydration . vital sign stable and exam unremarkable lightheadness resolved after drinking bottle water

Other Meds: plavix

Current Illness: none

ID: 1066988
Sex: M
Age: 71
State: MO

Vax Date: 02/27/2021
Onset Date: 03/02/2021
Rec V Date: 03/02/2021
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Allergies: None

Symptom List:

Symptoms: Dizzy started 2:00pm Monday 3/1. Had to lay down. Dizzy started clearing up today 3/2pm Nausea comes and god. Dry throw up.

Other Meds: 14 different meds.

Current Illness: None

ID: 1066989
Sex: F
Age: 47
State:

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/02/2021
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Symptoms: SWELLING IN THROAT "FEELS TIGHT", PRESSURE IN CHEST, COUGH. EVALUATED BY EMS-CLEARED

Other Meds:

Current Illness:

ID: 1066990
Sex: M
Age: 72
State: IL

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/02/2021
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Symptoms: PATIENT REPORTED THIS ON 03/01/2021- WITHING 5 MINUTES OF IMMUNIZATION HE HAD PUFFED UP UPPER LIP , A LITTLE SWELLING IN THROAT AND LITTLE DIFFICULTY SWALLOWING. IT LASTED ABOUT 15 MINUTES AND THEN PASSED. Patient also stated that this reaction was similar to a reaction he had previously when he had a banana at age 21. now he is 72. Patient spoke to his Doctor on 03/01/2021. Doctor advised him to take Benadryl 25 at 8 am and 6 hours later after the second dose of covid-19. We advised him to get his second dose at a hospital or doctor's office if possible.

Other Meds: vitamin d2 50.000 units , pravastatin 40mg

Current Illness:

ID: 1066991
Sex: F
Age: 52
State: CA

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/02/2021
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Allergies: sulfa, shellfish, contrast IV dye

Symptom List:

Symptoms: Complained of warm feeling after receiving first dose of Pfizer COVID-19 vaccine (lot EN6205, exp 6/30/2021). At 1029, EMT was checking in on client since she was in post vaccine waiting area for 30 min observation. EMT noticed flushed face and neck. Per client felt warm sensation and at 1031 stated metallic taste in mouth, feeling clammy with sweaty hands. PHN joined EMTs. First set of vitals: blood pressure 120/80, temperature 101.7 F. Alert and oriented, no shortness of breath, rash, itching, swelling, blurry vision, or tingling noted per client. Per client sulfa, shellfish, and contrast IV dye allergies. Medication client took this morning: Synthroid 75mcg. Clt reported she ate breakfast at 9am consisting of cereal and coffee, client reported a history of Bell's palsy 20 years ago with full recovery. 1034 temp 100.0 F. Assessed for arm drift, no tongue deviation, clt stated no tingling, able to move all extremities. 1042 vitals: blood pressure 120/100, pulse 77, o2 98, temp 99.0 F. Alert and oriented, clammy hands, no shortness of breath, no swelling. PHN offered client Benadryl, client declined. Informed client she would be kept longer for observation and client agreed. At 1047 temp 98.9 F, respiratory rate 24. At 1051 client stated tingling sensation on inner lips, metallic taste, dizziness, and mild burning sensation around eyes and nose area. PHN assessed for swelling in mouth, lips, face. PHN offered Benadryl again and client accepted. Client called husband who was in parking lot, client not driving. At 1054 Benadryl 50mg/ml IM on left deltoid. Vitals 1056: blood pressure 118/90, pulse 70, o2 98. Client informed vitals would be reassessed every 5 minutes. 1101 vitals: 99.1 F temp, blood pressure 118/78, pulse 77, o2 98. Per client dizziness and metallic taste were improving. 1106 vitals: pulse 75, o2 98, respirations 14, EMT unable to obtain blood pressure. Client complained of tingling on left index finder, PHN assessed bilateral grip strength, equal on both sides. 1114 vitals: blood pressure 128/72, pulse 74, o2 99. Per client, improvement of tingling sensation on lips, no metallic taste, no dizziness, no headache. Per client felt Benadryl effects. Vitals 1118: blood pressure 124/82, pulse 76, o2 96. Vitals 1124: blood pressure 128/78, pulse 75, o2 98. Client able to stand, denied dizziness. At 1133 noticed change in speech, slurred. Per client voice was different. called 911 at 1134. Paramedics arrived at 1142 and assumed care. Client transported to Hospital per client's husband request at 1149.

Other Meds: Synthroid 75mcg

Current Illness: none reported

ID: 1066992
Sex: F
Age: 52
State: NY

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/02/2021
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Allergies: Phenergan, compazine, reglan, CT contrast

Symptom List:

Symptoms: Pt reported the sensation of a swollen tongue less than 10 minutes after receiving the vaccine. Examination of the tongue did confirm this. Epi administered with relief but she then reported numbness of the lips. EMS activated and IM benadryl (difficulty gaining access) administered. Pt transported to NYU. BP noted at 132/87; HR- 99

Other Meds: Xanax , (other meds unknown at this time)

Current Illness:

ID: 1066993
Sex: F
Age: 49
State: NJ

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 03/02/2021
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Symptoms: chills, headache, dehydration, fatigue

Other Meds: methlimazole

Current Illness:

ID: 1066994
Sex: F
Age: 57
State:

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 03/02/2021
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Symptom List:

Symptoms: injection site pain, injection site swelling, muscle pain, chills, swollen lymph nodes, nausea

Other Meds:

Current Illness:

ID: 1066995
Sex: F
Age: 44
State: TX

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 03/02/2021
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Allergies: sulfa antibiotics, clavulanic acid (Augmentin)

Symptom List:

Symptoms: at 24 hours, the muscle became inflamed (hot, red, swollen, itchy, painful). Remained so for 5 days, slowly reducing in severity. No noticeable reaction from days 6-8. On day 9 (today), became inflamed again, with welts that look like hives, and the severity of the itching, swelling, heat, and redness started increasing again.

Other Meds: Adzenys, Almotriptan, armour thyroid, trintellix, rexulti, metformin, low dose naltrexone, celebrex, singulair, astelin, hormonal birth control, b vitamin complex, magnesium, CoQ10, Vitamins D & K2, flonase, biotin

Current Illness: none

ID: 1066996
Sex: M
Age: 73
State: NE

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 03/02/2021
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Allergies: no known allergies

Symptom List:

Symptoms: Veteran states two days after his first dose (2/12/2021) he developed a rash on his legs. States the rash is now "up to my crotch, abdomen, and now to my belly button." Also states it is very "itchy" and has been using fluocinonide on it. Veteran was encouraged to be seen in Urgent Care to see if the rash was from something other than the vaccination.

Other Meds: Multi-vitamin, Magnesium-Oxide, Chondroitin/Glucosamine, Fish Oil, Calcium, Potassium Chloride, Hydrochlorothiazide, Fluocinonide cream

Current Illness: none

ID: 1066997
Sex: F
Age: 33
State: IL

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 03/02/2021
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Allergies: Bactrim DS

Symptom List:

Symptoms: I received the vaccine at approximately 1245 on February 12, 2021. Approximately 12 hours later I got up in the night. I experienced ringing in the ears, sharp intense headache, blurred vision. Experienced confusion. Fainted. Asked my husband to get me Benadryl. Took 50 mg of Benadryl and slept for another 5 to 6 hours. I experienced body aches, chills, headache, heart palpitations, intermittent blurred vision for 4 to 5 days afterwards.

Other Meds: multivitamin, zinc, vitamin c

Current Illness: Not applicable

ID: 1066998
Sex: F
Age: 68
State: FL

Vax Date: 02/12/2021
Onset Date: 02/25/2021
Rec V Date: 03/02/2021
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Allergies: none

Symptom List:

Symptoms: Painful swollen lymph node on left side between collar bone and neck.

Other Meds: amlpodipine, prilosec,

Current Illness: none

ID: 1066999
Sex: F
Age: 29
State: OH

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 03/02/2021
Hospital:

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Allergies: BACTRUM, SULFA

Symptom List:

Symptoms: After my 1st dose, I experienced swollen lymph node to my left clavicle. It was over 1 inch in diameter, it was big and painful and vey irritated. Today the swollen lymph node is still present.

Other Meds: BIRTH CONTROL PILLS

Current Illness: KIDENY DISORDER FR KIDNEY STONES

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm