VAERS 2021 Database www.vaers.hhs.gov

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

Total Manufacturer

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1118548
Sex: M
Age: 51
State: IL

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List: Dysphagia, Epiglottitis

Symptoms: Pt had a feeling like his bp had gone up as well as flushed feeling. He was sent to lie down and administered zyrtec 10 mg PO. Pt then began to have tingling in his fingers. Pt was evaluated by ems. Denied wanting to go to hospital. Pt observered for 1 hr when symptoms resolved. Pt was turned over to wifes care with instructions to f/u with md as well as if symptoms occurr again or worsen to follow up with EMS/ER.

Other Meds: unknown

Current Illness:

ID: 1118549
Sex: F
Age: 48
State: OH

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: bee stings

Symptom List: Anxiety, Dyspnoea

Symptoms: 2/17/21: slight burning sensation on skin; itchy eyes 2/18/21: itchy eyes, sore deltoid, sore rt hip, sore 1st rt finger 2/19/21, 2/20/21: sore under rt upper arm 2/21/21: greater pain under rt upper arm, took acetaminophen 2/22/21-3/7/21: pain extending from rt underarm to rt wrist upon extension/reaching 2/24/21-2/26-21: rt carpal tunnel ache 2/28/21: lymph nodes not as sore 2/28/21-3/11/21: puckered skin, rt upper arm

Other Meds: citalopram, multivitamin, ergocalciferol, omeprazole

Current Illness: none

ID: 1118550
Sex: F
Age: 30
State: MA

Vax Date: 03/12/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Seasonal allergies - pollen, tree Dust, mold, pets

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

Symptoms: Rash with some heat and itchiness developed around injection site on my right arm today.

Other Meds:

Current Illness: None

ID: 1118551
Sex: F
Age: 49
State: IL

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Huge knot, redness, sore arm, finger tingle x 2 days. Thought pretty normal. Day 3-6. I iced my arm which helped take out the heat and the redness. Day 7-present Knot harder and maybe bigger. And the tingle in the arm and fingers is back. I've done some research and this is not mentioned anywhere. Especially at 12 days. Nor anyone i know with this symptom. I thought it was worth mentioning. Will call doctor if arm tingle doesn't go away by early next week.

Other Meds: Metformin, Spirolactone

Current Illness: none

ID: 1118552
Sex: F
Age: 54
State: UT

Vax Date: 03/11/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: none reported

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

Symptoms: Approximately 8 days post dose 1 Moderna Covid 19 Vaccination patient developed the symptoms of what has now been termed as "Covid Arm". A rash developed post vaccination what is on the arm of the injection, swelling has occurred which has now moved down the arm. The arm is warm to the touch and also causes pain.

Other Meds: unknown

Current Illness: unknown

ID: 1118553
Sex: F
Age: 50
State: FL

Vax Date: 03/16/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: -cycline antibiotics, Mangos

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

Symptoms: Slight headache beginning evening of vaccination. Progressed to fever <100.2, body aches, extreme trembling, chills and twitching, blistering of the skin on the forearm of the same injection arm, delirium and hallucinations, wet cough with blood in sputum. Patient called pharmacy on Saturday 3/20/21 03:45pm to advise of reaction, RPh advised patient to go to a physician ASAP for evaluation of symptoms.

Other Meds: Nothing reported.

Current Illness: Nothing reported.

ID: 1118554
Sex: M
Age: 30
State:

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: pt had flushing and redness of cheeks and neck. 25mg of benadryl issued to patient.

Other Meds:

Current Illness:

ID: 1118555
Sex: M
Age: 50
State: MA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: 50 year old male patient with a history of well controlled T2DM and HLD who presents to the Emergency Department with chief complaint of syncope after 1st dose of Pfizer COVID-19 vaccine 30 minutes prior to arrival. Patient reports that while he was waiting after receiving his first dose of the COVID-19 vaccine, he developed a feeling of dizziness and reports that "things were going black slowly". He called for help. Per triage note, he was observed by the staff passing out. He did not fall/there was no head strike. He was found to be hypotensive with SBP of 69, followed by an SBP of 100 after sitting up, then again to the 60s. He received 250cc bolus fluid en route. Patient remembers feeling better after sitting up and now reports that he is at his baseline mental status and feels "completely normal". Patient received 1L normal saline in the ED.

Other Meds: fenofibrate, metformin, rosuvostatin

Current Illness:

ID: 1118556
Sex: F
Age: 60
State: IN

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

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

Lab Data:

Allergies: sulfa

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: swelling where shot was given and could not lift my arm for 2 days. Nausea for 2 days and really tired.

Other Meds: lorsartin

Current Illness: none

ID: 1118557
Sex: M
Age: 16
State: MA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient under the age of 18 inadvertently administered Moderna vaccine

Other Meds:

Current Illness:

ID: 1118558
Sex: F
Age: 41
State: MA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Penicillin: rash clindamycin, clarithromycin: stomach pain CELERY & Celeriac, Dill: ANAPHYLAXIS& environmental allergy Grain intolerance (severe): migraine, stomach pain, acne, gastrointestinal irritation

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

Symptoms: 25 minutes after vaccine shot: throat started to get itchy 30 minutes after vaccine shot: roof of mouth and tongue started to get itchy - went to see nurse : took 50mg Benadryl 40 minutes after vaccine shot: difficulty swallowing: need to clear throat 50 minutes after vaccine shot: nurse suggested taking my EpiPen but I was still able to breathe (all other symptoms were still very present Approximately 25-30 minutes after taking Benadryl symptoms began to subside. No EpiPen was administered. Approximately 95 minutes after vaccine shot: symptoms were reduced enough to go home.

Other Meds: SRONYX 28 DAY TABLET Cetirizine Hydrochloride 10 mg (zytrec): x1 per day MUCINEX 1200mg: x1 per day OMEPRAZOLE 20 mg: x1 per day Multi-Vitiamin: Rainbow Light Women?s One Suppliments (TLS) Pepcid Complete: prn NAPROXEN 500 MG TABLET: prn AL

Current Illness: Migraines

ID: 1118559
Sex: F
Age: 53
State: TX

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Fever fluctuating between 99 to 101 back and forth Achey Chills

Other Meds: Metropolol Klonopin Hyxhorathyazide

Current Illness:

ID: 1118560
Sex: F
Age: 51
State: VA

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/20/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
Dose Series:
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Lab Data:

Allergies: Sulfa

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

Symptoms: I notice that I couldn't see well the morning after my vaccination. It felt like I was crossed eyed. As the day progressed my left continue to swell and closed. I went to the ER around 4pm. They admitted me. Over the course of 2 days, they did a MRI, CT Scan, and a Spinal Puncture. All came back negative. My eye lid was still closed. When I open both eyes, my vision is doubled or blurry. I have normal vision in both eyes still. I went to an Ophthalmologist who sent me to a Neuro-Ophthalmologist. It is the Neuro-Ophthalmologist who said that it is Third Nerve Palsy which was probably caused by the vaccine.

Other Meds: Cymbalta Tizanidine Synthroid Vitamin C Vitamin D Toviaz Fish Oil Quetiapine Prevagen

Current Illness: None

ID: 1118561
Sex: F
Age: 39
State: TX

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Intermittent coughing and fatigue. Pt c/o chest pain, pain to right arm. Pt was monitored for 1.5 hrs.

Other Meds: None

Current Illness:

ID: 1118562
Sex: F
Age: 53
State: NJ

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: the day after the Shingrix shot, I woke up with chills and aches. Spent the entire day in bed, taking acetaminophen. Felt better the following day.

Other Meds: Multivitamin, vitamin D, Turmeric, IP-6, CoQu10, Metamucil, Flonase, Sudafed, Fish oil

Current Illness: Covid-19

ID: 1118563
Sex: F
Age: 69
State: TX

Vax Date: 03/05/2021
Onset Date: 03/07/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient reports having severe pain while urinating and notices blood clots in urine. First noticed this adverse reaction on 3/7/21

Other Meds: Aspirin

Current Illness: Blood clots in urine accompanied with pain while urinating

ID: 1118564
Sex: F
Age: 20
State: RI

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Patient complained of itching all over her body within minutes of receiving her COVID vaccine. She also had mildly diffuse erythema along both arms. EMS immediately placed an IV and administered 50 mg of Benadryl IV. She remained in observation for 30 minutes with EMS with some improvement of her symptoms. Patient?s father drove her to ER for further evaluation.

Other Meds: Zoloft Tomamax Albuterol inhaler

Current Illness: None

ID: 1118565
Sex: F
Age: 54
State: IN

Vax Date: 03/08/2021
Onset Date: 03/17/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Aspirin Milk Eggs

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Almost 2 weeks after vaccine my injection site started to itch and then became red and swelled to the size of a softball and has gotten bigger overnight. I have a bad headache and a lot of fatigue .

Other Meds: Oxycodone Xtampza Prozac Synthroid Tylenol pm

Current Illness: None

ID: 1118566
Sex: M
Age: 63
State: MT

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Developed Bells Palsy, Right side 5th cranial nerve affecting the motor branch. No muscle movement from the top of head all down the right side of face. Numbness feeling all in cheek. Right eye does not open or close, cannot raise eyebrow, right side of mouth is drooping. No muscle movement at all - paralysis of right side of face from top of the head to the jaw.

Other Meds: Lisinopril - 10mg/day

Current Illness: COVID-19 - positive February 13, 2021

ID: 1118567
Sex: F
Age: 17
State: MA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient under the age of 18 inadvertently received Moderna vaccine

Other Meds:

Current Illness:

ID: 1118569
Sex: F
Age: 67
State: FL

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Dexilant causes asthma like symptoms after a week of use

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

Symptoms: Within 6 hours of injection had headaches that lasted 36 hours. Day two redness, heat and swelling hands-width below injection site. Day three same symptoms as day two but spread to length of arm below injection site to within hands-width of bend in elbow. Day four redness, swelling, heat, itching, discomfort to elbow and wrapping around inside of bicep. Day five same as Day four. Day six the redness, heat, itch, and swelling receding. Day 7 further diminished symptoms. Day 8 further diminishment. Symptoms almost gone.

Other Meds: Multaq 400mg twice a day, diltiazem ER 180mg once a day, montelukast 10mg once a day, estradiol 1mg once a day, AREDs-2, Vitamin D3, B vitamin complex

Current Illness: None

ID: 1118570
Sex: F
Age:
State:

Vax Date:
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Pt c/o Right chest tightness, and phlegm in her throat, coughing. Her VS (BP/HR, SBP @ 140-170'a) VS stable all throughout, sat 100% the whole time. Called Dr., ordered to give Benadryl 25 mg po and Albuterol 2 puffs inhaler. Her symptoms got better, but continued. Called 911 since she's still coughing and continue to have the 'phleghm' like symptoms in her throat.' 911 assessed her and pt refused to go to ER for further treatment, she signed the paper. Sent her home with her husband, and instructed her to call 911 if her symptoms get worst.

Other Meds:

Current Illness:

ID: 1118571
Sex: F
Age: 39
State: PA

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Large, circular red rash under the injection site.

Other Meds: Herceptin Perjeta Symbicort Spiriva Lexapro Wellbutrin Lamactil Singulair Vitamin D

Current Illness:

ID: 1118572
Sex: F
Age: 22
State: AR

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Injection site pain, Pain

Symptoms: arm soreness within 12 hours persisting for 3 days. Fever after 1 day. Headache still occurring after 4 days. Swelling and redness at injection site after 2 days and continuing growth. On day 2, size of dime. Day 4 (today) size of tennis ball.

Other Meds:

Current Illness:

ID: 1118573
Sex: F
Age: 42
State: TX

Vax Date: 03/10/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Arm pain at injection site on day one and two after injection, that went away. Swelling, redness, heat, rash, and pain at injection site beginning on day 10 after injection. Along with headache, fatigue, confusion, dizziness, feeling faint, beginning on day 10 after injection.

Other Meds: None

Current Illness: None

ID: 1118574
Sex: F
Age: 50
State: NM

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Reglan and Sulfa

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

Symptoms: approx. 2 hours after I received the injection, I developed hives to my face, chest and back

Other Meds: Prozac 40mg daily, Spironalactone 50mg daily

Current Illness: None

ID: 1118575
Sex: F
Age: 23
State: OH

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Syncope after receiving vaccine

Other Meds: Blood pressure medication Lexapro Birth control MVT

Current Illness: Fatty liver disease

ID: 1118576
Sex: F
Age: 53
State: MD

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Only topical: Benzoyl Peroxide

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Vertigo, Confusion, Projectile Vomiting, Nausea for 3 days, Headache

Other Meds: Synthroid, Lamictal, Gabapentin, Clonidine, Adderall, Magnesium, Emgality

Current Illness: None

ID: 1118577
Sex: F
Age: 56
State: FL

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

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

Lab Data:

Allergies: Codeine

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

Symptoms: Fever chills pain in arm severe headache body aches slight nausea fatigue. Almost 48 hours and still have headache arm pain nausea. I believe after 36 hours the fever left.

Other Meds: Synthroid, vitamin D, atorastatin

Current Illness: No

ID: 1118578
Sex: F
Age: 25
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Hives, flushing/sweating - given Benadryl 25 mg, then 50 mg

Other Meds:

Current Illness:

ID: 1118579
Sex: F
Age: 26
State: NH

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Cefazil

Symptom List: Injection site pain

Symptoms: 12:18pm Patient reports sense of numbness in lips, unsure if it is anxiety 12:25pm Vitals Taken HR 72, BP 132/70, O2 100% Denies any dyspnea, denies any tingling to lips and tounge. No other sx 12:30pm 15mL liquid Benadryl given 12:45pm Patient denies any worsening of sx 12:50pm Patient reports senesation of numbess to tonge is resolving 1:00pm Patient verbalized that she is feeling fine and feels well enough to go home. She is aware if symtpoms return or worsed then she should seek medical attention.

Other Meds: Omega 3, Multivitamin, B12, Vit C and Vit D

Current Illness:

ID: 1118580
Sex: F
Age: 69
State: NJ

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

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

Lab Data:

Allergies: Allergic to Naproxyn Sodium, Augmentin, milk, lactose; seasonal and perrenial allergies (pollen, dust, dust mite, molds)

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

Symptoms: Feeling of swelling in throat, and strange feeling in face, which happened at first vaccine. This was same reaction I received when starting allergy shots years ago (for grass, trees, etc. ) Reaction did not progress after the first vaccine, but persisted with headache for four hours. This time, while driving home, face felt like cement, throat felt full like I could barely swallow. Intensity subsided about 20 minutes later and I was able to drink, so I assumed it was okay. I had bad headache for 2 days. On day 2, noticed welts below and on sides of injection sights, which were painful to the touch. Today, they look like hives. I was not concerned about the headaches, but the strange feeling in my face and throat were concerning. I"ve never had painful hives after any vaccination.

Other Meds: Chlortrimeton allergy pill 12 mg OD. , B-6 50 mg OD., Liothyronine 30 mg., OD, Amlodipine 2.5 mg. OD in A.M., Sectral 200 mg. OD in PM, (Plaquenil 200 mg. OD in AM and Ibuprofen 200 mg. in AM. Flonase nasal spray OD in AM) these last 3 wer

Current Illness:

ID: 1118581
Sex: M
Age:
State: LA

Vax Date:
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Rec V Date: 03/20/2021
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Allergies: None known

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

Symptoms: Continuing severe fatigue and headaches for past 17 days

Other Meds:

Current Illness: N ok ne

ID: 1118582
Sex: F
Age: 33
State: CA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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Allergies: no known allergies

Symptom List: Tremor

Symptoms: Immediately after vaccination, patient reported, "tingling of the tongue". Patient denied difficulty breathing, tongue swelling, and shortness of breath. Patient does not appear in respiratory distress. Patient educated on possibility of adverse reaction and need to increase post-observation time to 30 minutes. Patient offered diphenhydramine PO with water. Patient educated on indication for diphenhydramine and accepted medication. Patient re-assessed and symptoms subsided. Patient is resting comfortably in observation site and educated to seek emergency medical attention if symptoms worsen.

Other Meds: none

Current Illness: no other illnesses

ID: 1118583
Sex: M
Age: 62
State: CO

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/20/2021
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Allergies: penicillin

Symptom List: Erythema, Pruritus

Symptoms: Janssen COVID-19 Vaccine EUA 2 1/2 days of severe flu symptoms. Nausea, Fever, Chills, weakness,no sleep. The next days nausea and light headedness Day 7 (today 3/20/2021) nausea, weakness, and fainting spells. Fainting spells include vision impairment (everything looks fuzzy like a bad tv reception).

Other Meds: lisinopril atorvastatin carvedilol furosemide

Current Illness: none

ID: 1118584
Sex: F
Age: 56
State: NC

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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Allergies: none

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

Symptoms: Extreme dizziness with weakness and nausea started about an hour after I got home. I felt so ill I did not think to call the doctor or go to the doctor's office since I was home alone. I laid down on the floor for awhile before managing to get to the bedroom. I stayed in bed for several hours before attempting to get up; the symptoms were not as severe but still felt weak and dizzy when standing. Today symptoms have improved but still feel uncomfortable.

Other Meds: Propranolol, Levetiracetam, Lamotrigine, Celebrex, Armodafinil, Vitamin D

Current Illness: none

ID: 1118585
Sex: M
Age: 37
State: PA

Vax Date: 03/14/2021
Onset Date: 03/16/2021
Rec V Date: 03/20/2021
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Allergies: None

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

Symptoms: Patient received first dose of 2-dose Pfizer COVID-19 vaccine. Approximately 24 hours after injection, patient experienced headaches. Approximately 48-72 hours after injection, patient experienced left eye pain and developed a non-itch-inducing rash in left temple. Following after this period, eye pain worsened, as did the size of rash (stretching from temple to back of left ear - along the V1 nerve). Patient was diagnosed with Shingles and is now receiving treatment for that virus. It is theorized that the vaccine induced an immune response to attack the novel virus, and left its guard down for the dormant Herpes Zoster virus.

Other Meds: None

Current Illness: None

ID: 1118586
Sex: F
Age: 74
State:

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 03/20/2021
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Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Injection site soreness, redness, swelling, and itch onset day after injection. Improving with cold compress, Tylenol, and Allegra starting day 3 after injection.

Other Meds:

Current Illness:

ID: 1118587
Sex: F
Age: 55
State: NH

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/20/2021
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Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: All symptoms began within 30 minutes of vaccination and lasted 24 hours. Nausea, extreme fatigue: unable to stay awake- slept for 4 hours before waking, rapid heart rate, headache, dizziness ,weakness, severe muscle ache- painful to move. Severe pain at injection site for 24 hours, has diminished to slightly sensitive to the touch.

Other Meds: Claritin D, multivitamin, Vitamin D supplement

Current Illness:

ID: 1118588
Sex: F
Age: 63
State: IN

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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Allergies: None

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

Symptoms: The first vaccine listed above was given on 2/25/2021 and the second vaccine was given on 3/18/2021. I didn't know how to delete the first one after I added it. Thought both were needed. Fatigue, headache, fever, and chills 3/19/2021 9:00 am - 10:00 pm Headache & fever 3/20/2021 6:00 am - 3:00 pm

Other Meds: Proavachol

Current Illness: No illnesses at the time of vaccination. Had a stomach virus March 11-12

ID: 1118589
Sex: F
Age: 26
State: WI

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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Symptom List: Pain in extremity

Symptoms: Patient was sitting in the observation chair when technician noticed that she appeared to be having an adverse event. Patient had head leaned back, seemed to be unconscious, and had some shaking/convulsions. Shaking occurred for about 45 seconds and patient then vomited. 911 was called. Patient became responsive but was very pale and sweaty though she did not have any breathing issues, so EpiPen was not administered. EMS arrived and patient left with ambulance on a stretcher, though she was conscious and communicating with the EMS team.

Other Meds:

Current Illness:

ID: 1118590
Sex: F
Age: 44
State: NY

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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Allergies: Bees

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

Symptoms: Patient experienced swelling of lips and itching sensation in her throat 20 minutes after receiving her 2nd dose. Called EMS to her vehicle. Transport ambulance was called to bring patient to ER. Benadryl 50mg IM given by onsite EMS prior to transport.

Other Meds: Epi-pen as needed

Current Illness:

ID: 1118591
Sex: F
Age: 75
State: GA

Vax Date: 02/20/2021
Onset Date: 03/06/2021
Rec V Date: 03/20/2021
Hospital: Y

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

Symptoms: Hospotalive March 6th 2021. Numbness, loss of use left foot, leg, L-ARM, HAND. DAZED, COULDN'T CONSINTRATE, FUNCTION. TAKE TO EMERGENCY ROOM at Piedmont Athens Reg Med Ctr and admitted. Had cat scans, MRI's, ultrisounds, EKG's. Blood clots ediologity unknown, caused by COVID 19 VACINES. PFIZER

Other Meds: Synthrod 150mcg, Lexapro, Advair, Lyrica, Pra stain 40mcg, singular, HaperSal, Flonase, amitripaline 20mcg, B-12 inj, CoQ10 400mg, Vit D3, probotics,

Current Illness:

ID: 1118592
Sex: F
Age: 46
State:

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/20/2021
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Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: 46 year old female was fine this AM and developed nausea and vomiting after first covid sho this morning No fever, abdomen pain, shortness of breath, cough ,rash or dysuria She is not sick Not pregnant. Orders Placed This Encounter ? Ondansetron (ZOFRAN) 4 mg Oral Tab

Other Meds:

Current Illness:

ID: 1118593
Sex: F
Age: 73
State: FL

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
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Allergies: Antibiotics, sulfur drugs, any critter that flies, stings and crawls.

Symptom List: Vomiting

Symptoms: High blood pressure (190/70) Painful headache due to high blood pressure Heart palpitations Hives on left arm above elbow

Other Meds: Lisinopril , multi vitamin, krill oil, calcium, vitamin D

Current Illness: none

ID: 1118594
Sex: F
Age: 53
State: GA

Vax Date: 03/11/2021
Onset Date: 03/13/2021
Rec V Date: 03/20/2021
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Allergies: none

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: On March 13th developed itchy, red rash on left side of chest, neck, arm, elbow and wrist. Self-treating with hydrocortisone cream. Chest and neck has subsided as of 3/18/2021. Wrist and elbow still itchy and inflamed.

Other Meds: none

Current Illness: none

ID: 1118595
Sex: F
Age: 51
State: VA

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
Hospital:

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Allergies: penicillian

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

Symptoms: Blood Pressure elevated the next day after vaccine. Normally around 134/83 and it was 145/92 for nearly 2 days. No other reason known. Additionally, on 3/20 I felt nauseous, fatigue, minor headache and general malaise. (BP went back to normal)

Other Meds: CBD, cozaar, zyzal

Current Illness:

ID: 1118596
Sex: F
Age: 49
State: NJ

Vax Date: 03/13/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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Allergies: Latex, seasonal allergies

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Swelling/hardness of injection site area. Area hot to the touch. Throbbing and soreness. Was experienced the day of injection and for 3 days. Side effects went away then returned one week after injection.

Other Meds: Vitamin C, D3, E Probiotics Cranberry pills Allegra

Current Illness: None

ID: 1118597
Sex: F
Age: 64
State: IL

Vax Date: 02/26/2021
Onset Date: 03/05/2021
Rec V Date: 03/20/2021
Hospital:

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Allergies: none

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

Symptoms: No adverse side effect till 7days post vaccine. One seventh day woke up with severe dizziness, headache, brain fog, fatigue and periodic brain zaps. This has been ongoing since March 5, (15 days).

Other Meds: levothyroxine .100mg daily amlodipine 5mg daily vit b-12 vit. d

Current Illness: none

ID: 1118598
Sex: M
Age: 26
State: CA

Vax Date: 03/12/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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Allergies: None

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

Symptoms: Rash on palm of hands 7 days after vaccination. Red spots only on palms with slight itch and sting Rash developed on soles of feet at the end of day 7. Same style of rash. Day 8 resulted in uncomfortable swelling and flush skin around rash. Rash is warm to touch. Rash is slightly itchy and moderate stinging when trying to close fist or hold items or walking on feet. Ibuprofen and Benadryl manage symptoms to the point they are tolerable but annoying.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am