VAERS 2021 Database www.vaers.hhs.gov

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

Total Manufacturer

Incidents per State

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

ID: 1111550
Sex: F
Age: 74
State: WY

Vax Date: 02/26/2021
Onset Date: 02/28/2021
Rec V Date: 03/18/2021
Hospital: Y

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: She had the injection, had the usual side effects, did not have fever, nothing out of the ordinary. Then on Sunday 2/28/21 at approximately 8:00 AM she started having pressure in her chest, radiating to her left shoulder, left neck, left arm and across the shoulder blades. She never had any heart issues or blood pressure issues. Went to the ER and her cardiac enzymes were elevated, and her EKG's indicated she was having a heart attack. She was lift flighted to the next major hospital and had a cardiac Cath which found a 25% blockage in one spot. They are stating that they do not know what caused this. When she informed them that she had the vaccine they told her to report this information. Her BP was high in the hospital and did not come down much during the hospital stay. She was put on Cardizem, and Crestor, as well as started on 81mg aspirin. She is now under the care of a cardiologist, but has recovered from the initial reactions.

Other Meds: Levothyroxine, Toprazole, Pantoprazole, Vitamin C, Zinc, vitamin D3, calcium, fish oil,

Current Illness: None.

ID: 1111551
Sex: F
Age: 72
State: OR

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: lots: aspirin, latex, melon, bananas, avocados, sulfa drugs, peanuts, pistachio nuts

Symptom List:

Symptoms: Just lots of symptoms for 48 hours after: injection site pain, tiredness, headache, muscle aches, chills, nausea, feeling unwell, feeling hot (but no actual temperature). I did NOT have a severe allergic reaction, just

Other Meds: Levothyroxin, Vit. D, Tums

Current Illness: none

ID: 1111552
Sex: F
Age: 51
State: MN

Vax Date: 03/10/2021
Onset Date: 03/12/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Sensitivity to penicillin, sulfas and codeine

Symptom List:

Symptoms: Mouth cold sore appeared (previous infection)

Other Meds: Fluoxetine and daily vitamin; Loratadine as needed

Current Illness: none

ID: 1111553
Sex: F
Age: 39
State: IN

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Sulfa-containing drugs

Symptom List:

Symptoms: Soreness in arm started next morning. Feelings of nausea, headache, dizziness the next morning, all day. Extreme feelings of warmness and hot flashes.

Other Meds: Levothyroxine, 50mcg Claritin, 10mg Zoloft, 100mg

Current Illness: Covid-19 positive 2/21/21 14-day quarantine ended 3/7/21, confirmed negative 3/15/21

ID: 1111554
Sex: F
Age: 80
State: MA

Vax Date: 02/27/2021
Onset Date: 03/10/2021
Rec V Date: 03/18/2021
Hospital: Y

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

Lab Data:

Allergies: Slightly to apples Seasonal allergies Dermal allergies to some perfumes

Symptom List:

Symptoms: Multiple strokes resulting from blood clots starting 10 days past 2nd shot. Fuzzy headed with headache prior to strokes.

Other Meds: Thyroid medication

Current Illness: No

ID: 1111555
Sex: M
Age: 62
State: CA

Vax Date: 09/09/2020
Onset Date: 11/01/2020
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Patient developed rash 2 months after shingles vaccine ~11/2020, then developed neuralgia in 02/2021 that is ongoing. Still taking medications for the pain like tramadol and lyrica.

Other Meds: Finasteride

Current Illness: N/A

ID: 1111556
Sex: F
Age: 38
State: MO

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash Generalized-Mild, Additional Details: pt reports itching and rash within 15 mins after vaccine is given. Benadryl was given and feeling better but emotionally overwhelm due to possibly unable to receive 2nd shot

Other Meds:

Current Illness:

ID: 1111557
Sex: F
Age: 22
State: IN

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Chills, body aches, headache Lasted 7 hours Fine the next day

Other Meds: Wellbutrin, Yaz

Current Illness:

ID: 1111558
Sex: F
Age: 59
State: VT

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Sore back, muscles and headache Chills and shaking chills Fever of 101.8

Other Meds: NA

Current Illness: NA

ID: 1111559
Sex: F
Age: 62
State: OH

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 1st day: chills, pale skin, vomiting, loose stool, body aches,, fatigue; 2nd day fatigue, fever not exceeding 100.3, body aches. 3rd day: fatigue. 4th day felt 100% back to normal.

Other Meds: Atorvastatin 10 mg, buPROPion HCL XL 150 mg, multivitamin, Flaxseed, Vitamin D, Probitoic.

Current Illness: None

ID: 1111560
Sex: F
Age: 59
State: FL

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: PNC

Symptom List:

Symptoms: vomiting, fatigue, sore throat,recommended lots of fluids to stay hydrated, rest, and to get covid tested to R/O covid infection caller reported negative test RN called and she states her test came back negative- she no longer has symptoms and plans to take her 2nd dose of vaccine

Other Meds: oxycodene xanax

Current Illness:

ID: 1111561
Sex: F
Age: 66
State: WI

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Patient reports that she starting having side effects the night of 3-17-2021. She reports side effects of nausea, headache, body aches. Woke up in the morning of 3-18-2021 and had trouble seeing, felt dizzy. Blood pressure was lower at 115/54 pulse 80. This did resolve over the next few hours.

Other Meds: multivitamin

Current Illness: none

ID: 1111562
Sex: F
Age: 28
State: CA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: most fruits - specifically watermelon and peaches - makes me wheeze; sometimes hives; allergic to vanilla - same allergic response as the fruits

Symptom List:

Symptoms: I had body aches and I didn't have a fever. I had a headache. Three days later, I had a runny nose. That weekend, I did get a fever but it only lasted a day. I saw my dermatologist (regular visit) on January 14th and she put me on Prednisone - (which I'm still taking now since the 14th - the dose is 20 mg once a day) and she also put me on Doxycycline - On the 18th, I tested positive for COVID. Two weeks before the vaccine, I had quarantined away for 14 days - after my fianc? tested positive for COVID on December 30th.and I tested negative both time and went back to work on 8th of January and I got the vaccine on the 11th. After my positive test, I quarantined on the 18th and went back to work on 1st of February. On the 25th of January, I did do a televisit with doctor because I was still having symptoms - and by that point I had a cough and a wheeze. Dr had me use my albuterol as needed every 4-6 hours. I didn't get better from the symptoms until about the 30th or so of January.

Other Meds: Lexapro 20 mg; Aver Inhaler - once a day; Albuterol as needed; Loratadine - 10 mg every day; birth control - Sprinpec

Current Illness: no

ID: 1111563
Sex: F
Age: 62
State: CA

Vax Date: 03/09/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Rash just developed, 9 days after vaccination. Otherwise I've been fine

Other Meds: None

Current Illness: None

ID: 1111564
Sex: M
Age: 21
State: MN

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

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

Lab Data:

Allergies: Pt reports none

Symptom List:

Symptoms: Patient became lethargic, diaphoretic, complained of dizziness and eyes dilated bilaterally 15 minutes after injection was given. Patient was assisted to the floor. Legs were elevated. Vital signs were taken at 0635. BP 135/70, HR 75, Resp 16, O2 sat 98% on room air. Patient denied shortness of breath, throating swelling or pain. EMS was called at 0634. Epi Pen 0.3 mg was administered at 0638 in the left deltoid. Vital signs were taken again at 0642, BP 138/72, HR 106, Resp 20, Temp 99.3, O2 Sat 99% on room air. Patient verbalized that he was feeling better after epi was administered. Patient ate last at 0430. Interpreter was used to communicate with the patient. Interpreter contacted the patient's emergency contact. EMS arrived at 0644, patient was assessed and taken via ambulance. Epi pen was sent with EMS.

Other Meds: Patient reports none

Current Illness: Pt reports none

ID: 1111565
Sex: F
Age: 66
State: CA

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

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

Lab Data:

Allergies: no known allergies

Symptom List:

Symptoms: Patient is a 66 y.o. female who received the Pfizer-BioNtech Covid-19 Vaccine, mRNA, BNT162b2 (PF) 30 mcg/0.3 mL IM Susp, Lot ER2613 on 3/18/2021. The patient experienced the following reaction(s) during the immediate of observation: 10:35am Patient c/o redness to bilateral hands. Denies numbness and tingling to hands or difficulty breathing. Patient reports feeling fine. Patient was treated/managed as follows: VS BP 116/78 HR 63, RR 16, O2 sat 98% on room air. Redness to hands subsided. Patient given educational material regarding vaccine and advised to continue to self-monitor per the CDC guidance. 10:43am Patient escorted to door.

Other Meds: crestor

Current Illness: none

ID: 1111566
Sex: F
Age: 63
State: TN

Vax Date: 02/24/2021
Onset Date: 02/28/2021
Rec V Date: 03/18/2021
Hospital: Y

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

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: Developed extensive DVT with pulmonary emboli 4 days after receiving Covid vaccine. Clot was evacuated with thrombectmy but reaccumulated 1 day later, despite being treated with Eliquis.

Other Meds: atorvastatin 20 mg MVI Ca + Vit D supplement

Current Illness: none

ID: 1111567
Sex: F
Age: 50
State: NJ

Vax Date: 02/11/2021
Onset Date: 02/25/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: ALLERGY TO POLLEN , APPLE , PEACH

Symptom List:

Symptoms: RASH ALL OVER THE BODY UPPER AND LOWER EXTREMITIES. PAIN PT WENT TO THE HOSPITAL AND SHE WAS PRESCRIBED BENADRIL AND PREDNISONE. FULL RECOVERY AFTER 2 WEEKS.

Other Meds: OXYBUTYNIN

Current Illness: NONE

ID: 1111568
Sex: F
Age: 80
State: NC

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/18/2021
Hospital: Y

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

Lab Data:

Allergies: Isothiazolinones, latex, azithromycin, bronopol, chromium, cobalt, diazolidinyl urea, disulfiram, formaldehyde, hornet venom, iodopropynyl butylcarbamate, methylchloroisothiazolinone, methylisothiazolinone, nickel, poppyseed oil, quaternium, quaternium 15, 5-chloro-2-methyl-4-isothiazolin-3-one

Symptom List:

Symptoms: Patient received 2nd dose of Moderna COVID-19 vaccination on 3/10. Husband reported AMS and temp starting 3/11 at 0530 and that she was in a daze and staring into space. Husband also reported that her temperature was elevated to 105F while at home. She was brought in by EMS and had a temperature of 101.5F and a BP of162/75.

Other Meds: Atorvastatin, baclofen, digoxin, EpiPen, furosemide, hydrocodone/acetaminophen, levothyroxine, metoprolol tartrate, lidocaine patch, patoprazole, probiotic, trazodone, triamcinolone topical

Current Illness: No

ID: 1111569
Sex: F
Age: 55
State: CT

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

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

Lab Data:

Allergies: Cipro

Symptom List:

Symptoms: At the 15 minute mark, the individual c/o meatallic taste in her mouth, that was followed by tingling in her mouth, sudden sharp headache, then tingling in her right arm. Vital signs were wnl and stable. There was no SOB or difficuloty swqallowing. She then slumped in her chair and was immediately placed on the ground. She remained alert and answered questions apporpriately. Approximately 5 minutes later, she complained of sharp, left-sided chest pain and sat up quickly and began to dry heave. At this point EMS arrived and the patient was placed on the stretcher, still alert and answering questions appropriately. She was transported to Hospital by EMS.

Other Meds: Hydrocortisone 5mgs qd; Fludrocortisone 0.1 mg qd; Vitamin C;

Current Illness: Surgically induced Addison's Disease

ID: 1111570
Sex: F
Age: 33
State: IL

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: thirsty sensation, dizzy, throat hoarse, denies any breathing problems,

Other Meds: Birth control pills

Current Illness: none

ID: 1111571
Sex: M
Age: 42
State: GA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: latex, stinging insects, pollen

Symptom List:

Symptoms: onset of dizzy spells, light-headiness, weakness, tired one hour after injection. Has persisted for 27 hours.

Other Meds: dicyclomine hci 20mg daily meloxicam 7.5 daily fluticasone furoate 100mcg/ vilanterol 25 mcg daily

Current Illness:

ID: 1111572
Sex: F
Age: 23
State: NC

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Prolonged muscle aches in lower extremities. Left Chest pain, fatigue, headache, chills, loss of appetite

Other Meds: Bupropion XL, birth control pill, flonase

Current Illness: None

ID: 1111573
Sex: M
Age: 54
State: OH

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: UNKNOWN

Symptom List:

Symptoms: The arm in which the vaccine was given swelled up, patient stated he could not see his knuckles. Patient iced and elevated arm and was better that evening.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

Date Died: 03/12/2021

ID: 1111574
Sex: F
Age: 68
State: FL

Vax Date: 03/08/2021
Onset Date: 03/11/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Passed away 4 days after second dose, complained of not being able to breathe in the middle of the night, and passed minutes later.

Other Meds:

Current Illness:

ID: 1111575
Sex: F
Age: 55
State: MD

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Received vaccination on 2/25/2021 and on 2/26 developed puffiness under the skin which then progressed 2/29/2021 to sloughing of the top layer of skin resembling a second degree burn. Patient believes that the injection may not have gone into the muscle but rather placed intradermally

Other Meds: unknown

Current Illness:

ID: 1111576
Sex: M
Age: 45
State: NC

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Formation of spherical "weal" at injection site accompanied by mild redness

Other Meds: N/A

Current Illness: N/a

ID: 1111577
Sex: F
Age: 75
State: AZ

Vax Date: 01/16/2021
Onset Date: 01/18/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs and penicillin

Symptom List:

Symptoms: I have Fibromyalgia and Fibromyalgia hadn?t bothered me that bad for some time. But now Fibromyalgia has flared up so bad. Is it possible that the vaccine may have contributed to this flare up? I?m in terrific pain now.

Other Meds: Acrupril, Metforim, Gabenpentine, Lipitor, Juanvia, Lorazapam,Lexapro, Clonazapam

Current Illness: Non

ID: 1111578
Sex: F
Age: 22
State:

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received Pfizer vaccine and reports she started feeling body paresthesia, nausea, and general malaise. Was transported to hospital, fluids and EKG performed, patient stated she was feeling better and all symptoms resolved and patient discharged.

Other Meds:

Current Illness:

ID: 1111579
Sex: F
Age: 30
State: CO

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Allergy to Azithromycin

Symptom List:

Symptoms: Symptoms include a fever peaking at 100.8 degrees Fahrenheit, pain at injection site, fatigue, chills, and body aches. These came on about 20 hrs after the injection. They lasted for about 8 hours and then improved significantly. By 48 hrs after the injection, they were all resolved except for minor pain at injection site (right arm).

Other Meds: Zyrtec, Lo Loestrin Fe, Culturelle probiotic, daily multivitamin, Spionolactone 50mg

Current Illness:

ID: 1111580
Sex: F
Age: 19
State: TX

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

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

Lab Data:

Allergies: NKDA NKA

Symptom List:

Symptoms: Approx. 3min after administration pt became pale and light-headed. Pt reports feeling weak, blurred vision, and difficulty speaking. Denies SOB or LOC.

Other Meds: Triamcinolone Acetone Cream 0.1% Advil

Current Illness: None

ID: 1111581
Sex: F
Age: 33
State: GA

Vax Date: 03/09/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Delayed redness and soreness at injection site

Other Meds: Yaz generic birth control Ibuprofen

Current Illness: None

ID: 1111582
Sex: F
Age: 82
State: FL

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Date and time of vaccination: (list both if they received both shots): 02/18/21 no time indicated, face broke out with a rash (doctor gave her prednisone shot) 03/09/21 5 days later face broke out with a rash, a light circle rash around the injection site stated she felt weak Brand and lot of vaccine: Pfizer Lot 1# EN6198 Lot 2# TN6206 Doctor gave her prednisone to alleviate her symptoms

Other Meds: Benadryl -gabapentin -cholesterol medication -synthroid

Current Illness:

ID: 1111583
Sex: F
Age: 65
State: IN

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Ibuprofen

Symptom List:

Symptoms: Began as H/A and some overall achiness, nausea, moved quickly to severe chilling for several hrs, did hv small episode of vomiting. Took Tylenol ES 2 caps+ 1 generic maximum strength acid reducer ice chips, comforter blankets and heating pad. By Midnite, chilling, n/v subsided. Just remained for the nite w/multiple blankets. Woke up in am w/o issue

Other Meds: Lisinopril10mg daily; Atorvastatin 40mg daily; Gabopentin 100 mg tid, Vitamin C; Multivitamin, D3, Coq10, Magnesium, Unisom

Current Illness:

ID: 1111584
Sex: F
Age: 58
State: MI

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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Allergies: NKDA

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Symptoms: 15 minute wait to see if pt has reactions to vaccine

Other Meds: Aspirin, Vitamin D, Claritin, Flonase, Zofran, Xanax Premarin, Neurontin, Fosamax, Synthroid, Flexeril, Proair, Ventolin, Valtrex, Mobic, Loperamide

Current Illness:

ID: 1111585
Sex: F
Age: 47
State: IN

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
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Allergies: Percocet & Claritin

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Symptoms: Left ear filled with mucus and all over body chills and vertigo. Then was hit with a bout of Shingles in the evening.

Other Meds: Tri-Sprintec (birth control)

Current Illness: none

ID: 1111586
Sex: F
Age: 52
State: IN

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/18/2021
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Allergies: HCfz

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Symptoms: felt dizzy and became diaphoretic within 5 minutes of injection. Symptoms resolved within 15 minutes with rest.

Other Meds: Lisinopril, Coumadin, baclofen, levothyroxine,

Current Illness: n/a

ID: 1111587
Sex: M
Age: 40
State: PA

Vax Date: 12/18/2020
Onset Date: 01/16/2021
Rec V Date: 03/18/2021
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Allergies: NKDA

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Symptoms: Approximately 1-2 weeks after 2nd vaccine patient experienced dyspnea with exertion when running or walking fast going up stairs. Symptoms are still ongoing at this time.

Other Meds: Duloxetine Atorvastatin

Current Illness:

ID: 1111588
Sex: F
Age: 68
State: IL

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 03/18/2021
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Allergies: none

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Symptoms: A very mild twitch began in my right upper lip that has grown slightly, is now sometimes on the other side and on the area between my nose and lip. It occurred only occasionally at first, but has increased over time. Though not noticeable by others, it is a slight distraction and mildly troubling because of my concern that it may worsen over time. I hope this is not the case, but felt this feedback may prove helpful in some way.

Other Meds: Sertraline-25mg daily Dulera asthma inhaler Ventolin emergency inhaler

Current Illness: none

ID: 1111589
Sex: M
Age: 65
State: WA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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Allergies: Not reported

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Symptoms: Client reported L subcostal chest pain. History of 3X MI; B/P 200/100; no acute distress; chest pain occurred around 2 minutes post Pfizer vaccine. EMS called and arrived within 3 minutes. No SOB; lives in truck; n meds; unsure of meds; HTN. EKG normal. At 9AM B/P 200/100, HR 80. EMS took over care of client. Ambulance called and on site within 3 minutes. Client refused to be taken to the ER. Client expressed to drive himself to the hospital. Client left the building per client request.

Other Meds: On heart medications, specifics unknown to client

Current Illness: Reported on heart medications

ID: 1111590
Sex: F
Age: 64
State: CA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/18/2021
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Allergies: Penicillins, Chlorhexudine, Meloxicam

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Symptoms: Swelling of arm and hand, immediate stinging pain from the injection site to not quite my elbow for approximately 20 minutes, immediate headache followed by a migraine 24 hours after the injection. Day 3 and still have some swelling in left arm and tenderness in the arm.

Other Meds: Gabapetin, Flonase, OTC Allegra

Current Illness: None

ID: 1111591
Sex: F
Age: 69
State: CA

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 03/18/2021
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Allergies: Penicillan

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Symptoms: Problem with injection, not vaccine. Tech used VERY LARGE and hollow needle. She had trouble plunging it into my (left) arm and I could feel it slicing through tissue. I gasped as the pain was so extreme and it was all I could do to not cry. Upon withdrawal, she was shocked that I was bleeding -- drops flowing out of injection site down to my elbow. She had to ask another tech to help her stop the flow and wipe up the blood drips. That night, throbbing pain in my arm kept me from sleeping and I could not raise my arm without pain for almost a month. By the next day, I had a large hematoma. Injection site continued to bleed internally over the next month. Developed extensive bruising that kept "refreshing" as injection site continued to bleed internally (pooled red blood that would fade to green only to have more red appear). Bruising spread to approx. 2.5" wide and 3.5" high. It has been 4.5 weeks and it is still bruised and tender. Received dose 2 on 3/14 with no issues or pain whatsoever. I thought dose 1 injection used a defective needle but medical professional I have spoken to think the tech used a blunt fill needle by mistake. I was shown a series of needles/sizes and identified the blunt fill one. I will never forget it! I was advised to get a COVID antibody test 2 weeks after dose 2 as no one can be sure the vaccine didn't wash out with all the blood.

Other Meds: none

Current Illness: none

ID: 1111592
Sex: F
Age: 59
State:

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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Symptoms: swollen lips, blurry vision, shaky, tingling. Evaluated by EMS- Transported to Emergency room/department or urgent care.

Other Meds:

Current Illness:

ID: 1111593
Sex: F
Age: 52
State: CA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
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Allergies: none

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Symptoms: Shivers, fever, headache, nausea

Other Meds: none

Current Illness: none

ID: 1111594
Sex: F
Age: 80
State: FL

Vax Date: 03/03/2021
Onset Date: 03/09/2021
Rec V Date: 03/18/2021
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Symptoms: Caller describes "bites" on both legs beginning 6 days after vaccination, starting on her ankles. Visited urgent care over weekend; prescribed mupirocin, famotidine, prednisone & sulfa/trimeth. Of note, caller reports having rescue animals in the home. Yesterday saw PCP, no new scripts provided. Advised to continue taking meds as prescribed & follow-up with PCP.

Other Meds: tramadol Tylenol savaysa Ramipril potassium levothyroxine atorvastatin

Current Illness:

ID: 1111595
Sex: M
Age: 43
State: GA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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Allergies: Bees and Strawberries

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Symptoms: About an hour after getting my first shot i started to have back and leg pain, a headache was developing. about an two and a half hours I started feeling weak. It was hard for me to lift and carry things, I was getting winded walking across the building and the i would feel a little nauseous but that would go away after standing still for a few minutes.

Other Meds: focalin

Current Illness:

ID: 1111596
Sex: F
Age: 88
State: IL

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
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Allergies: NKA

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Symptoms: 87 y/o female complaining of a headache. Patient assessed . Alert and oriented. Vitals within normal limits. Patient refused transport to hospital.

Other Meds: metoprolol

Current Illness: none

ID: 1111597
Sex: F
Age: 78
State: PA

Vax Date: 03/07/2021
Onset Date: 03/10/2021
Rec V Date: 03/18/2021
Hospital: Y

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Symptoms: patient presented to emergency department with chief complaint of SOB, b/l rash on arms, neck, and chest, as well as chills. Patient admitted to observation status with diagnosis of precordial chest pain.

Other Meds:

Current Illness:

ID: 1111598
Sex: M
Age: 47
State: PA

Vax Date: 03/13/2021
Onset Date: 03/15/2021
Rec V Date: 03/18/2021
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Allergies: Lortab, Penicillins

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Symptoms: Patient presented tot he hospital Emergency Department with right side facial numbness and drooping. Patient was initially screened as a stroke patient but it was ultimately diagnosed as Bell's Palsy. Patient was treated and discharged home.

Other Meds:

Current Illness: None

ID: 1111599
Sex: F
Age: 52
State: VA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/18/2021
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Allergies: house dust, seasonal allergy (asthma)

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Symptoms: 3/13 12 pm I got the shot. 30 mins after the shot, I got strong numbness for the whole body(especially face and arms), palpitations, dizziness, shaking chill at a time. I called 911 and went to ER. I got an IV. My symptoms were getting minor and I went home. The doctor said my symptoms are from a bad reaction to the medicine," Adverse Drug Reaction". I still have numbness on my face(left side cheek) a little bit.

Other Meds: QVAR REDIHALER(an asthma medicine)

Current Illness: NA

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm