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: 1116868
Sex: M
Age: 52
State: MA

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

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

Lab Data:

Allergies: Shellfish

Symptom List:

Symptoms: Patient was nervous due to his shellfish allergy and was apprehensive. He went to get a glass of water after he was vaccinated and when he sat down, missed his chair and had a syncope episode. Taken back by EMS to secluded area, vitals and glucose checked. Glucose was normal, BP reported as low and EMS decided he should be transported. EMS provided fluids, monitored at ER, BP came back to normal and he was released.

Other Meds: not sure

Current Illness: None

ID: 1116869
Sex: M
Age: 38
State: CA

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

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

Allergies: NKA

Symptom List:

Symptoms: Pt recieved vaccine @ 1112 and immediately fainted, eyes rolled back in his head. Noted to be very pale, diaphoretic and cool to touch. B/P 72/42, HR-44, 02 sat 96%ra. Pt reports anxiety and history of passing out at dentist office. 1120 b/p 58/40, 98%ra, hr-68. cont to be diaphoretic, cool to touch and pale. 1137 pt reports feeling better was given crackers and water @ 1115. EMS called by site lead. EMS assessed pt and he refused to go to the hospital. Pt encouraged to follow up with MD. 1157 02 sat 96% hr-62, pt ambulated with staff for 20 minutes prior to dischargeat 1158. Team Lead okayed pt to drive himself home.

Other Meds: none

Current Illness: none

ID: 1116870
Sex: F
Age: 40
State: OH

Vax Date: 03/11/2021
Onset Date: 03/18/2021
Rec V Date: 03/19/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Red itchy firm welt appeared near injection site 7 days after injection. Welt is about 1.5? in diameter and slightly painful.

Other Meds: None

Current Illness: None

ID: 1116871
Sex: F
Age: 42
State: TX

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

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

Lab Data:

Allergies: penicillins

Symptom List:

Symptoms: About 40 min post vaccination, patient came back to pharmacy complaining of itching. Pharmacist inspected injection site and saw redness where patient had been scratching. RPh gave pt 20ml of diphenhydramine 12.5 mg/5ml at 2:08pm and asked pt to check back in at the immunization area in 15 minutes or sooner if pt felt worse. Pt came back and said she was fine. RPh asked if she was sleepy from the Benadryl and she said no. Pt said she lived 10 minutes away. RPh said she would call to check up on her later. RPh left mssg for pt at 4pm.

Other Meds: unkown

Current Illness: unknown

ID: 1116872
Sex: M
Age: 72
State: CA

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Pt received 1st dose Moderna vaccine on 2/2/21. Pt missed his 2nd dose apt on 3/2/21 and was rescheduled for 3/18/21. Vaccinator erroneously administered 2nd dose Pfizer vaccine instead of Moderna.

Other Meds:

Current Illness:

ID: 1116873
Sex: M
Age:
State: OH

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 03/19/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: sore injection spot; This is a spontaneous report from a contactable consumer (patient). A 76-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration into the left arm on 17Feb2021 11:00 as a single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient was previously administered with the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration into the left arm on 27Jan2021 11:00 AM as a single dose for COVID-19 immunisation. The patient experienced sore injection spot on 18Feb2021. The patient did not receive treatment for the event reported. Outcome of event recovered on an unspecified date. Information on lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1116874
Sex: F
Age: 40
State: VA

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies: Erythromycin. Almonds.

Symptom List:

Symptoms: My face (cheeks) went numb. My tongue and throat started to tingle, like I was having an allergic reaction. I had taken a Claritin for allergies before I received the injection. The numbness started approximately 30 minutes after receiving the injection. It last until I took additional allergy medicine three hours after the injection.

Other Meds: Claritin. Daily vitamin.

Current Illness: None

ID: 1116875
Sex: M
Age: 39
State: NY

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

Vax Type:
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Vax Name:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient received vaccine and immediately had visual disturbances, felt nauseous, and felt light headed. Patient brought to cot to lay down.

Other Meds: none

Current Illness: none

ID: 1116876
Sex: F
Age: 58
State: MI

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

Vax Type:
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Lab Data:

Allergies: adhesive, codeine, Dolobid, grass pollen, mold, propoxyphene, sulfa, hydrocodone, doxycycline

Symptom List:

Symptoms: Wheezing and dyspnea 10-15 minutes after receiving vaccine dose. Administered EpiPen and transported via EMS ED. Treatment with IV diphenhydramine, famotidine and methylprednisolone. Released after 4 hr of observation with significant improvement in symptoms.

Other Meds: albuterol, ASA, atorvastatin, calcium/vitamin D, biotin, B12, Allegra, Prozac, Imdur, multivitamin, omeprazole, Trileptal, tramadol

Current Illness: chest pain, sleep apnea, IBS, hyperlipidemia, GERD, gallstones, depression, bipolar 2, asthma, anxiety, anemia

ID: 1116877
Sex: F
Age: 65
State: WY

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 03/19/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: The patient called the pharmacy reporting that she developed Bells Palsy shortly after receiving her first COVID-19 Pfizer BioNTech vaccine. She did report that she had some dental procedure within the same time frame and was not sure if the vaccine or her dental work that caused her symptoms. She did tell me that her symptoms were on the same side as her dental work and that her symptoms resolved within 2 days, but her physician did tell her it was Bells Palsy. She called our pharmacy as she is supposed to receive her second COVID vaccine tomorrow and was not sure if she should still get it still with this reaction. I informed her that the vaccine was unlikely to be the cause of her Bells Palsy symptoms and that she is still indicated as an individual who should receive the second vaccine.

Other Meds:

Current Illness:

ID: 1116878
Sex: F
Age: 27
State: IL

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

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Strong chills set in around 2:30 PM. I ended up getting a fever that spiked at 103 and lasted on and off for 12 hours. The following morning the fever and chills were gone. I felt extremely fatigued.

Other Meds: Nuvaring

Current Illness: None

ID: 1116879
Sex: F
Age: 54
State: MI

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/19/2021
Hospital:

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

Allergies:

Symptom List:

Symptoms: pt said she had pain in the arm and that the vaccine wasn't given in the deltoid. Said arm was sore and red in the area.

Other Meds:

Current Illness:

ID: 1116880
Sex: F
Age: 58
State: MI

Vax Date: 03/09/2021
Onset Date: 03/15/2021
Rec V Date: 03/19/2021
Hospital:

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Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: After about 6 days, the arm started to swell and turn bright red. It was itchy and hot. Started diphenhydramine on Wednesday. At day 9 she added zyrtec and has been icing the arm. At day 10 the swelling has gone down some and it does not itch as much.

Other Meds: Multivitamin, Diphenhydramine, Vitamin D3, Estradiol, Topiramate, Tramadol, Medroxyprogesterone

Current Illness: None

ID: 1116881
Sex: F
Age: 16
State: IL

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

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Vax Name:
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Lab Data:

Allergies: none known

Symptom List:

Symptoms: Vaccine not indicated for patients younger than 18. First dose was administered 2/19/21. CDC recommends continuing series despite patient being younger than 18 years of age. Per patient and patient's father there were no side effects from receiving first dose.

Other Meds: none known

Current Illness: none known

ID: 1116882
Sex: M
Age: 22
State: MO

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/19/2021
Hospital:

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Lot:
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Vax Site:

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient became lightheaded and diaphoretic and passed out

Other Meds:

Current Illness:

ID: 1116883
Sex: F
Age:
State: OH

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 03/19/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: Blood sugar has gone up/Blood sugar started increasing; Burning in chest; Had trouble keeping head up; Nauseous; Pain between shoulder blades; Pain at injection site; Did not feel good; Heartburn; Bones hurt worse than usual; This is a spontaneous report from a contactable consumer (patient). A 91-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EL9269, Expiration Date: 31May2021) intramuscularly, administered in left arm on 12Feb2021 at 14:55 (at age of 91 years old) at a single dose for COVID-19 immunization. Medical history included type 2 diabetes (Diagnosed 15-16 years before this reporting), high blood pressure prior to that. She lost a lot of weight since she found out she was diabetic, which was prior to getting vaccine, around 15-16 years before this reporting. She lost 50 lbs in 15 years. It has been gradually. She gets Prolia shots and did not get one this month. She has scoliosis and osteoporosis and that was one of the things that happened. She had previously broken her shoulder blade and some ribs on her right side. She confirmed that she broke it over a year before this reporting. She has a yellow mark and a little reddish mark that looks like someone hit you. It is still there and it is a fading black and blue mark and does not hurt any more. She takes blood pressure medicine. She does not take diabetic medication. She did in the past, but it caused her ankles to swell and then she started controlling it with diet. She was right handed and had trouble trying to do things with her left hand. This started prior to the vaccine. Family medical history included: Family heart issues and diabetes. Heart disease and cancer in the family. There were no concomitant medications. The patient previously took Prolia for back problems. The patient previously took BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EL9261, Expiration Date: 31May2021) on 22Jan2021 at age of 91 years old at a single dose for COVID-19 immunization. She didn't have any problems after the first COVID-19 Vaccine. No additional Vaccines administered on same date of the Pfizer Suspect. The patient experienced blood sugar has gone up/blood sugar started increasing on 15Feb2021 at 08:00, pain at injection site on 12Feb2021 at 14:55, pain between shoulder blades on 12Feb2021 at 20:30 to 21:30, had trouble keeping head up on 13Feb2021 at 07:30, nauseous on 13Feb2021 at 07:30, burning in chest on 13Feb2021 at 08:30, did not feel good on 12Feb2021 at 08:30, heartburn on 12Feb2021 at 08:30, bones hurt worse than usual on 12Feb2021 at 07:30. She has stated her blood sugar has gone up since she's received the second dose of Pfizer's COVID vaccine on 12Feb2021. Blood sugar started increasing was reported as worsened. She was type 2 diabetic and does not take any medicine. She got second shot on 12Feb2021, and her sugar was 89, then she started not feeling good the day after. On 15Feb2021, she was checking it and it was 119. On 16Feb2021, it was 145. On 17Feb2021, it was 144, and 18Feb2021, it was 145. She had never had them this high. It does not mention it can do anything to your sugar. She does not know her height. Last she was measured was 4'6"-4'7". Her highest was 5 feet. This was prior to the vaccine. She said her weight was between 80-85 lbs. The second shot hurt when they gave it to her. About 6 hours later, it felt like she was hit by lightning between her shoulder blades. She had previously broken her shoulder blade and some ribs on her right side. That has been bothering her and it felt worse when she got the vaccine and she could hardly lift her head up. The pain went from her left shoulder blade to right shoulder blade and stopped right away and then it felt like a lightening thing. She had trouble keeping her head up. She still has trouble with shoulders and is putting heating pads on them. She felt nauseous off and on. Her bones usually hurt, but after the second injection they hurt worse. As long as she puts heat on them, it feels better. The second dose feel like it hit the bone. The first one did not feel that way. The outcome of the event "Blood sugar increased, Chest burning, Feeling abnormal, Heartburn, Bone pain" was not recovered, for events "Shoulder blade pain, Heaviness of head, Nauseous" was recovering, for event "Vaccination site pain" was unknown.

Other Meds:

Current Illness:

ID: 1116884
Sex: F
Age: 69
State: OR

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: APPROXIMATELY 13 MINUTES after receiving my first dose, my stomach started to gurgle and create gas. Had an incident of uncontrollable diahrrea. Morning breakfast passed with most vegetables( shredded cabbage, carrots and frozen peas intact. NO pain, just humiliation in not being able to get to a porta potty. Fortunately, I was in my car for the entire vaccine procedure and could drive home to clean up.

Other Meds: omeprazole 20 mg, fish oil 1000 mg, D3 50 mcg

Current Illness: none

ID: 1116885
Sex: F
Age: 60
State: TX

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 03/19/2021
Hospital:

Vax Type:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies: butternut squash sensitive to adhesives

Symptom List:

Symptoms: joint nerve pain in left shoulder/neck/elbow/back starting several hours after the first covid 19 vaccine was received in the right arm. started taking tylenol after 14 days because the pain was getting worse but switched to advil as tylenol was not helping with the pain. after a couple weeks, the pain was still present even with the advil. so went to my primary doctor today (3-19-21) who prescribed gabapentin for the pain as i am scheduled to receive the second covid 19 shot next week.

Other Meds: toprol, diclofenac, atorvastatin, singular, flecainide, flonase, claritin, aspirin, zegrid, pepcid, multi vitamin, calcium, cinnamon, magnesium, glucosamine/chondroitin/msm/hyaluronic acid, tumeric

Current Illness: none

ID: 1116886
Sex: F
Age: 59
State: IA

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

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

Lab Data:

Allergies: Amoxicillin products; all legumes

Symptom List:

Symptoms: Lips started to tingle when got home- was itchy on back- not raised but light pink- no trouble breathing; tip of nose started getting numb; legs getting itchy- took Benadryl- did not help after 30 min so went to ER- received IV Benadryl and steroids- monitored for at least hours- discharged with prednisone and Benadryl meds for weekend

Other Meds: Lipitor, Xanax, Paxil; prescription allergy med from dr

Current Illness: Covid-19 on 1/3/2021

ID: 1116887
Sex: F
Age: 57
State: AZ

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

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

Lab Data:

Allergies: Gluten, slight reaction to raw peanuts

Symptom List:

Symptoms: Tingling, slight numbness in left arm, hand and face, quite vague, less noticeable in throat muscles. Symptoms remind me of shingles-caused neuralgia which I sometimes experience on left side. Facial tingling, feeling of tightness in muscles, including inner ear are less familiar to me. Symptoms appear to change in degree--slight to more noticeable--as this first day wears on. (Now nearly five hours since vaccine.) I have gone about day as normal, eating and exercising, drinking plenty of water.

Other Meds: None

Current Illness:

ID: 1116888
Sex: M
Age: 65
State: AZ

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Redness and soreness in the muscles directly below the vaccination site

Other Meds: Lisinopril Crestor Zetia

Current Illness: N/A

ID: 1116889
Sex: F
Age:
State:

Vax Date: 02/13/2021
Onset Date: 02/01/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: pink rash both under her breast; This is a spontaneous report form a contactable consumer (patient). A female patient (age: 83; unit: unknown) received the first dose of BNT162B2 (Pfizer BioNtech Covid-19 Vaccine), via an unspecified route of administration on 13Feb2021 at a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. The patient stated she got her first Pfizer covid vaccine dose last Saturday, 13Feb2021. She had a pink rash both under her breast on Feb2021. She was asking if this is normal and what she should do. The outcome of the event was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1116890
Sex: F
Age: 67
State: ME

Vax Date: 03/06/2021
Onset Date: 03/18/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tightness and warmth at injection site. Red circular rash around injection site. Not painful. Not itchy. No treatment. Ongoing at time of this report.

Other Meds: None

Current Illness: None

ID: 1116891
Sex: F
Age: 32
State:

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: 104 + fever for 48 hours, dizziness, light headedness, severe headache. Very very miserable itchy rash ALL OVER. Starting Day following vaccine and continuing ten days later. Not treatable with otc creams or meds.

Other Meds: N/A

Current Illness: N/A

ID: 1116892
Sex: F
Age: 17
State: CA

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Patient was administered the Moderna COVID-19 vaccine at 17 years of age, which is below the authorized use of the vaccine which is 18 years and older. No adverse effects were noted. Patient was monitored for longer than usual to ensure they were safe after receiving the vaccine. Patient was notified shortly after receiving the vaccine and provider was consulted and notified. Consultations occurred within 15 minutes of administering the vaccine. Patient seems well and was sent home as with all other patients but instructed to monitor for any side effects and notify us and their provider if any events occur later.

Other Meds: None

Current Illness: Unknown

ID: 1116893
Sex: F
Age: 35
State: MA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: A week after shot arm reswelled at and around the injection sitewith a huge red welt that was hard to the touch. The welt was sore and appeared to have a fever in itself along with itching.

Other Meds:

Current Illness:

ID: 1116894
Sex: F
Age: 67
State: VT

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

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

Lab Data:

Allergies: Shellfish allergy - anaphylaxis

Symptom List:

Symptoms: Approximately 20min prior to admin of 1st dose of vaccine, patient developed tingling and numbness sensation of lips. Over the course of 3min this tingling and numbness sensation progressed to the left side of her face and the left side of her tongue. 0.3mg of epinephrine was administered via autoinjector 3min following onset of s/s. 50mg PO diphenhydramine was administered 5min following onset of s/s. Pt developed no further s/s, No: rash, pruritus, chest tightness, chest pain, angioedema, abdominal pain, nausea, emesis, dizziness, syncope. VS stable throughout evaluation. Ambulance arrived approximately 10min following onset of s/s and pt was transported to ED for evaluation.

Other Meds: Unknown

Current Illness: Unknown

ID: 1116895
Sex: F
Age: 49
State: IN

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: My arm was sore for about 24 hours after the injection, then I had no problems or reactions until 9 days later. I woke up and my injection site was red, swollen, and felt hot to the touch.

Other Meds: Loratadine 10mg

Current Illness: None

ID: 1116896
Sex: F
Age: 75
State:

Vax Date: 03/16/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient states that she had arm soreness and rash that radiated down her arm and continues to spread past her elbow. Also, stated she experienced warmth at the inject site. It was so hot that she had to site down the site of injection.

Other Meds:

Current Illness:

ID: 1116897
Sex: F
Age:
State: NY

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 03/19/2021
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Symptoms: Muscle pain; fever; This is a spontaneous report from a contactable consumer (patient herself). A 56-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EL3247), via an unspecified route of administration in the left arm, on 17Feb2021 14:30, at a single dose, for covid-19 immunization. Medical history included tree pollen allergy. There were no concomitant medications. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EL3247), on 29Jan2021 09:45 AM in the left arm for covid-19 immunization. The patient did not receive other vaccines in four weeks and did not have other medications in two weeks. The patient was not pregnant. The patient did not have covid prior vaccination. The patient experienced muscle pain and fever on 18Feb2021 11:00 with no treatment received. The outcome of the events was unknown. The patient was not covid-tested post-vaccination.

Other Meds:

Current Illness:

ID: 1116898
Sex: F
Age: 50
State: WV

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/19/2021
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Lab Data:

Allergies: Sulfa Antibiotics Doxycycline Wound Dressing Adhesive

Symptom List:

Symptoms: About 6 hours after being vaccinated, right hand got hot and was itching between the fingers. Lasted about 10 minutes.

Other Meds: Levothyroxine Sodium 100 Vitamin D Flintstone Vitamin

Current Illness: No

ID: 1116899
Sex: F
Age: 49
State: NJ

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/19/2021
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Symptoms: Tripped

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Current Illness:

ID: 1116900
Sex: F
Age: 38
State: MO

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/19/2021
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Symptoms: Patient was administered 1st dose of Pfizer on 2/17. Patient was administered a 2nd dose of Moderna on 3/11. Incident was reported to Pfizer who advised to not complete additional doses.

Other Meds:

Current Illness:

ID: 1116901
Sex: M
Age: 25
State: CA

Vax Date: 03/07/2021
Onset Date: 03/09/2021
Rec V Date: 03/19/2021
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Allergies: topical adhesive

Symptom List:

Symptoms: L-SIDED BELL'S PALSY

Other Meds:

Current Illness:

ID: 1116902
Sex: F
Age: 38
State: FL

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/19/2021
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Lab Data:

Allergies: Seasonal allergies, Latex, Neosporin

Symptom List:

Symptoms: Per patient she states she was having difficulty swallowing and was feeling dizzy after receiving the Covid vaccine, RN states there was no swelling of the tongue and/or mouth, Vital signs within normal limits at this time.

Other Meds: n.a

Current Illness:

ID: 1116903
Sex: F
Age:
State:

Vax Date: 02/16/2021
Onset Date: 02/01/2021
Rec V Date: 03/19/2021
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Symptoms: Fever; This is a spontaneous report from a contactable healthcare professional (patient). A 74-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number and expiration date were not reported) on 16Feb2021 as a single dose, with route of administration unspecified, for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient had previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number and expiration date were not reported) on an unspecified date. In Feb2021, the patient had fever. The outcome of the event, fever, was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1116904
Sex: F
Age: 25
State: AK

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/19/2021
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Allergies: none

Symptom List:

Symptoms: 1715: Received vaccine 1738: C/o jaw tingling, chest pressure and fast heart rate , HR 76 palpable 1741: 100mg PO liquid Benadryl given 1800: pt sent home from clinic, felt comfortable going home.

Other Meds: none

Current Illness: none

ID: 1116906
Sex: F
Age: 52
State: IL

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
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Allergies: nka

Symptom List:

Symptoms: Patient complaining of lightheadedness and dizziness. Patient requested blood pressure to be taken. BP WNL.Patient refused further care

Other Meds: none

Current Illness: none

ID: 1116907
Sex: F
Age: 72
State: MA

Vax Date: 03/03/2021
Onset Date: 03/12/2021
Rec V Date: 03/19/2021
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Allergies: none

Symptom List:

Symptoms: swelling and itchy rash at injection site. Chills and severe headache, sore throat, ear ache for 2 - 3 days following onset of rash. Treatment: rest, Advil

Other Meds: Centrum vitamin, Biotin supplement

Current Illness: none

ID: 1116908
Sex: F
Age: 51
State: TX

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
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Allergies: Erythromycin, Rocephin, Augmenten

Symptom List:

Symptoms: Numbness of the lips hands and feet. Swelling of the hands purple red rash a long arms. Highly elevated blood pressure. Tunnel vision. Shaking. 30 minutes after receiving second vaccine for Covid.

Other Meds: Pantoprazole 40 mg

Current Illness: None

ID: 1116909
Sex: F
Age: 57
State: FL

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
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Allergies: NKA

Symptom List:

Symptoms: 10:45 patient complained itchy uncomfortable feeling in her throat. Was able to swallow and move air. She stated she did not come to clinic with this complaint. Benadryl 25mg given PO with 16 Oz of water. Observation per NP and EMS. vs 10:47 190/106/ SAT on RA 99%. 10:55 BP 200/113, HR 75; SAT 99 RA. Lungs clear, moving air, no SOB, no stridor or wheezing. Moved patient on stretcher to more private area with husband. 11:35 - No further complaints of itchy throat. BP 163/93;HR 75; R 20. Erythema noted on posterior pharynx. Uvula midline. Discharged home 11:35.

Other Meds: Atorvastatin 40 mg; HCTZ 12.5 mg; Amilodopine 5mg; Fluoxetine 20mg; Vitamin C 500mg

Current Illness: Hypertension, High Cholesterol

ID: 1116910
Sex: F
Age: 32
State: FL

Vax Date: 03/17/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
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Allergies: None

Symptom List:

Symptoms: Extreme fatigue, nausea, strange headache, miserable (all for about 5 hours simultaneously)

Other Meds: Metformin

Current Illness: Common cold

ID: 1116911
Sex: F
Age:
State: KS

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 03/19/2021
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Symptoms: feeling tired; pain; This is a spontaneous report from a contactable consumer. A 47-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration on 17Feb2021 (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient reported that she was administered yesterday 17Feb2021 with the first dose of the vaccine and today on 18Feb2021, the patient started feeling tired and with pain. The outcome of the events was unknown. Information about Lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1116912
Sex: F
Age: 37
State: TX

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/19/2021
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Lab Data:

Allergies: codeine and generic bactrim

Symptom List:

Symptoms: Janssen COVID-19 Vaccine EUA Received on 3/11/21. Symptoms began in the evening. Chills, low grade fever, sever body and head aches, some loosened bowel movements, fatigue. Could not attend work. Continued all through 3/12/21. All had ceased except minor body and head aches along with fatigue by 3/13/21. Fatigue has continued. Significant body aches returned 3/18/21 and are still going today (3/19). Fatigue continues as well.

Other Meds: multi vitamin for women with probiotics and elderberry (no prescriptions)

Current Illness: none

ID: 1116913
Sex: M
Age: 76
State: TX

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 03/19/2021
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Allergies: none

Symptom List:

Symptoms: Minor Stroke affecting the right side (hand and leg). Went to emergency room Monday and Tuesday (3/1/21)

Other Meds: Metformin, nexuim, Centrum multi-vitamin, B-12

Current Illness:

ID: 1116914
Sex: F
Age: 68
State: LA

Vax Date: 03/13/2021
Onset Date: 03/15/2021
Rec V Date: 03/19/2021
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Symptoms: Pt came to the pharmacy on March 15,2021 to show that she had a large, red, swollen area around the area on her arm where she stated she received the Shingrix vaccine 2 days prior, on March 13,2021. Her are had a red area about the size of a grapefruit on her arm, and was quite red. The patient said the area was painful and itchy. I examined the area and discussed the possibility of adverse effects and apologized it happened to her. I explained I would submit an VAERS report., and follow up with her. On March 16,2021 i called the patient to follow up and she said the area was slightly bigger and her daughter had taken a picture and sent it to her physician. I followed up again with patient on 3/19/21 and she said it was better and lighter pink color. She will talk to md about not getting the 2nd dose as this could be allergic response. No further follow-up needed at this time

Other Meds:

Current Illness:

ID: 1116915
Sex: F
Age: 64
State: MT

Vax Date: 03/11/2021
Onset Date: 03/17/2021
Rec V Date: 03/19/2021
Hospital:

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Lab Data:

Allergies: PCN

Symptom List:

Symptoms: Rash in arm vaccinew as given

Other Meds: Fish Oil 435 MG Capsule Taking Calcium 150 MG Tablet Taking Vitamin B Complex Taking Mucinex 600 MG Tablet Extended Release 12 Hour

Current Illness: none known

ID: 1116916
Sex: F
Age: 17
State: NV

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/19/2021
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Symptoms: PATIENT 17 YEARS 6 MONTH OLD AT TIME OF VACCINATION

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Current Illness:

ID: 1116917
Sex: M
Age: 67
State: AZ

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/19/2021
Hospital:

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Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Pain in left uppe arm post vaccination. States shooting pain in arm-Instructed to see PCP or Urgent Care

Other Meds: Unknown

Current Illness: Unknown

ID: 1116918
Sex: M
Age:
State: MO

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

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Symptom List:

Symptoms: Injection site pain & systemic arthritic; Injection site pain & systemic arthritic pain; This is a spontaneous report from a contactable consumer (patient). A 59-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE lot number: EN9581) via an unspecified route of administration, administered on the right arm on 18Feb2021 11:30 at a single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient previously received BNT162B2 on 28Jan2021 for COVID-19 immunisation (first dose on the right arm, lot number: EL8982); NSAIDs and sporins experienced allergies. On 18Feb2021 17:45 the patient experienced injection site pain & systemic arthritic pain. No treatment was received for the events. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Post vaccination, the patient has not been tested for COVID-19. Outcome of the events was not recovered.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm