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: 1143490
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/29/2021
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Symptoms: heart attack; This is a spontaneous report from a contactable consumer. A 84-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as SINGLE DOSE (at age of 84 years old) for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced heart attack on an unspecified date within 15 minutes after taking the Pfizer COVID-19 vaccine. Outcome of the event heart attack was unknown.

Other Meds:

Current Illness:

ID: 1143491
Sex: F
Age:
State: VA

Vax Date: 02/19/2021
Onset Date: 03/05/2021
Rec V Date: 03/29/2021
Hospital:

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Symptoms: heavy bleeding with lots of blood clots; extended and heavy menstrual period/ heavy bleeding with lots of blood clots; This is a spontaneous report from a contactable consumer (patient). A 51-year-old non-pregnant female patient received second dose of BNT162B2 (Pfizer product), lot no. EN5318, via an unspecified route of administration (left arm) on 19Feb2021 at a single dose for COVID-19 immunisation at a workplace clinic. Medical history included high cholesterol and anxiety. No known allergies. No COVID prior to vaccination. Concomitant medications were not reported. Historical vaccine included first dose of BNT162B2 (brand: Pfizer, lot no. EL9261, left arm) for COVID-19 immunisation on 30Jan2021 at age of 50 years old. No other vaccine in four weeks. The patient was experiencing extended and heavy menstrual period. Her cycle began on 05Mar2021 and was still happening as of today 16Mar2021. She had heavy bleeding with lots of blood clots. This was not normal for her at all. She is calling her doctor tomorrow. No treatment received for the events. No COVID test post vaccination. The outcome of the events was not recovered.

Other Meds:

Current Illness:

ID: 1143492
Sex: F
Age:
State: MA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/29/2021
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Symptoms: slight neuropathy in fingers; Very itchy - almost painful itchy zings in my elbow area, face and legs; Very itchy - almost painful itchy zings in my elbow area, face and legs; Very itchy - almost painful itchy zings in my elbow area, face and legs; Very itchy - almost painful itchy zings in my elbow area, face and legs; This is a spontaneous report from a contactable consumer (patient). A 58-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in left arm on 13Mar2021 11:15 (Batch/Lot Number: EN6203) as single dose for covid-19 immunisation at a Pharmacy or Drug Store. The patient has no medical history. The patient has no Covid prior to vaccination. The patient had other medications in two weeks but no other vaccine in four weeks. On 13Mar2021 11:30, the patient experienced very itchy, almost painful itchy zings in her elbow area, face, and legs. The patient also had some slight neuropathy in fingers. This has continued for three days and started immediately after receiving the vaccine. The patient was not tested for Covid post vaccination. The events were not treated. The outcome of the events was not recovered.

Other Meds:

Current Illness:

ID: 1143493
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/29/2021
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Symptoms: Flu; Initial information was received on 09-Oct-2020 regarding an unsolicited valid non-serious case from a consumer or non-health care professional via social media. This case involves a patient (age and gender unspecified) who experienced flu (influenza), after patient received INFLUENZA VACCINE. Medical history, medical treatment, vaccination, family history and concomitant medication were not reported. On an unknown date, the patient received a dose of suspect INFLUENZA VACCINE (produced by unknown manufacturer) [lot number, expiry date and other dosing details were not reported] for prophylactic vaccination. On an unknown date, the patient developed a non-serious flu (influenza) (unknown latency) following the administration of INFLUENZA VACCINE. Additionally, it was reported by reporter that, patient will never get the shot again and haven't had the flu. Details of laboratory data not reported. It was not reported if the patient received any corrective treatment. At the time of reporting, event outcome was not reported. There will be no information available on the batch number for this case.

Other Meds:

Current Illness:

ID: 1143546
Sex: M
Age:
State: OK

Vax Date: 02/26/2021
Onset Date: 03/09/2021
Rec V Date: 03/29/2021
Hospital: Y

Vax Type:
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Symptoms: Severe stomach pain; Gastroenteritis; swollen and inflamed intestines; swollen and inflamed intestines; Mesenteric Adenitis; Multiple kidney cyst confirmed by CT scan; This is a spontaneous report from a contactable consumer (patient). A 55-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in left arm on 26Feb2021 13:30 (lot number: EN6198) as single dose for COVID-19 immunisation. The patient's medical history included hypertension, and allergies to penicillin. The patient had no known allergies. The patient's concomitant medications were not reported. The patient experienced severe stomach pain, gastroenteritis, swollen and inflamed intestines, mesenteric adenitis, and multiple kidney cyst confirmed by CT scan, all on 09Mar2021 19:00. The events resulted to doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care and hospitalization for 1 day. Prior to vaccination, the patient had no COVID. Patient was tested for COVID post vaccination. The patient underwent lab tests and procedures which included qualitative PCR: negative on 10Mar2021. Therapeutic measures were taken as a result of the events. The patient had no other vaccine for four weeks and had other medications in two weeks. Vaccine facility type was school or student health clinic. The outcome of the events were not recovered.

Other Meds:

Current Illness:

ID: 1143548
Sex: F
Age:
State: IN

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/29/2021
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Symptoms: runny nose since day after getting shot; nervous about second shot; worried; facial neuropathy flare; facial neuropathy flare; Fatigue; This is a spontaneous report from a contactable consumer (patient). A 63-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot Number: EN6201, expiry date not reported) via an unspecified route of administration, administered in left arm on 25Feb2021 08:30 at a single dose for COVID-19 immunisation. Medical history included facial neuropathy, sleep apnea from 2003, and Guillain-Barre syndrome from 2001. Patient said she had Guillain-Barre syndrome 20 years ago and has residual neuropathy from that. There were no concomitant medications. Patient have not had any other recent vaccinations or started any new medications. Patient called about the Pfizer COVID-19 vaccine shot, as she was supposed to call about possible side effects, to report. She said that she had her first dose of the vaccine on 25Feb2021 and hasn't had her second yet. She said that the first dose was injected in the morning, around 08:30AM. She said that there was a sticker on her vaccine card that says mRNA Pfizer-BioNTech, and (withheld), she didn't know what that means. She said actually that was abbreviation for (withheld), her vaccine provider. Her side effects included fatigue on an unspecified date in 2021, which she thinks a lot of people do have. She didn't know if this was available but she was hoping to advice about getting her second shot. She has had a runny nose since day after getting the shot, so since 26Feb2021, it hasn't stopped. She was not saying this was from the shot, it could be chronic runny nose, but it didn't stop. She said that the worst thing she was calling about was she has facial neuropathy flare in 2021, described as slight facial neuropathy which felt like it has flared since the shot. She was calling because she was nervous about second shot in 2021, since it flared with the first one a bit. She didn't want this to get worse, she can live with it currently, but she has heard people have more problems with the second dose and she didn't want to risk full blown neuropathy. She has done no treatment for the neuropathy, but for the runny nose there were a couple nights she took Benadryl and today she took Claritin, so put that she has taken sporadic over the counter stuff. No further details provided about Claritin or Benadryl. She has been experiencing continuous runny nose, flare of facial neuropathy, and fatigue. She was worried in getting the 2nd dose in 2021 and wanted to have recommendations as her doctor was reluctant in giving an advice whether she may have the 2nd dose or not. The patient reported that facial neuropathy flare as serious medically significant while the other events was non-serious adverse events. Patient was advised by the Pfizer colleague of the overall safety summary that indicated throughout the safety follow-up period to date, Bell's palsy (facial paralysis) was reported by four participants in the Pfizer-BioNTech COVID-19 Vaccine group. Onset of facial paralysis was Day 37 after Dose 1 (participant did not receive Dose 2) and Days 3, 9, and 48 after Dose 2. No cases of Bell's palsy were reported in the placebo group. Currently available information is insufficient to determine a causal relationship with the vaccine. There were no other notable patterns or numerical imbalances between treatment groups for specific categories of non-serious adverse events (including other neurologic or neuro inflammatory, and thrombotic events) that would suggest a causal relationship to Pfizer-BioNTech COVID-19. The outcome of the events facial neuropathy flare, fatigue, nervous and worried was unknown. The event runny nose was not recovered.

Other Meds:

Current Illness:

ID: 1143549
Sex: F
Age:
State: CA

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/29/2021
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Symptoms: shooting up high blood pressure after Pfizer vaccine almost immediately after getting the vaccine in my right arm, less than five minutes. I felt a flush go down my left arm; shooting up high blood pressure after Pfizer vaccine almost immediately after getting the vaccine in my right arm, less than five minutes. I felt a flush go down my left arm; got extreme pain all the way down to the tips of my fingers; slight tingling in the fingertips; could not move my arm; nausea; dizziness; bone pain in arms and legs; exhaustion; My arm still hurts; This is a spontaneous report from a contactable consumer (patient). A 50-year-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration at the age of 50-years-old, administered in Arm Right on 05Mar2021 11:00 (Lot Number: EN6205) as single dose for COVID-19 immunization. Medical history included allergies to walnuts. The patient was not pregnant. The patient's concomitant medication included High blood pressure medication. The patient previously took Niacin and experienced allergies. The patient reported, "shooting up high blood pressure after Pfizer vaccine almost immediately after getting the vaccine in my right arm, less than five minutes. I felt a flush go down my left arm, starting at the top of my shoulder down to my hand and got extreme pain all the way down to the tips of my fingers with slight tingling in the fingertips. I could not move my arm, blood pressure shot up to 200 then it was 192/121 and so on I was monitored at the hospital for a couple of hours with no change or help. I went home and monitored for 29 hours it stayed elevated in the upper hundreds, spiking lowering down a few to 174/124 and spiking back up I got the vaccine on Friday at 11:00 AM my blood pressure did not break until Saturday around 3:00 p.m. I got other side effects, nausea, dizziness, bone pain in arms and legs, exhaustion but the blood pressure scared me the most. My arm still hurts to this day 12Mar2021. I was evaluated but not given anything to bring it down." The adverse events started on 05Mar2021 11:00 AM. The events resulted in Emergency room/department or urgent care, Prolongation of existing hospitalization (vaccine received during existing hospitalization). No treatment for adverse events were received. The patient underwent lab tests and procedures which included blood pressure measurement: high, up to 200 then it was 192/121 on 05Mar2021 spiking lowering down a few to 174/124 on Mar2021. The patient recovered with lasting effects. Facility type vaccine was Hospital. No other vaccine in four weeks. Not diagnosed with COVID prior vaccination. Not COVID tested post vaccination.

Other Meds:

Current Illness:

ID: 1143550
Sex: F
Age:
State: FL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 03/29/2021
Hospital: Y

Vax Type:
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Symptom List:

Symptoms: within 8-10 minutes of shot, i began to sweat under my arms, my chest and back and head began to itch; blood pressure: 178/90; within 8-10 minutes of shot, i began to sweat under my arms, my chest and back and head began to itch; This is a spontaneous report from a contactable other health professional (patient). A 73-year-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration at the age of 73-years-old, administered in Arm Left on 25Jan2021 12:00 (Batch/Lot number was not reported) as single dose for COVID-19 immunization. Medical history included one kidney, left was removed due to cancer, no residual cancer, allergic to juniper. The patient was not pregnant. Concomitant medication included ezetimibe (ZETIA), escitalopram oxalate (LEXAPRO), pravastatin (PRAVASTATIN), and probiotics; all taken for an unspecified indication, start and stop date were not reported. Patient reported that, "Within 8-10 minutes of shot, I began to sweat under my arms, my chest and back and head began to itch. EMT took my blood pressure: 178/90, oxygen level was good. They called the EMT Ambulance, and transported me to the medical center > they treated me with IV Benadryl and steroids and I went home within two hours, with no further issues." The events started on 25Jan2021 12:00 PM. The adverse events resulted in Emergency room/department or urgent care, Hospitalization (0 days). The patient received IV Benadryl, steroids and prescription for Medrol for events. The patient underwent lab tests and procedures which included blood pressure measurement: 178/90 on 25Jan2021, oxygen saturation: good on 25Jan2021. The patient recovered on 25Jan2021 14:00. Not diagnosed with COVID prior vaccination. Not COVID tested post vaccination. Facility type vaccine was Health Clinic/Facility. At the advice of her allergist she declined to get the 2nd dose of the Pfizer vaccine. Her questions is should she take a the J&J vaccine and wanted to know if Pfizer could give guidance on the matter. Information about lot/batch number has been requested.; Sender's Comments: Based temporal association, the reported events in relation to suspected drug BNT 162b2 cannot be totally excluded. Case will be reassessed pending new information. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate

Other Meds: ZETIA; LEXAPRO; PRAVASTATIN

Current Illness:

ID: 1143551
Sex: F
Age:
State: TX

Vax Date:
Onset Date:
Rec V Date: 03/29/2021
Hospital:

Vax Type:
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Symptoms: Bells Palsy in her face; This is a spontaneous report from a Pfizer-sponsored program Support via a contactable consumer (patient). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration on an unspecified date (batch/lot number was not reported) as single dose for covid-19 immunization. The patient's medical history was not reported. Concomitant medications included abatacept (ORENCIA) taken for an unspecified indication, start and stop date were not reported. The patient took first dose of Covid vaccine and experienced Bells Palsy in her face about 45 minutes after vaccine and it lasted for about a day. The outcome of the event was unknown. Follow-up activities are possible, information on the batch number has been requested.

Other Meds: ORENCIA

Current Illness:

ID: 1143552
Sex: F
Age: 31
State: NY

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/29/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Penicillin and Ceclor

Symptom List:

Symptoms: I received the Janssen (J&J) vaccine at 11:12pm on 3/5/2021. I went to bed with a slightly sore arm. I woke up the following day 3/6/2021 with a slight headache and feeling a little achy. At around 11:00-12:00pm on 3/6/2021 I started having a fever, chills, aches, an increasingly bad headache. For the next 18 hours I had a fever, shaking, aches, bad migraine headache, diarrhea, nausea, and vomiting. I felt increasingly sick and my lowest point was at around 9:00pm on 3/6/2021 when I vomited. Around 5:00-6:00am on 3/7/2021 I felt considerably better and no longer had a fever. I was exhausted and still had a headache. I was very fatigued for the next two weeks. I was menstruating when I received the vaccine. My menstruation stopped when I was having side effects for about 2-3 days and then started again. In addition, I have psoriasis and on 3/7/2021 my skin looked noticeably better than it had looked before I received the vaccine. The psoriasis I had on my hands almost completely disappeared. A few days later, my psoriasis looked worse than I had looked before I received the vaccine. Today 3/29/2021, my psoriasis is back to how it looked right before I received the vaccination.

Other Meds: Corticosteroids for psoriasis

Current Illness:

ID: 1143553
Sex: M
Age: 25
State:

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies: Seasonal allergy

Symptom List:

Symptoms: Within 7 hours had mild headache low grade fever, mild myalgias; Next day fever to 102.4, severe headache, severe myalgias; Following day felt better but has maintained low grade fever to 100.4 for for 7 days since vaccination. 12th day still have headache, started to feel numbness in Left arm below elbow.

Other Meds: No

Current Illness: No

ID: 1143554
Sex: M
Age: 60
State: NY

Vax Date: 03/18/2021
Onset Date: 03/20/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Received the first COVID vaccine on March 18 and two days later I suddenly lost hearing in my left ear. This was near total hearing loss. I could only hear a slight buzz when putting a phone to my ear and listening for the dial tone. Went to my health care provider a couple of days later. They cleaned both ears and examined for any obvious problems. This seemed to improve the hearing in the ear slightly. Physician's Assistant said the hearing loss was most likely a reaction to the vaccine and advised giving it two weeks to see if it improves. Hearing didn't improve much (if at all) throughout the remainder of the week. Over the weekend of March 27-28 hearing seemed to be improving. This morning, March 29, hearing has noticeably improved and I can carry on a phone conversation using my left ear. Hearing is not back to normal yet but it is much better than a few days ago.

Other Meds: None

Current Illness: None

ID: 1143555
Sex: F
Age: 60
State: FL

Vax Date: 03/25/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies: Shellfish

Symptom List:

Symptoms: Red, swollen upper arm below injection. Skin is hot like sunburn. Upper arm is painfull. Symptoms were first noticed upon waking second day after vaccine.

Other Meds: Metformin ext rel Pantoprazole Levothyroxine Citracal

Current Illness: No

ID: 1143556
Sex: F
Age: 45
State: IN

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Penicillin allergy

Symptom List:

Symptoms: Very sore arm lasting about 24 hours

Other Meds: None

Current Illness: none

ID: 1143558
Sex: F
Age: 43
State: MD

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: None that I am aware of

Symptom List:

Symptoms: About 18 minutes after receiving the vaccine, I started to feel a little numb on the right side of my collar bone and then a tingling in my right pinky toe and finally under my right eye. We had already left the vaccine site so I told my daughter who was driving that I felt a little funny and would let her know if she needed to take me to the hospital. I had not eaten yet that day, only coffee in the morning so we ran a couple of errands and then grabbed lunch. Around 3:30pm on the same day (3/28/2021) I started to feel better and the only side effect I currently have is tenderness in my arm where I received the shot. I did not seek medical treatment as it went away within a couple of hours.

Other Meds: Birth control pills

Current Illness: None

ID: 1143559
Sex: M
Age: 58
State: IN

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills, fever, aches, soreness at injection site

Other Meds: Losartan, lisinopril/hctz

Current Illness: None

ID: 1143560
Sex: F
Age: 54
State: MI

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Penicillin, Acetaminophen, Morphine, Mobic, Nuronton, Gabatron, tree nuts, shell fish, fish eggs.

Symptom List:

Symptoms: Acute anaphylaxis - throat closing. Given Benadryl.

Other Meds: Estradiol 2 mg

Current Illness: None.

ID: 1143561
Sex: F
Age: 68
State: IN

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 03/29/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: sulfa, Penicillin, Fosamax

Symptom List:

Symptoms: Two days after my second covid vaccine I had severe pain in both upper arms. I was unable to lift my arms above shoulder level. I also had weakness in both arms. The pain was worse in bed and I was unable to lift my arms at all from my sides. I saw Dr my fmaily doctor and was started on prednisone for 6 days. the pain subsided and movement returned. After the 6 days the pain returned as before. I also saw a pain specialist and 2 more visits to Family Dr. I had a second round of prednisone for 2 weeks and pain subsided mostly but has returned but not as bad after 2 weeks. I had 5 sessions of PT that helped somewhat

Other Meds:

Current Illness:

ID: 1143562
Sex: F
Age: 25
State: IA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/29/2021
Hospital:

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Symptoms: Client received 1st Pfizer injection on 1/11/2021 at different facility. Client came to us to "start over" and my nurse signed off and vaccinated her with 1st Moderna vaccine on 3/24/2021. No reactions. Client had side effects including body aches, chills, feeling like passing out, migraine, and nauseous. Cleared up within 24 hours. Spoke to Shelly at IDPH, she stated let the client know, report as a vaccine error, and do not give her the 2nd Moderna vaccine, she is considered "complete." I let the client know, she was fine with this.

Other Meds:

Current Illness:

ID: 1143563
Sex: F
Age: 65
State: FL

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/29/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: Erythromycin

Symptom List:

Symptoms: vertigo started the following morning

Other Meds: metoprolol -losartan -hydrochlorothiazide

Current Illness:

ID: 1143564
Sex: M
Age: 61
State: FL

Vax Date: 03/26/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: Lymph note swelling under my right arm where shot was given.

Other Meds: 1) GAT multivitamin for men with testoterone. 2) Omega 3 , 1000mg.

Current Illness: none

ID: 1143565
Sex: F
Age: 35
State: KS

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: fatigue, headache, muscle pain, joint pain, chills, fever, loss of appetite leading to dehydration

Other Meds: Effexor, pre-natal (OTC), DIM Diindolylmethane, Claritin

Current Illness: none

ID: 1143566
Sex: F
Age: 27
State:

Vax Date: 03/19/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
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Symptom List:

Symptoms: Seven days following the injection I felt a lump in my arm at the injection site which was accompanied by a giant circular red rash. The rash was painful, itchy, and hot to the touch. The rash grew to be about the size of a large orange throughout the course of three days. I have been experiencing other side effects including nausea, fatigue, and muscle pain in the rest of my arm. I am reaching day four and am starting to see some fading in the rash color, though the other side effects (itchiness, pain, and fatigue) are getting worse.

Other Meds:

Current Illness:

ID: 1143567
Sex: M
Age: 54
State: MS

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/29/2021
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Lab Data:

Allergies: NONE

Symptom List:

Symptoms: MY DISTANCE VISION WAS BLURRED IN BOTH EYES FOR TWO DAYS, STILL HAVE SOME BLURRED VISION.

Other Meds: NONE

Current Illness: NONE

ID: 1143568
Sex: M
Age: 82
State: ND

Vax Date: 02/10/2021
Onset Date: 02/25/2021
Rec V Date: 03/29/2021
Hospital: Y

Vax Type:
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Symptom List:

Symptoms: Hospitalization within 6 weeks after receiving vaccine

Other Meds:

Current Illness:

ID: 1143569
Sex: F
Age: 73
State: ME

Vax Date: 03/03/2021
Onset Date: 03/08/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies: sulfa

Symptom List:

Symptoms: "cognitive fog" Five days after 2nd Moderna shot, I started to work at my computer, and, in my brain, I felt like I was swimming through molasses. For 2 days after, the "fog" lessened. Since then, no change: not worse and not better.

Other Meds: levothyroxine generic for fosamax Vit D, Calcium

Current Illness: none

ID: 1143570
Sex: M
Age: 61
State: MD

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
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Symptoms: Patient reported at 1112. Self reported as feeling woozy, "i think it's anxiety, it started as soon as they gave me a shot". 0 CP, 0 SOB, 0 throat tightness. 0 PMH. Allergies to pollen. VS 98%, P 50, BP 144/100, R 16. patient provided water and snack. Patient feeling better and repeated BP at 149/86. Patient had a driver to drive home.

Other Meds:

Current Illness:

ID: 1143571
Sex: M
Age: 72
State: TX

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Redness, swelling, itching, and seeping clear fluid from injection site

Other Meds: Flomax, Atorvastatin, Metformin, Losartan, HCTZ, Plavix, Coreg. New Rx: Augmentin (for cat scratch)

Current Illness: Received COVID vaccine approximately 2wks prior (Moderan - dose 1)

ID: 1143572
Sex: M
Age: 40
State: MI

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/29/2021
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Symptom List:

Symptoms: Patient stated he might of passed out for a few seconds. He also stated he felt dizzy and nauseated . Onsite EMS was called vitals HR 56 BP 105/68. Patient was released to go home.

Other Meds: Flouent, Prilosec Antihistamine

Current Illness:

ID: 1143573
Sex: F
Age: 76
State: NJ

Vax Date: 03/02/2021
Onset Date: 03/08/2021
Rec V Date: 03/29/2021
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Lab Data:

Allergies: Penicillin.

Symptom List:

Symptoms: Got the vaccine, had no reactions. Then on 3/8/21 woke up with a stiff neck, muscle cramps and then broke out into a rash. She went to her PCP, and it had just come out and was right where you would wear a necklace and diagnosed her with an allergy, but did not take the medicine he prescribed as she felt his diagnosis was wrong. A couple of days later it was hurting and bother her and went to a dermatologist who diagnosed her with shingles which came out on her neck and her shoulder, and typical shingles reactions with stinging, hurting, itching, etc. Her dermatologist put you on Acyclovir, which is helping a lot, fading reaction, and help with the pain. She does still have some sensitivity around her neck but the rash is fading. She also had pains in her ears at the same time.

Other Meds: Carvedilol, Zetia, Crestor, Vitamin D.

Current Illness: None.

ID: 1143574
Sex: F
Age: 38
State: CA

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies: penicillian, sulfa, demerol and latex

Symptom List:

Symptoms: body weakness, dizziness, fever

Other Meds: vitamin d, vitamin a, b12, elderberry, prozac

Current Illness: none

ID: 1143575
Sex: M
Age: 28
State: WI

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Muscle Pain, Chills and aches.

Other Meds: Citalipram and gunfacine for adhd and anxiety.

Current Illness: n/a

ID: 1143576
Sex: F
Age: 70
State: FL

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/29/2021
Hospital:

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Symptom List:

Symptoms: neck and face, and her face was warm, swollen, she didn't experience any fever spoke to the pharmacist who expressed they are side effects to the vaccine it could have been an allergic reaction

Other Meds: high BP medication -statin 5mg

Current Illness:

ID: 1143577
Sex: F
Age: 60
State: IN

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
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Allergies:

Symptom List:

Symptoms: Insomnia, Chills, Fever (101 degrees)

Other Meds: Mult-vitamin. Vitamin C. Calcium/Magnesium supplement. Omega-3 fish oil supplement. Zinc. Vitamin D. Probiotic supplement. Claritin.

Current Illness:

ID: 1143578
Sex: F
Age: 56
State: IN

Vax Date: 03/15/2021
Onset Date: 03/18/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: high fever 101 for several hours. chills, body aches, confusion, not able to sleep, not hungry, fever broke 24 hours later, felt fine 2 days later and was able to workout and run.

Other Meds: VITAMIN C AND ZINC

Current Illness: none

ID: 1143579
Sex: F
Age: 67
State: MA

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies: Gluten and dairy free 5 years allergic to melon

Symptom List:

Symptoms: I had Covid in Dec. /Jan. All of my terrible symptoms returned 12 hrs. after vaccine. Better now 6 day later, but still have pain at injection site, red and itching, stomach upset, and headache. Was 36 hrs. in bed.

Other Meds: Gabapentin 100mg 2x day Alprazolam 1.0 mg at bedtime Omega fish oil plus D

Current Illness: Neuropathy from a virus in 2018 Dry eye syndrome Sleep Apnea

ID: 1143580
Sex: F
Age: 61
State: VA

Vax Date: 02/04/2021
Onset Date: 03/24/2021
Rec V Date: 03/29/2021
Hospital:

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Symptom List:

Symptoms: patient began having pain in vaccinated arm that caused discomfort and difficulty sleeping. This started on 2/25 and only occurred between the hours of 7pm - 7am. Patient was still able to fall asleep, but was concerned about the feeling. She states that "she felt like she got the vaccine all over again". Symptoms went away after the fourth day and have not returned. She did not treat with any OTC / RX medications.

Other Meds:

Current Illness:

ID: 1143581
Sex: M
Age: 60
State: NC

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 03/29/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: numbing of right hand side of face/mouth and right arm. symptoms subsided after about 10-15 minutes but continued to present every few days. I advised when i presented for my 2nd shot and they told me they had other reports of that and that is was fine/safe for me to take the 2nd shot, but to wait in a holding area for 30 minutes after the shot.

Other Meds: Fish Oil - GNC Omega-3 EPA/DHA (half dose per day).

Current Illness: None

ID: 1143582
Sex: F
Age: 54
State: MN

Vax Date: 03/25/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies: Sulfur

Symptom List:

Symptoms: Raised feverish red area 3" X 2", about 2 inches below injection site. Fever on raised area went away after I took acetaminophen 2 - 500 mg tablets. The red raised area is still present. Please note that I had this same reaction adverse reaction with the first shot as well (02/25/2021, lot# 031LZ0A).

Other Meds:

Current Illness:

ID: 1143583
Sex: F
Age: 62
State: FL

Vax Date: 03/22/2021
Onset Date: 03/25/2021
Rec V Date: 03/29/2021
Hospital:

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Allergies: none

Symptom List:

Symptoms: Second day tired and head ache 3rd and 4th day i felt good Friday tired and tight chest, continued on Saturday Woke up sunday after sleeping 14 hours straight tight chest and head ache continues Monday headache and tight chest and pain onleft side of upper chest.

Other Meds: Vit B12 and Vit D

Current Illness: none

ID: 1143584
Sex: F
Age: 41
State: MA

Vax Date: 01/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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Allergies: Naproxen

Symptom List:

Symptoms: -Vaccine site soreness , patient recovered. -Employee received Moderna Vaccine on 12/30/20 and 1/27/21. Employee reports cold like symptoms, tested Covid positive on 3/27/21. Employee quarantining at this time.

Other Meds: Zyrtec

Current Illness: None

ID: 1143585
Sex: F
Age: 32
State: MN

Vax Date: 03/18/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies: Penicillin, Sulfa, Erythromycin, Clindamycin, Cipro, Macrobid

Symptom List:

Symptoms: Delayed (~10 days) lump/swelling and itchiness at injection site. Woke up yesterday and noticed it. Last night had a few drinks, and it seemed pretty itchy and swollen at the end of the night. This morning it is not really itchy and the lump seems smaller.

Other Meds: Mirena (year 3)

Current Illness: No

ID: 1143586
Sex: F
Age: 56
State: VA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/29/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Sulfa, Codeine

Symptom List:

Symptoms: The evening after getting COVID-19 vaccine, patient began experiencing itching all over as well as hives on her legs and back

Other Meds: Wellbutrin, Cymbalta, Lipitor, probiotic, multi-vitamin, Zyrtec

Current Illness: N/A

ID: 1143587
Sex: F
Age: 15
State: TN

Vax Date: 03/26/2021
Onset Date:
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies: n/a

Symptom List:

Symptoms: There was no adverse event, patient was not eligible to receive the vaccine based on her age. Patient guardian signed consent the patient was at least 18 years of age, however date of birth did not indicate that patient met the age requirements.

Other Meds: n/a

Current Illness: n/a

ID: 1143588
Sex: M
Age: 57
State: TX

Vax Date: 03/19/2021
Onset Date: 03/25/2021
Rec V Date: 03/29/2021
Hospital:

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Symptom List:

Symptoms: A previous event was submitted 03/22/21 VAERS. Employee was seen in the ER initially for chest pain and under the care of a doctor. He his not working at this time. He reports additional symptoms of bilateral ankle swelling, Shortness of breath and easily fatigue, which he states he did not have before the vaccine. Employee reports his doctor believe it is a negative reaction to the Covid-19 Moderna Vaccine.

Other Meds:

Current Illness:

ID: 1143589
Sex: F
Age: 46
State: KS

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies: pennicilin

Symptom List:

Symptoms: I had a welt the size of a quarter at the injection site. This was red, raised about 1/4" and lasted for 10 days post vaccine. There was mild pain (not painful, but more annoying, although slightly painful to the touch).

Other Meds: ibuprofen

Current Illness: n/a

ID: 1143590
Sex: F
Age: 75
State: OH

Vax Date: 03/25/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital: Y

Vax Type:
Manufacturer:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Cardiac arrest witnessed by family. Pt became SOB at home and became unresponsive. CPR was started by family. Pt was in asystole, intubated, given two rounds of epinephrine in the field. Pt was on autopulse and ROSC was achieved around 0125. Pt was seen at ER and was transferred to Hospital.

Other Meds: Unknown

Current Illness: None

ID: 1143591
Sex: F
Age: 30
State: PA

Vax Date: 03/06/2021
Onset Date: 03/15/2021
Rec V Date: 03/29/2021
Hospital:

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Lab Data:

Allergies: N/A

Symptom List:

Symptoms: ~2 weeks pregnant during time of vaccination,

Other Meds: N/A

Current Illness: N/A

ID: 1143592
Sex: M
Age: 75
State:

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 03/29/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Hospitalization within 6 weeks after receiving vaccine

Other Meds:

Current Illness:

ID: 1143593
Sex: F
Age: 67
State: MA

Vax Date: 03/19/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List:

Symptoms: on day 8-9 post vaccine pt developed a red itchy rash at injection site. no pain fevers chills or ssx of infx

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm