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
27,501
AK1,078
AL2,299
AR1,527
AS30
AZ7,172
CA27,477
CO5,233
CT3,611
DC664
DE725
FL14,873
FM3
GA5,931
GU48
HI998
IA2,236
ID1,240
IL8,867
IN13,730
KS2,258
KY3,001
LA2,041
MA6,495
MD5,599
ME1,451
MH5
MI7,974
MN5,437
MO4,357
MP10
MS1,171
MT1,248
NC7,162
ND643
NE1,443
NH1,511
NJ7,147
NM1,892
NV1,677
NY15,053
OH8,879
OK2,470
OR3,617
PA9,433
PR1,054
QM1
RI1,004
SC2,653
SD656
TN3,806
TX14,909
UT2,110
VA6,725
VI22
VT868
WA6,145
WI5,203
WV1,141
WY419
XB4
XL1
XV1

ID: 1191667
Sex: F
Age: 60
State: IL

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Reglan, Indocin

Symptom List:

Symptoms: Pt was vaccinated and then became dizzy. Pt rested on cot for a while and the symptoms resolved.

Other Meds: unk

Current Illness:

ID: 1191668
Sex: F
Age: 66
State:

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Localized severe bruising, swelling, redness, heat and drainage from injection site in left deltoid.

Other Meds:

Current Illness:

ID: 1191669
Sex: M
Age: 47
State: NY

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

Symptom List:

Symptoms: Mild fever, mild headache, mild muscle aches. Low energy. Nothing dangerous or life threatening.

Other Meds: Tadalafil

Current Illness:

ID: 1191670
Sex: F
Age: 21
State: AZ

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pale, dizziness, emesis, bradycardic

Other Meds:

Current Illness:

ID: 1191671
Sex: F
Age: 75
State:

Vax Date: 03/26/2021
Onset Date: 03/29/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: First pains started in my elbows, shoulders and ribs. About 1.30 pm. Then the pain went across my shoulders and up my neck into my head. This continued for several hours. I took paracetamol and water. I went to bed about 6.30 pm. Then I started with pains in my stomach, these continued until I went to the bathroom and had explosive diarrhoea and vomiting. I my vomit was dark green.. this continued at various intervals. My husband rang MI DOC. And described my symptoms to the doctor this was about midnight or so. They wanted me to go to them but I couldn?t leave the house because I was passing diarrhoea and vomiting about every 30 minutes. This continued all night with the vomit turning from green to yellow. Eventually my GP sent me for a covid test, the results came back negative. After about 4 to 5 days the vomiting stopped but the diarrhoea continue then a couple of days later the vomiting started again. All in all I?ve been very ill for two weeks and I remain very weak. I have been unable to speak to my GP. He is busy.

Other Meds: Effexor Nexazole

Current Illness: None

ID: 1191672
Sex: F
Age: 40
State: LA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: I suddenly became lightheaded and had extreme weakness, then collapsed, then immediately began having chest pain and pressure, shortness of breath, arm numbness, and uncontrollable shaking. All of these symptoms happened at the same time. We called the paramedics but all my vitals were totally normal. The severe symptoms passed after about three hours. I continued to have chest pain and pressure, but was able to breathe normally and had 100% oxygen saturation. I am not a smoker and don't have asthma or any breathing issues so the sudden inability to breathe coupled with the other symptoms all at once was very alarming.

Other Meds: Wellbutrin

Current Illness: None

ID: 1191673
Sex: F
Age: 19
State: PR

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Exanthema and pruritus after 15 minutes receiving her first dose of the covid vaccine.

Other Meds:

Current Illness:

ID: 1191674
Sex: F
Age: 35
State: NY

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None Known

Symptom List:

Symptoms: Extreme pain all over body, nausea, vomiting, dizziness, headache, stomach ache, tingling/numbness of left arm

Other Meds: Spironolactone Klonopin Levothyroxine Amitriptyline Losartan Potassium DextroAmphetamine

Current Illness: None Known

ID: 1191675
Sex: M
Age: 57
State: GA

Vax Date: 03/23/2021
Onset Date: 03/25/2021
Rec V Date: 04/10/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reports vasculitis rash to arms and legs two days after receiving dose. Patient was seen by infectious disease physician who it is vaccine related. Recommendation per physician is that patient should not receive second dose

Other Meds:

Current Illness:

ID: 1191676
Sex: F
Age: 74
State: PA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: environmental, PCN, lisinopril, vistaril, latex, benadryl

Symptom List:

Symptoms: Pt reports pain to anterior head occurring suddenly a few minutes after receiving vaccine. Describes pain as constant, but states, "I think it's related to my seasonal allergies and I haven't been around people much because I'm scared of COVID." Pt states she took a xanax but it hasn't kicked in yet. VS at 1432: BP 147/70, HR 53, RR 20, O2 sat 96% on RA. Pt reports she is bradycardic at baseline. VS at 1445: BP 116/75, HR 53, RR 18, O2 sat 97% on RA. VS at 1500: BP 130/75, HR 52, RR 18, O2 sat 98% on RA. VSS at time of discharge. No s/s of distress noted. Pt escorted to exit via w/c per protocol.

Other Meds: xanax, allopurinol, atenolol, tenazepam, nexium, glipizide, msalamyne, cranberry extract, citracal, MVI, paroxetine, iron, probiotic, Vit C, atrovastatin, losartan, aspirin, calcium with D, tegratol, claritin D

Current Illness: none

ID: 1191677
Sex: F
Age: 19
State:

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient became diaphoretic, vomited clear liquids, Patient placed in wheelchair and moved to room and placed on cot. VS remained normal throughout event. patient observed for 35 minutes. patient left after stating she feels normal and will drive myself home. Patient advised to call PCP or 9/11 if need arises.

Other Meds:

Current Illness:

ID: 1191678
Sex: F
Age: 30
State: MA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Na

Symptom List:

Symptoms: Chills,fever, hotness, headache, very tired,muscle aches,nausea , skin tenderness

Other Meds: Just pro air inhaler

Current Illness: Na

ID: 1191679
Sex: F
Age: 56
State: IN

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills, fever 101, headache, earache, nausea, insomnia- all lasting for 24 hours.

Other Meds: Adderall

Current Illness: None

ID: 1191680
Sex: F
Age: 67
State: NJ

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

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: ABOUT 6 HOURS AFTER THE INJECTION I FELT VERY FATIGUED. SOME ACHES IN LOWER EXTREMITES. THIS TIME I SUPER HYDRATED 24 HOURS BEFORE MY INJECTION. I THINK THAT MADE A BIG DIFFERENCE IN MY REACTION. MUCH BETTER THAN THE 1ST INJECTION.

Other Meds: CENTRUM SILVER, VITAMIN D, MAGNESIUM, GLUCOSAMINE-CONDROITON, DILTIAZEM, ROVISTATIN CALCIUM, OLMESARTIN, HCTZ.

Current Illness: NONE

ID: 1191681
Sex: M
Age: 19
State: MA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Total loss of taste on the tongue. The (very few) taste buds in the other areas of the mouth remained minimally functional. For a point of reference, I can barely taste anything when I swish mouthwash around in my mouth. Pre-existing minimal chest pain (related to history of vaping) flared up to an extreme extent the night of the day I was vaccinated. Hurt more than the joint pain or headache I also have (but those are common side effects).

Other Meds: N/A

Current Illness: N/A

ID: 1191682
Sex: F
Age: 63
State: GA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: SULFA, Bananas, Latex

Symptom List:

Symptoms: Bed rest

Other Meds: Hydrochloride

Current Illness: None

ID: 1191683
Sex: F
Age: 22
State: OR

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Not on file

Symptom List:

Symptoms: S/P injection pt was tearful, hyperventilating, VSS. At one point pt vomited. No LOC. Presumed anxiety attack AED ED notes.

Other Meds: Unknown.

Current Illness: Unknown

ID: 1191684
Sex: M
Age: 59
State: MD

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Augmentin

Symptom List:

Symptoms: Began to experience chills at approximately 6:00pm, about 6 hours after vaccination. Experienced headache about 2 hours later. Took temerature at about 9:00pm. Tempertuere was 102.3 degrees Took 1 Tylenol and went to bed at approximately 11:00pm Temperature the next morning, at about 9:00am was 99 degrees Still experiencing slight headache. Took another Tylenol. No longer experiencing chiils. Feeling back to normal approximately 12-15 hours after vaccination.

Other Meds: Dutasteride, Neo-40, Vitamin-D, Areds 2 Plus, Glucosamine/Chon

Current Illness: None

ID: 1191685
Sex: F
Age: 21
State: CA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Bees

Symptom List:

Symptoms: Patient stated feeling blurred vision, throat tightness, anxiety, shortness of breath, patient appeared pale Patient provided water and seen by medical team Patients blood pressure was 86/59 and heart rate 97, patient provided with water Patient advised to be seen in hospital, patient refused medical transport and signed AMA form Patient agreed to go to hospital , driven by boyfriend

Other Meds: None

Current Illness:

ID: 1191686
Sex: M
Age: 50
State: IL

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillin and Neosporin ointment

Symptom List:

Symptoms: Face Flushing. About 2 hours later face became red but no other symptoms and patient was counseled to go to ER if any other symptoms develop.

Other Meds:

Current Illness:

ID: 1191687
Sex: F
Age: 55
State: GA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Day 1: Arm pain, fatigue, joint stiffness, cough, chills, severe headache, nausea, vomiting. Day 2: Arm pain, fatigue, cough, mild headache. Day 3: No symptoms.

Other Meds:

Current Illness:

ID: 1191688
Sex: F
Age: 69
State: PA

Vax Date: 04/01/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Antibiotics

Symptom List:

Symptoms: Had sore arm a few days after vaccine. Headache lasted a week, fatigue. Then sore arm came back on 4/9 along with warmth and redness.

Other Meds: Yes, vitamins, zoloft, ambien

Current Illness: None

ID: 1191690
Sex: M
Age: 31
State: IN

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Fatigue and body aches

Other Meds: Trazedone, clomid, hcg, vitamin D3

Current Illness: NA

ID: 1191691
Sex: F
Age: 32
State: VA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Serious muscle aches, severe joint pain (shoulders and hips), and headache; nausea and vomiting (probably just because I took a large pill for pain/fever that caught in my throat and seemed to trigger the nausea); insomnia; feverish and chills but didn't take my temperature to confirm a fever. Symptoms started about 7.5 hrs after injection, mild at first but quickly became severe. When I felt well enough the next morning to try to take another pain/fever reducer, I did with no vomiting and was able to eat a small breakfast, and now it is about 27 hrs after injection and I feel almost 100% again. :)

Other Meds: Vortioxetine, iron supplement

Current Illness: None

ID: 1191692
Sex: M
Age: 21
State: MA

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe nausea. Unable to keep down ANY liquids including water for the first 24 hours after the vaccine was administered. Uncontrollable sweating (no fever), muscle spams near vaccine site on left arm and in left shoulder blade. Headache.

Other Meds: None

Current Illness: None

ID: 1191693
Sex: F
Age: 67
State: CA

Vax Date: 02/12/2021
Onset Date: 04/03/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: shell fish

Symptom List:

Symptoms: Seven weeks after my second Pfizer vaccine I developed 5 hard lumps in my left arm pit. Also my left nipple developed one lump. All lumps were very sore. I used hot compresses and Tylenol for discomfort .

Other Meds: Cranberry supplements to prevent UTI Calcium Vit D

Current Illness: none

ID: 1191695
Sex: F
Age: 57
State: PA

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Nausea and my head didn?t feel. I felt out of it and couldn?t concentrate on anything.

Other Meds: Tylenol , multi vitamin, calcium, vitamin E, Lysine

Current Illness: None

ID: 1191696
Sex: F
Age: 39
State: CA

Vax Date: 01/11/2021
Onset Date: 01/15/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: hydralazine, latex

Symptom List:

Symptoms: Lymphadenopathy, breast pain, swelling, tenderness. started two days after second vaccine. US and mammogram performed on 1/21. had significant swollen lymph nodes on us warranting follow up in march for follow up. started taking motrin atc to decrease swelling. lymph nodes were less swollen on follow up exam

Other Meds: lisinopril, Nexium, spironolactone

Current Illness: none

ID: 1191697
Sex: F
Age: 53
State:

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 4/10/2021 was observed post Covid-19 immunization for 15 minutes . During the observation period, she experienced an adverse reaction with the following symptoms: pain to back across shoulder blades. Assessment : Time of assessment 425pm. Alert and oriented. Actions taken: Vitals sign taken VAERS form obtained and completed by RN. 425pm VS - BP- 126/68, P- 64, O2- 100%, 440PM- 115/78, p- 68, O2-100% Medications administered: No medication administered. Disposition: Reports no further symptoms of adverse reaction after observation for 30 minutes. Discharged home. The Patient was provided with Vaccine Information Sheet and instruction to access the V-Safe system. Immunizations Administered Name Date Dose VIS Date Route Pfizer COVID-19 Vaccine 4/10/2021 4:00 PM 0.3 mL 12/11/2020 Intramuscular Manufacturer: Pfizer, Inc Lot: EP7533 NDC: 59267-1000-2

Other Meds:

Current Illness:

ID: 1191698
Sex: F
Age: 39
State: CA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient returned to dose number 2 of series 1 week earlier than 21st day. Patient received dose. No reaction noted.

Other Meds:

Current Illness:

ID: 1191699
Sex: M
Age: 55
State:

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient had mild nausea, BP 120/82 HR100, RR22, no rescue medications required, patient discharged in stable condition

Other Meds:

Current Illness:

ID: 1191700
Sex: F
Age: 63
State: PR

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chest pain High blood pressure (200/140 mmhg Tachycardia Dypsnea

Other Meds: Lozartan

Current Illness: High arterial blood pressure

ID: 1191701
Sex: M
Age:
State: RI

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Nome

Symptom List:

Symptoms: Hives/throat itchiness Pt presented at 1722 stating he had hives and throat was itchy. Vitals assessed and 50mg of diphenhydramine administered IM in Pt?s right arm IM... Pt sat for 15 vitals reassessed through out. Pt states felt better and was released.

Other Meds: None

Current Illness: Nome

ID: 1191702
Sex: F
Age: 36
State: MO

Vax Date: 03/20/2021
Onset Date: 03/24/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Seasonal- spring tree pollen. Dust mites.

Symptom List:

Symptoms: Noticed a rash on both thighs on 3/24/21 around 6:00am. Didn?t feel well during the day- very tired. Around 5:30pm noticed rash was spreading over body, burning rash in left armpit/arm and neck. Took 50 mg Benadryl around 5:45pm. Within a few minutes throat was irritated, voice became hoarse, then throat started to close. Called 911 when throat started to feel like it was closing. Paramedics gave another 50 mg Benadryl and Zofran for nausea during ambulance ride to ER. Was monitored in ER and given steroid. D/C?d to home after rash and throat improved. Took Benadryl q6hrs and prednisone daily x 5 days. Given rx for epi pen.

Other Meds: Losartan, bupropion HCL XL, Xyzal, Flonase, Azelastine HCL nasal spray, acetaminophen, ZzzQuill, multivitamin, NuvaRing

Current Illness: None.

ID: 1191703
Sex: F
Age: 28
State: KY

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: pt reports muscle pain and stiffness that extends down arm and up into left side of neck since vaccination

Other Meds: albuterol 90 mcg/inh powder 2 puff(s) inhaled every 6 hours. Lamictal 25 mg tablet 1 tab(s) orally 2 times a day, Notes: one day increasing to BID end of week. pantoprazole 40 mg delayed release tablet 1 tab(s) orally once a

Current Illness:

ID: 1191704
Sex: M
Age: 64
State: MA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Pt received vaccine and was sitting in observation area. Observation nurse observed pt sliding onto floor. Pt was unconscious for 10-15 sec. On-site EMTs came to pt, placed him on his side. He resumed consciousness, was able to respond appropriately to questions. Pt did not hit head per both observation nurses. Pt denied hip pain, head pain. pt was hooked up to VS monitor. All VS were WNL (BP 100/63, HR 64, PSO2 98% on room air, RR 16). Blood glucose was also checked = 86. When pt was assisted into seated position, BP dropped. After sitting up, pt then stated he felt nauseous and vomited. Pt was advised d/t nausea and BP instability he should be transported to ED for assessment. Pt stated understanding and agreed w/ plan of care.

Other Meds: None known

Current Illness: None known

ID: 1191705
Sex: F
Age: 70
State: CA

Vax Date: 04/07/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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Allergies: None

Symptom List:

Symptoms: 66 hours after vaccine given -- uncontrollable shivering, nausea, urgent need to poop, lighheadedness, headache, heartburn, back ache, chest/lung pain.

Other Meds: vitamin D supplement

Current Illness: None

ID: 1191706
Sex: F
Age: 54
State: MD

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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Allergies: Steroids, penicillin

Symptom List:

Symptoms: Chills, headache, severe joint pain ? especially knees? extreme fatigue, low grade fever, body pain, brain fog

Other Meds: None

Current Illness: None

ID: 1191707
Sex: F
Age: 59
State:

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/10/2021
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Symptoms: headache, rash and fever lasted for 1 week

Other Meds:

Current Illness:

ID: 1191708
Sex: M
Age: 56
State: CA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/10/2021
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Allergies: none

Symptom List:

Symptoms: Marked increase in Tinnitus, in both ears. Onset in left ear soon after vaccine, spread to right ear that evening, and has persisted since.

Other Meds: none

Current Illness: none

ID: 1191709
Sex: F
Age: 40
State: NY

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/10/2021
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Allergies: Pineapple, kiwi, guava

Symptom List:

Symptoms: Wed Mar 31 - day of shot Stiff neck on side of shot Sore arm on shot site Heavy period w painful cramps for two days Swollen, painful lymph node in neck on same side as stiff neck and same side as shot - visit to chiropractor following day where it was numbed with bengay type product and vigorously rubbed. As of Saturday, Apr 10 pain and swollen lymph node still present but pain significantly less.

Other Meds: Nortriptyline, Vitamin B2, B-Complex, Magnesium, MSM Organic Sulphur,

Current Illness: Visual Snow Syndrome (VSS)

ID: 1191711
Sex: F
Age: 24
State: NE

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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Allergies: Amoxicillin Milk

Symptom List:

Symptoms: Uncontrollable chills lasting about 5 hours, hallucinations during that time, headache, joint pain, skin sensitivity/pain, fatigue, nasal congestion. All but the chills and hallucinations are ongoing as of almost 30 hours after being vaccinated.

Other Meds: Celexa 40 mg Kyleena IUD

Current Illness:

ID: 1191712
Sex: F
Age: 47
State: WA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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Allergies: N/A

Symptom List:

Symptoms: Large raised bump following second dose of second shot. It?s hard and hot to the touch... it?s also very itchy around the parameter of the injection site.

Other Meds: Altenolol Levothyronine Levoxyl Pantripozol

Current Illness: N/A

ID: 1191713
Sex: F
Age: 42
State: WI

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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Allergies: Fin fish

Symptom List:

Symptoms: Extreme fatigue, severe neck pain (right side only), nausea. Began at wakeup on 4/7 (6am). The same symptoms and severity lasted all of 4/7, 4/8 and 4/9. On 4/10 (today) I was able to function better but only at 50% of normal rate. Pushed lots of water and slept 18-20 hours 4/7 & 4/8

Other Meds:

Current Illness:

ID: 1191714
Sex: F
Age: 52
State: IL

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 04/10/2021
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Allergies: Tramidol/Ultram, Narco, bee stings

Symptom List:

Symptoms: Immediately after injection, my heart raced, I got a metallic taste in my mouth, and my fingers got cold and tingly. The next day, I developed chest pain, racing heart, shortness of breath, and insomnia. I continue to have chest pain. On 04/08/2021, without injury or anything that I did, my right middle finger swelled and turned purple and it's still purple. The ER doctor said it was a hematoma.

Other Meds: None

Current Illness: None

ID: 1191715
Sex: M
Age: 19
State:

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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Symptoms: Patient experienced syncope, flushing/sweating, and dizziness, likely vasovagal response. Patient fell, fall braced by healthcare provider, did not hit head. BP 96/46, HR 49, R16. Given water and crackers, stabilized within 30 minutes, BP 124/49 P52, stable and released from vaccination site

Other Meds:

Current Illness:

ID: 1191716
Sex: F
Age: 30
State: WA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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Allergies: None

Symptom List:

Symptoms: Slight fever (99.3?), chills, moderate body aches, and severe headache. All onset 8 hours after vaccination and lasting for 24 hours.

Other Meds: Vitamin D3

Current Illness: No

ID: 1191717
Sex: F
Age: 43
State: MN

Vax Date: 04/02/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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Allergies: NA

Symptom List:

Symptoms: Pain, swelling, heat and itching at injection site

Other Meds: Multi Vitamin, Vitamin C, Vitamin D, Carbofix

Current Illness: NA

ID: 1191718
Sex: F
Age: 57
State: OH

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 04/10/2021
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Symptoms: Prolonged knot in arm/ injection site

Other Meds:

Current Illness:

ID: 1191719
Sex: F
Age: 54
State: LA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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Allergies: none

Symptom List:

Symptoms: Round red area on arm, warm to touch and itches

Other Meds: Vitamin D, progresterone, synthroid, pregnenolone, milk thistle

Current Illness: none

Total 2021 VAERS Injuries: 274,036

Page last modified: 03 October 2021 5:28pm