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: 1204970
Sex: F
Age: 74
State: WA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Sulfa and amoxicillan

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fever, chills, shaking, body ache hit all at once. Bed bound for about 30 hours. Took 2 extra strength Tylenol about every 4-5 hours for about 24 hours

Other Meds: Magnesium supplements, Vitamin D, Vitamin B, and Zinc.

Current Illness: n/a

ID: 1204971
Sex: F
Age: 73
State: TN

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 04/13/2021
Hospital: Y

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

Lab Data:

Allergies: None sulfer

Symptom List: Anxiety, Dyspnoea

Symptoms: Blood clot in large intestines which caused loss of blood supply and oxygen so it rotted which in turn rotted her small intestine and bowels which all had to be removed shut down her kidneys and liver

Other Meds: None

Current Illness: None

ID: 1204972
Sex: F
Age: 44
State: IL

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Levaquin, diflucan, clarithromycin, mangoes

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

Symptoms: On the 8th of April I got my shot at 1:30 p.m. My my arm was sore immediately when the vaccine was put into my muscle. Around 5:30 p.m. I started feeling muscle aches, headache, and fatigue. Took my temperature and later on that night it was at started having chills around 8:30 p.m. severe muscle pain. It almost felt like there was pain in my bones. Still had a headache loss of appetite. Extreme fatigue. Took ibuprofen and went to bed. Got up the next day on the 9th took some more ibuprofen still loss of appetite, muscle aches, joint aches. Took my temperature had a temperature of 100.6 still cold in very fatigued. I slept a lot. Got my temperature down. On the 10th I still had muscle aches off and on, still fatigued had to rest a lot, injection site hurt, headache too. On the 11th off and on muscle aches, fatigue, loss of appetite, almost like my taste buds were off too. On the 12th less muscle aches ,small headache, still fatigued. On the 13th still fatigued.

Other Meds: Flonase, xiidra, mirena, cranberry pills, fish oil pills Omega 3-6-9, glucosamine HCI with MSM, vitamin d3, and probiotic

Current Illness: None

ID: 1204973
Sex: F
Age: 26
State: PA

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: classic signs of "covid arm" red , itchy and sore- just reported today 4/13/2021

Other Meds:

Current Illness:

ID: 1204974
Sex: F
Age: 67
State:

Vax Date: 02/14/2021
Onset Date: 02/18/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Ibuprofen, Celebrex, Motrin, Norvasc, antidepressants

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

Symptoms: 4 days after vaccine patient developed and decompensated into a severe psychosis,

Other Meds: Zyprexa, Depakote, Klonopin, Restoril,

Current Illness: Schizophrenia, Bipolar, anxiety, History of Lyme disease,

ID: 1204975
Sex: F
Age:
State: MO

Vax Date: 03/11/2021
Onset Date: 03/01/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: elevate her heart rate; This is a spontaneous report from a Pfizer Sponsored Program from contactable female consumer (patient). A female 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 11Mar2021 as a single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient had her first dose yesterday, on 11Mar2021, and her heart got elevated on an unknown date in Mar2021. She is asking, will the second dose of the COVID vaccine elevate her heart rate more. The outcome of the event was unknown. The lot number for the vaccine, BNT162B2, was not provided and has been requested.

Other Meds:

Current Illness:

ID: 1204976
Sex: M
Age: 69
State: CA

Vax Date: 02/19/2021
Onset Date: 03/06/2021
Rec V Date: 04/13/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: stroke

Other Meds: levothyroxine

Current Illness:

ID: 1204977
Sex: F
Age: 55
State: MN

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: 6 days post 2nd dose and severe cold and flu like symptoms.

Other Meds: A literal inhaler for asthma

Current Illness: None

ID: 1204978
Sex: F
Age: 35
State: IN

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: HIVES over entire body. Severe itching, unrelieved with steroids (prednisone 60mg) and antihistamine (Benadryl 50mg)

Other Meds: NA

Current Illness: No

ID: 1204979
Sex: F
Age: 63
State: TN

Vax Date: 03/23/2021
Onset Date: 03/30/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Smallpox vaccine

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I have been hurting constantly since my 1st vaccine on March.23,2021...For a couple of days afterward I had achy flu-like symptoms all over my body which seemed to subside by days 3 & 4, Then I started having shooting pains between my shoulder blades that felt like I was being stabbed. My flu-like aches sky-rocketed until I had to start sitting perfectly still - any movement at ALL caused me wrenching, agonizing pain. I thought I might be having a heart attack! I went to my Doctor - on Monday. My BP was really good, my heartbeat was strong, my lungs were clear except for a touch of wheezing due to asthma, etc. Right after this visit I got in my car to drive home, and I could hardly move! Same thing happened last week after a GYN appt... Could hardly drive home! Two weeks ago I came home hurting with acute pains and I was laboring to draw my breath... Then the pain was so strong that I had to sit it n the same spot for 3 hrs unable to move!

Other Meds: Trazadone, Fluoxetine, Crestor, HCTZ, Lisinopril, Buproprion, Metformin

Current Illness: None

ID: 1204980
Sex: F
Age: 25
State: IN

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Fish, shellfish , nuts, pollen, kiwi

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

Symptoms: Allergic reaction, hives on face and neck, eye and face swelling , all beginning the night of 4/10 and continuing

Other Meds: Liothyronine, Progesterone

Current Illness: None

ID: 1204981
Sex: M
Age: 24
State: TX

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Rash, Urticaria

Symptoms: PT started feeling dizzy , seeing a blinding light, turned pale and started sweating felt like passing out

Other Meds: n/a

Current Illness: n/a

ID: 1204982
Sex: F
Age: 63
State: AZ

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: wellbutrin

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

Symptoms: Patient developed hives the afternoon she received COVID vaccine. She had a telemedicine visit with this provider on 4/7/2021. She was prescribed Medrol dose pack, was taking Benadryl, and famotidine was added. She developed tongue and facial swelling later in the day, and went to hospital for treatment. Provider does not have above vaccine information as vaccine was not given at facility

Other Meds: Venlafaxine and Lisinopril

Current Illness: none

ID: 1204983
Sex: F
Age: 16
State: CA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Vaccination team received approval by the local county department of health to proceed with vaccination of minors.

Other Meds:

Current Illness:

ID: 1204984
Sex: F
Age: 63
State: CO

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Demerol, Morphine, Nitroglycerin Tablets, Adhesives

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

Symptoms: Patient called clinic 4/13 to report having been seen by PCP and in ER twice since vaccination. She reported onset of headache and fatigue day of vaccine. She reported later feeling short of breath and having a decreased tolerance of activity. She stated she had an elevated heartrate and "neurological symptoms", but did not specify. She reports still feeling off at this time 4/13 and having appointments scheduled with a Vascular surgeon and neurologist in the near future. I am doing the reporting as the vaccine was given by Public Health staff, but this is the first notification we have received of the her potential adverse reaction.

Other Meds:

Current Illness: Extensive Medical History

ID: 1204985
Sex: F
Age: 17
State: PA

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Patient received Moderna Covid -19 vaccine but was not 18 years of age. She was 17 years old (birth date 01/19/2004)

Other Meds:

Current Illness:

ID: 1204986
Sex: F
Age: 42
State: TN

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

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

Lab Data:

Allergies: Morphine

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

Symptoms: Allergic reaction, fever (104.6), tachycardic (+150 bpm), elevated blood pressure, difficulty moving extremities, severe pain, headache

Other Meds: None

Current Illness: None

ID: 1204987
Sex: F
Age: 33
State:

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Pt arrived on 04/13/2021 for their second dose of Pfizer COVID 19 Vax. During administration pt describes "not feeling the stinging like last time," and reports visible clear liquid dripping down her arm. Nurse reports that the dose amount lost could have been more than half but that she could not exactly estimate it. The patient reports that it seemed like a significant amount. After speaking directly with patient, the patient decided to follow CDC guidance on a second administration today. CDC guideline for Pfizer vaccine administration after "needle and syringe were not tightly secured together" leading to leaking were followed. The patient received another dose of the Pfizer vaccine immediately in the opposite arm. Pt was sent outside to observation, and proceeded to go home after 30 minutes. No adverse effects, s/s were noted.

Other Meds:

Current Illness:

ID: 1204988
Sex: M
Age: 46
State: CA

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 04/13/2021
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: One lymph node under left armpit, mild ttp, present since 3/25/21

Other Meds: n/a

Current Illness:

ID: 1204989
Sex: F
Age: 32
State: NJ

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: severe allergies to nuts and legumes

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

Symptoms: I received the vaccine on Saturday morning at 11am. Within ~12 hours of the shot (Saturday night), experienced intense chills and fever (reached 104). Fever was managed through the night and the following day with Tylenol, but varied between 99 and 102 the following day. I had muscle aches and fatigue on Monday and Tuesday. Mild Chest tightness began Tuesday.

Other Meds: Advil 10 hours prior

Current Illness: none

ID: 1204990
Sex: M
Age: 34
State: VA

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: MRI contrast

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

Symptoms: Left middle finger has bruising and blood circulation is cut off.

Other Meds: Novarel Gonal f Levothyroxin Cortoson

Current Illness: None

ID: 1204991
Sex: F
Age: 24
State: CA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Pt only has allergies to keflex and vancomycin Rash

Symptom List: Unevaluable event

Symptoms: Patient experiencing visible rash on cheecks/face, and down chest. No SOB or distress. Able to swallow water. Hr 77 O2 94 BP 133/105 Liquid Benadryl 50 mg 20 ml administered 11:37, patient had improvement. Offered medical transport. Patient declined due to improvement. Patient departed at 12:00 pm. Pt in passenger seat, mother driving. Instructed to go for further evaluation if symptoms reappear/worsen.

Other Meds: Unknown

Current Illness: Unknown

ID: 1204992
Sex: F
Age:
State: CA

Vax Date: 02/25/2021
Onset Date: 03/01/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: she tested positive for Covid; she tested positive for Covid; This is a spontaneous report from a contactable consumer (patient) reported a female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration on 25Feb2021 as single dose for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient experienced she tested positive for covid on 01Mar2021. The report received as the patient received her first shot of the vaccine on 25Feb2021. And four days later, she tested positive for Covid. She is due to take his second dose this Thursday. She wanted to confirm if she can take the vaccine or not. The patient underwent lab tests and procedures which included covid-19: positive on 01Mar2021. The events were assessed as medically significant. Outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1204993
Sex: M
Age: 39
State: GA

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: I feel dizzy, foggy, lightheaded, forgetful, easily confused, unable to speak as articulately as I normally do, and unable to solve complex problems. I have felt this way since my first vaccination, and have already received my second. I wouldn't say the second made it worse, but I definitely don't feel better.

Other Meds: Duloxetine, 20mg daily

Current Illness:

ID: 1204994
Sex: F
Age: 21
State: KS

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Bee stings

Symptom List: Injection site pain, Menorrhagia

Symptoms: A few minutes after injection patient complained of feeling dizzy and shaky, she thought it might be from anxiety. About 10 minutes after injection nursing staff asked that I check on patient. She was alert oriented, trying to be calm but was anxious. No rash or swelling to upper chest/face noted. Nurses report she was pale but never diaphoretic. Patient denies trouble breathing, she was eupneic and breath sounds clear to auscultation, no coughing. Heart rate 110. Patient c/o lump in her throat. Given Epinephrine 1:1000, 0.3 ml SQ R upper arm. After about 5 minutes patient reports lump in throat has subsided. She was tremoring, heart rate 110-120. About 8 minutes later she was given Benadryl 25 mg PO from marked pill bottle in her purse. About 12 minutes after 1st epinephrine dose she stated the lump in throat feeling was coming back. Gave another dose of Epinephrine 0.3 ml and called EMS. When EMS arrived about 10 minutes later patient said no lump in throat. it just felt dry. O2 sat 99$ Heart rate 130, BP 130/60. Transported to ER. Called patient next day to check on her. Reports in ER given IV steroids, sent home on PO steroids and an epinephrine pen. Told not to get second dose of vaccine. Patient states hasn't had any problems since. Never had a rash or swelling or trouble breathing.

Other Meds:

Current Illness: POTTS Had SARS/Covid-19 October 2020

ID: 1204995
Sex: F
Age: 48
State: CA

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Crestor [Rosuvastatin Calcium] Lipitor [Atorvastatin] Nsaids, Non-selective [Non-steroidal Anti-inflammatory Agents] Penicillins Class PravastatinMuscle Ache Reglan [Metoclopramide Hydrochloride]

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

Symptoms: Patient c/o feeling dizzy, and lightheaded while on 30 min observation. Patient escorted with wheelchair to private patient assessment area. Patient assisted onto bed, vitals taken @ 0908. BP : 150/75 HR: 80 O2: 98% on room air. Patient denies SOB. MD notified. Dr. (Name) assessed patient and stated" give her water and snack,and monitor for additional 15 minutes, then I will reassess in few minutes. Patient given water, tolerated well. During post reaction monitor in private area, patient states" my chest feels really tight and heavy, and I have a history of bypass it feels the same". MD notified. Patient reassessed by Dr. (Name), and MD states" call 911 and have patient transported to ER for further eval and care" called 911, report given to paramedic, patient transported via fire dept to ER in stable condition.

Other Meds: Aspirin Chew Tablet 324 mg morphine Inj Soln 4 mg Outpatient Medications Insulin NPH & Regular Human (HumuLIN 70/30 U-100 Insulin) 100 unit/mL (70-30) SubQ Susp Promethazine (PHENERGAN) 25 mg Oral Tab Empagliflozin (Jardiance) 25 mg

Current Illness: None

ID: 1204996
Sex: F
Age: 55
State: AZ

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Sulpha drugs

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Fever, chills, severe lower back ache and upper leg pain. Body aches. Heart palpitations, high heart rate. Headache. Lasted 3 days. Headache is still happening 6 days out and upper leg pain. Stomach ache started 4/11/21 and lasting

Other Meds: None

Current Illness: None

ID: 1204997
Sex: F
Age: 40
State: CA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Rash and peeling on face. Dark purple/ red spotting on face.

Other Meds:

Current Illness:

ID: 1204998
Sex: M
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: chill; fever; This is a spontaneous report received from a non-contactable reporter (consumer). An elderly male patient in his early 70s 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 chills and fever. Clinical outcome of the events chills and fever was unknown. Follow-up attempts are not possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1204999
Sex: M
Age: 30
State: CA

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

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

Lab Data:

Allergies: Unknown

Symptom List: Nausea

Symptoms: Dizzy/sweaty. Has not eaten today. Glucose tab administered with water. SXS improved. No further intervention needed. Declines any allergy.

Other Meds: Unknown

Current Illness: Unknown

ID: 1205000
Sex: F
Age: 77
State: CA

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Injection site pain

Symptoms: Swollen lymph nodes right armpit 03/10/2021, still visible 4/13/2021. Swollen lymph nodes under left eye 03/09/2021 to 3/11/2021 gone.

Other Meds:

Current Illness:

ID: 1205001
Sex: F
Age: 32
State: MI

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/13/2021
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Allergies: None that I know of

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

Symptoms: That evening I had a headache and I was achy. After going to bed I developed chills where I couldn't get warm and I was shaking, and then it turned to sweating. The next day I was weak, achy, nauseous. That night I developed a fever too. My injection site it still warm to the touch and a little red and swollen, but is looking better. I also had stomach pains in the evening Friday and Saturday night that happened when I was nauseous too.

Other Meds: Macrobiotic, Singulair, and gummy multivitamin

Current Illness: Possible uti, ears had problems with fluid in them.

ID: 1205002
Sex: F
Age: 34
State: TX

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
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Allergies: Codeine, latex

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

Symptoms: Convulsions began about 6 hours after vaccine. With each convulsion I lose ability to speak and struggle to breathe. I cannot control the shaking. I get very dizzy and have had a headache since about 2 hours after the vaccine.

Other Meds: Strattera, Allegra

Current Illness: None

ID: 1205003
Sex: M
Age: 79
State: NC

Vax Date: 04/07/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
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Allergies: Statin intolerant, penicillin

Symptom List: Tremor

Symptoms: New onset of atrial fibrillation noted 6 days after vaccine

Other Meds: Super B Complex, Nexium 22.3 mg, Fexofenadine 180 mg, Aspirin 325 mg

Current Illness: Bacterial bronchitis

ID: 1205004
Sex: F
Age: 54
State:

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/13/2021
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Allergies: PENNICILLIN HYDROCODONE DEMORAL

Symptom List: Erythema, Pruritus

Symptoms: JANSSEN COVID - 19 VACCINE EUA SEVERE CHILLS, HEADACHE, NAUSEA, FEVER, BODY ACHES, JOINT PAIN, EXTREME FATIGUE - INABILITY TO GO ABOUT MY NORMAL ACTIVITIES FOR ONE WEEK

Other Meds: ARMOUR THYROID 30MG

Current Illness: NONE

ID: 1205005
Sex: F
Age: 58
State: NY

Vax Date: 04/03/2021
Onset Date: 04/04/2021
Rec V Date: 04/13/2021
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Allergies: beef, pork, alcohol, alcohol pads, CT dye, Angiogram dye, hydrocodone, demerol

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

Symptoms: Excruciating body aches, could not walk, Painful body aches Severe Chills Sharp shooting pains in my head Headaches Sore throat Blisters on Tongue Pain under arm Stomach ache Diarrhea Symptoms lasted for over one week. Today on 4/13, I feel a bit more myself.

Other Meds: ozempic, Crestor, losartan, metropolis, Celebrex, zinc,

Current Illness: none

ID: 1205006
Sex: F
Age: 17
State: CA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 04/13/2021
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Allergies:

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

Symptoms: Vaccination team received approval by the local county department of health to proceed with vaccination of minors.

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Current Illness:

ID: 1205007
Sex: M
Age: 81
State: NJ

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 04/13/2021
Hospital: Y

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Allergies: AMIODARONE

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: PATIENT'S DAUGHTER REPORTED THAT HE WAS NOT ABLE TO MOVE HIS BODY AND HAD FEVER. SHE SAID HE WAS HOSPITALIZED .

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Current Illness:

ID: 1205008
Sex: F
Age: 23
State: PA

Vax Date: 04/07/2021
Onset Date: 04/11/2021
Rec V Date: 04/13/2021
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Allergies: Penicillin

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

Symptoms: Small (less than one centimeter in diameter) bumps filled with clear liquid on skin. Slight red tint around bump. Two on top of right ankle, two on right big toe, 4 in a line on left wrist, one on back of right thigh

Other Meds: Birth control pill

Current Illness: None

ID: 1205009
Sex: F
Age: 67
State: NY

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 04/13/2021
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Allergies: Penicillin

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

Symptoms: Patient was administered vaccine, as per protocol moved to the vaccination wait area for 15 minute observation. She passed out about 5 minutes later, she came to and said she was fine, then passed out again. I called 911 when she passed out the second time, I also administered an Epi-pen injection just in case she was having an allergic reaction. Shortly after the injection she came to and by then the paramedics had arrived. They took her BP it was 130/80 they also said they see this a lot with injections and that it was syncope and that it is pretty common. We followed up with her the next day and she was fine, she feels she didn't eat that day and she a little frightened and that is why she passed out.

Other Meds: Lipitor 10mg, Metprolol 50, Dyazide

Current Illness:

ID: 1205010
Sex: F
Age: 62
State: AZ

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
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Allergies: Food & environmental allergies. Anaphylaxis- Clindamiacine antibiotics & spray anesthesia

Symptom List: Pain in extremity

Symptoms: Heart palpitations, intermittent for about 5 minutes, chest/lung pressure for about 3 hours, 24hours of nausea, temp 101.5, Throbbing headache, fatigue and sore neck /shoulder & swollen glands in neck. Soreness in ALL joints for 1 Week.

Other Meds: Singulair 1x10mg, zyrtec 1x10mg, Allegra 1x180mg, prempro 1x0.45mg/1.5mg. As needed: Sudafed, meclizine, Albuteral emergency inhaler, Nasalcrom nasal spray. Supplements taken daily: 1000mg Vit C, Centrum Silver multivitamin

Current Illness: None

ID: 1205011
Sex: M
Age: 43
State: TX

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
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Allergies: None

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

Symptoms: Headache, 99 - 102 fever, queasy stomach, aches in bones, fatigue and sleepy.

Other Meds: None

Current Illness: None

ID: 1205012
Sex: M
Age: 35
State: IL

Vax Date: 03/23/2021
Onset Date: 03/29/2021
Rec V Date: 04/13/2021
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Allergies: None

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

Symptoms: Lower leg pain, confirmed clot about 4 inches long via an ultrasound on 4/9

Other Meds: None

Current Illness: None

ID: 1205013
Sex: M
Age: 27
State: FL

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
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Allergies: none

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

Symptoms: Patient had vaso-vagal reaction from the vaccine. Within 2 minutes of getting the vaccine the patient became flushed and very pale. He as sweating profusely and had vision loss. He was sitting while this all happened which I think prevented him from fainting. I got him water, an ice pack and called ems. By the time EMS arrived the patient was starting to feel better. EMS did their evaluation on site and the patient was able to go home 20 minutes later.

Other Meds: none

Current Illness: none

ID: 1205014
Sex: M
Age: 37
State: IL

Vax Date: 04/11/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
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Allergies: NA

Symptom List: Vomiting

Symptoms: Body pain, malaise, discomfort

Other Meds: NA

Current Illness: NA

ID: 1205015
Sex: M
Age:
State: IN

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 04/13/2021
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Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: fever; chills; headache; aching body; This is a spontaneous report from Pfizer-sponsored program . A contactable consumer, the patient, reported a male of unspecified age received the first dose BNT162b2 (solution for injection; batch/lot and expiry information not provided) as a single dose via unspecified route on 10Mar2021, for COVID-19 immunisation. Relevant medical history included tested positive with the COVID-19 virus (2020-2020 and he beat it). There were no concomitant medications or past drug history reported. The patient reported that on the day of his first dose of the vaccination, after he got the vaccine, he felt symptoms that were similar to what he had when he had the virus; fever, chills, headache and aching body. The patient explained that he is fine now and has already recovered. The patient explained that he is apprehensive to get the second dose. The patient inquired if his body has enough antibodies to combat COVID 19 virus. The outcome of the events fever, chills, headache and aching body was recovered on unspecified date in Mar2021. The lot number for the vaccine, BNT162b2, was not provided and will be requested during follow-up.

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Current Illness:

ID: 1205016
Sex: F
Age: 19
State: CA

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
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Allergies: Mild Allergy to Penicillin

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

Symptoms: A few Minutes after getting the vaccine, patient stood up, felt dizzy light headed and nauseas and then passed out. Patient was unconscious for approximately 5 seconds before waking up. Patient was then assisted to a supine position before getting a set of vital signs, all WNL except for a low blood pressure. Patient was then assisted to a cot where she explained how she felt before hand and another set of vital signs was taken, all WNL and an improved blood pressure. Patient was then asked to wait at least 30 minutes and until all symptoms had subsided before having someone assist her in getting home.

Other Meds: Spiralactin

Current Illness:

ID: 1205017
Sex: F
Age: 66
State: MA

Vax Date: 02/16/2021
Onset Date: 02/21/2021
Rec V Date: 04/13/2021
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Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Momentary near loss of vision for about 5 minutes in right eye

Other Meds: Amlodapine, Wellbutrin, calcium, Miramar, citracal, mvi, naproxen

Current Illness: None

ID: 1205018
Sex: F
Age: 60
State: CA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
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Allergies: none

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

Symptoms: Rash at injection site, severe itching at injection site, continued headaches, stomach issues, metal taste in mouth, fatigue.

Other Meds: none

Current Illness: none

ID: 1205019
Sex: F
Age: 59
State: OR

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
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Allergies: CODEINE SULFA

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

Symptoms: REDNESS/FLUSHING IN FACE ~30 MIN AFTER DOSE

Other Meds: FLUTICASONE 50MCG 2 SPRAYS BID SYMBICORT 160/4.5 2 PUFFS BID ACYCLOVIR 200MG/5ML 5ML PO QD, 10ML X 5 DAYS FOR OUTBREAKS LYRICA 150MG TID ALBUTEROL 90MCG/ACT 2 PUFFS Q4H PRN

Current Illness: N/A

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am