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: 1132066
Sex: F
Age: 52
State: IN

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

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

Lab Data:

Allergies: Invanz

Symptom List: Dysphagia, Epiglottitis

Symptoms: Chills, fatigue, muscle aches

Other Meds: Insulin Sertraline

Current Illness: None

ID: 1132067
Sex: F
Age: 63
State: VT

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Chills, warm face. Bed rest.

Other Meds:

Current Illness:

ID: 1132068
Sex: M
Age: 90
State: TX

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: pt states he has been off balance ever since he took the 1st dose covid vax 1/8/21. He waited a half hour after getting the vax to leave but as soon as he walks he feels off balance. If he is sitting he is fine but as soon he gets on his feet he has a feeling of being unbalanced. He got his 2nd dose on 2/2/2021 Lot # 012M20A with no changes. Today 3/25/2021 he is still experiencing a balance issue. Pt will contact his PCP regarding these symptoms.

Other Meds: doxazosin,

Current Illness: no

ID: 1132069
Sex: F
Age: 48
State: MI

Vax Date: 12/24/2020
Onset Date: 01/07/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: I am allergic to sulpha.

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: My arm was sore and the rash started. It has been present since 01/07/2021 and it is not going away. The only thing different is the vaccine. I've had IV antibiotics twice that seems to help so that it's not quiet as bad. It has never gone away.

Other Meds: I take a probiotic and an allergy medication.

Current Illness: No

ID: 1132070
Sex: F
Age: 73
State: OH

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Ativan, prednisone, tape, perfume

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

Symptoms: Dry heaves, difficulty breathing. No output in ileostomy or fistula, chills, fever started Sat. Continued through tues went to ER MVH

Other Meds: Lomotil. Immodium, vit D, multi vit, ASA,, protonix

Current Illness: Ileostomy, fistula

ID: 1132071
Sex: F
Age: 58
State: IN

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: penicillin

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

Symptoms: My left arm where the shot was administered felt as if I had been punched in the arm and had a severe bruise. I was unable to lift my arm for 36 hours without extreme pain. The pain was also going up my neck. I took tylenol to help. On 3/25/21, the second day after the shot, the pain is not as bad but it is still there and I am able to lift my arm without as much pain. I haven't ever had this kind of pain with any other vaccines that I have had in the past so I thought I would report just as an fyi

Other Meds: synthroid 5 mg

Current Illness: none

ID: 1132072
Sex: M
Age: 55
State: FL

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

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

Lab Data:

Allergies: Iodine, Latex

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Within 5-minutes of vaccination, the patient reported weakness and confusion. EMS evaluated the patient on-site. No signs of stroke. EKG demonstrated NSR, rate 77bpm, no ST elevation. FSBG was 290mg/dl. EMS transported the patient to Hospital Emergency Department. Enroute, the patient became increasingly confused, forgetting their birthday and location. Patient was hypertensive (178/104) and reported a "crushing headache". EMS crew became concerned for stroke. In ED, the patient remained hypertensive (178/93). ED Physician had high suspicion of TIA versus acute reaction to COVID-19 vaccine. Administerd 650mg acetaminophen and 1mg Lorazepam. Admitted patient to critical care unit where patient stated they had developed a sudden-onset diffuse banding-like headache with associated nausea, diaphoresis, blurry vision, and confusion. MRI was negative and patient was transferred from ICU to hospital. Hospital physician believed the symptoms were likely a vagal mediated response or reaction to his COVID vaccination. Patient was discharged on 3/20 with diagnoses of TIA, Acute encephalopathy, Insulin-dependent type 2 diabetes, Essential hypertension, CAD, Unspecified mood disorder, Dyslipidemia, Obesity, and Mild neuro cognitive disorder

Other Meds: Aspirin, Prednisone, Prilosec, Vicodin, Nitroglycerin, Symbicort, Aricept, HCTZ, Lisinopril, Lexapro, Metformin, Glyburide, and Atorvastatin

Current Illness: None reported

ID: 1132073
Sex: F
Age: 5
State: VA

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Patient is a 5 y/o female here with father with concern for vaccine reaction. Father reports acute onset of fever along with redness, swelling, and pain of left upper arm at the site where patient received flu vaccine on 03/22/2021. Symptoms began on 03/23/2021 with Tmax of 101 degrees. Fever responded well to Tylenol. Parents have also given Benadryl to help with redness and swelling with some improvement. Patient afebrile when seen in office on 03/24/2021.

Other Meds:

Current Illness:

ID: 1132074
Sex: F
Age: 55
State: AL

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Approximately 7PM - chills, body aches. Midnight - headache, nausea, vomiting, diarrhea Took Pepto Bismol and Tylenol overnight. took Phenergan about 7AM Tuesday and finally rested

Other Meds: Levothyroxine, Zyrtec D, Progesterone, Estrogen

Current Illness: None

ID: 1132075
Sex: F
Age: 68
State: IN

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Fever..effected all areas of arthritic inflammation. That night I could hardly walk to th bathroom

Other Meds: Xerollto, rhythmol, pantoprazole,atenolol, famotididine, vitamin C,B,D, iron, multi vit

Current Illness: None

ID: 1132076
Sex: F
Age: 57
State: MO

Vax Date: 03/08/2021
Onset Date: 03/19/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: allergic to pinicillin

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

Symptoms: lower lip is swollen

Other Meds: advil as needed

Current Illness: none

ID: 1132077
Sex: M
Age: 28
State: FL

Vax Date: 03/15/2021
Onset Date: 03/22/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Seasonal Allergies (Unknown)

Symptom List: Rash, Urticaria

Symptoms: Ottitis Media with Effusion, Possible Acute Otitis Media, Unilateral Left Ear Beginning ~ 1 week post vaccine: Began as feeling of ear fullness progressing to ache/pain with continued feelign of fullness. Also had significant post-vaccine symptoms ~8 hours post-administration of second dose: fever, malaise, chills which mostly disappated within 12 hours. No significant issues following first administration. No History of COVID-19 symptoms.

Other Meds: Famotidine, Levocetirizine L-Theanine, Bacopa, Creatine Monohydrate, Melatonin

Current Illness: Allergic Rhinitis, GERD

ID: 1132079
Sex: M
Age: 52
State: TX

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Lightheadness, racing heartbeat, Face numbness, rolling symptoms throughout body, elevated blood pressure, wrong words being spoken, lower back pain and swelling of arm at injection site.

Other Meds: losartan, amlodipine, gabapentin, magnesium, b-2

Current Illness: None

ID: 1132080
Sex: F
Age: 54
State:

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Codeine

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

Symptoms: Feeling "light" and tingling in hands and lips

Other Meds:

Current Illness:

ID: 1132081
Sex: F
Age: 30
State: IN

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Tomato, Tree nuts, lactose intolerance, seasonal allergies,

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

Symptoms: Fatigue around 7:00PM same day as the vaccine. Around 10PM several waves of chills. Fever from 10PM- 9AM. Woke up every two hours, usually I sleep all through the night. Body aches, and migraine. Took 600mg of ibuprofen. Migraine stopped, but fatigue continued. Laid on the couch all day, and slept from 2PM- 8:30PM, took a cold shower,and was back in bed at 10PM, fever returned. Day 3, slight headache, body aches, but fatigue has lessened. Back to general activites.

Other Meds: Zyrtec, Metadate, amoxicillin

Current Illness: None

ID: 1132082
Sex: F
Age: 39
State: SC

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/25/2021
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: very high BP, High resting pulse all day (felt like heart was going to come out of my chest)

Other Meds:

Current Illness:

ID: 1132083
Sex: F
Age: 34
State: FL

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

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

Lab Data:

Allergies:

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

Symptoms: I had the second dose of the COVID shot yesterday and am having symptoms. I started vomiting last night and now have diarrhea as well. I've also had chills and whole body aches. I called into work today 2/3 and wanted to let you know as well. Back to work today 2/4, had vomiting, muscle aches, chills, and diarrhea for one day.

Other Meds:

Current Illness:

ID: 1132084
Sex: F
Age: 37
State: LA

Vax Date: 03/17/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: red mark about 1" radius from injection site itchiness tenderness This occurred within 24 hours after the injection. These symptoms were resolved after 3-4 days, and then reappeared 6 days after injection.

Other Meds: Collagen Protein Super Greens

Current Illness: N/A

ID: 1132085
Sex: F
Age: 68
State: IL

Vax Date: 03/10/2021
Onset Date: 03/19/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Penicillin and Sulfa.

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Had the vaccine, had no problems until 9 days later when she noticed itching, redness that spread just along the forearm and swelling. She took one aspirin last Sunday 3/21/21. Today, 3/25/21, the rash is still present, red and is starting to dissipate but still large and light red.

Other Meds: Lisinopril.

Current Illness: None.

ID: 1132086
Sex: M
Age: 40
State: MA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Needle was not fully secure to syringe. When vaccine was adminstered, the vaccine came out the side of the hub where needle meets syringe rather than going into the guest. No untoward issues with guest. Patient received a full dose of vaccine.

Other Meds: N/A

Current Illness: N/A

ID: 1132087
Sex: F
Age: 88
State: IN

Vax Date: 03/02/2021
Onset Date: 03/19/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: She's come down with what looks like a bad cold. She's coughing constantly but says she doesn't really feel bad.v

Other Meds:

Current Illness: None

ID: 1132088
Sex: F
Age: 53
State: MN

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: staff member was asked by writer if she had any anaphylactic reaction to any previous vaccines in the past and she stated NO but was nauseated and felt funky from the flu shot. covid vaccine given at 1523 and approx. 3 -4 minutes after in the observation area she started stating that she felt numbness in her mouth and felt funky. she also was a little tachy and shaky of her upper extremities. we followed standard protocol for infusion reaction and gave 1 dose of epinephrine stat and activated emergency response system. she started to feel better but was nauseous. EMS arrived and no other doses of epinephrine administered. EMS transferred to ER.

Other Meds:

Current Illness:

ID: 1132089
Sex: M
Age: 31
State: KY

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient passed out 5 minutes after vaccine was administered. Epipen was administered and 911 called. Patient was conscious before the arrival of EMS. Per patient's mum , the patient has a history of passing out with needle stick. She sees it as a normal reaction.

Other Meds:

Current Illness:

Date Died:

ID: 1132090
Sex: F
Age:
State: IL

Vax Date:
Onset Date: 03/09/2021
Rec V Date: 03/25/2021
Hospital: Y

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

Lab Data:

Allergies: No known allergies

Symptom List: Injection site pain, Pain

Symptoms: Patient reportedly received COVID vaccine doses on 1/23 and 2/15, but we are unsure of which manufacterer or lot number. Patient admitted to our hospital on 3/9/2021. Patient presented with elevated D-dimer with concern for septic shock. Ultrasound of patient revealed no VTEs. COVID test on 3/10 resulted POSITIVE. Patient was going to require vasopressors but patient requested to go on comfort measures only. Patient ordered comfort measures on 3/10 and pronounced deceased on 3/18.

Other Meds:

Current Illness:

ID: 1132091
Sex: F
Age: 60
State: MD

Vax Date: 03/11/2021
Onset Date: 03/22/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Codine Oxycodone Hydrocodone Nickel

Symptom List: Injection site pain, Menorrhagia

Symptoms: Large warm itchy red rash several days after injection

Other Meds: Welbutrain 300mg daily, Cymbalta 50 mg daily, Abilify 7mg, ocuvites,

Current Illness: Cancer

ID: 1132092
Sex: M
Age: 0
State: VA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Pt is under the age of 18, pt is 16 years old.

Other Meds: No

Current Illness: No

ID: 1132093
Sex: F
Age: 62
State: VA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Vaccinator administered one dose of Moderna vaccine to patient, reported that "it didn't feel like anything went in" and administered a second dose of Moderna vaccine to patient in same arm.

Other Meds:

Current Illness:

ID: 1132094
Sex: F
Age: 75
State: ID

Vax Date: 02/02/2021
Onset Date: 02/08/2021
Rec V Date: 03/25/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient reportedly received first dose of COVID vaccine (unknown manufacturer or lot #) on 2/2/21. Patient was tested for COVID on 2/8/21 and resulted positive. Patient was transfered to our hospital on 2/14/21 with complaints of hypoxemia and COVID 19 infection. Patient required intubation, convelescent plasma, and 10 days of remdesivir therapy. Additionally patient was treated with levofloxacin, Zosyn, Augmentin, and vancomycin. By 2/19/21 patient was extubated and recovering from COVID illness. By 3/19, the patient was discharged home.

Other Meds:

Current Illness:

ID: 1132095
Sex: F
Age: 59
State: IN

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Low grade fever, fatigue, light headed for 6 -7 hours.

Other Meds: None

Current Illness: None

ID: 1132096
Sex: M
Age: 69
State: OH

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Peppers and some spices

Symptom List: Nausea

Symptoms: Slight numbness at injection site and down lower arm. Woke up in middle of night with numbness in lower arm. Acute sinus condition at bedtime, congestion and sneezing for about two hours. Took two Benadryl tablets.

Other Meds: Amlodipine Besylate 10 Mg Tab, Rosuvastat-In Calcium 10 MG Tab, IC Valsartan 80 Mg Tab, Eqaute Daily Fiber Supplement, Equate Low Dose Asprin 81 Mg, Vitamin B-Complex, VitimanE 180 Mg, Omega-3 1080 Mg, Vitiman C, 1000 Mg, Airborne Im

Current Illness: None

ID: 1132097
Sex: F
Age: 56
State: FL

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: almonds, some tree nuts, annatto, watermelon, ragweed, latex, Steri-Strips and medical adhesive

Symptom List: Injection site pain

Symptoms: Experienced swelling of eyelids (both L/R), intense itching primarily in eyes, some itching on hands and feet, sneezing, runny nose Took 1 25mg Benadryl tablet within 5 minutes of start of symptoms, had to take another 25mg Benadryl tablet approximately 30 minutes later because eyes were continuing to swell and itch Also experienced onset of severe headache about 45 minutes after shot Went to bed and slept for 3 hours after taking the second Benadryl. Felt better after waking, still had slight swelling in eyelids. Experienced minor itching at 10:30 pm, took 2 more Benadryl tablets at 11 pm. Minor eyelid swelling next morning, minimal itching.

Other Meds:

Current Illness:

ID: 1132098
Sex: M
Age: 39
State:

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

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

Lab Data:

Allergies:

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

Symptoms: 2ml of normal saline was used to reconstitute the vaccine instead of the directed 1.8ml. No adverse effects reported.

Other Meds:

Current Illness:

ID: 1132099
Sex: M
Age: 68
State: NY

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Day 1 - Very sore around injection site, did not sleep well through the night. Day 2 - More sore around injection site, tired throughout day, chills and low grade fever, 100.4 peak in the evening. Day 3 - Less sore around injection site, temperature normal in the morning, 97.3.

Other Meds: hydrochlorothiazide-10mg/multivitamin/fish oil/Ca w-vitamin D

Current Illness: urinary tract infection

ID: 1132100
Sex: F
Age: 53
State: NC

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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Lab Data:

Allergies: no

Symptom List: Tremor

Symptoms: Shortly after receiving the vaccine I started noticing a black dot that I thought was a gnat or fly only on one side in front of my eye. I received my shot in the right arm and that is the same side the dot was appearing.

Other Meds: no

Current Illness: no

ID: 1132101
Sex: F
Age: 20
State: GA

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
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Allergies: none

Symptom List: Erythema, Pruritus

Symptoms: Fatigue, left arm swelling, left arm pain/soreness, nausea, stomach pain, headache, and severe vomiting

Other Meds: Claritin 24 hr Allergy Relief

Current Illness: none

ID: 1132102
Sex: M
Age: 63
State: OR

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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Allergies: None

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

Symptoms: Body aches, scratchy itchy tongue

Other Meds: Ibuprofen, probiotics

Current Illness: None

ID: 1132104
Sex: F
Age: 48
State:

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

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Lab Data:

Allergies:

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

Symptoms: 2ml of normal saline was used to reconstitute the vaccine instead of 1.8ml. No adverse effects reported.

Other Meds:

Current Illness:

ID: 1132105
Sex: M
Age: 53
State: NY

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/25/2021
Hospital:

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Lab Data:

Allergies: N/A

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: LEFT UPPER ARM PAIN STARTED AFTER RECIVING 2ND COVID VAX WITH RADIATION DOWN ARM, WORSE AT NIGHT WHEN LAYING ON AFFECTED SIDE. HAS TRIED ICE/HEAT WITH LITLE IMPROVMENT. SYMPTOMS LASTING 2 WEEKS.

Other Meds: N/A

Current Illness: N/A

ID: 1132106
Sex: F
Age: 49
State: SC

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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Lab Data:

Allergies: seasonal allergies

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: pt states that developed a red bump the size of a quarter on her left arm around the injection site. Lymph nodes are inflamed. she has cough, and headache. Pt still as these symptoms but has not taken any medication. She will contact her PCP.

Other Meds: none

Current Illness: no

ID: 1132107
Sex: F
Age: 69
State:

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 03/25/2021
Hospital:

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Lab Data:

Allergies: Penicillin Amoxicillin

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

Symptoms: Dizzy spells, lightheadedness, tinnitus. Tinnitus continues 24/7, dizziness subsiding.

Other Meds: Synthroid Vit B Vit D Fish Oil

Current Illness: None

ID: 1132108
Sex: M
Age: 88
State: MI

Vax Date: 03/04/2021
Onset Date: 03/15/2021
Rec V Date: 03/25/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Patient vaccinated with first dose of Pfizer with subsequent infection and hospitalization due to COVID-19 infection. Initial H&P reads in part as, "Patients symptoms began on or around Thursday 3/11 when he began to feel fatigued. After two days of fatigue, he presented to an urgent care facility on Saturday 3/13. He was noted to have a fever there and was diagnosed with a presumed UTI, though patient reports at bedside that he has not had any dysuria. He was treated with nitrofurantoin and increased his furosemide temporarily per urgent care's recommendations. He then presented to the ER on 3/15 with continued fatigue and a low blood pressure at home. We were unable to clarify the method by which the blood pressure measurement was obtained and/or if it was repeated. Antibiotics were changed to cephalexin at that time despite a relatively clear UA. His daughter brought him back to the ER today (3/18) due to persistent issues with low grade fevers in the 100-100.5 range, significantly worsening fatigue, anorexia, and oxygen levels of 92-93% on nonproductive cough. Does not have a home O2 requirement. In addition, he endorses feeling chilled during the admission evaluation. Denies any chest pain, nausea, vomiting, fevers, diarrhea, constipation. # Fever Progression of symptoms from Saturday 3/13 may constitute original presentation of Covid-19. Presentations on 3/13 and 3/15 with dyspnea and fatigue. Initially thought to be UTI and was treated with nitrofurantoin and cephalexin. UA on 3/15 in ED was negative for leuk esterase and nitrites. Tested positive for covid-19 on 3/18 with lymphopenia, 90-92% on room air. No home O2 req. Given duration of symptoms and worsening fatigue and fevers, will admit for treatment of Covid- 19. Also considered CHF exacerbation, COPD exacerbation as explanations for dyspnea. Possible CHF exacerbation as well given 1+ bilateral pitting edema to mid-shin and JVD to ear lobe. Suspicion for COPD is low given no report of increased sputum production and questionable history in chart to begin with. Would be beneficial to clarify history with collateral history 3/19."

Other Meds:

Current Illness:

ID: 1132109
Sex: M
Age: 60
State: IN

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
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Allergies: none

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

Symptoms: Body aches, chills, and head ache for approximately 48 hours. Took ibuprofen to help reduce symptoms.

Other Meds: multivitamin, lutein, fish oil, Naturo Sciences probiotic, latanoprost

Current Illness: none

ID: 1132110
Sex: F
Age: 32
State: MA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
Hospital:

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Allergies: N/A

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

Symptoms: Needle was not fully secure to syringe. When vaccine was adminstered, the vaccine came out the side of the hub where needle meets syringe rather than going into the guest. No untoward issues with guest. Patient received a full dose of vaccine.

Other Meds: N/A

Current Illness: N/A

ID: 1132111
Sex: F
Age: 47
State: VA

Vax Date: 03/12/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
Hospital:

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Allergies: none

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: I woke up this morning with a headache so bad that I can barely see out of my eyes. It feels like my eyes are going to pop out of their sockets, the headache is that bad.

Other Meds: Vitamin D, berberine, NAC, multivitamin, probiotic, HTB Rejuvenate, zinc and selenium

Current Illness: none

ID: 1132112
Sex: F
Age: 55
State: WI

Vax Date: 03/01/2021
Onset Date: 03/03/2021
Rec V Date: 03/25/2021
Hospital:

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Lab Data:

Allergies: Tetnus vaccine

Symptom List: Vomiting

Symptoms: Painful swollen lymph nodes in neck and lower jaw, left side. Symptoms were not completely gone for 2 1/2 weeks. I had a hard time opening my mouth very far, even eating was painful. Responded well to Ibuprofen.

Other Meds: Lisinopryl/Hydrochlorithyde Biotin Probiotic Trazadone

Current Illness: N/A

ID: 1132113
Sex: F
Age: 32
State:

Vax Date: 03/22/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 3 days after the 2nd dose my right arm become extremely itchy. The injection site is swollen and painful. This did not happen with the 1st shot.

Other Meds: Multi vitamin, biotin, co q 10

Current Illness: None

ID: 1132114
Sex: F
Age: 40
State: IN

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

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

Symptoms: Severe headache, muscle ache, fever, chills and dizziness

Other Meds:

Current Illness:

ID: 1132115
Sex: F
Age: 24
State: IN

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: At 11:00pm on 03/23/2021 I started to feel sore from my shoulders to my knees. I also have a headache that is not relieved with ibuprofen or Tylenol. The sore muscles make it hard to walk. I did not develop a low grade fever, but I did have a few hot flashes. I?m more fatigued than normal and haven?t been sleeping well at night since the last dose of the vaccine.

Other Meds: Lamictal, Keppra, Folic Acid, Birth control

Current Illness:

ID: 1132116
Sex: F
Age: 71
State:

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

Vax Type:
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Allergies:

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

Symptoms: EUA Pfizer-BioNtech vaccine reaction Patient complained 10 min after vaccine of shortness of breath. she was visibly shaking , she was speaking normally but difficulty breathing.

Other Meds:

Current Illness:

ID: 1132117
Sex: M
Age: 35
State:

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

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

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

Symptoms: 2ml of normal saline was used to reconstitute the vaccine instead of 1.8ml. No adverse effects reported.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am