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: 1181792
Sex: F
Age: 56
State: WA

Vax Date: 04/01/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Biaxin

Symptom List:

Symptoms: Fatigue, dizziness, generalized aches, small headache. Tops of feet painful & throbbing. Also had ligament repair in right hip for which I am going to physical therapy. Three incision sites are throbbing/burning.

Other Meds: Cymbalta, unithroid, liothyronine

Current Illness: None

ID: 1181793
Sex: M
Age: 11
State: NY

Vax Date: 02/10/2021
Onset Date: 02/19/2021
Rec V Date: 04/08/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: MOG Antibody disease. Episode of ADEM with extensive myelitis. progressive weakness over a 1-2 week period

Other Meds: none

Current Illness: none

ID: 1181794
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: pt complained of chest burning, nausea, diaphoresis, symptoms resolved in supine position and when given water. Pt declined providing DOB for form

Other Meds:

Current Illness:

ID: 1181795
Sex: M
Age: 25
State:

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

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

Lab Data:

Allergies: Seasonal allergies

Symptom List:

Symptoms: 25 years old in otherwise good health. Presented to observation area and within 5 minutes reported feeling lightheaded to staff member, then almost immediately had a syncopal episode with +LOC. He was caught by staff member and noted to have seizure like jerky movements for about 20 seconds. He regained consciousness and was A&O x 3. He was not post ictal. Brought to 1st aid bay. BP initially 87/47, HR 66. Offered water. BP recheck 104/58, 76. Lungs clear. HRR. No chest tightness, chest pain or SOB. Symptoms completely resolved. He reports episode like this in 7th grade which he think was secondary to anxiety. EMS offered to take to ED for further evaluation but he declined. His father took him home.

Other Meds: None

Current Illness: None

ID: 1181796
Sex: M
Age: 31
State: CA

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: The patient experienced the following reaction(s) during the immediate of observation: 1114: 31 y/o received his first dose of the Moderna vaccine lot # 020B21A in right deltoid. At 1120 am pt was complaining of feeling light headed, nauseated, diaphoretic. The patient stated " I feel like I am about to pass out." Pt was taken to recovery area and vital signs were taken. Initial vs BP 100/42, P:58, R: 18, 98% Spo2. Pt no LOC during assessment and while being monitored. Pt denies any known medical history and no current medications. NKDA per patient. 1130: BP retaken showing 102/70, P:72, Sp02: 98% R;18. No change in pt mental status A&O x4. 1145 last set of vital signs taken, pt ambulated prior to vital sign, denies any dizziness. BP: 118/70 P: 60, R:18, Sp02 98% RA. Pt advised he was feeling back to baseline prior to vaccine administration. Pt was monitored for 30 minutes, pt released home.

Other Meds: Ibuprofen & Advil PRN

Current Illness: Generalized anxiety

ID: 1181797
Sex: F
Age: 50
State: MN

Vax Date: 04/06/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Moderna dose 2 administered on 4/6/21. Colonoscopy was done on 4/7/21. Woke up this morning (7/8/21) with a fever of 102.1 and a rash that looks like a 'really bad sunburn' all over her face, trunk, chest, and both arms. It itches all over. The rash was described as 'raised, but not like hives' because it doesn't look like a bee sting. She said it is typical for her to have a viral rash when she has high temps. She also woke up with diarrhea today. She doesn't know if this is related to the colonoscopy yesterday or if it's from the vaccine. I encouraged her to call her clinic for guidance, as the fever could be associated with infection after a colonoscopy, but it also might be a normal reaction to the vaccine.

Other Meds:

Current Illness:

ID: 1181798
Sex: F
Age: 62
State: IN

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List:

Symptoms: Began with muscles in legs aching, then a headache, body aches, feeling of being sick, chills. Started feeling better two days after shot, but still weak.

Other Meds: none

Current Illness: none

ID: 1181799
Sex: F
Age: 29
State: CA

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

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

Lab Data:

Allergies: cinnamon

Symptom List:

Symptoms: Two days after Pfizer COVID-19 vaccine at vaccine clinic patient presents to hospital with HA, mild, dry cough, dry throat, and fatigue for three days. SARS-Co-V positive. Managed as an outpatient with OTC medications and improving symptoms on follow-up video visit one week later.

Other Meds: none

Current Illness: none

ID: 1181800
Sex: F
Age: 51
State:

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs - unknown

Symptom List:

Symptoms: Patient called ADR line on 4.8.21 and reports that 6 hours after her second Moderna vaccination that she experienced, body swelling (including facial swelling), nausea, fever, chills, and some difficulty breathing. Patient states that her friend called a local ER for her and was told to take OTC meds at home, Patient missed work on 4.7 and began feeling better the morning of 4.8. The patient states that she does not have any other remaining symptoms other than fatigue at this point.

Other Meds:

Current Illness:

ID: 1181801
Sex: M
Age: 56
State: IL

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

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

Lab Data:

Allergies: no known allergies

Symptom List:

Symptoms: Clammy skin, thready pulse, shaky, and anxious

Other Meds: Atavan,, Xanax, Clonopin

Current Illness: denies

ID: 1181802
Sex: F
Age: 50
State: HI

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: None known of

Symptom List:

Symptoms: On both shots I have a taste of metallic in my mouth. It was like this bizarre metallic taste as soon as I was injected with the vaccine the second one was more prominent and lasted a little longer. I felt nauseous when I got home

Other Meds: Merhezomole for thyroid Spriurlina Ecenatia

Current Illness: I received my first Pfizer on st. Patty's Day 2021. And my second 04/07/2021. When I first got the injection I immediately tasted a metallic taste on my lips. On the second one I noticed it even more prominent and it lasted for a few hours. I also felt nauseous when I got home

ID: 1181803
Sex: F
Age: 40
State: SD

Vax Date: 12/01/2020
Onset Date: 03/30/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 12/01/2020 Pfizer Covid vaccine Lot # EH9899 01/18/2021 Pfizer Covid vaccine Lot #El3246 3/30/2021 Asymptomatic, LTC POC Antigen positive covid 04/10/2021 returned to work

Other Meds: None

Current Illness: None

ID: 1181804
Sex: M
Age: 58
State: WA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient had Covid in late November/early December. Same side effects as then. Severe migraine like stabbing headache, fever, chills , body ache and nausea.

Other Meds: One tylenol prior to vaccination. One pill of Aciphex at 7;00am.

Current Illness: None

ID: 1181805
Sex: M
Age: 36
State: OH

Vax Date: 03/27/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Bruising and rash at and near the injection site. Bruising occurred day after, rash developed around 10 days after.

Other Meds: Amlodipine Besylate - 10mg once daily Omeprazole OTC as needed DrySol as needed

Current Illness: None

ID: 1181806
Sex: M
Age: 42
State:

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Twenty minutes after injection patient reported tingling to left arm and back. Faint pale pink macular rash to left forearm. VSS. No reported distress. Within 20 min patient reported decreased tingling. Faint rash remained. D/C'd home.

Other Meds:

Current Illness:

ID: 1181807
Sex: M
Age: 23
State: NC

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Headache, body aches, fever, vomit and nausea, fatigue, sinus pressure. Treatment: extra strength tylenol, sleep, fluids (water/Gatorade)

Other Meds: None

Current Illness: None

ID: 1181808
Sex: M
Age: 33
State: NY

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Hypotension 89/61, tachycardia, fever over 102 F, diaphoresis, diarrhea all for over 36 hours.

Other Meds: Invokanmet 150/1000, Lisinopril 20

Current Illness: None

ID: 1181809
Sex: F
Age: 46
State: MO

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt said "heart feels like it is racing more than usual and I feel like I am going to pass-out". Instructed pt to take mask off. Gave her water and had her open her windows for fresh air and to cool her down. She started feeling better after doing those thing. She did call her cardiologist and he instructed her to go to the ER. She did not want to be transported by EMS, so she called a friend to come get. Called PT on 4/8/2021 to see how she was doing and she reported that she was feeling much better, but that her cardiologist wants her to be cardioverted before her next dose.

Other Meds:

Current Illness: Currently in Aflutter

ID: 1181810
Sex: F
Age: 81
State: OK

Vax Date: 03/22/2021
Onset Date: 03/24/2021
Rec V Date: 04/08/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Caused Rhabdomyolysis

Other Meds: Statin Lasix Ropinire Lexapro Furosemide Metformin

Current Illness: Allergies

ID: 1181811
Sex: F
Age: 39
State: MI

Vax Date: 04/01/2021
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Sneezed a few times over the weekend-typical sign of a cold coming). Then got runny nose, nasal drainage, scratchy throat. Taking claritin already for allergies, and added a decongestent and flonase. Started Monday, April 5 in the morning, noticed when I first got up. It is clearing up and getting better. Also had a very sore arm the following day, but was fine after that.

Other Meds: Claritin, prozac, wellbutrin, spironolactone, vit d, hydro (anti-histamine)

Current Illness: none

ID: 1181812
Sex: F
Age: 68
State: PA

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Statins

Symptom List:

Symptoms: On 03/06/2021, Severe Left groin, thigh and knee pain, numbness in left shin at around 11:30 pm. I went to ER around 6am on3/7/2021. I was treated with dilaudid iv for pain.

Other Meds: Atenolol, Zetia, zoloft, vit. D3, fish oil, ibuprofen, aspirin, probiotic

Current Illness: None

ID: 1181813
Sex: F
Age: 47
State: NY

Vax Date: 04/01/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Hot, swollen and red around injection site, arm sore

Other Meds: None

Current Illness: None

ID: 1181814
Sex: F
Age: 31
State: GA

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: I had just had my period on 02/22/21 (first day of the cycle) and then received the first dose of the vaccine the following week (on 03/04/21). I had a slight period the day after (03/05/21) which lasted about 3 days. I thought it was just a coincidence and didn't think much of it. The same issue happened after I got the second dose on 03/26/21; I got my period again. My period is usually normal (every 27-31 days), so it was definitely strange to me that my period came so soon and both times were immediately the day after the shot. It was just a normal period with no blood clots or anything abnormal, but I do feel like it's an adverse reaction of my body to the vaccine.

Other Meds: Choline supplement, Fish oil, Post-natal vitamin, Vitamin D, Glucosamine, stool softener, calcium supplement

Current Illness: N/A

ID: 1181815
Sex: F
Age: 43
State: VA

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Menstrual period started the day after my vaccination, and it wouldn't stop. I experienced heavy, continuous bleeding for 26 days before I was able to see my OB/GYN and get a prescription to try to stop the bleeding. I had never experienced anything like this previously.

Other Meds: None

Current Illness: None

ID: 1181816
Sex: F
Age: 29
State: CA

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

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

Lab Data:

Allergies: cinnamon

Symptom List:

Symptoms: Patient is a 29 y.o. female who received the Covid-19 Vaccine, 100 mcg/0.5 mL IM Susp, Lot 026B21A on 4/8/2021. The patient experienced the following reaction(s) during the immediate of observation: 12:13pm Patient vaccinated. 12:35pm Patient c/o nausea and feeling flushed during observation period. Patient taken to treatment area. Patient was treated/managed as follows: 12:36pm VS BP 114/86, HR 81, RR 18, O2 sat 96% on room air. Patient reports not having anything to eat or drink. Water provided. Patient given educational material regarding vaccine and advised to continue to self-monitor per the agency guidance. 12:48pm VS BP 110/78, HR 73, RR 18, O2 sat 97% on room air. Patient reports symptoms resolving. 12:52pm Patient escorted to car by significant other and RN.

Other Meds: none

Current Illness: none

ID: 1181817
Sex: F
Age: 46
State: FL

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: The fast after I received my dose, the symptoms began with slight nausea, then I got chills. Started aching in joints and was exhausted. Slept on-and-off the whole day, fever got up to 102.5. Took tylenol that night. Woke up achy, was still exhausted, slept almost all day. Third day only minor aches, tired but able to function a few hours at a time.

Other Meds: Flonase

Current Illness: None

ID: 1181818
Sex: M
Age: 28
State: MI

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever, Cold Sweats, Chills, Shivering, Whole Body Ache, Headache. Onset about 8-10 hours after vaccine dose. Back to full health in about 48 hours.

Other Meds:

Current Illness:

ID: 1181819
Sex: F
Age: 66
State:

Vax Date: 04/06/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Left axillary swelling 2 days post injection

Other Meds:

Current Illness:

ID: 1181820
Sex: F
Age: 23
State: NY

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Hydrocodone. Bees.

Symptom List:

Symptoms: Painful injection. Localized pain around injection site and general arm soreness. Soreness did not extend beyond arm. Headache morning after. Neck soreness morning after. Heavy fatigue and sluggishness.

Other Meds: women's organic multi-vitamin. Birth control (Junel Fe 1.5/30). Flonase once daily. Generic Claritin once daily. Visine eye drops for allergies. Pataday eye drops for allergies.

Current Illness: Allergies (if those count as illnesses). No other illnesses.

ID: 1181821
Sex: F
Age: 47
State: TX

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: penicillin; sulpha drugs; cephalosporin; strawberries

Symptom List:

Symptoms: I had a goose egg on the left arm at the site of the injection. It went away after 24 hours. 1/24/2021 - ringing in my right ear high pitched ringing at 06:00 pm. Never experienced it before. I took OTC allergy medication, and it didn't go away. I saw Dr. 1/27/2021 and the Dr. did not find any fluid or anything wrong, but she gave me- antibiotic and drops Cipro. Those did not help with the ringing. About 2 weeks later, the ringing had not gone away after finishing the meds. At this appt, doctor recommended I go to an ENT. February 17th or so I saw Dr. I met with an audiologist that did a hearing test. And they confirmed that in my right ear that I had mild hearing loss associated with Tinnitus. Then when I saw the ENT, he did a complete exam didn't find an infection or fluids or anything in my outer ear that would create tinnitus. He ordered an MRI. Had the MRI done the last week of February. I still have the ringing it never stops. No other treatment after initial treatment from first Dr appt. I did have the second vaccine - 2/25/2021.

Other Meds: Lexapro; Zyrtec

Current Illness: no

ID: 1181822
Sex: F
Age: 27
State: KY

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Injection arm numb/tingly down outside of arm and into hand on side of pinky. Feels weak and numb as if coming out of being numbed.

Other Meds: Hydroxyzine 10mg; celebs 40mg;Wellbutrin 10mg

Current Illness: None

ID: 1181823
Sex: F
Age: 91
State: TX

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

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

Lab Data:

Allergies: Allergy: Penicillin. Bad reactions to: Prednisone, Percocet, multiple NSAIDs

Symptom List:

Symptoms: 3 hours after injection patient had tremendous amount of GI GAS, very odd oder (smell). Buildup of gas came suddenly and was unstoppable. Patient feels better after release of gas and cleanup of bowel movement.

Other Meds: Torsemide, Tramadol, Senna Plus, Tylenol, Adalat, Coreg, Nitroglycerin patch, Lidocaine 5% patch, Miralax, AREDS 2-PreserVision, Krill Oil, OsteoByFlex

Current Illness: None.

ID: 1181824
Sex: F
Age: 0
State: FL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: fatigue, fever, congestion

Other Meds:

Current Illness:

ID: 1181825
Sex: F
Age: 48
State: AZ

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: AMOXICILLIN

Symptom List:

Symptoms: Bilateral knee joint pain

Other Meds: None

Current Illness: None

ID: 1181826
Sex: M
Age: 57
State: CA

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 04/08/2021
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Allergies: No

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Symptoms: Next day my face was swollen- no treatment 3 days after vaccination my left shoulder ligament tear during normal use of my arm. - Pain medications Symptoms - joint pain.

Other Meds: N/A

Current Illness: No

ID: 1181827
Sex: F
Age: 50
State: SD

Vax Date: 12/22/2020
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
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Symptoms: 12/22/2020 Covid vaccine Pfizer Lot#EK9231 01/12/2021 Covid vaccine Pfizer Lot#EL3249 04/02/2021 Covid exposure to boyfriend 04/05/2020 ill "head cold" 04/06/2021 Tested positive for covid with PCR test 04/16/2020 Potential to RTW

Other Meds: Flonase, Tylenol PM

Current Illness: None

ID: 1181828
Sex: M
Age: 12
State: AR

Vax Date: 04/02/2021
Onset Date: 04/04/2021
Rec V Date: 04/08/2021
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Allergies: not known

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Symptoms: Patient was given vaccine at Community Outreach event on 04/2/21. Mother was contacted on 4/6/21 concerning incomplete name on her consent. She advised that her son received the covvid vaccine and had gone to the ER on 4/6/21 with a swollen tongue. She stated that he was treated with Tylenol and Benadryl and released to come home that day. Spoke with mom on 4/7/21 and she stated that the patient was stable and his entire tongue was not swollen just a small area. She denied any issues with his airway or breathing from time of vaccine to time of follow up call.

Other Meds: not know

Current Illness: not known

ID: 1181830
Sex: F
Age: 19
State: CA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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Allergies: None

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Symptoms: Patient was ambulating to waiting area chair and became weak. Patient was assisted to floor with nurses help. Eyes closed and was responsive with sternal rub to upper chest wall. Respiratory rate even, unlabored. Patient opened eyes and started talking. Alert and oriented x 3. Skin color grayish white with lips white. Water was given. Vitals obtained with BP 92/58, HR 64, 100% O2 on RA. Placed in wheelchair and pushed to private area. Patient refused for EMS to assist. Denies pain. No acute distress noted. Patient left vaccine site with no further incident.

Other Meds: Plaquenil

Current Illness: None

ID: 1181831
Sex: F
Age: 82
State: IL

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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Allergies: Sulfa

Symptom List:

Symptoms: Light headed

Other Meds: Lyrica, BP, Thyroid

Current Illness: None

ID: 1181832
Sex: F
Age: 71
State: MA

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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Symptoms: Severe exhaustion and diarrhea

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Current Illness:

ID: 1181833
Sex: F
Age: 50
State: CA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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Allergies: None

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Symptoms: First felt super cold especially feet then super hot and bottoms of feet were burning. Had low grade fever 99.9 took Tylenol now much better but very hungry in the middle of the night

Other Meds: Multivitamin, calcium with D3, and probiotics

Current Illness: None

ID: 1181834
Sex: M
Age: 57
State: CA

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
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Allergies: None.

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Symptoms: First 4 hours post injection no serious side effects, slight headache was settling in. At approx. 8PM (7 hours after shot) I had fairly a severe reaction of horror for the next 16 hours - all night long. Heart racing/energy beyond, deep chills and severe whole body shaking to the point of my back going out (dont' have a bad back), fever, migraine headache so bad (i dont get headaches) and body aches from a horror movie. I'm a jock, run daily, healthy, no smoke, drink or drugs. This lasted all night long well into the morning. At 3Am i considered going to the ER, but didnt. By 2pm the following day most of it went away. Two days later (today) i am dizzy, heart feels fast or racing, naseuous earlier , and exhausted. I can deal with it now, but it's very uncomfortable. Frankly, I regret getting the vaccine, wish i had not. I had covid last March, it was no big deal beyond what a flu would have done...with some shortness of breath on and off for a few months. The reaction to the vaccine is viccious compared to covid itself (for me, just my experience). Hope this all stops and goes away. Thank you for your work!

Other Meds: None.

Current Illness: None. Healthy, no illnesses.

ID: 1181835
Sex: F
Age:
State: OH

Vax Date: 03/27/2021
Onset Date: 03/30/2021
Rec V Date: 04/08/2021
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Allergies: Cipro sulfa naproxen

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Symptoms: Hives on tongue and rash on arms Day 3 took benadryl 25mg. Hives resolved

Other Meds: Lamictal synthroid vit.c vitamin d3 calcium Probiotic

Current Illness: None

ID: 1181836
Sex: F
Age: 62
State: MO

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
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Allergies: Ceclor

Symptom List:

Symptoms: Near-death flu symptoms: Nausea, headache, aches, chills, fever, lethargy.

Other Meds: Multi-vitamin; fish oil; cranberry; calcium; osphena

Current Illness: None

ID: 1181837
Sex: M
Age: 52
State: OR

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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Allergies: none

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Symptoms: Janssen covid-19 vaccine EUA shot @ 9:30 am left arm & left leg sore chills in-between 5-10:pm fever & severe body aches in-between 10:pm & 2:am ( couldn't even sit up to drink water ) finally got out of bed noon the next day

Other Meds: none

Current Illness: none

ID: 1181838
Sex: F
Age: 33
State: CT

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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Symptoms: On 4/8/21 Physician was administering Covid-19 vaccines at our clinic in the lawn and garden center. She had a patient who was there to receive her first dose of the vaccine. After the vaccine was administered, she was okay and went to sit in the waiting area. Shortly later she came back up to the pharmacist table and reported feeling dizzy, lightheaded and nauseous. Physician then told the patient to sit right by her so she could keep a better eye on her. The patient said she was okay and then suddenly she passed out. Physician was able to catch her as she was falling out of the chair and was able to lay her down on the floor. She may have bumped her head slightly on the ground during this process. Physician then reports that the patient's breathing sounded labored, and the patient was not conscious. At that point Emergency department was called. Physician removed the patients mask and was preparing to administer an EpiPen due to the labored breathing but then the patient regained consciousness. The Emergency operator advised her to keep the patient on the ground until EMS arrived on scene. Patient was conscious and okay on the ground. EMS then came and took care of the patient. It was deemed that the patient gets lightheaded when she gets bloodwork done usually and believes this may have been an anxiety event. She did not want to go to the hospital. She felt a bit dizzy once she was sitting back upright and EMS approved the patient drinking some water. This seemed to help, and the patients color came back. The patient sat with Physician for a while and then felt back to normal and left on her own accord.

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ID: 1181839
Sex: F
Age: 69
State: ME

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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Allergies: None

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Symptoms: Patient reported history of adverse reaction to Flu Vaccine in the past and now reporting Shortness of Breath post 15 mins after vaccine administration. Patient transported to local ER for further evaluation.

Other Meds: HTN Meds and High Cholesterol Meds

Current Illness: None

ID: 1181840
Sex: F
Age: 47
State: CT

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 04/08/2021
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Allergies: Mango cephalexin

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Symptoms: After shot administered, began to feel a ball in my throat that stayed for hours after my vaccination. I suffered from dry throat and mouth for the next 2 weeks. I was producing very little saliva.

Other Meds: none

Current Illness: None

ID: 1181841
Sex: M
Age: 40
State: FL

Vax Date: 04/03/2021
Onset Date: 04/04/2021
Rec V Date: 04/08/2021
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Allergies: no

Symptom List:

Symptoms: swelling underneath left arm pit

Other Meds: One A Day Men vitamin supplement, B12, and vitamin D supplements

Current Illness: no

ID: 1181842
Sex: F
Age: 25
State: PA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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Allergies: pollen

Symptom List:

Symptoms: few minutes after injection, patient felt heart racing, throat tight, felt dizzy and warm, headache on and off, hr on watch said 115, brought to obs, 1453 bp 191/108 hr 86 rr 18 sats 99% ra. 1457 bp 169/106 hr 100 rr 20 sats 99% on ra, states feeling better after resting. vs repeated and around same every few minutes, discussed ems transporting patient to ed for further eval, patient agreeable. upon ems transport at 1525, bp 152/96 hr 85 rr 20 sats 99% on ra. report provided to ems and patient taken to hospital.

Other Meds: levothyroxine, depo, claritin, zyrtec

Current Illness: na

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm