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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1218136
Sex: F
Age: 34
State: NY

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: None known of

Symptom List:

Symptoms: At 3:40 am 4/8/21 my dog woke me to go outside. As I walked down the stairs, I was happy I felt perfectly normal as I had heard so many side effects. My arm was sore but that was all. After a few minutes I went back upstairs and became incredibly nauseas and light headed. It was more overwhelming than any feeling like that in my life. I wasn?t sure if I was going to vomit or faint. I rushed in bed and was breathing very heavily in my nose and out of my mouth focusing on this awful feeling to pass. After a few minutes my right shoulder started to tingle and feel numb. The sensation started working its way down my right arm then began on the left side. The tingling/numb sensation went all the way to my fingertips and I lost movement in both of my hands. I could still feel touch but I had no movement in my fingers. After about five minutes I slowly regained movement in my fingers and the tingle/numb sensation moved slowly back up both my arms in the same manner it began. After roughly ten minutes this episode had entirely passed and I went back to sleep. When I woke around 7am I felt relatively normal, just minor tiredness and headache. Around 1:00pm I developed a fever of 100.7 and went to bed for the day about 6:00pm on 4/8/21. When I woke Friday 4/9/21 I felt entirely back to normal. My husband said if I hadn?t regained movement of my fingers when I did, he was going to take me to the ER because it was so bizarre and scary. While the episode was at its peak, my husband gave me two Tylenol.

Other Meds: Pulmicort, Zoloft, vitamin D, probiotics, multi vitamin

Current Illness: No

ID: 1218137
Sex: M
Age: 60
State: GA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: APPREHENSION AND CHOLING SENSATION PATIENT HAD NOT HAD ANYTHING TO EAT SINCE 6:30AM

Other Meds:

Current Illness:

ID: 1218138
Sex: F
Age: 74
State: IL

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Codeine, Penecillins, Sufadiazine

Symptom List:

Symptoms: Patient Complained of lightheadedness and nausea, stomach pain

Other Meds: Unknown

Current Illness:

ID: 1218139
Sex: M
Age: 56
State: TX

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: cymbalta, dilaudid, tizanidine, hydromorphone, etodolac

Symptom List:

Symptoms: Fever, chills, body aches, chest pain

Other Meds: Sinemet Depakote lexapro pamiprexole rivastigmine, selegiline, tadafil

Current Illness: none

ID: 1218140
Sex: F
Age: 41
State: CO

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Developed arm soreness, headache, and right eye swelling with eczema a few hours after 2nd dose. Had whole body aches and chills throughout the night. Woke up with swollen, red, itchy face. Had fatigue and dizziness throughout next day. Side effect subsided within 24 hours. 6 days post 2nd shot, developed face swelling, redness and itch. Woke up the morning of 7 days post 2nd shot with extremely swollen eyes, cheeks and lips that were red and burned. Went to ER and received 3 IV drugs, including Benadryl, took 3d of oral prednisone and also a topical steroid prescribed by dermatologist. Swelling and redness subsided within 48hrs but flared again 14d post 2nd shot. This flare was mild compared to d7, is limited to mild swelling of lips, redness and itch of lips and eyelids and is being treated with topical steroids.

Other Meds: Blisovi

Current Illness: None

ID: 1218141
Sex: F
Age: 72
State: FL

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: none stated

Symptom List:

Symptoms: fever 101 , ongoing heavy nasal congestion, coughing ,sneezing, no appetite

Other Meds: none stated

Current Illness: none stated

ID: 1218142
Sex: F
Age: 52
State: VA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Nausea. Heavy bleeding including clot

Other Meds:

Current Illness:

ID: 1218143
Sex: F
Age: 65
State: TX

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: sore arm that became so sore, was hard to lift up at exactly 9 hours after injection. next day arm sore unable to lift up without discomfort migraine type headache, light sensitive, stomach distress

Other Meds: losartin dilitiazem omemeprazol trazodone

Current Illness: none

ID: 1218144
Sex: F
Age: 50
State: FL

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Within 15-minutes of vaccination, the patient reported headache, nausea, and malaise. Paramedics evaluated the patient on-site. The patient was hypertensive (229/129). EKG demonstrated NSR, rate 85 bpm, no ST elevation. Paramedics transported the patient to Emergency Department. In the ED, the patient developed centralized chest pain, diaphoresis, and right jaw pain, but denies shortness of breath, nausea/vomiting, focal weakness, fever or chills. The patient remained hypertensive (184/85). Physician administered 325mg PO Aspirin, 0.2mg PO Clonidine, and 1 inch topical Nitroglycerin. The labs and imaging did not present evidence of myocardial infarct or intracranial hemorrhage. Due to symptoms on presentation, the patient was admitted to rule out ACS. Upon admission, the patient stated the chest pain "comes and goes", but is not currently having any chest discomfort. Admitting physician administered 5mg PO Amlodipine, 5mg PO Lisinopril, labetalol 10mg IV, and prophylactic Lovenox. As of 4/16, the patient had not been discharged, but their hypertensive urgency and chest pain have resolved and will be treated outpatient. Internist planning patient's discharge.

Other Meds: Humira

Current Illness: None reported

ID: 1218145
Sex: F
Age: 37
State: GA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: ITCHING, CHOKING SENSATION, COUGHING, WHEEZING, AND DIFFICULTY BREATHING

Other Meds:

Current Illness:

ID: 1218146
Sex: F
Age: 30
State: PA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: I had a fever that started an hour or two after the shot, then the next morning I woke up around 9am with fever, chills, nausea, body aches, weakness, and dizziness if I tried to walk. I called off work, went back to sleep, and by 1pm the nausea and dizziness were gone. I had a fever, body aches, and chills for the rest of the day. This morning I woke up and my fever was gone.

Other Meds:

Current Illness:

ID: 1218147
Sex: F
Age: 71
State: SC

Vax Date: 03/18/2021
Onset Date: 03/28/2021
Rec V Date: 04/16/2021
Hospital: Y

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Patient is a 71-year-old female with history of hypertension, hyperlipidemia, and obesity who presents with complaint of acute onset shortness of breath. She reports she was walking around her house earlier when she suddenly became short of breath. She denies any chest pain, numbness or tingling but states that shortness of breath persisted. She denies any tobacco, alcohol or drug use and states she has never had any symptoms similar to this before. Denies any lung disease or heart disease previously. She does have hypertension and hyperlipidemia and is on metoprolol and rosuvastatin respectively which she reports good compliance. Denies family history of MI or strokes. She also denies other symptoms such as nausea, vomiting, abdominal pain, fevers or lower extremity edema. In the ED vitals were found to be within normal limits. EKG was obtained showing diffuse T wave inversions, right bundle branch block, no ST changes, no hypertrophy. Troponin found to be elevated at 0.137, creatinine elevated at 1.3, BUN 26. Chest x-ray was within normal limits. Otherwise lab work was unremarkable. She was given aspirin and Nitropaste Hospital Course: Patient was admitted to the medical floor and remained hemodynamically stable throughout her stay. She actually remained asymptomatic and had no further shortness of breath. She was not hypoxic, at no point required supplemental oxygen. Her troponins however continued to uptrend to 0.389. Cardiology consulted, she was medically optimized with increased statin dose, therapeutic lovenox, and aspirin. Original plan was for cardiac catheterization. However, a d-dimer was ordered which returned elevated to 13.7. CTA was performed which revealed extensive bilateral pulmonary emboli with large clot burden and concern for right heart strain. Echocardiogram showed mildly dilated and hypokinetic RV with mild diastolic dysfunction with impaired relaxation. She was deemed not to be candidate for EKOS. Troponin elevation was felt to be type II NSTEMI 2/2 PE. PE was classified as unprovoked as she has no definite risk factors for this: no prior DVT/PE, no family history of clotting disorder, no evidence of malignancy (UTD with cancer screenings and visits PCP q6m for health maintenance), no cell line abnormalities, no prolonged immobility or long trips or surgeries, no trauma, no hormone or steroid therapies or even antidepressants. She is obese, and has mild CKD. She tested negative for COVID-19 by antigen testing. The only identifiable change in her health habits recently was receiving the first COVID-vaccine dose on 3/18. We discharged her with Eliquis with instructions to taper from 10BID to 5BID after 7 days. As she will be on anticoagulation, the benefit will likely outweigh the risk of receiving the second COVID dose. She will follow up with her PCP and hematology/oncology.

Other Meds: Rosuvastatin 5mg, metoprolol 100mg

Current Illness:

ID: 1218148
Sex: M
Age: 72
State: NJ

Vax Date: 02/25/2021
Onset Date: 04/12/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies: succinylcholine IV dye

Symptom List:

Symptoms: new onset of ventricular premature contractions and right bundle branch block approximately 6 weeks following the second dose of vaccine.

Other Meds: Vit D 5000 units per day Pravastatin 40 mg per day taken for high cholesterol which is well controlled Metformin 2000 mg per day taken for weight loss Vit B12 500 mcg per day

Current Illness: Overweight

ID: 1218149
Sex: F
Age: 32
State: IN

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Muscle pain in arm, mild to severe at times. Headache.

Other Meds:

Current Illness:

ID: 1218150
Sex: F
Age: 59
State: FL

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies: Shrimps and seafood

Symptom List:

Symptoms: Feel throat difficulty swallowing. Recommended by EMS to contact primary care or call 911. Understanding verbalized. 176/96, HR 76, BS 187, O2Sat 98%, 183/102, P 70. 197/93 11:10am Refusing transport, prefers to go home and will call 911 from home. Accompanied by husband.

Other Meds: Blood pressure medications

Current Illness: n/a

ID: 1218151
Sex: F
Age: 54
State: ME

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: sulphur

Symptom List:

Symptoms: Vaccine was given at 840am on 4/14/2021. Felt fine during the day. Slept for a few hours. At 1a woke up to fever, chills, headache, joint soreness, sweating, then freezing. I took tylenol throughout the following day but it barely made it the symptoms go away. Symptoms continued until 9pm 4/15/2021. 4/16/2021 - continued muscle soreness and headache but fever has subsided.

Other Meds: none

Current Illness: none

ID: 1218152
Sex: F
Age: 44
State: MD

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Day 1 = Chills Day 2 = Body Aches and Fatigue Day 3 = Rash on the Right side of my Face & Left Lower Neck & Chin. I made an appt with my Dr. I went in for a visit and she diagnosed me with a Mild Case on the Shingles (and prescribed me two treatments for it). Further, my Dr. says that I am the 2nd patient she has treated for Shingles shortly after receiving the J & J vaccine.

Other Meds: Multivitamin (Women) - Gummy Hair & Nail Vitamin - Gummy FiberOne - Gummy

Current Illness: None

ID: 1218153
Sex: M
Age: 59
State: GA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: CLIENT RECIEVED MODERNA AS THIER FIRST DOSE OF COVID 19 VACCINE AND THEN RECIEVED PFIZER AS THEIR SECOND DOSE.

Other Meds: UNKNOWN

Current Illness: UNKNKOWN

ID: 1218154
Sex: F
Age: 54
State: IN

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills soreness in arm tired

Other Meds: None

Current Illness: None

ID: 1218155
Sex: F
Age: 29
State: NC

Vax Date: 04/08/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

Symptom List:

Symptoms: Knot in arm on inner bicep facing body towards armpit. Painful to touch and not exactly at injection site but near

Other Meds: None

Current Illness: None

ID: 1218156
Sex: F
Age: 61
State: MN

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: I was sick the whole next day... upset stomach...no energy- slept most of the day,,,headache, even teeth hurt

Other Meds: none

Current Illness: none

ID: 1218157
Sex: F
Age: 67
State: WV

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: PATIENT EXPERIENCED HYPERTENSION HEADACHE DIZZINESS DIAPHORESIS AND WAS TRANSPORTED BY EMS TO ER

Other Meds: BUSPAR

Current Illness: ANXIETY DIABETES

ID: 1218158
Sex: M
Age: 60
State: NY

Vax Date: 03/25/2021
Onset Date: 04/07/2021
Rec V Date: 04/16/2021
Hospital: Y

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

Lab Data:

Allergies: sulfa based drugs

Symptom List:

Symptoms: On 4/7/2021 I was hospitalized with a heart attack due to an embolism in my LAD. Had to be re-stented. In ICU for 5 days- regular hospital 2 and discharged after total of 7 days

Other Meds: crestor 40 mg daily Aspirin 81 mg Repatha 2x mnth multivitamin D3 and B12 supplements COQ10

Current Illness: none

ID: 1218159
Sex: M
Age: 31
State: GA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: CHOKING SENSATION AND ITCHY THROAT

Other Meds:

Current Illness:

ID: 1218161
Sex: M
Age: 16
State: CO

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient given Moderna vaccine at off-site clinic and was not eligible due to age restriction of 18 years old

Other Meds:

Current Illness:

ID: 1218162
Sex: F
Age: 36
State: NJ

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Dogs & cats

Symptom List:

Symptoms: Fever chills headache sweats muscular pain

Other Meds: None

Current Illness: None

ID: 1218163
Sex: F
Age: 46
State: GA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: APPREHENSION AND CHOKING SENSATION

Other Meds:

Current Illness:

ID: 1218164
Sex: M
Age: 62
State: MO

Vax Date: 03/01/2021
Onset Date: 03/18/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Lisinopril

Symptom List:

Symptoms: Large lympadenopathy axillary on right side- the size of a softball, tender, pronounced swelling

Other Meds: Metformin, valsartan, coreg, fish oil, aspirin, vit c, zinc

Current Illness: Nonetheless

ID: 1218165
Sex: M
Age: 24
State: IA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: After injection patient went to waiting room with mother for 15 minutes. Within 5 minutes he began seizing, He stiffened and hit his head on a shelf behind him. Pharmacist called over and did witness second (or continued) seizure. Mom and I held him steady until done. Patient breathing fine and responsive after seizure though not wanting to move. Called 911, stayed with him until paramedics arrived. He was talking to us, though very pale and weak. Refused to lie down. Paramedics transferred the patient to the hospital for further evaluation and treatment.

Other Meds:

Current Illness:

ID: 1218166
Sex: F
Age: 63
State: IL

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: CHILLS FATIGUE

Other Meds:

Current Illness: none

ID: 1218167
Sex: F
Age: 35
State: NY

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: tetracycline, mango

Symptom List:

Symptoms: 8 hours after the shot, I developed a fever of 100 degrees Fahrenheit, chills, and body aches. The next morning, the only symptom I had was a headache. 2 days after the shot I was fine.

Other Meds: Lotemax eye drop, levothyroxine

Current Illness: anemia, subclinical hypothyroidism

ID: 1218168
Sex: F
Age: 32
State: TX

Vax Date: 03/31/2021
Onset Date: 04/07/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Soy, NSAIDs

Symptom List:

Symptoms: Interruption in menstrual cycle. I have not had a period since first or second dose of Pfizer vaccine and pregnancy is not a possibility. Vaccine appears to stop effects of sertraline for about a week. I experienced manic depression for about a week both after first and second dose of vaccine, despite not having any issues while on sertraline prior to being vaccinated. It was like my sertraline medication completely stopped working.

Other Meds: Sertraline, Birth Control

Current Illness: None

ID: 1218169
Sex: F
Age: 42
State: MN

Vax Date: 04/07/2021
Onset Date: 04/16/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, metronidazole

Symptom List:

Symptoms: Large ring appeared around vaccination side day 9. Super itchy. Day 3-9 large golf ball lump under injection site

Other Meds: Humira, Arava, medrol, loryna, pantoprazole, zyrtec

Current Illness: none

ID: 1218170
Sex: F
Age: 37
State:

Vax Date: 04/06/2021
Onset Date: 04/11/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: My left arm pit Lymph Node started swelling 4/11/2021 and the pressure/swollen feeling lasted 4 days ending on 4/15/2021. Also I got a cold sore in my left nostril on 4/15/2021 currently irritated.

Other Meds: Vitamin C, Vitamin D, Iron, Biotin, Keratin, Magnesium, calcium

Current Illness: None

ID: 1218171
Sex: F
Age: 47
State:

Vax Date: 03/21/2021
Onset Date: 03/30/2021
Rec V Date: 04/16/2021
Hospital: Y

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Allergies: Aspirin

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Symptoms: Nausea, abdominal pain, persistent headache, fever

Other Meds:

Current Illness: High blood pressure, migraine

ID: 1218172
Sex: F
Age: 31
State: MO

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/16/2021
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Symptoms: After patient received this vaccine dose, it was discovered that the vial had been stored outside of the recommended temperature range calling into question its efficacy After conferring with immunization experts it was determined that this dose needs to be repeated. Patient was contacted by the person completing this form and made aware of this information. The patient plans to repeat vaccine on 4/26/21 or 4/27/21.

Other Meds:

Current Illness:

ID: 1218173
Sex: M
Age: 49
State: IN

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
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Symptoms: Headache, Chills, Sore Injection Area, body aches, mild nausea.

Other Meds:

Current Illness:

ID: 1218174
Sex: F
Age: 35
State: GA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/16/2021
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Allergies: NKA

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Symptoms: Severe allergic reaction with swollen face, hands, feet, throat, chest congestion, shortness of breath, rash, and pruritis. Cortisone shot and prednisone oral 20 mg for 10 days , zyrtec.

Other Meds: Amlodipine / HCT

Current Illness: NONE

ID: 1218175
Sex: F
Age: 69
State: NY

Vax Date: 03/23/2021
Onset Date: 04/06/2021
Rec V Date: 04/16/2021
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Allergies: Allergies to penicillin.

Symptom List:

Symptoms: The patient presented with erythema multiforme on bilateral palms and lower extremities, which started a little over the week post the 2nd dose of the COVID vaccine. The patient reports that the rash was painful at the beginning but it's better now. No other side effects reported.

Other Meds: The patient takes clonazepam 1 mg two times a day as needed, losartan-hydrochlorothiazide 100 -25 mg daily, melatonin 3 mg nightly, paroxetine 20 mg daily.

Current Illness: No other illnesses reported.

ID: 1218176
Sex: M
Age: 36
State: PA

Vax Date: 02/01/2021
Onset Date: 03/01/2021
Rec V Date: 04/16/2021
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Allergies: Nka

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Symptoms: Severe case of shingles on face 3-4 weeks after second vaccine

Other Meds: Xanax, sertraline

Current Illness: Na

ID: 1218177
Sex: M
Age: 77
State: TX

Vax Date: 04/08/2021
Onset Date: 04/12/2021
Rec V Date: 04/16/2021
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Allergies: none

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Symptoms: Very sore on my whole left side of my body. Sore and stiff muscels in my back, left arm and left side of my chest.

Other Meds: plavix and metamorphin

Current Illness: none

ID: 1218178
Sex: M
Age: 37
State: NJ

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
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Allergies: Penicillin

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Symptoms: Headache Foggy Feeling in my head

Other Meds: Adderal

Current Illness:

ID: 1218179
Sex: F
Age: 26
State: NY

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/16/2021
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Allergies: None

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Symptoms: Received shot around 10:00am April 12th, by 12:00pm (beginning of work shift)I experienced a headache and took Advil, figured it was menstrual related since it started the same day. By 5:00 my body started to feel aches and chills but was very mild. By 5:30-5:45 I took a midal for the pain I was experiencing, more severe muscle/ back aches and chills. By 6:30 I went home early from work because symptoms were getting worse and it was hard to continue my shift. Once arriving home around 8 pain continue to progress but I figured I just needed to lay down and rest. By 9 I had soup but could barley finish due to pain. I continued to monitor my temperature because I was experiencing chills even though I had my heater on etc. by 10:00-10:30 my temperature went all the way up to 101.2 and I was concerned so I called 911. They sent an ambulance to come take me to the hospital. On the way there I believe my temperature went down. The paramedics took my temp and it was 99.5 before they took me to the hospital. And when the nurses took my temperature it was 97.8. This happened in the course of about 30-40 minutes of my phone call and arriving to the hospital. Either way I was concerned about the pain because I know there would be symptoms following the shot but I didn?t think it would be so severe. After waiting to be checked in and evaluated they proscribed me Tylenol and ibuprofen. But at a location that was closed for the day. I asked if I could just take more pain killers for the pain (midal and Advil) and I was told i could. Once arriving home by 11:30 I took two midal pills and the pain reduced within an hour. So I was able to sleep. The next day I still experienced pain but took pain killers to help with it.

Other Meds: Birth control

Current Illness: None

ID: 1218180
Sex: F
Age: 54
State: SC

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/16/2021
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Allergies: None

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Symptoms: Bad headache and very fatigued for 36 hours. Most sever cold sore (HSV-1) I've ever had came on 6 days after. Haven't had one for 6 years.

Other Meds: None

Current Illness: None

ID: 1218181
Sex: F
Age: 45
State: NJ

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/16/2021
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Allergies: penicillin

Symptom List:

Symptoms: Feeling nauseous, fatigues and vaginal spotting.

Other Meds: unithroid - 50mg metformin - 1500 vitamin b complex multivitamin selenium

Current Illness: none

ID: 1218182
Sex: F
Age:
State: DC

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Rec V Date: 04/16/2021
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Allergies: I am allergic to Kiwi and bee stings.

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Symptoms: Asthma flair up, abdominal pain, blood clot, headache, and lack of sleep.

Other Meds: NA

Current Illness: None

ID: 1218183
Sex: F
Age: 34
State: MD

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
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Allergies: Codeine, Nitroglycerin

Symptom List:

Symptoms: Patient was given first dose of pfizer vaccine at approximately 3:20 pm. At 3:24 pm she developed a mild, red rash that was not raised on her chest and back. After 5 minutes, the rash spread to her neck. She did not have a generalized rash or itching at that time but within 20 minutes she developed itching to the area affected, with no breathing difficulty or throat swelling noted. VS were checked and within normal limits at the time the event started and 15 minutes afterward. After 30 minutes, she stated she felt her skin on her neck was "tight," and after 45 minutes she developed mild swelling on the left forearm. No breathing difficulty, no oropharyngeal edema or generalized hives or itching were present at any time. EMS was offered and called at 4:13 pm as symptoms seemed to progress and BP became elevated. EMS arrived 4:23 pm. She was given 50 mg Benadryl IM and transported to hospital for observation out of an abundance of caution.

Other Meds: Iron daily over the counter; unsure of dose 50000 IU Vitamin D weekly Adderall 20 mg ER + 20 mg in am + 20 mg in afternoon

Current Illness: None

ID: 1218184
Sex: M
Age: 21
State: TX

Vax Date: 02/24/2021
Onset Date: 03/18/2021
Rec V Date: 04/16/2021
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Allergies: none

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Symptoms: Numbness and tingling in bilateral upper extremities, jaw, posterior scalp. Chest pain/tightness. Pt seen in local ER and evaluated with Labs, CT imaging, EKG and discharged with non-specific chest pain/parasthesias.

Other Meds: none

Current Illness: none

ID: 1218185
Sex: F
Age: 41
State: FL

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
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Allergies: none stated

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Symptoms: patient fainted and had a seizure

Other Meds: none stated

Current Illness: none stated

ID: 1218186
Sex: M
Age: 40
State: CO

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
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Allergies: None

Symptom List:

Symptoms: Woke up with chills and fever of 102. Treated with ibuprofen and acetaminophen. Had fever and muscle aches all day Thursday. Woke up this morning with a strange pain in my left eye socket, felt like a headache but inside my eye ball, it goes away when I sit and lie down and comes back when I stand up. Vision in that eye was blurry, but slowly returning. Continue to have muscle aches and fever, but they are lightening.

Other Meds: Typical meds (narco and buorenorphine), ibuprofen

Current Illness: None

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm