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: 1207483
Sex: F
Age: 56
State: TX

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient is none speaknig. Arrived to the clinic with an appointment to receive her 2nd dose of vaccine. She received her 1st dose of Moderna on 3/10/2021 and missed her second dose appointment several times. She arrived to our clinic and was asked which vaccine she received but due to language barrier, she was vaccinated with Pfizer 0.3 ml (the clinic was not given Moderna at the time). Several signs were posted at the entrance to remind patients that the facility was administering Pfizer

Other Meds: Unknown

Current Illness: Unknown

ID: 1207484
Sex: F
Age: 36
State: GA

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: The day after receiving the vaccine, I noticed a large lump under my chin. The area was tender to touch and painful. I took Advil, which helped but have continued taking it 2-3 times per day for 3 days. Now a week from getting my first dose, the lump has reduced but it remains noticeable, tender, and painful.

Other Meds: Synthroid, Junel

Current Illness:

ID: 1207485
Sex: M
Age: 20
State: MS

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/14/2021
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: Lightheadedness- pale - appeared dazed- HR 59 B/P difficult to hear- pulse weak - monitored for approx. 30minutes BP high to 90/60 and HR 66- 02 Sats are 100% encouraged fluids and a meal- he was smiling, joking, feeling better when he left the site

Other Meds: none

Current Illness: none

ID: 1207486
Sex: F
Age: 40
State: MA

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

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

Lab Data:

Allergies: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: I went to pharmacy to complete my Pfizer vaccination series. After my vaccination was complete, the vaccinator removed the needle and noticed I was bleeding considerably. She asked if I was on blood thinners and I told her I was not on any medication. The bleeding stopped and I went to sit in the waiting area. A few minutes later she came and told me that the syringe was empty and I would need a second shot. She did not explain how she knew it was empty. She administered the second shot, I waited the required amount of time, and then I left. I am reporting the error related to the presumably empty syringe.

Other Meds: none

Current Illness: none

ID: 1207487
Sex: M
Age: 71
State: ID

Vax Date: 03/30/2021
Onset Date: 04/02/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: 4/ 2 left eye irritation , rash on forehead, . Eye bloodshot with more extensive rash by Monday. Primary care gave drops for bacterial infection. Returned 3 days later as rash spread. Diagnosed as Shingles around eye , perscription given. Optometrist consulted - confirmed shingles around eye. Drops perscribed . Vison in left eye impared - looking through fog.

Other Meds: None

Current Illness: None

ID: 1207488
Sex: F
Age: 38
State: NY

Vax Date: 03/17/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
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: Experiencing extreme muscular pain in bicep.

Other Meds: Vitamin c Vitamin d Zyrtec Losartan Metformin Omeprazole Synthroid

Current Illness: None

ID: 1207489
Sex: M
Age: 60
State: AZ

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Initial sore and very tired 03/31 then April 3 developed fever body ache Covid like symptoms fatigue body ache fever headache slight cough flu like symptoms extremely tired requiring sleep. Unable to go to work. Bed rest. April 5 went to urgent care for Covid test- negative chest xray referred to hospital for CT confirmed pneumonia My treatment is two different types of antibiotics. 1. Azithromycin for 5 day and Amoxicillin 3000mg per day for 10 days

Other Meds: Multi vitamin vitamin c vitamin d3 omega 3 zinc magnesium B6 Testosterone

Current Illness: None

ID: 1207490
Sex: F
Age: 31
State: CA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillan Bactrim Pork Shellfish

Symptom List: Pharyngeal swelling

Symptoms: Lingering metallic taste to all food and drink from post-vaccine and continues as of 4/14 7:00am PST. I can taste things- sweet vs. salty, spicy vs. bland, etc. but there's ALSO a metallic taste to everything, like eating coins. (As a side note I also had an extremely intense headache and full body aches and pains from about 12 hours post-vaccine that lasted for a 24-hour period.)

Other Meds: Multivitamin 1x/day 15 mg. Topiramate 1x/night (for migraines) Vitamin C 500mg 1x/day

Current Illness: N/A

ID: 1207491
Sex: U
Age: 57
State: MN

Vax Date: 01/27/2021
Onset Date: 04/01/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: + HH member. EE developed symptoms of head congestion

Other Meds:

Current Illness:

ID: 1207492
Sex: F
Age: 51
State: MI

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 51 yoF endorsed feeling "hard to breath", lightheadedness, weakness, nausea and vomiting 20-30 minutes after 2nd dose of moderna vaccine. Initially her chief complaint was difficulty breathing (specifically that she felt she had a hard time breathing). This occurred 20-30 minutes after her 2nd vaccine. This resolved without intervention. She then complained of lightheadedness and weakness followed by a sensation of tingling in her hands. She proceeded to have intermittent chills. On brief physical exam, there was no evidence of facial swelling or hives. Her respiratory exam was normal including no wheezing and good air movement. Cardiac exam was WNL. Neurologic exam was grossly normal including upper extremity sensation and grip strength. On attempting to stand up, she felt lightheaded and had to be assisted in a wheelchair. She continued to endorse lightheadedness and chills as well as nausea and vomiting. She stated that she once again had difficulty breathing. At this point EMS was contacted given her continued symptoms that did not appear to be resolving On arrival by EMS, her vitals were O2 sat = 97%, HR = 60, SBP 160s-170s. She was transported to local hospital for further evaluation.

Other Meds: Duloxetine

Current Illness: None

ID: 1207493
Sex: F
Age: 55
State: MA

Vax Date: 04/12/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: bananas

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

Symptoms: moderate pain in arm; moderate headache then sudden bloody nose 2 days later from right nostril with two large blood clots. Headache remains.

Other Meds: none

Current Illness: hayfever from pollen

ID: 1207494
Sex: F
Age: 39
State: IN

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

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

Lab Data:

Allergies: Toridol Hydracodone Vycral Sutures Capsaicin

Symptom List: Rash, Urticaria

Symptoms: Dizziness, lips went numb, sides of mouth went numb, tongue began to swell.

Other Meds: Requip Trintellix Vraylar Metoprolol

Current Illness:

ID: 1207495
Sex: F
Age: 20
State: NJ

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: none we're aware of

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

Symptoms: 101 fever, body aches, chills,

Other Meds: zoloft

Current Illness: none

ID: 1207496
Sex: F
Age: 49
State: NC

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: NkDA

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

Symptoms: Husband called this am ( 04/14/2021) to ask questions about pt" side effects of vaccine" Called and spoke to pt. .Pt reports receiving J&J vaccine on 04/12/2021 at 12:30 pm. She began noticing " a severe headache" about 5:30 pm. She relays between 8:00 and 10:00 pm she begin experiencing " leg weakness that made it hard to walk" " I was suddenly walking like a 95 year old woman". This continued and on 04/13/2021 she reports that she noted " the tops of both feet became numb and my left foot was swollen" Relays legs now hurt to front and back of thighs and also at times behind knees. This am ( 04/14/2021) she reports " when I take a deep breath a pain shoots from my throat to underneath my right armpit. Advised pt to go to ED now and notify them of recent vaccine.

Other Meds: Lisinopril 80 mg QD

Current Illness: HTN Atrial Fib

ID: 1207497
Sex: F
Age: 4
State: FL

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: My daughter was given the Quadracel vaccine in her upper thigh (closer to her butt) and not in the muscle. She had swelling with redness and the vaccine injection site was hard and hot. The redness started the following day and increased over the next 3 days. It has slowly gotten better.

Other Meds: Probiotics and gummy vitamin

Current Illness: none

ID: 1207498
Sex: F
Age: 46
State: NJ

Vax Date: 04/01/2021
Onset Date: 04/10/2021
Rec V Date: 04/14/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

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

Symptoms: blood clots in the both lungs

Other Meds: Levothyroid, Isibloom,

Current Illness:

ID: 1207499
Sex: F
Age: 45
State: CO

Vax Date: 04/03/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: sulfa, metformin, band-aid adhesives, seasonal allergies

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

Symptoms: Moderna COVID-19 Vaccine EUA bright red rash, swelling, and itchiness at vaccination site. Started 10 days after vaccine.

Other Meds: synthroid, Vitamin D

Current Illness: none

ID: 1207500
Sex: F
Age: 52
State: GA

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Pfizer-BioNTecg COVID-19 Vaccine EUA Nausea Monday4/12/2021 evening, Fever and more nausea Tuesday 4/13/2021, Continued fever and slight nausea, Body aches, Feels like rocks under left armpit Wednesday4/14/2021

Other Meds: Zyrtec 10 mg women's one a day Escitalopram Tabs 10 mg

Current Illness: none

ID: 1207501
Sex: F
Age: 29
State: WA

Vax Date: 04/06/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Rizatriptan, corn

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: On the 7 days following Moderna shot, I started experiencing symptoms of ?COVID arm?. The site begin to itch and is now inflamed and red.

Other Meds: Nature throid, levothyroxine

Current Illness:

ID: 1207502
Sex: F
Age: 58
State: FL

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: 103 fever, headache, horrible body aches, fatigue. Side effects lasting almost one week so far. Unable to function and complete daily activities for 4-5 days.

Other Meds: Gabepentin, belbuca, nexium, lamictal,

Current Illness: No

ID: 1207503
Sex: F
Age: 74
State: MN

Vax Date: 02/22/2021
Onset Date: 04/09/2021
Rec V Date: 04/14/2021
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, Lymph node pain, Lymphadenopathy

Symptoms: Patient developed symptoms of COVID 19 on 4/12/2021 Headache and cough.

Other Meds:

Current Illness:

ID: 1207504
Sex: M
Age: 55
State: AZ

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Unevaluable event

Symptoms: I had very severe vomiting followed by diarrhea and fever that lasted 2 complete days, now I am in vaccination +6 days and now my wife is sick and I still have very bad nausea and near vomiting, I also still have sweating and fever but it is getting better, terrible light headedness when I stand and brain fog all day, still continues.

Other Meds: Advil

Current Illness: gout/inflammation

ID: 1207505
Sex: F
Age: 54
State: TX

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: hyrocodone no other known food allergies

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

Symptoms: Immediate reaction in right arm-it felt like my arm was on fire. The pharmacist gave the shot extremely high-almost in the shoulder and the reaction was intensely painful. Starting about 6 days later, the soreness of the shot developed into not being able to raise that arm at all without pain. Now, a month later, the pain is worse and is waking me up at night. The injection site is not sore, but the arm itself is not functional without pain. About 2 weeks after the shot, I started having a fuzzy feeling in my head (not painful) and ears. I am extremely sensitive to sound and feel almost dizzy at times. My speech has been slurred and words are not coming to me easily. I am extremely tired and feel foggy.

Other Meds: Synthroid 50mcg, nexium 40mg-both 1x daily

Current Illness: none

Date Died: 04/03/2021

ID: 1207506
Sex: F
Age: 83
State:

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/14/2021
Hospital: Y

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

Lab Data:

Allergies: N/A

Symptom List: Injection site pain, Pain

Symptoms: They came to the house in the morning, gave my mother the second jab, later that day she had to go to hospital shortness of breath, died in hospital two days later.

Other Meds: Diabetes medicines.

Current Illness: Had problem with swollen neck about a month prior.

ID: 1207507
Sex: F
Age: 25
State: NJ

Vax Date: 02/07/2021
Onset Date: 02/25/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Penicillin/Amoxicillin

Symptom List: Injection site pain, Menorrhagia

Symptoms: Missing menstrual period as well as lighter than usual menstrual period 60 days into my cycle

Other Meds: Atorvastatin, CO-Q10, Vitamin D, Magnesium, Zinc, Myo Inositol and D-Chiro Inositol blend, Cranberry, Multivitamin

Current Illness: None

ID: 1207508
Sex: M
Age: 83
State: MI

Vax Date: 03/05/2021
Onset Date: 03/07/2021
Rec V Date: 04/14/2021
Hospital: Y

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

Lab Data:

Allergies: none

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

Symptoms: 3/5/ 21 Received J & J at facility. 3/7/21 Client had troubles walking and went to Urgent Care. then he went home. He did not have good control (wife described that his legs did not have strength but was able to walk. Symptoms started getting better later that day. 3/15 He got up and he said he was not feeling to good. Chest hurt and shoulder hurt. Wife took him to the ER at Hospital. He was transported to Hospital. 3/16/21 Hospital did a Heart catherization. He had a complete blockage in the widow maker and 2 stents were put in. He had 2 blood clots in the Widow Maker. 3/18/21 He was discharged from the hospital. He is doing ok but he has no energy.

Other Meds: Warfin Vit B12 Vit D3 Allopurinol Asprin Centrum Silver Cranberry pills Fish oil Fluvoxamine Fruosemide Gabapentin Prevagen Rabeprazole Soealol Potassium

Current Illness:

ID: 1207509
Sex: F
Age: 38
State: FL

Vax Date: 03/28/2021
Onset Date: 03/29/2021
Rec V Date: 04/14/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Lethargy, impaired cognitive function began on 3/29. By the morning of 3/30, the lethargy and cognitive function is back to normal. Slight headache, low fever and slight chest pain began. Felt better by the afternoon of 3/30 once I took ibuprofen. That evening at approximately 7 pm, I noticed my heart rate was high. My resting HR is about 70, but my HR was at 125 - 130 and I was not exerting myself and was sitting. My HR remained high after I went to bed, and chest pain became worse. By 12:30 am on 3/31, chest pain was getting severe and had pain in both arms. Went to ER at around 3 am on 3/31. Later learning I had a mild heart attack. Had EKG, Blood work, ECG, and Heart Catheritazion. No blockage and normal results except blood work. Blood work showed elevated enzymes. While in the ER, I was given blood thinner and glycerin tablets, aspirin. Since 4/2, my heart rate and blood pressure have returned to their norm without medication. I once again have perfect blood pressure readings and perfect HR. I have returned to normal daily activities as of 4/4.

Other Meds: Avonex 30 mcg weekly injection taken on 3/23. Multivitamin Glucosamine and chondroitin supplement

Current Illness: None

ID: 1207510
Sex: M
Age: 42
State: MA

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Chicken, Turkey, Percocet, antidepressant medications, codeine, lobster

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: anaphylaxis. throat closing, tongue tingling, couldn't breathe within a few minutes of injection epipen and Benadryl given on site, sent to hospital for observation, treatment with allergy medications and steroids for five days after. Observed in hospital for four hours. Advised by primary care doctor not to get second dose or any other covid vaccines due to reaction.

Other Meds: Atorvastin Alosetron Aimovig Verapamil Folic Acid

Current Illness: None

ID: 1207511
Sex: F
Age: 41
State: MD

Vax Date: 03/15/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Hydromorphone, adhesive tape

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

Symptoms: Headache, cough, and right leg pain.

Other Meds: Losartan, HCTZ

Current Illness:

ID: 1207512
Sex: M
Age: 50
State: IN

Vax Date: 03/14/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: MORPHINE

Symptom List: Nausea

Symptoms: I HAD THE NORMAL ARM PAIN BUT THE HOT FLASHES WERE NEW

Other Meds: PAIN MEDS AND VITAMINS

Current Illness: NONE

ID: 1207513
Sex: F
Age: 32
State:

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain

Symptoms: I got a bad headache for about 30 hours. I also had body aches and naseau and difficulty sleeping. I am currently pregnant and was 12 weeks pregnant on the date of the second dose of the vaccine (est date of delivery 10.21.21)

Other Meds: Prenatal vitamin, Iron supplement, B-6 supplement

Current Illness: none

ID: 1207514
Sex: M
Age: 53
State:

Vax Date: 01/06/2021
Onset Date: 03/23/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient was fully vaccinated. He was vaccinated on 12/18/20 with Pfizer BioNTech lot EJ1685 and on 1/6/21 with Pfizer BioNTech lot EJ1685. Patient tested positive for covid-19 on 3/23/21. Another collection for covid was sent to lab for testing. Pending results if variant. Patient's wife and two kids had covid as well but weren't vaccinated.

Other Meds:

Current Illness:

ID: 1207515
Sex: F
Age: 70
State: FL

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies: ASA, NSAIDS,Sulfa, PCN, Quinolones

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

Symptoms: Within 2 days, hives broken out on body that have continued to get worse. This is still persistent till present time,, 2 months, 1 week later. I have seen primary doctor, my allergist regarding this. Obid has run multiple labs showing all mostly normal except for allergic reaction and large increase in cholesterol form last July. Cholesterol has run almost same (normal)my entire life and now at 249. I am now in 4 (24 hour tabs Allegra) QID, Pepcid 40 BID, Vanicream, Triamcinolone 0.5% cream, and Tylenol for pain. The hives continue to run rampant most days, calm a few days. They burn like an iron burn on your skin, itch madly, and swell. At times, there is so much fluid retention from them that I am totally miserable and depressed. I was also put on Doxepin (for itching side use but unable to tolerate due to blurred vision. Treatment is not in control of hives, but does help somewhat. I always have quite a lot and much extreme discomfort. Unknown if this will be permanent or how long it will last.

Other Meds: Advair Flonase Calcium Progesterone Estradiol Biotin Multiple Vitamin Prolea

Current Illness: Asthma

ID: 1207516
Sex: F
Age: 33
State: NY

Vax Date: 04/06/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
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Lab Data:

Allergies: Seasonal allergies.

Symptom List: Tremor

Symptoms: Delayed response on the arm in the form of a redness (like a rush) at the injection site. Looks like a rush, but no pain or itchiness.

Other Meds: None

Current Illness: None

ID: 1207517
Sex: F
Age: 59
State: IN

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/14/2021
Hospital:

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Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Patient stated had many allergies and sensitivities. Vaccinator had her wait 30 minutes instead of 15 minutes. Patient came up to nurse and stated she called her doctor to tell him she had shortness of breath. Patient instructed to notify us by her physician. Took to ER

Other Meds:

Current Illness:

ID: 1207518
Sex: F
Age: 41
State: IL

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies: morphine, opioids, analogues, latex, shellfish products, nuts,

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

Symptoms: numb face and weakness left arm and leg.

Other Meds: humalog,

Current Illness: none

ID: 1207519
Sex: F
Age: 39
State: NC

Vax Date: 04/06/2021
Onset Date: 04/08/2021
Rec V Date: 04/14/2021
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Lab Data:

Allergies: NKA

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

Symptoms: Headache described as what felt like the back of her head was bruised, concerns that she hit her head with no recollection of a trauma. Tender to the touch. One dose 400mg ibuprofen. Lasted intermittently for 24-48 hours. Pain score of 6-7/10.

Other Meds: chlorthalidone 25mg daily fluoxetine 10mg daily

Current Illness: Denies

ID: 1207520
Sex: M
Age: 29
State: TX

Vax Date: 04/11/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: elevated d-dimer blood level and intermittent tingling in bilateral arms

Other Meds: none

Current Illness: none

ID: 1207521
Sex: M
Age: 63
State: DC

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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Allergies: None

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

Symptoms: Moderna COVID?19 Vaccine EUA; moderate to severe headaches; fever up to 100.7 degrees; body chills; severe body aches; nausea; fatigue. If symptoms persist for two more days I will take my father to the emergency room. He is currently recovering at home.

Other Meds: None

Current Illness: None

ID: 1207522
Sex: M
Age: 45
State: KS

Vax Date: 03/29/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies: Vantin

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

Symptoms: Circular rash near injection site. Approximately 2? in diameter.

Other Meds: Ibuprofen B-6 Vitamins Pepcid AC Zyrtec Melatonin

Current Illness:

ID: 1207523
Sex: F
Age: 32
State:

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies: pertussis

Symptom List: Pain in extremity

Symptoms: extremely tired, sweating, restless, chills, vomiting, diarrhea, massive headache, could not control my body, lightheaded.

Other Meds: pre-nasals

Current Illness: allergies

ID: 1207524
Sex: M
Age: 20
State: OK

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies: SHELL FISH

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

Symptoms: RINGING EARS, RIGHT SIDE WENT NUMB, PASSED OUT, HIT HEAD HAS CONCUSSION

Other Meds: NA

Current Illness:

ID: 1207525
Sex: M
Age: 41
State: NJ

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies: NONE

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

Symptoms: CHILLS, LOWER BACK PAIN, TIREDNESS AT THE FIRST DAY BUMPS ON MY HEAD AN MY MOUTH, MY GUMS ARE DAMAGED 2 DAYS AFTER.

Other Meds: NONE

Current Illness: NONE

ID: 1207526
Sex: F
Age: 44
State: IN

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies: UNKNOWN

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

Symptoms: ORAL ITCHING, PALATE,TONGUE. UVULA SWELLING, LARYNGEAL FULLNESS/EDEMA, ASTHMA. EPI 0.3 ML IMBENADRYL 25 MG PO, SECOND DOSE BENADRYL 50 MG IM , PEPCID 20 MG PO, ALL AT COVID CLINIC , TRANFER TO HOSPITAL PER EMS FOR FOR 6 HOUR OBSERVATION. GIVEN CORTIZONE. NO FURTHER MODERNA OF PFIZER VACCINE TO BE GIVEN, PATIENT ADVISED. SEE ALLERGIST.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1207527
Sex: F
Age: 27
State: MD

Vax Date: 04/08/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List: Vomiting

Symptoms: I had a fever of 103.8 8-12 hours after the vaccine. After the first 24 hours all normal side effects went away. Yesterday (day 5), I started having leg discomfort and it continues today. Could easily be a pulled muscle but I?m also concerned about blood clots so I?m watching my symptoms and if anything worsens, I will get seen by patient first.

Other Meds: Lessina Birth control pills.

Current Illness: No.

ID: 1207528
Sex: F
Age: 76
State: FL

Vax Date: 02/26/2021
Onset Date: 03/01/2021
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies: None known possibly penicillin (from childhood)??

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Not certain injection related but shortly after first dose began itching at nape of neck (hairline) and kept asking family to look for a reason. 3 looked and 3 found nothing but I was still itching. I had applied some hydrocortisone, but the itch kept up and then on Easter, my granddaughter saw "little pimples" back there It just kept up until on April 12th it was so itchy and burny that I told my husband to take a picture I could look at myself and there was a red area mainly toward the middle of the area but I feel the itch mainly on the left side near my ear looking forward. For the last 2 days I have used Claritin and it seems to be abating somewhat. My husband says the red is gone but I still have "itch" Like I said it may or may not be from the shots?

Other Meds: Osteo BiFlex One daily Daily multiple vitamin

Current Illness: None known

ID: 1207529
Sex: M
Age: 17
State: AZ

Vax Date: 04/08/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
Hospital:

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Allergies: none

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

Symptoms: On 4/9 had sore left arm and fatigue, side effects lasted throughout the day and resolved. 4/13 woke up with bad nausea and headache (6/10 pain) stayed in bed and did not go to school, woke up 11 am and headache/nausea started to resolve throughout the day.

Other Meds: none

Current Illness: none

ID: 1207530
Sex: F
Age: 54
State: IN

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
Hospital:

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Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Noticed two small circular rashes on the inside of the lower right arm.

Other Meds: Metoprolol, Ferrous Sulfate, Nature?s Sunshine Colon cleanser (Liquid Chlorophyll, Hydrated Bentonite, Psyllium Hulls & Cascara Sagrada)

Current Illness: Had a D&C procedure to remove fibroids on March 18th.

ID: 1207531
Sex: F
Age: 60
State: PA

Vax Date: 10/01/2020
Onset Date: 10/01/2020
Rec V Date: 04/14/2021
Hospital:

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Lab Data:

Allergies:

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

Symptoms: Arm pain severe enough for 10 days, difficulty moving arm. Continued pain at injection site.

Other Meds: One A Day vitamin

Current Illness:

ID: 1207532
Sex: M
Age: 52
State: CO

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

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

Symptoms: Tinnitus

Other Meds: Lisinopril

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am