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: 1220684
Sex: F
Age: 35
State:

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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Dizziness, cold and clammy, BP 85-50, HR 68, RR19, given apple juice and water. 10 minutes later, BP 88/57, HR 76, pt states BP normally low around 90s. Released in stable condition

Other Meds:

Current Illness:

ID: 1220685
Sex: F
Age: 26
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: Anxiety, Dyspnoea

Symptoms: High heart rate notifications from 11:00 PM until 5:00 AM while I was trying to sleep, as well as chills, fever, and body aches.

Other Meds: Nuvaring Spironolactone 100mg twice daily Kirkland signature adult multivitamin Vitamin D supplement

Current Illness: None

ID: 1220686
Sex: M
Age: 50
State: IN

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:

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

Symptoms: Nausea, headache, fever, body aches

Other Meds:

Current Illness:

ID: 1220687
Sex: F
Age: 64
State: AL

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: Penicillin, codeine, sulfa drugs, lactose intolerance.

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Approx. 1 hour after the vaccine I felt really sleepy. Slept from 11:00 a.m. to 7:30 P.PM. Felt good and well-rested. The next morning, I got up and had breakfast at 9am. Around 11:30 A.M. I felt really nauseated, started throwing up and had diarrhea really bad. Started throwing up something really bitter, I was really sick. I got much better around 11:15 P.M. The next day I was knocked down with a bad sinus infection. 2nd Pfizer Vaccine April 14th. Had a slight chill. Chill went away approx. 6 hours. Did not get sick.

Other Meds: No herbal supplements. 1 multi-vitamin, 1 RX med ( Pantoprazole).

Current Illness: none

ID: 1220688
Sex: M
Age: 36
State: CA

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: NKA

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

Symptoms: c/o numbness/tingling on left arm and body 14 mins post vaccination, vital signs within normal, worked up at ambulance. Initially agreed to be transferred via ambulance to hospital then changed his mind and preferred to go home instead. Discharged home with instructions to call 911 if sypmtoms return or worsen.

Other Meds: none

Current Illness: None

ID: 1220689
Sex: F
Age: 25
State: MA

Vax Date: 02/15/2021
Onset Date: 03/22/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Tetracycline

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

Symptoms: Got my period a week early. Very heavy flow and had it for almost two weeks when I usually only have it for 4 days with a very light flow.

Other Meds: Humira, ativan, yaz bc, vitamin b12 PO, FLO gummy

Current Illness: None

ID: 1220690
Sex: M
Age: 40
State: CA

Vax Date: 03/25/2021
Onset Date: 04/06/2021
Rec V Date: 04/16/2021
Hospital: Y

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

Lab Data:

Allergies: food: beef, pork, others; environmental: pollen, fur, feathers

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: On the evening of March 6, 2021, patient tried to exercise (consistent with regular routine) and couldn't do more than 15 minutes. He was very winded. On March 7, we skipped exercise. On March 8, patient tried to do simple stretching exercise, and couldn't do it. He got winded and shaky. On March 9, he was seen at an urgent care where he was told he had an inverted T wave on his EKG and a very fast heart rate (125 resting pulse). He was told to not exercise and to make an appointment with a cardiologist. On March 9, I called the urgent care clinic to ask questions about monitoring his blood pressure and when to seek more medical care. I spoke with Dr, who prescribed Atenolol. Around 4:30 pm on

Other Meds: Loratadine; Zyrtec; Lansoprazole; pseudoephedrine

Current Illness: none

ID: 1220691
Sex: F
Age: 60
State: CA

Vax Date: 04/07/2021
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: None known

Symptom List: Pharyngeal swelling

Symptoms: Severe digestion problems -- vomiting and diarrhea. Continued for several days so went to hospital where CT showed inflammation of colon. Received IV and antiobiotics; released after three days. No fever or other symptoms. Mostly better now.

Other Meds: Wellbutrin, Lexapro, Atorvastatin

Current Illness:

ID: 1220692
Sex: F
Age: 37
State: MO

Vax Date: 04/13/2021
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 reported

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Area of arm near the site of injection became red, swollen and warm and tender to touch about 24 hours following the injection. Symptoms worsened for the next 24 hours before starting to subside. Patient took 180mg fexofenadine the evening the redness was noticed (14 April 2021). Pt reported event to PharmD on 16 April 2021, and stated the symptoms are better now than they were on 14 April.

Other Meds: Simvastatin 20mg daily; Sertraline 50mg daily; losartan 50mg daily; meloxicam 15mg daily; atenolol 25mg daily; mono-linyah daily

Current Illness: stomach virus about 2-3 days prior to vaccination

ID: 1220693
Sex: F
Age: 44
State: TX

Vax Date: 04/03/2021
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: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: patient called on 04/16/2021 and stated that ever since she received the second dose of the moderna vaccine on 04/03/2021, she has been having pain in the arms, hips, thighs, and calves and feeling of muscle spasms. the pain in the thighs and calves lasted about 24 hours, but eh pain in her arm, shoulder blades, and fingertips are still there. the pain feels like a dull, thrombing pain, and sometimes it hurts her to the point where she's not able to type. she went to next level urgent care on 04/12/2021 and they gave her ibuprofen 800mg, but she's still having the pain. she is scheduled to see her primary care physician on monday 4/19/2021. upon further questioning her case, rph on duty found out she was cut by a chicken wire that was rusted on her left thumb and had received a tetanus vaccine on 03/20/2021 and was seen at an urgent care. rph on duty said she will follow up with patient on monday after she returns from seeing her md.

Other Meds: levocetirizine, montelukast, bupropion, fluoxetine, adderall, symbicort

Current Illness: patient had been cut by a rusted chicken wire and had the tetanus vaccine 2 weeks before receiving the second dose moderna vaccine

ID: 1220694
Sex: M
Age: 35
State: PA

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: None

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

Symptoms: Pt arrived at 3:05pm for Moderna vaccine. IMZ tech administered vaccine at 3:15pm. Pt was starting to feel nauseous at 3:20pm so brought hin back into the IMZ room. He vomited at 3:23pm. Pt describing dizziness, headache, and light headedness. Got pt cold compress, water, and continued asking him to take deep breaths. He vomited at 3:33pm. Pt began feeling shaky at but not as nauseous. Gave new cold towels. Pt remained in IMZ room until 3:49pm when he felt like walking. Pt walked around the store and came back at 4:00pm when he was calling his Mom to come pick him up. He thanked us and left feeling pretty good.

Other Meds: None

Current Illness: None

ID: 1220695
Sex: F
Age: 37
State: AL

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: Surfer, penicillin

Symptom List: Rash, Urticaria

Symptoms: Severe arm site stiffness and soreness. Dizziness, tingling feeling all over body/ light headed disoriented/ confusion, chills nausea/vomiting several times, severe headache , loss of taste and smell, diarrhea several times, hair loss, blacked out for a few seconds in the shower resulting in a fall. Low blood pressure the next day ( today). Fatigued, muscle aches, chills. I?ve taken Tylenol as instructed and peptobismal. Sleept most of the day. Had to call out of work.

Other Meds: Valstartian, zinc, vitamin D 3, vitamin C, vitamin B12, Tylenol 1000 mg , Benadryl 25mg, Albertrol inhaler.

Current Illness: None

ID: 1220696
Sex: F
Age: 70
State: UT

Vax Date: 03/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: penicillin, septra

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

Symptoms: vaccine 3/7/21. 4/9/21 presented in ER with leg pain. dx with dvt. has no prior hx or fam hx of clots. is not a smoker. is on hrt. treating dvt with eliquis.

Other Meds: tylenol, flonase, trintellix, atorvastatin, estradiol, progesterone, tramadol

Current Illness: none

ID: 1220697
Sex: F
Age: 43
State: NJ

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: Flonase

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

Symptoms: Tingling of tongue and roof of mouth. The back of throat felt swollen. Did not have difficulty breathing but felt a couple of wheezing breaths. Lasted about 30 minutes. No symptoms after 30 minutes except for the sore site of injection.

Other Meds: Airborne

Current Illness: None

ID: 1220698
Sex: F
Age: 45
State: NJ

Vax Date: 04/07/2021
Onset Date: 04/12/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Morphine Statin drugs

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

Symptoms: Developed Shingles 4 days after 2nd COVID vaccine

Other Meds: Zoloft Zetia Fish Oil

Current Illness: None

ID: 1220699
Sex: F
Age: 42
State: RI

Vax Date: 03/11/2021
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: Pineapple, Vicodin, Percocet, tramadal , Codene, demoral.

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

Symptoms: Severe headache, fatigue , twitching eye lid, itchy face, pain in legs , sharp pain in left side of abdomen. Blurred vision (comes & goes). Various muscle spasms, excessive thirst, sores under tongue, ringing in ears.

Other Meds: B12/Niacin/CBD

Current Illness: NONE

ID: 1220700
Sex: F
Age: 37
State:

Vax Date: 04/13/2021
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: Kiwi, Morphine

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

Symptoms: Lightheaded, dizziness, anxiety; BP 125/86; HR 109; SpO2 98, Temp 37.1

Other Meds:

Current Illness:

ID: 1220701
Sex: F
Age: 38
State: TX

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: PATIENT HAS A HISTORY OF ALLERGIC REACTIONS

Symptom List: Ear pain, Hypoaesthesia

Symptoms: PATIENT EXPERIENCED A REACTION AFTER RECEIVING THE PFIZER COVID 19 VACCINE. THE REACTION WAS IN THE FORM OF HIVES LOCATED ON HER LEFT ARM. THERE APPEARED TO BE WHIPS AND IRRITATED SKIN. THE PATIENT EXCUSED HERSELF TO THE RESTROOM WITH THE NURSE TO DETERMINE IF OTHER MANIFESTATIONS EXISTED ON HER BACK. SHE WAS IMMECIATELYU TREATED WITH LIQUID BENADRYL

Other Meds: 2 TEASPOONS OF BENADRYL

Current Illness: NO KNOWN ILLNESSES

ID: 1220702
Sex: F
Age: 59
State: IN

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: Penicillin. Kelflex

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Swelling with large knot under skin , shot site has red rash on top and painful. Chills and fever started around 5.00 pm through the night . dull headache . body aches.

Other Meds: 20 milgram atorvastatin daily

Current Illness:

ID: 1220703
Sex: F
Age:
State: PA

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

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

Lab Data:

Allergies: unknown

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

Symptoms: reports getting the moderna coviud vaccine on 03/16/2021 and then had a "stroke" 4-5 days after

Other Meds: unknown

Current Illness: unknown

ID: 1220704
Sex: F
Age: 36
State: MD

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Nsaids, penicillin

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

Symptoms: Bad muscle aches all over, 102 fever, cough, fatigue, no energy

Other Meds: Birth control -nora b

Current Illness:

ID: 1220705
Sex: M
Age: 46
State:

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: ?reaction to flu vaccine; unclear. No allergies listed

Symptom List: Unevaluable event

Symptoms: hot, sweaty, room swirling. 1610 pulse 49, p ox 96%. No issues breathing. He was grey, felt faint, room swirling; stated felt like would pass out. Leaning back in chair. Rapid response called; BP 98/60. 1615 Treatment/intervention : given epi 0.3 mg in R thigh. BP 100/70; feeling better; pulse up to 64, p ox 96%. Still grey, sweating. Able to drink water. 1630 Pulse 68; p ox 93-94%, with mask off 96%. Patient reports past history of reaction to flu vaccine; no allergies noted. Agreeable to be monitored in ED; got in wheelchair without dizziness; still grey.

Other Meds:

Current Illness:

ID: 1220706
Sex: F
Age: 18
State: CA

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: no known allergies

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

Symptoms: Patient came to clinic with mother to get COVID 10 Vaccine. Patient received vaccine at 1515 and stated she felt nervous and asked for water and she vomited right after and was trembling. NP was notified. Patient was then escorted by nursing to another room to have her lay down. Patient was assisted to bed and VS were take BP LA Laying 122/89 HR 132 Oxygen Saturation 99% RA appeared pale. Patient awake and answering questions. BP at 1530 105/79 HR 101 Pulse Oxygenation 100% RA. VS at 1542 102/74 LA Laying HR 95 Pulse Oxygenation 99%. NP cleared patient to leave at 1545 stable vital signs patient stated she felt better no pallor noted no difficulty walking left with mother.

Other Meds: none

Current Illness: none per Pt

ID: 1220707
Sex: M
Age: 29
State: TX

Vax Date: 04/08/2021
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: Codeine

Symptom List: Injection site pain, Pain

Symptoms: 4/11/21 - 0400 - awoke with nausea/diarrhea; 0900 - vomiting/diarrhea; 1300: rash/hives started at neck and spread to all areas; 1530: went to ED - treated via IV with zofran, benadryl, pepcid and prednisone. Discharged 1900 - symptom-free with orders to continue meds prn 4/12/21 - 0400 - awoke with diarrhea, swelling to lips, rash/hives. 0800 - fever noted at 103.3. 0830 - Went to ED. Treated via IV with decradon and benadryl. 0130 - Discharged with symptoms and orders to continue zofran, prednisone, benadryl, pepcid PRN. 1420 - Went to clinic physician. Recd orders for continue all prev prescribed meds plus claritin, PRN. 4/13/21 - symptom-free

Other Meds: None

Current Illness: None

ID: 1220708
Sex: M
Age: 37
State: NY

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: None that I am aware of

Symptom List: Injection site pain, Menorrhagia

Symptoms: Severe and Debilitating Abdominal Pain. Extreme sweating and Hot and Cold Temperature. Currently still feeling exhausted and slight body cramps

Other Meds: Wellbutrin, Effexor

Current Illness: None. Perfectly Healthy

ID: 1220709
Sex: F
Age: 53
State: MN

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Ibuprofen, aspirin and amoxicillin

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

Symptoms: Swelling of left ear for first 6 days, then swelling worked way down into neck, causing swollen lymph nodes and body aches and headaches. Also suffer from RA and it seemed to have caused a painful flare up or swollen and stiffness in shoulders.

Other Meds: Hydroxycloriquine for RA Zyrtec Antihistamine

Current Illness:

ID: 1220710
Sex: M
Age: 16
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: unknown

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient felt dizzy, hot and light headed immediately following vaccination. He lied on the floor for about 5 minutes and had some water. He sat up since he was feeling better. He then became nauseated and lied back down. After another 5 minutes he was feeling better. He slowly went from lying to standing to walking. He sat outside for another 5 minutes and felt back to normal.

Other Meds: unknown

Current Illness: unknown

ID: 1220711
Sex: M
Age: 25
State: NY

Vax Date: 04/10/2021
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:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Vomiting for 2 days, first day around 10 times, second day 4-5 times. Muscle weakness overall body 5 days, lower back muscle pain, ongoing. Nausea (bloating, gas, etc.) ongoing. Headache ongoing.

Other Meds:

Current Illness:

ID: 1220712
Sex: F
Age: 27
State: CA

Vax Date: 04/15/2021
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: Nka

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

Symptoms: Fever of 101, severe body aches. At 330 am post injection, incredibly stiff neck/spine. Could not turn head. Went to er, evaluated ROM of neck, gave IV fluids and torodol, kept under observation for 1.5hrs. discharged bc ROM and pain improved. At home took 1000mg Tylenol every six hours for 12hrs following. Feverish at 1700 16Apr.

Other Meds: Zoloft

Current Illness: None

ID: 1220713
Sex: F
Age: 52
State: NY

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, biaxin, zithromax

Symptom List: Nausea

Symptoms: Throat itchy, chest and back itchy, ears itchy, post nasal drip and cough. Three days later, upper body including arms very itchy, throat itchy, post nasal drip and cough.

Other Meds: Meloxicam, Lisinopril, Allegra, Citalopram, Culturelle

Current Illness: none

ID: 1220714
Sex: F
Age: 59
State: NC

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: NKA

Symptom List: Injection site pain

Symptoms: Symptoms within a few minutes of vaccine administration: body aches and headaches (although these two specifically are not uncommon for pt), jaw pain, left arm shaking until bedtime that night, twitching (also not uncommon for pt per seizure disorder). Symptoms resolved by next morning at 7am, but within 2 hours, symptoms returned, including swollen face that is painful to the touch, intense fatigue, burning/throbbing/tingling sensation in arms and legs, worsening of arthritic pain, jaw pain, chills/hot flash-like episodes, decreased appetite, stinging sensation in the eye, home measurement had pulse ox 98% and HR at 93 bpm (pt endorsed). Note that pt was COVID positive on Dec 1st, 2020

Other Meds: lorazepam 0.5mg TID, quetiapine 25mg QD, oxcarbazepine 300mg BID, albuterol, hydroxychloroquine 300mg QD, gabapentin 400mg QID

Current Illness: seizure disorder

ID: 1220715
Sex: M
Age: 32
State: WA

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

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

Symptoms: Patient came in excited to get his first moderna covid vaccine. Got his dose at around 1230pm and was instructed to sit down for 15 minute post -vaccine to make sure he felt ok before leaving. About 10-15 minutes later, he came up to the cashiers and his face was pressed against the plyglass and started to go down. (RPH) and (tech) ran out to catch him from falling to the ground. We pulled a chair up to where he was so he could sit down. He reported to be warm, weak, and dizzy. He remained seated but was alert. He has no allergies, no medical conditions, no prior reactions to vaccinations. He last ate at 8:30am. He said he felt warm, but I took his temp again and it was 96.7 degrees. We gave him some water and he remained seated. After several minutes, he was able to get up and was fine with moving his chair away from the front registers and towards the side wall (within sight of pharmacy). Kept checking on him and he was getting better and better. He did call his friend to pick him up instead of driving home himself.

Other Meds: none

Current Illness: none

ID: 1220716
Sex: F
Age: 33
State:

Vax Date: 04/14/2021
Onset Date: 04/16/2021
Rec V Date: 04/16/2021
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Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: Developed severe neck pain and cannot move her neck; went to chiropractor today who did adjust lumbar and thoracic spine did not adjust her neck. Taken Aleve a couple times on 4/15/21 with no relief; also drinking electrolytes.

Other Meds:

Current Illness:

ID: 1220717
Sex: M
Age: 36
State: IL

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/16/2021
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Allergies: NKA

Symptom List: Tremor

Symptoms: Patient fainted post vaccination sitting in chair, fell on floor, scraped facial area, brief LOC, EMS placed on stretcher, recovered and released.

Other Meds: None known

Current Illness: None Known

ID: 1220718
Sex: F
Age: 47
State: WA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 04/16/2021
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Symptom List: Erythema, Pruritus

Symptoms: First moderna vaccine 01.07.2021 uneventful. Second vaccine 02.06.2021. Experienced full compliment second vaccine symptoms of chills, shakes, aching, arthralgia, etc. lasting acutely approx. 4 days followed by 2 days less intense sx. Since this time have had persistent joint arthralgia that was not present before vaccine. Additionally pre-existing paresthesia's at right mastectomy and lymphectomy sites have become much more pronounced and painful. This increased nerve pain is not subsiding with time. Have received body work, taken OTCs and discussed w/ my providers. May resume gabapentin if arthralgia and paresthesia sx do not subside

Other Meds:

Current Illness:

ID: 1220719
Sex: F
Age: 58
State:

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
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Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Shortness of breath and dizziness, BP 157/76, HR 73, RR17. 59 y.o F with history of insulin required DM, HTN, high cholesterol on Metoprolol, statin, ASA, insulin, and claritin. Had dizziness 15 minutes after Pfizer dose #2, later developed chest tightness and SOB. Didn't take insulin today. SOB releived in 15 minutes, chest pain and dizziness improved. Left in stable condition and advised to go to ER if symptoms continue

Other Meds:

Current Illness:

ID: 1220720
Sex: M
Age: 54
State: OH

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/16/2021
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Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Patient accompanied relative in clinic for their COVID19 vaccine. There was a leftover dose in clinic and the patient was asked if he would like a COVID19 vaccine. The patient was advised at this time the vaccine being given was Pfizer. Patient stated his second dose was scheduled for 04/20/21; however, would like to receive now as possible. Advised patient he must be a minimum of 21 days from the first dose; patient verbalized he was at least 21 days from first dose. Patient was provided second dose Pfizer vaccine and again advised that this was the vaccine he was receiving. After the patient waited the required 15 minutes in the lobby, he realized he had received the Moderna vaccine first dose.

Other Meds:

Current Illness:

ID: 1220721
Sex: F
Age: 42
State: CA

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
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Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient called hospital call center at 2pm with c/o heaviness, which pt describes as on and off dizziness and sensation in left leg since 10am when pt woke up. pt received pfizer vaccine yesterday (4/14/21) at Stadium. Reported to MD during telephone visit that she has HA and mild nonspecific decrease sensation in LLE but no other symptoms concerning for TIA/CVA or DVT. Pt advised to use Tylenol 500mg q6-8hours and adequeate hydrations. If symptoms worsens, patient has ED precautions.

Other Meds:

Current Illness:

ID: 1220722
Sex: F
Age: 48
State: CA

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

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Allergies: aspirin ciprofloxin

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

Symptoms: vaccine was administer at 9:07 am patient started complaining at 9:09 am numbness on the lips , tongue , it was having difficulty of swallowing . nausea . vitals were check every 5 min . patient started emesis . per Dr order i administer epi -pen at 9:13 am 911 was call .

Other Meds: n/a

Current Illness: no

Date Died: 04/16/2021

ID: 1220723
Sex: M
Age: 36
State: AL

Vax Date: 04/06/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
Hospital: Y

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Allergies: bactrim, clindamycin

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

Symptoms: 36 year old male with hx of hypertension , asthma, schizophrenia . he recieved Janssen vaccine on 4/6/2021. he started to fell unwell on 4/14 and on 4/15 he was found by his father unresponsive then sent to the hospital. Pt was diagnosed with massive pulmonary embolism, severe shock, acute renal failure ,Diabetic ketoacidosis , hyperglycemic hyperosmolar nonketotic coma, acute respiratory failure, patient expried from massive pulmonary embolism within 48 hours after admission.

Other Meds: amlodipine aspirin, albuterol inhaler, HCTZ

Current Illness: hypertension, schizophrenia, asthma, morbid obesity, diabetes

ID: 1220724
Sex: F
Age: 16
State: CA

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/16/2021
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Allergies: Sulfa

Symptom List: Pain in extremity

Symptoms: Dizziness and elevated heart rate of 133 resting for 48 hours.

Other Meds: Flovent, albuterol, vitamin d

Current Illness: Hashimotos disease and asthma

ID: 1220725
Sex: M
Age: 50
State:

Vax Date: 03/17/2021
Onset Date: 04/16/2021
Rec V Date: 04/16/2021
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Allergies: None

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

Symptoms: DVT of right leg post vaccine

Other Meds: Lisinopril, amlodipine and efudex

Current Illness: COVID positive two weeks post vaccine

ID: 1220726
Sex: M
Age: 16
State: MI

Vax Date: 04/10/2021
Onset Date: 04/12/2021
Rec V Date: 04/16/2021
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Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Severe arm tremor from elbow down to hand; significant nerve pain and muscle weakness. This tremor was severe Monday, Tuesday. Still experiencing muscle weakness and nerve pain 6 days post shot only in right arm that vaccine was injected into.

Other Meds:

Current Illness:

ID: 1220727
Sex: F
Age: 73
State:

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 04/16/2021
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Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Patient had a short term chest pain, she said she was fine after the 2nd half day

Other Meds:

Current Illness:

ID: 1220728
Sex: F
Age: 28
State: ID

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

Symptom List: Vomiting

Symptoms: Chills, headache, fever of 103, muscle aches

Other Meds: None

Current Illness: None

ID: 1220729
Sex: F
Age: 75
State: OH

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/16/2021
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Allergies: Allergic reaction to pneumonia vaccine 5-6 years ago Continuous arm swelling/hardness Neomycin allergy

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Did not sleep well, woke with arm pain at 6am. Pt was fatigued and developed a worsening H/A as day progressed. Felt she had a mild fever with nausea. Did not feel hungry and avoided eating. Progressed throughout day, took acetaminophen 500mg and rested around 5:30pm. Ate a banana with medication, took a nap and reported feeling better.

Other Meds: Pt on calcium + vit D and vit b12 sublingual

Current Illness: None

ID: 1220730
Sex: M
Age: 35
State: CA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
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Allergies: NKA

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

Symptoms: About ten minutes after vaccine he became diaphoretic, dizzy, had a numb face and blurred vision. His legs were lifted, ice applied to neck. He was at that time taken to treatment and report handed off.

Other Meds: aspirin

Current Illness:

ID: 1220731
Sex: F
Age: 36
State: PA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/16/2021
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Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient has been experiencing a headache since her vaccine. She states the headache comes and goes and is not severe. However, since it has been 8 days, I advised her to contact her doctor to followup.

Other Meds:

Current Illness:

ID: 1220732
Sex: F
Age: 46
State: CA

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/16/2021
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Allergies: EstrogensHeadache RamelteonSwelling Seroquel [Quetiapine]Seizure Corticosteroids (Glucocorticoids)Altered mental status or confusion ErythromycinNausea And Vomiting Dairy Aid [Lactase]Abdominal Pain GlutenAbdominal Pain Flagyl [Metronidazole Hcl]Rash Sulfa (Sulfonamide Antibiotics)Rash

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

Symptoms: Patient stated that immediately/within 5 minutes of the vaccine being given, it became difficult to swallow. Patient stated she could walk/was not dizzy or nauseous, no trouble breathing, but would like to go to a private room for observation and wanted to walk there herself. Once inside private room, vitals taken. HR 62, O2Sat 99%, BP 155/100. Patient speaking without difficulty. Patient stated she was having difficulty breathing and her brow began to perspire. ED offered. Patient accepted. ED nurse came to take her to the ED.

Other Meds: albuterol (PROVENTIL HFA, VENTOLIN HFA) 90 mcg/actuation inhaler Inhale 2 puffs into the lungs every 4 (four) hours. ascorbic acid, vitamin C, (VITAMIN C) 1000 MG tablet Take 1,000 mg by mouth daily. cholecalciferol (VITAMIN D3) 5,000 unit

Current Illness: Unknown

ID: 1220733
Sex: M
Age: 74
State: MS

Vax Date: 04/09/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
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Allergies: none

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

Symptoms: Patient presented to the clinic today reporting onset of pain to posterior left knee with swelling to left lower leg and ankle on 4/14/21. Patient sent to local hospital for venous ultrasound of left leg which showed thrombus to left distal superficial femoral vein, popliteal vein, and peroneal vein. Patient was then sent over the emergency department where he was evaluated and started on Eliquis.

Other Meds: Unknown

Current Illness: none

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am