VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1258756
Sex: M
Age: 16
State:

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

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Vaccine was administered to the patient under 18 years of age. No post-vaccine reaction was noted. Patient was given the second dose on 3/26/21 lot number 043L20A. Again, no post-vaccine reaction was noted.

Other Meds:

Current Illness:

ID: 1258757
Sex: F
Age: 21
State: SD

Vax Date: 01/26/2021
Onset Date: 04/21/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Anxiety, Dyspnoea

Symptoms: 09/14/2020 +Covid PCR 12/29/2020 1st Covid vaccine Moderna 025J20-2A Righ Arm 2pm 01/26/2021 2nd Covid vaccine Moderna 030L20-A Right Arm 2pm 4/21/2021 Ill 4/23/2021 Covid + PCR test 05/02/2021 Potential to RTW

Other Meds: Spironolactone

Current Illness: none

ID: 1258758
Sex: F
Age: 56
State: ME

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Penicillin (rash) Sulfa Drugs (rash and skin peeling) Ciprofloxacin (caused partial loss of taste/smell several years ago) Perfumes and scented products (sneezing, runny eyes, congestion) Most brands of facial cosmetics (itch, redness)

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

Symptoms: Ringing in my ears and a sharp headache began about 4 hours after vaccine. It is a high pitched, non-pulsatile ringing and hissing noise. The headache comes and goes throughout the day and evening and is of the sharp, stabbing variety along temples and at base of skull. I have never had ringing in my ears before this time so I know it is directly related to the vaccine. I had no other adverse effects except a mild headache the day after the vaccine.

Other Meds: Levothyroxine 50 mcg Metoprolol ER 50 mg Losartan 25 mg

Current Illness: None

ID: 1258759
Sex: F
Age: 44
State: VA

Vax Date: 04/16/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: Levaquin (sun sensitivity) Codeine/pain medication (nausea/vomiting) Prednisone (rash) Seasonal allergies Latex allergy

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Covid arm starting 7.5 days after 1st dose with systemic itching, especially of ears and rash. Increased muscle weakness and pain.

Other Meds: None

Current Illness: None

ID: 1258760
Sex: M
Age:
State: MN

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient falsified DOB when registering for vaccination, stating the minor was born one year earlier. Guardian consented to the vaccination. Department of Health verified with statistical records that the patients actual DOB made the vaccine a contraindication. No known adverse reactions noted.

Other Meds:

Current Illness:

ID: 1258761
Sex: M
Age: 52
State: TX

Vax Date: 04/14/2021
Onset Date: 04/20/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: None

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

Symptoms: Rash all over chest, back, on arms, legs, face, lips and scalp. Spots were red in color and would have blisters that would come up and pop. Spots would burn and body felt like it was on fire. They would scab over. Spots were and are sore to the touch. A knot came up on the right side of neck at the base of hair line. Steroid shots, Antibiotics and ointment was used as treatment.

Other Meds:

Current Illness: None

ID: 1258762
Sex: M
Age: 80
State:

Vax Date: 02/17/2021
Onset Date: 03/15/2021
Rec V Date: 04/26/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient presented to the ED and was subsequently hospitalized for upper and lower GI bleeding within 6 weeks of receiving COVID-19 vaccination.

Other Meds:

Current Illness:

Date Died: 04/23/2021

ID: 1258763
Sex: F
Age: 50
State: OH

Vax Date: 04/17/2021
Onset Date: 04/23/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: No known allergies

Symptom List: Pharyngeal swelling

Symptoms: On April 23,2021 patient was at her home and started complaining of shortness of breath and chest pain. She called 911 and they responded to her residence at 0500 a.m. While being assessed, patient collapsed. She was asystolic. CPR was started but to no avail. She was transported to the coroner's office where an autopsy was performed. She had bilateral pulmonary thromboemboli. There were not deep vein thromboses found in her legs.

Other Meds: Metformin, gabapentin, tizanidine, diclofenac

Current Illness:

ID: 1258764
Sex: F
Age: 63
State: CA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: shellfish and sufates

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: 1/2 an hour after receiving the shot..I arrived home and began to experience heart palpitations and irregular heart beats. This continued until 3 a.m.The next day the same event occurred at apx.3 p.m.for a few hours. This happened again at apx. 8 p.m. and continued for 4 hrs.The third and last day..I experienced a few more less intense events.

Other Meds: none

Current Illness: none

ID: 1258765
Sex: F
Age: 73
State: FL

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Nickel, Doxycycline

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I started feeling faintly, experienced headaches, flashing blackness in my eyes and head. I also had blurry vision , extreme fatigue, nausea and diarrhea. I sat down for 10 minutes to be monitored and then I went home. To this day I still have headaches that come and go and I have no energy whatso ever and still have nausea that comes and goes.

Other Meds: Pt stated she took her regular medications

Current Illness: Congestion heart failure, Defibrillator in my chest, COPD

ID: 1258766
Sex: M
Age: 28
State: PA

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

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: NKA

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

Symptoms: Patient reported feeling faint after receiving vaccine. He also reported blurring vision, which was resolved after about a minute after lying down on the floor. He was brought back at 12:46 and was given water and was laid down on the stretcher. VS were first taken at 12:50: HR: 51, RR: 20, BP: 110/50, SPO2: 100. 1:04 VS were: HR: 61, RR: 20, BP: 106/64, SPO2: 98. Final VS were at 1:17: HR: 59, BP: 116/67, SPO2: 98. The patient was released at 1:17 by himself.

Other Meds: N/A

Current Illness: N/A

ID: 1258767
Sex: F
Age: 48
State: CA

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies: Penicillin and Nsaids

Symptom List: Rash, Urticaria

Symptoms: Fever is 38.1, chill, muscle pain, fatigue, swelling at the injection site that I could barely raise up my left arm. Took Tylenol until all the symptoms slowly gone away after three days of treatment.

Other Meds: Vitamin A,C,E, B12, probiotics, Calcium+D3 gummies, Hair, skin and nails gummies.

Current Illness: None

ID: 1258768
Sex: F
Age: 31
State: CO

Vax Date: 04/05/2021
Onset Date: 04/15/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None known.

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

Symptoms: First experienced shingles symptoms (soreness on forehead and around right eye) about 10 days after the first Pfizer vaccine. Soreness turned into a blistering sore 2-3 days later, and went to dermatology 4/19/2021. Diagnosed with shingles and given the antiviral acyclovir. Took 3x day for 7 days. Symptoms have improved gradually over 7 days. Second injection to be administered on day 7 after shingles diagnosis, 4/26/2021.

Other Meds: Mirena IUD, omega 3s, Migrelief (magnesium, B2, fever few), Super B complex, vitamin D supplement.

Current Illness: None.

ID: 1258769
Sex: F
Age: 81
State:

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies:

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

Symptoms: Noted feeling dizzy linked to ems

Other Meds:

Current Illness:

ID: 1258770
Sex: F
Age: 16
State:

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies: none

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

Symptoms: Intense headache for 2 days 102 degree fever for 2 days light sensitivity for 2 days fatigue, nausea, and body aches for 2 days treatment: 500 mg acetaminophen every 6 hours while headache lasted, cold washcloth on forehead and eyes, lots of sleep and water

Other Meds: none

Current Illness: none

ID: 1258771
Sex: M
Age: 57
State: AR

Vax Date: 04/20/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Mercury

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

Symptoms: 4/20/21 Approximately 20 min after the vaccine, noticed bottom of feet and mouth tingling. 4/21/21 flu-like symptoms with fever began. 4/22/21 woke up with rash all over body-red raised with weeping blisters (lesions are in mouth also).

Other Meds: Aleve and Glucosamine

Current Illness: None

ID: 1258772
Sex: F
Age: 51
State: FL

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies:

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

Symptoms: 40 minutes after receiving vaccine, patient had trouble swallowing and throat feeling "tight". Patient then proceeded to Emergency Center, was given IV Benadryl then discharged. Bruises started 4/15/21 on right arm, 3 bruises inner arm, 1 bruise to outer arm, bruise on wrist, right side of abdomen, and left ankle has edema, soreness and is pruritic. Pruritic symptom has resolved but still edematous. Recommended to contact provider if symptoms worsen. /22/21- Follow up: Patient stated she went to the ER on Monday 4/19/21 due to her concern of bruising on body and a little spots on body (but not itchy) that started. She stated blood work was done in the ER and it was normal she was informed that other than her lymphocytes were low it was nothing concerning . CT scan on head was normal. No fever, body aches, sob, chest pain. She stated that some of her bruises are starting to fade and the rash is still the same. Advised patient to monitor herself if spots get worse or itchy she can apply benadryl cream or hydrocortisone cream. Will follow back up on monday 4/26/21. , PharmD 4/26-Called the home and there was no answer. Message was left to call the covid hotline for further follow up.-JD

Other Meds: none

Current Illness:

ID: 1258773
Sex: F
Age: 51
State: TX

Vax Date: 04/09/2021
Onset Date: 04/13/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: not

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Strong headache with inflammation of the left side of head. After first doses headache lasted for 2 weeks and inflammation was light-and moderated. However after second doses, it has been already three weeks with the headache and the inflammation has been increasing. now it is more pronounced and extended. pain has been increasing as well.

Other Meds: not

Current Illness: not

ID: 1258774
Sex: F
Age: 82
State: MI

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Route:
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Lab Data:

Allergies: codeine Penicillins Salagen (pilocarpine) shellfish derived

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient stated that the night of her vaccine, she got up from bed and was unable to walk and severe pain in bilateral legs. Was not able to walk the next day either but seems to have improved. She is also having more frequent bowel movements since the vaccine.

Other Meds: ALPRAZolam 0.5 mg tablet TAKE 1 TABLET BY MOUTH TWICE DAILY AS NEEDED FOR SLEEP ANXIETY calcium carbonate 750 mg daily Centrum Silver daily citalopram 20 mg tablet TAKE 1 TABLET BY MOUTH ONCE DAILY DULoxetine 60 mg capsule,delayed relea

Current Illness:

ID: 1258775
Sex: F
Age: 29
State: IA

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

Vax Type:
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Lab Data:

Allergies: none

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

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA 4/23 - in the evening swelling and soreness around the point of injection on the left arm 4/24 - Woke up feeling a sharp pain on the left collar bone. the swelling and soreness continued on my left arm. the pain on the collar bone continue throughout the day and moved to the upper part of my left shoulder. 4/25 - the pain continued on the left collar bone and upper part of my left shoulder. the swelling and aching on the left arm dimmed down close to none existent. 4/26 - woke up feeling an ache in my left eye, there was no redness but the my eye would get watery. the pain on the left collar bone and upper part of my shoulder has decreased but I can still feel some aching in those areas. the swelling in the left arm and aching has completely gone away.

Other Meds: none

Current Illness: none

ID: 1258776
Sex: F
Age: 46
State: SC

Vax Date: 04/02/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Tetracyclines

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

Symptoms: Period started about 2 weeks early which I expected after I experienced that same thing with the first shot. After second I had bad body cramps. Then Saturday started off feeling like a kidney infection. By Sunday I was feeling worse but quickly progressed to severe cramps that felt like with labor and chest pain. Felt like a heart attack with lightheaded ness, cold sweats and thought I was going to faint.

Other Meds: Tylenol

Current Illness:

ID: 1258777
Sex: F
Age: 40
State: SC

Vax Date: 04/01/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Unevaluable event

Symptoms: Shingles a week later

Other Meds: Lisinipril, Metformin, atorvistatin, vitamin d

Current Illness: None

ID: 1258778
Sex: F
Age: 42
State: MN

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: None known

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

Symptoms: Headache, body aches, fever, fatigue, chills, dry mouth, no appetite, loss of taste, fatigue

Other Meds: Ambien 5 mg sumatriptan 50 mg tab

Current Illness: None known

ID: 1258779
Sex: M
Age: 55
State: NC

Vax Date: 04/12/2021
Onset Date: 04/14/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: I had tinnitus before but now it is louder. Gingko Biloboa was helping to keep it manageable but that doesnt seem to have any effect now.

Other Meds: Synthroid, B12, Gingko Biloboa, Zetia, Vit D, Biotin, Gabapentin, Trazadone

Current Illness: None

ID: 1258780
Sex: M
Age: 50
State: KY

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Has been having ear ringing since he got shot on 4/21

Other Meds: Unkown

Current Illness:

ID: 1258781
Sex: F
Age: 38
State: CA

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
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Vax Site:

Lab Data:

Allergies: Bactrim

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

Symptoms: She got ?very sick? after her second injection. She says the injection induced suicidal ideation. She had thoughts to hang herself which she has not had previously. She said, ?if I wasn?t in so much physical pain and couldn?t move I would have done it?my whole body was in pain?it is like I had COVID all over again except the breathing part?.I couldn?t move.? She was ?curled up on the floor in the closet.? The suicidal ideation resolved after 1.5 days at the same time as the body aches resolved. She is not sure if the suicidal ideation was a side effect to the injection or triggered by the body aches from the vaccination. She had not had any suicidal ideation in the timeframe prior to the vaccination. Her last suicidal ideation prior to this event was about one year ago. She has not had any suicidal ideation since the 1.5 days after the vaccination. She was also having trouble recalling information during the 1.5 days after the injection or ?form complete sentences?I would forget things mid-word.? The cognitive effects lasted 1.5 days. She did not have any adverse effects after 1.5 days. She did not cut or have any urges to cut. She last had urges to cut a couple of months ago. She did not have any illicit drug or alcohol or marijuana use during that timeframe. She thinks the body aches and suicidal ideation developed at the same time (as compared to one starting before the other). She also had chills but did not check her temperature. She did not take any NSAIDS or Tylenol. She did not experience any other acute psychiatric symptoms during the 1.5 days. She did not have psychosis, mania, depression, PTSD or OCD triggered. She did not have any new medications during this timeframe. Her COVID 19 infection was in March of 2020. She thinks it is possible that the vaccination was a ?trigger? to suicidal ideation because during her COVID-19 infection she wondered if she was going to survive. She did not have suicidal ideation back in March of 2020 during her COVID-19 infection. She said her ?resolve? to kill herself was unique for the 1.5 days stating, ?the only reason I didn?t do it was I couldn?t get up.? She did not go to the hospital ?because I had no way to get there.? She realizes she should have called 911. The experience was ?scary.? She said she did not think about calling me adding, ?I didn?t know what to do?I couldn?t think straight...I couldn?t even remember my birthday but I do that a lot?my birthday was never celebrated.? She had the Pfizer vaccination. The only side effects after the first injection of the vaccine was congestion and a sore arm (both of which lasted three days). She does not recall having congestion after the second injection. She reports that she is fine now. She thinks she had suicidal ideation triggered by a past psychiatric medication as well but she cannot recall which medication.

Other Meds: Trazodone 25mg qhs, Vyvanse 50mg qam, Effexor XR 150mg qam, Metoprolol XR 25mg qd

Current Illness: N/A

ID: 1258782
Sex: F
Age: 45
State: WV

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Severe tenderness is arm within 15 minutes of receiving vaccine. Uncontrollable muscle spams all over the body, shaking and severe joint pain. Weakness in arms and legs.

Other Meds: Wellbutrin Spironolactone Allergy Relief

Current Illness: N/A

ID: 1258783
Sex: F
Age: 57
State: MA

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

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Cough. C/O airway/throat tightness. C/O headache. BP 12:55, 193/109; 80; 100%. Called to charge nurse 12:57, 162/108; 80; 97%. Reports improved airway. C/O epigastric pain. MD called up to unit. Patient transferred to ER.

Other Meds:

Current Illness:

ID: 1258784
Sex: F
Age: 47
State: AZ

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: headache after injection, within three hours, then chills and fatigue next day

Other Meds: none

Current Illness: none

ID: 1258785
Sex: M
Age: 80
State: IL

Vax Date: 02/12/2021
Onset Date: 03/28/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List: Nausea

Symptoms: severe muscle and bones pain also cough and weak ness

Other Meds: Zocor 10 mg daily,Vit B,C,D and Omagar3

Current Illness: No

ID: 1258786
Sex: F
Age: 24
State: PR

Vax Date: 03/29/2021
Onset Date: 04/10/2021
Rec V Date: 04/26/2021
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Allergies:

Symptom List: Injection site pain

Symptoms: Dolor de piernas, calambre en piernas, fall? al levantarme para caminar, en la pierna derecha en la parte de atr?s se me formo un chich?n el cual me dolio, hace unos d?as tuve mi periodo, regularmente soy una persona que sangra bastante, esta vez fue muy distinta, pude estar bastante horas con una misma toalla yabque cada vez que iba al ba?o estaba limpia, pero al secarme es donde se pod?a apreciar la sangre, como que no me bajo bien la sangre, nunca me hab?a ocurrido algo similar.

Other Meds:

Current Illness:

ID: 1258787
Sex: F
Age: 34
State: WI

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
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Allergies: None

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

Symptoms: Severe Headache. Started late morning the day after vaccine. Took 1500mg Acetaminophen which gave relief after 1 hour. Headache returned in less than 6 hours. Took another 1500mg doses every 12 hours for the past 5 days. Severe headaches continue and have been constant. Note: today's headache is beginning to return only 3? hours after 1500mg dose of acetaminophen. Location of headache starts in the eye area, specifically at the brow bone and spread up to the top of the skull. Sensitivity to light and sound accompanying headache.

Other Meds: Norethindrone 0.35mg tab

Current Illness: None

ID: 1258788
Sex: F
Age: 89
State: OH

Vax Date: 03/24/2021
Onset Date: 04/20/2021
Rec V Date: 04/26/2021
Hospital: Y

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Lab Data:

Allergies: Morphin, statans

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: Blood clots leading to TIAS and strokes

Other Meds: Lostarton, Vitamin D 3, B12, Co Q10, Fish Oil, Vit C , Peravision,

Current Illness: Nothing,

ID: 1258789
Sex: F
Age: 18
State: WI

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/26/2021
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Lab Data:

Allergies: States environmental allergies to animals.

Symptom List: Tremor

Symptoms: Client stated that her tongue felt swollen approximately 5 minutes after administration of vaccine.

Other Meds: Unknown

Current Illness: Tested positive for Covid-19 1/5/2021. She again tested positive on 4/13/21. She was then classified as a reinfection.

ID: 1258790
Sex: F
Age: 62
State: IN

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/26/2021
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Lab Data:

Allergies: Pennicillin

Symptom List: Erythema, Pruritus

Symptoms: Extreme Fatigue, Elevated Temperature, Lethargy, Lost Appetite, Muscle Pain, Sore Arm of injection site, Exhaustion

Other Meds: Paroxetine, Desyrel, Fioricet

Current Illness: None

ID: 1258791
Sex: F
Age: 32
State: WA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/26/2021
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Allergies: Klonopin, Wellbutrin, Vicodin

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: I've been having a steady headache since shortly after the shot

Other Meds: Effexor, Zyrtec

Current Illness: None

ID: 1258792
Sex: F
Age: 30
State: NY

Vax Date: 01/09/2021
Onset Date: 04/19/2021
Rec V Date: 04/26/2021
Hospital:

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Allergies:

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose:01/09/21pfizer,Lot#EK9231 2nd dose: 12/23/20Pfizer,Lot# EL3248 Diagnosed covid positive:04/19/21 Exposure:unknown Symptoms:Asymptomatic

Other Meds:

Current Illness:

ID: 1258793
Sex: F
Age: 78
State: FL

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/26/2021
Hospital:

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Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: left arm feels "heavy", warm to touch and continued redness at injection site. No pain or tenderness voiced.Patient has antihistamine cream, advised to apply anti histamine cream to affected area.

Other Meds: metoprolol

Current Illness:

ID: 1258794
Sex: F
Age: 48
State: SD

Vax Date: 01/25/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
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Allergies: None

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

Symptoms: 12/28/2020 1st Covid Vaccine Moderna 025J20-2A Left Arm 10am 1/25/2021 2nd Covid Vaccine Moderna 030L20A Left Arm 1pm 4/24/2021 ill 4/25/2021 Covid + LTC POC Testing 5/5/2021 Potential to RTW

Other Meds: ASA, multivitamins

Current Illness: None

ID: 1258795
Sex: F
Age: 37
State: IN

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
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Allergies: Ceclor, nuts & shellfish

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

Symptoms: Right after my first Pfizer shot I felt my left ear clog up and within 10 minutes the left side of my face from my cheek bone to my chin began to tingle and have a pins & needle feeling. It is 6 hours later and I still have this tingling on the left side of my face. It is not as intense as it was earlier but it is definitely still there. I called my Dr.?s office and they told me they had no reports of this and told me to report it here. In the past with food allergies I have had tingling in my arms but never like this. I was completely fine this morning and this was like within 5 minutes of my first dose I began to experience this. My Dr?s office said you may contact me which is fine. Hopefully this quits soon. Also what do I do for my next vaccine in 3 weeks?

Other Meds: Zyrtec, zaelastine, nasacort, vitamins & calcium

Current Illness: No

ID: 1258796
Sex: M
Age: 34
State: MA

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

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Allergies:

Symptom List: Pain in extremity

Symptoms: Patient had a syncope episode and fell to ground

Other Meds:

Current Illness:

ID: 1258797
Sex: F
Age: 63
State: NJ

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
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Allergies:

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

Symptoms: Dizzy 45 minutes after dose. Then left side of face swelled by jaw. Pins and needles in sinus cavity and lymph nodes swelling

Other Meds:

Current Illness:

ID: 1258798
Sex: M
Age: 31
State: VA

Vax Date: 04/07/2021
Onset Date: 04/12/2021
Rec V Date: 04/26/2021
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Allergies: Penicillin

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Rash on the tops of both feet and on the tops of toes, including blisters, swelling, and itching

Other Meds: Fluoxetine, fexofenadine

Current Illness: None

ID: 1258799
Sex: M
Age: 39
State: GA

Vax Date: 04/10/2021
Onset Date: 04/13/2021
Rec V Date: 04/26/2021
Hospital:

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Allergies:

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Headaches that occur on a daily basis that go away once I go to bed at night.Started a week after vaccination

Other Meds:

Current Illness:

ID: 1258801
Sex: F
Age: 57
State: NY

Vax Date: 04/25/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
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Allergies: None

Symptom List: Vomiting

Symptoms: Headache and chills

Other Meds: None

Current Illness: None

ID: 1258802
Sex: M
Age: 32
State: NY

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 04/26/2021
Hospital:

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Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Chills over the course of about 12 hours, swollen lymph node under left armpit

Other Meds: lamotrigine, magnesium, b12

Current Illness:

ID: 1258803
Sex: F
Age: 29
State: NY

Vax Date: 03/08/2021
Onset Date: 04/21/2021
Rec V Date: 04/26/2021
Hospital:

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Allergies:

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

Symptoms: Completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose:02/15/21pfizer,Lot#EL9266 2nd dose: 03/08/21Pfizer,Lot# EN6206 Diagnosed covid positive:04/21/21 Symptoms:

Other Meds:

Current Illness:

ID: 1258804
Sex: F
Age: 21
State: MA

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

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Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: patient reported tightened airway, lightheaded BP 129/79 99%, reports she has anxiety attacks, emotional reassurance given. Tolerating H2O At 1322 patient reports feeling much better 114/83 78.

Other Meds:

Current Illness:

ID: 1258805
Sex: F
Age: 16
State: FL

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
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Allergies: Food Allergies; Peanuts

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

Symptoms: The following day the patient developed swollen feet with white circular spots.

Other Meds: No prescriptions or over the counter supplements.

Current Illness: No illnesses prior to the vaccination.

ID: 1258806
Sex: F
Age: 43
State: TX

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 04/26/2021
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Allergies: nkda

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

Symptoms: Pt received vaccine and was at post vac for monitoring. she started complaining of nausea initially at 0940. Skilled Nurse (SN) tried checking BP but it was to low to register result. Pt became dizzy and had difficulty breathing - Epipen was administered by the nurse on left thigh, 02 placed on pt & she was laid on the floor. 0950 - BP registered as 86/60, 72, 19, 98D, 0954 - 110/67, 65, 19, 97D, 0958 - 115/57, 67, 18. 911 initiated & at the building at 0959. EMS assessed pt, PT was stable before they left, SN educated pt to follow up with primary physical - she verberlize understanding.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am