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: 1259956
Sex: M
Age: 25
State: VA

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: flonase

Symptom List:

Symptoms: hives, vomiting, abdominal pain

Other Meds:

Current Illness:

ID: 1259957
Sex: F
Age: 50
State: AZ

Vax Date: 04/18/2021
Onset Date: 04/20/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Food - peanuts, lettuce, oats, cantaloupe, watermelon, lobster and shell fish. Meds - Advair, Sulfa Dilizem, Amlodicne, Valsartan, Hydralazine and Besylate.

Symptom List:

Symptoms: First one was 45 mins after injection. - Numbness of the left side of my face. The next day was tired and slept most of the day. This was the same as my first shot. Tuesday, I woke up with a stomach ache. Thursday because it did not get better, I went to the emergency room and was diagnosed with pancreatitis. Was given the option to be hospitalized or go home. I went home. Followed up with Dr's office Monday. I see GI Doctor this Wednesday. Still cannot eat, nauseous and stomach hurts.

Other Meds: Relpax, Symbicort, Ventolin, Verapimil, Synthroid, Omepazole and EPI Pen. Multi vitamin

Current Illness: None

ID: 1259958
Sex: M
Age: 45
State: MA

Vax Date: 04/24/2021
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: none

Symptom List:

Symptoms: rapid heart rate (100 beats per minutes) during April 25 (one day after vaccination).

Other Meds: none

Current Illness: none

ID: 1259959
Sex: F
Age: 66
State: TX

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

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

Lab Data:

Allergies: Xray dye and oral contrast Septra Minocycline Tagamet Torodol Percocet Tylox Parlodel Betadine Tdap

Symptom List:

Symptoms: The evening after the vaccine Developed severe abdominal pain and joint pains This lasted about a week Also developed mild rash and itch the day after the vaccine Had extreme fatigue for about a week The second morning developed what appeared to be swollen blood vessels in both forearms This lasted several hours and went away Went To dr and received fluids and vitamin iv

Other Meds: Estrace Synthroid Armor Thyroid

Current Illness:

ID: 1259960
Sex: F
Age: 58
State: WI

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

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

Lab Data:

Allergies: Covid-19 Mrna Vacc (moderna) [ Covid-19 Mrna Vacc (moderna)] THROAT SWELLING High 4/24/2021 Augmentin [Amoclan] RASH Not Specified 2/23/2017 Zithromax [Azithromycin Dihydrate] HEADACHES, PRURITUS Not Specified 11/6/2012

Symptom List:

Symptoms: PATIENT REPORTED NECK/THROAT SWELLING TO RN OBSERVER APPROX 15 MINUTES POST VACCINATION. LEAD VACCINATOR ADMINSITERED IM EPI AS STAT/EMERGENCY RESPONSE TEAM WAS ACTIVATED. VS BP 171/93 HR 90 RESP 18 SPO2 96 RA @ 0905. PT TRANSFERRED TO ED - CHART REVIEW INDICATES PT WAS GIVEN BENADRYL 25MG IVP, SOLU-MEDROL 125MG IVP. PT OBERVED IN ED FOR 3 HOURS, VSS, NO ACUTE DISTRESS- S/SX RESOLVED - PT DISCHARGED TO SELF, UPON REQUEST AFTER OBSERVATION.

Other Meds: aspirin (ECOTRIN) 81 MG EC tablet Take 81 mg by mouth daily. escitalopram (Lexapro) 10 MG tablet Take 1 tablet by mouth daily. ALPRAZolam (XANAX) 0.25 MG tablet Take 1 tablet by mouth nightly as needed for Sleep or Anxiety. VITAMIN D PO Mu

Current Illness: UNKNOWN

ID: 1259961
Sex: F
Age: 52
State: VA

Vax Date: 04/12/2021
Onset Date: 04/19/2021
Rec V Date: 04/26/2021
Hospital: Y

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

Lab Data:

Allergies: shell fish, seafood, mushrooms, and honey, Tetracyclines, sulfa, carvedilol,sudafed,atenolol, metoprolol, amlodipine,buprenorphine,morphine,

Symptom List:

Symptoms: Patient had a stroke, left leg felt heavy, started having breathing problems, and you entire left side went numb and weak. Patient went to the hospital, referred to Medical Center

Other Meds: multivitamin, zinc b 12

Current Illness: HTN,Diabetes

ID: 1259962
Sex: F
Age: 60
State: FL

Vax Date: 04/19/2021
Onset Date: 04/20/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Cats, goldenrod, grass, oak, pine,

Symptom List:

Symptoms: Covid arm bright red getting larger, itchier and spreading each day although I?m taking antihistamine and using lotion

Other Meds: Methotrexate, meloxicam, atenolol, setraline, folic acid, divalproex, topiramate, biotin, colon health daily probiotic (hydrocodone as needed for pain) and baby aspirin.

Current Illness: I?m pretty sure I had a UTI

ID: 1259963
Sex: F
Age: 50
State: PA

Vax Date: 03/30/2021
Onset Date: 03/01/2021
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: Patient reports feeling sick for 4 days starting the day after her first dose. Reported she had fever, pain in her teeth, jaw and into ear, severe headache, exhaustion/fatigue, GI issues that she felt that was on par with having mononucleosis, and swelling of hands and feet.

Other Meds:

Current Illness:

ID: 1259964
Sex: F
Age: 16
State: WA

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: yes-penicillin

Symptom List:

Symptoms: Pt received her first dose of Pfizer vaccine and at 1148 started to c/o tongue and throat "beginning to swell". Pt states hx of the same with penicillan. Pt is with mother. Pt was given 25mg Benedryl PO at 1200. EMTs called to evaluate Pt and released by medics home with mom. VS per medics at 1215 BP 114/68 HR 70 RR 16 O2 sat 98% RA

Other Meds: unknown

Current Illness: unknown

ID: 1259966
Sex: F
Age: 38
State: IL

Vax Date: 04/16/2021
Onset Date: 04/18/2021
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: Sore arm initially, Swollen lymph nodes 3 days after vaccine Rash all over body 1.5 weeks after vaccine

Other Meds: Synthroid Dostinex Vitamin d

Current Illness:

ID: 1259967
Sex: F
Age: 42
State: WA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: No known Allergies

Symptom List:

Symptoms: Patient stated no immediate reactions after receiving the Moderna vaccine on 04/08/2021. The following morning 04/09/2021 patient stated she felt like she was sunburned on her legs and arms and sometimes on her trunk with no redness, warmth or pain and no fever. 04/26/2021 is the first day she has noticed a decrease in her symptoms. Patient reported to Urgent Care at the direction of her Primary Care Doctor.

Other Meds:

Current Illness:

ID: 1259968
Sex: F
Age: 34
State: OH

Vax Date: 04/11/2021
Onset Date: 04/13/2021
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: Symptoms of runner?s dystonia: Feeling unbalanced/unstable while running, loss of coordination while running (seems to be right leg only), dizziness while running, has also happened while walking. Had never experienced any of these issues in my 27 years as a runner until receiving COVID vaccine.

Other Meds: Multivitamin, biotin, vitamin D, iron, vitamin C

Current Illness: None

ID: 1259969
Sex: F
Age: 44
State: OH

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:

Symptom List:

Symptoms: headaches

Other Meds: blood pressure pills-2

Current Illness:

ID: 1259970
Sex: F
Age: 45
State: SC

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Latex, cippero, levaquim,

Symptom List:

Symptoms: Severe headaches, extremely exhausted, body aches, chills, hot flash type events, nausea

Other Meds: Verapamil, aspirin, gabapentin, trintellix, pro biotic, magnesium, vitamin d 3, zinc, vitamin c, anti stress gummies

Current Illness: None

ID: 1259971
Sex: M
Age: 43
State: TX

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: Sulfa Drugs

Symptom List:

Symptoms: Extremely painful and loud ear ringing. I thought my ears were going to bleed. Extreme rotary vertigo for 24 hours. Treated with large doses of benedryl to stop the spinning. Tinnitus ringing is back to regular levels. I've had tinnitus for 30 years, this vaccine triggered something I have never experienced before.

Other Meds: None

Current Illness: None

ID: 1259972
Sex: F
Age: 57
State: FL

Vax Date: 04/17/2021
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: None

Symptom List:

Symptoms: Delayed-type hypersensitivity reaction starting 8 days after injection, characterized by erythema, pruritis, and induration at various locations at the injection site and throughout the same arm. Pruritis improved with diphenhydramine, though returned after medication wore off. Will trial cetirizine. Symptoms overall mild.

Other Meds: None

Current Illness: None

ID: 1259973
Sex: F
Age: 56
State: HI

Vax Date: 01/12/2021
Onset Date: 03/14/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Possible reaction to dental procedure

Symptom List:

Symptoms: I woke up feeling fine that morning, as I was walking through the house, it was almost like I had received the vaccine again. It was exactly the same onset- warm, flushed feeling above the heart on chest; total dissociation from my body, the room and everything around me. An immense headache. Over the course of the day, I had a return of the stomach pain (upper abdominal pain) that I had initially - the first week of the vaccine - which lasted until March 19th this time. It was so bad I had to cancel work most days. I couldn't move for hours every day. I had to see the doctor again. The spacey feeling/ dissociation (didn't recognize that my own body was mine) and the flushing from my heart lasted the whole of the first day, the 14th. Doctor recommended I get an ultrasound done if the pain continued. But to do that I had to see my Primary Care physician to do a follow up - my symptoms had resolved itself before the Ultrasound could be done. Note: I have had a stomach issue about a year and a half ago which resolved itself. Tissue below the breast line and above the ribs swelled up significantly - to the point where I was sitting in my chair for 8 hours - not able to bend or move. I am usually out hiking or gardening - I'm a fit person so this is abnormal. After several weeks of feeling fine this new adverse event was very alarming.

Other Meds: Xarelto-20mg

Current Illness: no

ID: 1259974
Sex: U
Age: 79
State: OK

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Darvon, penicillin, clindamycin, ciprofloxacin, erythromycin tetracycline, Vioxx cymbalta sulindac, effexor,

Symptom List:

Symptoms: Chronic diarrhea, started more than 8 hours after vaccination and ongoing for 3 weeks and 5 days, treated with Imodium and hyoscyamine

Other Meds: Levothyroxine, metoprolol, excedrin, benadryl, multivitamin

Current Illness: High blood pressure, heart murmur,

ID: 1259975
Sex: F
Age: 72
State: AL

Vax Date: 04/06/2021
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: Hydrocodone/Homatropine, Niaspan, Macrodantin, Floxin, Lodine, Flagyl, Augmentin

Symptom List:

Symptoms: Pt called the pharmacy on 4/26/2021 stating that since approximately 4/16/2021 (roughly 10 days after receiving the Janssen Vaccine) she began noticing that she felt tired and fatigued and that she didn't have the normal 'energy' that she was used to. After that time she has noticed a worsening of the fatigue and 'tiredness' to the point that she can no longer perform normal activities. She states that she is normally very active and enjoys activities like cutting the grass and other outdoor chores. But for the last 10 days or so she has been unable to do those things and finds herself falling back asleep during the day. She says this overwhelming feeling of tiredness seems to be getting worse. I suggested she visit her doctor for bloodwork and she said she would do so.

Other Meds: Escitalopram 10mg, Advair Diskus 250/50, Synthroid 50mcg, Atorvastatin 40mg,

Current Illness:

ID: 1259977
Sex: F
Age: 34
State: CA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
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: Body aches, chills, fatigue

Other Meds: Unknown

Current Illness: None

ID: 1259978
Sex: M
Age: 48
State: AZ

Vax Date: 04/01/2021
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: N/A

Symptom List:

Symptoms: Diaharea

Other Meds: N/A

Current Illness: None

ID: 1259979
Sex: F
Age: 50
State: TX

Vax Date: 03/23/2021
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: NKDA

Symptom List:

Symptoms: Pt called the office reporting injection site pain, headache, and right eye redness. Started with the red eye then injection site arm hurting/pain, and headache. Pt was told to go to her PCP and/or the emergency room to be seen and treatment.

Other Meds:

Current Illness:

ID: 1259980
Sex: F
Age: 42
State: MI

Vax Date: 02/20/2021
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: None

Symptom List:

Symptoms: Development of Bells Palsy, no known cause

Other Meds: None

Current Illness: None

ID: 1259981
Sex: M
Age: 16
State: NV

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: Certain nut allergies

Symptom List:

Symptoms: 5 minutes after dose while standing and watching sister receive dose of vaccine, patient experienced presyncope. Patient started to sway and lost muscle control. I helped to the floor and laid him out. Patient conscious whole time and never stopped breathing. Did not lose cognizance. Had momentary feeling of nausea that immediately passed. Did not believe necessary to call 9-1-1 as patient did not exhibit any allergy symptoms of any distress during the whole episode. Allowed to lay on floor for about 5-10 min. Supplied patient with bottle of water to help with dry mouth and he drank and felt better. After another 10 minutes patient was up on feet and feltmuch better. Mother called an hour and a half later (about 5 min ago as I prepare this form) to inform me that he was back to 100%.

Other Meds:

Current Illness: Asthma

ID: 1259982
Sex: F
Age: 27
State: IL

Vax Date: 04/24/2021
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: None

Symptom List:

Symptoms: Warmth at injection site and itching around injection site

Other Meds: Birth control

Current Illness: None

ID: 1259983
Sex: M
Age: 22
State: MA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
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: Patient fainted/fell off the chair after getting the vaccination. He gained consciousness right after. Pharmacist called EMT, then stayed with patient. She also checked his blood pressure and gave him water. EMT came a few minutes later and brought him to the hospital.

Other Meds:

Current Illness:

ID: 1259984
Sex: F
Age: 17
State: AZ

Vax Date: 04/19/2021
Onset Date: 04/20/2021
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: Menstrual cycle abnormalities. Spotting/bleeding at abnormal times in cycle.

Other Meds: Birth Control Pill

Current Illness: None

ID: 1259985
Sex: F
Age: 37
State: FL

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: Ibuprofen, Toradol

Symptom List:

Symptoms: Pt presented to nurse wit c/o itching all over. Nurse notified EMs and NP, directed by NP to notify 911. Ems on site administered benadryl and started IV to (R) hand 22 guage sodium chloride given. Patient transported via ambulance by ambulance @ 11.54am

Other Meds: Celexa, Clonazepam

Current Illness: N/a

ID: 1259986
Sex: M
Age: 32
State: TX

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: peanuts, pertussis

Symptom List:

Symptoms: difficulty breathing, dizziness, nausea

Other Meds: none

Current Illness: none

ID: 1259987
Sex: M
Age: 24
State: CA

Vax Date: 04/22/2021
Onset Date: 04/23/2021
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: VOMITING BODYACHES

Other Meds:

Current Illness: NONE

ID: 1259988
Sex: M
Age: 53
State: IL

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: none

Symptom List:

Symptoms: swelling and pain in the arm, High blood pressue104/148

Other Meds: none

Current Illness: none

ID: 1259989
Sex: F
Age: 54
State: MN

Vax Date: 03/30/2021
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: Nickel

Symptom List:

Symptoms: Fever, aches, chills, nausea, and fatigue for 2 weeks, nausea and fatigue have persisted for 4 weeks now..

Other Meds: Gabapentin Fluoxetine

Current Illness:

ID: 1259990
Sex: F
Age: 36
State: MI

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: NKA

Symptom List:

Symptoms: The patient received her 1st dose of Moderna vaccine at 5:57 pm and headed to the observation area. Approximately in 20 minutes after the vaccination she approached the observation nurse and reported that she was experiencing some rash and itching around her neck. Upon examination moderate hives was noted on the neck and upper chest. The patient stated she usually was having redness around her neck and said she would like to stay longer in the observation for monitoring. Vital signs - BP 125/80, Pulse 72, SatO2 100%. After 15 minutes the redness spread up to the ears and behind the neck and the patient was offered Benadyl IM. At 6:51 50 mg of Benadryl IM was administered into the left deltoid muscle by RN. The patient stated she did not premedicate before the vaccination. After 15 minutes the patient reported that her itching diminished and the redness on the neck area visually fade away. Vitals - BP 130/80, pulse 92, SatO2 100%

Other Meds: Prilosec, 40 mg

Current Illness: No known

ID: 1259991
Sex: M
Age: 16
State: MI

Vax Date: 04/07/2021
Onset Date: 04/14/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Rash on right lower back going down to right buttock. Small rash patch on right hip and right groin area. Red and raised and pimpley. Constant burning pain. Relief with Tylenol and ice pack. More relief with ice pack. Went to the doctor on April 22nd. Pain and rash not going away. On April 25th pain is subsiding. Rash is still present. Dark red and starting to scab.

Other Meds: None

Current Illness: None

ID: 1259992
Sex: M
Age: 34
State: GA

Vax Date: 04/22/2021
Onset Date: 04/25/2021
Rec V Date: 04/26/2021
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Allergies: None

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Symptoms: Swelling and redness in right eye started about 32 hours after second dose of Pfizer COVID19 vaccine; eyelid was swollen almost shut; eyeball was swollen; pressure sensation from behind eyeball

Other Meds: None

Current Illness: None

ID: 1259993
Sex: F
Age: 69
State: MO

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

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Allergies: Erythromycin, Augmentin, Keflex, Indocin. Levaquin, Lidocaine

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Symptoms: hernia; stomach strangulation, extreme nausea; unable to eat; hospitalized on April 3; emergency surgery to repair hernia and put stomach in proper position on April 6.

Other Meds: Synthroid, Wellbutrin. Lexapro, Alprazolam, Crestor. Fluticasone, Cetirizine, Vit D, Multivitamin

Current Illness: Hernia (asymptomatic)

ID: 1259995
Sex: F
Age: 34
State: CA

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

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Symptoms: Body aches, fatigue, arm soreness

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Current Illness: None

ID: 1259996
Sex: F
Age: 30
State: CO

Vax Date: 04/07/2021
Onset Date: 04/14/2021
Rec V Date: 04/26/2021
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Allergies: None known

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Symptoms: Extreme join pain isolated to the knuckles and finger joints. Felt like extreme arthritis for over a week. Slowly moved out of the right hand, but left hand stayed painful for a few more days. Finally isolated to a single knuckle. Fully resolved after about 2 weeks.

Other Meds: Nexplanon - birth control

Current Illness: None

ID: 1259997
Sex: F
Age: 60
State: KS

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
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Symptoms: Extremity swelling, throat tight, anxiety, rash, fever, headache, short of breath, oxygen saturations at 86%, edema, took benadryl and no relief so went to the ER

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Current Illness:

ID: 1259998
Sex: M
Age: 66
State: CA

Vax Date: 04/19/2021
Onset Date: 04/23/2021
Rec V Date: 04/26/2021
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Symptoms: Left arm just distal to site of injection started getting erythematous, edematous pruritic and mildly tender patch. My thoughts were allergic skin reaction versus cellulitis and treated as such.

Other Meds:

Current Illness:

ID: 1259999
Sex: F
Age: 57
State: TX

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/26/2021
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Allergies: none

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Symptoms: Joint pain in left knee. Moderate pain.

Other Meds: none

Current Illness: none

ID: 1260000
Sex: F
Age: 59
State: OH

Vax Date: 03/17/2021
Onset Date: 03/23/2021
Rec V Date: 04/26/2021
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Allergies: no

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Symptoms: Covid arm, severe swelling arm, under arm, breast. had in leg for second shot. Covid rash again and dubsrquent bruising . both approximately 6 inches in diameter

Other Meds: synthroid, wellbutrin

Current Illness: no

ID: 1260001
Sex: M
Age: 15
State: AZ

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/26/2021
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Allergies: none

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Symptoms: Patient received Pfizer covid-19 vaccine and was not of age for the said vaccine. on 04-03-21 patient did receive 2nd dose to complete the series on 04-24-21

Other Meds: none

Current Illness: none

ID: 1260002
Sex: F
Age: 50
State: TX

Vax Date: 03/29/2021
Onset Date: 04/05/2021
Rec V Date: 04/26/2021
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Allergies: PCN, Sulfa drugs, Morphine, shellfish

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Symptoms: I noticed a large red blotch on my left arm at the injection site a week after the initial injection. It was swollen, itchy, and red. It measured ~ 3 " x 3" in size.

Other Meds: none

Current Illness: none

ID: 1260003
Sex: M
Age: 33
State:

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
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Symptoms: fatigue within 6-8 hours after the vaccine, chills and fever ~102 F 12-15 hours after vaccine. Lasted 24-36 hours

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ID: 1260004
Sex: F
Age: 37
State: IL

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/26/2021
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Allergies: None

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Symptoms: My left arm was so painful the first few days I had to use my right hand to lift it Now a week later it?s still painful to the point I still can?t lift light hand weights that I normally use daily-I?m afraid it has damaged the muscle. Also after the vaccine I developed flu like symptoms and now a week later I have a sore throat and fever-I am testing negative for COVID 19-I generally have felt terribly unwell since this injection and am very nervous to get the second dose. Can I get the Pfizer injection or should I not get any second dose at all? Please advise me by phone, I have no rash on my arm and never had one-just muscle weakness and pain like a deep injury to the muscle-please advise what I should do?

Other Meds: Iodine Turmeric Vitamin C

Current Illness: None

ID: 1260005
Sex: F
Age: 65
State: IN

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 04/26/2021
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Allergies: N/A

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Symptoms: Fever, body chills, headache and numbness in both legs

Other Meds: Simvastatin 20mg, fluticasone, Amlopdipine 5mg, metformin 500mg, D3 50000mg, olmesartan medoxonil 5mg, asprin 81mg

Current Illness: Pulmonary

ID: 1260006
Sex: F
Age: 43
State: CO

Vax Date: 02/08/2021
Onset Date: 03/13/2021
Rec V Date: 04/26/2021
Hospital: Y

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Allergies: none

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Symptoms: Adverse event #1: extremely heavy menstrual bleeding, started first period after receiving second dose of pfizer approximately 3/13/2021 resulting in anemia Treatment: DNC and blood transfusion Outcome: DNC stopped bleeding, blood transfusion and additional vitamin intact has helped anemia Adverse event #1: rashes after receiving second dose of pfizer approximately several days later Treatment: prescription cream Outcome: still have rashes and itching on back, under arms, and on ankles

Other Meds: amlodipine besylate, nuvaring

Current Illness: none

ID: 1260007
Sex: F
Age: 49
State: WA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
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Allergies: no

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Symptoms: Pt arrived to post observation area post 2nd dose of Moderna. Pt reports received this injection in her L arm and now reporting L arm pins and needles feeling radiating up and down from injection site to fingertips and L side of face. Pt states after 15 min, sx resolved in arm but was now in forehead. After another 15 min, Pt reports all symptoms resolving and no other sym, no resp symptoms, no itching or troubles breathing. Pt states similar episode from first vaccine. Pt states then reporting tingling in lips. EMTs called to evaluate. EMTs evaluate Pt, obtained vitals. Pt denied swelling, SOB, throat/tongue. Per evaluation by EMTs, client and husband were discharged by EMTs. Client feels comfortable to go home with husband and husband is driving. Pt states symptoms resolving. VS per EMT at 1415 BP 148/78 HR 82

Other Meds: unknown

Current Illness: unknown

ID: 1260008
Sex: F
Age: 32
State: CA

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

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Symptoms: a 32 year old female here for covid vaccine. Administered vaccine; patient tolerated well. Approximately seven minutes later patient fainted for less than 30 seconds. Incident occurred at 1550. VS at time incident: BP: 74/40, HR:58, Sp02:100%. Water and coke was given to patient. Patient drank approximately 120ml of water and 60ml of Coke. At 1556 VS: Blood pressure: 98/64, HR: 60, Sp02: 100%. At 1600 VS: BP: 102/62, HR: 64, Sp02:100%. Patient stated she felt better and no longer had any symptoms. Patient discharged; medically stable.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm