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: 1273372
Sex: F
Age: 16
State:

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever, chills, dizzy, headache Fever over 101. Symptoms lasted just over 24 hours. Treatment: rest, ibuprofen, cold compress Same symptoms occurred after 1st shot as well.

Other Meds: None

Current Illness: None

ID: 1273373
Sex: F
Age: 60
State: WI

Vax Date: 03/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Tinnitus & 1 episode of dizziness

Other Meds: Daily vitamin, vitamin D, probiotic & collagen Pepcid

Current Illness: No

ID: 1273374
Sex: F
Age: 63
State: MA

Vax Date: 02/28/2021
Onset Date: 03/09/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: inhaled streiods statens

Symptom List:

Symptoms: I'm 63 years old and have not had a menstrual period in 6 years, but on March 9th I started spotting after having two days of sore breasts. The spotting turned into a full-on period, lasted 6 days, and came back again the following month. I had called my GYN and she tested me for cancer etc. and put me on progesterone, however that seems to not be working just yet. Most of all this is super annoying.

Other Meds: lisinpril 20mg Acyclovir 200 mg lorazepam 5 mg Albuterol inhaler Singular 10 mg Ambien 10 mg.

Current Illness:

ID: 1273375
Sex: F
Age: 64
State: NH

Vax Date: 04/23/2021
Onset Date: 04/26/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Extreme vertigo, nausea, vomiting, chills, headache, stomach ache, body aches.

Other Meds: Atorvastatin Hydrochlorothiazide Amlodipine

Current Illness: None

ID: 1273376
Sex: F
Age: 35
State: NJ

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Latex, hazelnut

Symptom List:

Symptoms: redness all over body ( allergic reaction), Difficulty breathing, Body aches, I?ll keep town food and will throw up whatever is eaten, Fever and chills

Other Meds: Singulair, Zyrtec, Vitafol, Pantoprazole, Flonase, Pulmicort, Oxtellar

Current Illness: None

ID: 1273377
Sex: F
Age: 48
State: CA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Penicillin,Erythromycin and now thinking PEG based off of my reaction but it has not been confirmed by an allergy test yet, only a hypothesis

Symptom List:

Symptoms: Right after the shot I noticed brief difficulty swallowing, so mild that I thought it might be from anxiety. I felt out of it that evening until I went to bed. I awoke at 1am with extreme chills, brain fog, difficulty walking without holding on to something and heaviness in my head. I went back to sleep & thought I may have over heated myself bc I woke up at 3am feeling worse. I called an on-call nurse, had a temperature of 99.9 and she told me to call back if fever rose. Next day all the same but also noticed that pulsating feeling in my brain and super intense light headedness, always feeling as if I could pass out. I did an TH MD appt and he told me to go to urgent care based off of my symptoms. I did, it was right when they were closing. My heart rate was 113 so told me to go to the ER. The MD at the ER took a brief look at my vitals and said I was having a normal reaction & sent me home. Since then I continue to have the pulsating feeling in my brain/sinuses (unsure where it is my my head) all over, but instead of being there all of the time it has gone away unless I try to drink any alcohol at all, even one sip will trigger a flare up, or dark chocolate or caffeine. I cannot tolerate any of it. This is all new. Just last week I tried to have one sip of a mimosa an went into a flare up for two days. My MD recently ran more blood work. Everything was in "range" but I did notice a big spike in my neuts and lymphs in opposing direction. I have an appt with him today to do a neurological screening. I just want my life back and it seems like whatever it triggered in me (the vaccine that is) is not going away :(

Other Meds: Levothyrone 25 mcg, Vitamin D and Omega's

Current Illness: Prior to getting this second Moderna vaccine, I had received my first vaccine on 12/26/2020. Two days after the vaccine I first noticed some build up wax in my ear to be followed by dizziness. A couple of days past this I noticed a slight throbbing/pulsating sensation in my brain. All of these symptoms lasted on/off for 3 weeks and had just cleared when I was due for my 2nd vaccine. I had emailed my MD to see if I would be ok to get the 2nd vaccine based off of the strange side effects from the first and he thought it would be ok but also suggested asking the health department which I did not.

ID: 1273378
Sex: F
Age: 26
State: PA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Headache and major fatigue same day following shot, by late evening arm had "covid arm" rash and significant pain, to the point where I could not sleep properly night one. The swelling has gone down a bit as well as the soreness, but the rash and ache is still prevalent. I am certain it will continue to fade and am unconcerned, simply reporting in the side effect for records purposes.

Other Meds: none

Current Illness: none

ID: 1273379
Sex: F
Age: 53
State: IN

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Vicodin....amoxicillin

Symptom List:

Symptoms: Head ache... Sleepy tired Back on right side achy

Other Meds: Ferex...folic acid...baby aspirin... Diclofenac

Current Illness: Ankylosing spondylitis....RA....ET. Fibromyalgia

ID: 1273380
Sex: F
Age: 18
State: IN

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Bruising and redness in left arm, swelling and heat also present.

Other Meds: 40mg Vyvanse, 1 time a day, taken in the morning for ADHD

Current Illness: N/A

ID: 1273381
Sex: M
Age: 58
State: FL

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

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: patient reported sweating, tingling in fingers, rapid heart beat, lightheadedness, nausea. 911 was called patient was taken to the hospital

Other Meds:

Current Illness:

ID: 1273382
Sex: F
Age: 45
State: WA

Vax Date: 03/23/2021
Onset Date: 04/01/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Symptoms: vertical diplopia followed by oscillopsia with nystagmus Time Course: Appeared suddently the afternoon of April 1st and continued for one week. After one week, the symptoms gradually improved. At 4 weeks, only about 5% of the symptoms remain (oscillopsia in the morning, trouble with reading small text, trouble with vision to the right) Treatment: No treatment.

Other Meds: None

Current Illness: None

ID: 1273383
Sex: F
Age: 59
State: MI

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Sore arm, nauseated and a flare up of my autoimmune disease after the 1st dose. After the 2nd dose I woke up early the following morning with the chills, a fever, achy all over my whole body, very nauseated and a worse flare up of my autoimmune disease.

Other Meds:

Current Illness:

ID: 1273384
Sex: F
Age: 62
State: MI

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Within a day or two after the first shot, I developed arthritis in my fingers, and a little bit in one knee. I normally have a tendency for joint pain in my right knee during heavy exercise, and regularly take supplements for it. However, after the first Pfizer shot, I had to greatly increase my supplement level, and the arthritis persisted and only went away after three weeks. However, by three weeks, it was totally gone. Immediately after getting the second shot, perhaps by the next day, the arthritis reappeared. This time, it was more severe. I had to take greatly increased amounts of my usual supplements, and this time, it took longer to subside. After three weeks, I still have some pain in my fingers, and have to walk down the stairs with care due to the knee pain. I am reporting this because it makes me not sure I would be willing to ever get a booster shot. This amount of arthritis is not minimal, and I am living with a concern about whether I now have damage to my finger joints. Hopefully, with continued use of my regular supplements, my fingers will return to normal.

Other Meds: vitamin and herbal supplements

Current Illness: none

ID: 1273385
Sex: F
Age: 32
State: WI

Vax Date: 04/07/2021
Onset Date: 04/13/2021
Rec V Date: 04/30/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient hospitalized within 60 days of receiving a COVID vaccine

Other Meds:

Current Illness:

ID: 1273386
Sex: F
Age: 39
State: TX

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Nurse was called to the pts car by the traffic controller. Pt stated " she became dizzy after receiving the vaccine. On Assessment pts skin was pale and diaphoretic. She reports that she has not eaten since breakfast. Pt also stated that she has HX of syncope or vaso-vagal syncope when getting blood drawn.

Other Meds:

Current Illness:

ID: 1273387
Sex: F
Age: 63
State: PA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Shellfish, Citrus Seasonal allergies

Symptom List:

Symptoms: Driving home after vaccine injection, lips started tingling. When I arrived home, cheeks started to swell. I immediately took 2 Benadryl (otc) by mouth and applied ice to the swelling on my face. When Benadryl wore off, swelling began again, so I took 2 tablets of Benadryl, had to repeat two more times. As of April 30th at 8 a.m., I am not taking Benadryl. Face is still slightly swollen. If the swelling starts increasing, will take Benadryl.

Other Meds: One Daily Multivitamin/Mineral Supplement once daily. Super B Complex with Vitamin C once daily.

Current Illness: None

ID: 1273388
Sex: F
Age: 59
State: IN

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Fever lasting approximately30 hours; chills - shivering; stiff neck; muscle aches and pains - entire body; back pain - feeling like it needed to be "re-aligned;" muscle cramps in legs and feet; exhaustion - slept for 24 hours (with 2 breaks to eat, each an hour long); dizziness/lightheadedness.

Other Meds: Cephalexin - 500 mg 1 pill every 6 hours

Current Illness: -

ID: 1273389
Sex: M
Age: 21
State: IN

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Lactose intolerance, nickel sensitivity

Symptom List:

Symptoms: started with soreness/stiffness in injection site, which I expected as it was how I reacted with the first shot. however, I then started experiencing mild dizziness/visual impairment (feeling like my vision was shifting or "glitching") that started around two hours after the shot, slow onset of sore/achy back muscles that hit peak pain at around 3am, and intense chills/shivers that started around 11pm, getting progressively worse as the night went on. Attempted to stop the chills by wrapping in several blankets, but only continued to feel colder and colder. Despite the chills starting around 11pm, fever did not present itself until around 1am, hitting 99.8?F by 1:30am. It was around this time that I took an ibuprofen and acetaminophen, which did not kick in until around 2:30am. Once the chills stopped, my hands and feet only got hotter, keeping me awake for an additional 2 1/2 hours.

Other Meds: oxybutynin

Current Illness:

ID: 1273390
Sex: F
Age: 32
State: IL

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: c/o numbness & tingling R. face down to finger tip on R. Arm. Denies dyspna, SOB, CP, redness, swelling. Refused to transport

Other Meds: None

Current Illness: None

ID: 1273391
Sex: M
Age: 54
State: FL

Vax Date: 03/27/2021
Onset Date: 03/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: tomatoes

Symptom List:

Symptoms: random popping in the left ear anytime during day or night which started about 30 hours after injection. Tinnitus in both ears 5 days after injection.

Other Meds: baby aspirin, CoQ10, green tea extract, Zinc, Glucosamine, Fish oil, Magnesium, Whey protein, Vit-C

Current Illness: none

ID: 1273392
Sex: M
Age: 46
State: WA

Vax Date: 04/07/2021
Onset Date: 04/14/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Penicillins, Sulfa Antibiotics, Codeine, Prednisone

Symptom List:

Symptoms: On 04/14/21 I laid down to bed and noticed my tinitus went from moderate to servere. Usually I can notice it if I tried but now could not sleep, can hear it over tv and music. Two weeks later still bad and seems to be increasing. Also noticed little blood spots showing up on skin on chest, legs, arms. very small, raised, and probably around 20-30 on whole body.

Other Meds: omeprazole, Flonase, Multi Vitamin+, Singulair

Current Illness:

ID: 1273393
Sex: F
Age: 53
State: IL

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

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

Lab Data:

Allergies: morphine, dilaudid ,nickel

Symptom List:

Symptoms: Patient reports onset of migraine headache approximately 5 hours after injection received. Migraine became increasingly worse and patient took OTC naproxen sodium with minimal relief. Patient reports migraine became debilitating and patient began bedrest. Patient remained in bed for 2-3 days with migraine headache pain. Treated with repeated doses of OTC naproxen sodium. Patient also reports night sweats but is currently menopausal. Patient sought medical treatment from primary care provider as a follow-up a few days later with no further issues.

Other Meds: naproxen sodium

Current Illness: none

ID: 1273394
Sex: U
Age: 16
State: CA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: No adverse outcome reported - report filed due to age of patient

Other Meds: Unknown

Current Illness: Unknown

ID: 1273395
Sex: F
Age: 45
State: AL

Vax Date: 04/15/2021
Onset Date: 04/20/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: On day 5 after the vaccine, I experienced blurred vision and a crushing headache. It came on extremely quickly. I took pain medication and laid in a dark room and slept. By the next day, it was gone.

Other Meds: Xolair, Allegra, Desvenlafaxine, Vitamin D3, Zyrtec

Current Illness:

ID: 1273396
Sex: M
Age: 52
State: CA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: penicillin, Strawberry

Symptom List:

Symptoms: Joint and muscle aches, approx. 24 hours Chills, approx. 2 hours Exhaustion, approx. 36 hours

Other Meds: Turmeric, 600mg - Calcium+Vit. D - 500mg - Coq10 400mg - NR-E(Crystalline Nicotinamide Riboside) 250mg - PT(Pterostilbene) 50mg

Current Illness: Sinus infection

ID: 1273397
Sex: F
Age: 94
State: ID

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt was given Pfizer vaccine on 04/29/2021. After vaccine was administered, it was discovered that Pt's immunization records indicated Pt received Janssen vaccine on 04/08/2021. Pt was not showing any signs or symptoms of adverse reaction. No treatment was required. Pt and her son were notified to seek medical treatment if Pt began having adverse effects.

Other Meds:

Current Illness:

ID: 1273398
Sex: F
Age: 29
State: IN

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

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

Lab Data:

Allergies: Vicodin

Symptom List:

Symptoms: Rash around lips, upper chest. no edema

Other Meds: N/A

Current Illness: N/A

ID: 1273399
Sex: F
Age:
State: KY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: pt developed symptoms after taking covid vax. She has extreme fatigue, has SOB, loss of appetite, body aches, headache, lightheaded, dizziness, and vomiting. Pt feels as if she is going to die. She is in the woman's corrections facility. She has had blood work and told she is loosing blood. Her hemoglobin is 7 and she is anemic. She is still waiting on more labs results.

Other Meds:

Current Illness:

ID: 1273401
Sex: F
Age: 63
State: FL

Vax Date: 04/20/2021
Onset Date: 04/22/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: penicillin, bee stings

Symptom List:

Symptoms: RInging in ears, tinnitus. Not sure if started earlier, but realized on the second day afterwards. The ringing is constant and gets more profound in the evening. (Has not subsided.) Tiredness was the day after, but that went away.

Other Meds: none

Current Illness: none

ID: 1273402
Sex: M
Age: 77
State: SC

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: This patient's second vaccine was given only 16 days from the first dose. Pharmacist on site confirmed that we did not need to repeat, but to submit a report on human administration error.

Other Meds: N/A

Current Illness: N/A

ID: 1273403
Sex: F
Age: 51
State: VA

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Sulpha drugs

Symptom List:

Symptoms: At 2am, I woke up with fever, chills, severe body aches, headache, facial pain. This continued on until 4/25/21 at 4am. Nothing I took helped with the pain. It was the worst I have ever felt. The body aches were so bad that I could barely roll over in bed. My lymph nodes began swelling on 4/25/21 and remained swollen for 3 days. Headaches did not go away until Wednesday, April 28th. Also, I experienced a surge in anger on Sunday, 4/25/21. I was angry for several hours and did not really understand why. Just severe agitation. I still do not feel completely well (as of 4/30/21). My head feels like there is a lot of pressure and I feel anxious.

Other Meds: None

Current Illness: none

ID: 1273404
Sex: M
Age: 32
State: IN

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

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

Lab Data:

Allergies: Penicillin, Sulfa, Ceclor, Ciprofloxacin

Symptom List:

Symptoms: 72 hours after receiving my 2nd dose of the Pfizer vaccine I developed a pain on the right side of my neck, which then led to a headache on the back right side of my head. I began seeing black spots in my vision, which then developed into kaleidoscope vision affecting both eyes but in my left field of view. I took ibuprofen and laid down with a cold compress. The vision issues lasted for approximately 30 minutes. The headache and neck pain persisted until the next morning which was accompanied by vertigo. I then decided to go to the ER and was diagnosed with a migraine with aura. I have never experienced a migraine or visual problems before. The doctor at the ER recommended I make this report in case my symptoms are linked to the vaccine.

Other Meds: Men's multivitamin, Vitamin C, Vitamin D3, Zinc

Current Illness: None

Date Died: 04/20/2021

ID: 1273406
Sex: F
Age: 0
State: IL

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/30/2021
Hospital:

Vax Type:
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Allergies: none

Symptom List:

Symptoms: Patient developed a fever about 2 hours after administration of vaccine of 104 on 4/16. After fever 104 x 3 days patient was taken to urgent care, 4/19 found to be severely hyponatremic and acidotic was sent directly to ER. Patient died in ER on 4/20/21. Labs show normal wbc count, negative viral panel including covid, no other signs of infection on labwork.

Other Meds: none

Current Illness: none/ mild nasal congestion

ID: 1273407
Sex: M
Age: 76
State:

Vax Date: 03/05/2021
Onset Date: 04/16/2021
Rec V Date: 04/30/2021
Hospital: Y

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Symptoms: Patient hospitalized within 60 days of receiving a COVID vaccine

Other Meds:

Current Illness:

ID: 1273408
Sex: F
Age: 68
State: MA

Vax Date: 03/05/2021
Onset Date: 03/09/2021
Rec V Date: 04/30/2021
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Allergies: Shellfish, sulfa

Symptom List:

Symptoms: I have been experiencing more pronounced tinnitus since my COVID vaccination. My first dose was on March 5, and on March 9 or 10 I awoke with loud ringing in my right ear, louder than I had previously experienced. The tinnitus subsided to some degree and then re-emerged loudly within the past week, around April 25. I received my second dose on April 2, so this is almost 4 weeks beyond that date. The disturbance in my right ear is quite loud. The left ear is also ringing, but not as much. I have had tinnitus for some years, but I would like to register my experience because of the timing of this most recent pronounced increase in disturbance.

Other Meds: Levothyroxine, vitamin D, vitamin B-12. Between doses 1 & 2, I took a 5-day program of nitrofurantoin (3/20 - 3/25).

Current Illness: See item 9 above; dysuria

Date Died: 04/29/2021

ID: 1273409
Sex: M
Age: 75
State: WV

Vax Date: 03/30/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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Allergies: Pollen

Symptom List:

Symptoms: Resident CTB

Other Meds: Lasix, Coumadin, Lantus, Magnesium Oxide, Combivent Respimat Aerosol, fluoxetine, gabapentin, flomax, toprol, lisinopril, PreserVision AREDS, metformin, atorvastatin calcium, amlodipine, amiodarone, novolog, humalog, and levothyroxine.

Current Illness: UTI

ID: 1273410
Sex: M
Age: 26
State: IL

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/30/2021
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Allergies: n/a

Symptom List:

Symptoms: Pt began feeling dizzy and lightheaded immediately followig vaccine administration. Staff witnessed and walked patient to nearby ambulance. Pt evaluated by EMS and signed refusal after improvement of symptoms.

Other Meds: N/A

Current Illness: N/A

ID: 1273411
Sex: F
Age: 35
State: MD

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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Allergies: N/A

Symptom List:

Symptoms: The patient was vaccinated at approximately 0906 am, was walking out of the gym when a nurse noticed that she appeared to be unstable. The nurse got behind immediately before the began to fall to the ground, and she eased the patient to the ground so that she did not hit her head. After falling she was observed to lose consciousness and have rapid eye movement which appeared to be seizure like activity. After about two minutes she began to have more pronounced arm/leg movement that resembled seizure like activity. Staff attempted to arouse patient but she was not awake until 5 minutes after the seizure like activity. EMS was called at the 3 minute mark, about 0910am. Upon awakening, patient was lethargic, but able to identify herself and that she had a history of a seizure disorder, and took Keppra this morning. After regaining consciousness she again began to have seizure like activity and appeared to go in and out of consciousness. Medics arrived at 920 am and patient was transported to hospital. Husband was contacted via the patients cell phone and informed of the event.

Other Meds: KEPRA 1500MG ONE A DAY AND ONE A NIGHT

Current Illness: N/A

ID: 1273412
Sex: F
Age: 54
State: PA

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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Allergies: ASA, Psyllium, Shrimp, minocycline, Ketek, CL+ME-Isothiazolinone, Gold Sodium Thiosulfate,

Symptom List:

Symptoms: Aftertaste in mouth. Increase body aches.

Other Meds: Hydroxychloroquine, Aldactone, Topiramate, vit D, Zinc, Magnesium, Omega 3, ACV Gummies, Iron,

Current Illness: Fibromyalgia, migraines,

ID: 1273413
Sex: F
Age: 56
State: IN

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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Allergies: Phenobarbital rash hives; lodine rash; Nucynta rash hives; Voltaren rash hives

Symptom List:

Symptoms: At 5 p.m. I began having chills and as the evening progressed the chills got worse. I drank hot chocolate and that did not help. Took my shower at 7 p.m. and was cold the entire shower then went to bed with 2 blankets, a quilt, and bedsheet covering me. I had on pajama long pants and shirt along with anklet socks and still could not warm up. My hands and feet were ice cold along with my entire body. I did not feel warm until about 11 p.m. I have now noticed I have a bruise on lower left leg directly above my ankle feels like a hard spot on my vein area.

Other Meds: Armour Thyroid 30mg 6a.m. each morning; Iron pills 2 daily for upcoming hip surgery ibuprofen took 4 total on this day

Current Illness: None

ID: 1273414
Sex: F
Age: 80
State: TN

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 04/30/2021
Hospital: Y

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Allergies: NKDA, no known allergies

Symptom List:

Symptoms: Patient immediately began felling unwell after vaccination. Patient felt "generally unwell" and in a daze. Never alleviated, but second dose received. Patient then developed hypertension, tachycardia and was diagnosed with Afib within 2 weeks of vaccination. Patient was hospitalized and a pacemaker was placed.

Other Meds: unknown

Current Illness: none

ID: 1273415
Sex: F
Age: 79
State: PA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 04/30/2021
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Allergies: Sulfur Beef Poutry Salmon Shirmp Strawberries Peas Machadamian Nuts Cashew Nuts Gluten Peaches Oranges Birch

Symptom List:

Symptoms: Stuffed nose, scratchy throat, pressure in head and sinus area. Burning swollen mouth and nose. Teeth feel gritty.

Other Meds: Predisone as needed Methatrexate Folic Acid Allergy med as needed Arid 3 Vitamin D

Current Illness: Urinary Tract Infection

ID: 1273416
Sex: F
Age: 42
State: MN

Vax Date: 02/04/2021
Onset Date: 04/26/2021
Rec V Date: 04/30/2021
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Symptoms: Patient works in the healthcare setting with a patient-facing job. Pt. reports receiving the 2nd dose of the Pfizer COVID19 vaccine on 2/4/21. Pt. reports COVID like symptoms beginning 4/26/21, testing 4/28/21 and receiving a COVID positive test result.

Other Meds:

Current Illness:

ID: 1273417
Sex: F
Age: 26
State: CA

Vax Date: 02/28/2021
Onset Date: 04/01/2021
Rec V Date: 04/30/2021
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Allergies: None

Symptom List:

Symptoms: Periodic residual pain in upper left arm occurring within month of vaccination

Other Meds: Naproxen

Current Illness: None

ID: 1273418
Sex: M
Age: 78
State: PA

Vax Date: 04/03/2021
Onset Date: 04/27/2021
Rec V Date: 04/30/2021
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Allergies: temazepam mesalamine

Symptom List:

Symptoms: Patient reports flu like symptoms then was tested positive for covid 19 on 04/28/21

Other Meds:

Current Illness: C.A.D Asthma

ID: 1273419
Sex: M
Age: 27
State: VA

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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Symptom List:

Symptoms: Migraine Minor body ache Fever 101F

Other Meds: Lisinopril Claritin Fish oil

Current Illness:

ID: 1273420
Sex: F
Age: 18
State: VA

Vax Date: 04/22/2021
Onset Date: 04/26/2021
Rec V Date: 04/30/2021
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Allergies: None

Symptom List:

Symptoms: "Covid Arm": Roundish, inflamed area on injection site. Area is hard, warm, and red. No pain or itchiness. Noticed on Monday (4/26) morning, still present 4/30 (8 days after injection).

Other Meds: 200 mg Modafinil, 10mg Escitalopram, Larissia

Current Illness: None

ID: 1273421
Sex: F
Age: 43
State: IN

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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Symptoms: Painful arm, body aches and chills, fatigue. Lasted about 24 hours.

Other Meds: Escitalopram Oxalate 20 mg

Current Illness:

ID: 1273422
Sex: F
Age: 69
State: NM

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/30/2021
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Allergies: penicillin & latex

Symptom List:

Symptoms: 10 min. post inject Lt upper arm started swelling. No pain. 5min. later intense pressure/pain/surge to nose & sinus's. Couldn't breathe thru nose. Within 15 sec sinus/nose rush went to entire head with dizziness & passing out intensity. Did not loose consciousness. RN on scene. 10min later made comeback. Beads of sweet on forehead. Lt. upper arm swelling gone. Felt fine for 3 days. On 3rd day rt & lt knees to ankles began off & on sporadic (static electricity like) shocks concentrated to one area at a time. Coming & going in daytime, not at night. Continuing for 10 days. On 9th shocks lessening but then started experiencing pressure in lt. leg calf. Went to ER & had lt leg doppler. Neg. for clots. Now 4wks. later shocks gone but pressure in rt. & lt. calves continue off & on.

Other Meds: vitamin D3

Current Illness: none

ID: 1273423
Sex: M
Age: 34
State: IL

Vax Date: 04/21/2021
Onset Date: 04/23/2021
Rec V Date: 04/30/2021
Hospital:

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Allergies: None

Symptom List:

Symptoms: Developed shingles 3 days after receiving vaccination.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm