VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

Total Manufacturer
46,870MODERNA
532GLAXOSMITHKLINE BIOLOGICALS
353PFIZER\BIONTECH
231MERCK & CO. INC.
221UNKNOWN MANUFACTURER
62SEQIRUS, INC.
25DYNAVAX TECHNOLOGIES CORPORATION
13EMERGENT BIOSOLUTIONS
12SANOFI PASTEUR
9NOVARTIS VACCINES AND DIAGNOSTICS
5PFIZER\WYETH
5PAXVAX
2TEVA PHARMACEUTICALS
2PROTEIN SCIENCES CORPORATION
1BERNA BIOTECH, LTD.
1INTERCELL AG
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL1,906
1,575
289
IMM209286
252
236
229
s029456178
171
UT7065MA166
155
149
145
S034636133
107
U62828AA103
100
98
P10025327596
U6737AA85
UJ446AA79
78
78
59
57
4BH3254
4F47253
52
27656352
50
PP9L548
49TM346
42
40
38
MENVEO38
4F47237
R1B252M36
34
C5763AA30
93362229
25
300057A24
UNK24
22
CW311621
18
17
15
UH894AB15
3Y7NL12
R1B743M12
EJ168611
el128410
10
10
10
9
ARBA141A9
UNK9
8
UNK8
8
1F4EB8
Unknown7
7
No batch number6
5
5
UJ090AA5
5
5
4
4
4
UNK4
JEV18K95E4
UNK3
A115A3
Z127A3
3
3333324181073
2
2
2
TAR352
1
1
1
1
1
A739081
1
1
1
1
1
037K20A68,542
EL128447,700
133

Incidents per State

State Total
15,185
CA14,096
NY7,507
TX7,196
FL6,939
IN5,527
PA4,560
IL4,179
OH4,054
AZ3,856
MI3,771
NJ3,411
MA3,278
VA3,208
NC3,114
WA3,034
GA2,864
MD2,652
MN2,534
CO2,532
WI2,457
MO2,029
OR1,943
TN1,715
CT1,693
KY1,603
OK1,226
AL1,201
KS1,162
IA1,157
SC1,106
NM1,065
UT973
AR951
LA945
NE829
NV797
ME795
MT789
NH756
ID674
AK661
WV661
PR650
MS585
HI536
RI510
VT441
SD361
ND356
DE350
DC239
WY209
GU32
AS16
VI13
MP9
MH3
FM2
QM1
XB1

ID: 1068475
Sex: F
Age: 0
State: DE

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

Lab Data: unknown (2 years)

Allergies: naproxen

Symptoms: Patient developed this at 2 yrs. of age. Patient can get around with help of braces.

Other Meds: synthroid; atorvastatin; duloxetine;

Current Illness: none

ID: 1068476
Sex: F
Age: 37
State:

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

Lab Data:

Allergies:

Symptoms: Lightheadedness "a little". Did not eat breakfast nor lunch today. Offered water and granola bar. Monitored VS x 2, VSS, NAD. Monitored 30 minutes, felt better. No complaints of dizziness, normal gait and steady. Released after 30 minutes to home.

Other Meds:

Current Illness:

ID: 1068477
Sex: F
Age: 67
State: CA

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

Lab Data:

Allergies:

Symptoms: upper lip swelling

Other Meds:

Current Illness:

ID: 1068478
Sex: F
Age: 44
State:

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

Lab Data:

Allergies:

Symptoms: Fifteen minutes after vaccination, patient started feeling warm feeling to Left upper arm and numbness traveled down to hand. Then started feeling headache and warmth to forehead 30 minutes after vaccination. Afebrile, Temp: 97.7F temporally, Applied cold compress to site provided relief to achiness and numbness. VS taken x 2, stable. Released 45 minutes after vaccination to home.

Other Meds:

Current Illness:

ID: 1068479
Sex: M
Age: 63
State:

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

Lab Data:

Allergies:

Symptoms: Complained of dizziness after the shot. No lightheadedness or difficulty breathing. Patient stated that he was anxious before receiving shot. Hx of lightheadedness after flu shot. VSS. Patient remained seated x 30 minutes. Offered water and patient drank. Started feeling better after sat down and drank. Dizziness resolved. Feeling better, observed steady gait when leaving.

Other Meds:

Current Illness:

ID: 1068480
Sex: F
Age: 44
State:

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: Allergic to sulfa drugs, dust, dust mites, mold, mildew, fungus, animals (dander/fur/hair/feathers), perfumes/fragrance, dyes, insect bites, cigarette or other smoke. Food allergies have been downgraded to sensitivities as of last allergy test

Symptoms: 2/18 received shot, 2/19 onset of swelling, hardness, redness, tenderness, soreness,hot to the touch which increased to greater than palm sized by 2/20. I also experienced fatigue. By 2/23 it had faded to dime sized, but was still hot, red, and hurt to touch. By 2/25 it was almost gone, but on 2/26 all symptoms started to return and increase. Itchiness and pain were the first symptoms. By 2/28, there was a large red ring around the swollen injection area that spread across the arm (where it had not in the initial days following the injection), was larger (hand-sized), and accompanied by a sore throat, cough, and runny nose. I applied cortizone cream and took Benadryl until 3/2 when the reaction began to subside again. There is still a red mark on my arm, but the swelling, itchiness, heat, soreness are gone.

Other Meds: Advair, singulair, zyrtec, sudafed, synthroid, amytriptiline, lexapro, Vitamin B,C,D supplements, SLIT drops (immunotherapy)

Current Illness: Cold, two weeks prior

ID: 1068481
Sex: F
Age: 83
State: IN

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: no tests or labs were run

Allergies: sulfa, nitrofurantin, morphine no foods

Symptoms: 5-6 days after the injection right upper arm started to itch. Skin had turned bright pink and looked like a rash but was smooth. The pink color extended from my right shoulder halfway down to my elbow and wrapped around the entire upper arm in a band that measured about 6 inches wide. The whole area itched but not constantly or too intensely. Itching lasted nearly a week. The arm is no longer bright pink, but can tell where the skin was inflamed. Informed the head pharmisist at location and my family doctor. The pharmist said it was probably an allergic reaction and I should notify my doc, the doc said it was a sign that my body was developing antibodies. It was a little scary and I'm not looking forward to the shot on 3/10/21!!

Other Meds: evista, synthroid, encitalopram, calcium, magnesium, vit. D, lutein,

Current Illness: none

ID: 1068482
Sex: F
Age: 17
State: OR

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Under-age patient was vacccinated. Patient was discovered to be under the minimum approved age for this vaccine after the injection was given. No signs or symptoms of adverse effect were detected during the 15 minute post-injection observation period. Our Covid vaccination clinic screens patients for qualifying and disqualifying factors, including age, immediately before they receive a vaccination. Screeners are responsible for this. Patients who pass screening are then sent to a vaccinator. Vaccinators do not re-screen patients in the course of administering the injection. This event occurred because a mistake was made during the screening process.

Other Meds: unknown

Current Illness: none

ID: 1068483
Sex: M
Age: 26
State: NY

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

Lab Data: n/a

Allergies: N/A

Symptoms: Patient stated to RN at observation that " he wants to lay down". RN stated that "she held his head" as he experienced a syncope event. RN notified Nurse Practitioners . EMS activated. Patients assessed and found to be alert and oriented to place and person. Patient stated that he felt dizzy. Vital signs monitored and patient found to be hypotensive, diaphoretic, and flushed. Epinephrine administered X3 with vital signs monitored in between. Vital signs stabilized and patient transferred to hospital with EMS.

Other Meds: Adderall , metoprolol

Current Illness:

ID: 1068484
Sex: F
Age: 23
State: OH

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

Lab Data:

Allergies:

Symptoms: Patient experienced nausea, vomiting, chest pain and seizures (history of seizures but experienced it more strongly after the shot)

Other Meds:

Current Illness:

ID: 1068485
Sex: F
Age: 0
State: CA

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

Lab Data: Severe respiratory acidosis, hyperglycemia, hematuria/proteinuria

Allergies: none

Symptoms: On the afternoon of March 2, 2021, the baby breastfed and then was being held in a sling worn by her mother. Mother notes she was on a video call for work and thought the baby had fallen asleep. A short time later (unsure of exact timing) she noticed that the baby was not breathing, appeared blue, and was bleeding from her nose. Mother called 911 and began CPR that was continued by EMS and then hospital emergency department personnel. Baby was found by EMS to be apneic, cyanotic, and severely bradycardic. Baby was brought to the hospital and treated with multiple rounds of epinephrine, IV fluids, dextrose. She was intubated. She developed seizure activity and was started on Keppra. Baby subsequently transported to Hospital PICU.

Other Meds: none

Current Illness: oral thrush

ID: 1068486
Sex: M
Age: 44
State: TX

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

Lab Data:

Allergies: None

Symptoms: 101 fever @ 01:00

Other Meds: None

Current Illness: None

ID: 1068487
Sex: F
Age: 7
State: VA

Vax Date: 02/08/2021
Onset Date: 02/28/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient had two chicken pox blisters bath at came up around 2/28 or a bit before. They are not yet open or scabbed over, but they are quite itchy.

Other Meds:

Current Illness:

ID: 1068488
Sex: F
Age: 10
State: CA

Vax Date: 09/01/1975
Onset Date: 09/01/1975
Rec V Date: 03/03/2021
Hospital:

Lab Data: nerve testing etc.

Allergies: none

Symptoms: i had tetanus boosters in 1975 and 1984, and again once after that of a date unrecalled. each time i had sever arm pain and was unable to move arm for about a week. not once was i told that would be a contraindication to further vaccination. in 1990, as a checker at a market, after 3 months i acquired a repetitive strain injury. it occurred unusually quickly and did not resolve with normal treatment. i have now been receiving treatment for 30 years, and still impacts me. I did not realize until recently that the etiology of the injury was from brachial neuritis due to the tetanus shot. all providers who have treated me said my injury was unusual lu extreme considering the supposed onset. i have complex involvement of the fascia, and could not work for years. i need constant graston treatment to break up the scarring. it mimics chronic tetanus and i am saddened that doctors did not recognize the syndrome sooner.

Other Meds: none

Current Illness: none

ID: 1068489
Sex: F
Age: 62
State: MI

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

Lab Data:

Allergies: Gluten

Symptoms: Chills, fever 101.3 onset about 28 hours after vaccine. Resolved with Tylenol.

Other Meds: Vit D, Advil,

Current Illness: None

ID: 1068490
Sex: F
Age: 51
State:

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

Lab Data:

Allergies: None

Symptoms: Chills/ fever of 101 F from 7AM 2/27/2021 -Advil- brought fever down Headache and aches and pains all over - Advil- relieved pain Nausea - went away over time Arm of injection site very sore All symptoms were gone by 2/28/2021 7 AM

Other Meds: High blood pressure medicine: Candesartan

Current Illness: None

ID: 1068491
Sex: M
Age: 40
State: TX

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

Lab Data:

Allergies:

Symptoms: Severe achiness. Shaking,muscle spasms

Other Meds: Gabapintin,

Current Illness:

ID: 1068492
Sex: F
Age: 69
State:

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

Lab Data: none

Allergies: penicillin gemoflaxicin erythromycin bactrim tobramycin

Symptoms: chills on eve of vaccine fatigue for 24 hours headache for 24 hours covid arm (itching, warmth, a lump at injection site) which began on 03/02/2021

Other Meds: propranolol nortriptyline pravastatin

Current Illness: none

ID: 1068493
Sex: M
Age: 47
State: FL

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

Lab Data:

Allergies: None

Symptoms: 2nd dose of vaccine. When being administered, a blue topped syringe was used an some or all of the vaccine squirted out. A 2nd dose was administered with a red topped syringe. Side affect was a fever of 101.1 and joint pain with a minor headache

Other Meds: Multi-vitamins

Current Illness: None

ID: 1068494
Sex: F
Age: 42
State: NY

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Initially I had a sore arm for 3 days and it went away. About a week later I started getting a red splotches on my arm where the injection site is. The red splotch is warm to the touch. It comes and goes.

Other Meds:

Current Illness:

ID: 1068495
Sex: F
Age: 77
State: AZ

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

Lab Data: none

Allergies: Reaction nitroglycerin--hypotension

Symptoms: DAY 1-mild headache during the day became migraine at night. Experienced chills, sweat, dizziness, fatigue, and sore arm (like tetanus). DAY 2-Migraine all day, chills, sweat, dizziness, fatigue, and sore arm. DAY 3- Migraine downgraded to functional migraine (I could open my eyes), sweat, dizziness, sore arm, fatigue, chills gone. DAY 4-headache, painful to move arm. DAY 5-Arm still painful to use.

Other Meds: Eliquims 5mg 2x daily

Current Illness: none

ID: 1068496
Sex: F
Age: 51
State: AZ

Vax Date: 02/23/2021
Onset Date: 03/01/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: The lymph nodes on the left side of my neck are extremely sore. It feels tight and painful to move or sleep.

Other Meds: Blood pressure medicine

Current Illness: None

ID: 1068497
Sex: F
Age: 38
State: CA

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

Lab Data: none

Allergies: none

Symptoms: 13 weeks preg? severe fever, rigors, aches, insomnia, gi sx

Other Meds: vitamin aspirin zyrtec

Current Illness: none

ID: 1068498
Sex: F
Age: 43
State: NJ

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

Lab Data: Have not gone to healthcare provider

Allergies: Penicillin

Symptoms: 2/27/21: 11pm (12.5 hrs post shot) body and head aches. Next morning 2/28/21: 7am, body & head aches much worse & chills. Unable to get out of bed until 7pm when feeling a little better. Tylenol no help. 3/1/21: am feeling better just a slight headache. 12pm oral ulcers start, continued head ache. 9pm: oral ulcers causing facial discomfort as if along facial dermatomes. 3/2/21: oral ulcers worsen dermatome discomfort mostly on rt side esp around rt eye. Fatigued, laying in bed by 6:30pm. 3/3/21 5:30am: continued headache, oral ulcers and facial dermatome discomfort.

Other Meds:

Current Illness: None

ID: 1068499
Sex: F
Age: 56
State: MA

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

Lab Data:

Allergies: Lisinipril- ace inhibitors- raised potassium dangerously high

Symptoms: ?Covid arm? red, firm , itchy arm at area of injection site

Other Meds: Insulin via pump, lyrica, norvasc, hydrochlorothiazide, Lipitor, Wellbutrin xl, amytryptiline, potassium, jardiance, l-thyroxine, montelukast, ambien

Current Illness: Diabetes T1, asthma

ID: 1068500
Sex: F
Age: 63
State: NY

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

Lab Data:

Allergies: None as known

Symptoms: Woke up with really bad body pain.Im still fatigued more then normal and I have a rash big blotches non itchy on arm looks more like hives raised and big.

Other Meds: None

Current Illness: Kidney stone/No priors issues.I have severe body aches and large wealth rash near vaccine area and I'm more fatigued then usual.

ID: 1068501
Sex: F
Age: 48
State: PR

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

Lab Data:

Allergies: Mollusk

Symptoms: VOMITING, DIARRHEA, DEHYDRATION, GENERALIZED PAIN, HEADACHE, FEVER, CHILLS, TIREDNESS

Other Meds: Levothyroxine Propranolol Prolia

Current Illness: Hypothyroidism

ID: 1068502
Sex: F
Age: 43
State: MA

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

Lab Data:

Allergies:

Symptoms: Two hours after vaccine I felt symptoms of indigestion, as if the food I was eating was spending very little time in my stomach. Felt that again the following night. I had watery stool on the morning of the 2nd day after the vaccine.

Other Meds:

Current Illness:

ID: 1068503
Sex: F
Age: 71
State: MA

Vax Date: 02/19/2021
Onset Date: 02/26/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: Nine

Allergies: Penicillin

Symptoms: Rash 7 days after injection. - slight pain lasting 48 hours

Other Meds: Serevent,Flonase,pro air,atorvastatin,atrovent,multivitamin,biotin,probiotic,b12,amlodopine

Current Illness: None

ID: 1068504
Sex: F
Age: 71
State: MO

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: Blood test white blood cells and the other. Blood sugar urine. Doc said only blood sugar was high. Did not address any symptoms, said she could tell. Monday 02/22/2021. Now how she couldn't tell swollen lymph nodes. I do not know. Still swollen.

Allergies: Some diabetic meds.

Symptoms: Lymph nodes swelling ear throat breast. Right leg pain, swelling

Other Meds: Novolin n flex pen insulin

Current Illness: No

ID: 1068505
Sex: F
Age: 61
State: PA

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

Lab Data: None

Allergies: No

Symptoms: Fever, chills, intense pain in low back, pelvis shins lasting 48 hours. Had large raised reddened area surrounding injection site for both doses. No side effects otherwise after first does. 2nd dose...injection site extremely painful. Large reddened hard area surrounding injection site.

Other Meds: Lisinopril 5mg Aspirin 80mg

Current Illness: None

ID: 1068506
Sex: F
Age: 71
State: NY

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

Lab Data:

Allergies: Celebrex and sulfur based medicine

Symptoms: Headache, upset stomach, light headed

Other Meds: Multi vitamin,calcium w/D, potassium, omeprazole, metformin, famotidine, glimeperid, ramipril, lovastatin, fexofenodine

Current Illness:

ID: 1068507
Sex: F
Age: 52
State: AR

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

Lab Data: It is currently 5:49am and it only began this morning so I?ve not had an opportunity to reach out to my doctor yet.

Allergies: None

Symptoms: Numbness and tingling in my left fingers, left toes, left ear, and left side of my face. So far in my toes when walking it becomes painful. It feels like my toes are being placed over a flame.

Other Meds: Tylenol

Current Illness: None

ID: 1068508
Sex: F
Age: 43
State: IL

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

Lab Data:

Allergies: None

Symptoms: -arm soreness -fever -chills -body ache -headache

Other Meds: -Blood pressure medication -ADD medication

Current Illness: COVID-19

ID: 1068509
Sex: M
Age: 68
State: NY

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

Lab Data:

Allergies:

Symptoms: Site: Swelling at Injection Site-Mild, Additional Details: Swelling immediately after injection given at injection site. About 1 inch diameter. After monitoring, swelling seemed to slightly decrease.

Other Meds:

Current Illness:

ID: 1068510
Sex: F
Age: 65
State: VA

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

Lab Data:

Allergies:

Symptoms: Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium

Other Meds:

Current Illness:

ID: 1068511
Sex: F
Age: 33
State: MA

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

Lab Data:

Allergies:

Symptoms: Itchy, red circular blotch at injection site, tender to touch

Other Meds: Merina IUD, Ajovy, Gralise, Fiorocet

Current Illness:

ID: 1068512
Sex: F
Age: 30
State: NC

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

Lab Data: N/A

Allergies: Milk allergy.

Symptoms: Fever of 101.5?, chills, cold sweats, headache, body aches, unable to sleep.

Other Meds: Mirtazapine 7.5mg, Celexa 10mg, Zoloft 50mg, prenatal multivitamin, cranberry supplement, energy supplement, vitamin C supplement, stress supplement

Current Illness: N/a

ID: 1068513
Sex: F
Age: 88
State: IL

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

Lab Data:

Allergies:

Symptoms: Systemic: short of breath (not allergic, not wheezing)-Mild

Other Meds:

Current Illness:

ID: 1068514
Sex: F
Age: 84
State: IL

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

Lab Data:

Allergies:

Symptoms: Systemic: Nausea-Mild

Other Meds:

Current Illness:

ID: 1068515
Sex: M
Age: 70
State: IN

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

Lab Data:

Allergies: None

Symptoms: Fever 101.5, headache

Other Meds: Eliquis 5 Mg 2 times a day, atorvastatin 20Mgs

Current Illness: None

ID: 1068516
Sex: F
Age: 78
State: CA

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

Lab Data:

Allergies:

Symptoms: Error: Booster Given Too Early

Other Meds:

Current Illness:

ID: 1068517
Sex: F
Age: 72
State: MA

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

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1068518
Sex: M
Age: 16
State: IN

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

Lab Data:

Allergies:

Symptoms: Error: Patient Too Young for Vaccine Administered

Other Meds:

Current Illness:

ID: 1068519
Sex: F
Age: 65
State: MA

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

Lab Data:

Allergies:

Symptoms: Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: lips tingling and radiate to left arm and right arm-Medium, Additional Details: at first she felt lips tingling, we gave her a benadryl and let her sit for the other 15 minutes. after that, she felt tingling more on her right arm and left arm, warmness on her neck and her chest, a little redness. she did not have any trouble breathing, no shortness of breath.

Other Meds:

Current Illness:

ID: 1068520
Sex: M
Age: 77
State: CA

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

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1068521
Sex: F
Age: 34
State: CA

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

Lab Data:

Allergies:

Symptoms: Systemic: Dizziness / Light headiness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Severe, Additional Details: Patient was given the 1st dose of the Pfizer COVID vaccine around 4:50pm PST without incident and she was directed to wait for 15 minutes in the store. the pharmacy technician monitoring patients noticed around 4:57pm that patient was pale and slumped over in her chair & alerted me. Immediately, patient fainted while seated, into arms. 911 was alerted & they came 10 mins afterwards. EMS found her BP to be low and recommended she go to the ER, but she refused.

Other Meds:

Current Illness:

ID: 1068522
Sex: F
Age: 41
State: CA

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

Lab Data:

Allergies:

Symptoms: Systemic: Flushed / Sweating-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Additional Details: Patient had no issues during 15 minute wait period, but informed MD that experienced facial flushing, numbness, and warmness for total of 30 minutes on way home. Symptoms have resolved without any treatment.

Other Meds:

Current Illness:

ID: 1068523
Sex: F
Age: 53
State: CA

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

Lab Data:

Allergies:

Symptoms: Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild

Other Meds:

Current Illness:

ID: 1068524
Sex: F
Age: 75
State: CA

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

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm