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: 1232556
Sex: F
Age: 42
State: FL

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Food: Gluten, kiwi, raspberry Meds: Sulfa medications, prednisone, Avelox

Symptom List:

Symptoms: Nausea within 30 minutes, sleepiness within 1 hour, after 3 hour nap woke up with scratchy throat and eyes & muscle weakness. Chills, sweats, fatigue, nausea, muscle weakness, loss of appetite, and irritability lasted 2 days. Day 3 woke up with swollen toes on my left foot still irritable but less fatigued. Took Aleve, drank lots of fluids. No formal treatment sought at this time.

Other Meds: Allopurinol, magnesium citrate, sour cherry capsules, Methylguard plus

Current Illness: None

ID: 1232557
Sex: F
Age: 54
State: WY

Vax Date: 04/08/2021
Onset Date: 04/16/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: On the 8th day on 4/16/2021-Patient at noon notice red patches all over both legs, very itchy and few raised area. Took benadryl by mouth at night. Patient states very uncomfortable at night.

Other Meds: Ibuprofen and tylenol

Current Illness: N/A

ID: 1232558
Sex: F
Age: 71
State:

Vax Date: 03/01/2021
Onset Date: 03/17/2021
Rec V Date: 04/20/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient hospitalized within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1232559
Sex: M
Age: 65
State: NJ

Vax Date: 02/02/2021
Onset Date: 03/01/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

Symptom List:

Symptoms: About a month after my second Pfizer Covid-19 vaccine I experienced an episode of hives. Since then, I have had four other hives events. My skin turns very red, my skin feels hot internally, and it is somewhat itchy. It resolves itself after 45-75 minutes. It does happen after I eat something. But, I have not been able to determine which if any food is the cause. And all of the foods that I'm consuming I have for quite some time. For example, I have been eating dark chocolate almost daily for many years without a problem. Last week, I hadn't eaten for several hours. When I returned to my car , I ate a small piece of dark chocolate, and soon after I experienced a hives event. I have never ever had hives in my life so I am assuming that it is an immune response resulting from the vaccine.

Other Meds: Daily pills: multiple vitamins, spirulina, vitamin B-12, niacin, magnesium

Current Illness: None

ID: 1232560
Sex: M
Age: 55
State: WI

Vax Date: 04/02/2021
Onset Date: 04/05/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient developed pain and swelling in Left leg on 4/5/21. He first noticed it when he was swimming and felt a cramp to his leg. Over time it began hurting when he walked on it. He has had no shortness of breath or trouble breathing except for a brief time while he was swimming and felt as if he was slightly shorter of air than normal. Patient was positive for DVT and started on Xarelto

Other Meds:

Current Illness:

ID: 1232561
Sex: F
Age: 31
State: NH

Vax Date: 04/10/2021
Onset Date: 04/17/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin Doxycycline

Symptom List:

Symptoms: Hives on arms and legs, not responding to allergy medication and have been continuous for 4 days.

Other Meds: Zoloft 50mg Multivitamin

Current Illness: None

ID: 1232562
Sex: F
Age: 24
State: CO

Vax Date: 03/23/2021
Onset Date: 03/01/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Left voicemail reporting 'shoulder injury'- called back for further information and has not returned calls.

Other Meds:

Current Illness:

ID: 1232563
Sex: M
Age: 62
State: CA

Vax Date: 04/12/2021
Onset Date: 04/14/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: After chewing a few minutes, the back right lower side of my tongue has an almost fatigue feeling of muscle pain and I'm too tired to keep chewing.

Other Meds: Daily: Nutrilite Perfect Pack: 22 Vitamins and over 22 plant concentrates Also daily: 400mcg folic acid, 1000mg vitamin C, 600mg Garlic Powder, 106mg Saw Palmetto Oil Extract, 506mg Echinacea, 312mg Milk Thistle Extract, 20mg Zinc, 400mg B

Current Illness: none

ID: 1232564
Sex: F
Age: 23
State: OK

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: None reported

Symptom List:

Symptoms: Client was given 1st dose of Covid Vaccine at 8:07 am. Client was sitting in chair on phone when she fell off chair and hit the floor at 8:15 am. Client hit her head and was lying prone on the floor. Client was unresponsive and was noted to be having a possible seizure as she was contracting. Client was placed on left side and head was secured . Client took approximately 2-3 minutes to respond and give name and date of birth. Vitals were taken WNL 132/83 HR 78, 0xygen 99. EMS was called and client was taken to hospital.

Other Meds: unknown

Current Illness: None reported

ID: 1232565
Sex: M
Age: 20
State: WA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Pollen

Symptom List:

Symptoms: Near Syncope, Bradycardia and Hypotension

Other Meds: None

Current Illness: None

ID: 1232566
Sex: M
Age: 52
State: CA

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Itchy rash with bumps, lasted for about 4 -5 days and then regressed.

Other Meds: Metformin Lantus ProAir Wixela Fluoxetine Odanestron Spiriva Amlodipine Hydroclorothiazide Omeprazole Bupropian Linosipril Atorvastatin

Current Illness:

ID: 1232567
Sex: F
Age: 53
State: SC

Vax Date: 04/02/2021
Onset Date: 04/17/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Hydrocodone causes itching

Symptom List:

Symptoms: Left Bell's Palsy diagnosed by me on 04/19/2021. Symptoms began 4/17/2021.

Other Meds: allopurinol, atorvastatin, b vitamins, ferrous sulfate, insulin, jardiance, metformin, sertraline, sprironolactone, klor con, metolazone

Current Illness: none known by me

ID: 1232568
Sex: F
Age: 38
State: WA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient presented for 1st dose of Pfizer vaccine. During her post-observational period, she began to feel woozy, light-headed, and like she was going to "pass out". Patient did not lose consciousness while being actively observed by staff. Patient was laid down with her feet up. Vital signs WNL (see below). Patient was able to sit up a few minutes later. Patient has a history of occurrences like this. Patient discloses a history of IBS. Patient left clinic space of own volition.

Other Meds:

Current Illness:

ID: 1232569
Sex: F
Age: 63
State: NJ

Vax Date: 03/24/2021
Onset Date: 04/02/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Medications: macrodantin, flagyl

Symptom List:

Symptoms: Acute vertigo with vomiting started on April 2 at 12:30 in the afternoon. The vertigo and vomiting continued until zofran was prescribed at which point the nausea stopped when I did not move in the bed. Vertigo was constant for April 12th. On April 8th I saw my PCP. She prescribed continued my zofran prescription and added Xanax and meclazine. On April 13th I had a tachycardia event with 114 bpm for 10 minutes. The vagus maneuver worked on my 3rd attempt and my bpm resumed at 70 bpm. I am still experiencing slight vertigo. My gait is not yet steady and I cannot drive because to turn my head brings on dizziness. I am scheduled for my second vaccine Thursday April 22 at 1:00. Needless to say-I am very anxious about taking it. But my cardiologist, ENT and PCP all recommend that I finish getting vaccinated.

Other Meds: 75mcg Synthroid

Current Illness: none

ID: 1232570
Sex: F
Age: 36
State:

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: 1. day: fever, fatigue, chills, elevated blood pressure, dizziness 2. day: fatigue, chills, dizziness, elevated blood pressure, fingers turned white, hands tingling From 3. day until now: fatigue, dizziness, elevated blood pressure, fingers still white, hands tingling

Other Meds: Nothing

Current Illness: No

ID: 1232571
Sex: F
Age: 47
State: OR

Vax Date: 02/05/2021
Onset Date: 04/16/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received the first dose of the Moderna Covid-19 vaccine on 1/5/2021. She received the second dose of the Moderna Covid-19 vaccine on 2/5/2021. She began to feel symptoms she thought were allergies on 4/16/2021. She began to worsen and felt body aches and congestion on 4/19/2021. Also on 4/19/2021; her cousin contacted her and stated she had a positive exposure was also experiencing symptoms. Her exposure occurred on 4/13/2021 when she spent time with her cousin.

Other Meds:

Current Illness:

ID: 1232572
Sex: F
Age: 41
State: IN

Vax Date: 04/05/2021
Onset Date: 04/14/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: First time Shingles: slight irritation noticed on 4/14; by 4/16 progressed to blisters mid-line torso on the right-side; on 4/16 Dr. prescribed Valacyclovir HCL 1 gram T 1 tablet by mouth every 8 hours for 7 days

Other Meds: Synthroid 137mcg; Multi-vitamin; Vitamin B-12, Vitamin D-3; Hair Repair Vitamin

Current Illness: None

ID: 1232573
Sex: F
Age: 4
State: WA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: patient's right thigh has some mild erythema and swelling less than a centimeter diameter around the central injection site, and to the medial aspect there is an erythematous outline of the Band-Aid, then lateral to the central injection site there is a larger area of erythema and induration also where the Bandaid was but more extensively erythematous with wheal and flare reaction, including the injection site the involved area measures 6-1/2 cm in width horizontally by 3-1/2 cm in length vertically, the plaque was outlined with a skin marking pen. There is no confluence to the erythema and there is no significant warmth to touch. Provider believes that she has had a mild reaction to the vaccine, however it does not appear to be a secondary cellulitis. It may be a minor allergic versus localized reaction. Unaware of outcome, was just evaluated. Given topical hydrocortisone to use to area as needed.

Other Meds: None

Current Illness: None

ID: 1232574
Sex: F
Age: 32
State: PA

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Chlorine, fresh cut grass

Symptom List:

Symptoms: First few days just fatigue and wore off by day 3. It's day 5 and I still have a huge, and growing, red rash-like at injection site. This is warm to the touch, hurts, and inflamed. Itchy throat, numb tongue, and metallic taste (even when not eating).

Other Meds: nortriptyline, topamax, B12

Current Illness: n/a

ID: 1232575
Sex: M
Age:
State: MA

Vax Date: 04/18/2021
Onset Date: 04/18/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Patient had vasovagal response to injection. Has history of vasovagal response to needles. Pt became lightheaded, diaphoretic, pale. Was incontinent of bladder. Denied hx of seizures. Patient stated he woke up late and didn't eat breakfast or drink fluids. Assessed by onsite paramedics -HR 83, SPO2 100% on room air, BP 132/84. Pt was observed for 30 minutes and provided with water. Refused transport to hospital for further assessment. Advised patient to seek emergency help if symptoms return. Pt verbalized understanding.

Other Meds: Not known

Current Illness: None reported

ID: 1232576
Sex: F
Age: 43
State: CA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Strawberries, Wool, Bees

Symptom List:

Symptoms: C/O "I feel weak, dizzy, tired, heavy headed, chest tightness" Patient reported symptoms above, also with cough, lungs ctabl 118/63 98% 69 Rapid response called patient tranfered to Evaluation Treatment Center. Under MD care. Meds Continued: Breo zofran, hydrochlorothiazde, robaxin, lyrica, Benadryl, Meclizine, Rotigotine for rls Continued Medical History: arthritis in L knee, back and hips, Carpal tunnel

Other Meds: Methadone, oxycontin, Eliguis, tylenol, Cymbalta, Singular

Current Illness: increased use of inhaler

ID: 1232577
Sex: F
Age: 74
State: NV

Vax Date: 04/14/2021
Onset Date: 04/17/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: PT SAYS THAT SHE BEGAN TO DEVELOP BLISTER LIKE SORES INSIDE HER MOUTH; THEY STARTED BEHIND HER TEETH AND HAVE SPREAD OUT TOWARD HER LIPS AND TOWARD HER THROAT. SHE SAYS THEY ARE PAINFUL AND DENIES ANY OTHER POTENTIAL CAUSES. DENIES TROUBLE BREATHING. WE ADVISED HER TO SEEK MEDICAL ATTENTION.

Other Meds:

Current Illness:

ID: 1232578
Sex: F
Age: 30
State: MN

Vax Date: 04/16/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: hay fever pollen cats

Symptom List:

Symptoms: I believe I have a swollen lymph node in my armpit. Its a little tender/uncomfortable.

Other Meds: Fluoxetine 20 mg. vitamin D

Current Illness: n/a

ID: 1232579
Sex: F
Age: 25
State:

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient had nausea, flushing/sweating, dizziness. BP 163/83, HR 66, RR 18, O2 100%. Patient stable, released from vaccination site.

Other Meds:

Current Illness:

ID: 1232580
Sex: M
Age: 50
State: OR

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: I had fatigue that evening; the start of flu like symptoms that evening of the vaccine and through the night. The following day, (10th) flu-like symptoms. Those resolved the day after that (11th) - I was still tired but didn't have the aches and pains of the flu. Then on starting on the day after all of that (12), I had mild and intermittent pain in my right hamstring. That persisted for a couple of days - it would come and go throughout the day and even throughout the night. It resolved after about 2 1/2 days . The pain made it uncomfortable to sit. (I had scheduled a dr appt at noon on the 14th, but I felt fine by then - in the morning of that day when I woke up it had gone away - I'd fallen asleep on the 13th.) I cancelled my doctor appt since it had resolved.

Other Meds: avoided my normal allergy drugs; within 24 hours I didn't take any (I'm normally on some allergy meds) - the night before: 40 mg Pravastatin ; 5 mg - Xyval

Current Illness: no

ID: 1232581
Sex: F
Age: 38
State: NJ

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: 2nd dose administered 23 days after initial dose. (initial dose administered on 2/ 03/2021.

Other Meds: None

Current Illness: None known

ID: 1232582
Sex: M
Age: 28
State: LA

Vax Date: 04/02/2021
Onset Date: 04/05/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tinnitus in right ear lasted 10 days. Patient unable to ear through right ear. Resolved on its own. No adverse event reported following first dose.

Other Meds: None

Current Illness: None

ID: 1232583
Sex: M
Age: 20
State: CA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: avocado with swelling of throat

Symptom List:

Symptoms: He is a 20 year old male in the observation area, presenting intermittent right chest pain longest duration 15 minutes, given ASA 81 mg then chest pain resolved then cp came back again after 5 minutes. Vital signs stable. No SOB or angioedema. No comorbidity. No history of cardiac problem. Planning to send patient to ED for further evaluation. Called attending Dr. per protocol and recommended patient to go to ED for further evaluation and stable to go by private car. Paramedics transport not indicated as of this time given vital signs stable. Pt sent to ED via private car. stable and no distress upon discharge.

Other Meds:

Current Illness:

ID: 1232584
Sex: F
Age: 55
State: SC

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Antibiotics ampicillin, antibiotics penicillin, bacterin, muffin (vascular constrictor medicine), codeine, bee sting,

Symptom List:

Symptoms: Fast beating heart beat, shortness of breath, tingling in face, lips, arms and legs and feet. Instant Dry mouth with tongue discomfort. Blurry vision, instant headache. Feeling like a floating feeling, feeling dazed.

Other Meds: 2 Vita fushion women's gummy vitamins, 3 vita fusion hair nail and skin gummy vitamins

Current Illness: None

ID: 1232585
Sex: M
Age: 55
State: WI

Vax Date: 04/02/2021
Onset Date: 04/05/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was diagnosed with deep venous thrombosis 11 days after receiving Pfizer Covid-19 vaccine. Patient developed L leg pain and swelling 3 days after vaccine. First notice pain with swimming when he felt a cramp. Over next few days leg became painful while walking on it. He had no shortness of breath or trouble breathing except for a brief time while he was swimming and felt as if he was slightly shorter of air than normal. He has had no injury to the leg that he can remember. He has not been immobilized or gone on long trips lately. Patient was diagnosed with DVT on 4/13. Patient was started on Xarelto

Other Meds:

Current Illness:

ID: 1232586
Sex: M
Age: 55
State: CO

Vax Date: 04/08/2021
Onset Date: 04/01/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: PCN, Amoxicillin/Clavulanate, Sulfamethoxazole/Trimethoprim, PCN G Benzathine,

Symptom List:

Symptoms: Dose 1 given on 3/18/2021, Dose 2 given in error on 4/8/2021.

Other Meds: Atrovent, Zyrtec, Calcium Citrate, Hydrophor, Kenalog Oint, Lipitor, Flonase, Glucovance, Zestril, Niacin

Current Illness: None

ID: 1232587
Sex: F
Age: 65
State:

Vax Date: 03/09/2021
Onset Date: 03/24/2021
Rec V Date: 04/20/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient hospitalized within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1232588
Sex: F
Age: 64
State: WI

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 04/20/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt reported she noticed fatigue and achiness about 12 hours after vaccine. The next day, she noticed a bump on her hairline by her lymph node with pain radiating to under her jaw. A few days late she reported a fever, red eye, and increased blood pressure. She went to the emergency room and ended up being admitted and checked for a heart attack or blockage. The cardiologist who cared for her said she did not have a heart attack. He could not conclude that the symptoms were a result from the vaccine, but advised her against getting the second dose out of an abundance of caution.

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Current Illness:

ID: 1232589
Sex: M
Age: 56
State: IL

Vax Date: 03/24/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
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Allergies: None

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Symptoms: slight headache within hours, disappearing within 36 hours. arm soreness beginning next morning, continuing for 5 days, escalating for the first 2 1/2, then decreasing in similar intensity. Yesterday, however, I started to have a bad headache at 4 a.m., then felt generally more ill to a level of almost incapacity by evening - bad headache, general weakness, dizziness, some muscle pain, bad nausea. Used Aleve and Ibuprofen and by 11pm started to feel normal again. By the next morning, I felt fine - tired like I just got over something, but fine. Not sure it was injection related, but wanted to share.

Other Meds: Metoprolol, Metformin, Minocycline, Berberine, Quercetain, REDS2 Vitamins

Current Illness:

ID: 1232590
Sex: F
Age: 40
State: AZ

Vax Date: 04/07/2021
Onset Date: 04/16/2021
Rec V Date: 04/20/2021
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Allergies: None

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Symptoms: First day - debilitating chills, fever, sweats, weakness Day 7 started experiencing light sensitvity, loss of central vision, dizzyness, headache Note: I have never had anything like this happen before (not prone to migraines etc.) Now in Day 13 and still have headaches light headedness and sensitivity to heat and light

Other Meds: None

Current Illness: None

ID: 1232591
Sex: F
Age: 72
State: NE

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/20/2021
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Symptoms: Patient received 1st dose of the Pfizer COVID-19 vaccine on 03/09/21 at the Health Department (SCHD). The patient came to Rx #102 to receive the 2nd dose on 03/30/21, but was inadvertently given the Moderna COVID-19 vaccine. The error was identified by the patient/family member who contacted SCHD. SCHD forwarded the information via email to Rx management on 04/20/21. The CDC was called on 04/20/21 and it was advised that the patient is considered fully vaccinated and does not need any additional doses at this time.

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Current Illness:

ID: 1232592
Sex: M
Age: 41
State: CO

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
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Allergies: No

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Symptoms: Pt walked up to received 2nd scheduled dose of Moderna vaccine. However, pt received a second dose of Pfizer vaccine. Authorization from Dr. and on-site pharmacist, that verification of patient being fully vaccinated . Pt. Monitored for 15minutes with no adverse events.

Other Meds: No

Current Illness: Ankle surgery , Brostrom ,

ID: 1232593
Sex: M
Age: 58
State:

Vax Date: 04/01/2021
Onset Date: 04/18/2021
Rec V Date: 04/20/2021
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Symptoms: pulmonary embolism and CVA suffered approximately 2 weeks post vaccination

Other Meds: amlodipine, symbocort, prilosec

Current Illness:

ID: 1232594
Sex: M
Age: 67
State: MA

Vax Date: 03/19/2021
Onset Date: 04/04/2021
Rec V Date: 04/20/2021
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Symptoms: On March 19 I received my second Pfizer vaccination. A day later I had a slight reaction, slept most of the afternoon but no pain. Then, 16 days later - on April 4 - I was barely able to get out of bed. Especially my lower back and thighs and hips and groin very inflamed and painful. Also, upper torso shoulders and upper arms quite painful all morning. Usually, by mid day I am able to get around without much problem. But mornings are terrible. Daytime sleep: each week about 21 hours, due to fatigue, body pain and lethargy..

Other Meds: AtorvastatinN/A

Current Illness: N/A

ID: 1232595
Sex: F
Age: 60
State: CO

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
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Allergies: N/A

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Symptoms: patient experienced blurry vision approximately 15 minutes after receiving vaccine and the blurry vision lasted 10 mins. She also reported experiencing a headache on the left side which also last 5min. She indicated feeling dizzy for a few minutes. Recovered completely by 3:15 Ppm

Other Meds: Kepra, Topomax, carbamazepine

Current Illness: no

ID: 1232596
Sex: M
Age: 83
State: ND

Vax Date: 03/17/2021
Onset Date: 03/24/2021
Rec V Date: 04/20/2021
Hospital: Y

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Symptoms: Patient presented to ED and subsequently hospitalized within 6 weeks of receiving COVID vaccination.

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ID: 1232597
Sex: F
Age: 50
State: FL

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/20/2021
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Allergies: None

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Symptoms: First day Headache, tiredness Next day -headache, tiredness, nausea, fever, chills Third day- headache, arm red swollen Fourth day - headache , itchiness arm

Other Meds: None

Current Illness: None

ID: 1232598
Sex: F
Age: 45
State: MN

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/20/2021
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Symptoms: Patient was vaccinated at clinic today and was reporting previous reaction when she noticed numbness starting in RA after her shot today 4/14/21. Call made 4/16/21 and patient reports that she had fever and was ill after the shot on 4/14/21. Her RA was very sore and had numbness down 4th and 5ht fingers. Advised to seek medical care if it worsens or persists or if new symptoms develop. Spoke to patient on 4/20/21. She said she is much better. She did not need to seek medical care for her symptoms.

Other Meds: None

Current Illness: Penicillin, canned meat, cats

ID: 1232599
Sex: M
Age: 19
State: RI

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
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Allergies: NKA

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Symptoms: LIGHT HEADED, DIZZINESS, DIAPHORETIC.

Other Meds: N/A

Current Illness:

ID: 1232600
Sex: F
Age: 40
State: CO

Vax Date: 03/31/2021
Onset Date: 04/07/2021
Rec V Date: 04/20/2021
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Allergies: none

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Symptoms: One week later arm at injection site swelled became itchy and had a red ring around it, 1-2 inches around. Itching continued to my face, down arm. The two days prior I had strong under arm pain, which I'm guessing was swollen lymph nodes, this continued for 5 days. Itching continued for a few days and had tingling sensation that ran up and down left arm, chest and sometimes legs. Also felt a burn/tingle in back of my throat. All symptoms lasted for 1-2 weeks. Seem to be much less now, only occasional tingling.

Other Meds: daily probiotic + birth control

Current Illness: none

ID: 1232601
Sex: F
Age: 29
State: NC

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
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Allergies: none

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Symptoms: immediately after infection, pt reported dizziness, EMT and MD notified, pt then experienced syncope for approx 20 seconds, spontaneously resolved. normal vital signs. tolerated food/drink after, talkative and in good spirits shortly after regaining consciousness, no head trauma or fall. pt arranged for someone to drive her home. did not require hospital evaluation.

Other Meds: none

Current Illness: none

ID: 1232602
Sex: F
Age: 29
State: CA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
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Allergies: Penicillin

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Symptoms: Shortly after receiving the vaccine patient reports of dizziness and nausea. After throwing up patient felt better. She sat in the waiting area for a while to make sure she has is not nauseous anymore and waiting for her ride to pick her up. Before leaving patient reported of no more nausea or dizziness.

Other Meds: None

Current Illness: None

ID: 1232603
Sex: F
Age: 55
State:

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/20/2021
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Symptoms: Patient had numbness/tingling to mouth/lips. Denied difficulty breathing. BP 119/74 -- > 104/71, HR 65 -- > 67, RR 18 -- > 16, O2 99% -- > 100%. Given Benadryl 50 mg IM. Patient stable, released from vaccination site. Recommended patient to vaccinate with non-mRNA vaccine for future booster dose.

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Current Illness:

ID: 1232604
Sex: M
Age: 47
State: CO

Vax Date: 03/11/2021
Onset Date: 04/01/2021
Rec V Date: 04/20/2021
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Allergies: None

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Symptoms: 1st Dose given 2/16/2021, 2nd Dose given in error on 3/11/2021

Other Meds: Zyrtec, Lipitor, Flonase

Current Illness: None

ID: 1232605
Sex: F
Age: 37
State: MN

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/20/2021
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Allergies: CT contrast, pregabalin, reglan

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Symptoms: Woke up in the middle of the night 6 hrs after the vaccine with sever stabbing pain through entire shoulder joint into back. Not a muscle ache. 6 hrs later the pain was shooting across my back and down my arm into my hand and was intolerable. Within 24hrs of getting the vaccine I was unable to raise my arm at all. There was tingling numbness and shooting pain in shoulder, back, ribcage, down arm and into hand. By the 2nd day. My hand had started to swell and my shoulder swelled. I iced and took tylenol but nothing helped. I couldnt dress myself. I didn't sleep from severe pain for the subsequent 3 nights. My shot was tuesday night and my symptoms didn't subside to a tolerable level until the following Saturday. I am still having difficulty raising the arm and its been a week. I noticed that the person who gave me the injection did it so high in my shoulder that it was about 2 mm below the bone at the top of my shoulder. It seemed a very strange location for a shot.

Other Meds: Trazadone, tizanidine, aimovig, ramelteon, clonazepam, multi vitamin, vitamin D, calcium

Current Illness: Shingles a month prior

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm