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: 1118855
Sex: F
Age: 63
State: CA

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:

Symptoms: Tingling in left finger. Declined vs.

Other Meds:

Current Illness:

ID: 1118856
Sex: M
Age: 64
State: CA

Vax Date: 03/08/2021
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: None

Symptom List:

Symptoms: Hives and rashes on both arms, inner and outer side of both thighs, torso, underarm, both shoulders, lower and upper back.

Other Meds: Fish Oil,One A Day(multivitamin),125 mcg Vitamin D3, Biotin,

Current Illness: None

ID: 1118857
Sex: M
Age: 57
State: MI

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: Unknown

Symptom List:

Symptoms: Patient received vaccine, was waiting his 15 minutes, got up and got pharmacy staff attention saying he was not feeling well. Pharmacist went our to waiting area, and patient lost consciousness momentarily. Patient was able to regain a seat in a chair, but then blanked out and was not responsive to his name. He was breathing and had a pulse, but eyes were open in a blank stare and he did not respond to verbal or to gentle shaking. After a few minutes he came out of it and said he was feeling better. A few minutes later, the episode happened again. Emergency responders was called and the pharmacist continued to monitor him until paramedics arrived. The episode happened again while paramedics were attending to him and he was taken to the hospital. Patient did return about 6 hours later looking much better and thanked the staff who helped him.

Other Meds: Unknown

Current Illness: Unknown

ID: 1118858
Sex: F
Age: 65
State: CO

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:

Symptoms: Patient was given COVID19 Pfizer vaccine in her left arm on 02/08/2021. She presented on 3/20/21 to the office stating she needed her second Moderna vaccine which she received. She did not bring her proof of vaccination card with her. It was later discovered that she had previously received the Pfizer vaccine and should have had Pfizer for her second dose. She had no reaction to the vaccine in the clinic

Other Meds: Unknown

Current Illness: Unknown

ID: 1118859
Sex: M
Age: 33
State: CA

Vax Date: 03/08/2021
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: N/A

Symptom List:

Symptoms: Sunday, headache began to form. The, what appeared to be bite marks, found on right leg. Monday, day long headache. Tuesday, horrible headache, nausea, night sweats, chills. ER diagnosed it as reaction from spider bite. Wednesday, headaches, more bumps. Thursday, headaches, nausea. Friday, headaches, more bumps on right leg, itching on right leg, ringing in right ear. Contacted doctor on Friday with pictures, and he diagnosed it as shingles.

Other Meds: Allegra, Flo-nase

Current Illness: None

ID: 1118860
Sex: M
Age: 35
State: SC

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: peanuts, bee stings, latex

Symptom List:

Symptoms: Pt reported history of anaphylaxis to peanuts and bee stings. Advised of risks of allergic reaction and requested 30 minute wait. A few minutes after administration pt reported throat tightness and acid reflux similar to his peanut allergy. Administered 25mg of diphenhydramine (10 mL of 12.5mg/5 mL solution). After 5 minutes pt reported tongue thickening, chest tightness, and increased throat tightness. Administered epinephrine 0.15mg auto-injector and called 911. Continued to monitor pt. He reported that his throat tightness subsided, his tongue felt better, and he no longer had chest tightness after epinephrine. EMS arrived and transported patient.

Other Meds:

Current Illness:

ID: 1118861
Sex: M
Age: 37
State: OH

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Joint and muscle pain, Low heart rate, low blood pressure, syncope

Other Meds: Adderall

Current Illness:

ID: 1118862
Sex: F
Age: 51
State: FL

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: Shrimp, mold, dust

Symptom List:

Symptoms: Swollen lymph nodes ( both) at jawbones

Other Meds: Lexapro Miralax

Current Illness: No

ID: 1118863
Sex: F
Age: 60
State: PA

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:

Symptoms: Patient reports adverse effects started approximately 8 pm on 3/18/2021, She experienced significant known adverse effects of the vaccine (reported severe fatigue, chills, pain in arm in which vaccine was administered) but also reports she was having great difficulty moving her neck. She reports that she was able to work (as a hair stylist) on 3/19 with more mild symptoms but still did not feel well and was still having difficulty moving her neck. She reported that she only realized on the afternoon of 3/20 that she had developed swelling at the base of her neck where it met her collarbone. She reported the swollen area was the size of a baseball and was red and warm. She indicated it was on the same side of her body as the vaccination site. She had not yet sought medical treatment when she contacted us but was going to have it examined. She called to notify the pharmacy so that we could report her condition but was not present at the pharmacy on 3/20. Below item 21 is a required field and since she had not yet sought medical care but intended to this weekend I selected emergency room/department or urgent care.

Other Meds:

Current Illness:

ID: 1118864
Sex: F
Age: 36
State:

Vax Date: 03/12/2021
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:

Symptoms: Moderna COVID-19 Vaccine EUA Redness around injection site 3 inches in diameter Swelling around injection site 3 inches in diameter Itching Tenderness

Other Meds:

Current Illness:

ID: 1118865
Sex: F
Age: 57
State: MI

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:

Symptoms: patient experienced an anxiety attack after second dose of vaccination. patient was examined by paramedics on site and recovered well

Other Meds: none

Current Illness: none

ID: 1118866
Sex: F
Age: 52
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:

Symptoms: 3/20/2021 The patient was observed post Covid-19 immunization for 30 minutes based on pre-vaccination screening . During the observation period, she experienced an adverse reaction with the following symptoms: difficulty breathing and tingling around face and mouth Assessment : Time of assessment . Actions taken: VS taken, BP- 129/62, P- 80, O2- 100% at 521 pm , recheck at 0531pm, BP- 109/61, P- 77, O2- 100%, 545pm, BP - 105/69, P- 72, O2- 100%. Medications administered: Famotidine (Pepcid) 10 mg by mouth. Time: np. Administered by NP.Benadryl 25mg 1 tab PO x1 by NP, and given water. Disposition: Reports no further symptoms of adverse reaction after observation for 30 minutes. Discharged home. Immunizations Administered Name Date Dose VIS Date Route Pfizer COVID-19 Vaccine 3/20/2021 5:09 PM 0.3 mL 12/11/2020 Intramuscular Manufacturer: Pfizer, Inc Lot: ER2613 NDC: 59267-1000-1

Other Meds:

Current Illness:

ID: 1118867
Sex: M
Age: 64
State: WI

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:

Symptoms: Diarrhea cha,cha,cha,abdominal discomfort,4:45-5:15.

Other Meds: Losartan,Hydrochlorothiazide,Doxycycline,Vit. C,Multi-Vit,Fish oil,Schiff Mega-Red 4in1,Claritin,

Current Illness: none

ID: 1118868
Sex: F
Age: 27
State: CA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
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:

Symptoms: Localized hives appeared up to shoulder 3 hours after injection. Firm, red, itchy rash about 2.5 inches in diameter persisted for 2 weeks

Other Meds: Keppra, Cymbalta, Junel 1/20, Adderall XR

Current Illness: None

ID: 1118869
Sex: M
Age: 68
State: MN

Vax Date: 03/16/2021
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: Tagamet, Hydrocodone, Levaquin, Pet Dander, mold, mushroom, hay, dust

Symptom List:

Symptoms: Swelling of lip and cheek. Hives on arms and side

Other Meds: Cartia, insulin, Furosemide, Generic Prilosec, Zyrtec

Current Illness:

ID: 1118870
Sex: F
Age: 31
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: Allergy to ants

Symptom List:

Symptoms: The injection was put in on top on my shoulder. I?ve had moderate to severe joint pain when moving my arm, especially lifting my arm or lifting in a backwards motion. There is no swelling, redness on the skin and it?s not sore to the touch. It?s painful inside my joint. Even after taking ibuprofen I?m waking up in pain many times in the night and need assisting putting in coats and getting dressed. I?m not able to pick up anything heavy.

Other Meds: Oral contraceptive

Current Illness: N/A

ID: 1118871
Sex: F
Age: 42
State: IA

Vax Date: 03/11/2021
Onset Date: 03/13/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: swelling and redness in left arm. improved - 6-7 days following shot swelling and became worse. client has had issues with cellulitis in the past and compares the reaction to this.

Other Meds: unknown

Current Illness: unknown

ID: 1118872
Sex: F
Age: 56
State: FL

Vax Date: 03/08/2021
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: sulfa, topiramate

Symptom List:

Symptoms: Pt started having muscle pain in left leg on 3/18/2021 went to hospital on 3/19/2021 had doppler done and confirmed blood clot in left leg. Pt has been started on Eliquis. Currently out of hospital and at home.

Other Meds:

Current Illness:

ID: 1118873
Sex: F
Age: 49
State: WI

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: Sulfa medications?rash Contact allergy dermatologist

Symptom List:

Symptoms: 18 hours post vaccine- severe muscle/joint pain and fatigue 28 hours post vaccine- several episodes of severe vertigo, nausea and vomiting By March 18th- muscle symptoms and fatigue have resolved. Severe vertigo episodes have stopped with only mild dizziness when moving my eyes and looking at computer screen, but I was able to work. Called my doctor and she recommended Dramamine. March 19th continued improvement with slight dizziness when watching computer screen. March 20 th. Felt great and I thought it had resolved but severe vertigo episode occurred when lying down. Lasted 20 seconds.

Other Meds: Multivitamin 4000 Vitamin D 20 mg omeprazole

Current Illness: No e

ID: 1118874
Sex: M
Age: 20
State: TX

Vax Date: 03/12/2021
Onset Date: 03/12/2021
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:

Symptoms: Headache, muscle ache which lasted all night starting in earnest around 10 PM, shoulder ache began at around 8PM, spreading to the whole body at the aforementioned time, nausea started around 12AM. 2 Ibuprofen 200mg were taken for pain with little to no effect. The next morning I awoke with no symptoms.

Other Meds: Xyzal

Current Illness:

ID: 1118875
Sex: F
Age: 59
State: AL

Vax Date: 03/19/2021
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:

Symptoms: sever loss of energy. bloodshot eyes

Other Meds: Tylenol Theraflu

Current Illness:

ID: 1118876
Sex: F
Age: 28
State: CA

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:

Symptoms: Dizziness - received crackers, juice, water. Vitals wnl.

Other Meds:

Current Illness:

ID: 1118877
Sex: F
Age: 46
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: No known drug allergies

Symptom List:

Symptoms: Patient stated that she had an odd feeling in her throat, patient's vitals at the time were BP 180/96, HR 98, R 18, Temp. 100.0

Other Meds: Metoprolol ER 25mg PO Daily, Paxil 10mg daily

Current Illness: Anxiety, HTN

ID: 1118878
Sex: F
Age: 64
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:

Symptom List:

Symptoms: Patient called stated under breast and torso looked red like a sunburn, chills bodyaches

Other Meds:

Current Illness:

ID: 1118879
Sex: F
Age: 40
State: MA

Vax Date: 03/08/2021
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: Pennecillin, predisone, clyndamycin

Symptom List:

Symptoms: Tired on day of shot, week later arm was inflamed, warm and puffy. A few days later I now have a big red rash at the injection site

Other Meds: Nuvaring

Current Illness: None

ID: 1118880
Sex: F
Age: 44
State: ND

Vax Date: 03/19/2021
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: No known

Symptom List:

Symptoms: Joint pain (especially in hips) overnight. Lower back pain and mild nausea the following afternoon. Rash on chest and neck late afternoon. Not painful or itchy.

Other Meds: Trazodone 100mg Sertraline 50mg Vitamins D C B Iron

Current Illness: Sinus cold 3-4 weeks ago

ID: 1118881
Sex: M
Age: 66
State: IN

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:

Symptoms: next morning woke up with bad body aches and headache. Symptoms lasted all day, did not take any medication. i went to bed early and woke.up next day feeling fine. i had no ill effect after first round of shot on 2/17/2021. no ill effects after3/18/2021

Other Meds: none

Current Illness: none

ID: 1118882
Sex: F
Age: 50
State: LA

Vax Date: 02/25/2021
Onset Date: 03/11/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: I had a double frozen embryo transfer on February 5th and a positive pregnancy test on February 15th. On March 4th I had my 6-week ultrasound and one embryo had implanted but did not survive and the 2nd was clearly not strong, smaller than it should have been with a fetal heartbeat only visible, not audible yet. A week later, on March 11th, the ultrasound showed only empty gestational sacs and I had miscarried both.

Other Meds: l-thyroxine 100 mcg, prenatal vitamin, estrogen (6 mg/day) & progesterone in oil (1 ml IM per day), as per reproductive endocrinologist prescribed protocol

Current Illness: N/A

ID: 1118883
Sex: F
Age: 38
State: CA

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

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

Lab Data:

Allergies: Amoxicillin Decongestants Shrimp Coconut

Symptom List:

Symptoms: Anaphylactic

Other Meds: None

Current Illness: None

ID: 1118884
Sex: F
Age: 35
State: NC

Vax Date: 03/15/2021
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: NKA

Symptom List:

Symptoms: At an offsite J&J clinic. She has a history of fainting from needles. About 10-15 minutes after her vaccine, she passed out in her chair losing consciousness. We called 911, moved her to the floor, elevated her feet, and monitored her breathing. She was out for about 1 minute. EMS arrived and evaluated her for about 1h before she walked out on her own.

Other Meds: NKA

Current Illness:

ID: 1118885
Sex: M
Age: 35
State: TX

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

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

Lab Data:

Allergies: Na

Symptom List:

Symptoms: Headache at night and morning. Wake up due to serious headache.

Other Meds: Na

Current Illness: Na

ID: 1118886
Sex: F
Age: 66
State: IL

Vax Date: 03/14/2021
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: iodine intravenous dye, some antibiotics, raw eggs, lactose intolerant

Symptom List:

Symptoms: At 10:30 pm Tuesday night massive diarrhea for 3 hours until stool ran clear. There has been constant nausea everyday since then, including today. Nausea gets less intense every day. There has not been any fever.

Other Meds: metoprolol er succinate, amlodipine besylate, olmesartan medox/hctz, low dose aspirin

Current Illness:

ID: 1118887
Sex: M
Age: 36
State: CA

Vax Date: 01/10/2021
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:

Symptom List:

Symptoms: Excessive ear cerumen discharge

Other Meds:

Current Illness:

ID: 1118888
Sex: F
Age: 60
State: OH

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: Benadryl

Symptom List:

Symptoms: 5 minutes after the shot, a feeling of warmth went through my upper body to my head & my tongue was tingling. It lasted about 30 seconds. It happened again about 1/2 hour later (11:12 am) but not as strong or as long.

Other Meds: Simponi monthly injection & 3 BP meds (Metoprolol, Lasartan, Hydrochlorothiazide), Nexium

Current Illness: None

ID: 1118889
Sex: F
Age: 25
State: WI

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: None

Symptom List:

Symptoms: The first night after the shot I woke up with chills so bad that I couldn?t stop shaking for an hour. The day after the shot I had a constant headache, full body soreness, a fever, nausea, loss of appetite, and chills. 2 days after the shot I have developed a cough, have full body soreness, a headache, and nausea. I am colder but have not experienced the chills anymore. I have also experienced strained vision due to the severe headaches.

Other Meds: None

Current Illness: None

ID: 1118890
Sex: M
Age: 48
State: NJ

Vax Date: 03/19/2021
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:

Symptoms: Approximately 18 hours after first shot in right arm, knee joint pain began in left knee which has now lasted 3 weeks. Pain requires walking with a limp. Second shot was in left arm and knee joint pain occurred in the right knee approximately 18 hours after. I now find it difficult to walk normally on both knees. Pain at times is 7/10. No previous knee issues.

Other Meds: Losartan

Current Illness: None

ID: 1118891
Sex: F
Age: 27
State:

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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Symptoms: 3/20/2021 Patient was observed post Covid-19 immunization for 30 minutes based on pre-vaccination screening . During the observation period, she experienced an adverse reaction with the following symptoms: , she reports trouble swallowing Assessment : Time of assessment 0521pm. ., no swelling of face or mouth area noted Actions taken: Observed for 30 minutes, VS taken , meds and water given Medications administered: Famotidine (Pepcid) 10 mg by mouth. Time: 0515pm. Administered by ,.Benadryl 25 mg po x1, water given Disposition: Reports no further symptoms of adverse reaction after observation for 30 minutes. Discharged home. Immunizations Administered Name Date Dose VIS Date Route Pfizer COVID-19 Vaccine 3/20/2021 4:50 PM 0.3 mL 12/11/2020 Intramuscular Manufacturer: Pfizer, Inc Lot: ER2613

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Current Illness:

ID: 1118892
Sex: M
Age: 26
State: NE

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

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Symptoms: Syncopy: elevated feet, cold compress, Powerade. Dizziness lasted approx 45 minutes. Refused any more treatment. Left on own.

Other Meds: None

Current Illness: none

ID: 1118893
Sex: M
Age: 70
State: IA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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Symptoms: no adverse event reported, dose was given on day 20

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ID: 1118894
Sex: F
Age: 40
State: CA

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

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Symptoms: PI: The pt is a 40 year old female who presents with syncope 20 minutes post Moderna dose #1 vaccination to the left deltoid. Pt syncopized from a seated position, falling forward and catching herself with her arms outstretched. +LOC before immediately regaining consciousness. No head or neck injury, +abrasion to the left elbow. Pt notes similar episode following an influenza vaccine 15 years ago. Pt denies any medical Hx, daily medications, or Hx of anaphylaxis. Pt denies swelling or itching of the lips, eyes, or face. She also denies any swelling of throat, difficulty breathing, or SOB. Exam (update as needed): GEN: Alert and oriented x 3 upon immediate evaluation, HEAD: NCAT EYES: PERRL, EOMI ENT: Ears normal, Nose normal, OP normal, no evidence of angioedema NECK: Supple, without LAD. CV: RRR,+Bradycardic, +hypotensive, no m/r/g PULM: Clear to auscultation bilaterally, no accessory muscle use ABD: Soft, no tenderness. SKIN: +pale, +diaphoretic, +1cm circular abrasion to left elbow, No rashea MSK: FROM, MS 5/5 NEURO: Alert and oriented x 4, CN 2-12 grossly intact, no ataxia Clinical Impression/Field Tx: Syncope post moderna does #1 vaccination. Impression supported by clinical scenario, vital signs, and Pt?s endorsement of similar incident in the past, Suspicion for anaphylaxis low due to no signs of angioedema, no SOB, and no complaints of itching. Pt also denied any Hx of anaphylaxis or allergic reaction. Vital signs stabilized in the field and pt reported improvement following 30 minutes of repositioning and observation. Because of limited resources on site, the Pt was evaluated by EMS where repeat vital signs, blood glucose, and EKG were obtained. Medications administered: None Disposition: Pt was evaluated by EMS and transported to the Hospital.

Other Meds: None

Current Illness: None

ID: 1118895
Sex: F
Age: 25
State: MT

Vax Date: 03/12/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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Allergies: None

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Symptoms: 3/19/21 I noticed some mild soreness and tenderness in my left arm where I received the Moderna vaccine. The next day 3/20/21 a raised red rash appeared on my upper arm at the injection site. It is about the size of my hand and is very tender. There is mild itching. The skin also feels warmer than elsewhere on my arm and body.

Other Meds: Hormonal Birth control Spironolactone

Current Illness: None

ID: 1118896
Sex: F
Age: 38
State: NC

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/20/2021
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Symptoms: Fever, fatigue and muscle pain the night of the vaccination day. Next day was back to normal

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ID: 1118897
Sex: F
Age: 32
State: NC

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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Allergies: flu shots capers dust cats

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Symptoms: Within 30 seconds I had difficulty swallowing, my heart rate jumped to 140 beats per minute with oxygen levels at 94 as measured by the pulse ox I brought with me, and I developed a headache. A few minutes after that my face and arms became itchy and I became dizzy. I talked to an attendant who told me that headaches weren't a usual symptom of allergic reactions and to honk my horn if I got worse and felt that EMS needed to check me out. I couldn't really risk getting medical bills so I decided to just use my asthma inhaler to hopefully open up my throat a bit more and stayed in the parking lot for 45 minutes. When it became clear I was at least not going to get worse I drove home. When I got out of the car my legs were weak and I still had a headache. Symptoms did not resolve until about 2.5 hours after vaccination.

Other Meds: levothyroxin aspirin 81mg singulair strattera

Current Illness: none

ID: 1118898
Sex: M
Age: 66
State: IA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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Symptoms: no adverse event reported, dose was received on day 20

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ID: 1118899
Sex: F
Age: 53
State: PA

Vax Date: 03/16/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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Allergies: Latex

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Symptoms: Red and itchy

Other Meds: Singular Claritin-d

Current Illness:

ID: 1118900
Sex: F
Age: 18
State: CA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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Allergies: NKDA

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Symptoms: NAUSEA/VOMITING/DIFFUSE MYALGIAS

Other Meds: TRINTILLEX, VYVANSE

Current Illness: NONE

ID: 1118901
Sex: F
Age: 31
State: CA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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Symptoms: Facial erythema/edema, mild respiratory distress. Vitals wnl.

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ID: 1118902
Sex: M
Age: 61
State:

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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Symptoms: After receiving vaccination, patient proceeded to observation area. He passed out briefly, then regained consciousness, but was sweaty, disoriented, dizzy and drowsy. EMS was called, he asked to lie down and was helped to ground into a recovery position. EMS arrived and took him for further evaluation.

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Current Illness:

ID: 1118904
Sex: M
Age: 32
State: TX

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

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Symptoms: seven minutes after vaccine was received patient started to feel dizzy and like he was going to pass out, his arms started to tingle, and his head then started to fall and he wasted his water, a nurse saw his head drop, he saw the nurse run to the car and then the feeling went away.

Other Meds: None

Current Illness:

ID: 1118905
Sex: M
Age: 64
State: TX

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

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Allergies: NKA

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Symptoms: Patient's daughter called to inform us that the patient went into cardiac arrest today 03/20/2021

Other Meds: Ambien, tramadol, clonidine, lexapro

Current Illness: unknown

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm