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: 1186165
Sex: F
Age: 24
State: VA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient reported chest tightness/warmth within 15 minutes of vaccination. Patient was transported to ER by EMS.

Other Meds:

Current Illness:

ID: 1186166
Sex: F
Age: 63
State: OH

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Pt experienced vasovagal syncope within 15 minutes of vaccination. Supportive care provided and pt recovered without incidence.

Other Meds:

Current Illness:

ID: 1186167
Sex: F
Age: 61
State: NJ

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

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

Lab Data:

Allergies: Sulfa drugs

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

Symptoms: The day after the shot: Fatigue, shortness of breath, pain at injection site, dizziness, foggy brain.

Other Meds: Multi-vitamin

Current Illness: Nione

ID: 1186168
Sex: M
Age: 73
State: WI

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient reports dizziness lasting many days after vaccination

Other Meds:

Current Illness:

ID: 1186169
Sex: M
Age: 68
State: MA

Vax Date: 03/13/2021
Onset Date: 04/05/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Admitted to Hospital after episode of Syncope.

Other Meds: Metoprolol Succ. 100mg / day Lisinopril 20mg HCTZ 12.5 mg Atorvastatin 20 mg Aspirin 81 mg

Current Illness: none

ID: 1186170
Sex: F
Age: 67
State: AL

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Gluten, commercial eggs

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

Symptoms: nausea, body aches & pains, fever, fatigue, dizziness. Spent 2 days flat in bed, severe headache. fever, body aches, nausea. Ate only dry toast & soup. By 3rd day fever left and I felt ok at first but after breakfast I became very nauseated. On 4th day I felt fair, went to Easter service, but throat was dry and shortness of breath, nausea, 1/2 day in bed, On 5th day, I called my primary care Dr. My tongue was white and throat very dry. I could hardly swallow. Still short of breath. He prescribed a mouthwash of Nystatin. It has helped some but I still am nauseated, short of breath and easily fatigued. Today, day 9, I am back in bed, dizzy and fatigued, nauseated and short of breath. I thought I'd be better by now. First shot my arm bruised badly plus red and sore, but otherwise I felt okay.

Other Meds: No prescriptions. Daily vitamin dose: B-complex, B5, C, D3, krill oil, tumeric, Ca-Mg, K2, mineral complex, digestive enzymes with meals.

Current Illness: none

ID: 1186171
Sex: F
Age: 54
State: IN

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: body aches and fever reaching 100.8 - lasted 8 hours - came and went suddenly

Other Meds: none

Current Illness: none

ID: 1186172
Sex: F
Age: 37
State: MA

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

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

Lab Data:

Allergies: Avacados, pet dander and hazel nut.

Symptom List: Pharyngeal swelling

Symptoms: about 2 hours after the vaccine the patient complained of a burning feeling, itchy and tattoo became discolored. Patient has had the tattoo for 2 years.

Other Meds: Keppra, Diabetic medications, Effexor, Requip

Current Illness: no

ID: 1186173
Sex: F
Age: 47
State: CO

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Amoxicillin, Levaquin, Darvacet, Arava,

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Fainted, blacked out, for maybe a few seconds - I was alone. Whooshing in my ears, dizziness lasted appx. 15-20 minutes. I didn?t think it was a big deal, but it was unusual for me to faint. I haven?t fainted since I moved in 1985 because of altitude. I also had moderate body aches different from my fibromyalgia or RA symptoms. This all happened about 25 hours after I received the Johnson Johnson vaccine. I didn?t think to report it until I read the news. I am fine now and don?t need any help.

Other Meds: Rinvoq, Oxycodone, Ibuprofen, Baclofen, Gabapentin, Alprazolam, Escitalopram, Bupropion HCL XL, Levothyroxine, Tacrolimus Ointment, Triamcinolone Acetonide Cream USP 0.1%, Hydroxyzine, Ondansetron HCL, Omeprazol DR, Triamcinolone Acetonide

Current Illness: Rheumatoid Arthritis, Fibromyalgia, Depression,

ID: 1186174
Sex: F
Age: 38
State: MO

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: sulfa drugs

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Vaccine administered in left arm. Pain spread down left arm into middle 3 fingers at 10 minutes. Pain spreading up to left shoulder at 10 minutes. Told I could leave facility at 15 minutes. Tingling and facial tingling starting at left jaw line and spreading up to left sinus cavity then around left eye and back to left ear at 30 minutes. Tightness, tingling and discomfort described above lasted 48 hours. Tightness and Tingling turned into swelling, numbness and drooping all on the left side of the face and left side of tongue at 48 hours post dose. Medical attention sought at advice of PCP at Urgent Care at 50 hours post dose. Diagnosos: Bell's Palsey Treatment: Steroid and antiviral, plus home care. Return or go to ER if symptoms worsen. Referral to neurologist, if needed.

Other Meds: once a day multivitamin

Current Illness:

ID: 1186175
Sex: F
Age: 56
State: NC

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

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

Lab Data:

Allergies: Iodine

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

Symptoms: U/A found EMS with 56 yo F seated in stationary vehicle, CAO x 4, c/o N/V and dizziness approx 10 mins after receiving her Covid vaccine (Johnson & Johnson). Paramedic advised that pt had initial BP of 90 mmHG systolic, 12 lead showed sinus rhythm w/o ectopy, and that he attempted ODT zofran w/o success due to pt's vomiting, all prior to EMS arrival. Pt. denied CP, abd pain, diarrhea, fever, cough, HA, syncope, neck or back pain. Pt. stated she felt SOB immediately after vomiting. All assessments/interventions as noted in rest of ePCR. GCS= 15, skin pink, warm, diaphoretic. No obvious signs of trauma. Pt. assisted from vehicle to stretcher, secured w/ straps. VS taken, WNL. Abd. soft, non-tender to palpation. Cardiac monitor showed sinus rhythm, rate of 60 bpm. Pt. actively vomited x 3 while IV access attempted and established. Pt. given 4 mg zofran IV w/ improvement in N/V. Pt requested transport for further evaluation. During transport, pt's VS remained WNL, and pt stated she was feeling better, that dizziness and nausea had stopped. Noted occasional unifocal PVC on 4 lead as well as increase of HR to 124 bpm for approx. 3 seconds during transport, then returning to baseline of sinus rhythm or sinus brady. Pt. stated she normally had a low HR and BP, and had felt palpitations in the past, but no episodes of palpitations today, including during transport. Pt. transported COLD traffic to where pt care, 12 lead, and report were transferred to RN in triage w/o incident.

Other Meds: Levothyroxine, Lexapro

Current Illness:

ID: 1186176
Sex: F
Age: 34
State: IN

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Large, raised bump that lasted 11 days at injection site. Very sore, some days itchy. Did develop a small red ring around the bump, but did not show every single day,

Other Meds: None

Current Illness: None

ID: 1186177
Sex: M
Age: 72
State: CT

Vax Date: 03/01/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: milk, penicilli g benzathine

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

Symptoms: Patient reported severe pain on the right side of his body and radiating down his leg starting 1 week after administration of the vaccine. After the second dose it got much worse.

Other Meds: atorvastatin, entresto, brilinta, metoprolol, centrum adult tab, metformin

Current Illness: n/a

ID: 1186178
Sex: F
Age: 18
State: GA

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

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

Lab Data:

Allergies: Bactrim allergy

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

Symptoms: PATIENT HAD SEIZURE IN LESS THAN ONE MINUTE AFTER RECEIVING THIRD IMMUNIZATION. IMMUNIZATIONS GIVEN IN THIS ORDER - MENACTRA, TRUEMBA, GARDASIL

Other Meds: NONE

Current Illness: NONE

ID: 1186179
Sex: F
Age: 49
State:

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

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

Lab Data:

Allergies: latex zithromax PCN Sulfa

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

Symptoms: Patient reports burning in chest, arm pain, headache, chills that have lasted 3 days after vaccine. Also with diarrhea

Other Meds: Cetirizine

Current Illness: None

ID: 1186180
Sex: F
Age: 39
State: TN

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: sulfa drugs

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

Symptoms: Moderna COVID-19 Vaccine adverse events: low-grade fever, chills, headache, fatigue, muscle weakness, malaise, runny nose, exhaustion, joint pain treatment: ibuprofen, acetaminophen, long periods of rest, fluids outcomes: resolved on it's own after about 36 hours.

Other Meds: sertraline, levothyroxine, vitamin D, magnesium supplement

Current Illness: none

ID: 1186181
Sex: F
Age: 33
State: FL

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/09/2021
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: 3/29 11pm: severe chills, body aches began 3/30 3am: ** syncopal episode, loss of consciousness, ground level fall - pt ambulated to bathroom independently, became dizzy, lost consciousness, fell to the ground, total loss of consciousness approx 30 seconds, aroused easily by family member 3/30 continued all day - chills, body aches, fatigue, nausea, headache, dizziness, "brain fog", overall malaise and weakness, ** 1:00pm another syncopal episode and loss of consciousness 3/31 and 4/1 continued fatigue, overall malaise weakness, dizziness, brain fog 4/2 no symptoms 4/3 symptoms recur - significant fatigue, malaise, generalized weakness, nausea, brain fog 4/4 no symptoms

Other Meds: ProAir and Pulmicort - asthma inhalers Levothyroxine - thyroid medication

Current Illness:

ID: 1186182
Sex: F
Age: 43
State: NC

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

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Approximately 13 hours after receiving the vaccine, I woke up in the night with nausea, chills, fever, spinal pain, joint and bone pain, and the worst headache of my life that I could feel in my brain stem and spinal cord. I also experienced confusion and difficulty walking to the bathroom. The headache was not relieved by OTC pain relievers. I had difficulty sleeping and felt restless. I felt the fever ?break? around 5am with profuse sweating. I had to miss work today (I am a nurse myself who was actually working at the clinic when I received my vaccine). It is now 3pm and after taking a sleep aid and sleeping all day, I do feel better, but the headache remains. I had H1N1 about 10 years ago and aside from that, this is probably the sickest I?ve ever been and it is, with certainty, due to the Covid vaccine.

Other Meds: Synthroid Zoloft

Current Illness: None

ID: 1186183
Sex: M
Age: 57
State: TN

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient waited 15 minutes after vaccination in drug store afternoon of 4/2/21, then departed. Headache began shortly after leaving. He returned to work, and began feeling fatigued, light-headed, and nauseous. His right arm was swollen and "solid" from the elbow up. He proceeded to emergency department. Blood pressure was 198/118. Emergency department staff drew labs, and said he was dehydrated, hypocalcemic and hypokalemic. Patient had also forgotten to take his blood pressure medication that morning. Reports no dyspnea or rash. He said he felt fine Monday 4/ 5/21 afternoon.

Other Meds: Amlodipine, tramadol routinely; sulindac when needed.

Current Illness: None known

ID: 1186184
Sex: F
Age: 43
State: MI

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: SHELLFISH

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

Symptoms: SHE COMPLAINED OF DIFFICULTY SWALLOWING AFTER THE VACCINE. ON SITE EMS RESPONDED AND VITALS ARE BELOW. DIPHENHYDRAMINE 25MG GIVEN. VITALS LISTED BELOW. SHE HAS EPI PEN AT HOME DUE TO SHELLFISH ALLERGY. SHE WAS RELEASED TO HOME

Other Meds:

Current Illness:

ID: 1186185
Sex: F
Age: 52
State: WA

Vax Date: 03/31/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Grass pollen, yeast, mold, hazelnuts, avocado

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

Symptoms: Itchy and warm red area around the injection site. I also had fatigue the day after vaccination.

Other Meds: Hydroxyzine 25mg, turmeric, vit D, Rauwolfia + hawthorn, CoQ10, methylated folate +B vitamins

Current Illness: None

ID: 1186186
Sex: M
Age: 36
State: OH

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Pt experienced vasovagal syncope within 15 minutes of vaccination. Supportive care provided and pt recovered without incidence.

Other Meds:

Current Illness:

ID: 1186187
Sex: F
Age: 38
State: OH

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Severe chills, severe muscle aches, and low grade fever about 8 hours after. Severe headache the next morning. Chills, fever and muscle aches 2nd night.

Other Meds: Aspirin 81mg daily, Spironolactone 50mg daily

Current Illness: None

ID: 1186188
Sex: M
Age: 56
State: MA

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

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

Lab Data:

Allergies: None.

Symptom List: Injection site pain, Pain

Symptoms: Immediate metallic taste in my mouth, other wise no other side effects.

Other Meds: Flonase, Zyrtec

Current Illness: None.

ID: 1186189
Sex: F
Age: 51
State: WV

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

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

Lab Data:

Allergies: n/a

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient called office on 4/9/21 approximately 1430 complaining of chest pain. Patient states that she had some mild chest pain after her first COVID-19 vaccine in March, which lasted 30 minutes, then went away and she was fine. She states that 30 minutes after the vaccine today, approximately 1100, she began having chest pain in the middle part of her chest. She also states she has had shortness of breath, more than her normal. The chest pain has continued for several hours and not let up, worse when up and moving around, as well as the shortness of breath. Denies any other symptom. Patient states she also does have anxiety, which she attributed the chest pain after the first vaccine to. Advised patient that she should call the squad to get to the ER asap. Pt. agrees.

Other Meds: thyroid med, metoprolol, eloquis, Vitamin C, Vitamin D, multivitamin, reflux med

Current Illness: n/a

ID: 1186190
Sex: F
Age: 57
State: GA

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Non

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

Symptoms: Jansen Covid 19 vaccine Headache increased in intensity by midnight got worse with no relief through the night with Tylenol or ibuprofen. Fever of 100 and chills. Extreme tiredness through Thursday with nausea and diarrhea. Fever has subsided on Friday still have extreme tiredness and dizziness . I tested positive for Covid 19 on 1/14/21

Other Meds: Unithroid 50mg, triamterene hctz 37.5-25 Estroven supplement Probiotic

Current Illness: None

ID: 1186191
Sex: M
Age: 60
State: OR

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

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: No adverse reaction. Patient received a small increase in the recommended dosage.

Other Meds:

Current Illness:

ID: 1186192
Sex: F
Age: 28
State: CA

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

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

Lab Data:

Allergies: penicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: FAINTING REACTION SYNCOPE - PATEINT REPORTS OF PREVIOUS HISTORY OF FAINTING REACTION TO NEEDLE PRICKS IN THE PAST. PATIENT WAS STABLE ABD MONITORED FOR MORE THAN 30 MINUTS

Other Meds: n/a

Current Illness: none

ID: 1186193
Sex: M
Age: 18
State: VA

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: Headache, Light headed and dizzy

Other Meds: n/a

Current Illness: n/a

ID: 1186194
Sex: F
Age: 20
State: OK

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

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

Lab Data:

Allergies: PCN/Keflex - anaphylaxis

Symptom List: Nausea

Symptoms: Throat/tongue swelling/ difficulty swallowing. Refused epi. Called for EMS - transported to ER

Other Meds: Unknown

Current Illness: None

ID: 1186195
Sex: F
Age: 52
State: CO

Vax Date: 03/24/2021
Onset Date: 04/06/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain

Symptoms: One large raised bump on left arm - about 2inches diameter. One smaller raised bump about 1" diameter. Red, painful like a bruise - not itchy. Not sure if either bump is directly on the injection spot, but in the general area of injection. Noticed it on April 6th. The one larger bump has increased in radius. It has been 3 days so far. Pain is not as bad as day one. No treatment except advil for pain.

Other Meds: Imitrex Premarin Crestor Culturelle Probiotic MultiVitamin for Women Season allergy nasal spray (Flonase?)

Current Illness: none

ID: 1186196
Sex: M
Age: 73
State: TX

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 04/09/2021
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Allergies: Penicillen

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

Symptoms: fever and associate shivering day after the injection. Sever incapacitating muscle spasm in left leg two days after ijection . Three weeks later second muscle spasm but not as sever. Discomfort in leg prsisted and diagnosed through ultra sound blood clot in left leg.

Other Meds:

Current Illness:

ID: 1186197
Sex: F
Age: 71
State: OR

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 04/09/2021
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Allergies: Hayfever tree allergies

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

Symptoms: second vaccine was at 10:30AM on 3/29/21. I experienced increased frequency of ocular migraines (Kaleidoscopic irregular frame in field of vision that starts small and increases in size till it disappears over 15-30 minutes. That is followed by a mild headache and mild disorientation. This has been the usual symptom of an ocular migraine for me. Difference was a big increase in frequency.) Ocular migraines occurred in PM of 3/2/21, AM on 3/3/21, AM and PM on 3/5/21, PM 3/6/21, PM 3/7/21, AM 3/11/21, PM 3/15/21, PM 3/19/21, and AM 3/20/21. I had one instance on an ocular migraine after the second Moderna dose on 4/1/21. I contacted both my PCP and Opthamologist on 3/8/21. Doctor followed up with me to find out whether the migraines were always occurring in the same field of my vision from instance to instance later in the week as well. I told him they seemed to be occurring in different spots including a perceived difference in which eye. Only treatment was to watch and see if it stayed as frequent or subsided in frequency. It seems to have resolved itself by today 4/9/21.

Other Meds: atorvastatin, HCTZ, lisinopril, MVI, vit D3 4000 IU, CoQ10 100 mg, generic Miralax, generic sugar free Metamucil, low dose enteric aspirin, loratadine, MgCitrate, alpha lipoic acid 200mg,

Current Illness: None

ID: 1186198
Sex: F
Age: 40
State: VA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 04/09/2021
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Allergies:

Symptom List: Tremor

Symptoms: Patient developed shaking (reported as seizure-like activity) and became non-responsive within 15 minutes of vaccination. IV started and patient was transported to ER by EMS.

Other Meds:

Current Illness:

ID: 1186199
Sex: F
Age: 18
State: IL

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
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Allergies: none

Symptom List: Erythema, Pruritus

Symptoms: none

Other Meds: none

Current Illness: none

ID: 1186200
Sex: F
Age: 53
State:

Vax Date: 01/20/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
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Allergies:

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

Symptoms: thyroiditis

Other Meds:

Current Illness:

ID: 1186201
Sex: F
Age: 42
State: ID

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
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Allergies:

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

Symptoms: Redness that is spreading out from the injection site. Feels hot to the touch, patient says can't have any clothing touching it or it is painful. Slightly swollen. Patient already contacted doctors office, informed patient to take some Benadryl and see if that helps.

Other Meds:

Current Illness:

ID: 1186202
Sex: M
Age: 67
State: NY

Vax Date: 03/04/2021
Onset Date: 03/13/2021
Rec V Date: 04/09/2021
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Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: On the above date and time previously stated,(nine days after first vaccination) I experienced diarrhea, nasal drip, gas symptoms in addition to the urge to defecate. Rectal discharge consist of loose stool and an odorless - clear mucus concentration minus any indication of blood. Frequent toilet visits consisted of 7 to 12 times in a 24 hour period. Bowel issues appeared to be improving during the week of March 28 through April 3rd. My original symptoms have since returned on 04/08/2021 (seven days after second vaccination). I have had no fever with exception to the day after second vaccination, no weight loss, no stomach pain, no fatigue and no change in diet since the onset of these symptoms.

Other Meds: Valsartan HCTZ, Tamsulosin, MegaRed Krill Oil, 1 A Day

Current Illness: None

ID: 1186203
Sex: F
Age: 61
State: MI

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
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Allergies: NO

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

Symptoms: Woke up at 5am, walked to kitchen, started sweating and then fainted. Other symptoms include swollen red arm up to her neck, swollen glands, and hard to turn neck.

Other Meds: TYLENOL, LISINOPRIL, METFORMIN, LOVASTATIN

Current Illness: NO

ID: 1186204
Sex: F
Age: 66
State: TN

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
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Allergies: Bananas, melons, grasses, trees, mold, cats

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

Symptoms: 3:30 local reaction of red swollen itchy baseball sized knot on left upper arm. Red swollen knot still there but itching gone. So fatigued can barely walk across room, pain in lungs. Currently feel the same

Other Meds: Metformin, hctz, sertraline, d3,zyrtec

Current Illness:

ID: 1186205
Sex: F
Age: 37
State: NC

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
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Symptom List: Pain in extremity

Symptoms: Pt was CAO x 4 upon EMS arrival. EMS 3 stated pt experienced a syncopal episode after getting her COVID vaccine. Pt had a brief LOC and was initially hypotensive. IV was initiated by EMS 3 and NS was started. VS were WNL upon EMS arrival. Pt skin was still pale and clammy during assessment. Pt stated this has happened in the past with shots and blood draws, however, she has never fully lost consciousness. Pt was still c/o dizziness. Pt requested transport to REX ER. Pt was on the cardiac monitor upon EMS 14 arrival and a sinus rhythm was noted. 12 lead revealed a sinus rhythm with no STEMI criteria met. Pt was able to stand and pivot onto the stretcher without incident. Pt secured via straps and loaded into the unit. Once in the unit, VS reassessed. NS was reduced to a KVO rate due to improvement in BP. Pt had received approx 200mL of NS at the time. Pt denied any chest pain, SOB, N/V, or abd pain. Pt only complaint was dizziness. Pt was initially very anxious and was coached through breathing techniques which improved her anxiety. EMS left en route to REX ER. Pt was monitored during transport with improvement in her condition. Pt skin color and condition improved and her VS remained WNL. Pt denied any complaints during transport other than dizziness which she reported was improving. EMS arrived at REX ER. Pt was taken into the ER triage area and was able to stand and pivot onto a wheel chair. NS DC'd, pt received approx 300mL total. Report given to the triage RN and care transferred to same.

Other Meds: Effexor

Current Illness:

ID: 1186206
Sex: F
Age: 59
State: FL

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/09/2021
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Allergies: sulfur,lipitor, bactrim,

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

Symptoms: fever 101.7, nausea, fatigue, chest pain, couldn't walk

Other Meds:

Current Illness:

ID: 1186207
Sex: F
Age: 44
State: MO

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 04/09/2021
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Allergies: sulfa

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

Symptoms: 1. Within first 15 minutes - burning at injection site; resting heart rate rapid/ increased and recorded by staff to 130's; trembling 2. 9-10 days after injection; swollen lymph node and discomfort in armpit of same arm where injection occurred

Other Meds: birth control pills, xanex

Current Illness: none

ID: 1186208
Sex: M
Age: 33
State: VA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
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Allergies: None

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

Symptoms: Soreness in arm getting progressively stronger until 11:00am. Mild headache throughout second day. General fatigue

Other Meds: None

Current Illness: None

ID: 1186209
Sex: M
Age: 52
State: CO

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
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Allergies: None

Symptom List: Vomiting

Symptoms: Pt received 2nd dose of COVID-19 vaccine. About 8-12 hours later pt develeopd vesicles/pustules near injection site. The maculopapular rash was a diameter of approximately 8 inches. Pt further reports other areas on his legs, and in the medial thigh which waxed and waned. Pt has had a 3 day history of facial swelling, and orbital edema. Further states nodules on trunk and groin area. Pt has taken diphenhydramine with minimal relief.

Other Meds: None

Current Illness: None

ID: 1186210
Sex: F
Age: 29
State: ME

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
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Allergies: No allergies

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient was sitting down and started to feel dizzy and her vision was starting to become blurry. She got up to let us know that she was having a reaction and fainted. She was awake immediately after she fell and said that she was experiencing the blurred vision still, extremely sweaty/hot flashes, and ringing in her ears. She drank some water and sat down for a little bit and started to feel better.

Other Meds:

Current Illness: None

ID: 1186211
Sex: F
Age: 33
State: TX

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
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Allergies:

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

Symptoms: patient started having chills and palpitation 10-15 minutes post vaccination, patient was given some water and her legs were elevated and she strated feeling better after 20-25 minutes. She waited in pharmacy area for 35 minutes and left once she felt normal/comfortable

Other Meds:

Current Illness:

ID: 1186212
Sex: M
Age: 31
State: KS

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
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Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I received the vaccine at 9:00am on Wednesday. By 5:00pm I had a severe fever, chills, fatigue, muscle aches and pains including my joints feeling like they were on fire, and the worst headache of my life. Today, Friday, I have no voice as it's made my voice very hoarse.

Other Meds: Omeprazole

Current Illness: None

ID: 1186213
Sex: F
Age: 50
State: TX

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
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Allergies: None reported

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

Symptoms: Patient reported she received Moderna vaccine for first dose. However, when her information was placed into immtracc, it was found that she had initially taken the BioNTech Pfizer Covid-19 vaccine. This was a mixed series event, that was found after administration of vaccine. Patient has not reported any adverse reactions.

Other Meds: N/A

Current Illness: N/A

ID: 1186214
Sex: M
Age: 68
State: PA

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 04/09/2021
Hospital:

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Allergies: No

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

Symptoms: We believe PT already had COVID when 1st dose received

Other Meds: No

Current Illness: No

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am