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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 1088641
Sex: F
Age: 51
State: NY

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

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

Lab Data:

Allergies: Penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient became light headed and faint. Was also diaphoretic Needed assistance in standing. Had to lie down. Pulse was initially difficult to palpate (radial) After few min pulse was palpable. A BP cuff was not immediately available. After roughly 4 min BP taken 120/70 Patient improved after assuming supine position

Other Meds: None

Current Illness: None

ID: 1088642
Sex: F
Age: 31
State: AR

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

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: I had a fever that went up to 102.4F by midnight, severe chills, and muscle pain. I took some medicines.

Other Meds: Lo Loestrin Fe

Current Illness:

ID: 1088643
Sex: M
Age: 74
State: TN

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/10/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Was driving a vehicle and started having vision problems and pulled off road and started loosing consciousness. 911 dispatched and taken to hospital.

Other Meds: Plavix, Ramipril,

Current Illness: allergy symptoms of running nose

ID: 1088644
Sex: M
Age: 70
State: NC

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Vaccine was at room temperature for>6 hours at time of administration.

Other Meds:

Current Illness:

ID: 1088645
Sex: F
Age: 67
State: NC

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

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

Lab Data:

Allergies:

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

Symptoms: Rash that I did not witness, patient reports hives. pruritis on arms

Other Meds:

Current Illness:

ID: 1088646
Sex: F
Age: 73
State: FL

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: eggs, dairy hydrocloraside

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

Symptoms: following evening back pain lower left side for 2 days. Moved to stomach on left side and back. At this time urine was orange in color and had a foul Oder for 3 days followed by stomach pain still but more intense and dysentery. Called Dr office when I had blood clots the size of quarters or better, Nurse suggested I go to emergency. I did not, this continued for 3 days and then subsided. I still am having chills and a temp of 96.7.. At this point I am concerned to get the second vaccine on the 29 th of this month.

Other Meds: venlafaxine 150mg Amlodipine 2.5mg

Current Illness: 0

ID: 1088647
Sex: M
Age: 90
State: TX

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: The patient stated that he called 911 Saturday evening due to severe shoulder/arm pain and severe swelling / discoloration of the entire arm, down to the finger tips. The patient went back to the ER again Monday for treatment for continued pain, inflammation, swelling, and discoloration. The patient stated that the dr said the immunization may have been given too high and into the joint. Patient was treated with meloxicam, an IM injection of toradol, and tramadol per the discharge papers.

Other Meds: n/a

Current Illness: n/a

ID: 1088648
Sex: F
Age: 72
State: TX

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

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

Lab Data:

Allergies: Codeine

Symptom List: Pharyngeal swelling

Symptoms: After monitoring period post Pfizer COVID-19 vaccine, pt experienced nausea, vomiting and light headedness in bathroom. Pts BP `132/80 o Notifications made: 911/Ambulance - paramedics on site. o Medications Ordered/Given Per Protocol: NONE o Patient was transferred to: ER by EMS

Other Meds: per patient, no home meds taken prior to vaccine

Current Illness:

ID: 1088649
Sex: F
Age: 51
State: KY

Vax Date: 02/19/2021
Onset Date: 03/02/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Eye infection

Other Meds: Wellbutrin, Metroprolol, Celebrex

Current Illness: None

ID: 1088650
Sex: F
Age: 70
State: NC

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Vaccine was at room temperature for>6 hours at time of administration.

Other Meds:

Current Illness:

ID: 1088651
Sex: F
Age: 36
State: IL

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Adverse Reaction: Patient received her vaccine around 9am, around noon became dizzy and nauseated evaluated in ER and treated with Zofran and IV fluids, felt better and discharged home.

Other Meds: Cephalexin 500mg every 6hrs.

Current Illness: Unknown

ID: 1088652
Sex: F
Age: 71
State: PA

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Adhesive tape

Symptom List: Rash, Urticaria

Symptoms: Injection site very swollen,, about 7 inches in diameter,, red, and itchy, and tender ,,, and slight flaking of skin A lot of stiffness in knee joints ,,,, lower back,, and the back of my neck

Other Meds: Sotalol Valacyclovir

Current Illness: None

ID: 1088653
Sex: M
Age: 62
State: KY

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Onset of side effects approx. 10 hours after injection. Headache, Slight fever, Sweating, Tiredness. Took Tylenol for headache and fever. Tiredness persisted until the next evening ( 24 Hours).

Other Meds: Sirolimus, Mycophenolate, Glimepiride, Metoprolol, Levothyroxine, Olmesartan, Furosemide, Famotidine, Modafinil, Bupropion XL, Multi Vitamin.

Current Illness: None

ID: 1088654
Sex: M
Age: 71
State: IN

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

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

Lab Data:

Allergies: Amoxicillin / Augmentin / Cefdinir / Cipro / Ciprofloxacin / Clavulanic / Oxteracycline / Streptomycin / Streptomycin Sulfate / Tetracycline / Tetracycline Hydrochloride / Lidocaine and many antibiotics and not be taken with Dofetilide could be severe or deadly reactions

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

Symptoms: First day - resting heart rate 30 -35 beats above normal and blood pressure was up / aching in chest and shortness of breath / Second day - Chills and aching all over

Other Meds: Metoprolol / Dofetilide / Diazepam / Eliquis / Aspirin / Co Q 10 / Probiotic / One A Day 65+ Multivitamin

Current Illness: Prostatis

ID: 1088655
Sex: M
Age: 26
State: OH

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: I started with an itchy face. Then it turned into hives, swelling, a fever, chills, and muscle cramps. My face is now covered in scabs and infected, and swollen. Tender to the touch, and stings very much.

Other Meds:

Current Illness:

ID: 1088656
Sex: F
Age: 76
State: WI

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

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

Lab Data:

Allergies: none

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: sx APPROXIMATELY 20-30MINS AFTER: Facility nurse reported feeling light headed, heart rate was 44 bpm, feeling cloudy, fatigued

Other Meds: none

Current Illness: Patient has HX of cardiovascular problems per pt awaiting a Pacemaker, DM, and pt had mentioned she is on BLood thinners (dx unknown if previous hx of stroke)

ID: 1088657
Sex: M
Age: 67
State: IN

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: codeine

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

Symptoms: EUA

Other Meds: none

Current Illness: none

ID: 1088658
Sex: F
Age: 37
State: VA

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

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Localized itching and erythema at the site of injection with onset of hives on the upper arm spreading downward.

Other Meds:

Current Illness:

ID: 1088659
Sex: F
Age: 74
State: NC

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Vaccine was at room temperature for 6 hours at time of administration.

Other Meds:

Current Illness:

ID: 1088660
Sex: M
Age: 62
State: NJ

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Exacerbation of Pemphigus Vulgaris that had been in remission

Other Meds: Sertraline 50mg One at bedtime Finasteride 5mg Once Daily

Current Illness:

ID: 1088662
Sex: F
Age: 64
State: IN

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Codeine

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

Symptoms: Very sore arm for 2 days. Headache started in the evening and had the next morning. Used cold wet cloth at injection site and used the arm as suggested to relieve pain. Headache was a dull throb. Chose not to use Tylenol as I wanted to do nothing that might affect the efficacy of the vaccine. Just rested.

Other Meds: VitaminD and calcium

Current Illness: None

ID: 1088663
Sex: F
Age: 31
State: KY

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

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

Lab Data:

Allergies: NA

Symptom List: Unevaluable event

Symptoms: Chills during the night and in the morning when got up from bed had symptoms of orthostatic hypotension' headache neckache and while using bathroom my head was spinning when got up to go to bed I fainted and fell down on the floor which I dont remember until I got up myself and found my son crying next to me i was sweating

Other Meds: 2 tab Tylenol at 3:00am 3/10/2021

Current Illness: NA

ID: 1088664
Sex: M
Age: 72
State: NC

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Vaccine was at room temperature for>6 hours at time of administration.

Other Meds:

Current Illness:

ID: 1088665
Sex: F
Age: 55
State: FL

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

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

Lab Data:

Allergies: codeine makes me vomit excessively.

Symptom List: Injection site pain, Pain

Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds: Amlodipine-Benazepril 10-20, Atorvastatin 10mg, Nexium 20mg, Phentermine, 18mg, calcium 1200mg &+ 25mcg vit. D3, vitamin C 500mg, vitamin D 1000IU, probiotic 40 mil, zyrtec 10mg, Centrum Silver-- I take all of these once a day.

Current Illness: none

ID: 1088666
Sex: F
Age: 72
State: VA

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

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

Lab Data:

Allergies: Morphine allergy

Symptom List: Injection site pain, Menorrhagia

Symptoms: Approximately 15 minutes after receiving vaccine, patient began complaining of tingly lips. Vitals assessed, WNL. Benadryl 25 mg capsule given to patient. Observed closely. Patient then began to complain of headache and "slight tightness" in throat. No signs of respiratory distress, vitals remained WNL. Approximately 15 minutes after Benadryl administered all symptoms resolved. Patient asked to leave. Observed another 10 minutes with no problems. Patient left site.

Other Meds: Blood thinner

Current Illness:

ID: 1088667
Sex: F
Age: 74
State: AZ

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: To Meds. Rebif,Copaxone,Phenothyazines,Attavan,Percoset,Erthromyecin

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

Symptoms: Immediate heart pounding, facial flushing and tingling, Doctor on duty came over and stayed with me for 30 minutes. She put devise in my finger that measures oxygen exchange and heart rate which was 105. She also got ice packs and a cold neck towel to put on. Gradually everything subsided, but I was unable to drive home so my husband did so. I developed a significant headache, so I went to bed when I arrived home.

Other Meds: Ozempic,Metformin,Lisinopril,ToprilXL,Rosuvastatin Calcium,Folic Acid,Modafinal B12,Biotin,Vitamin D,Mature Vitamin,Fish Oil,Baby Aspirin

Current Illness: none

ID: 1088668
Sex: F
Age: 74
State: MA

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

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

Lab Data:

Allergies: Iodine, statins, lisinopril

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Approximately 10 minutes after vaccination patient complained of substernal chest pain. No associated symptoms. No anaphylactic symptoms. Usually takes sublingual nitro but did not bring to vaccination site.

Other Meds: cardiac medications

Current Illness: None

ID: 1088669
Sex: M
Age: 69
State: NC

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Vaccine was at room temperature for>6 hours at time of administration.

Other Meds:

Current Illness:

ID: 1088670
Sex: F
Age: 80
State: OR

Vax Date: 02/24/2021
Onset Date: 03/04/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillins Bactrim DS Biaxin Ciprofloxacin Sulfa Drugs

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

Symptoms: Received vaccine on the 24th of February and then 4th of March had red itchy patch to left upper arm - remains present on 3/10/2021

Other Meds: albuterol, Pulmicort, cetirizine, diltiazem, doxycycline, genteel tears solution, ipratropium bromide nasal solution, Irbesartan tablet, levothyroxine, alrex ophthalmic solution, pantoprazole

Current Illness: no

ID: 1088671
Sex: F
Age: 38
State: CA

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

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

Lab Data:

Allergies: NKA

Symptom List: Nausea

Symptoms: Patient is a 38 year old female with hypertension, diabetes,12 week IUP, received second dose of Pfizer today. Patient had mild nausea and vomiting after receiving the vaccination. Patient then c/o lower abdominal cramps. Patient was last treated for UTI on 2/10/2021. Patient denies dysuria and frequency today. Denies fever, chills Denies vaginal spotting or bleeding. Denies diarrhea or constipation. Patient stopped taking atenolol after she got pregnant. Home blood pressure has been ranging from 110's to 130's systolic and 70's to 90's diastolic at home. Denies: Chest pain, DOE, SOB, headaches. OBJECTIVE: BP (!) 137/101 (BP Location: RA-RIGHT ARM, BP Patient Position: SITTING, Cuff Size: Standard Adult) | Pulse 91 | LMP 11/21/2020 (Exact Date) GENERAL APPEARANCE: alert and oriented x 4, in no acute distress. HEENT: pupils equally rounded and reactive to light, extra ocular motor intact, tympanic membrane intact CHEST: Clear to auscultation, no wheezes, rales or rhonchi CVS: Regular rate and rhythm, normal S1, S2, no murmur. Symmetric, brisk pulses ABDOMEN: soft, mild suprapubic and left lower quadrant tenderness, non-distended, no rebound, no guarding, bowel sound x 4 EXTREMITY: no clubbing, cyanosis, and edema UA: negative nitrite, negative leukocyte, small blood ASSESSMENT Encounter Diagnoses Code Name Primary? ? Z23 VACCINATION FOR SARS-COV-2 ? R10.9 ABDOMINAL PAIN ? I10 HTN (HYPERTENSION) patient's lower abdominal cramps were most likely due to anxiety and vomiting. Patient's abdominal pain subsided in clinic. PLAN: Orders Placed This Encounter ? Dose #2- VACC COVID-19, MRNA, LNP-S, PF (PFIZER-BIONTECH) ? Labetalol (NORMODYNE/TRANDATE) 100 mg Oral Tab ? URINALYSIS, DIPSTICK, POCT Advised the patient to monitor for symptoms of abdominal cramps and vaginal bleeding. Contact obstetrics clinic for acute symptoms. Advised the patient to take labetalol 100mg two times a day as needed for BP > 135/90. Keep herself well hydrated. Advised the patient to call for worsening symptoms. Patient verbalized understanding.

Other Meds: metformin, Vit D

Current Illness:

ID: 1088672
Sex: M
Age: 36
State: CA

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Injection site pain

Symptoms: Body aches - 1800 hrs Chills - 2000 hrs Recorded body temp, oral, of 102.4 F at 2125 hrs Extra Strength Tylenol, 1000 mg, at 2130 hrs Recorded body temp, oral, of 103.2 F at 2245 hrs Recorded body temp, oral, of 104.2 F at 2315 hrs, Pulse 110 BPM Ibuprofen, 1200 mg, at 2316 hrs, immediate cold shower for 15 - 20 mins Recorded body temp, oral, of 102.3 F at 2350 hrs Monday March 8th Recorded body temp, oral, of 101.5 F at 0015 hrs Recorded body temp, oral, of 96.4 F at 0700 hrs Body felt sore until Wed 10th Breathing - can take full breaths, however, discomfort felt when breathing in and out. Feeling similar to minor burns, chemical or thermal, in upper respiratory tract. Pulse Ox - consistently 98 - 99 percent Pulse has returned to normal levels with RBPM at 68

Other Meds: n/a

Current Illness: n/a

ID: 1088673
Sex: M
Age: 66
State: DE

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

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

Lab Data:

Allergies: None reported

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

Symptoms: 66 year old male reported "pain shooting down left side of body to his toes." Pt. stated that shooting pain started at left thumb. Left deltoid vaccination site shows no sign of redness, swelling, or edema. Pt. reports hx. of neuropathy. Pt. reported initial pain as 8/10 but then stated that it decreased to 4/10. V/S: 97.7, 61, 18, 147/84. Pt. denies nausea, SOB, itching, or difficulty swallowing. Pt. reports taking gabapentin for neuropathy. No medications administered at vaccine site. Pt. monitored in first aid for 16 minutes until pain decreased. Pt. left observation at 0941 stating that pain was now a 3/10.

Other Meds: Gabapentin 300mg PO QHS for neuropathic pain

Current Illness: Non reported

ID: 1088674
Sex: F
Age: 39
State: OK

Vax Date: 01/12/2021
Onset Date: 01/23/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: NONE

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

Symptoms: I got the first vaccination on 1-12-21. On 1-23-21 I started noticing red splotches on my legs and stomach. I went to urgent care on 1-26-21. They did a blood test. Results were normal. They referred me to a dermatologist. They did a biopsy. Biopsy came back as leukocytoclastic vasculitis. I was put on prednisone for 3 weeks. It seemed to keep the flare up down. They took me off the steroids and I flared up all over my body. Red splotches and blood blisters from my feet to my neck. I'm now back on prednisone. They have no answers to why I'm breaking out. The only thing that has changed was me getting the first vaccine. I have not got the second and do not plan to, until they got answers for the breakout.

Other Meds: Prozac 20mg have been taking for 6 years

Current Illness: NONE

ID: 1088675
Sex: F
Age: 68
State: NC

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Vaccine was at room temperature for>6 hours at time of administration.

Other Meds:

Current Illness:

ID: 1088676
Sex: F
Age: 54
State: NY

Vax Date: 02/27/2021
Onset Date: 03/01/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: NKDA NKFA

Symptom List: Erythema, Pruritus

Symptoms: After receiving the vaccine I noticed my gums were bleeding when brushing and flossing, this continues to this day but is resolving, I was very tired the week after the vaccine as well. I donated whole blood on March 6, 2021 at 8:45am at the center and when the donation was complete, they were unable to stop my arm from bleeding. After 20 minutes of pressure, they lifted the gauze, and it was still bleeding. Tight coban was applied and I left the donation facility. Upon returning home (10 minutes later) the gauze and coban was blood soaked. I purchased coban and re-wrapped my arm. The bleeding did not stop until after 1:30pm, with oozing continuing until 4:00pm. The site was warm and red. Ice was applied. The bruising on my arm is significant, and it is still hard where the hemaotma is. I saw my primary care provider today 3/10/21, blood work was ordered and is pending.

Other Meds: Amiloride 5/50 1 tablet daily Multivitamin

Current Illness: None

ID: 1088677
Sex: F
Age: 60
State: AL

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: coedine latex

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

Symptoms: Vaccination was a 7:45 am Monday. On Tuesday at mid morning I started showing an allergic reaction. Itchy red spots all over head, ears and neck, some on lower part of body. Swollen lip. Took two benadryl at 1:45 am Wednesday . This helped to ease the itching. Had a headache so on Wednesday morning I took two Tylenol and made a Dr. appt. Also was weak and faintish on Wednesday when I got up. Dr's said to keep taking anti-histamines and report to ER if tongue or throat starts to swell.

Other Meds: multi vitamin calcium Terbinafin

Current Illness: none

ID: 1088678
Sex: F
Age: 26
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Fever- 24 Hours Lip Swelling -24 hours

Other Meds:

Current Illness:

ID: 1088679
Sex: F
Age: 54
State: IN

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Headache Bodyaches Very weak Chills (not sure if feverish - I didn?t take my temp.) Sore muscles (back of legs) Hazy/Foggy mindset Stuffy nose on morning of second day

Other Meds: Cipro for current urinary tract infection

Current Illness: Urinary tract infection

ID: 1088680
Sex: F
Age: 29
State: NJ

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

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

Lab Data:

Allergies: None

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

Symptoms: Chills, body aches, fever, headache

Other Meds: Vitamins, heart burn medication

Current Illness: None

ID: 1088681
Sex: M
Age: 68
State: NC

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Vaccine was at room temperature for>6 hours at time of administration.

Other Meds:

Current Illness:

ID: 1088682
Sex: F
Age: 31
State: NY

Vax Date: 03/04/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Swollen lymph nodes in the armpit area which caused pain in the armpit and arm area. First noticed 4 days after the injection and swelling got worse after that.

Other Meds: birth control pill

Current Illness:

ID: 1088683
Sex: F
Age: 58
State: CA

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Amoxicyllin - developed a body rash, and altered my menstrual cycle. Bee sting - severe swelling - never had an anaphylactic event.

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

Symptoms: Janssen COVID-19 Vaccine EUA - Developed fatigue 24 hours later, and a fever. Went as high as 101.1. Went down to normal by Weds. morning, but was back up to 100.8 by 9 am. Now at 12:00 its 100.1. Otherwise feel fine.

Other Meds: Kirkland Mature Multi Vitamin 1 x day, Eye Promise AREDS 2 plus zinc-free 2x day, Alprazolam 0.5 mg 1xday, Doxycycline Monohydrate 100 mg 2xday, Atorvastatin 20 mg 1xday, Metformin 500 mg 4xday, Labetalol 300 mg 1xday, Amlodipine Besylate

Current Illness: None - although I have had ingrown toenails removed. Left big toe on Friday, Feb. 19th, and the right toe on Friday, March 5th.

ID: 1088684
Sex: F
Age: 64
State: MA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, naproxen, sulfa, Valtrex, Cipro, leviquin

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

Symptoms: Left side of face swelled and is numb, tongue started to feel numb, arm numb

Other Meds: Metformin, glipizide, lisinopril, Trulicity, levothyroxine,farxiga.

Current Illness: none

ID: 1088685
Sex: F
Age: 60
State: PA

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

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

Lab Data:

Allergies: None known

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

Symptoms: Within 15 minutes after 2nd COVID-19 mRNA vaccination (Pfizer) today, patient reported itching of left forearm (vaccine administered in left deltoid), which then also started in right arm and upper back. Slight redness noted on left forearm where patient had been scratching but no visible hives or rash. Patient denied any difficulty breathing, shortness of breath, throat tightness or itching. Diphenhydramine 25mg PO x1 dose administered. A few minutes after diphenhydramine administration, patient reported that her eyes had become itchy. 20 minutes after diphenhydramine dose, patient denied any worsening of symptoms, reported lessened itching and opted to leave clinic.

Other Meds:

Current Illness:

Date Died: 03/07/2021

ID: 1088686
Sex: M
Age: 67
State:

Vax Date: 03/04/2021
Onset Date: 03/07/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Pt found deceased in home on 03/07/2021

Other Meds:

Current Illness:

ID: 1088687
Sex: M
Age: 73
State: NC

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Vaccine was at room temperature for>6 hours at time of administration.

Other Meds:

Current Illness:

ID: 1088688
Sex: M
Age: 72
State: KS

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient reported at his second COVID vaccine appointment to the nurse that after his first COVID vaccine he got a rash on both of his arms on day 2 after receiving the COVID vaccine and lasted until day 5.

Other Meds:

Current Illness:

ID: 1088689
Sex: F
Age: 77
State: MO

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: aspirin, codeine, sulfa meds, penicillin and all of the related antibiotics

Symptom List: Injection site swelling, Limb discomfort

Symptoms: pt stated that became very ill when she went to bed. she woke up in a cold sweat, had vomiting and diarrhea that lasted an entire next day. she had headache and chills but no fever. pt had a phone visit w PCP and they told her to stay hydrated and get bed rest. Doctor will FU tomorrow 3/10/2021. Pt states she is feeling better at this time.

Other Meds: tizanidine 2mg, Vitamin C, B12, Multivitamin, Focus Factor, probiotic

Current Illness: knee injury

ID: 1088690
Sex: F
Age: 38
State: CA

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

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

Lab Data:

Allergies: NKDA

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

Symptoms: On Tuesday 3/9/21 around 11:45 AM immunizing tech administered the 1st dose of the Pfizer Covid-19 vaccine to patient. During the 15 minutes recommended for patients to wait in the waiting room after being given the vaccine, she informed the pharmacy staff that she did not feel well. Immunizing technician & pharmacist accompanied patient to the rest room and brought female technician inside the restroom with her. Patient stated she felt dizzy and was seeing stars. Patient kept apologizing about the whole situation. Technician offered to get her a bottle of water. She got the water bottle, informed management to store expense it while the pharmacist was on stand by with the patient. Technician and pharmacist asked if they can come back into the bathroom and patient told team members she will be out in a minute. After 5 or so minutes passed, patient came out of the restroom and apologized about the whole situation again. Patient informed pharmacist and technician that she defecated, tried to vomit but was not able to. Pharmacist told patient to wait in the waiting area of the pharmacy as long as she needed. After 5 or so minutes, patient said she felt fine and was ready to go home. Pharmacist asked if she was okay to drive. Patient informed pharmacist that she no longer felt dizzy as before and that she was going to contact her husband to pick her up but she felt fine to drive. Pharmacist told patient he will document this event and asked patient if she had any questions or concerns to contact the pharmacy. Pharmacist called back and felt better after eating lunch. Patient stated this hasn't happened to her before after any vaccination.

Other Meds: None.

Current Illness: None.

ID: 1088691
Sex: F
Age: 63
State: GA

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

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

Lab Data:

Allergies: None reported to pharmacist on 3/10/2021.

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

Symptoms: The patient reported to the pharmacist that she was feeling sweaty and nauseous after receiving the vaccine today. She stated she got sweaty immediately after administration and experienced nausea during her 15 minute observation period. The pharmacist requested patient to stay for observation for another 15 minutes which she did. At the end of that period, the patient stated she felt fine and was ready to go home and sweating and nausea had gone away.

Other Meds: Unknown

Current Illness: Pain (unspecified)

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am