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: 1220785
Sex: F
Age: 61
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: No

Symptom List:

Symptoms: Felt some irritation near the upper middle of my back my spouse checked it out and it is hard to see.What I can see and my spouse is a 7x7 inch bumps spread across area.Some pain not much itching .I'm postive it's a reaction to shot first time iv ever had this happen.Im very healthy good skin no new products in used.Im feel like it's a reaction.Keeping Close eye on it.Useing hydrocortisone cream at this time.Thank you .I was asked by My local Health Dept to Contact you.

Other Meds: None

Current Illness: No

ID: 1220786
Sex: F
Age: 60
State: CA

Vax Date: 04/01/2021
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: None

Symptom List:

Symptoms: I felt very jittery felt as if I drank about 16 cups of coffee! Felt a little bit pressure in my heart. Could not sleep on Saturday night extreme anxiety feeling. Extreme hyper active feeling!!! Felt like if I had a surge of energy. Very restless, legs felt jittery! Left lymph node in my neck was swollen and slight headache.

Other Meds: None

Current Illness: None

ID: 1220787
Sex: F
Age: 32
State: PA

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: Morphine

Symptom List:

Symptoms: Rash at injection site a day after. Itchy. Swollen/bump. Warm to touch. Still here a week later.

Other Meds: Vitamin c Zinc

Current Illness:

ID: 1220788
Sex: F
Age: 50
State: CA

Vax Date: 04/03/2021
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: I have a 2in by 4in reddish blotch near the injection site. It is slightly itchy and the skin is raised less than 1/16in. It is also a little warmer to the touch than the rest of my arm. I have no other symptoms.

Other Meds: Flovent 44mcg

Current Illness: None

ID: 1220789
Sex: F
Age: 30
State: ID

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:

Symptom List:

Symptoms: Nausea, stomach cramps, body aches, head ache, and pain in left arm.

Other Meds:

Current Illness:

ID: 1220790
Sex: M
Age: 50
State: OH

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 04/16/2021
Hospital: Y

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: This is a 50-year-old male who got his first Covid vaccine last Thursday, April 8 and then he said on Saturday he began to feel weak and off balance. He also began to feel tremulous. He apparently said that on Saturday his right leg was shaking so bad he could hardly walk. He denies any numbness but again feels off balance. He has fallen down several times since Saturday. He apparently went to urgent care and then was sent to the emergency department for evaluation. His blood pressure was noted to be 194/130 on presentation. He does have an obvious tremor in his left arm. His significant other says that he at times had slurred his words. The patient does not know what type of vaccine he received on April 8. The patient due to these symptoms presents to the emergency department now for evaluation. He apparently drinks about 8 to 10 cans of beer per day and has done so for an extended period. He denies any loss of vision. Patient was not a candidate for alteplase. He was admitted on 4/12 and discharged on 4/14. Discharge medications included aspirin, atorvastatin, clopidogrel, and losartan.

Other Meds: None

Current Illness: Alcoholism, presented with BP 194/130

ID: 1220791
Sex: M
Age: 41
State:

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:

Symptom List:

Symptoms: Today we had a person who came for a COVID-19 shot. The pt did not have their vaccine card and told the clerk it was for their second dose. The pt was on the COVID-19 shot list for the day. Before administering the shot, I told the pt that this is the MODERNA vaccine and verified if it was for their second dose. The pt confirmed that this was correct. Immediately after administering the shot, the pt asks if this is the pfizer shot and I told him no. Then he said taht his sister-in-law had signed up for the shot herself and had then "gifted" the shot to him and put his information in the time slot. I had asked the pt to wait for fifteen minutes after giving the vaccine so that we can monitor for any allergic reaction. When I looked back pt already left. I phoned the pt after to check on him but he did not pick up. I left him a voicemail for him to call us back and have not heard back yet.

Other Meds:

Current Illness:

ID: 1220792
Sex: M
Age: 44
State: FL

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:

Symptoms: Patient felt dizzyness, cold sweats, nausea, and paleness post vaccination while awaiting the 15 minute monitoring period. Pharmacy staff stayed with patient while ambulance arrived and took patients vitals. All was normal and patient began to feel better 10 minutes later. Patient went home. Followed up with patient later in the day and patient feeling much better/no pain in arm/no redness/etc.

Other Meds: None

Current Illness: None

ID: 1220793
Sex: F
Age: 85
State: FL

Vax Date: 04/08/2021
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: NKA

Symptom List:

Symptoms: 04/0821 resident receive J&J Covid vaccine at the facility in the left deltoid and on 4/13/21 swelling was noted to her left upper and lower extremities. Physician was notified and orders were obtained to perform a Doppler of the affected extremities and to commence Eliquis 5mg po bid . 1st dose of Eliquis was administered on 4/13/2021 @ 1900-2300.

Other Meds: Atorvastatin tablet; 40 mg; amt: 40 mg; oral Once A Day cholecalciferol (vitamin D3) capsule; 25 mcg (1,000 unit); amt: 1000 units; oral Once A Morning cyanocobalamin (vitamin B-12) tablet; 500 mcg; amt: 1000 mg; oral Once A Morning 09:00 -

Current Illness: UTI/ S/P CVA Anemia HTN Hyperlipemia Atrial Fib GERD Elevated WBC Vit D Deficiency

ID: 1220794
Sex: F
Age: 40
State: NH

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

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

Lab Data:

Allergies: alleve

Symptom List:

Symptoms: About 6 hours after the vaccination, the area around the shot developed redness and swelling and became warm to the touch, resembling a circle. The swelling went down within 2 days; however, the red circle became larger, eventually having a 3" diameter (and somewhat resembling a Lyme disease rash). The redness is gradually fading, but is still present as of this date.

Other Meds: fexofenadine, multi-vitamin, calcium supplement

Current Illness: none

ID: 1220795
Sex: F
Age: 56
State: TN

Vax Date: 03/19/2021
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: none

Symptom List:

Symptoms: Red rash covered both legs and swelling from knees down to feet. Hard time walking. Hair not coming back in on legs. Calves on legs hard as a rock, pain itching. Still swelled and very sore.

Other Meds: simvistatin, Lisinopril, Metformin, Semglee insulin pen',pens,, Celebrex. Aviation injection in left eye every 5 weeks. Methadone.synthroid

Current Illness: none

ID: 1220796
Sex: F
Age: 19
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: Swollen, red, tonsils covered in white spots, that hurt, especially when I swallow

Other Meds: birth control, align probiotic

Current Illness: none

ID: 1220797
Sex: M
Age: 28
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:

Symptoms: Patient became lightheaded and profusely sweating after a couple minutes of the shot. After 5 minutes of sitting and water he became normal. He could breath fine and no other reaction.

Other Meds:

Current Illness: none

ID: 1220798
Sex: F
Age: 57
State: WA

Vax Date: 03/26/2021
Onset Date: 04/02/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Pollen and mold only

Symptom List:

Symptoms: As noted earlier, I?m not sure it?s related at all, but getting the shot is just one of the few things different in my life since the symptoms have appeared. I have had frequent arrhythmia (extra beat and skipped beat combinations), several per minute at times and this is gone on for a couple of weeks. I?ve experienced before only one very short on sleep.

Other Meds: Allergy shots

Current Illness: None

ID: 1220799
Sex: F
Age: 30
State: CO

Vax Date: 04/06/2021
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: N/A

Symptom List:

Symptoms: Itching and red circle in injection site

Other Meds: Vitamin D-irregularly

Current Illness: N/A

ID: 1220800
Sex: M
Age: 32
State: UT

Vax Date: 04/09/2021
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: Contracted Chicken Pox 3-4 days after Vaccination. Reports available.

Other Meds: None

Current Illness: None

ID: 1220801
Sex: F
Age: 63
State: VA

Vax Date: 04/10/2021
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: erythromycin, Fosamax, sulfa

Symptom List:

Symptoms: pt started with migraine the night of the vaccine. then three days later developed tingling in left leg that gradually went up her left back/side, arm, then into her face and lip. all tingling have now resolved except for constant tingling in left arm; pt has similar reaction to a flu shot 10 years ago.

Other Meds: none

Current Illness: none

ID: 1220802
Sex: F
Age: 43
State: AZ

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: Dtap was given instead of Tdap.

Other Meds: N/A

Current Illness: N/A

ID: 1220803
Sex: F
Age: 31
State: VT

Vax Date: 04/13/2021
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: no

Symptom List:

Symptoms: A 1/2 hour after injection, my face got really flushed. No rash or itchiness. Just hot and red. It lasted an hour 1/2 to 2 hours. My upper arm muscles were very sore for two days. I took two Tylenol after checking with my doctor. First pregnancy; EDof Delivery 8/14/2021

Other Meds: Prenatal vitamins

Current Illness: no

ID: 1220804
Sex: F
Age: 61
State: WA

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: Nickel (metal) Latex (sometimes)

Symptom List:

Symptoms: Rash (look like large insect bites - larger red bump and very itchy)upper left arm near injection site, further down and around arm, up halfway to neck, on left chest area, couple on side abdomen. All on left side of body. No rash on right side.

Other Meds: Phenelzine Sulfate (Nardil) Lamotrigine Alprazolam Guanfacine Low Dose Aspirin (OTC) Sleep-Aid (diphenhydramine) Zinc Multi Vitamin Multi B vitamin Chromium Picolinate

Current Illness: None

ID: 1220805
Sex: M
Age: 66
State: CA

Vax Date: 03/23/2021
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: prednisone

Symptom List:

Symptoms: RLE DVT dx'd 4/16/2021, sx onset approx. 4/9/21. Pt also c/o sharp stabbing pain between shoulder blades 2 days after 2nd moderna dose, lasted 4 days, resolved. and mild cough since then, persisting.

Other Meds:

Current Illness:

ID: 1220806
Sex: F
Age: 16
State: PA

Vax Date: 04/13/2021
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: n/a

Symptom List:

Symptoms: not indicated for a 16 year old, No problems that I know of. I can't locate, left message on Pt phone not responding. The report I heard was the covid vaccine was open for 16 and older. It did not specify which vaccine. I found out later the Pfizer covid vaccine was covered.

Other Meds: un known

Current Illness: n/a

ID: 1220807
Sex: F
Age: 41
State: IN

Vax Date: 04/08/2021
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:

Symptoms: Arm has a nodule that formed where the injection site was. 1 inch x 1 inch

Other Meds: Baclofen Cymbalta Gabapentin Lunesta

Current Illness: None

ID: 1220808
Sex: F
Age: 43
State: IN

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Gluten, Dairy, Oats, Corn, Pecans

Symptom List:

Symptoms: My skin became hypersensitive about 24 hours after my vaccination. I was in a lot of pain, it hurt to sit or touch anything. I felt like I had a fever but a fever did not register when I checked it. This lasted around 14 hours or so.

Other Meds: Lo LoEstrin, Thyroid, Clarinex, Setraline, Gabapentin, Probiotic, Vitamin D, Zinc, Fish Oil

Current Illness: None

ID: 1220810
Sex: F
Age: 58
State: CA

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

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

Lab Data:

Allergies: contrast media, gabapentin, keflex

Symptom List:

Symptoms: Approx. 5 minutes post second pfizer vaccine, patient began to have shaking of her bilateral upper extremities, pursing lips and moaning, unable to speak, symptoms persisted, EMS was called.

Other Meds: hydrochlorothiazide, macrobid

Current Illness: UTI

ID: 1220811
Sex: F
Age: 43
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: unk

Symptom List:

Symptoms: pt reported tingling sensation on R arm and fingers (pinky, ring, middle) on ulnar side of arm, starting at 10:15am. BP at 10:15am was 105/55, 99% o2 sat, HR 71. Pt reported pain radiating from original site of tingling to upper shoulder, neck and lower back. Pt. had hx of spinal surgery 1.5 yrs ago. taking tramadol, gabapentin and ibuprofen PRN pain r/t spinal surgery pain. last time of taking tramadol and gabapentin was 1 wk ago. ibuprofen last taken previous evening. Had verbal report from assisting nurse, unknown, stating pt. had systolic BP of ~156. At 10:25am charge nurse RN retook BP with manual BP cuff, and got 150/100. Pt. stated pain was continuing, not lessening over time. Staff called EMS at 10:30am. Immediate arrival. EMS assessed pt, cleared her to go home, and stated she should f/u with her primary if sxs continue, and to call 911 if sxs get worse. Offered pt. choice to wait on premises for longer, or to go home and do self-care with family at bedside. Pt. opted to go home. Two relatives in front seat stated they would stay with pt. Pt. given aftercare instructions such as to rest, relax, drink water, and mobilize vaccinated arm for less soreness. Pt. left by 10:45am.

Other Meds: tramadol, gabapentin, ibuprofen prn pain

Current Illness: 1.5 yrs post spinal surgery for open spinal cord, per pt. report in Spanish.

ID: 1220812
Sex: F
Age: 18
State: GA

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: N/A

Symptom List:

Symptoms: Light-headed, dizzy, nausea, vomiting, fainting

Other Meds: N/A

Current Illness: N/A

ID: 1220813
Sex: F
Age: 63
State:

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: Shellfish--swelling of tongue; anaphylaxis

Symptom List:

Symptoms: Covid-19 vaccine at 3 pm. She reports symptoms of throat feeling "funny" at 3: 40 pm. She noted she may be "psyching herself" due to history of anaphylaxis after shellfish with tongue swollen; was a frightening experience. No issues breathing, able to swallow. Felt had mild headache right after shot; better now. BP 142/80, pulse 74, p ox 98%. Gave water, monitoring. Concerned about husband waiting; might be worried. 3: 45 pm: BP 160/90, pulse 68; feels throat a bit better. Did not feel needed to go to ED. Notes has high BP; took meds today; forgot yesterday. Did not eat as of yet. Gave water. 3: 55 pm Felt now little headache; concerned husband texting and worried. BP 158/88, pulse 69. Patient felt ready to leave; felt stable. Reviewed if symptoms worsened to seek medical attention; may want to call doctor and update. Nurse accompanied to lobby where husband waiting.

Other Meds:

Current Illness:

ID: 1220814
Sex: F
Age: 58
State: NY

Vax Date: 04/10/2021
Onset Date: 04/10/2021
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: Within 7 minutes of receiving shot, my vision was slightly impaired (darkening ) cold sweating, heart racing, head pressure and feeling I was going to faint. Emt?s and nurse assisted me. My blood pressure spiked to 176/100 and my legs and hands were shaking uncontrollably. Someone mentioned a hypertensive crisis and I was getting frightened. I requested an anti anxiety pill from my purse, which they let me have. It didn?t help me at all. I was taken to an ambulance and waited for a relative to come pick up my disabled daughter who was with me getting her covid shot as well. I asked if they were taking me to the hospital, and was told ? you don?t want to go there? after an hour, bp came down to 146/90? ..which is still too high and not typical for me.This was NOT brought on by an anxiety attack.i was not remotely anxious and was simply sitting and speaking with my daughter when I was striken. The next 3 days my heart was racing. I wear a Fitbit to bed and my heart rate recorded spikes of 116 while I was asleep. Had bouts of bad stomach pain and diarrhea the next two days. Followed up with my GP 4 days later . Still having palpitations and following up with cardiologist.

Other Meds: Amlodopine, quinapril, alprazalom( taken as needed) levothyroxine, vitamin c, vitamin d, butalbital, as needed

Current Illness: None

ID: 1220815
Sex: F
Age: 42
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: sulfa, codeine

Symptom List:

Symptoms: Pt found sitting on chair, A&OX4, stable skins Pink/warm/dry, pupils equal and reactive to light, lungs clear. Pt complaining of rapid heart rate. pt states that this happened last time when she received her first vaccine. Pt vitals at 1615 were 162/110, HR 140, RR 22, SPO2 94% and at 1628 was BP 154/100, HR 124, RR 20, SPO2 93%. Pt was advised to go to urgent care for 12 lead ecg, due to no cardiac monitor being available at clinic site. Pts husband was called, advised of the situation and asked to come pick up patient and take her to urgent care. Pt left with husband, A&OX4 stable.

Other Meds: Lasix PRN for Edema

Current Illness:

ID: 1220816
Sex: M
Age: 70
State: FL

Vax Date: 02/22/2021
Onset Date: 03/01/2021
Rec V Date: 04/16/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Acute episode of delirium with diagnosis of encephalitis, specifically, Immune mediated encephalitis. Patient had acute confusion beginning 10 days after his second Pfizer Covid Vaccine dose. Extensive work for metabolic encephalopathy was negative. CSF studies showed autoimmune encephalitis. He was treated with Plasmapharesis for 4 days, High dose steroids, 1000mg three day Sina row and then weekly, IVIG and Ritiuxan without any resolve. Patient remains in delirium state. He was initially in hospital in (HOME CITY) then a specialist clinic.

Other Meds: metformin, gabapentin, glimepiride, Celebrex

Current Illness: no acute illness

ID: 1220817
Sex: F
Age: 51
State:

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

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

Allergies:

Symptom List:

Symptoms: Patient presented to hospital 3 days after vaccine with severe headache, leg pain, nausea, subjective fever and chills.

Other Meds: atorvastatin, glimepiride, metformin, protonix, sitagliptin, sucralfate

Current Illness:

ID: 1220818
Sex: F
Age: 32
State: KY

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

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Lab Data:

Allergies: Vancomycin.

Symptom List:

Symptoms: First dose: Felt a lot like how I expected the second dose to feel. Chills, low-grade fever, aching muscles and joints, fatigue, mild "covid arm". I also experienced nausea which caused vomiting that put me in the hospital overnight due to dehydration. (This happened the day after I got the vaccine.) Second dose: Similar symptoms as the first dose but they're much stronger. My fever reached 103F one day after the vaccine, strong chills and aches, headache, mild nausea, bigger "covid arm" reaction (I wish I could attach pics, there's a large area below the injection site that's red, hot to the touch, and the muscle feels hard), very sore joints and glands (esp. armpits). The fatigue and pain keep me from functioning regularly.

Other Meds: Lisinopril, levothyroxine, diazepam.

Current Illness: None.

ID: 1220819
Sex: M
Age: 39
State: PA

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

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Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: Body aches, chills, headache, fatigue, loss of appetite for approximately 24 hours after onset.

Other Meds: Daily aspirin, multivitamin

Current Illness: None

ID: 1220820
Sex: F
Age: 43
State: GA

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/16/2021
Hospital:

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Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: Patient had a bruise develop about 2 days afterwards, about 2 inches in diameter. She reports pain and swelling at the site, and flu-like symptoms (as patient expected). This did not happen with first dose. The bruise and erythema has improved some since then but is still present. Patient was referred to physician if does not continue improving.

Other Meds: Sumatriptan

Current Illness:

ID: 1220821
Sex: M
Age: 48
State: NJ

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

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Symptom List:

Symptoms: patient fainted about 7 minutes after his shot at the clinic. he was sitting and fainted in his seat. The nurse and pharmacists rushed over right away and he was barely responding. his tongue and lips were seen to be swelling. The nurse administered the auvi-q right away and less than a minute, the patient came back and was confused about what happened. he started sweating and his tongue and lips came back to normal. he was monitored for about an hour - he called his doctor because he refused to go to the hospital. his doctor assured he would be okay after being monitored an hour, said to take benadryl around the clock and call 911 if anything happens. patient agreed

Other Meds:

Current Illness:

ID: 1220822
Sex: F
Age: 33
State: OR

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

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Lab Data:

Allergies: Nickel, citrus (mild)

Symptom List:

Symptoms: Fever 102.24 ,shivering ,aches, HA ,extreme tiredness , mild nausea at times, joint pain, slight coughing (dry)

Other Meds: Fish oil, prenatal

Current Illness: N/a

ID: 1220823
Sex: F
Age: 34
State: TX

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

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Lab Data:

Allergies:

Symptom List:

Symptoms: Rash on arms and legs

Other Meds:

Current Illness:

ID: 1220824
Sex: F
Age: 50
State: MO

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

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Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Bleeding from injection site, finger tingling (3-5) , shoulder and upper back pain, faint feeling... Day 2 has been fever, body aches, chills. No relief from ibuprofen

Other Meds:

Current Illness:

ID: 1220825
Sex: F
Age: 33
State: GA

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

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe panic attack both arms and legs were numb and tingly, tight chest

Other Meds: Zoloft 50 mg

Current Illness: None

ID: 1220826
Sex: M
Age: 44
State: CA

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

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Allergies: None

Symptom List:

Symptoms: This is a 44 year old male, history of high cholesterol, not currently on medications. Patient presented for Pfizer covid-19 vaccine today, approx. 9 minutes post vaccination, patient reported he felt dizzy and light headed with left arm pain at injection site. Patient then began to report seeing flashes of lights, frontal headache, left arm and left leg heaviness and felt sweaty and if he was going to pass out. EMS was activated, patient was transferred to the ED.

Other Meds: None

Current Illness: None, 2 weeks prior reported

ID: 1220827
Sex: F
Age: 18
State:

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

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Lab Data:

Allergies:

Symptom List:

Symptoms: sore throat and ear pain

Other Meds:

Current Illness:

ID: 1220828
Sex: M
Age: 56
State: CT

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

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Low grade fever 100.5 F

Other Meds: Atorvastatin, fluticasone propionate, vitamin d, low dose aspirin

Current Illness: None

ID: 1220829
Sex: M
Age: 39
State: IA

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

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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: The patient received the shot at approximately 4:30 pm. About 10 minutes later, the patient reported feeling faint and was sweating. He sat down and became very pale. The nurse, took his blood pressure and it was low. He started to shake and appeared to lose consciousness. We laid him on the floor and nurse again took his blood pressure. It did not register and he did not respond to her voice. At this point, I called 911 and requested EMS. The EMS arrived shortly and the patient had regained consciousness. They took his vitals and transported him to the hospital to check him over.

Other Meds: Sertraline

Current Illness: NA

ID: 1220830
Sex: M
Age: 56
State: OH

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

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Allergies: None

Symptom List:

Symptoms: 4/16/21 0300 102.2 fever and chills duration 17 hours 4/16/21 1300 headache, body aches, fatigue, nausea, vertigo- not resolved as of submission of adverse events 4/16/21 2000

Other Meds: None

Current Illness: None

ID: 1220831
Sex: F
Age: 33
State: CA

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

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Allergies:

Symptom List:

Symptoms: Fever over 100.6 started 4/15/21 @ 8:00am. Severe body aches, chills, weakness, nausea, tiredness, and inability to lower temperature. By 12:00pm on 4/15/21 fever had gone up to 102.6, continued alternating Tylenol and ibuprofen. Temperature would not go lower than 100.6. Fever, chills, body aches, nausea through the night. Morning of 4/16/21 fever of 101.9 continued with Tylenol/ ibuprofen regimen as well as staying hydrated. Continued through the day. As of now.... 5:00pm 4/16/21 temperature is 100.8 and all other symptoms still present. Body aches and chills have gotten worse. Injection site on left arm is tender but getting better.

Other Meds: Antidepressants, Tylenol,

Current Illness:

ID: 1220832
Sex: M
Age: 68
State: ND

Vax Date: 04/05/2021
Onset Date: 04/07/2021
Rec V Date: 04/16/2021
Hospital: Y

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Symptom List:

Symptoms: The patient called the pharmacy on 4/7/2021 and said that he had vomited and had been experiencing an excruciating headache that he said was worse than any headache he had ever had and was concerned about how he was feeling since he had just had his Covid vaccine on Monday. I told him that headaches were a very common adverse reaction and that many people had experienced headaches after vaccination. I told him that from my experience it usually didn't last more than a day for others and I assured him that it should go away soon. I later talked to him and found out that he had went to the Emergency room that Wednesday evening (4/7/2021) because the headache was so bad. He was seen in the ER, observed overnight, released the next morning, and then had a follow up appointment with his primary care physician on 4/15/2021. He also had a very high blood pressure reading he told me in the Emergency room that evening he was evaluated.

Other Meds: Atorvastatin, Finasteride, Metoprolol tart, Tamsulosin

Current Illness:

ID: 1220833
Sex: F
Age: 41
State: TX

Vax Date: 03/25/2021
Onset Date: 03/27/2021
Rec V Date: 04/16/2021
Hospital:

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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: I do not have a monthly period as I have the mirena IUD. I have not had a period in the last 6 months. I revived the Pfizer COVID 19 vaccine, on March 25, and had cramping and started my cycle on March 27

Other Meds: NP Thyroid

Current Illness:

ID: 1220834
Sex: F
Age: 54
State: CA

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

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Lab Data:

Allergies: ragweed (in common pollen), morphine, multiple pain relieving medications, penicillin, alcohol, hand sanitizer, multiple cleaning products

Symptom List:

Symptoms: Immediately upon the injection I felt the cold going down my arm and then it was burning like on fire. That last intensely for several hours. Within minutes of the injection I had a migraine headache, pain in my calf that was like an intense charlie horse (this lasted into the next evening then over a day was much less), and I had extreme pain in my breasts. That pain lasted about 3 days.

Other Meds: HRT_E2/E3 bioidentical cream, synthroid, liothyroninine, krill oil, ubiquinol, garlique, magnesium

Current Illness: none

ID: 1220835
Sex: F
Age: 36
State: CT

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: No.

Symptom List:

Symptoms: Headache immediately following the first doze. Dizziness and vertigo started two hours later and has worsened with time.

Other Meds: Iron and B6/B12 supplement

Current Illness: None.

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm