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: 1099333
Sex: M
Age: 25
State: CA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Injected with 1st Dose of Moderna Covid-19 vaccine. Injection site was above deltoid muscle and next to shoulder bone. Felt pain almost immediately that same day. Continued to be in pain and was admitted to hospital where they conducted blood tests, X Ray and MRI. Determined it was SIRVA.

Other Meds: 20MG if doxycycline twice daily

Current Illness: None

ID: 1099334
Sex: M
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Melatonin Darvocet

Symptom List: Anxiety, Dyspnoea

Symptoms: Night of with chills, sweats, for several hours the day of the second immunization 3-7-21. Next day major flu like symptoms...then OK.

Other Meds: None

Current Illness: none

ID: 1099335
Sex: F
Age: 76
State: NJ

Vax Date: 02/19/2021
Onset Date: 02/25/2021
Rec V Date: 03/14/2021
Hospital: Y

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

Lab Data:

Allergies: None

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

Symptoms: Stroke (ischemic - isolated) occurred 6 days after vaccine administration

Other Meds: Hydrochlorothiaz, Vitamin D, Vitamin C, Areds Pantoprozole, Paroxitine, Baby Aspirin, Levothyroxine

Current Illness: None

ID: 1099336
Sex: F
Age: 41
State: KS

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Known allergies prior to vaccine: doxycycline, loratab, Morphine

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 1. 3/13 @230pm fever 101.6, took Tylenol and temperature went to 99.7 by 430pm. Have been cold (chills) since having the vaccine on Friday, though not feverish throughout. 2. 3/14 @ 0830am red and raised rash from above shoulder mid upper arm, raised higher at injection site 3. 3/14 @ 0515pm lower lip (left side) swollen, red and numb. Sore inside roof of mouth (left upper). Tongue slightly swollen, but not hindering breathing.

Other Meds: Adderall XR, Iron (ferrous sulfate)45mg, progesterone 200 mg, loratidine 10mg

Current Illness: None

ID: 1099337
Sex: M
Age: 42
State: MN

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: none known or provided

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

Symptoms: Brief seizure, patient came to consciouness within 30 seconds and was coherent and denied ambulance or any further care . Sat in chair for 30 minutes and said he was fine and apologized for event as he said he had seizures before but did not volunteer the information before shot.

Other Meds: none known or provided

Current Illness: none known or provided

ID: 1099338
Sex: M
Age: 50
State: IN

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Slight headache 12 hrs after shot, fever/flu like symptoms started 30 hrs after shot.

Other Meds: Daily vitamin supplement.

Current Illness: None

ID: 1099339
Sex: F
Age: 25
State: DE

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Chills first (whole body shivers), headahe, 30 minutes later, fever 30 minutes after headacher. Treated with 600mg ibuprofen.

Other Meds: Nuvaring

Current Illness:

ID: 1099340
Sex: M
Age: 33
State:

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List: Pharyngeal swelling

Symptoms: Jansen COVID-19 Vaccine EUA Approximately 12 hours after receiving the vaccine, I began having headache, body aches, and cold chills. 24 hours after receiving injection, most symptoms have gone away, with only a slight headache remaining and soreness at the injection site.

Other Meds: N/a

Current Illness: N/a

ID: 1099341
Sex: F
Age: 27
State: CA

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Allergy to Pravastatin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: came to her appt for the second moderna shot 3/14/21 and (intern pharmacist) ask her how was her first shot she said was fine, he gave her the shot and in 5 min she started to have severe urticaria and edema on her left arm. Denied feeling shortness of breath or throat closing. I went to check on her and she told me last time she had to go to the hospital and they gave her diphenhydramine 50 mg /1 ml, inject her on her right arm with the 1 ml and we watched her for 30 min she started to feel better and the Hives got better. Checked with patient later in the evening said she felt better, didn't have shortness of breath.

Other Meds:

Current Illness:

ID: 1099342
Sex: F
Age: 67
State: TN

Vax Date: 03/02/2021
Onset Date: 03/03/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: sulfa drugs

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient reported having fever, prolonged chills, kidney pain that was significant enough that her chronic pain meds did not cover it. Ongoing pain 12 days after first dose. Patient consulted pcp and pcp told her it was a reaction to the vaccination. Her and her pcp are still determining if she will get the second dose.

Other Meds: lorazepam, fluticasone, hydrocodone/apap, morphine ER, esomeprazole, mirtazapine, levothyroxine, montelukast, duloxetine, ropinirole, promethazine, famotidine

Current Illness:

ID: 1099343
Sex: F
Age: 44
State: TX

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 03/14/2021
Hospital:

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

Allergies: Erythromycin

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

Symptoms: Middle of the first night following the administration of the vaccine, I woke up with notable lower back and hip pain that became increasingly severe over the next 7 days. On Days 5-Day 7 I also developed a rash on my torso and chest. Did not itch or cause discomfort and resolved within days of onset. By the end of the week, I was literally forced to lay flat on the floor all day. I was completely floor-ridden Day 7-Day 10 . Pain was predominantly on the lower right side, hip, glute, thigh...had some tingling on top of right foot. This pain most definitely interfered with my daily routine. Could not get comfortable, could not exercise, could not sleep well. I eventually took my meals on the floor....only up to use restroom and shower. From Day 10- Day 12 things very slowly started to improve with complete resolution by the 2 week mark. It was as if the shot caused my muscles to spasm so badly that my back was thrown completely out? Or I had some kind of systemic inflammatory process that triggered my low back pain? I NEVER suffer from this kind of debilitating back pain . Typically hike 3- 5 miles per day. Was extremely bizarre timing and perhaps it was a coincidence? However the sudden onset of this issue in conjunction with the timing of the shot seemed important. I was able to treat pain with Tylenol, muscle relaxers, and lots of rest.

Other Meds: Ferrex 150mg Collagen

Current Illness: Anemia

ID: 1099344
Sex: M
Age: 58
State: CA

Vax Date: 12/22/2020
Onset Date: 12/27/2020
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Severe muscle and joint pain, knees, shoulders, groin

Other Meds: Multivitamin, testosterone cream

Current Illness: None

ID: 1099345
Sex: M
Age: 53
State: TX

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: 1. Muscle twitching at injection site 7 hours after injection. My muscle twitching has not stopped and has spread to my legs and left hand and arms. 2. Day 2 felt soreness at injection site and weakness to my legs and arms that remains as of 3.14.21. 3. Day 14 developed bad right sciatical pain that lasted 1 day and resolved on its own. 4. Day 21 developed restless leg syndrome x 1 day and resolved on its own 5. Day 25 developed severe body trembling arms andl egs and severe anxiety at night, I could not sleep x 2 nights. 6. Day 32 developed a very faint inner tremor that I feel when I get out of bed. I also found out I have poor balance when standing on one leg or trying to wak a straight line. Also, my twitching muscles are more often and a little bit stronger. My anxiety has increased greatly because I dont know why this is happening after getting the Moderna injection

Other Meds: 1. Tresiba for DM 2. Telmisartan for HTN

Current Illness: DM and HTN

ID: 1099346
Sex: F
Age: 51
State: CA

Vax Date: 03/06/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Rash on arm close to the shot. About 3 in long by 1.5 in wide

Other Meds: None

Current Illness: None

ID: 1099347
Sex: F
Age: 55
State: OH

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: -Very sore arm for two days -tired for two days -joint aches for two days -low grade fever for day and a half -took ibuprofen for symptoms

Other Meds: Statin

Current Illness:

ID: 1099348
Sex: F
Age: 31
State: MN

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: Headache, muscle aches, chills, nausea, fast heart beat

Other Meds: None

Current Illness: None

ID: 1099349
Sex: M
Age: 80
State: CA

Vax Date: 09/21/2019
Onset Date: 09/21/2019
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient's daughter said he started to have numbness and pain on both of his feet to the point he cannot walk for 2 weeks. His doctor put him on steroids and seem to help. His symptoms doesn't go away and continues to flare up now and then.

Other Meds:

Current Illness:

ID: 1099350
Sex: M
Age: 62
State: MS

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Pain all over body and cold chills, swelling and rash

Other Meds: Metformin,Glipizide,Amlodipine,Losartan,Pravastatin,Magnesium , Tamsulosin,Finasteride,Cyanocobalamin,Clotrimazole,Diclofenac,Alogliptin,Ferrous Sulfate,Bayer Aspirin,Hydrocortisone

Current Illness: Bad nerve in lower back and right leg

ID: 1099351
Sex: F
Age: 78
State: AZ

Vax Date: 02/14/2021
Onset Date: 02/25/2021
Rec V Date: 03/14/2021
Hospital:

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

Allergies: Shellfish Iodine

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: On 10th day injection site hurt again soreness and a rash developed about size of baseball was not to red and didn?t really itch Was warm to touch read about it on line put compresses as suggested and it went away in another 4-5 days

Other Meds: Levithiroxine

Current Illness: None

ID: 1099352
Sex: M
Age: 65
State: AZ

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: na

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

Symptoms: Fainted 3 minutes after vaccine given, felt warm

Other Meds: NA

Current Illness: na

ID: 1099353
Sex: F
Age: 65
State: CO

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs, dairy, apple skins

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

Symptoms: A huge, hot, red swollen patch suddenly appeared at injection area a week after getting the shot - 6 centimeters by 11 centimeters. It lasted for 3 days. Arms, back & legs itched days 2&3. Had a mild headache the 3rd day. The red swollen area was not tender to touch. My arm didn?t hurt to move and it had full range of motion.

Other Meds:

Current Illness:

ID: 1099354
Sex: F
Age: 27
State: PA

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Unevaluable event

Symptoms: High fever (102), extreme headache, severe body chills, body aches, swollen lymph nodes in neck and groin. Onset at 2:00 pm, kept developing rapidly until I took 800 mg of ibuprofen around 6 pm and symptoms lessened within an hour. Symptoms still present but mild with the pain meds. Injection site pain as well.

Other Meds: None

Current Illness: None

ID: 1099355
Sex: F
Age: 31
State: PA

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/14/2021
Hospital:

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

Allergies: Morphine, compazine, Bactrum, biaxin, coconut

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

Symptoms: 2 hours after receiving the vaccine on Sunday, I had significant fatigue and sensitivity to light with watery eyes and a headache and was in bed all day. The next morning on Monday I woke with a pressure headache that was kept at bay with Advil. The headache stayed the same on Tuesday and Wednesday. By Thursday the headache was so uncomfortable I was having trouble working. It stopped responding to Advil and the pressure continued to increase on both sides of my head with sharp, shooting pains throughout that would come and go with the constant pressure. By Friday, I couldn?t co to use work and ended up calling into my PCP and advising them that I had a migraine that was very different from my normal migraines that I get (pain on left side behind eye, very nauseous, sensitive to light, always responds to OTC meds) and it wouldn?t respond to Advil and asked them to call in something. They called in generic version of Imitrex that evening; but since this migraine was so different than my normal pattern, I went to the ER on Saturday. They did a CT scan to make sure there were no brain bleeds and gave me IV magnesium and steroids. I declined the torodol and Benadryl. The headache was still there, but bearable finally when I left. It got worse again that evening and I ended up taking the imitrex at 3am and falling asleep, only to wake up at 7am with a skull splitting feeling. That feeling stayed for the next 4 days, slowly getting less intense. I was unable to workout any of these days (I workout for about an hour daily for the past 3 years) because it was extremely exacerbated by activity. I was not hungry. Finally on Thursday I felt more like my normal self but the headache remained slightly and now on Sunday all that is left is the sharp, shooting pains that come every so often and light sensitivity.

Other Meds: None

Current Illness: None

ID: 1099356
Sex: F
Age: 22
State: WA

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Patient had a very short seizure lasting a few seconds. Then was aroused and didn't have a postictal phase. Her skin color was pale, blood pressure was low at 106/70 sitting, and heart rate was slow at 60. She was evaluated by fire department paramedics and transported to ED.

Other Meds: None

Current Illness: None

ID: 1099357
Sex: F
Age: 30
State: AZ

Vax Date: 03/04/2021
Onset Date: 03/11/2021
Rec V Date: 03/14/2021
Hospital: Y

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

Lab Data:

Allergies: sulfa

Symptom List: Injection site pain, Menorrhagia

Symptoms: patient developed chest pain on the date specified. Presented to emergency department at Medical Center on 3/14/2021 and was found to have pericarditis and myocarditis. Admitted to hospital 3/14/2021. No follow up available as yet.

Other Meds: aripiprazole, ethinyl-estradiol-norethindrone, hydroxyzine hydrochloride, lamotrigine, levothyroxine, liothyronine, lisinopril, rosuvastatin, omeprazole, venlafaxine

Current Illness: none

ID: 1099358
Sex: F
Age: 51
State: GA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Citrus acid- tomatoes, oranges, lemon, lime, pineapple, strawberries and all foods with these ingredients.

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

Symptoms: The next day I felt fatigued, I have headaches, my upper body was sore and my skin was sensitive to clothing. I've taken advil for the discomfort.

Other Meds: Amlodipine, echinaea vitamin, B12 vitamin, prescription vitamin D

Current Illness: High blood pressure

ID: 1099359
Sex: F
Age: 31
State: NC

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: Latex

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: +25 hours: severe nausea, moderate diarrhea, moderate chills, no fever.

Other Meds: Alani Nu Balance (daily) Up+Up Prenatal (daily) Generic zyrtec (daily)

Current Illness: Yes, seasonal allergies with congestion and cough

ID: 1099360
Sex: F
Age: 67
State: WA

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: eurythromycine

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Moderna COVID-19 Vaccine EUA I had two adverse events after my second dose: - rapid heartbeat for almost 2 hours starting about 16 hours after vaccination (ceased after this amount of time) - slightly over 48 hours after vaccination, I lost my sense of taste (I ate peanut butter) - not recovered yet, will consult doctor if doesn't resolve in one week

Other Meds: Vitamin D

Current Illness: none

ID: 1099361
Sex: M
Age: 56
State: FL

Vax Date: 03/11/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Unknown

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

Symptoms: Thrombophlebitis, left calf.

Other Meds: Entresto Metoprolol Crestor Sertraline Multivitamin Low-dose Aspirin

Current Illness: Unknown

ID: 1099362
Sex: M
Age: 71
State: CO

Vax Date: 02/23/2021
Onset Date: 02/27/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: pollens

Symptom List: Nausea

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: patient presents to clinic reporting redness at injection site that developed within 12 hours of vaccination, lasted a few days, resolved, but over the past few days there is pain and the area is red again. Clinic documented a rash. Patient denies fever/chills and all vital signs within normal ranges. No streaking or swelling noted. Advised to take over the counter analgesics and antihistamines.

Other Meds: atorvastatin, losartan

Current Illness:

ID: 1099363
Sex: F
Age: 41
State:

Vax Date: 02/19/2021
Onset Date: 03/03/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: sulfa, environmental allergies

Symptom List: Injection site pain

Symptoms: Onset of leg weakness and instability that has progressively worsened. Constant imbalance noted more in standing and with walking resulting in feeling like I am "rocking on a boat" constantly. Increased sway in static standing that is more pronounced with rotational movements, eyes closed, and decreased base of support. Ataxic movements and lateral veering with walking at times. Episodes of low blood pressure/significant decrease in blood pressure from sitting to standing, tachycardia, and resting tremors in the hands that are intermittent in nature. Feeling of head being "in the clouds" constantly where something is not right.

Other Meds: patanol, fish oil, vitamin D, super B complex, magnesium, eye promise, sublingual allergy drops

Current Illness: none

ID: 1099364
Sex: F
Age: 36
State: CT

Vax Date: 03/06/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Large red rash 4 inches diameter at the injection site. . It?s hard to the touch , swollen, and very itchy.

Other Meds: None

Current Illness: None

ID: 1099365
Sex: M
Age: 25
State:

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 03/14/2021
Hospital:

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

Allergies: No

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

Symptoms: Progressive resurgence of facial neuropathy that was well controlled prior to the first vaccine. Severity is similar to at its worst.

Other Meds: Vyvanse 40 mg once daily Cymbalta 20 mg once daily Mirtazipine 7.5 mg once daily Gabapentin 300 mg BID 10,000 IU vitamin D once daily Biotin 10,00 once daily

Current Illness: N/a

ID: 1099366
Sex: F
Age: 65
State: KY

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Tremor

Symptoms: Rash pain injection site. Been over 48 hours still there.

Other Meds: N/A

Current Illness: N/A

ID: 1099367
Sex: F
Age: 75
State: MO

Vax Date: 01/26/2021
Onset Date: 02/01/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: Tinnitus in both ears. Constant ringing while awake. Consulted PCP and ENT specialist. No obvious cause found.

Other Meds: Diltiazem ER 180mg, Irbesartan/HCTZ 150/12.5mg, Iron 65 mg,

Current Illness: None

ID: 1099368
Sex: M
Age: 36
State: CA

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Rough whole body achy, migraine, nausea. Lasted for 14-16 hours.

Other Meds: None

Current Illness: None

ID: 1099369
Sex: F
Age: 66
State: CT

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: The volunteer chose a landing mark for the needle which when stuck into my shoulder joint area, hit something, so he immediately withdrew that needle. He then took a new second needle and chose a 2nd landing mark that was close to the first needle "stick" and delivered the vaccine. I felt immediate burning and that continued for much of the day. The burning proceeded into intense pain. I returned to the Senior Center at 7:30 a.m. the next morning and reported the error the volunteer made and showed the head nurse the bruise that was high - at my upper arm - and nearly on my shoulder. The head nurse said it was "high." She asked me what I wanted her to do. I responded that she should report the error and I would like it documented, as I was now afraid I might have endured a shoulder/joint injury. I also called the health department and the Covid-19 Help Line and reported the error. I had two days of intense pain, where I could not physically, not just the excruciating pain, lift my arm. I emailed an Orthopaedic doctor who specialized in shoulders and made an emergency apmt with him. I also made an apmt with my primary. My ortho doctor is treating me for SIVRA, I am on anti-inflammatories, I am having physical therapy on my left shoulder, as there is constant pain. I am scheduled for return visits to my orthopaedic doctor and this appears to be a concern as far as damage, time course and outcome. I hope the head nurse DID report the injury to my shoulder area. She promised to record the event in "my file,"

Other Meds: None

Current Illness: None

ID: 1099370
Sex: F
Age: 42
State: NY

Vax Date: 03/01/2021
Onset Date: 03/11/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Sore Arm, Exhaustion both for 4 days Headache and Nausea the first day

Other Meds:

Current Illness:

ID: 1099371
Sex: M
Age: 52
State: NM

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Moderate pain in left arm, started after injection time of approximately 3:15pm. Continued aching until 3/14/2021 approximately 5pm.

Other Meds: Atorvostatin 80mg Aspirin 81mg Lamotrogine 150mg Famotodine 20 mg

Current Illness: None

ID: 1099372
Sex: F
Age: 40
State: CT

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Possibly penicillin, tetracyclines

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

Symptoms: Starting within 6-8 hours of the vaccinations, I began some menstrual spotting. This has been ongoing lightly for the two days following the vaccination. Initially it was just a tiny bit of pinkish discharge noticed after using the bathroom, but now its is more of a very light menstrual flow. It should be another two weeks before my cycle returns, so this is way off schedule. I cannot think if anything else that has changed and would cause this.

Other Meds: Flonase, Zyrtec, Womens Multivitamin

Current Illness: None.

ID: 1099373
Sex: M
Age: 71
State:

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: codeine

Symptom List: Pain in extremity

Symptoms: Vaccine was injected into the shoulder joint causing extreme pain. Band aid was directly over the joint. I was not able to move the arm for 3 days. Couldn't sleep or get dressed. Pain gradually subsided but 6 weeks later I still have some residual stiffness. Reported to Publix corporate office who did not take the information. They had me call the store directly. Evidently there is no corporate follow-up for problems.

Other Meds: none

Current Illness: none

ID: 1099374
Sex: F
Age: 33
State: IN

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Covid Arm - Red circular, raised bump at injection site with severe pain. Diarrhea, chills, body aches, and dizziness/faintness/vertigo.

Other Meds: Venlafaxine - 75 mg; Prenatal Vitamin; Melatonin - 10 mg

Current Illness: None

ID: 1099375
Sex: M
Age: 36
State: IL

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: gluten

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

Symptoms: Patient became very pale and sweaty and was close to passing out. Patient moved from the bench where he was sitting down to the floor. I came to check on him and gave him water and orange juice to drink. I checked his blood pressure twice, approximately 2 minutes apart. The first blood pressure reading was 73/46mmHg and a heart rate or 46bpm. The second reading was 110/74mmHg and HR 66bpm. After the second BP reading, patient stated that he was feeling better. This was just likely vasovagal syncope. Patient remained on the floor because it was a cooler location for approximately 15 minutes and was feeling better and went home with his father-in-law and mother-in-law.

Other Meds:

Current Illness:

ID: 1099376
Sex: F
Age: 30
State:

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Sulfs, shrimp, Iodine, bactrim

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

Symptoms: Started with chest pain one hour after and then was having trouble breathing and got chills and fever

Other Meds: Birthcontrol

Current Illness:

ID: 1099377
Sex: M
Age: 52
State: RI

Vax Date: 03/03/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List: Vomiting

Symptoms: DAY 1: BUMP, REDNESS MILD SWELLING ON LEFT ARM SHOT SITE; DAY 9: LEFT ARM SHOT SITE, RASH REDNESS SWOLLEN ON SHOT LOCATION. DAY 10 CONTINUES AS DAY 9; DAY 11 RASH INSECT BITE LIKE ON BACK, NECK & LEFT ARM, TREATED WITH OTC HYDROCORTISONE & BENADRYL CREAM.

Other Meds: ASPIRING 81 MG, GLIPIZIDE 5MG, CARTIA XT 120 MG, LISINOPRIL 10MG,METFORMIN 1000MG, ATOLVASTATIN 40MG

Current Illness: NONE

ID: 1099378
Sex: F
Age: 32
State: WI

Vax Date: 03/07/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Very sore arm for 24 hours post vaccine; within 1 week soreness returned with swelling/lump and rash

Other Meds: Sertraline, synthroid, b12, women?s daily vitamins

Current Illness: None

ID: 1099379
Sex: F
Age: 34
State: CA

Vax Date: 02/05/2021
Onset Date: 02/16/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Urticaria, puritis and dermatographia head to toe for over 4 weeks and counting

Other Meds: Zoloft

Current Illness: None

ID: 1099380
Sex: F
Age: 22
State: RI

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Sulfur Fruit Bees

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Scratchy throat within minutes of receiving vaccine.

Other Meds: Labetalol VYVANSE

Current Illness: None

ID: 1099381
Sex: M
Age: 31
State: TX

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Body aches, headache, nausea, fatigue, soreness around injection site, chills, sweats

Other Meds: Lisinopril, men?s one a day vitamin, nexium, zyrtec,

Current Illness: None

ID: 1099382
Sex: F
Age: 34
State: NY

Vax Date: 03/07/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: A week after injection, red and itchy rash, arm soreness

Other Meds: Junel FE

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am