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: 1259273
Sex: F
Age: 100
State: NY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: TEMPERATURE EXCURSION OCCURRED DUE TO THE PLACEMENT OF HAND WARMERS IN THE INSULATED BAG USED TO TRANSPORT VACCINE. ALL 81 PERSONS RECEIVING VACCINE IN LANES 5 AND 6 AT THE HEALTH DEPARTMENT ON 02/15/2021 BETWEEN 14:00 and 16:45 WERE NOTIFIED THEY RECEIVED VACCINE THAT WAS OUTSIDE OF THE APPROPRIATE TEMPERATURE RANGE AND WERE RECOMMENDED TO BE REVACCINATED.

Other Meds:

Current Illness:

ID: 1259274
Sex: F
Age: 34
State: TX

Vax Date: 02/27/2021
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: None

Symptom List:

Symptoms: In the evening of March 25 all of a sudden loud ringing started in my right ear and I also felt a little pressure there, like a cotton ball was stuck in it. A month later the pressure is gone but the ringing persists. Not sure if this is related but in April 2020 I had Bell's Palsy on the affected side (right side) but made a recovery.

Other Meds: Vitamin D

Current Illness: None

ID: 1259275
Sex: F
Age: 38
State: NY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: TEMPERATURE EXCURSION OCCURRED DUE TO THE PLACEMENT OF HAND WARMERS IN THE INSULATED BAG USED TO TRANSPORT VACCINE. ALL 81 PERSONS RECEIVING VACCINE IN LANES 5 AND 6 ON 02/15/2021 BETWEEN 14:00 and 16:45 WERE NOTIFIED THEY RECEIVED VACCINE THAT WAS OUTSIDE OF THE APPROPRIATE TEMPERATURE RANGE AND WERE RECOMMENDED TO BE REVACCINATED.

Other Meds:

Current Illness:

ID: 1259276
Sex: F
Age: 53
State: IA

Vax Date: 03/19/2021
Onset Date: 03/22/2021
Rec V Date: 04/26/2021
Hospital: Y

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

Lab Data:

Allergies: PCN; Cipro; Zofran; Gluten; Dairy':Soy

Symptom List:

Symptoms: Patient developed headaches 2 days post vaccination and upon 1 week post vaccination she has developed Group B Strep Bacterial Meningitis. She had CT of head, labs, Spinal Tab and was ultimately treated with Rocephin IV x 14 days.

Other Meds: APAP; Vit D; Collagen; Famotidine; Multivitamin; Naproxen; OME; Probiotic; Tramadol

Current Illness: None

ID: 1259277
Sex: F
Age: 25
State: MA

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I got a red spot on my arm two inches below the shot my arm was very painful. It was red swollen , painful and went away in two days. It came back about eight days after the shot. It was a baseball sized lump under the shot and it was more itchy and tender to touch. I went to the doctor they advised Advil, Ice and Benadryl. I tried those things and it went away after a few days. I got the second shot in the same arm, but I had no problems with my arm.

Other Meds:

Current Illness:

ID: 1259278
Sex: F
Age: 51
State: TX

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

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

Lab Data:

Allergies: iodine- seizure 1998

Symptom List:

Symptoms: Patient started feeling dizziness, feeling hot, paased out 20 secs. Legs raised, alert and active, no seizure. BP 94/76, P- 70 1:03 Has M/O feeling dizziness when she wakes up in the morning at times. No signs of stridor, no seizures, no vomiting or nausea. 1:14 82/68, P- 70 Alert, active, sweating, color is pink, no change in color, no Shortness of breath, no stridor 1:23 104/76 P-70 Alert, Oriented x 3 1:28 110/80, P-70 1:32 cold and sweaty 1:35 sitting on chair, feel well. Alert, active, oriented x 3 1:42 92/68 P- sitting position chair 1:46 103/72 P-64 lying down 1:50 Vomiting, feel better afterwards 2:01 105/82, P-65

Other Meds: cetrizine

Current Illness: none

ID: 1259279
Sex: F
Age: 48
State: NY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: TEMPERATURE EXCURSION OCCURRED DUE TO THE PLACEMENT OF HAND WARMERS IN THE INSULATED BAG USED TO TRANSPORT VACCINE. ALL 81 PERSONS RECEIVING VACCINE IN LANES 5 AND 6 AT THE VACCINATION SITE ON 02/15/2021 BETWEEN 14:00 and 16:45 WERE NOTIFIED THEY RECEIVED VACCINE THAT WAS OUTSIDE OF THE APPROPRIATE TEMPERATURE RANGE AND WERE RECOMMENDED TO BE REVACCINATED.

Other Meds:

Current Illness:

Date Died: 04/25/2021

ID: 1259280
Sex: M
Age: 71
State:

Vax Date: 02/27/2021
Onset Date: 04/05/2021
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:

Symptoms: This 71 year old male received the Covid shot on 2/27/21 and went to the ED and was admitted on 4/5/2021 and died on 4/25/2021. Lumbar radiculopathy, spondylolisthesis of lumbar region, lumbar stenosis with neurogenic claudication, lumbar spinal stenosis. Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation.

Other Meds:

Current Illness:

ID: 1259281
Sex: M
Age: 33
State: WA

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: Unknown

Symptom List:

Symptoms: Pt felt dizzy and laid down on the floor. He stated he typically get's dizzy with needles. Pt was moved to a cot and assessed by MD. Mother reported that pt gets dizzy with blood draws and always lies down. Pt has autism, seizure disorder, and doesn't do well in new settings. While lying down pt complained of dizziness. Release to home with mother.

Other Meds: Unknown

Current Illness: Unknown

ID: 1259282
Sex: F
Age: 20
State: OR

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

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

Lab Data:

Allergies: Acetaminophen, Lamotrigine

Symptom List:

Symptoms: Patient seen in emergency department with new onset lower abdominal pain, bright red blood in stool, Nausea and vomiting. Noted drops of blood in toilet.

Other Meds: Imitrex as needed, Albuterol inhaler, Cyclobenzaprine, gabapentin, levonorgestrel, propranolol, sertraline, trazodone

Current Illness: None

ID: 1259283
Sex: F
Age: 41
State: NY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: TEMPERATURE EXCURSION OCCURRED DUE TO THE PLACEMENT OF HAND WARMERS IN THE INSULATED BAG USED TO TRANSPORT VACCINE. ALL 81 PERSONS RECEIVING VACCINE IN LANES 5 AND 6 ON 02/15/2021 BETWEEN 14:00 and 16:45 WERE NOTIFIED THEY RECEIVED VACCINE THAT WAS OUTSIDE OF THE APPROPRIATE TEMPERATURE RANGE AND WERE RECOMMENDED TO BE REVACCINATED.

Other Meds:

Current Illness:

ID: 1259284
Sex: F
Age: 66
State: PA

Vax Date: 03/29/2021
Onset Date: 03/31/2021
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:

Symptoms: 3/29 Monday, received the vaccine and the next day, 3/30 Tuesday had only a sore arm. 3/31 to 4/6 patient progressively felt worse. Started with general body aches and progressed to worse body aches, shakes, and low grade fever, up to 99.5 F, which patient reports as a fever for her. Tuesday 4/6, go to urgent care for covid test, and tested negative (rapid and PCR). Monday, 4/12 went to PCP and to rheumatologist, they confirmed lymphedema had progressed to cellulitis, especially with increase in inflammation. 4/13 patient went to ER. Started vancomycin IV, broke out in hives. Remained on vanco until 4/17, then discharged from hospital. Woke up in middle of night 4/17-4/18, could not breathe, went back to hospital. When discharged, sent home with doxycline that was finished 4/25.

Other Meds:

Current Illness:

ID: 1259285
Sex: F
Age: 54
State: WI

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I have developed a loud tinnitus in both ears that is constant and very upsetting. I can hardly concentrate it's so loud and persistent. I have not sought treatment yet.

Other Meds:

Current Illness:

ID: 1259286
Sex: M
Age: 54
State: MI

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: None that we know of

Symptom List:

Symptoms: Patient received Moderna #1 vaccine to left deltoid; the next day he had a grapefruit size swelling to his left axilla. He went to his PCP who obtained an ultrasound which showed lymph node swelling.

Other Meds: Aspirin, Heart Medication

Current Illness: None

ID: 1259288
Sex: F
Age: 37
State: NY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: TEMPERATURE EXCURSION OCCURRED DUE TO THE PLACEMENT OF HAND WARMERS IN THE INSULATED BAG USED TO TRANSPORT VACCINE. ALL 81 PERSONS RECEIVING VACCINE IN LANES 5 AND 6 AT THE VACCINATION SITE ON 02/15/2021 BETWEEN 14:00 and 16:45 WERE NOTIFIED THEY RECEIVED VACCINE THAT WAS OUTSIDE OF THE APPROPRIATE TEMPERATURE RANGE AND WERE RECOMMENDED TO BE REVACCINATED.

Other Meds:

Current Illness:

ID: 1259289
Sex: M
Age: 30
State: NY

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:

Symptoms: first dose was 03/24, more than 28 days when second dose administered

Other Meds:

Current Illness:

ID: 1259290
Sex: F
Age: 22
State: MA

Vax Date: 03/15/2021
Onset Date: 03/22/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List:

Symptoms: Rash began 1 week after shot. Hot, itchy, and spread to cover most of the bicep and triceps area. Raided and red.

Other Meds: Metoprolol, sertraline

Current Illness: N/a

ID: 1259291
Sex: F
Age: 68
State: NY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: TEMPERATURE EXCURSION OCCURRED DUE TO THE PLACEMENT OF HAND WARMERS IN THE INSULATED BAG USED TO TRANSPORT VACCINE. ALL 81 PERSONS RECEIVING VACCINE IN LANES 5 AND 6 AT THE HEALTH DEPARTMENT ON 02/15/2021 BETWEEN 14:00 and 16:45 WERE NOTIFIED THEY RECEIVED VACCINE THAT WAS OUTSIDE OF THE APPROPRIATE TEMPERATURE RANGE AND WERE RECOMMENDED TO BE REVACCINATED.

Other Meds:

Current Illness:

ID: 1259292
Sex: M
Age: 17
State: IA

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:

Symptoms: ID verification was not verified upon check in. Upon asking patient's name and DOB prior to COVID 19 injection, patient stated 9/14/2002. Upon updating, it was discovered that patient's actual DOB is 9/14/2003.

Other Meds:

Current Illness:

ID: 1259293
Sex: F
Age: 55
State: FL

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Patient received first dose of COVID-19 vaccine (Pfizer) on 4/16/21 on left arm. On day 2 after vaccination, +fatigue, headaches (though she had some headaches on and off even before the vaccination), some raspiness when talking (but no pain in the throat with swallowing). On day 3, patient had subjective fever (did not check temperature that day). Fatigue has still continued on until today. She is still having headaches on and off. Raspiness in throat is still present. Patient has had some difficulty falling asleep on about 5-6 nights since the vaccination. She has had this issue in the past as well on and off. Patient has also been taking more naps during the day due to the fatigue.

Other Meds: Multivitamin

Current Illness: Occasional headaches for about 2 weeks prior to the vaccination

ID: 1259294
Sex: F
Age: 38
State: OK

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Codeine Sulfa Celebrex

Symptom List:

Symptoms: Complains of problems with irregular frequent menstrual cycles

Other Meds: Metoprolol Hctz Zyrtec Singular Vitamin d Potassium Omeprazole

Current Illness: None

ID: 1259295
Sex: F
Age: 63
State: NY

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: Environmental allergies, severe mold allergies, Multiple chemical sensitivity syndrome. All synthetic fragrances. Tree pollen, dust mites, grass pollen

Symptom List:

Symptoms: Severe Tinnitus

Other Meds: Multi V, Citrizine 10mg

Current Illness: Toxic mold illness

ID: 1259296
Sex: F
Age: 59
State: NY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: TEMPERATURE EXCURSION OCCURRED DUE TO THE PLACEMENT OF HAND WARMERS IN THE INSULATED BAG USED TO TRANSPORT VACCINE. ALL 81 PERSONS RECEIVING VACCINE IN LANES 5 AND 6 AT THE mobile vaccine site ON 02/15/2021 BETWEEN 14:00 and 16:45 WERE NOTIFIED THEY RECEIVED VACCINE THAT WAS OUTSIDE OF THE APPROPRIATE TEMPERATURE RANGE AND WERE RECOMMENDED TO BE REVACCINATED.

Other Meds:

Current Illness:

ID: 1259297
Sex: M
Age: 31
State: CA

Vax Date: 04/18/2021
Onset Date: 04/19/2021
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:

Symptoms: The next day I got the vaccine, I started to feel acidic in my stomach. At first it was a very mild annoyance and now it is moderate. Apparently it is a gastroesophageal reflux.

Other Meds: Liquid collagen.

Current Illness: None

ID: 1259298
Sex: F
Age: 60
State: NY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: TEMPERATURE EXCURSION OCCURRED DUE TO THE PLACEMENT OF HAND WARMERS IN THE INSULATED BAG USED TO TRANSPORT VACCINE. ALL 81 PERSONS RECEIVING VACCINE IN LANES 5 AND 6 ON 02/15/2021 BETWEEN 14:00 and 16:45 WERE NOTIFIED THEY RECEIVED VACCINE THAT WAS OUTSIDE OF THE APPROPRIATE TEMPERATURE RANGE AND WERE RECOMMENDED TO BE REVACCINATED.

Other Meds:

Current Illness:

ID: 1259299
Sex: M
Age: 45
State: IA

Vax Date: 04/17/2021
Onset Date: 04/19/2021
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:

Symptoms: False smell of smoke that happens periodically throughout the day, lasting 3-5 minutes. I had a web-call with doctor and he asked that I report my symptoms. I have a follow-up in one week and if the smell doesn't improve, he will refer me to an ENT specialist.

Other Meds: Vyvanse, Propranolol

Current Illness: None

ID: 1259300
Sex: F
Age: 59
State: AZ

Vax Date: 02/12/2021
Onset Date: 03/08/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, PCN

Symptom List:

Symptoms: I have noticed considerable joint pain since my second vaccine. I do not really remember the exact date as initially I didn't think anything about a connection to the vaccine. However, that was the only thing that was different. Since then I have been hearing many of our patients talking about having joint pains that began sometime after their second COVID vaccine and have continued for weeks to even months so that made me think that this could possibly be why I am having such joint pains all over that I haven't had before.

Other Meds: Multivitamin, Fish oil

Current Illness: None

ID: 1259301
Sex: F
Age: 63
State: NY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: TEMPERATURE EXCURSION OCCURRED DUE TO THE PLACEMENT OF HAND WARMERS IN THE INSULATED BAG USED TO TRANSPORT VACCINE. ALL 81 PERSONS RECEIVING VACCINE IN LANES 5 AND 6 ON 02/15/2021 BETWEEN 14:00 and 16:45 WERE NOTIFIED THEY RECEIVED VACCINE THAT WAS OUTSIDE OF THE APPROPRIATE TEMPERATURE RANGE AND WERE RECOMMENDED TO BE REVACCINATED.

Other Meds:

Current Illness:

ID: 1259302
Sex: F
Age: 56
State: DC

Vax Date: 04/03/2021
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:

Symptoms: 1) Scleritis - left eye - previously controlled scleritis flared. I was on 5 mg of prednisone daily, but my doctor increased it to 15 mg daily and added 1 drop of 0.5% prednisone solution, 4x per day. The flare-up was on 4/21, saw my doctor on 4/23 in the am; had second shot in the afternoon. HORRENDOUS inflammation of left on on 4/24, still being resolved. 2) Postmenopausal menstrual bleeding on 4/24, 4/25, and 4/26. I've called my oby-gyn who referred me for a pelvic ultrasound on May

Other Meds: Prednisone 5 mg; magnesium 250mg; Vitamin D3 2000mg; One A Day supplement

Current Illness: scleritis - left eye

ID: 1259303
Sex: F
Age: 42
State: MI

Vax Date: 04/25/2021
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:

Symptoms: 17 hours after first dose of Pfizer vaccine I experienced a fast heartbeat, vomitting, chills , sweats. Both of my arms went numb and I was unable to move my hands for about 3 minutes.

Other Meds:

Current Illness: Tested positive for Covid March 23

ID: 1259304
Sex: M
Age:
State: CA

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:

Symptoms: C/O THROAT CLOSING, IMPROVED, VSS, SYMPTOMS RESOLVED, NO TRANSPORT

Other Meds:

Current Illness:

ID: 1259305
Sex: F
Age: 69
State: NY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: TEMPERATURE EXCURSION OCCURRED DUE TO THE PLACEMENT OF HAND WARMERS IN THE INSULATED BAG USED TO TRANSPORT VACCINE. ALL 81 PERSONS RECEIVING VACCINE IN LANES 5 AND 6 AT THE HEALTH DEPARTMENT ON 02/15/2021 BETWEEN 14:00 and 16:45 WERE NOTIFIED THEY RECEIVED VACCINE THAT WAS OUTSIDE OF THE APPROPRIATE TEMPERATURE RANGE AND WERE RECOMMENDED TO BE REVACCINATED.

Other Meds:

Current Illness:

ID: 1259306
Sex: M
Age: 74
State: NY

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

Vax Type:
Manufacturer:
Vax Name:
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Allergies:

Symptom List:

Symptoms: TEMPERATURE EXCURSION OCCURRED DUE TO THE PLACEMENT OF HAND WARMERS IN THE INSULATED BAG USED TO TRANSPORT VACCINE. ALL 81 PERSONS RECEIVING VACCINE IN LANES 5 AND 6 ON 02/15/2021 BETWEEN 14:00 and 16:45 WERE NOTIFIED THEY RECEIVED VACCINE THAT WAS OUTSIDE OF THE APPROPRIATE TEMPERATURE RANGE AND WERE RECOMMENDED TO BE REVACCINATED.

Other Meds:

Current Illness:

ID: 1259307
Sex: U
Age:
State: TX

Vax Date:
Onset Date:
Rec V Date: 04/26/2021
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Symptom List:

Symptoms: Patient received vaccination at 1:22pm in a patient room. Taken to lobby to wait for monitoring. At 1:24 Nurse saw patient profusely sweating, staff brought patient to room. He stated he felt dizzy and weak, patient had assisted fall. Patient was pale and still diaphoretic and complaining of numbness and tingling in extremities and face. Respirations were 26 during that time. Patient laid supine, nursing staff put 4 L of O2 On via nasal cannula. O2 was 99% and maintained. Vitals 96/57, HR/58, RR 24, 99% alert and oriented x4. Patient stated he felt anxious and didn't have anything sine night before. After cold compress, respirations decreased and patient regained color. Patient later was able to dc home

Other Meds:

Current Illness:

ID: 1259308
Sex: M
Age: 59
State: VA

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/26/2021
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Allergies: None

Symptom List:

Symptoms: Patient is having a flair of his Guillian-Barre Syndrome. He is having an increase in ascending weakness in the bilateral lower extremities from the feet up into the lower legs

Other Meds: Zocor 40 mg, Metformin 500 mg BID, Gabapentin 600 mg BID

Current Illness: Diabetes Mellitus Type 2, Guillian Barre Syndrome, Hepatosteatosis, Hypertension, Hyperlipidemia,

ID: 1259309
Sex: F
Age: 46
State: NY

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

Vax Type:
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Symptom List:

Symptoms: TEMPERATURE EXCURSION OCCURRED DUE TO THE PLACEMENT OF HAND WARMERS IN THE INSULATED BAG USED TO TRANSPORT VACCINE. ALL 81 PERSONS RECEIVING VACCINE IN LANES 5 AND 6 ON 02/15/2021 BETWEEN 14:00 and 16:45 WERE NOTIFIED THEY RECEIVED VACCINE THAT WAS OUTSIDE OF THE APPROPRIATE TEMPERATURE RANGE AND WERE RECOMMENDED TO BE REVACCINATED.

Other Meds:

Current Illness:

ID: 1259310
Sex: F
Age: 36
State: AZ

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
Hospital:

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Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Shot 1 (3/21/2021) Soreness and severe swelling at the site of facial fillers (chin, lips, cheeks) that started about 24 hours after the first shot and lasted another 24 hours Shot 2 (4/21/2021) Nurse who did facial injection recommended taking Prilosec and Zyrtec to prevent swelling. That worked but the day after the second shot I developed a red rash that extended the length of my bicep starting from the injection location. Is going away but still slightly visible on 4/26/2021.

Other Meds: glycopyrrolate, spironolactone, taytulla

Current Illness: N/A

ID: 1259311
Sex: F
Age: 55
State: IN

Vax Date: 04/05/2021
Onset Date: 04/10/2021
Rec V Date: 04/26/2021
Hospital:

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Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: 5 days after the first injection in my left upper arm, I developed a silver dollar sized rash on my back near my left shoulder blade. Within 2 more days I developed more rash areas, all in the upper left quadrant of my body, above my left breast, under my left arm, and around the original rash site near shoulder blade. The rash felt itchy, but touching it did not relieve an itch, it was just painful. This was accompanied by fatigue and headaches, which had continued since the day of injection. Pain escalated, and I applied cortisone cream and took ibuprofen; pain made it difficult to sleep; waking up several times in night in pain. I did not receive communication until 2 weeks after first vaccination; I reported this adverse condition but did not receive any phone call or further communication until second 'weekly after vaccination check-in'. I did not realize this was shingles until a friend mentioned similar experience, and I scheduled a visit to my family doctor, who diagnosed Shingles. I received the anti-viral and am better. I am frustrated with lack of follow up by CDC from the first vaccination (2 weeks later) and then no follow up when I reported rash. I feel like a guinea pig, I feel like a test number, and would have appreciated some reassurance from someone at the CDC while going through this. I don't feel like the vaccine alone caused the shingles, but I am in the process of moving, and would have delayed getting the vaccine until after the stress of the move was over, or would have gotten the Shingles vaccine, but was never directed to do so by my family doctor or anyone at the vaccine location. Very dissatisfied.

Other Meds: none

Current Illness: none

ID: 1259312
Sex: M
Age: 54
State: NC

Vax Date: 03/10/2021
Onset Date: 04/25/2021
Rec V Date: 04/26/2021
Hospital: Y

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Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: Patient had new acute areas of infarction involving the anterior periinsular cortex and left posterior temporal-parietal cortex.

Other Meds: Dovato, fluconazole, prednisone 2.5mg

Current Illness: HIV, CHF, cortical blindness from prior cryptococcal meningitis

ID: 1259313
Sex: M
Age: 36
State: MI

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/26/2021
Hospital:

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Allergies: None

Symptom List:

Symptoms: Swelling of throat, face, hoarseness hard to swallow. Headaches and light headed for weeks after.

Other Meds: Claritin-d

Current Illness: None

ID: 1259314
Sex: F
Age: 34
State: NY

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List:

Symptoms: TEMPERATURE EXCURSION OCCURRED DUE TO THE PLACEMENT OF HAND WARMERS IN THE INSULATED BAG USED TO TRANSPORT VACCINE. ALL 81 PERSONS RECEIVING VACCINE IN LANES 5 AND 6 ON 02/15/2021 BETWEEN 14:00 and 16:45 WERE NOTIFIED THEY RECEIVED VACCINE THAT WAS OUTSIDE OF THE APPROPRIATE TEMPERATURE RANGE AND WERE RECOMMENDED TO BE REVACCINATED.

Other Meds:

Current Illness:

ID: 1259315
Sex: F
Age: 33
State: NY

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

Vax Type:
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Symptom List:

Symptoms: TEMPERATURE EXCURSION OCCURRED DUE TO THE PLACEMENT OF HAND WARMERS IN THE INSULATED BAG USED TO TRANSPORT VACCINE. ALL 81 PERSONS RECEIVING VACCINE IN LANES 5 AND 6 AT THE BEACH ON 02/15/2021 BETWEEN 14:00 and 16:45 WERE NOTIFIED THEY RECEIVED VACCINE THAT WAS OUTSIDE OF THE APPROPRIATE TEMPERATURE RANGE AND WERE RECOMMENDED TO BE REVACCINATED.

Other Meds:

Current Illness:

Date Died: 04/24/2021

ID: 1259316
Sex: F
Age: 83
State:

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 04/26/2021
Hospital: Y

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Symptoms: This 83 year old female received the Covid shot on 1/28/21 while under hospice care and went to the ED and admitted 2/4/21 and again on 3/3/21 and again on 3/25/21 and 4/15/21 died on 4/24/21. GI bleed, duodenal ulcer with hemorrhage, SIRS (systemic inflammatory response syndrome, shortness of breath, acute heart failure, acute respiratory failure, cough, pleural effusion. Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation.

Other Meds:

Current Illness:

ID: 1259317
Sex: M
Age: 87
State: NY

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

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Symptom List:

Symptoms: Temperature excursion occurred due to the placement of hand warmers in the insulated bag used to transport vaccine. All 81 persons receiving vaccine in lanes 5 and 6 on 02/15/2021 between 14:00 and 16:45 were notified they received vaccine that was outside of the appropriate temperature range and were recommended to be revaccinated.

Other Meds:

Current Illness:

ID: 1259318
Sex: M
Age: 24
State: NY

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies: none known

Symptom List:

Symptoms: Syncope with Loss of Consciousness Became pale Prior History of syncope

Other Meds: None known

Current Illness: none known

ID: 1259319
Sex: M
Age: 23
State: MI

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

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Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Fast heartbeat, dizziness and weakness, Vomiting, confusion.

Other Meds: Wellbutrin, Zoloft, Pepcid.

Current Illness:

ID: 1259320
Sex: F
Age: 64
State: GA

Vax Date: 04/08/2021
Onset Date: 04/16/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Alergic to Almond

Symptom List:

Symptoms: diagnose with Bell's Palsey.

Other Meds: Lisinopril 10 mg furosemide 20 mg amlodipine 5mg

Current Illness: none

ID: 1259321
Sex: F
Age: 59
State: IL

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies: PENICILLIN, BACTRIM

Symptom List:

Symptoms: MODERNA COVID-19 VACCINE EUA - LOW FEVER 100.1, HEADACHE, BODY ACHES, CHILLS, EXHAUSTION, SORE ARM, NAUSEAU ALL DAY ON THE DAY AFTER THE VACCINE. SECOND DAY AFTER - HEADACH, TIREDNESS, ITCHY VACCINE SITE.

Other Meds: LOSARTAN

Current Illness:

ID: 1259322
Sex: F
Age: 40
State: NY

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

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

Allergies:

Symptom List:

Symptoms: TEMPERATURE EXCURSION OCCURRED DUE TO THE PLACEMENT OF HAND WARMERS IN THE INSULATED BAG USED TO TRANSPORT VACCINE. ALL 81 PERSONS RECEIVING VACCINE IN LANES 5 AND 6 AT THE VACCINATION SITE ON 02/15/2021 BETWEEN 14:00 and 16:45 WERE NOTIFIED THEY RECEIVED VACCINE THAT WAS OUTSIDE OF THE APPROPRIATE TEMPERATURE RANGE AND WERE RECOMMENDED TO BE REVACCINATED.

Other Meds:

Current Illness:

ID: 1259323
Sex: M
Age: 50
State: MT

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
Hospital:

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

Allergies:

Symptom List:

Symptoms: Chills, Headache, Body aches

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm