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: 1194162
Sex: F
Age: 35
State: IN

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List: Dysphagia, Epiglottitis

Symptoms: Itching and bumps started half an hour after injection. They lasted for about 18 hours and were all over. Started with left side of my neck then right leg, stomach, back and both arms

Other Meds: Cetrizine 10mg 1x day Vitamin D3 2000 IU 1x day

Current Illness: None

ID: 1194163
Sex: F
Age:
State:

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Body aches; Headache; severe abdominal cramping; diarrhea; This is a spontaneous report from a non-contactable nurse, the patient. A non-pregnant adult female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration in the right arm on 16Feb2021 08:45 (Batch/Lot number was not reported) as a single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient previously received the first dose of BNT162b2 (Batch/Lot number was not reported) via an unspecified route of administration in left arm on an unspecified date 15:00 as a single dose for COVID-19 immunisation. The patient did not receive any other vaccines within 4 weeks prior to BNT162b2. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient experienced body aches, headache, severe abdominal cramping and diarrhea on 17Feb2021 04:00. The patient did not receive treatment for the events. The outcome of events, body aches, headache, severe abdominal cramping and diarrhea, was recovered on an unspecified date. No follow-up attempts are possible; information about lot number cannot be obtained.

Other Meds:

Current Illness:

ID: 1194164
Sex: M
Age: 58
State: FL

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

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

Lab Data:

Allergies: none

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

Symptoms: Within 5 minutes of receiving the vaccine patient's blood pressure bottomed out and he became catatonic (like state). He was not responding to his wife or I calling his name. He was not able to move his body and just kept staring down/ off into the distance. He would come in and out as time went on he was slowing coming back to us as his BP started to elevate. He was not having trouble breathing/ we did not use any medication. Paramedics were called since patient was not responding. They evaluated him in the rescue. result of patient unknown at this time were not available to follow up when phoned on Sunday

Other Meds: unknown

Current Illness: unknown

ID: 1194165
Sex: M
Age: 51
State: NV

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: nausea and vomiting, diarrhea, fever, and chills. No treatment - sleep/time.

Other Meds: 81mg Asprin

Current Illness: none

ID: 1194166
Sex: F
Age: 68
State: DE

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

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

Lab Data:

Allergies:

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

Symptoms: PATIENT HAD RECEIVED ONE DOSE OF PFIZER ON 12/28/2020. PATIENT WAS UNAWARE OF THE NAME AND TYPE OF THE VACCINE SHE RECEIVED . ON 3/14/2021 SHE SIGNED UP FOR MODERNA 1ST DOSE. THE ERROR WAS NOTICED ON 4/11/21 WHEN SHE CAME FOR SECOND DOSE MODERNA WHILE LOGIN HER 2ND DOSE ON DELVAX. WE CONTACTED PATIENT AND SHE ADMIT THAT SHE DID RECEIVE PFIZER BUT DIDNT KNOW IT WAS COVID-19 VACCINE.

Other Meds:

Current Illness:

ID: 1194167
Sex: M
Age: 31
State: WI

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: The person was not injected at the correct site for an IM injection it was injected to high on the shoulder, closer to the acromion. Pt is having issues is moving his arm.

Other Meds: none

Current Illness: none

ID: 1194168
Sex: F
Age: 22
State: LA

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

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Systemic: Confusion-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Weakness-Severe, Additional Details: THis event happened approximately 30 sec after receiving the Janssen COVID-19 Vaccine. Patient was brought to the ER by firemen due to in and out consciousness. Patient was with boyfriend who caught her as she was falling. Patient did not hit her head. She did state that she has passed out in the pass once after receiving a vaccine, but not regularly. She states she does not have a fear of needles when asked by fireman.

Other Meds:

Current Illness:

ID: 1194169
Sex: M
Age:
State: WA

Vax Date:
Onset Date: 03/08/2021
Rec V Date: 04/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
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Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: sore muscle pain; dizziness; This is a spontaneous report from a contactable consumer (patient's wife). The consumer reported similar events for two patients, this is the second of two reports. A male patient of unspecified age and gender received BNT162B2 (PFIZER BIONTECH COVID-19 MRA VACCINE) via an unspecified route of administration on an unspecified date as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On 08Mar2021 at 08:00, the patient experienced sore muscle and dizziness. The patient's wife knew that sore muscle pain was normal but 3 days after the vaccine and dizziness continued. The outcomes of sore muscle pain and dizziness were not recovered. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow-up.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021285441 same reporter/drug/event, different patients

Other Meds:

Current Illness:

ID: 1194170
Sex: U
Age: 55
State: IN

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Low grade fever, body aches

Other Meds: Lipitor, aleve

Current Illness: No

ID: 1194171
Sex: F
Age: 54
State: IA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Fever chills body aches nausea headache. For 36 hours after injection

Other Meds: Sertraline. Methamezole. Claritin Vitamin D

Current Illness:

ID: 1194172
Sex: M
Age: 59
State: AZ

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Chills began at 12:30 am post vaccine but were gone by morning. Woke up with terrible headache and some body aches. Took Tylenol and symptoms were gone by 4pm

Other Meds: Claritin and bupropion

Current Illness: None

ID: 1194173
Sex: F
Age: 45
State: IN

Vax Date: 03/06/2021
Onset Date: 03/27/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Full body rash - went to Urgent care - received steroid shot and prescription for oral steroids 20mg twice per day and hydroxyzine 10mg as needed.. Rash got better by Sunday afternoon and Monday, returned worse Tuesday and then started to get better Wednesday evening moving forward. It is gone completely now.

Other Meds: Lexapro 10mg Spironolactone 75mg

Current Illness: None

ID: 1194174
Sex: F
Age: 41
State: NY

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

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

Lab Data:

Allergies: none

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

Symptoms: gave pt janssen covid vaccine.She was anxious to begin with. She went to sit down after vaccination and was doing fine. I checked in with her 5 minutes into her wait and she said she was fine. Then she complained she was dizzy. I asked her if she had eaten yet (1230pm) and she said no. I had her sit down and drink some orange juice. She then said she wanted to lay down, so I took her back into the booth and she stretched out over a few chairs and boosted her legs up. She said her hands and arms were getting tingly and she started to panic. I took her phone and dialed her husband who was outside and told him to come in. She asked me to call 911, I did. I applied an ice pack to her forehead neck and shoulder areas and she said she was feeling better. I gave her another juice bottle an verified any meds she was on. She wasnt taking any meds. I called mngt also to take a statement. her husband came in and told her to calm down she was just anxious and didnt eat. When the paramedics finally showed up she was feeling much better. they took her out the the ambulance to check her over. They asked her if she wanted to go to the hospital, and she said no. I will call her later to check in on her.

Other Meds: none

Current Illness: none

ID: 1194175
Sex: F
Age: 75
State: NY

Vax Date: 02/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Latex, Mango, Nickel

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

Symptoms: Extreme vertigo, nausea, fatigue and malaise. Epley Maeuver and Zofran, Advil. Malaise and dizziness continue 5 days later

Other Meds: Synthroid.88Mcg, Celebrex 200Mg

Current Illness: None

ID: 1194176
Sex: F
Age:
State:

Vax Date: 02/10/2021
Onset Date:
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Experiencing diarrhea for 9days; This is a spontaneous report from the Pfizer sponsored program from a contactable consumer (patient). A 70-years-old female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration, on 10Feb2021 (at the age of 70 years old) as a single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. It was reported that the patient had trouble with the virus and experienced diarrhea for 9 days, since an unspecified date. The clinical outcome of the event diarrhea was unknown. The patient was scheduled to receive dose 2 of BNT162b2 on 30Mar2021. The lot number for the vaccine, BNT162b2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1194177
Sex: M
Age: 26
State: MA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: no allergies reported

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

Symptoms: I administered the Janssen Covid-19 Vaccine using a syringe/needle supplied by Janssen with the Covid-19 vaccine shipment. Upon removing the syringe from patient's arm, the needle and it's yellow/orange safety cover became detached from the syringe and remained partially in the patient's arm and partially sticking out of his arm. I used a gloved hand and grasped the safety cover at the rim and pulled it in a manner that allowed the needle to come straight out. It appeared to me that he had received the full dose of the vaccine (the plunger had been fully depressed before I attempted to remove the syringe/needle and the syringe did not contain any remaining vaccine in the barrel. Patient did not do anything that indicated he was aware of what happened, but I told him about it, showed him the needle and the syringe and told him that the full dose had been administered before this happened. Patient said he thought he felt a small splash of liquid on his arm, and possibly also on his forearm. I called Janssen Pharmaceuticals and spoke to Pharmacist. She said if the patient received at least 50% of the dose then no further action is required. If he received less than 50% of the dose then a full dose should be administered in the alternate arm. Janssen reference #020954274. I relayed this info in patient, he said he agreed that he received at least 50% of the dose. He was curious if there is a way to tell if he is fully protected against Covid-19. I advised him to check with his doctor to see if any testing can be done to determine that.

Other Meds: unknown

Current Illness: no illnesses reported. screening questionnaire indicated patient did not feel sick.

ID: 1194178
Sex: F
Age: 50
State: TN

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Ceftin

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: An immediate burning sensation at the vaccination site as the vaccine was being injected. The burning sensation spread from the injection site upward to my neck all the way to my right ear. The burning sensation then started from my injection site down to my elbow. The burning sensation stopped after a few minutes, then I felt silently nauseous and lightheaded. After waiting 15 minutes I felt fine enough to go home. However, the pain and stiffness in my neck was ongoing throughout the following day and night and was only slightly relieved with 500mg doses of Tylenol every 4-5 hours. On a couple of occasions the day of and the day following the vaccination I did feel fleeting chest pain, but not enough pain or intensity to warrant a trip to the doctor. This morning (4-11/21) the aching sensation in my neck and arm (primarily neck) have lessened, but still present.

Other Meds: 1. OTC Zyrtec 10 mg 2. Mometasone 1 mg cap (combined with NeilMed nasal spray solution)

Current Illness: Tested positive for Covid-19 on 02/02/21

ID: 1194179
Sex: F
Age: 43
State: TX

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Na

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Pulsative Tinnitus in my right ear with a pain

Other Meds: Na

Current Illness: Na

ID: 1194180
Sex: F
Age: 51
State: MI

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

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Severe muscle/joint pain starting at 7:00PM (starting in knees and ending in shoulder blades) and lasting until 12:00PM; chills starting at 10:00PM and lasting until 1:00AM; high fever 103.2; extreme tiredness the following day

Other Meds: Vitamin D 2000mg a day

Current Illness: None

ID: 1194181
Sex: F
Age: 52
State: VA

Vax Date: 03/28/2021
Onset Date: 04/02/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash Generalized-Medium

Other Meds:

Current Illness:

ID: 1194182
Sex: F
Age: 56
State: MN

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/11/2021
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, Lymph node pain, Lymphadenopathy

Symptoms: In the middle of the night of the 10th of April I started having what seemed like normal side effects---muscle aches, headache, fatigue.. and then all day on the 10th the same side effects. Then last night I slept 9 straight hours but woke up sweating a couple times in night and in morning woke up sweating but my aches and headache seemed better than the day before so I went downstairs to make tea. After pouring a glass of orange juice and having a couple sips I started to feel strange --dizzy and oversome with a strange feeling that was not quite like the feeling before fainting -- my back had a weird pain and i was a little nauseous as well. ..it was more overwhelming -- more loss of control like a huge wave of dizziness and ringing. I made my way to a couch to try to regain balance -- but was still very dizzy-- something happened to make me try to get up and go upstairs so I remember walking 12 feet or so then told myself to sit down. Before that happened I must have blacked out. I faintly remember moving myself across the floor but then must have blacked out again. I woke up at the base of the stairwell and then was able to walk upstairs. I had collapsed the first time onto a hard floor as my orange juice glass had spilled all over and when I got upstairs my sweatshirt was covered in juice. I don't remember any of that. Once upstairs I drank water and have been fine since then. I had eaten dinner the night before but maybe it was the sweating in the night that dehydrated me and i cramped up and had a strange pain in my back---i don't know. I am a very healthy 56 yr old woman 5'3" 105 lbs so maybe the Johnson and JOhnson one dose was a lot for my body or maybe my body was just doing what it's supposed to do to react to vaccine.... i also may have had asymptomatic covid in the last year so my body was overreacting. This happened 7 hours ago and I seem fine aside from slight headache and continued weakness from vaccine but I thought I should report the incident in case there might be something more or in case others had similiar responses.

Other Meds: I did take one ibuprofen the morning of vaccine not to prepare for vaccine but I had a slight headache

Current Illness: none

ID: 1194183
Sex: F
Age:
State: NJ

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

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Her arm was swollen; This is a spontaneous report from a contactable consumer (patient's parent). A female patient of unspecified age received dose 1 of BNT162B2 (PFIZER BIONTECH COVID-19 MRNA VACCINE) via an unspecified route of administration on an unspecified date as a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. On an unspecified date, the patient experienced arm was swollen. The outcome of arm was swollen was recovered. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow-up.

Other Meds:

Current Illness:

ID: 1194184
Sex: F
Age: 53
State: RI

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

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

Lab Data:

Allergies: "Shellfish while pregnant"

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

Symptoms: Patient c/o tongue swelling 10 minutes after 2nd vaccine. No difficulty breath or throat swelling. Did not appear in acute distressed. Assessed by EMS, BP 126/80, P 95. Given 75mg of liquid Benedryl. Declined transport. Patient not driving, being driven by spouse. Pt stated that tongue swelling improved 30 minutes after Benedryl administration.

Other Meds: "anxiety medication"

Current Illness: None

ID: 1194185
Sex: F
Age: 31
State:

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: sulfa drugs

Symptom List: Injection site pain, Pain

Symptoms: low grade fever 99.3 x 14 hrs with chills and body aches, general malaise

Other Meds: Zoloft 50 mg, alprazolam .5mg prn, daily multivitamin, ParaGuard IUD

Current Illness:

ID: 1194186
Sex: M
Age: 61
State: OH

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

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

Lab Data:

Allergies: no known drug allergies

Symptom List: Injection site pain, Menorrhagia

Symptoms: fainting with loss of concious for about 30 seconds, sweating

Other Meds: not known

Current Illness: none

ID: 1194187
Sex: F
Age: 46
State: NJ

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: strawberries; latex; aspirin

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

Symptoms: Headache, dizziness, ringing in the ears, body aches, tightness in my chest, shortness of breath, increased heart rate.

Other Meds: sea moss; multi-vitamin none on the day of the vaccination

Current Illness:

ID: 1194188
Sex: F
Age: 62
State: NC

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Headache, fatigue, body aches, sore throat

Other Meds: Lunesta

Current Illness:

ID: 1194189
Sex: M
Age:
State: TX

Vax Date: 03/08/2021
Onset Date:
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Experienced minor fatigue; This is a spontaneous report from a Pfizer Sponsored Program from a contactable consumer, the patient. A male patient of an unspecified age received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN), via an unspecified route of administration on 08Mar2021 as a single dose for COVID-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient experienced minor fatigue on an unspecified date. Clinical outcome of minor fatigue was unknown. Follow-up (04Apr2021): No follow-up attempts are possible; information about lot number cannot be obtained.

Other Meds:

Current Illness:

ID: 1194190
Sex: F
Age: 21
State: OH

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

Vax Type:
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Lab Data:

Allergies: None jnown

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

Symptoms: Syncope following vaccine

Other Meds: Birth control

Current Illness: Unknown

ID: 1194191
Sex: M
Age: 36
State: VA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/11/2021
Hospital:

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Lab Data:

Allergies: Not that I know of

Symptom List: Nausea

Symptoms: Swollen top lip, and a fever blister

Other Meds: N/A

Current Illness: None

ID: 1194192
Sex: F
Age: 47
State: NY

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 04/11/2021
Hospital:

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Lab Data:

Allergies: Clindamyacin

Symptom List: Injection site pain

Symptoms: 9-10 days after first vaccine on 2/10/21, pain and swelling in left elbow and jaw. 12 days after first vaccine, left knee swollen and stiff. Elbow and jaw began to resolve with Aleve after 1-2 weeks. but left knee continued to be stiff and painful. 24 hours after second vaccine on 3/10/21, extreme pain and swelling in back of both knees. Stiffness, swelling and intermittent pain are continuing in both knees for last 6 weeks despite a round of prednisone. Have been to Doctor 2x. Ruled out Lyme and RA with bloodwork. They have no explanation for swelling, stiffness and pain.

Other Meds: Vitamin D

Current Illness: None

ID: 1194193
Sex: F
Age: 39
State: CA

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/11/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

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

Symptoms: Janssen COVID-19 Vaccine EUA Symptoms including Fever, Chills, Headache, Body Pain, Fatigue experienced over the first 24 hour period after vaccine administration. Took Tylenol twice.

Other Meds: None

Current Illness: None

ID: 1194194
Sex: F
Age: 36
State: WV

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/11/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: No

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

Symptoms: Headache, body aches Chills Fever

Other Meds: Flonase

Current Illness: No

ID: 1194195
Sex: U
Age:
State:

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

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Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: problems with the ear/ pressure sensation in the right ear; ringing in my ear; This is a spontaneous report received from a contactable consumer, the patient. A patient of unspecified age and gender received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN), via an unspecified route of administration on an unspecified date as a single dose for COVID-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. On an unknown date, the patient experienced problems with the ear/ pressure sensation in the right ear and ringing in the ear. Clinical outcome of the events problems with the ear/ pressure sensation in the right ear and ringing in the ear was unknown. Information on the lot/batch number has been requested. Follow-up (04Apr2021): Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1194196
Sex: F
Age: 72
State: SC

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 04/11/2021
Hospital:

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Lab Data:

Allergies: Penecillin, Fluress,Iodine, shellfish, crustaceans, Chondroiti

Symptom List: Erythema, Pruritus

Symptoms: Fever low grade 2/24/2021, joint aches and headache, Next day had higher fever 100.8F and more joint aches and headache. I generally felt like I was getting the flu. On 2/26/2021 fever broke, still sore. NOTE: The evening of 2/24/2021 there was a swelling, itching and hardness about 3 inches toward the front of my arm, and that resolved itself by 3/5/2021. On 4/1/2021 I began to have shingles symptoms. Symptoms included itching, burning, stinging and pain from right of spine between ribs and waist progressing towards the front of the body. Went do Dr. 4/6/2021, was diagnosed with SHINGLES and was prescribed antivirals. After 5 days, my shingles symptoms have shown some improvement.

Other Meds: Losartan, Metformin, Atorvastatin, Potassium Chloride, Hydroch

Current Illness: none

ID: 1194197
Sex: M
Age: 16
State: NC

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

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Lab Data:

Allergies:

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

Symptoms: Moderna vaccine was given to a 16 year old patient. No adverse event reported. Patient's primary physician to be contacted regarding incident and consulted on decision to continue series.

Other Meds:

Current Illness:

ID: 1194198
Sex: F
Age: 27
State: PA

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

Vax Type:
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Lab Data:

Allergies: no

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

Symptoms: Patient started to feel dizzy , sweaty, and nausea. We gave the patient some water and snacks. Patient was feeling better after staying another 15 minutes on top of the first 15. Patient left with boyfriend.

Other Meds: no

Current Illness: no

ID: 1194199
Sex: F
Age: 71
State: FL

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

Vax Type:
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Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: tinnitus

Other Meds:

Current Illness:

ID: 1194200
Sex: F
Age: 47
State: NJ

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/11/2021
Hospital:

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Lab Data:

Allergies: Penicillin- hives,facial swelling Eggplant- nausea/vomiting

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

Symptoms: Approx. 1/2 hour after injection my right arm became numb with intermittent pins and needle sensation from shoulder to fingers. This lasted until the following morning. On Wednesday, I had swelling on the right side of my body-face,neck,arm,leg, and foot. I had no respiratory difficulties. I did take Benadryl 75mg which helped resolve the swelling by Thursday morning.

Other Meds: Tramadol 100 mg daily Bystolic 5mg daily

Current Illness: None

ID: 1194201
Sex: F
Age:
State: TX

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 04/11/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

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

Symptoms: Experienced minor fatigue; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient's husband) reported a female patient of unspecified age received dose 1 of BNT162B2 (PFIZER BIONTECH COVID-19 MRNA VACCINE) via an unspecified route of administration on 08Mar2021 as a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. On 08Mar2021, the patient experienced minor fatigue. The outcome of minor fatigue was unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow-up.

Other Meds:

Current Illness:

ID: 1194202
Sex: M
Age: 69
State: CA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/11/2021
Hospital:

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Lab Data:

Allergies: Theolpolin, tetracycline

Symptom List: Pain in extremity

Symptoms: Had nausea right after injection and have continued nausea daily since

Other Meds: Atrovastatin, zinc, vitamin C,vitamin D, co q 10,turmeric

Current Illness: Recovery from Covid pneumonia

ID: 1194203
Sex: F
Age: 47
State: TX

Vax Date: 03/11/2021
Onset Date: 03/25/2021
Rec V Date: 04/11/2021
Hospital:

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Lab Data:

Allergies: Cipro

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

Symptoms: Developed shingles on 3/25/2021, diagnosed on 3/27/2021, Rx for Valacyclovir and Gabapentin. Shingles is fading, mostly clear by today, 4/11/2021.

Other Meds: Symbicort, Flonase, Bupropion, Fluoxetine, Femynor, Vit C, Vit B12, Vit D3, Calcium, Fish Oil, Multi-Vitamin, Quercetin, Zinc, Magnesium Glycenate, Magnesium L-Threonate, Leg Cramps supplements, immunotherapy (allergy shots)

Current Illness: asthma, depression

ID: 1194204
Sex: F
Age: 64
State: NJ

Vax Date: 03/28/2021
Onset Date: 04/07/2021
Rec V Date: 04/11/2021
Hospital:

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Lab Data:

Allergies: n/a

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

Symptoms: 10 days after receiving the 1st dose of the Pfizer covid vaccine, I started coughing. Within hours, I had a fever of 101. Body racking coughs, headaches, fevers, exhaustion proceeded to get worse over the next few days.

Other Meds: metformin, glimipiride, trajenta, zoloft, losartan, simvistaton, vitamins D, C, B6

Current Illness: none

ID: 1194205
Sex: F
Age: 41
State: IN

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/11/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

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

Symptoms: Fatigue, chills, headache, muscle ache. Noon to midnight on 4/3. Took Tylenol and symptoms subsided.

Other Meds: None

Current Illness: None

ID: 1194206
Sex: F
Age: 94
State: SC

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 04/11/2021
Hospital:

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Lab Data:

Allergies: Penecillin

Symptom List: Vomiting

Symptoms: Rash/whelts and much itching, first on left arm where injection was given and then on the right arm. She used anti-itch ointment and within about 1 hour the rash went away and the itching stopped.

Other Meds: Losartan, Potassium Chloride, Lasix, Spironalactone, Carvodilo

Current Illness: Stage III Kidney Disease, Hypertension

ID: 1194207
Sex: F
Age: 25
State: OH

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: amoxicillin, penicillin, latex

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Myoclonic activity in right arm then moved to both arms. Also experienced fever, dizziness, and severe migraine.

Other Meds: tums for acid reflux

Current Illness: none

ID: 1194208
Sex: M
Age: 54
State: PA

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies: Penicillin

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

Symptoms: About 10 minutes after shot was taken I got a sharp pain in my stomach and felt like I had to throw up, about the same time I was sweating profusely and felt like fainting, they brought the wheel chair over to me and was going to move me, but the symptoms were improving and I started to feel better, I have never had symptoms appear that fast, very scary stuff for sure.

Other Meds: None

Current Illness: None

ID: 1194209
Sex: F
Age: 27
State:

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Severe vertigo

Other Meds:

Current Illness:

ID: 1194210
Sex: F
Age: 42
State: CO

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Sulfa,morphine, albuteral, and latex

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

Symptoms: Swollen red welt (covid arm) with pain.

Other Meds: Liothyronin, levothyroxine, zirtec, 5htp

Current Illness: N/A

ID: 1194211
Sex: F
Age: 44
State: TN

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

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

Lab Data:

Allergies: Nine

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

Symptoms: Convulsion type chills at night Skin and organs hurt Eyes hurt Headache Tires

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am