VAERS 2021 Database www.vaers.hhs.gov

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

Total Manufacturer

Incidents per State

State Total
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1264179
Sex: F
Age: 60
State: PA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Clindamycin allergy

Symptom List:

Symptoms: The adverse reaction was that I got a 5 day long menstrual period for the first time since 2012. I am 60 years old and past menopause since 2012, with no other menstrual bleeding, uterine problems or any gynecological issues during that intervening time. The period started about 2 hours after my 2nd dose of the COVID vaccine. It was a light period, not heavy, but more than just spotting...it did last 5 days, requiring a pad during all 5 of those days. I also had some fatigue and general achiness in my neck, back and joints, but that only lasted a day or 2. Unfortunately, I did not call my dr when this happened. For these reporting purposes, I guess that would have been helpful. I did call and make an appointment, but it will not occur until May 12, 2021. That is why I didn?t fill out the doctor and facility portions of this form. One last thing...I am not any kind of anti-vaxxer. I am a left-of-center suburban mom of 5 grown kids with a college education. (Not sure if that makes any difference here, but I offer it in the For-What-It?s Worth Dept.

Other Meds: Eliquis 5 mg tablet 2x/day Cartilage Xt Er 120 mg capsule 1x/day

Current Illness: None

ID: 1264180
Sex: F
Age: 47
State: MA

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Chills (shivering jaw), shaking, aches, fatigue, arm pain at injection site (inability to lift arm without pain), general unwell feeling beginning the evening following the first dose of the COVID vaccine

Other Meds: Levothyroxine/thyroid extract for hypothyroid

Current Illness: N/A

ID: 1264181
Sex: F
Age: 29
State: MO

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

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

Lab Data:

Allergies: Na

Symptom List:

Symptoms: Migraine, fever, chills, fatigue, nausea

Other Meds: Prenatal vitamins, slowFE, escitalopram 20mg

Current Illness: Na

ID: 1264182
Sex: M
Age: 2
State: AZ

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

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

Lab Data:

Allergies: NKDA.

Symptom List:

Symptoms: Upon third vaccine administration, epistaxis occurred of unknown cause. Pressure applied on tip of nose for approx. 5-6 minutes to stop bleeding. Bleeding stopped. No adverse reaction noted at the injection sites.

Other Meds: No.

Current Illness: No.

ID: 1264183
Sex: F
Age: 44
State: TX

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

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

Lab Data:

Allergies: Medication: Penicillin Food: Strawberries, mushrooms

Symptom List:

Symptoms: Fever, Severe chills lasted for 36 hours Got the Moderna ARM in 24 hours. Swelling of the injection site location and redness, lasted for 5 days, discoloration of the skin as a patch even after 3 weeks

Other Meds: Prescription: Losartan 50mg+hydrochlorothiazide12mg OTC: Advil

Current Illness:

ID: 1264184
Sex: F
Age: 54
State: FL

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

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

Lab Data:

Allergies: pencillin, sulfa, nickel

Symptom List:

Symptoms: patient felt numbness or tingling in left arm, numbness around mouth going up to nose area

Other Meds: motrin 800mg as needed and levothyroxine 88mcq once daily

Current Illness: none

ID: 1264185
Sex: F
Age: 64
State: TN

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: I went to bed a healthy person and did not wake up until Sunday Afternoon. I ached everywhere, couldn?t stay awake had fever and a cough that felt like my head was going to blow off if I didn?t hold it. I had a slight UTI Friday which I was going to treat over counter but when I woke up I had a full blown UTI with blood In my urine. Went back to health dept. Tuesday and was given a COVID test which I did. Wednesday I was getting worse and went to walk-in clinic and was given two shorts antibiotics and cough syrup . Sill not well Monday went back to walk in clinic got two more shots and more medicine and cough syrup.

Other Meds: Thyroid, omeprazole, rosuvastatin, bupropion xl, celecoxib, spironolactone

Current Illness: UTI

ID: 1264186
Sex: F
Age: 21
State: AZ

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: second dose given before 24 days

Other Meds:

Current Illness:

ID: 1264187
Sex: F
Age: 76
State: MI

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

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

Lab Data:

Allergies: NKDA, NKA

Symptom List:

Symptoms: Full body aching intermittently with in 7 mins of receiving vaccine, Provider saw pt and states that her vitals were normal, within 20 mins pt stated that her symptoms were decreasing. We feel it mostly likely due to anxiety

Other Meds:

Current Illness: HTN, HX of DVT, Parkinson, Hyperlipidemia

ID: 1264188
Sex: F
Age: 40
State: TX

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: I feinted 2 min after the vaccine. Upon regaining consciousness I felt pain above my knees. I felt better 30 min after but after driving in the car, I started to feel vertigo, numbness in my legs and arms and it was a bit hard to breath. I went to the ER. 1h after the vaccine, I started feeling very week and my body was shaking, I threw up. After being treated in the ER room for 3 hrs with three bags of IV, I felt better. The next day I was very weak and all motions made me very dizzy, I was out of breath. Then the pain in my joints started. It lasted for 20 days. I couldn't use my hands well and couldn't stand for a long time. I could not drive the car as I was getting very dizzy. Moving objects made me dizzy for 26 days. I am still out of breath if I lecture for 80 minutes.

Other Meds: Levothyroxine

Current Illness: N/A

ID: 1264189
Sex: F
Age: 53
State: TN

Vax Date: 04/04/2021
Onset Date: 04/06/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Sulfur, Percocet.

Symptom List:

Symptoms: I started to notice two days later I was feeling woozy, now I am dizzy all the time. When I sit still it's not that bad, walk and bending over makes it worse. It's really bad. I made an appointment for my doctor on May 4 2021.

Other Meds: Losarton.

Current Illness: None.

ID: 1264190
Sex: F
Age: 73
State: CA

Vax Date: 02/22/2021
Onset Date: 03/07/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: malarone (malaria); seasonal allergies

Symptom List:

Symptoms: Received second Moderna vaccine on 2/22/2021 followed the following day by fever over 100, headache, aches, generally ill feeling. Reoccurance of genital herpes about March 7, 2021 after not having had an outbreak in about 30 years; acylovair was prescribed by doctor and outbreak ended in about 7 days (Previously had Covid Jan 2020)

Other Meds: simvistan, singulair, bupropion, prozac, synthroid

Current Illness: none

ID: 1264191
Sex: F
Age: 61
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was observed post Covid-19 immunization for 15 minutes . During the observation period, she experienced an adverse reaction with the following symptoms: dizziness.feeling faint. Assessment : Time of assessment 1202. Alert and oriented. Patient stated she felt dizzy and faint. Patient vital signs taken, patient given water and snack. Actions taken: Vitals sign taken 1202- BP 143/72, HR 74 oxygen level 99%. 1210- BP 150/75, HR 78 oxygen level 100%. There were no vitals filed for this visit. Medications administered: No medication administered. Disposition: Reports no further symptoms of adverse reaction after observation for 15 minutes. Discharged home. Instructed to call 911 for trouble breathing, rapid heart rate, dizziness, swelling of tongue or throat. Instructed to follow-up with PCP if dizziness reoccurred. Patient discharged home at 1228.

Other Meds:

Current Illness:

ID: 1264192
Sex: F
Age: 20
State: ME

Vax Date: 03/10/2021
Onset Date: 03/18/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

Symptom List:

Symptoms: Around 9:45p my face and neck broke out in hives, swelled up, was extremely itchy, and hot. Shortly after it became hard to swallow as my throat was closing. I went to Emergency Department around 10p. The doctors administered Epinephrine (via Epi Pen) and Pepcid through an IV. I was prescribed an Epi Pen as well as Claritin and Omeprazole for 14 days.

Other Meds: Omega-3 complex, Sprintec

Current Illness:

ID: 1264193
Sex: M
Age: 19
State: AZ

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: second dose given before 24 days

Other Meds:

Current Illness:

ID: 1264194
Sex: F
Age: 61
State: FL

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

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

Lab Data:

Allergies: Dust mites

Symptom List:

Symptoms: 10 minutes after receiving my 2nd shot I felt a hot within my entire body and also felt similar to going under anesthesia. I was taken to another area. My BP was extremely high 220/??. (I remembered my sister in law who mentioned to hydrate). I keep drinking water (about 4 bottles in an hr). After about 15 mins, kept walking. It took about 1 1/2 hours for BP to drop to 165/90. I was asked how was I feeling. I was feeling better and I was sent home. Today (4/27/21, I went to the dentist an had a similar event. the ambulance was called - they told me to go home and visit my doctor. My doctor asked that I come in on Thursday 4/29/21. BP came back down2 hrs ago but felt woozy a few mins ago, checked at it is at 1176/101. Waiting to hear from her if I should take another Losartan tablet.

Other Meds: Losartan Potassium 50mg, metformin 500 mg, Alive women's 50+ multi vitamin, Caltrate 600+D3Krill Oil 350mg

Current Illness: no

ID: 1264195
Sex: F
Age: 61
State: MA

Vax Date: 03/27/2021
Onset Date: 04/17/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: No known allergies.

Symptom List:

Symptoms: Patient reported that she received Moderna Covid vaccine on 03/27/2021. She reports that on 04/07/2021 she began to feel "stabbing like, intermittent" sensation in the right occipital region. She wen to the Emergency Department on 04/17/2021 and was diagnosed with Bell's Palsy.

Other Meds:

Current Illness:

ID: 1264196
Sex: M
Age: 60
State: MI

Vax Date: 03/22/2021
Onset Date: 04/14/2021
Rec V Date: 04/27/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was hospitalized and diagnosed with COVID-19 on 4/14/21 after he received both doses of his Pfizer COVID-19 vaccines on 3/22/2021 and 4/12/2021

Other Meds:

Current Illness:

ID: 1264197
Sex: M
Age: 61
State:

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: PCN

Symptom List:

Symptoms: Evening that I received the shot, became extremely light headed and diaphoretic (outcome resolved). The next day, temperature rose to 103 F (treated with acetaminophen, outcome resolved) . The following day had chest pains which continue to persist. Saw Family Physician on 4/26. (ECG, Pulse Ox done, Dx Costochondritis most likely related to the vaccine, outcome not resolved).

Other Meds:

Current Illness:

ID: 1264198
Sex: F
Age: 27
State: DE

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Patient presented for COVID-19 Vaccination. Her registration form was checked, DOB verified and screening questions asked. Pt. offered that she has "vagal responses" in the past including fainting to injections, blood draws and eye dilations. She received the COVID-19 via 25 gauge syringe in the right deltoid. She denied any signs or symptoms of light headedness, visual changes. She was given the CDC card and instructions to check in with the medical attendant and proceed to waiting area. She was instructed to let the medical attendant know if she felt any of the signs and syptoms she described as preceding her previous vagal responses. Client was seated in the waiting area and started to walk towards the exit monitor when she fell backwards on the floor. Staff and a paramedic assisted immediately. Patient was taken to ED due to blood pressure being low.

Other Meds: N/A

Current Illness: N/A

ID: 1264199
Sex: M
Age: 38
State: CA

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/27/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient reported chills. Per H&P from Hospital pt started with fever on 4/14/21 at 1400 with loose watery stools, nausea & dry heaves, bloated abdomen and dry cough

Other Meds:

Current Illness:

ID: 1264200
Sex: F
Age: 65
State: AZ

Vax Date: 01/15/2021
Onset Date: 01/25/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: metformin -rash niacin - rash simvastatin - rash

Symptom List:

Symptoms: positive COVID test on 1/25/2021 after 1st dose Pfizer.

Other Meds: unknown

Current Illness: unknown

Date Died: 03/17/2021

ID: 1264201
Sex: F
Age: 7
State: RI

Vax Date: 03/09/2021
Onset Date: 03/14/2021
Rec V Date: 04/27/2021
Hospital: Y

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: The vaccine was given in clinic on March 9, 2021. On March 14, 2021 she was found at home, unresponsive in her chair. CPR was administered, 911 was called and she was brought to the ER and subsequently admitted to the PICU. Brain death examinations were completed x 2 and she was pronounced dead on 3/17/2021

Other Meds: Miralax (daily) As needed: Tylenol, Albuterol, Glycerin Suppository

Current Illness: No acute illness at time of vaccination

ID: 1264202
Sex: F
Age: 23
State: RI

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

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

Lab Data:

Allergies: white fish, eggs, tree nuts, dairy

Symptom List:

Symptoms: 23/F received second dose of Moderna vaccine and had vasovagal response. Pt has a hx of this response with needle injections. Pt reports being dizzy and nauseous. Pt given emesis basin just in case she needed it. Pt vomited, ice was applied to the back of her neck. PT stated she immediately felt better after vomiting. Pts vitals taken. Pts condition and symptoms dissipated. Pt monitored additional 15 minutes. When her observation time was up she was accompanied to the exit sign.

Other Meds: Epi-Pen

Current Illness: N/A

ID: 1264203
Sex: M
Age: 19
State: CO

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

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: patient fainted, usually faints with needles, recovered fast with water and chocolate granola bar

Other Meds:

Current Illness:

ID: 1264204
Sex: F
Age: 62
State: WI

Vax Date: 03/22/2021
Onset Date: 03/26/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: gabapentin, duloxetine, semaglutide, metformin, Lisinopril, exenatide, linagliptin, hydroxychloroquine

Symptom List:

Symptoms: developed shingles, right side above shoulder blade under right arm over breast and down.

Other Meds: several, timed out list time I tried to list them all

Current Illness: no

ID: 1264205
Sex: F
Age: 51
State: OH

Vax Date: 04/16/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: Patient called me today (4/27/21). Said she got a very red face yesterday. Went to Dr. who prescribed prednisone and doxycycline. When she called me today, she complained of trouble breathing. I impressed upon her the urgent need to call back to the doctor and expressly tell them that she had this Moderna shot on 4/16/21. It was 4:38 pm when I spoke with her, and told her to call now so she could catch them before they leave the office.

Other Meds: losartan,trazodone,rosuvastatic,venlafaxine

Current Illness:

ID: 1264206
Sex: F
Age: 63
State: TX

Vax Date: 04/18/2021
Onset Date: 04/19/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: penicillin, metrogel vaginal cream. Have had vaccines just fine in past. Wasp sting, deep tissue two years ago treated with methylprednisolone

Symptom List:

Symptoms: Next morning after shot, painful, swolen, knot-like feeling at injection site. Several days pain subsides, knot subsides, redness and swelling lighten. Nine days ongoing, light red large circle around injection site still there. Not painful now, but persistent. Am somewhat concerned about getting second dose if still there or spreads.

Other Meds: Valsartan/HCT 80/12.5

Current Illness:

ID: 1264207
Sex: F
Age: 53
State: IL

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Codeine Duricef

Symptom List:

Symptoms: BP went up to 210/111 the day after vaccine was administered. On 4/24/2021 patient went to ER for double vision. BP was 200/100's again. Given IV BP meds, did CT scan that showed no abnormalities noted. K+ was 2.9. On Sunday, 4/25/21 back to ER for double vision again. BP 160/90's. Observed, given more BP meds and sent home again. Went to PCP, clinic 4/26 who referred to Ophthalmologist. Opthalmology, found optic nerve damage and believes related to mini stroke possibly from Covid vaccine.

Other Meds: Losartan/HCTZ Zyrtec

Current Illness:

ID: 1264208
Sex: F
Age: 18
State: ME

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

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

Lab Data:

Allergies: Latex, nuts

Symptom List:

Symptoms: Severe soreness and stiffness within one hour of shot. Fatigue after two hours, still prevalent 8 hours later

Other Meds: Iron, vitamin D,

Current Illness:

ID: 1264209
Sex: M
Age: 57
State: MI

Vax Date: 03/31/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was hospitalized and diagnosed with COVID-19 on 4/26/2021 post receiving two doses of his Pfizer COVID-19 vaccine on 3/31/21 and 4/21/21

Other Meds:

Current Illness:

ID: 1264210
Sex: F
Age: 65
State: CO

Vax Date: 04/12/2021
Onset Date: 04/15/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: 2-3 days after receiving vaccine, patient reported having neck swelling/neck stiffness and non-itchy red hives on torso and thighs. Denies difficulty breathing, shortness of breath, or or pain.

Other Meds: N/A

Current Illness: N/A

ID: 1264211
Sex: F
Age: 27
State: NC

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

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Shortly after the administration of the vaccine, the patient began to feel weak and as though she was going to pass out. The patient fell back and was caught by a family member. She complained of blacking out and having trouble seeing. 911 was called and the patient was ambulatory and examined by medics off site.

Other Meds: None known

Current Illness: None known

ID: 1264212
Sex: F
Age: 75
State:

Vax Date: 04/17/2021
Onset Date: 04/23/2021
Rec V Date: 04/27/2021
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Symptom List:

Symptoms: red rash and itchy arm

Other Meds:

Current Illness:

ID: 1264213
Sex: F
Age: 21
State: TX

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/27/2021
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Allergies: None

Symptom List:

Symptoms: Patient received her vaccine around 1:10 pm and was waiting in our lobby for the recommended 15 minutes. After 10 minutes, her body began to seize/shake for about 10-15 seconds and then she went completely limp in the chair she was seated in. I removed her mask to help with her breathing and lifted her head slightly. She began to seize/ shake again and then woke up. Patient was disoriented and reported of head pain, feeling hot and rapid heart rate. We called 911 and EMT arrived a few minutes later, checked her vitals, which all came out normal, and spoke with the patient for a few minutes. Patient refused to go to the hospital and wanted to wait for her mother to arrive. She has no history of seizures and only takes Zyrtec OTC. The patient's mother arrived and spoke with the EMT personnel and I spoke with her as well. I recommended that the patient does not receive the second dose until she has been checked by a doctor and has been given approval to receive it. The patient recovered after about 20-30 min since the event and went home with her mother.

Other Meds: Zyrtec

Current Illness: None

ID: 1264214
Sex: F
Age: 71
State:

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/27/2021
Hospital:

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Symptom List:

Symptoms: Muscle soreness

Other Meds:

Current Illness:

ID: 1264215
Sex: F
Age: 63
State: MO

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 04/27/2021
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Allergies: None

Symptom List:

Symptoms: Same day mild symptoms of pain at injection site, numbness on tongue and facial area; Day 2 symptoms mild fatigue, muscle pain in extremities and headache; Day 3 symptoms more severe headache and fatigue; Day 4 symptoms dry cough and neck pain; Day 5 feverish, neck pain, cough, shortness of breath, night sweats; Day 6 worsening cough and shortness of breath...went to urgent care facility; Took Tylenol each day but little to no relief

Other Meds: Lisinopril, omeprazole, hydrochlorothiazide

Current Illness: None

ID: 1264216
Sex: F
Age: 26
State: WI

Vax Date: 03/22/2021
Onset Date: 04/20/2021
Rec V Date: 04/27/2021
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Symptoms: Case was tested on 4/26 for covid 19- test ordered SARS-CoV Ag (Presence) in Respiratory Speciman by Rapid Immunoassay. results were "Detected" resulting on 4/26. Case was in close contact with a family member who had tested positive- exposure occurred approximately 4/15/21- 4/16/21. Case started having symptoms with onset of 4/20/21 starting with congestion, headache that increase in severity during course of illness and then case developed a loss of taste and a loss of smell.

Other Meds:

Current Illness:

ID: 1264217
Sex: F
Age: 55
State:

Vax Date: 01/19/2021
Onset Date: 02/09/2021
Rec V Date: 04/27/2021
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Symptom List:

Symptoms: Patient notes that approximately two weeks after getting Pfizer #2 injection, she was diagnosed with Herpes Zoster along her right torso to back. Was treatd with acyclovir for 7 days and versicular lesions resolved.

Other Meds:

Current Illness:

ID: 1264218
Sex: M
Age: 64
State: VA

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

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Allergies: NKA

Symptom List:

Symptoms: PATIENT WAS GIVEN THE JANSSEN COVID VACCINE. ABOUT 5-10 MINS LATER, PATIENT REPORTED HAVING SOME DIZZINESS WITH SOME CHEST PAIN. BENADRYL WAS PROMPTLY GIVEN @1202PM. THEN AT 1209PM, PATIENT BP WAS TAKING, IT WAS HIGH AT 160s/90s. PATIENT STATED THAT HE DOES HAVE HBP IN WHICH HE DOES TAKE MEDICINE FOR. HE ALSO STATED THAT, AT THAT PRESSURE, IT WAS NORMAL FOR HIM. PATIENT WAS MONITORED TILL AROUND 1245PM, HE STATED THAT HE WAS FEELING BETTER AND HIS WIFE HAS TAKEN HIM HOME. A FOLLOW UP PHONE CALL WAS CALLED AROUND 105PM. AT THAT TIME PATIENT WAS A HOME AND SAID THAT HIS SYMPTOMS HAS SUBSIDE BUT JUST FEELS SLEEPNESS FROM THE BENADRYL.

Other Meds: PATIENT SAID HE TAKES BLOOD PRESSURE MEDICATION

Current Illness: N/A

ID: 1264219
Sex: F
Age: 56
State: FL

Vax Date: 04/20/2021
Onset Date: 04/23/2021
Rec V Date: 04/27/2021
Hospital:

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Symptom List:

Symptoms: Starting about 3 days after the injection, I began experiencing pain in my joints. It felt like arthritis, swollen, hot. It hurts to walk, it hurts to lay, it hurts to use my fingers at times. Today is Tuesday and this has been going on for 4 days. Ice helps some. So does Titanium power tape.

Other Meds: NP Thyroid, Adrenal Cortex, Magnesium, Potassium, ...

Current Illness: Autoimmune Hashimoto's Chronic Lyme

ID: 1264220
Sex: F
Age: 58
State: PA

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

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Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Patient felt clammy at back of the head and back. Patient said she was in the process of being tested for MS. Patient also stated that she has Migraines She is currently on anti depressants for anxiety, cholesterol and migraine medications No aberrations Vitals BP:128/73 sp02: 98% RESP: 14 HR: 90

Other Meds: none

Current Illness: none

ID: 1264221
Sex: F
Age: 84
State: NE

Vax Date: 01/21/2021
Onset Date: 02/18/2021
Rec V Date: 04/27/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies: Grapefruit and Aspirin have medication interactions Spicy Foods/tomato sauce/BBQ sauce - intolerance

Symptom List:

Symptoms: 4/16/2021 - Stroke Had left sided weakness, facial droopiness, slurred speech Hospitalization x 5 days Currently doing PT/OT rehab in Assisted Living - started 4/21/2021

Other Meds: Baclofen 10mg tab, take 1 twice per day Brimonidine tartrate 0.15%, 1 drop into each eye twice a day Calcium 600+Vitamin D caps, take 1 daily at noon Centrum Silver Adult 50+ tabs, Take 1 tab daily Colace 100mg caps, take 1 cap daily Dorz

Current Illness: None

ID: 1264222
Sex: F
Age: 58
State: GA

Vax Date: 04/14/2021
Onset Date: 04/16/2021
Rec V Date: 04/27/2021
Hospital:

Vax Type:
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Lab Data:

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Symptom List:

Symptoms: Patient stated she experienced rash, stomach ache, headache

Other Meds:

Current Illness:

ID: 1264223
Sex: F
Age: 55
State: LA

Vax Date: 02/24/2021
Onset Date: 03/24/2021
Rec V Date: 04/27/2021
Hospital:

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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: hoarseness. not previously experienced

Other Meds: simvastatin lasix

Current Illness: none

ID: 1264224
Sex: F
Age: 69
State: FL

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

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever and Sweating lasted for a couple of hours then gone and did not happen again.

Other Meds: None

Current Illness: None

ID: 1264225
Sex: F
Age: 30
State: WA

Vax Date: 04/20/2021
Onset Date: 04/27/2021
Rec V Date: 04/27/2021
Hospital:

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

Allergies: No

Symptom List:

Symptoms: Red itchy rash at injection site. Large firm welt (silver dollar size.) Redness.

Other Meds: No

Current Illness: No

ID: 1264226
Sex: F
Age: 68
State: TX

Vax Date: 03/31/2021
Onset Date: 04/07/2021
Rec V Date: 04/27/2021
Hospital: Y

Vax Type:
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Symptom List:

Symptoms: patient reported to hospital with headache for 2 days, and was told she had a blood clot in her liver last week. she reports thatshe got the Johnson and Johnson vaccine last month. exact date not known.

Other Meds: prednisolone opth., rifaximin, ofloxacin opth., diclofenac opth., spironolactone, insulin lispro, cetirizine, insulin degludec, hydroxyzine, latanoprost opth., ergocalciferol, atenolol, esomeprazole, urosdiol, furosemide

Current Illness: hx of liver cirrhosis and hepatitics C, DM2, HTN, status post pacemaker

ID: 1264227
Sex: M
Age: 42
State: IN

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

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Lab Data:

Allergies: Aspirin

Symptom List:

Symptoms: Allergic reaction. Eye lid swollen

Other Meds: Took 500 mg of Tylenol and 25 mg of Benadryl

Current Illness: None

ID: 1264228
Sex: F
Age: 50
State: WV

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Hard lump under and around injection site. Redness appeared a few hours after vaccination, 24hours later it has increased in size. Burning in joints.

Other Meds: Omeprazole, Sudafed.

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm