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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1164505
Sex: F
Age: 62
State: IL

Vax Date: 03/15/2021
Onset Date: 03/26/2021
Rec V Date: 04/03/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Hypertensive urgency - BP 194/120, noon on 3/26/21, still high at 3:00 pm in doctor's office, sent to emergency room. BP as high as 220/203. By 11:00 pm on 3/26/21 was lowering, would jump back up. Discharged with BP 150's/100 on 3/27/21. New BP medication prescribed Stayed one night in hospital.

Other Meds: Aspirin 81, Vitamin D, Vitamin C,

Current Illness:

ID: 1164506
Sex: M
Age: 39
State: MO

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Heart rate 104, dizziness, weakness, Fever 101.8, chills, headache, tiredness, muscle pain, feeling unwell.

Other Meds: Bupropion XL 300mg

Current Illness: None. Ran 3.5 miles day prior. Ran 2.5 miles day of.

ID: 1164507
Sex: F
Age: 0
State: CO

Vax Date: 08/24/1992
Onset Date: 04/03/2021
Rec V Date: 04/03/2021
Hospital:

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

Lab Data:

Allergies: Nickel, Honey, Lavender.

Symptom List:

Symptoms: Swelling, itching, dull pain in area of shot, highness of throat. Lasted for and is still going on for a week. 7 days after the shot.

Other Meds: Escitalopram 10mg per day.

Current Illness:

ID: 1164509
Sex: M
Age: 38
State: MN

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

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

Lab Data:

Allergies: Ceclor and Sulfa Drugs

Symptom List:

Symptoms: Approximately ten minutes after receiving the vaccination I got very dizzy and passed out. I was out for 3-4 minutes and came to. Subsequent to passing out I vomited a few times and could not hold anything down. I also urinated on myself at some point when out. I was not getting better so 911 was called and I was transported to the emergency room via ambulance. Once the ambulance arrived at the hospital I vomited again filling about half of the vomit bag. I arrived at the hospital and an IV was not able to be administered so I was given Zofran for nausea and Gatorade to try and hold down. I spent approximately 4 hours in the ER, was able to finally get to the point where the nausea calmed down and I was able to walk around. I was then discharged.

Other Meds: None

Current Illness: None

ID: 1164510
Sex: F
Age: 29
State: CA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: At 1024, RRT was called to the post-vaccine recovery area for a 29 y/o F that c/o feeling ?hot? after receiving the vaccine. She also complains of pain to her left arm radiating to her neck. She was initially light-headed, cool, and clammy. Head-to-toe assessment completed. Vitals ? BP: 100/56, RR: 18, HR: 100. No PMH, NKA, did not take any medications. Not pregnant. Throughout monitoring period, client?s status improved. Client given a cool compress to improve condition which client states, helped. Pain to left arm decreased, client?s skin warm, and she had no complaints of dizziness before she left home. The feeling of feeling hot went away. Client opted to go home after monitoring/evaluation period. Client left facility at 1100, accompanied by her girlfriend. Girlfriend stated she will be driving home. Client left in stable condition, AA0x4, in no acute distress, breathing even and unlabored.

Other Meds: None

Current Illness: None

ID: 1164511
Sex: F
Age: 59
State: MD

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 4/1/21: began at 12pm: severe headache at base of skull. strong low back pain. began at 1pm: chilled feeling and shivering. stopped 3pm. began at 3pm: low temperature (97.2) then by 4pm fever of 100.2. began at 4pm: very strong shaking. stopped 5pm began at 3pm: nausea, vomiting, dry heaves. stopped at 7pm began at 5pm: extreme dizziness with ringing in ears. stopped 6pm began at 9pm: mixture of strong, odd smells and lack of taste for food or drink. stopped 9:30pm 4/2/21: headache, low back pain, lower fever (99.8) all day 4/3/21 strong fatigue upon waking. normal temperature. headache and low back pain still present, but not as strong

Other Meds: Synthroid

Current Illness: none

ID: 1164512
Sex: F
Age: 60
State: NM

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

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

Lab Data:

Allergies: Lisinopril

Symptom List:

Symptoms: Severe joint pain (shoulders, elbows, hips, knees, ankles); chills; overall body aches. Lasted a little more than 24 hours, although the severity lessened on the 2nd day. Did not take any medicine to treat symptoms. Resolved by day 3. Enlarged, painful lymph node (right arm pit); lasted 5 days. Dull headache; lasted 3 days.

Other Meds: Levothyroxine Atenolol Pioglitazone Januvia Metformin Verapamil Lovastatin

Current Illness: n/a

ID: 1164513
Sex: M
Age: 58
State: NV

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Shortly after receiving the vaccine, the patient began to feel dizzy. He then started to feel numbness on his upper lip which slowly spread to his whole face and tongue. His blood pressure was measured at 169/83mmHg. We called 911, and he was given diphenhydramine 50mg PO and epinephrine 0.3mg IM. The patient was able to communicate with EMT when they arrived, and they took him to the emergency room.

Other Meds:

Current Illness:

ID: 1164514
Sex: M
Age: 23
State: WA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Syncopal episode, hypotension, bradycardia

Other Meds: None

Current Illness: None

ID: 1164515
Sex: M
Age: 56
State: OH

Vax Date: 03/17/2021
Onset Date: 03/29/2021
Rec V Date: 04/03/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Felt fatigue one week after the injection and developed mild shingles around upper left arm (the injection area) with rash and blisters appearing in day 13 and day 15, respectively. Saw urgent care doctor in day 17 and confirmed they are shingles instead of coivd arm. Get antiviral medicine for treatment.

Other Meds: Levothyroxine 75 MCG,

Current Illness: None

ID: 1164516
Sex: F
Age: 38
State: WA

Vax Date: 03/21/2021
Onset Date: 03/25/2021
Rec V Date: 04/03/2021
Hospital: Y

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Platelets dropped to <2 and I had a stroke.

Other Meds: Acyclovir, Gabapentin, Tylenol, Lamotragine,

Current Illness:

ID: 1164517
Sex: F
Age: 62
State: OK

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Nausea, diarrhea, fever for 24 hours after vaccine administration. After these symptoms resolved, patient noticed a rash started on her legs and spreading upward. Rash on her legs, abdomen, back, chest, and neck. Symptoms include: itching, redness, scaly and painful. Patient presented to UC 48 hours after onset of symptoms. Given IV saline, famotidine and Benadryl.

Other Meds: Daptomycin IV 2 hours after vaccine.

Current Illness: pyelonephritis/ bacteremia. Last IV dose 2 hours after vaccine administration.

ID: 1164518
Sex: F
Age: 19
State: NM

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient had the Janssen vaccination for covid. In the observation period she sat on the floor and asked for a trashcan in case she vomited. She then vomited and lost consciousness for about 10 seconds

Other Meds: None

Current Illness: None

ID: 1164519
Sex: F
Age: 16
State: MD

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

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: Dizziness and near syncope

Other Meds: NONE

Current Illness: NONE

ID: 1164520
Sex: M
Age: 68
State: OH

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fatigue, headache, low grade fever, muscle pain.

Other Meds:

Current Illness: Copd asthma.

ID: 1164521
Sex: M
Age: 73
State: MT

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

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

Lab Data:

Allergies: Cipro and Levoofloxacin

Symptom List:

Symptoms: At about 6 pm (I think) I fell asleep. I woke up at approximately 11 pm and was very disoriented to time and to surroundings. I had no idea what had transpired since about mid-afternoon including whether I had eaten, or taken my medication. I could not walk in a straight line and had to hold onto things to maintain my balance. I tried to fix my medications for the weeks and became totally confused. It was a small task that I simply could not comprehend. I was not nauseous and was not dizzy. I. finally ate something because I knew I should. I felt totally wiped out. It was as if I was having a stroke. I went to bed and by morning the symptoms had abated except for being tired and achy and a bit of a headache (which is not unusual).

Other Meds: Acetaminophen 1000 mg x2; Claratin 10 mg x 1, Neurontin total of 2100 mg/day,; nitrofurantoin, 100 mg at bedtime, atorvastatin 10 mg at bedtime; metoprolol succ 25 mg at bedtime, UROCIT-K ER 2/day; Topamax 75 mg at bedtime; Floven 110 MCG 1

Current Illness:

ID: 1164522
Sex: F
Age: 52
State: NY

Vax Date: 03/21/2021
Onset Date: 03/28/2021
Rec V Date: 04/03/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tired after the First dose for a week. Next Sunday after the vaccine I woke up with a very large swollen lymph node on my armpit. Left arm. Same as vaccination. After a week the swollen lymph is still there . It is harder and smaller.

Other Meds: Vitamins and minerals

Current Illness: Stomachache

ID: 1164523
Sex: F
Age: 46
State: NY

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 04/03/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: temporal lobe seizure (focal impaired awareness seizure) Patient had one of her typical temporal lobe seizures. She had been seizure free on medication for years prior to this episode.

Other Meds: levetiracetam 750mg bid

Current Illness:

ID: 1164524
Sex: M
Age: 54
State: CA

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/03/2021
Hospital:

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

Lab Data:

Allergies: nkda

Symptom List:

Symptoms: Pt received the Johnson and Johnson covid vaccine on 4/1/21 at 1330 and started having body aches, rash, fatigue and angioedema on 4/2/21 at noon.

Other Meds: ibuprofen

Current Illness: none

ID: 1164525
Sex: F
Age: 24
State: PA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Shortly after receiving vaccine patient started to pass out she did loose consciousness and was lowered to the floor she was out for approximately 30 seconds, ammonia was used on patient and she responded. She was placed on a back board and brought back to the medical observation area, on arrival she stated that she started to get blurry vision and remembers waking up on the floor. Her blood pressure on arrival was @ 1153 110/75 HR 78 and pulse ox 100% on oxygen. She was continued to be monitored and her blood pressure at 1200 was 105/72 HR 81. At 1215 her bp was 118/77 patient was given 8 ounces of water. She was placed in a sitting position and her blood pressure was 110/75, Heart rate 79 and pulse ox 100%. She was then placed in a standing position at 1251 and she was positive for orthostasis bp 94/63 heart rate 78 and she quickly became symptomatic she was laid back down again. she was given another 8 ounces of water. ortho bps were attempted again at 1259 and her bp was 103/69 heart rate 80, and then at 1:06 she was 105/70 and heart rate 78 patient was still symptomatic but did not exhibit the bp drop as she did previously. She was continued to be monitored and due to her continued symtpoms with position changes we had recommended that she go tot he ER to be evaluated. She declined and called a friend to pick her up. She was released in a wheelchair rom the site

Other Meds: none

Current Illness: none

ID: 1164526
Sex: M
Age: 57
State: ME

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/03/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient received vaccine on 4/1 at 1130. Patient developed a metallic taste in his mouth on 4/2 while eating dinner. Patient vomited twice 4/3 in the morning. Metallic taste has not resolved.

Other Meds:

Current Illness: none

ID: 1164527
Sex: F
Age: 31
State: NJ

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

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

Lab Data:

Allergies: Penicillin, Seasonal allergies (spring), dogs, cats

Symptom List:

Symptoms: Soon after receiving the vaccine, once I was seated for the observation period, I noticed my eyesight was strained. It was hard to focus to see what was in front of me. At the time I was trying to watch a slideshow on the TV in the room with vaccine facts. This subsided, but came back the next day in the evening (around 5pm). I noticed this at 5pm while trying to work on my computer.

Other Meds: Zyrtec, Nexplanon (implant)

Current Illness: n/a

ID: 1164528
Sex: F
Age: 37
State: FL

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Symptoms started almost exactly 12 hours to the minute after vaccine administration and lasted about 36 hours: Fever 103.5, chills, joint pain, body ache, nausea, headache, fatigue.

Other Meds: None

Current Illness: None

ID: 1164529
Sex: F
Age: 42
State: MD

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

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

Lab Data:

Allergies: metoclopramide, penicillins

Symptom List:

Symptoms: Patient described full body rash. Did not report any itching or discomfort but just erythema

Other Meds: none reported

Current Illness: none reported

ID: 1164530
Sex: M
Age: 57
State: MN

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Approximately 48 hours after vaccination, I experienced sudden onset of tachycardia (heart rate ~130-150) which continued into the morning (April 1st 2021). The tachycardia transitioned into atrial flutter (confirmed by an EKG in the cardiologists office that afternoon) with associated shortness of breath (secondary to the cardiac arrhythmia). I had a cardio version that afternoon (4/1/2021, 4:00pm) and converted to normal sinus rhythm. I was given a rhythm and rate modifier medication and anticoagulant. Prior to the COVID vaccination, I had been symptom free for 3 years from my atrial fibrillation and atrial flutter.

Other Meds: Crestor, fish oil, aspirin

Current Illness: None

ID: 1164531
Sex: F
Age: 51
State: NY

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

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

Lab Data:

Allergies: Penicillin, Adderall, Topamax, cloves, kiwi

Symptom List:

Symptoms: Cheeks and chin because bright red/pink and there was a burning sensation. I called the Dr's office, they said as long as I didn't have trouble breathing to watch it. The redness began to fade after 24 hrs. The burning sensation stayed for another 24 hrs and continues intermittently to this day.

Other Meds: I didn't take any medications nor otc medicationfor a week before, except 2 Aleve approximate 38 hours prior.

Current Illness: A head cold 3 weeks prior

ID: 1164532
Sex: M
Age: 85
State: MD

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 04/03/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Felt very cold, 100.1 Degree fever, very tired , not abled to eat. (48 hours)

Other Meds: metropolol, amlodopine, simvastatin, esomeprazole, sodium bicarbonate, renvela, centrum silver.

Current Illness: 4th stage kidney failure,

ID: 1164533
Sex: M
Age: 70
State: MA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Lower Jaw and lower Lip Swelled up overnight. Took 50Mg of benedryl and iced the area. Symptoms subsided 75% within 6 hours, but still active on lower left jaw and lower lip. Took 50Mg. more of Benedryl and iced again. Results are pending.

Other Meds:

Current Illness:

ID: 1164534
Sex: M
Age: 33
State: TX

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

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: PATIENT RECEIVED JANSSEN COVID IMZ, RELOCATED TO CHAIR TO WAIT HIS 15 MINS POST VACCINATION. ABOUT 5 MINUTES AFTER RECEIVING SHOT, PATIENT GO LIGHT HEADED AND TRIED TO CALL FOR HELP BUT FELL FORWARD OUT OF CHAIR BEFORE ABLE TO DO SO. HE HIT HIS FOREHEAD ON THE FLOOR AND CAME TO IMMEDIATELY. OFFERED FOR PATIENT TO LAY DOWN, BUT REFUSED. HE SAT ON THE FLOOR AND SAID HE FELT BETTER. TECH REMAINED WITH HIM UNTIL HE WAS READY TO LEAVE. HE FELT FINE BEFORE LEAVING WITHOUT ANY COMPLAINTS AND DIDN'T WANT TO FILL OUT ANY PAPERWORK TO REPORT THE INCIDENT.

Other Meds: UNKNOWN

Current Illness: NONE

Date Died: 04/03/2021

ID: 1164535
Sex: M
Age: 85
State: NY

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

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

Lab Data:

Allergies: none known

Symptom List:

Symptoms: The patient presented for his second Pfizer Covid-19 vaccination on 28MAR2021. On his way into the Vaccination Center, he was blown over by high winds sustaining a blow to his right forehead with small abrasion and a 3x4cm subcutaneous hematoma. He was assisted to a wheel chair and brought into the EMT booth for further assessment. He was awake and alert and oriented during his time with us. He never lost consciousness . He vigorously requested to receive the Covid-19 vaccination which we complied with. Due to the mechanism of injury and use of an anticoagulant, he was subsequently transfered to Hospital for further assessment and care. We heard on 4/3/21 of his death.

Other Meds: Coumadin, metoprolol, diltiazem, digoxin

Current Illness: none known

ID: 1164536
Sex: F
Age: 63
State: OK

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient reported nausea (which is common to known vaccine effects) and dry mouth (which has no evidence at this time that is attributed to vaccine).

Other Meds: Unknown

Current Illness: Unknown

ID: 1164537
Sex: M
Age: 44
State: NJ

Vax Date: 03/19/2021
Onset Date: 03/24/2021
Rec V Date: 04/03/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Eczema flare up, and swollen lymph node left collar

Other Meds: vitamin multi, tumeric, b complex

Current Illness: none

ID: 1164538
Sex: M
Age: 32
State: AZ

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/03/2021
Hospital:

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: Generalized myalgias. Fever. Malaise. Fatigue. Note: I did have and recovered from COVID-19 infection in December 2020.

Other Meds: None.

Current Illness: None.

ID: 1164539
Sex: F
Age: 58
State: TX

Vax Date: 03/19/2021
Onset Date: 03/26/2021
Rec V Date: 04/03/2021
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Allergies: Penicillin- rash

Symptom List:

Symptoms: Onset 7 days after first dose Large hive at injection site measuring approximately 5 ? in diameter. Raised welt, hot and itchy. Treated with OTC histamine (H1 and H2) blockers (Benadryl and Pepcid). Hive remained localized and began to diminish in size and severity after 48 - 72 hours. Arm is still warm but there is no discoloration and minimal itchiness eight days after onset of symptoms (15 days post injection)

Other Meds: Estradiol 75 mg pellet Loratadine 10 mg Citracal + D3 Turmeric

Current Illness: None

ID: 1164540
Sex: F
Age: 64
State: VA

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/03/2021
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Allergies: Unknown

Symptom List:

Symptoms: Dose given greater than 42 days after 1st dose

Other Meds: Unknown

Current Illness: Unknown

ID: 1164541
Sex: F
Age: 54
State:

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/03/2021
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Symptoms: Pt experienced flushing and hot flash's heaad to toe with a racing heart. Pt given water and snack. Symptoms resolved in 15 minutes.

Other Meds:

Current Illness:

ID: 1164542
Sex: M
Age: 57
State: WA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 04/03/2021
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Allergies: none known

Symptom List:

Symptoms: Dizziness. Seems to be BPPV or very similar. Noticed this when getting out of bed the second morning after the shot. That was 3 days ago and am still experiencing same symptoms. Most noticeable when rolling over in bed but also when bending over with certain head movements.

Other Meds: mesalamine

Current Illness: none

ID: 1164543
Sex: M
Age: 24
State: OH

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/03/2021
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Symptoms: He said while sitting in a chair waiting during the 15minutes post vaccination he started feeling queasy and wanted some water to drink. After standing up he felt dizziness that persisted While walking towards the pharmacy he fell forward flat on the floor . He said his hearing had gone out and it was muffled. He was assisted up into a chair . He was given water and crackers. After drinking water and eating the crackers he felt okay enough to leave after 30 minutes. He was walked to the foot where his ride was waiting in the parking lot. He had dinner but had not had his breakfast as at the vaccination time.

Other Meds:

Current Illness:

ID: 1164544
Sex: F
Age: 56
State: CT

Vax Date: 03/20/2021
Onset Date: 03/26/2021
Rec V Date: 04/03/2021
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Allergies: One reaction to a sulphur based anitbiotic

Symptom List:

Symptoms: Day 6 and 7 after Dose 1: mild chills, aches,headache Day 8: red circle at injection site with swelling and hot to the touch, mild chills, aches,headache Day 9-12: symptom improvement Day 13-14: moderate chills, aches, low grade temp

Other Meds: Multivitamin

Current Illness: None

ID: 1164545
Sex: M
Age: 74
State: AZ

Vax Date: 03/21/2021
Onset Date: 04/01/2021
Rec V Date: 04/03/2021
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Allergies: None

Symptom List:

Symptoms: 11 days after 1sr shot, ....chills, fatigue, muscle soreness, loss of appetite, 2 days

Other Meds: Atorvastatin10mg Tamsulosin .4mg

Current Illness: None

ID: 1164546
Sex: F
Age: 67
State: GA

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/03/2021
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Allergies: NONE

Symptom List:

Symptoms: PATIENT STATED SHE STARTING TO HAVE SEVERE ITCHING DAY AFTER VACCINE AND ALSO NOTICED A LUMP ON HER ARM. THE EFFECTS WERE GETTER WORSE DAILY .

Other Meds: N/A

Current Illness: NONE

ID: 1164547
Sex: F
Age: 72
State: FL

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 04/03/2021
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Symptoms: Next morning I could not look over right shoulder. Stiff painful neck. During the day gradually worsened to severe brachial neuritis pain from neck to shoulder blade to shoulder to armpit to entire arm. Worst pain to right of vertebrae at neck and upper back, armpit, shoulder and elbow. By evening I was screaming. Today it is now the eighteenth day. Worse every day and during the night. I scream in pain. I take Ibuprophen. Now I'm up to 600 mg every four hours. I did not have a GP. I found one. My first visit will be April 6. I am exhausted and afraid to take the second dose April 14. Note: When the person injected me, it was a hard jab with about half teaspoon of blood pouring down my arm. I am so out of my mind with this. I loved the fact that I was getting a vaccine. I was a healthy vibrant person, never sick, no medications, never needing a doctor. I fear my body is permanently changed now.

Other Meds:

Current Illness:

ID: 1164548
Sex: M
Age: 34
State: IL

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/03/2021
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Allergies: none known

Symptom List:

Symptoms: The patient was sweaty, feeling very tired and nauseous and he vomited

Other Meds: none known

Current Illness: none known

ID: 1164549
Sex: F
Age: 74
State: MD

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 04/03/2021
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Allergies: peniicillin

Symptom List:

Symptoms: continuous itching at injection site as well at imside elbow area

Other Meds: Atenolol and simvastatin

Current Illness:

ID: 1164550
Sex: F
Age: 55
State:

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/03/2021
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Symptoms: Member compliant of feeling hot, nausea. Radial pulse 120

Other Meds:

Current Illness:

ID: 1164551
Sex: F
Age: 67
State: NH

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/03/2021
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Allergies: percocet shellfish

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Symptoms: Pt received her 1st dose of Pfizer on 3/6/21 and got sick with COVID several days later. She received monoclonal antibodies (Bamlanivimab) on March 13, 2021. She was mistakenly given her second dose of Pfizer today within the 90 day window. Medication error was realized after the vaccination was given. Pt was informed to follow up with her PCP for further instructions.

Other Meds: statin, prevacid, singulair, aspirin

Current Illness: Covid + and treated with monoclonal antibodies on 3/13/21

ID: 1164552
Sex: M
Age: 70
State: VA

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/03/2021
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Allergies: unknown

Symptom List:

Symptoms: 2nd Dose given on day 14 (<21 day)

Other Meds: unknown

Current Illness:

ID: 1164553
Sex: M
Age: 36
State:

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/03/2021
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Symptoms: dizzy, syncopal episide, EMS evaluated, patient refused transport.

Other Meds:

Current Illness:

ID: 1164554
Sex: M
Age: 36
State: MN

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/03/2021
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Symptoms: Some normal widely reported side effects like fatigue, lightheadedness. A short time after injection felt mild soreness in the penis. As early as the morning after injection experienced difficulty with erection and ejaculated, and continued mild soreness. Report submitted day after injection, still experiencing symptoms.

Other Meds:

Current Illness:

ID: 1164555
Sex: F
Age: 33
State: IL

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/03/2021
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Symptoms: About 5 to 10 minutes after my shot I started to feel flushed and warm, a tingling sensation all over, dizziness and lightheadedness. It came over almost like a wave and passed after about a minute. I did not report it at the clinic initially because it passed so quickly and caught me off guard. I stayed for 20 minutes and then left to go home. I started having these same symptoms listed above, which would come and go in waves about 30 minutes after the vaccine. I took 25mg of benadryl and 20mg of famodidine and symptoms completely resolved.

Other Meds: Women's multivitamin Cetirizine Hydrochloride 10mg Vital proteins collagen peptides Nail, skin, hair vitamins

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm