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
45,720
AK1,334
AL3,324
AR2,164
AS39
AZ9,811
CA41,686
CO7,973
CT5,340
DC1,089
DE1,104
FL22,409
FM3
GA8,840
GU59
HI1,506
IA3,299
ID1,804
IL13,605
IN19,384
KS3,157
KY4,209
LA3,059
MA10,226
MD8,728
ME2,236
MH7
MI12,188
MN8,166
MO6,243
MP14
MS1,626
MT1,658
NC10,426
ND913
NE2,000
NH2,241
NJ10,985
NM2,660
NV2,652
NY22,686
OH12,785
OK4,492
OR5,947
PA15,429
PR1,492
QM1
RI1,502
SC3,956
SD834
TN5,704
TX21,982
UT2,970
VA10,239
VI32
VT1,292
WA10,063
WI7,539
WV1,601
WY598
XB5
XL1
XV2

ID: 1111972
Sex: F
Age: 67
State: OH

Vax Date: 02/16/2021
Onset Date: 02/17/2021
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: After 1st dose: Sick for two days. Fever, chills, body aches, headache, nausea. After the 2nd dose: Sick for only one day with the same systems, but more severe.

Other Meds: Levothyroxine, Timolol, Rosuvastatin

Current Illness:

ID: 1111973
Sex: F
Age: 74
State: OH

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

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

Lab Data:

Allergies: Nickle, Shellfish, Pets

Symptom List:

Symptoms: Patient called in to report symptoms after her first COVID-19 vaccine. She had received the Moderna vaccine on 3/3/2021 at the fairgrounds. She states she her appointment was for 9:55am on 3/3/21. Patient states symptoms started about four hours later and that she developed pain and redness at the vaccination site which made it painful to touch. Patient then reported that the symptoms stopped by 3/5/21. She states that symptoms had resolved until she developed itching at the vaccination site on 3/10/21. Symptoms continued with itching and redness on 3/11/21. Patient referred to her primary care physician for follow up. Patient called on 3/18/21 and she stated that her symptoms had completely resolved.

Other Meds: Metformin, Losartan, MVI, Vitamin C, Turmeric, Lutein, Cinnamon, Low-dose Aspirin

Current Illness: Patient denies illness around vaccination

ID: 1111974
Sex: F
Age: 43
State:

Vax Date: 03/03/2021
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: Legion like rash at vaccine site site 15 days after shot

Other Meds:

Current Illness:

ID: 1111975
Sex: F
Age: 80
State: ND

Vax Date: 02/03/2021
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:

Symptom List:

Symptoms: facial paralysis noted on 42nd day post 1st dose or 14th day post 2nd dose, Diagnosed as bells palsy in emergency department

Other Meds:

Current Illness:

ID: 1111976
Sex: F
Age: 56
State: NY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: IV dye, Ambien, Concentrated Zinc supplements, Morphine, Cyclobenzaprine Environmental allergies- cats, dogs, moss, mold, grass, strong scents or perfumes, etc.

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds: Albuterol sulfate, Allergy shots, Azmanaz- prn, Benedryl - prn, Benzonotate - prn, Budesonide - prn, Calcium, Dulera, Fluticasone, Iron, Levothyroxine sodium, Loratadine, Multivitiam, Pantoprazole sodium, Saline nasal spray, Singulair, Tume

Current Illness: NA

ID: 1111977
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:

Symptom List:

Symptoms: lightheadedness, ringing in ears. This happened after the first dose of COVID vaccine as well. VSS. Discharged in stable condition.

Other Meds:

Current Illness:

ID: 1111978
Sex: F
Age: 59
State: NM

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

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

Lab Data:

Allergies: Amoxicillian

Symptom List:

Symptoms: Shortly after I got home, within the hour; My husband told me when I got home I started acting loopy. by 5pm - it was if I was drunk, halucinating and talking jibberish. By 6pm I passed out but restless - no fever but knocked me out for over 10.5 hours (I normally sleep 6 hrs a night). Woke up the next morning with no other reaction but a sore arm.

Other Meds: Singular, Symbicort, Vitamin D, Biotin

Current Illness: None

ID: 1111979
Sex: M
Age: 68
State: NC

Vax Date: 01/29/2021
Onset Date: 03/16/2021
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: Atrial flutter, metoprolol,ELIQUIS, fast heart beat

Other Meds: ELIQUIS, calcitrol , PLAVIX, metoprolol, Omega 3 gel caps, Protonix, Crestor,

Current Illness: None

ID: 1111980
Sex: F
Age: 51
State: KS

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:

Symptom List:

Symptoms: Progress Notes APRN (Nurse Practitioner) ? ? Nurse Practitioner Cosigned by: , MD at 3/18/2021 7:58 AM Expand AllCollapse All COVID VACCINE CLINIC 66612 3/17/2021 Patient: Date: 3/17/2021 Subjective is a 51 y.o. female who was seen at COVID Vaccine Clinic today for her second dose of the COVID 19 vaccination. She was given the Pfizer vaccination in the left deltoid muscle. During her 15 minute waiting period after the injection, the patient began to experience dizziness and nausea and tingling down left arm where she got her shot. . She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, facial swelling, lip swelling and tongue swelling. This provider was notified of patient reaction and she was then assessed in the emergency . Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting. ALLERGY REVIEW OF SYSTEMS: Patient complains of frequent throat clearing, vomiting (nausea), muscle aches (left arm), dizziness and headaches CONT negative Eyes negative Respiratory negative Skin negative Previous Reactions: Nausea with first Covid shot Objective Vitals Vitals: 03/17/21 0140 03/17/21 1332 03/17/21 1407 BP: 134/82 (!) 144/87 135/74 Pulse: 93 89 SpO2: 97% Physical Exam Constitutional: Appearance: Normal appearance. She is well-developed. HENT: Head: Normocephalic. Jaw: There is normal jaw occlusion. Right Ear: Hearing normal. Left Ear: Hearing normal. Nose: Nose normal. Mouth/Throat: Lips: Pink. Mouth: Mucous membranes are moist. No angioedema. Pharynx: Oropharynx is clear. Eyes: General: Gaze aligned appropriately. Pupils: Pupils are equal, round, and reactive to light. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Musculoskeletal: Cervical back: Full passive range of motion without pain. Neurological: Mental Status: She is alert. Psychiatric: Behavior: Behavior is cooperative. Assessment/Plan Treatment included: water and pepcid, zofran and Ibuprofen Follow up response to treatment: good. Patient discharge: Stable to go home and follow up with PCP. Released to go home with sister. No driving tonight. Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) 2:30 pm Electronically Signed 3/17/2021 2:30 PM

Other Meds:

Current Illness:

ID: 1111981
Sex: M
Age: 37
State: IL

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

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

Lab Data:

Allergies: Garlic, raw onions

Symptom List:

Symptoms: Began at 3 pm day of vaccine w a burning stinging sensation in the left nipple (chest). Symptoms gradually occurring from that time on such as: chills followed by sweating profusely; aching all over body; left arm pain w pain still in elbow today & loss of strength in left arm; deep sleep for hours; By the third day, tongue was coated w a waxy like taste. So I called my pcp. Was told that I needed to b seen. Diagnosed w a yeast infection in my mouth & was prescribed a prescription mouthwash Started to feel normal on 6 th day

Other Meds: None

Current Illness: Non

ID: 1111982
Sex: M
Age: 49
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: na

Symptom List:

Symptoms: vaccine diluted to 0.27 ml not 0.3 ml

Other Meds: na

Current Illness: na

ID: 1111983
Sex: F
Age: 40
State: CA

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: N/A

Symptom List:

Symptoms: DIZZY- RESOLVED NAUSEA- RESOLVED

Other Meds: N/A

Current Illness: N/A

ID: 1111984
Sex: M
Age: 21
State: TN

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: While waiting the 15 minutes recommended after vaccination, the patient became very lethargic, started sweating profusely, and had muscle weakness. 911 was called, and the patient was given Benadryl 25mg by mouth. Paramedics also administered Epinephrine 0.3mg IM, and the patient was transported to the hospital.

Other Meds:

Current Illness:

ID: 1111985
Sex: F
Age: 51
State: NY

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:

Symptom List:

Symptoms: 20 min after vaccine , tingling in the mouth and throat . She stated she could not swallow. redness and swelling noted during examination BP 135/87 O2sat 99% RR16 P80 Reg rhythm. Benadryl 25mg given, Tingling sensation improved. After a couple of minutes, she complained of light headedness and felt warm from head to face. Repeat BP 124/87 HR80 RR16 O2 sat 99%.. Advised to go to Hospital but refused. She verbalized that she was very anxious to go to the Hospital. She agrees to call 911 for difficulty breathing,, severe dizziness, syncope and severe rash. she left site with son and friend

Other Meds:

Current Illness:

ID: 1111986
Sex: M
Age: 38
State: MN

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: Ziprasidone

Symptom List:

Symptoms: Patient inadvertently was given 3rd dose of COVID vaccine. No other adverse effects noted at this time.

Other Meds: Clozapine, Docusate, Haloperidol

Current Illness: None

ID: 1111987
Sex: F
Age: 63
State: WA

Vax Date: 03/09/2021
Onset Date: 03/14/2021
Rec V Date: 03/18/2021
Hospital: Y

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

Lab Data:

Allergies: aspirin, codeine, morphine

Symptom List:

Symptoms: Pt received injection of moderna second dose on March 09. 2021. PT was found unresponsive at 1:15pm on 3/14/2021 at home. was taken via EMS to ER. PT found to have subarachnoid hemorrhage. was transferred to a critical care facility for a higher level of care. Critical care services provided in ICU pt diagnosis of diffuse SAH likely aneurysmal. pt prognosis life threatening.

Other Meds: aspirin, atorvastatin, bupropion, gabapentin, lamotrigine, levothyroxine, omeprazole, paroxetine40. promethazine, ranitidine.

Current Illness: no acute illness

ID: 1111988
Sex: F
Age: 52
State: CO

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

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

Lab Data:

Allergies: naproxen, penicillins

Symptom List:

Symptoms: patient became diaphoetic, pale, and reported feeling weak immediately after vaccination. Blood pressure 79/41 mmHg, heart rate 45-50 beats per minute. Patient reports not eating eating anything yet that day. On arrival to emergency department (ED) patient was awake, alert, and oriented. No respiratory, gastrointestinal, or respiratory symptoms noted. Administered diphenhydramine and IV fluids. Patient's symptoms and vital signs improved and discharged to home stable.

Other Meds: probiotic, vitamin D3, vitamin B12, fluoxetine, multivitamin

Current Illness: None reported

ID: 1111989
Sex: M
Age: 70
State: GA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
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: Urinated far more than usual during the night. Went 5 times during the night, then again when I woke up at 9am. Shivering began at 1am and lasted until 6am. Upon getting up I got real dizzy after urinating, decided to go back to bed, but could not figure out how to get back in, so I stood beside my bed until the dizziness went away. At some point I must of figured I was ok as the next thing I know I'm on the landing of the steps upstairs, which is 6 steps, and my son is saying to my wife "I'm calling an ambulance". Upon arrival at Hospital. I heard them say he's severely dehydrated and his blood pressure is extremely low. I also had a fractured right clavicle. I was kept in the Hospital for 3 days.

Other Meds: Olmesartan HCTZ 40-12.5mg, Hydrochlorothiazide 12.5mg, Pioglitazone HCL 15mg, Ezetim/Simva10-40mg, Famotidine 20mg, Krill Oil 500mg, CoQ10 100mg, Tums, Multi-Vitamin, Vitamin D-3 1000IU, Aspirin 81mg, Chelated Iron 27mg, B-12 500 mcg, Tripl

Current Illness: Herniated Disk.

ID: 1111990
Sex: F
Age:
State: MO

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: NSAIDS

Symptom List:

Symptoms: First dose I had a sore arm, low grade temp and headache. ((2/12/21). Second dose, (3/16/21), I have a sore arm, accompanied by a red rash at the injection site, and it is also very hard and warm to the touch. I would say the rash is about the size of a softball. I have a temperature of about 100 for the last 48 hours. Chills and body aches along with fatigue. Very similar to the flu.

Other Meds: Topomax, Lyrica

Current Illness:

ID: 1111991
Sex: M
Age: 1
State: WI

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: none

Symptom List:

Symptoms: patient present for well child exam- there was a vaccine administration error and he received 2 doses of Varicella and Proquad on accident in different legs at the same visit at the same time (MMR and Varicella were ordered to be given separately) the patient has had no known adverse effects, but my question is regarding the risks/what to watch for if he received 2 doses of varicella at the same time.

Other Meds: none

Current Illness: none

ID: 1111992
Sex: F
Age: 31
State: ME

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: I went into labor 03-02-2021 at 2:00am. I delivered my baby at 6:47am. I was 30 weeks pregnant at the time of delivery and my baby is in NICU. At this time baby is doing fine.

Other Meds: Pre-natal vitamins

Current Illness:

ID: 1111993
Sex: F
Age: 24
State: TX

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: hazelnuts, walnuts

Symptom List:

Symptoms: It seemed to be an allergic reaction about an hour after the vaccine - throat partially swelling up, difficulty breathing, severe headache, and fatigue for a few days. The first reaction lasted half an hour. After taking two Benadryl tablets and Abuterol every four hours, the throat swelling calmed down. I still had difficulty breather for the following two days, but my Abuterol kept it at bay.

Other Meds: Levothyroixin .175 mcg, abuterol as needed, b12, multivitamin, Tylenol, Benadryl

Current Illness: N/A

ID: 1111994
Sex: M
Age: 62
State: NC

Vax Date: 03/11/2021
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

Symptom List:

Symptoms: Itchy and large red rash at vaccine / shot location

Other Meds: None

Current Illness: None

ID: 1111995
Sex: F
Age: 60
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: Aspirin, Codeine Lisinopril

Symptom List:

Symptoms: Fever as high as 105 severe back pain headache nausea vomiting

Other Meds: Tylenol ,Zyrtec

Current Illness: None

ID: 1111996
Sex: F
Age: 26
State:

Vax Date: 01/15/2021
Onset Date: 01/15/2021
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: ALLERGIC REACTION Tachycardia, unspecified

Other Meds:

Current Illness:

ID: 1111997
Sex: F
Age: 36
State: NY

Vax Date: 03/10/2021
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: Site of injection started to itch last night, this morning it is raised and red and very itchy. This is after once week of receiving the vaccine.

Other Meds: None

Current Illness: None

ID: 1111998
Sex: F
Age: 60
State: MA

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

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

Lab Data:

Allergies: Niacin

Symptom List:

Symptoms: Irregular heart beat that lasted about 14 hours....elevated blood pressure that reached 181/108...took my Amlodipine when I got home and then the blood pressure fell to 110/74...after a couple hours the pressure returned to normal 123/75. Did not go to hospital..kept thinking it would go away and after many hours it did.

Other Meds: Levothyroxine..Omeprazole..Amlodipine..Biotin..D3..C..Aspirin..Tylenol when needed

Current Illness:

ID: 1111999
Sex: M
Age: 79
State: CA

Vax Date: 01/20/2021
Onset Date: 02/02/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: penicillin, sulfa products

Symptom List:

Symptoms: headach and shivering after 2nd Moderna vaccine shot. Then several weeks of excessive tiredness, lasting about 4 hours during day

Other Meds: tylenol , multi-vitamin,

Current Illness: none

ID: 1112000
Sex: F
Age: 40
State: KY

Vax Date: 03/04/2021
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: None

Symptom List:

Symptoms: A week following red, swollen, painful, inflamed arm developed. Three weeks out still painful and itchy but swelling has gotten better. Did not seek treatment, was able to discover this was a possible side effect.

Other Meds: Stelara Webutrine Metformin Carvedilol

Current Illness: None

ID: 1112001
Sex: F
Age: 51
State: CA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, morphine and alfalfa sprouts. Aspirin, nsaids

Symptom List:

Symptoms: Severe chills, headache, fatigue, weakness, shivering, fever 100 too weak to move

Other Meds: 150 mg Spirolactone, 80 mg lasix, 1800 mg gabapenten, 100 mg lyrica, 20 mg protonix, 550 x2 Xifaxen

Current Illness: Chronic liver failure (acute 09-09) lupus, fibromyalgia, sjogrens syndrome, neuropathy

ID: 1112002
Sex: M
Age: 64
State: AZ

Vax Date: 03/11/2021
Onset Date: 03/14/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, pollen

Symptom List:

Symptoms: Initially some flu-like symptoms a few hours after getting the vaccination, but felt fine Friday morning. Late Sunday evening, developed a intense headache followed by chills overnight and restless sleep (1-hr periods thru the night). Continued Headache thru 3/18 with general body aches and weakness. No pain at injection site after first night. Lightheadedness when standing with loss of focus (brain fog). Occasional and temporary feeling of nausea.

Other Meds: Losartan 100mg

Current Illness: None for over a year prior

ID: 1112003
Sex: F
Age: 73
State: NC

Vax Date: 03/18/2021
Onset Date: 03/19/2021
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: dose was diluted to 0.27 ml in place of 0.3 ml

Other Meds: na

Current Illness: na

ID: 1112004
Sex: F
Age: 45
State: NY

Vax Date: 02/10/2021
Onset Date: 03/01/2021
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: Markedly worse tinnitus

Other Meds: Multivitamin

Current Illness: None

ID: 1112005
Sex: M
Age: 41
State: LA

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 03/18/2021
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Allergies: no

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Symptoms: pt stated after getting the vax he woke about 1 AM feverish, sweating, severe headache, his body was shaking and his teeth chattering. He put a blanket over him to break fever. His teeth were chattering. He took Tylenol and his temp it was 100.4. These symptoms latest a couple of days.

Other Meds: Vitamin D, Calcium w/ zinc and magnesium

Current Illness: no

ID: 1112006
Sex: F
Age: 48
State: CA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/18/2021
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Allergies: sulfa

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Symptoms: I received the first does of the Pfizer vaccine and within 24 hours had started developing a superficial thrombophlebitis on the inside calf of my left leg. By Sunday, February 28th, I was in the emergency room getting an ultrasound to rule out a blood clot. By March 11, I had developed a DVT. I have been put on blood thinner and had catscans, ultra sounds, and am under a physician's care weekly.

Other Meds: 325 mg. aspirin

Current Illness:

ID: 1112007
Sex: F
Age: 71
State: OH

Vax Date: 03/10/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
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Allergies: NA

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Symptoms: Patient reports developing a rash 1 week after receiving Johnson & Johnson vaccine. Patient describes rash as bright red spots on bilateral legs from knees to ankles. Majority of spots are around the ankles on the inner aspect of leg. Spots are the size of a pinky finger tip and are not bothersome in the way of itching or hurting. Patient reports contacting PCP who instructed patient to contact the local health department. Patient spoke with a pharmacist who recommended she use a cream that she was unable to remember the name of when speaking with the reporter.

Other Meds: Blood pressure medication: Atenolol 100 mg Vitamin E, calcium and magnesium

Current Illness: NA

ID: 1112008
Sex: F
Age: 66
State: IN

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/18/2021
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Allergies: msg (preservative)

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Symptoms: Site injection soreness, pain, fatigue, loss of appetite, gas (farts) , aches, pains, lower abdominal cramps,, chills, hot flashes, nausea, lower back pain, cold sore tingle on mouth, eye twitch, brathing issues, headache, sinus pain, runny nose

Other Meds: Livalo, thyroid meds

Current Illness:

ID: 1112009
Sex: F
Age: 56
State: NC

Vax Date: 03/11/2021
Onset Date: 03/14/2021
Rec V Date: 03/18/2021
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Allergies: none

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Symptoms: Dehyrated and tiredness for the first 2 days; dizziness over the course of several days. Symptoms have improved daily.

Other Meds: Synthroid/Lisinopril/Ryclora/Flovent/Doxycycline/Multi-Vitamin

Current Illness: none

ID: 1112010
Sex: F
Age: 86
State: OR

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/18/2021
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Symptoms: Patient was awoken in her sleep by a significant amount of blood coming from her nose and mouth. She also reported nausea and high blood pressure as well.

Other Meds: amlodipine

Current Illness:

ID: 1112011
Sex: F
Age: 87
State: CA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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Symptoms: Chest discomfort (4/10), headache, neck pain. Denies dizziness, sob, difficulty breathing, abd pain. Tylenol 650 mg po x 1 given for headache. BP 200s. HR 70. O2sat 98. Reports she has had similar chest discomfort in the past. Pt taken to ER.

Other Meds: Diltiazem, furosemide

Current Illness:

ID: 1112012
Sex: F
Age: 67
State: MA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/18/2021
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Allergies: Metoprolol,

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Symptoms: Wheezing, Drop in blood pressure, face rash, trembling, fever, nausea, diarrhea, insomnia, restlessness, ringing in the ear, fatigue. Wheezing, rash and drop in blood pressure lasted three days.Fever, lasted two days, as well as restlessness and insomnia.Fatigue still a problem as well as nausea.

Other Meds:

Current Illness:

ID: 1112013
Sex: M
Age: 34
State: CA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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Symptoms: 1100 Patient noticed tingling in right jaw 5 mins after receiving vaccine. Upon assessment patient vital signs were BP: 146/98, O2: 97%, HR 81. Tingling in jaw doesn't radiate anywhere in his face. After assessment and sitting for a few minutes, tingling in face started to subside. Patient feels he is going to be ok. Doesn't need any other further supervision. Patient waited remainder of 15 mins and left with no further issues.

Other Meds: None

Current Illness: None

ID: 1112014
Sex: F
Age: 67
State: CT

Vax Date: 02/14/2021
Onset Date: 02/17/2021
Rec V Date: 03/18/2021
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Allergies: sulfa, penicillin, ceclor, codeine, flagyl, Epinephrine, vicodin, oxycodone

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Symptoms: Initial minor pain at the injection site that became worse after the 3rd day. Pain radiating up the arm and shoulder into the neck area. Tingling in thumb and 3 fingers. Never have had any issues like this. Went to Orthopedic doctor who found arthritis in neck. Given Prednesone but did not help at all. Called doctor again and asked if tingling in hands was associated with arthritis and told not normally and what else I could do? Suggested an MRI which did not have yet. Pain is diminished today but tends to flare up. Pain is worse at night. Never had any symptoms like these before the 2nd Covid shot.

Other Meds: Omeprezole Qvar Inhaler Azelestine Nasal Spray Atorvastin Vitamins, C, B-12 and Calcium

Current Illness: none

ID: 1112015
Sex: F
Age: 36
State: MA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 03/18/2021
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Allergies: n/a

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Symptoms: --fever begin approximately 24 hours after vaccination and continued intermittently for five days, controlled by Tylenol, just longer than expected 24-48 hours; accompanied by standard symptoms of body aches, etc. for only 24-48 hours --period started three days early, which is practically unheard of for me; I should have started on Wednesday 2/10, but started on Sunday 2/7; this is similar to my first dose (given on 1/6) after which I started my period two days early on Monday 1/11 instead of the expected Wednesday 1/13; since I'm reporting this so late, I'll also share that my most recent period would have been expected on Wednesday 3/10, but started on Monday 3/8

Other Meds: n/a

Current Illness: n/a

ID: 1112016
Sex: M
Age: 84
State:

Vax Date: 01/27/2021
Onset Date: 02/11/2021
Rec V Date: 03/18/2021
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Symptoms: allergic reaction Paresthesia of skin

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Current Illness:

ID: 1112017
Sex: F
Age: 48
State: KS

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
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Symptoms: Progress Notes Nurse Practitioner COVID VACCINE CLINIC Subjective Patient is a 48 y.o. female who was seen at SVH COVID Vaccine Clinic today for her second dose of the COVID 19 vaccination. She was given the Pfizer vaccination in the left deltoid muscle. During her 15 minute waiting period after the injection, the patient began to experience difficulty breathing, and chest tightness and phlegmy throat. . She denied rash, hives, welts, difficulty swallowing, wheezing, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. This provider was notified of patient reaction and she was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting. ALLERGY REVIEW OF SYSTEMS: Patient complains of frequent throat clearing, chest tightness and shortness of breath Previous Reactions: Covid shot : Muscle ache and headaches for 2 days. Objective Vitals Vitals: 03/17/21 1603 03/17/21 1639 03/17/21 1650 BP: 109/88 (!) 146/104 Pulse: (!) 117 (!) 107 SpO2: 99% 97% 99% Physical Exam Constitutional: Appearance: Normal appearance. She is well-developed. HENT: Head: Normocephalic. Right Ear: Hearing normal. Left Ear: Hearing normal. Nose: Nose normal. Mouth/Throat: Lips: Pink. Mouth: Mucous membranes are moist. Pharynx: Oropharynx is clear. Uvula midline. Eyes: General: Vision grossly intact. Pupils: Pupils are equal, round, and reactive to light. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Decreased air movement present. Examination of the right-upper field reveals decreased breath sounds and wheezing. Examination of the left-upper field reveals decreased breath sounds and wheezing. Decreased breath sounds and wheezing present. No rhonchi or rales. Comments: Tight wheeze in lungs Cleared after 2 puffs of albuterol inhaler, symptoms reoccurred within 10 min of use. Neurological: Mental Status: She is alert. Psychiatric: Behavior: Behavior is cooperative. Pt was given albuterol inhaler 2 puffs,Pepcid, Benadryl IM and Solumedrol 125 mg IM. Pt initially clears for about 10 minutes, then airways tighten up again after inhaler use. Epinephrine 0.3 given and pt sent by AMR to hospital. O2 started at 2L at 4:50. Assessment/Plan Treatment included: albuterol, antihistamines, oral steroids, water and pepcid Follow up response to treatment: poor. Patient discharge: Transported to ED by ambulance. Differential Diagnosis: Anaphylaxis (dyspnea, stridor, drooling, tongue swelling) and Red flag symptoms (CP, SOB, NVD, Visual/Neuro concerns) 5:05 left for ER. Update given to AMR and SV ER. Electronically Signed 3/17/2021 4:56 PM

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Current Illness:

ID: 1112018
Sex: F
Age: 70
State: TN

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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Allergies: Erythromycin-po, Codeine-po, Bees-anaphlaxis

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Symptoms: At 1:53 pm the patient received her COVID vaccine in her left deltoid and was told to wait in the parking lot for 30 minutes. At 1:58 pm the patient reported to the NG medic her throat felt tight and was swelling. EPI auto injector was administered at 1:58 pm by NG medic in her right thigh. Sat 97% and HR 96. At 2:00 patient reported she was feeling better. O2 sats 98% and HR 95. Notified EMS and they arrived at 2:05. Patients BP 160/82, O2 sats 99% and HR 84. Pt refused transport to the ER and left at 2:20pm with a friend who had drove her.

Other Meds: Drops for Glaucoma-Pt is unsure of the name.

Current Illness: None

ID: 1112019
Sex: F
Age: 64
State: CA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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Allergies: None

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Symptoms: At 1003, RRT was activated at the end of client?s post-vaccine 15-minute monitoring period. 64 y/o F complaining of head ?heaviness? in the back of her head, dizziness, and mouth dryness. Head-to-toe assessment completed and WNL. BP: 118/60, HR: 68, breathing even and unlabored on RA. Client in no acute distress. Throughout response time, client?s condition improved. Recommendation to client to be monitored for an extra 15 minutes by post-vaccination nurses. At 1030, client felt much better and left facility ambulatory, in not acute distress, breathing even and unlabored.

Other Meds: None

Current Illness: None

ID: 1112020
Sex: F
Age: 39
State: IA

Vax Date: 02/26/2021
Onset Date: 03/02/2021
Rec V Date: 03/18/2021
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Allergies: Allergies/reactions to foods: wheat, all tree nuts, all grains except rice, green beans, peas, pea shoots, soy, egg, beans, shrimp, sunflower seeds, sesame seeds

Symptom List:

Symptoms: ~3-4 days post vaccination, developed new "brain fog", moderate to severe difficulty with short term memory and conversation recall, difficulty focusing on any task (including driving), word finding difficulty, easily misplacing items and sometimes not finding them again, increase in daytime fatigue, lack of energy.

Other Meds: Methylphenidate 10 mg BID, Xanax 0.5 mg at bedtime, Hydroxyzine 10 mg PRN, EpiPen PRN

Current Illness: none

ID: 1112021
Sex: F
Age: 25
State: MN

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/18/2021
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Allergies: trees, mold, dogs, cats, benadryl

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Symptoms: Client received Moderna second dose vaccine at 2:10 pm. Stated no problems with first dose. Had a history of numerous allergies including anaphylaxis to mold but no injectables. instructed to wait 30 minutes. After about 10 minutes, client complained of trouble breathing, dizzy and itchy mouth. Nurses noted extreme trouble breathing . EPI 0.5 ml given SQ in left leg. Blood pressure 189/90, P 138 02 sat 99%. No wheezing noted. Skin clammy. 911 called. BP better at 130/82 P 110 and 02 sat 100%. Clients breathing improved. Cool compress applied to head and elevated legs. Client was alert. EMS arrived at 2:35 pm and transported client to ER.

Other Meds: Unknown

Current Illness: Unknown

Total 2021 VAERS Injuries: 415,068

Page last modified: 03 October 2021 5:28pm