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: 1157073
Sex: F
Age: 61
State: IL

Vax Date: 01/12/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: seasonal

Symptom List: Dysphagia, Epiglottitis

Symptoms: My last shot was 02/09/21 7 weeks after I developed Bells Palsey. I had never had this before.

Other Meds: Lisinopril, metropolol, aspirin 81mg, bupropion, furosemide, isosorb, pantroprazole, pota chloride, zyrtec, clopidogrel, fluticasone.

Current Illness:

ID: 1157074
Sex: M
Age: 60
State: NY

Vax Date: 03/11/2021
Onset Date: 03/13/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Anxiety, Dyspnoea

Symptoms: Ringing in my left ear (Tinnitus). It is nonstop now for three weeks. I have never had it before.

Other Meds: propecia

Current Illness: None

ID: 1157076
Sex: F
Age: 49
State: MO

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: SSRIs

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

Symptoms: Anxiety before shot Tingly tongue about 10minutes after Monitored for 30minutes and that went away/Pt feeling fine when left Pt called the pharmacy to report elevated heart rate to 90 bpm at 5pm offered to call paramedics if pt wanted / she decided it might be anxiety so no call better at 7-8pm Elevated during sleep to 151 bpm and still high at work in am 143bpm Called Dr. and advised to ER Checked for Cardiac event and blood clots Tests done EKG/blood work for tropin and d-dimer/ chest xray-results normal except an elevated d-dimer pt monitored until 4pm and released follow up with pcp today 4/1 Dr. and said no treatment at this time / pt to report to doc if pulse rate stays elevated but right now they say since it is fluctuating up and down no tx HA and 99.6fever today at 4:18pm Will follow up with pt and pcp on Friday 04/02

Other Meds: xanax ASA 325mg

Current Illness:

ID: 1157077
Sex: F
Age: 34
State: NY

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Headache, chills, aches, slight fever - lasted a couple hours with aches lasting about 12 hours

Other Meds:

Current Illness:

ID: 1157078
Sex: F
Age: 53
State: WV

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

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

Lab Data:

Allergies:

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

Symptoms: Roughly 5 minutes after vaccine administration, patient experienced dizziness while waiting in the store for monitoring. The patient stated she had a headache, fuzzy headed, weird taste, dry mouth, tingly head, felt like she was going to pass out, blurred vision, and all around felt strange. Emergency services were called and took over care once arrived.

Other Meds:

Current Illness:

ID: 1157079
Sex: F
Age: 61
State: CO

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: mild headache and fatigue for approximately 8 hrs

Other Meds: none

Current Illness: none

ID: 1157080
Sex: F
Age: 52
State: TN

Vax Date: 03/26/2021
Onset Date: 03/29/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Pencillian

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Might not be nothing, but I experienced the side effects from the first shot. Chills, body ache, nausea and fatigue. Most people say that should happen after the second shot. I got the shot Friday and the symptoms started Monday. The symptoms went away in about 4 days before I felt good again.

Other Meds: I take a One a Day vitamin on a daily basis. An Aleve for my back on occasion.

Current Illness: None

ID: 1157081
Sex: F
Age: 56
State: MA

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Sulfa medications

Symptom List: Pharyngeal swelling

Symptoms: 11 hours after the vaccine I had strong flu like symptoms; vomiting, achy, fever, chills, headache. Symptoms began to subside 15 hours later and were not present after 24 hrs.

Other Meds: 2 Advil a couple of hours before the vaccine.

Current Illness:

ID: 1157082
Sex: F
Age: 62
State: NC

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Allergic to oak pollen, mold, household dust. Allergic to uncooked egg white, such as that used to incubate flu vaccines.

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Arm swelled below shot site, large red circle developed, intense itching, some pain. Three weeks later, some swelling and redness still present but itching and pain has stopped. I used Benadryl cream and Tylenol.

Other Meds: Multi-vitamin.

Current Illness: Blood clots.

ID: 1157083
Sex: M
Age: 42
State: IL

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

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

Lab Data:

Allergies: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Right hand numbness. Refused TRANSPORT BP 183/102 88 16. Has an appt with Cardiologist

Other Meds: none

Current Illness: none

ID: 1157084
Sex: F
Age: 37
State: PA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Food allergy to wheat, dairy, egg whites, potatoes; environmental allergy to dust, pollen, mold, animal dander

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

Symptoms: Swollen legs within 2 hours after recovering vaccine that have persisted for past 3 days. I am 31 weeks pregnant. No prior history of swollen legs. While pregnancy can lead to swollen legs/feet, the timing and abrupt onset of leg swelling leads me to believe the vaccine somehow triggered it.

Other Meds: None

Current Illness: None

ID: 1157085
Sex: M
Age: 74
State: MI

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List: Rash, Urticaria

Symptoms: Intense angina - took 3 nitroglycerin pills (they had no effect) - reaction lasted approx 36 hours High blood pressure (175/90 av) - lasted approx 36 hours Fever (100 degree) - lasted approx 36 hours Nausea (at 7:00 am) - lasted approx 20 minutes

Other Meds: Atenolol, Lisinopril, Plavix, Eloquis, Lipitor, Zetia

Current Illness: None known

ID: 1157086
Sex: F
Age: 46
State:

Vax Date: 03/25/2021
Onset Date: 03/28/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient's left shoulder and left elbow became sore about one week after receiving vaccine in right arm.

Other Meds:

Current Illness:

ID: 1157087
Sex: F
Age: 63
State: CA

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Previously had COVID as of January 12, 2021. Adverse events: pain at injection site, upper shoulder pain, low grade fever (up to 99.5), headache, nausea, chills, tired and weak. The pain started in the night. Woke up around 6:30A and that is when the other symptoms started. Taking Tylenol as of 6:30A and then 12:30P. Took ibuprofen in the night. As of 3:30PM on 4/1/2021, still feeling under the weather with chills, headache, fever, pain. Performing home care.

Other Meds: Lipitor

Current Illness: None

ID: 1157088
Sex: M
Age: 23
State: CA

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

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Patient was waiting for a 15 minute observational period. During the observation he started experiencing dizziness, light headedness and loss of hearing. Patient stood up to notify observation staff of his symptoms and had a syncopal episode and was moved to a cot. Patient soon regained consciousness and observational staff took a first set of vital signs with BP 128/72, O2 97% and strong pulse of 108 Bpm. Patient continued having dizziness for approximately 10 minutes after the event occurred. Onsite medical staff offered an ambulance transport to a nearby medical facility and patient reused against medical advice. Medical staff took a second set of vital signs with BP 124/76, O2 99%, strong pulse 78 BPM. Medical staff took patient out on a wheel chair and patient had a relative drive him home.

Other Meds:

Current Illness:

ID: 1157089
Sex: F
Age: 69
State: PA

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: thimersol, dmdm hydantion, quinternium 15, gold

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

Symptoms: after being well hydrated and adequate food intake, i awoke to go to bathroom at 3:30am and felt fine, after voiding began to feel nauseated and felt as if i would pass out. called for help-when my spouse came in i was on my hands and knees-when he tried to lean be back against the tub, he tells me my head went back and i was ''gone'' i do not recall anything after feeling i would pass out. i awoke flat on my stomach gurgling fluid and my husband was had phone calling 911 was able to let him know i was waking up did not call 911, but i was not able to get up and slept on bathroom floor for 3 hrs-awoke feeling sore and mild weakness resting the day-felt better

Other Meds: hydrochlorothiazide multivitamin fish oil crestor vitamin d

Current Illness: none

ID: 1157090
Sex: M
Age: 21
State: IL

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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: Fever at 1100pm 3/31/21, muscle soreness from the start of injection, a little nauseous around 1100pm 3/31/21.

Other Meds:

Current Illness:

ID: 1157091
Sex: M
Age: 43
State:

Vax Date: 03/30/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: lymphoadenopathy in the left arm

Other Meds:

Current Illness:

ID: 1157092
Sex: M
Age: 62
State: CA

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

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

Lab Data:

Allergies: Gabapentin.

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Lightheadedness, diaphoresis, nausea, post vaccine. Elevated BP to 190/100 though has hx of HTN.

Other Meds:

Current Illness:

ID: 1157093
Sex: F
Age: 71
State: VA

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 04/01/2021
Hospital: Y

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

Lab Data:

Allergies: Not known

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

Symptoms: Her husband called to report that he could not arouse her on 3-28-21. Advised to call 911.

Other Meds: Not known

Current Illness: Seizures onset 11-20.

ID: 1157094
Sex: F
Age: 39
State: OR

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: presents with a potential reaction to the COVID19 vaccine. She had left the parking lot after 30 minutes of monitoring, however, upon reaching the exit, started to feel extremely unwell. As such, she was directed back to the monitoring area for urgent evaluation. Patient-reported bilateral UE tingling, subjective facial and oral swelling, and panic-type symptoms. EMS was alerted and patient vitals were collected along with a 12 lead EKG. VS were WNL. 12 lead showed sinus tachycardia. encounter After serial monitoring and careful evaluation, it was evident that the patient was suffering a panic attack without signs of serious allergic reaction or airway compromise. After the passage of an additional 15 minutes, the patient had returned to baseline without additional intervention. She was returned home with her husband as the driver.

Other Meds: Not reported

Current Illness: Zoloft

ID: 1157095
Sex: F
Age: 42
State: AR

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

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

Lab Data:

Allergies: unknown

Symptom List: Unevaluable event

Symptoms: rash and itching on right side of body and face (thighs, stomach arm). Reports "feeling hot." itchy throat. Denies swelling in throat, tongue, lips or mouth. Denies SOB. Reports reaction started 40mn after injection but recalls ears turning "red and feeling hot" within first 15mn of injection.

Other Meds: emergency inhaler

Current Illness: asthma

ID: 1157096
Sex: F
Age: 43
State: WA

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Latex, doxycycline, reglan

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

Symptoms: Fever 101.4, fatigue, headache, chills, body aches

Other Meds:

Current Illness: None

ID: 1157097
Sex: F
Age: 42
State: WI

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Pain

Symptoms: Began experiencing right side of tongue and lips tingling within 30 minutes after receiving vaccine. Took oral diphenhydramine but it did not improve. Visited urgent care the next day. No treatment was given, and patient was advised to follow up with primary physician. Four days later patient states she feels like her mouth is swollen on one side.

Other Meds: Multivitamin, Vitamin D3

Current Illness: none

ID: 1157098
Sex: F
Age: 30
State: NE

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Nickle

Symptom List: Injection site pain, Menorrhagia

Symptoms: I received the vaccine and approximately 5 minutes after the injection I began sweating profusely and passed out. While I have passed out in the past, I have never done so after receiving a vaccine or while sitting down (which I was). After I "came to" I felt an all over tingling sensation throughout my body. As noted, I have never had any reaction to a vaccine and my most recent previous vaccine was a tetanus booster in 2020. Not history of fainting or any adverse reactions to a vaccine.

Other Meds: Lexapro, Align probiotic

Current Illness: None

ID: 1157099
Sex: F
Age: 39
State: VA

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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: About 12 hours after shot and during sleep, I woke up feeling faint and light-headed. I then vomited several times and started shaking. My temperature was 101.4 and I had the chills. I had extreme body aches and the tips of my toes felt on fire/frost bit. I took a normal dose of ibuprofen and these symptoms subsided within 30 minutes. I then had the sweats and my fever was in the 100s the rest of the night. I felt pains throughout my body in places where I had surgery years ago, and in the place of my epidurals from having kids more than 5 years ago. About 20 hours after my shot, my temp was down to 99.7 and the rest of the day mild chills and sweats occurred throughout the day.

Other Meds: None.

Current Illness: None.

ID: 1157100
Sex: F
Age: 58
State: MA

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Intolerant of medications that must be processed by the liver in order to be effective. Intolerant of medications that are cleared by the liver. Intolerant of all medications tried for chronic neurogenic pain Mild latex allergy

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: fatigue lasting two days. Persistent cough lasting five days. Left arm soreness at injection site lasting 3 days. Moderate fever (99.6 degrees F) and chills, lasting one day. I notified doctor, who is my treating neurologist. No treatment necessary.

Other Meds: Rainbow Light Women's One Rainbow Light Cal

Current Illness: COVID-19, exposed February 13, 2021, ill February 19. DX'ed via telemedicine. I do not own a car. There was no easily accessible test site near me--I would have had to use public transportation or take a cab. I was unwilling to endanger essential personnel or the public at large. I quarantined for 10 days.

ID: 1157101
Sex: F
Age: 21
State:

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Caller states that she received her 1st Pfzier vaccine on 03/31/2021. At approx 4:00 pm, noted " chest heaviness, swelling of her throat with a cough". Appears to be in no acute distress, denies difficulty of breathing and able to speak in clear, complete sentences. Instructed to seek emergency care for an evaluation.

Other Meds:

Current Illness:

ID: 1157102
Sex: F
Age: 27
State: IL

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

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

Lab Data:

Allergies:

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

Symptoms: Numbness and weakness in right side of face, numbness and tingling in both arms

Other Meds: Spironolactone

Current Illness:

ID: 1157103
Sex: F
Age: 34
State: TN

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

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

Lab Data:

Allergies: Sulfa, Lovenox, allergy shot

Symptom List: Nausea

Symptoms: Patient received her second COVID shot today around 3.40p. She said she had a history of anaphylaxis in the past with an allergy shot she received as well as with Lovenox. I asked the patient to wait 30 minutes after administering the vaccine. After 10 minutes she began having tingling of the lips and some swelling near her cheeks, breathing was fine. I gave 50mg of oral Benadryl to patient at 3:50p. Patient said she felt as if her tongue was beginning to swell and her cheeks were getting more swollen. She said her symptoms resembled what happened with her first anaphylaxis response and that it also was very gradual. Patient was awake and alert and could breathe normally so no reason to administer Epipen but called EMS due to patient saying her tongue was swelling more and could feel her throat getting narrower. EMS arrived and accessed the patient. I told them about her condition and the dose of Benadryl that I gave. They checked her blood pressure, heart rate, looked at her tongue and accessed her breathing and said she is okay and no need to be taken to hospital unless patient wanted to be taken. Patient agreed not to go and signed a refusal form by EMS. EMS told her she was fine to go home and patient was fine and bought liquid Benadryl to take with her and went home.

Other Meds:

Current Illness:

ID: 1157104
Sex: F
Age: 38
State: AL

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, argon oil

Symptom List: Injection site pain

Symptoms: Joint pains, swollen lymph nodes under both arms

Other Meds: Lisinopril, Hctz, omperazole, fiber capsule, zyrtec

Current Illness: None

ID: 1157105
Sex: F
Age: 46
State: IA

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: NSAIDs

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

Symptoms: Chills Aches Tired Dizzy

Other Meds: Lithium Buspirone Buproprion Multi-Vitamin Vitamin D Fish Oil- Omega 3 Biotin

Current Illness: None

ID: 1157106
Sex: F
Age: 17
State: CA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
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: Patient complained of stuffy sensation in ears during vaccine administration. Patient was alert and oriented. Denies shortness of breath. No allergic reaction observed. No intervention needed as patient began to feel better after a few minutes.

Other Meds: None

Current Illness: None

ID: 1157107
Sex: M
Age: 55
State: OK

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: none

Symptom List: Tremor

Symptoms: Several hours after injection, the patient began shaking with chills, burning eyes and a fever of 101. This continued most of the night and subsided by 9 AM on 4.1.21. Since then he has continued with regular activities with minor discomfort.

Other Meds: none

Current Illness: none

ID: 1157108
Sex: F
Age: 67
State: AZ

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: Pressure Headache that lasted 12 days, right facial tingling around day 5, visual disturbances on day 2, foggy thinking 10-12 days, fever 100.6 after 30 hours, body aches lasted 48+ hours, irritability for 7+days, neck pain lasting 7-10 days with thoracic pain lasting 12-14 days, left arm soreness lasted 4-5 days, loss of appetite lasted 2 days

Other Meds: Vitamin/mineral supplements

Current Illness: None

ID: 1157109
Sex: F
Age: 73
State: SC

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

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

Lab Data:

Allergies:

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

Symptoms: Patient was given three COVID-19 vaccines in error.

Other Meds:

Current Illness:

ID: 1157110
Sex: F
Age: 59
State: CA

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

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

Lab Data:

Allergies:

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

Symptoms: Received first dose of Moderna Vaccine at 14:11. during observation time, complaint of itchy throat, tightness in throat, and SOB. Pt given Epi pen x1 at 14:25. Symptoms remained, 911 called at 14:27 and pt was transferred to ED

Other Meds:

Current Illness:

ID: 1157111
Sex: F
Age: 47
State:

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

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: PATIENT REPORTED TINGLING SENSETION ON TIP OF THE TONGEU AND ARM , , NO PROBLEM BREATHING. PT BP WAS CHECKED 3 TIMES, NORMAL, TONGUE NUMBNING GOT WORSE AFTER 15 MIN , WE GAVE 50 MG BENADRYL, BP STILL OK AFTER 20 MINUTES PT REPORTED NUMBNESS GONE REFUSED 911 HAD NO PROBLEM BREATHING , PT ADVISED TO CALL MD TOO

Other Meds:

Current Illness:

ID: 1157112
Sex: F
Age: 35
State: NY

Vax Date: 03/23/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Penicillins - hives Cephalosporins - full body itchiness

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

Symptoms: Soreness in arm for 24 hours after shot; "COVID arm" 9 days after shot - red rash, swelling, slight itchiness, hot to touch

Other Meds: Nuvaring, Vitamin D 2000 units every other day, Vitamin B12 500ug every day

Current Illness: N/A

ID: 1157113
Sex: F
Age: 69
State: CA

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: citric acid, citrus fruit, codeine, milk (GI bleeding), NSAIDs

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

Symptoms: Patient reported feeling a "burning" sensation on her tongue and face. No shortness of breath or trouble swallowing. No dizziness. Her vital signs were stable aside from elevated blood pressure. She said it started 5 minutes after the injection but she waited till 30 minutes passed before reporting it. A doctor was called who ordered 10 mg Zyrtec sublingual. She was transferred to a doctor's office. Her blood pressure was much lower and her symptoms resolved 15 minutes after the Zyrtec was given.

Other Meds: Unknown

Current Illness: None reported

ID: 1157114
Sex: F
Age: 30
State: IN

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Pain in extremity

Symptoms: Heart rate increased hours later, heart rate stayed elevated through the night while I was sleeping. My tracker showed it not going below 90 and was as high as 129. I have never experienced an issue with my heart. My heart rate did decrease back to normal by the afternoon. Also had experience chills fatigue that night and headache the next morning.

Other Meds: Levotyrxoine, postnatal vitamin

Current Illness: No

ID: 1157115
Sex: M
Age: 43
State: NY

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Allergic to mushrooms

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

Symptoms: Approximately 4 hours after second dose, light nausea coupled with body aches and fatigue. Symptoms persisted for 6 hours, at that point nausea subsided. 22 hours after shot, fatigue and body aches persisted.

Other Meds: None

Current Illness: None

ID: 1157116
Sex: F
Age: 70
State: AZ

Vax Date: 03/27/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Acute Cranial nerve#7 inflammation. No treatment.

Other Meds: lantus insulin

Current Illness: diabetes

ID: 1157117
Sex: F
Age: 53
State: CA

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

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

Lab Data:

Allergies: penicillin, codeine

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

Symptoms: Patient received dose 1 of the Pfizer COVID vaccine (lot EW0150, exp 7/2021) at 11:30am. Patient reported feeling dizzy to EMT at 11:40am. EMT notified PHN. Vital signs at 1140: blood pressure 110/70, pulse 92, O2 97%, respirations 18. No medical conditions. Allergies to penicillin and codeine. Medication includes diet pill called Accion, given by doctor. Patient reports she had a diet shake for breakfast. PHN offered patient Benadryl, patient declined. At 1150, patient reported feeling better. PHN advised patient to contact provider and when to call 911. Vital signs at 1153: blood pressure 116/80, O2 95%, pulse 98, respirations 16. Vital signs at 1208: blood pressure 112/72, O2 95%, pulse 87, respirations 18. Patient reported feeling better, only dizzy when looking down. PHN asked patient to try standing. Patient attempted but felt increasingly dizzy, asked to sit back down by PHN. PHN called 911 at 1209. At 1215 EMS assumed care, patient left at 1225 by ambulance to hospital.

Other Meds: diet pill (accion)

Current Illness:

ID: 1157118
Sex: F
Age: 49
State: OH

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Vomiting

Symptoms: Day one : fever, fatigue, muscle aches and pain - from the shot to four days later. Fifth day: Chest pain and jaw pain- Hospital ER -Sunday- They monitored my vitals while I was there; They did some tests but nothing to treat. Within a week and a half I was feeling better. I didn't go to work the following Monday. Tuesday my fever was gone. By Wed or Thursday, I started feeling myself again.

Other Meds: Paxil; Magnesium; iron; OTC Women's Vitamin

Current Illness: no

ID: 1157119
Sex: F
Age: 39
State: AR

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 04/01/2021
Hospital: Y

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

Lab Data:

Allergies: sulfa stadol

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 1 hour after receiving the second vaccination i started having an increased heart rate, high blood pressure, lips where tingling, and tongue felt as if it was swelling, flushing sensation throughout my body and shaking in my hands.

Other Meds: none

Current Illness: none

ID: 1157120
Sex: F
Age: 69
State: IN

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Temperature 101.4, fatigue, body achess

Other Meds: Meloxicam, Zocor, Citalopram, Omeprazole

Current Illness: No

ID: 1157121
Sex: F
Age: 32
State: NJ

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: None.

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Chills, fever, skin sensitivity/pain when touched, nausea, diarrhea, migraines, no appetite, fatigue, cough on the first evening for a few hours.

Other Meds: None.

Current Illness: Sinus Infection

ID: 1157122
Sex: F
Age: 66
State: OR

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: none known

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

Symptoms: About 2 hours after dose at 11 AM I noticed that both ears had become "plugged." The sensation was similar to being on airplane with plugged ears from pressure decrease. It was not a ringing or buzzing sensation; just a dullness in my ability to hear. It was not painful. When I awoke in the morning the sensation was gone, without any lingering issues beyond the expected soreness of arm and mld body ache.

Other Meds: Metropolol, 12 mg 2 times per day, 1 baby aspirin per day

Current Illness: hypertension

ID: 1157123
Sex: F
Age: 64
State: OR

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: My arm was sore and I felt tired. I also had a very low grade fever. This lasted for several hours

Other Meds: Losartan 100 mg, Omeprazole 20mg, multivitamin

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am