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: 1247409
Sex: F
Age: 65
State: TN

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient reported having severe headache on evening of 4/21 and most of the day on 4/22. This morning she discovered dried blood in both ears and wet blood upon cleaning. She has had no pain in either ear

Other Meds:

Current Illness: None

ID: 1247410
Sex: F
Age: 58
State: MI

Vax Date: 02/19/2021
Onset Date: 04/20/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 1st dose 01/29/2021; 2nd dose 02/19/2021 - diagnosed with COVID 19 4/22/21

Other Meds:

Current Illness:

ID: 1247411
Sex: M
Age: 52
State: IL

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: About 12 hours after my second dose of COVID, I began to have mild flu symptoms: 99+ fever, mild chills, aches, and fatigue (Tuesday) Nothing horrible, but definitely undesirable and had to lay down to rest in the afternoon - missed 2 hours of work. Felt badly the entire next day (Wednesday). Woke up on the third day(Thursday) feeling 80% better. By the end of Thursday, I was about 90% feeling better. Friday, the fourth day was nearly 100% feeling fine.

Other Meds: Levothyroxine .88 mg

Current Illness: none

ID: 1247412
Sex: M
Age: 66
State: VA

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Client fell while waiting in line to enter the POD. Client states that he got hot while waiting in line a long time. Client states that he does not think he lost consciousness but may have hit his head. 911 was called, EMS evaluated client and found him medically stable and client declined to go to the hospital. Client received Johnson and Johnson vaccine and left on his own after 30 minutes waiting time after vaccine.

Other Meds: Unknown

Current Illness: Unknown

ID: 1247413
Sex: F
Age: 55
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received first dose of Moderna COVID-19 vaccine at 3/20/21. She was vaccinated at 1349. She developed hoarseness, itchy throat, and tongue swelling. She was seen by the Dr in the observation lot. She received diphenhydramine 25 mg po x1, Pepcid x1. She declined epinephrine. She was sent by ambulance to ED.

Other Meds:

Current Illness:

ID: 1247414
Sex: M
Age: 60
State: TX

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: I began having difficulty breathing around 7 am on 2 April 2021, I had a 102.2 temperature, was incoherent and thrashing about.

Other Meds: Allegra, Equate multi vitamin, Flonase,

Current Illness: none

ID: 1247415
Sex: F
Age: 16
State: GA

Vax Date: 04/19/2021
Onset Date: 04/20/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: No known allergies of any kind

Symptom List:

Symptoms: Patient had fever, headache, body aches on 4/20/2021 by 4/21/2021 she had bloody urine, upon arriving in our office on 4/22/2021 she had 3+ blood in her urine analysis.

Other Meds: none

Current Illness: none

ID: 1247416
Sex: F
Age: 44
State: NJ

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Pain at Injection Site-Severe, Error: Wrong Dose of Vaccine - Too High, Additional Details: Patient states her covid vaccine was administered too high and hit a nerve causing pain.

Other Meds:

Current Illness:

ID: 1247417
Sex: F
Age: 22
State: MI

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

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Client became dizzy 15 minutes after getting vaccine. Denied all other symptoms. Waited total of 30 minutes, not other symptoms began. Instructed to go to ER or call 911 if symptoms return or worsen

Other Meds: unknown

Current Illness: unknown

ID: 1247418
Sex: F
Age: 51
State: FL

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

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

Lab Data:

Allergies: zithromax, tylenol, soy

Symptom List:

Symptoms: 4/14/21 c/o migraine, leg spasms, abdominal cramps, fatigue 4/16-Recommend caller contact PCP; caller states she does not have health insurance and does not feel "bad enough" to go to hospital or urgent care. She states if symptoms worsen, she will be evaluated at a HCF. She also asked for f/u call to be scheduled for Sunday 4/18 as she will be working all day 4/17 and won't be able to take call. 4/17-called the patient , no new issues , no migraine , nothing new to report

Other Meds: medical cannabis for "neuro issues" per caller excedrin migraine

Current Illness:

ID: 1247419
Sex: F
Age: 44
State: PA

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

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

Lab Data:

Allergies: I have learned since the vaccine that I am allergic to polysorbate 80. Also cobalt and beeswax.

Symptom List:

Symptoms: WIthin one minute I had difficulty breathing, heart racing, pins and needles in my fingers, hands, arms up into my neck and in my face. I felt faint like I would pass out.

Other Meds: Junel Zyrtec

Current Illness: None

ID: 1247420
Sex: F
Age: 41
State: WI

Vax Date: 03/29/2021
Onset Date: 04/12/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: LACTOSE SENSITIVE/INTOLERANT.

Symptom List:

Symptoms: PATIENT REPORTS: DIZZINESS 2 WEEKS POST-INJECTION, SEEING STARS ON SIDES OF VISION 2 WEEKS POST-VACCINATION, AND EXPERIECING FEELING OF "SHOOTING PAIN" OR "BURNING PAIN" INSIDE OF HEAD 2 WEEKS POST-INJECTION. NOT TYPICAL SYMPTOMS FOR PATIENT.

Other Meds: HORMONE REPLACEMENT - ESTROGEN 1ML / DAY, PO, DAILY. VITAMIN D AND VITAMIN B12, PRN.

Current Illness: NO

ID: 1247421
Sex: M
Age: 58
State: VA

Vax Date: 04/17/2021
Onset Date: 04/19/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: LEFT FACIAL NERVE PALSY

Other Meds:

Current Illness:

ID: 1247422
Sex: F
Age: 73
State: CA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: headache fever chills sore arm lower back pain sciatica leg pain still can not walk well from this time of the shot

Other Meds: diltiazem 120 mg. levothyroxine 100 mg. losartan potassium 100mg.

Current Illness:

ID: 1247423
Sex: F
Age: 62
State: NE

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient gradually developed a dry cough and complains of some throat tightness. States she does not feel that throat is "closing" but rather that it is related to the coughing. Patient asked to remove mask and was given warm water to drink per patient request. RN notes some mild lung congestion upon auscultation but otherwise clear lung sounds. Patient states it feels similar to asthma related symptoms and states she hasn't been taking her seasonal allergy meds regularly and also that she has had a lot of life event stress with deaths in family. Patient requests benadryl stating that whenever she has asthma symptoms her "inhaler doesn't work but Benadryl always does". RN gives 25mg of liquid benadryl to patient. Approximately 3 minutes post-benadryl administration, patient cough decreases and continues to decrease over the next 10-15 minutes of sitting in observation area. VS WNL. Patient is able to talk without coughing. Patient, who is an RN, states that she is feeling better and she wants to go home. Patient states that she will call her family and let them know she is on the way home. Patient knows to call 911 if symptoms return/worsen. Patient states she will let her doctor know and check in about whether she needs new inhaler prescription. Family member waiting at home for patient. Patient stable and not coughing and states she feels "a lot better" as she is leaving facility.

Other Meds:

Current Illness:

ID: 1247424
Sex: F
Age: 15
State: OR

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Administration error: Pfizer administered to a 15 year old patient. Patient was registered with a birthday of date(showing an age of 16 years upon vaccine clinic check-in). ID was not checked to confirm birthdate prior to vaccination. Following vaccination, ID confirmed actual birthdate was date (making the patient 15 years old). No adverse effects noted following administration.

Other Meds: Unknown

Current Illness:

ID: 1247425
Sex: F
Age: 54
State:

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Itching at abdomen, knee, right arm, and hand. BPs 166/93 (pulse 103), 155/91 (pulse 89), Given Benadryl 50 mg PO, water, juice.

Other Meds:

Current Illness:

ID: 1247426
Sex: M
Age: 28
State: AZ

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

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

Lab Data:

Allergies: Milk

Symptom List:

Symptoms: Headache, body ache, tiredness, lack of energy.

Other Meds: Vitamin C, B complex, Vitamin E

Current Illness: NA

ID: 1247427
Sex: F
Age: 63
State: NY

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, (antibiotic ?).

Symptom List:

Symptoms: She got the vaccine, and had a sore throat initially. She felt in her mouth that it was swollen the first night. Had a slight headache and a slight tiredness. On Tuesday, the next day she felt unwell, but nothing abnormal about that. That evening she had a fever, surprising to her as it was already the 2nd day. The next day from there Wednesday, was weak, a little dizzy. Then on Thursday she started feeling very very dizzy, she felt it coming on and about 10 minutes after she felt that she felt as is she was going to faint, very dizzy feeling. She said it out loud so that somebody could recognize she was having problems. She slumped into the chair with dizziness and not feeling well, a lot of weakness. Since yesterday the sore throat has continued, and has had a cough since the beginning also. She also had on Tuesday some diarrhea, but nothing too serious Since yesterday she is still dizzy, has a canker sore, lips feel a little more puffy, still has headache. She does not feel that she needs to go to the hospital, but still feeling unwell. She also did have the arm pain at the injection site, and felt that she was getting better as her reaction didn't seem so severe and went away quickly. She did not take anything for her symptoms.

Other Meds: 81 mg aspirin, Crestor, Zetia. Vitamin D, Vitamin C and Zinc, Vitamin B.

Current Illness: None.

ID: 1247428
Sex: F
Age: 26
State: WA

Vax Date: 02/11/2021
Onset Date: 04/12/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Following my second dose of the Moderna vaccine, my period came two weeks early and was super heavy - gushing. I was in the middle of a birth control pack and always have on-time regular periods. I have never experienced anything like this. My period lasted 11 days and it usually lasts 5.

Other Meds: Birth control Advair inhaler

Current Illness:

ID: 1247429
Sex: M
Age: 62
State: GA

Vax Date: 04/19/2021
Onset Date: 04/20/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: Shellfish

Symptom List:

Symptoms: Fever, Chills, sore arm for 48 hours

Other Meds: Levoxyl, Lisinoprol, Crestor, baby aspirin

Current Illness: N/A

ID: 1247430
Sex: F
Age: 28
State: FL

Vax Date: 04/12/2021
Onset Date: 04/20/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Rash, facial swelling, tongue swelling

Other Meds:

Current Illness:

ID: 1247431
Sex: F
Age: 51
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizzy, vomited, code Green called, paramedics here to eval.

Other Meds:

Current Illness:

ID: 1247432
Sex: M
Age: 51
State: TN

Vax Date: 04/10/2021
Onset Date: 04/19/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: petechia on arms and back

Other Meds: Lisinopril, Metoprolol Succ ER, Vit D, niacin, fish oil, multi B, Aleve, Tylenol

Current Illness: none

ID: 1247433
Sex: F
Age: 50
State: WA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient felt dizzy, tired, lost sensation in hands, felt that she might pass out. I had patient recline back in car seat take deep breaths assessed patient. Patient drank some water had granola bar since she hadn't eaten in awhile. Vitals: Symptoms Onset SpO2: 98% Hr: 80 10min. after symptom onset SpO2%: 99% HR: 65

Other Meds: Vitamin D3, multi vitamin, probiotic

Current Illness: none

ID: 1247434
Sex: F
Age: 47
State: PR

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: ASPIRIN

Symptom List:

Symptoms: 4/12/21 - I had my first dose of COVID19-Moderna vaccine. I only had a moderate headache and since I was having my period 4/13/21 - Immediately in the evening I got a rash on both arms, itchy red and inflamed bumps. 4/15/21 - rash started to appear on both legs, red and inflamed welts with a lot of itching. 4/19/21 - I went to the emergency room (Hospital) as the rash, swelling and itching got worse. Dr. attended me this day and they injected me with an anti-inflammatory vein with steroid, Benadryl serum and they took my blood. Dr. prescribed Loratadine 10 MG tablets 1 daily, and Banophen 25 MG 3 times a day if necessary. 4/20/21 - Left arm where I received the COVID19-Moderna vaccine began to swell, red, hard, hot, sore and itchy in that area. I only put cold compresses on the area for relief. Still it took time to feel relief. 4/23/21 - Ongoing rash with no improvement. None of the above treatments have worked to date. The rash on arms and legs does not improve, inflamed skin, and very itchy. 4/26/21 - I have an appointment with a dermatologist, Dr. for a second opinion and possible different treatment

Other Meds: NONE

Current Illness: NONE

ID: 1247435
Sex: F
Age: 51
State: AZ

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: Sulpha drugs, pineapple, bananas

Symptom List:

Symptoms: Headache, body aches, fever, fatigue, pain in arm (where vaccinated) - started 12 hours post vaccine, lasted for 48 hours Anxiety - started 40 hours post vaccine, lasted for 24 hours Dizziness - started 12 hours post vaccine, continued and intensified for 168 hours after (It's been almost 7 days and I'm still dizzy. It's gotten worse in the last two days)

Other Meds: Vitamin B12, Duloxatine, ADR (for adrenal health), Levoxyl, D3, SPM Active (fish oil), Collagen, Verapamil, Calcium, Magnesium, Zinc, L-Theanine, Progesterone

Current Illness: N/A

ID: 1247436
Sex: F
Age: 84
State: NJ

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Chest Tightness / Heaviness / Pain-Medium, Additional Details: 911 called to store. pt O2 stat was 90%. supplemental oxygen given by EMS. Pt transported to hospital by EMS. Pt BP was 184/102 and HR was 65 before EMS arrival.

Other Meds:

Current Illness:

ID: 1247437
Sex: F
Age: 66
State: WA

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Muscular Pain in extremties specially in upper arms. I used to lift weights before now it hurts to raise my arms parallel to the ground. Walking is a challenge, now I walk slow as a snail. Fatigue and nervous stomach. It has been a month , I thought this will go away and I hope it does . Not sure if I should just wait to heal or get medical attention.

Other Meds: Vit D , Ca

Current Illness: None

ID: 1247438
Sex: M
Age: 15
State: MD

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: was under approved age for pfizer vaccine. was 15 not 16.

Other Meds:

Current Illness:

ID: 1247439
Sex: F
Age: 25
State: IL

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

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Urticaria, fatigued, fever, mild facial swelling

Other Meds: levothyroxine

Current Illness: None

ID: 1247440
Sex: F
Age: 46
State: IA

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

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

Lab Data:

Allergies: Sulfa,

Symptom List:

Symptoms: Approximately 4-5 hours post vaccination, client states she noticed redness over entire face and bilateral upper arms. Client states area of redness had burning sensation with touch. Client states similar to sunburn. Client states resolved approximately 24 hours after she first noticed the redness.

Other Meds: Lyrica, savella, Ibuprofen nightly, Tylenol 1000mg once per day

Current Illness:

ID: 1247441
Sex: F
Age: 49
State: CA

Vax Date: 04/15/2021
Onset Date: 04/23/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever, large red fever in arm (covid arm), headache, eye infection (blood shot right eye), vision impaired for 1 day (felt like a filter was over my eye, felt like glass in my eye). Day 8 still have covid arm and red has turned brown and looks scarred. Low energy. Symptoms daily for 8 days.

Other Meds: Blood pressure meds

Current Illness: None

ID: 1247442
Sex: F
Age: 33
State: MI

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

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: Client c/o itchey throat, slight difficulty swallowing, became flushed and redness/splotchy on neck/chest. O2 sat at 100% on RA. Lungs clear, no stridor noted. Client declined SOB. Received Pfizer vaccine dose#2 about 10 min prior to symptom onset. Client declines similar symptoms after dose#1. Benadryl 50 mg given PO. Client evaluated by fireman from Fire Department. Symptoms decreasing by the time her husband arrived. She agreed to go to urgent care/ED to be evaluated. Client was advised to go to ED/urgent care and husband was there to drive. Client in no apparent distress when she left. O2 sat @100% on RA and pulse was 83.

Other Meds: unknown

Current Illness: unknown

ID: 1247443
Sex: M
Age: 64
State: SC

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

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Allergies: none listed

Symptom List:

Symptoms: Second dose of vaccine given at 21 days.

Other Meds: baby aspirin

Current Illness: unknown

ID: 1247444
Sex: F
Age: 40
State: KS

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/23/2021
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Allergies: No

Symptom List:

Symptoms: Headache. All over body aches Chills Neck pain Injection site pain

Other Meds: Zoloft

Current Illness: On 2nd day of period at time of second dose Stomach flu 3/25/21

ID: 1247445
Sex: F
Age: 32
State: FL

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/23/2021
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Lab Data:

Allergies: Shellfish allergy

Symptom List:

Symptoms: Patient waited 15 minutes after receiving vaccine as advised, with no side effects during monitoring window. Patient left the pharmacy and approx. ~20 mins after receiving vaccine, she started to experience hives and shortness of breath, at which point she turned to come back to pharmacy for medical advice. By the time she got back to parking lot <5 minutes later, the side effects had subsided. She described this reaction as similar to her shellfish allergy. She returned home after feeling fine and called her PCP, who advised her not to receive second dose and continue to monitor side effects. Patient was fine with self-observation and never had to seek emergency care.

Other Meds: None reported

Current Illness: N/A

ID: 1247446
Sex: F
Age: 72
State:

Vax Date: 03/11/2021
Onset Date: 03/22/2021
Rec V Date: 04/23/2021
Hospital: Y

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Symptom List:

Symptoms: Patient had ED visit / hospitalization within 6 weeks of receiving COVID vaccine

Other Meds:

Current Illness:

ID: 1247447
Sex: F
Age: 40
State: NY

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

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Allergies: Penicillin Or Any "Cillin"

Symptom List:

Symptoms: I have Had A MIGRAINE Along with HIGH BLOOD PRESSURE... It started 2 weeks after my 2nd Pfizer Shot... I was admitted into the hospital because after A Cat Scan, MRI, And A Spinal Tap looking for Menengitis They Couldn't Find ANYTHING WRONG... I was in the Hospital for 8 days... They where unsure WHAT WAS WRONG SO THEY TREATED ME WITH MANY DIFFERENT MEDICATIONS INCLUDING HEPRINE FOR BLOOD CLOTS... AS OF TODAY 4/23/2021.. I CONTINUE TO EXPERIENCE THESE UNBEARABLE HEADACHES... HAVEN'T SLEPT IN A MONTH.. AND I CONTINUE TO HAVE SUPER HIGH BLOOD PRESSURE... IF THIS CONTINUES I AM NOT SURE HOW I WOULD LIVE... THE PAIN IS HORRIBLE... SO SO BAD

Other Meds: Lexapro, Pepcid, Cozzar, Lipitor, Protonix

Current Illness: Endometriosis

ID: 1247448
Sex: M
Age: 85
State: GA

Vax Date: 04/01/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
Hospital: Y

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Allergies: NKA

Symptom List:

Symptoms: Resident became COVID positive with hospitalization.

Other Meds: Metoprolol XL 50mg sitaglipin phosphate 100mg Flomax 0.4mg atorvastatin 20mg Eliquis 5mg amlodipine 5mg

Current Illness: confusion and lethargic

ID: 1247449
Sex: M
Age: 35
State: NC

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/23/2021
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Lab Data:

Allergies: Shellfish, bees, pollen

Symptom List:

Symptoms: Within 30 minutes hot flushed feeling in face, tightness and chest and throat, dizziness. Same symptoms as allergic reactions to other known allergens

Other Meds: One a day vitamin Probiotic

Current Illness: None

ID: 1247450
Sex: F
Age: 69
State: LA

Vax Date: 03/30/2021
Onset Date: 04/05/2021
Rec V Date: 04/23/2021
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Allergies: erythymican, Flagel,

Symptom List:

Symptoms: pt says on the 6th day she woke up w/ a headache and nauseated. She started vomiting and took Medizine which seem to help. On 4/11/21 she started having cramps in her stomachs like a spasm and SOB. She went to hospital ER. They did blood work and Chest X-Ray which came back negative results. She was told she did not have the same blood disorder as the other people who have had blood clots after taking the vax. She was told she had blood in her urine but had no infection. She will FU w/ PCP in June. Pt says her only symptoms now are some nausea and still does not feel normal.

Other Meds: Eliquis

Current Illness:

ID: 1247451
Sex: F
Age: 67
State: OH

Vax Date: 03/07/2021
Onset Date: 04/05/2021
Rec V Date: 04/23/2021
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Allergies: Augmentin-Causes intestinal upset and diarrhea

Symptom List:

Symptoms: Shingles on right arm appeared 3 weeks after my second Covid vaccine

Other Meds: Ramipril 10MG, Multi vitamin, Red Krill oil capsule, Vitamin B12, Caltrate, Probiotic

Current Illness: None

ID: 1247452
Sex: M
Age: 23
State: PA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/23/2021
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Allergies: N/A

Symptom List:

Symptoms: Syncope 5 minutes following vaccine administration, Gave the patient water and monitored for additional signs or symptoms. ambulance was called but no further treatment required. Patient recovered shortly after syncope

Other Meds: N/A

Current Illness: N/A

ID: 1247453
Sex: F
Age: 77
State: FL

Vax Date: 03/26/2021
Onset Date: 04/13/2021
Rec V Date: 04/23/2021
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Symptoms: Had second COVID vaccine 03/26/2021. States that she had no itching or severe symptoms after 2nd vaccine. She had some shaking. She did fall on the following day. She went to sit on a desk chair which rolled out from under her and she fell to floor.

Other Meds:

Current Illness:

ID: 1247454
Sex: M
Age: 22
State: FL

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/23/2021
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Allergies: none

Symptom List:

Symptoms: Pt claimed that he faints after shots. Pt felt lightheaded immediately after vaccination. Had pt lie on the floor with feet elevated up on the chair. Gave pt ice pack to use on forehead. Pt felt better with 5-10 minutes.

Other Meds: unknown

Current Illness: none

ID: 1247455
Sex: F
Age: 15
State: AL

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/23/2021
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Symptoms: Error: Patient Too Young for Vaccine Administered

Other Meds:

Current Illness:

ID: 1247456
Sex: F
Age: 62
State: IL

Vax Date: 04/09/2021
Onset Date: 04/16/2021
Rec V Date: 04/23/2021
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Symptoms: Patient called stating she began having severe nausea and pounding headaches 1 week post-vaccination. She said she went to urgent care due to nausea. They tested her BP and it was fine. Said she is still having the headaches now, 1 week after they started.

Other Meds:

Current Illness:

ID: 1247457
Sex: M
Age: 30
State:

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/23/2021
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Allergies: none reported

Symptom List:

Symptoms: Urticaria that started approximately 5 hours post vaccination. Pt stated that he started to feel itchy and when he got home he noticed he had hives all over his body. Patient came into Urgent Care and was given 50mg of benedryl which resolved the hives

Other Meds: none reported

Current Illness: Seasonal allergies

ID: 1247458
Sex: F
Age: 63
State: MO

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
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Allergies: nickel, neosporin, latex

Symptom List:

Symptoms: During COVID clinic on 4/22, patient and husband came to receive their second dose of Moderna. After the dose was given, patient was in the waiting area when the administering pharmacist was alerted by pharmacy technician that the patient was feeling weak and like she might pass out. Pharmacist went to the patient and started asking the patient if she was breathing okay. The patient responded yes. Pharmacist told the technician to go to the pharmacy and get the other pharmacist on duty. When other pharmacist was alerted she called a code white and closed the pharmacy so that she could attend to thepatient. When other pharmacist arrived in the clinic room, the patient was sitting in a chair sipping water. Asset protection had already called 911. She was pale and sweating. The other pharmacist took the patient's blood pressure which was 104/76, other pharmacist asked the patient how she felt, she said that she needed to go use the restroom. The other pharmacist told the patient that she would recommend putting her feet up, but the patient said she really just wanted to use the restroom. Pharmacist escorted the patient to the restroom (with an Epipen in coat pocket in case the situation escalated). The patient had a bowel movement and then EMS arrived on the scene. The patient was stable when EMS arrived and was sent home with husband without going to the hospital. No medications were used for patient, she was only given a water bottle and a cool pack.

Other Meds: unknown

Current Illness: asthma

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm