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: 1273689
Sex: F
Age: 32
State: MN

Vax Date: 03/09/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient is currently positive for Covid 19

Other Meds:

Current Illness:

Date Died: 04/19/2021

ID: 1273691
Sex: F
Age: 71
State: KS

Vax Date: 03/11/2021
Onset Date: 03/24/2021
Rec V Date: 04/30/2021
Hospital: Y

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

Lab Data:

Allergies: Unknown

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient tested positive for COVID 19 on 03/21 after a symptom onset of 03/19/21. She was admitted to the hospital on 03/24 and passed away 04/19. Cause of death is listed as multi-organ dysfunction secondary to hemorrhagic shock, other contributing factors: COVID-19 pneumonia.

Other Meds: Unknown

Current Illness: Unknown

ID: 1273692
Sex: F
Age: 37
State: CA

Vax Date: 03/11/2021
Onset Date: 03/12/2021
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: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: Sore arm has persisted since 3/12/2021. Cannot do usual activities without pain (lift arm, sleep on left side, reach for toilet paper, change clothes, and cannot do many of my usual yoga postures). At the time of injection, the shot hurt more than usual flu shots.

Other Meds: n/a

Current Illness: n/a

ID: 1273693
Sex: F
Age: 35
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/09/2021
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: Dizziness, Fatigue, Mobility decreased

Symptoms: pt developed nodules on breast, swollen nodes, dime sized lesions which opened and then subsequently healed, but leaving a acar at the 11 o'clock, 12 o'clock, and 3 o'clock

Other Meds: None

Current Illness: None

ID: 1273694
Sex: M
Age: 71
State: NC

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 04/30/2021
Hospital: Y

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

Lab Data:

Allergies: no known allergies

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

Symptoms: Chills, dizziness started within 24 hours of second injection. By Sunday, 6 days after second injection, he was hospitalized with nausea, vomiting. Day 7 he had a stroke and NSTEMI heart attack. He required ventilation twice and several modes of respiratory assistance. Currently, he is on 4 liters of oxygen and battling end stage renal disease related to diffuse disease from hypovolemic shock and infection. He remains hospitalized and deconditioning.

Other Meds: victoza, metformin

Current Illness: type 2 diabetes

ID: 1273695
Sex: M
Age: 34
State: IN

Vax Date: 04/27/2021
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: No known

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

Symptoms: Joint pain; treated with Ibuprofen

Other Meds: None

Current Illness: No known

ID: 1273696
Sex: F
Age: 36
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: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Received vaccine at 4:00 pm on 4/28. Approximately 10 hours later, I woke up in early morning hours of 4/29 with muscle pain, mostly in my arms (even in non-vaccinated arm). Went back to sleep. Woke up a few hours later for the day feeling very ill. Headache, body soreness, fever, and lethargy. Took temperature with a digital thermometer throughout day. Temperature ranged from 99.6 to a high of 100.1. Today, 4/30, (approx 42 hours after vaccine), my temp has hovered around 99.5. Still experiencing headache and lethargy. However, I feel better than yesterday. Have treated fever and pain with Tylenol.

Other Meds: Albuteral inhaler taken as needed.

Current Illness: On 3/18/2021, I began experiencing COVID-19 symptoms. I tested on 3/22/2021. On 3/24/2021, I received my PCR result, which was positive for COVID-19. I recovered from COVID-19 around 4/2/2021.

ID: 1273697
Sex: F
Age: 61
State: GA

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:

Symptom List: Pharyngeal swelling

Symptoms: LARGE RED SWOLLEN SHOULDER THAT FEELS WARM AND HARD TO TOUCH, DOESNT RESPOND TO IBUPROFEN

Other Meds:

Current Illness:

ID: 1273698
Sex: F
Age: 35
State: CO

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: Medications: Lamictal, MRI contrast, Food: Peaches

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient had difficulty breathing, throat starting to swell, difficult to swallow, EpiPen given X 2

Other Meds: Albuterol Inhaler Stratera 60 mg, PO QD Adderall 20 mg PO QD

Current Illness: No

ID: 1273699
Sex: U
Age:
State:

Vax Date:
Onset Date:
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: Diarrhoea, Nasal congestion

Symptoms: Pain spine cord, trouble breathing Neurosarciddosis

Other Meds:

Current Illness:

ID: 1273700
Sex: F
Age: 60
State: CA

Vax Date: 04/01/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Covid arm. Fever and headache

Other Meds: None

Current Illness: UTI 4/4/2021

ID: 1273701
Sex: F
Age: 70
State: NY

Vax Date: 03/12/2021
Onset Date: 04/02/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: extensive drug and food allergies

Symptom List: Rash, Urticaria

Symptoms: swelling, hives, itching an and off for the past 3 weeks. Face, Lips, groin area, hands arms, legs on and off different places different times

Other Meds: Diltiazem 180mg pulmacort inhaler vitamin D 4000

Current Illness:

ID: 1273702
Sex: F
Age: 33
State: NJ

Vax Date: 04/29/2021
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: None

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

Symptoms: Pain in left arm, soreness around the area of injection.

Other Meds: Motrin

Current Illness: None

ID: 1273703
Sex: F
Age: 68
State: WI

Vax Date: 03/15/2021
Onset Date: 03/29/2021
Rec V Date: 04/30/2021
Hospital: Y

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

Lab Data:

Allergies: Amoxicillin Penicillin

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

Symptoms: She presented for pain to her right arm. She notes Monday night (3/29/21) she couldn't sleep well, so she decided to lay on her right side, with her arm up and tucked beneath the pillow. She woke up about 1-1.5 hours later with a "Charlie horse" in her bicep area, pain was so intense that she was crying/in tears. Notes that her right hand has been colder than her left and with numbness since Monday. Use of the right arm causes pain, such as brushing her hair. She does have DDD, and notes some pain/issues with her right shoulder - so she's wondering if she has a pinched nerve. At this time she is having some numbing pain near the right side of her neck. She received COVID vaccine on 3/15/21 according to immunization registry.

Other Meds: diclofenac (VOLTAREN) 1 % gel ? lisinopril-hydroCHLOROthiazide (ZESTORETIC) 20-12.5 MG per tablet ? metoPROLOL tartrate (LOPRESSOR) 100 MG tablet ? atorvastatin (LIPITOR) 20 MG tablet ? Budeson-Glycopyrrol-Formoterol (Breztri Aerosphere) 16

Current Illness: None

ID: 1273704
Sex: M
Age: 46
State: OH

Vax Date: 03/21/2021
Onset Date: 04/02/2021
Rec V Date: 04/30/2021
Hospital: Y

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

Lab Data:

Allergies: None

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

Symptoms: Stroke

Other Meds: None

Current Illness: None

ID: 1273705
Sex: F
Age: 55
State: TX

Vax Date: 03/11/2021
Onset Date: 03/30/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Early in the morning I started developing a headache. I typically have migraines and thought this was just what I was getting. I took Excedrin Migraine to try to keep it from getting worse, but it continued to get worse and worse and worse. About noon I found that I could not stand any light or sound - this is not typical for me as I can usually listen to things during a headache even if I can't open my eyes. I ended up spending all the rest of the day and the night alone in a dark noiseless room. I told my husband it was the worse headache I had ever had. It was only later that we found out the shot caused blood clots in the head. I did not correlate the two because it had been so long - almost 3 weeks - since my vaccination.

Other Meds: Excedrin Migraine

Current Illness: none

ID: 1273706
Sex: M
Age: 62
State:

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:

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

Symptoms: lymphangitis R axilla from COVID-19 vaccine reaction

Other Meds:

Current Illness:

ID: 1273707
Sex: F
Age: 43
State: CO

Vax Date: 04/05/2021
Onset Date: 04/08/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Vicodin, Phenergan Sulfa antibiotics

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 4 days after each vaccination, I experienced severe, painful bloating and cramping, diarrhea with bloody stool and intestinal bleeding in conjunction with inflammation and stranding of descending colon

Other Meds: Cymbalta Losartan

Current Illness: Post-covid syndrome (aka long haulers)

ID: 1273708
Sex: F
Age: 38
State: WA

Vax Date: 04/16/2021
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: Augmentin - light rash

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: About two weeks ago, I started to notice my legs were itching more than normal. Then, this Monday (4/26), the skin on my legs started burning. On Tuesday (4/27), I woke up not feeling the burning, but as I started my day, my skin on my legs started to feel like there were pin pricks all over. This then transitioned to the burning that I felt on Monday. Since Tuesday, I wake up and my legs feel fine, but as I go about my day, my skin starts to burn, with the burning sensation increasing in intensity until the afternoon. Given my history of Hodgkin's lymphoma, I saw my oncologist today. My blood work was all normal and he said the symptoms do not indicate lymphoma. He did some simple neurologic tests, but nothing is out of the ordinary. I mentioned that I had received the COVID vaccine two weeks ago. He said my symptoms did not sound like Guillain Barre, but recommended that I contact someone who might be better positioned to know for sure - like the CDC. He also suggested that I confer with an expert before I get my second COVID dose. If possible, I would appreciate speaking with an expert who could advise on next steps, as well as to let me describe the symptoms in more detail - if warranted. I want to get my second COVID vaccine dose, but I also recognize the concerns re: Guillain Barre. Thank you.

Other Meds: 75mg sertraline per day 10mg loratidine per day Vitamin D 4,000 IU

Current Illness: None

ID: 1273709
Sex: F
Age: 45
State: IN

Vax Date: 04/28/2021
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: None

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

Symptoms: Little bit of a sore arm the day of and the day after. But the third day i had a very swollen lymph node in my right arm pit.

Other Meds: Losartan, Zyrtec, Krill Oil, Vitamin D, Bayer low dose aspirin

Current Illness: None

ID: 1273710
Sex: F
Age: 19
State: MN

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

Symptoms: One of the nursing students went to give the vaccine and once the needle was placed into the patients muscle the needle separated from the syringe - The student states that a very small amount (less than 1/2) of the dose entered into the patients arm. the student reported it right away, discussed with the instructor and research was conducted on what the recommendations were. Per MDH guidance - (syringe and needle separated during injection). We did give the person an additional dose in the opposite arm based on the Dosage recommendation in the attached document. https://www.cdc.gov/vaccines/covid-19/downloads/covid19-vaccine-errors-deviations.pdf

Other Meds:

Current Illness:

ID: 1273711
Sex: F
Age: 30
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:

Symptom List: Unevaluable event

Symptoms: Client felt overly warm after second dose of Pfizer vaccine. Was assisted to a cot by a nurse. Vital Signs taken: BP 118/78 Pulse of 74. Given water and rest. Kept for 30 minutes. Recovered.

Other Meds:

Current Illness:

ID: 1273712
Sex: M
Age: 59
State: FL

Vax Date: 04/10/2021
Onset Date: 04/19/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Vaccine injection site bleeding at time of vaccine, followed by a sever bruise that has lasted well beyond 3 weeks. About 7-10 after vaccine, tinnitus in left ear began. Has not subsided.

Other Meds: N/A

Current Illness: None

ID: 1273714
Sex: F
Age: 65
State: NH

Vax Date: 04/16/2021
Onset Date: 04/18/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: react to codeine

Symptom List: Injection site pain, Pain

Symptoms: After the first shot, my lymph node under left arm was quite swollen and painful for a week. Had 100 fever, chills, severe aches - for two days, then felt fine. (I had Covid in Dec 2020, so first vaccine shot was only 3 months after my infection) After the second shot, again had 100 fever and chills and severe body aches for 2 days, then felt fine. Lymph node under right arm was swollen and painful for several days. AND I suddenly had a metallic taste in my mouth, and my smell was weird - less able to clearly delineate what I was smelling. This has lasted two weeks now....

Other Meds: Vit D, C, multivitamin

Current Illness: none

ID: 1273715
Sex: M
Age: 25
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:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Symptoms: arm pain, fever, headache, chills, thirst, tiredness, joint pain. Length of most severe symptoms: 48h. Strong arm pain in the first evening after the vaccination (April 28) which caused poor sleep. Fever and chills start that night, along with excessive thirst. Arm pain alleviates first on the 29th, but fever lasts for the entire day, around 37.8C. Tiredness and light joint pain are also present. In the morning of April 30th, 48h after the vaccination, most symptoms are gone and only a light arm pain remains.

Other Meds:

Current Illness:

ID: 1273716
Sex: F
Age: 52
State: PA

Vax Date: 04/17/2021
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: Sulfa drugs

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

Symptoms: Tinnitus (started 3 days after the second dose of vaccine; still experienced tinnitus 13 days after 2 dose of vaccine)

Other Meds: Topomax; Amlodopine; Allegra; women's multi vitamin

Current Illness: None

ID: 1273717
Sex: M
Age:
State: IL

Vax Date: 03/30/2021
Onset Date: 05/17/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: morphine

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: irregular periods: after having the COVID19 vaccine, she read about this happening to other women, vet reports having 2 weeks of vaginal bleeding, despite having the Nuvaring in, she reports having a normal period 3 weeks ago, but had started bleeding again and not normal spotting but having what she describes as a full period. Vet reports she had always had random spotting between periods, that was light and not every cycle. Vet reports that she would sometimes keep the nuvaring in for 4 weeks to skip periods, sometimes. She was advised she May replace immediately with new ring after 21 days, to skip period for up to 3-4 months at a time, but she will have increased spotting risk when attempting to skip periods. Vet wants to continue the Nuva ring. Vet agrees to vaginal ultrasound and will report any problems with ongoing bleeding, or if she had pain, so that gyn referral could be placed.

Other Meds: Active Outpatient Medications Status ========================================================================= 1) ACETAMINOPHEN 250/ASA 250/CAFF 65MG TAB TAKE 2 ACTIVE TABLETS BY MOUTH TWICE A DAY A

Current Illness:

ID: 1273718
Sex: F
Age: 57
State: MN

Vax Date: 04/10/2021
Onset Date: 04/12/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: PCN

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Huge swelling of left breast and under arm, remaining seroma from left breast became abscessed and was I & D'd with approximately 1/4 cup of green pus. Wound left open to continue draining. Given 1 Gram of Rocephin and 7 days of Bactrim. After 5 days, saw original surgeon who advised packing with 1/4 inch packing material in hopes of seroma healing inside out. Also had major body aches, severe headache 102.5 fever, etc. for 24 hours.

Other Meds: Venlaflexine, Skyrizi, Wellbutrin, Vit. C, Vit. D, Vit B complex, exestamene, triamterene HCTZ, Centrum multivit, calcium, zinc

Current Illness: None

ID: 1273719
Sex: M
Age: 91
State: MN

Vax Date: 01/28/2021
Onset Date: 02/03/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient hospitalized within 6 weeks of vaccine. Hospitalized on 2-3-21, 3-17-21, 3-19-21, 3-20-21 and 3-24-21.

Other Meds:

Current Illness:

ID: 1273720
Sex: F
Age: 32
State: KY

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: Ultram Mango Pine Mold

Symptom List: Nausea

Symptoms: Patient received 1st dose on 4/13/2021 and received the 2nd dose on 4/30/2021. No immediate reaction

Other Meds:

Current Illness:

ID: 1273721
Sex: F
Age: 43
State: GA

Vax Date: 04/15/2021
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:

Symptom List: Injection site pain

Symptoms: A little over a week after receiving the vaccination, patient experienced itching inside of mouth and developed hives/swelling/welts in multiple places on hands. The welts have persisted for 7 days despite patient using oral diphenhydramine. Patient states that the welts are itching. Patient denies hives on any other part of body besides hands. I advised that the patient visit her doctor as I was not able to provide further assessment/care in the pharmacy setting.

Other Meds:

Current Illness:

ID: 1273722
Sex: F
Age: 34
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Patient began having symptoms of chest tightness and throat tightness 4 hours after receiving her first dose of the Janssen vaccination. Patient went to the ER were she presented with fever, chills, lip tingling, finger tingling and feeling like her tongue was swelling 10 hours after getting the vaccine. Patient received antipyretics and Benadryl and began to feel better. On re-exam patient was still hot to the touch and tachycardic. Patient was diagnosed with a vigorous immune response to the vaccination.

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Current Illness:

ID: 1273723
Sex: F
Age: 47
State: CA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/30/2021
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Allergies: Have been stung by bees twice and swell up at site only. Leaves scars. No shortness of breath either time

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

Symptoms: Same day & next day: On the drive home from the vaccination appointment, I noticed my upper lip was numb/tingling and a little swollen. It continued. I felt nauseous and tired the following day--sleeping all day. Exactly 7 days later (around 7:30-8 pm), my left arm at the injection site began itching. I woke up this morning and it is red, itchy and warm. I feel nauseous and dizzy, and periodically breakout in a cold sweat.

Other Meds: Prozac Topirimate Vitamin D Apple Cider Vinegar Tumeric Claritin

Current Illness: none

ID: 1273724
Sex: F
Age: 53
State: WA

Vax Date: 04/14/2021
Onset Date: 04/16/2021
Rec V Date: 04/30/2021
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Allergies: Eggs, milk hormone RBST or antibiotics cows take

Symptom List: Tremor

Symptoms: Headache for 2 weeks now! Level 3 to level 7, above and behind eyebrows. Took 1 Alieve on 4/28/21 and it helped mask pain for 12-ish hours but headache is back and now shoulder/back/neck pain on right side since 4/29/21 and today 4/30/21

Other Meds: Vitamin D, B, C

Current Illness: none

ID: 1273725
Sex: F
Age: 16
State: OH

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

Symptom List: Erythema, Pruritus

Symptoms: Patient waited 15 minutes after administration of vaccine. No adverse reactions at that time. Later in the evening, approx 6:30pm, patient's mother called on-call physician and stated she was developing hives all over. "Brief" episode of shortness of breath per mother, symptoms faded after an hour. The next morning, hives returned along with "pimple" like bumps sporadically showing up on the face where the hives where. Patient stated the bumps hurt and are itchy. Benadryl and hydrocortisone cream were recommended. No difficulty breathing or any other sx noted. Will continue to monitor reoccurrence of hives/bumps.

Other Meds: Venlafaxine ER 37.5mg Omeprazole 20mg Hydroxyzine 25mg busprione 5mg

Current Illness: None

ID: 1273726
Sex: F
Age: 48
State: PR

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

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

Symptoms: Red, itchy, swollen and painful rash on the arm where I received the shot, extending halfway down the arm.

Other Meds: Metformin, Losartan, Synthroid

Current Illness:

ID: 1273727
Sex: M
Age: 16
State: WA

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

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

Symptoms: Syncopal episode, hypotension, pale

Other Meds: None

Current Illness: None

ID: 1273728
Sex: F
Age: 43
State: FL

Vax Date: 04/21/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: I noticed an itchy lump on my arm at the vaccination site.

Other Meds: None

Current Illness: None

ID: 1273729
Sex: F
Age: 40
State: ME

Vax Date: 04/12/2021
Onset Date: 04/27/2021
Rec V Date: 04/30/2021
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Allergies: None

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

Symptoms: I started to notice what I thought was a bug bite. It was not getting bette after a couple of days so i booked a virtual appointment. I was diagnosed with shingles 4/29/21. I?ve never had this happen before. I have had chicken pox when I was a child but never had a flare up before. I am now on anti viral medication as of 4/29/21

Other Meds: None

Current Illness: None

ID: 1273730
Sex: M
Age: 59
State: UT

Vax Date: 04/01/2021
Onset Date: 04/08/2021
Rec V Date: 04/30/2021
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Allergies: None

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

Symptoms: Detached/torn retina to left eye.

Other Meds: Rosuvastatin

Current Illness: None

ID: 1273731
Sex: F
Age: 65
State: CA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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Allergies: Sulfa Drugs

Symptom List: Pain in extremity

Symptoms: Patient experiencing itchy rash on arms and back approximately 20 minutes following first dose of Pfizer. Patient given 50mg IM Benadryl at vaccination site. Symptoms resolved about 10 minutes after receiving Benadryl.

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Current Illness:

ID: 1273732
Sex: M
Age: 31
State: WI

Vax Date: 04/01/2021
Onset Date: 04/08/2021
Rec V Date: 04/30/2021
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Allergies:

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

Symptoms: Rash on belly and sides lasting 14 days. Fever like chills lasting 48 hours.

Other Meds: Quetiapine (seroquel) 100mg 12hrs. Prior.

Current Illness:

ID: 1273733
Sex: M
Age: 43
State: MA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/30/2021
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Allergies: pollen

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

Symptoms: First episode of Herpes Zoster in R C6 dermatome 3d after the #1 in series Pfizer Covid vaccine.

Other Meds: Claritin Famotidine

Current Illness:

ID: 1273734
Sex: F
Age: 22
State: OR

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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Allergies: none

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

Symptoms: PT has severe arm pain, joint pain, unable to move her left arm. Pain 9/10

Other Meds: Birth control

Current Illness: none

ID: 1273735
Sex: F
Age: 52
State: IN

Vax Date: 04/01/2021
Onset Date: 04/23/2021
Rec V Date: 04/30/2021
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Allergies: Kna

Symptom List: Vomiting

Symptoms: Headache, joint ache, fever, exhaustion

Other Meds: Carvedilol, Venlafexine, Bupropion, Spironolactone, HCTZ, Valsartan, daily vitamin

Current Illness: None

ID: 1273736
Sex: F
Age: 35
State: AZ

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 04/30/2021
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Allergies: none

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 3/9/2021 pt developed a headache and her tongue was numb, on 3/10/2021 pt developed Right sided facial drooping, and the same nodules to Left breast, pt went to ER on 3/10 and was provided Prednisone, Acyclovir and eye drops. pt R eye is not closing at all on attempt. pt has reported the adverse event on her online portal

Other Meds: None

Current Illness: None

ID: 1273737
Sex: F
Age: 66
State: FL

Vax Date: 04/01/2021
Onset Date: 04/05/2021
Rec V Date: 04/30/2021
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Allergies: Penicillin, mild shellfish, sulfates

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

Symptoms: 102 fever. 14 hrs after shot . For 24 hrs Rash appearing post shot aporoximately 4 days later -groin area and upper right hip. Continued to present it self interior arms soft skin then back of legs. Fading as of 04-20-2021 in the. Sequential order of the rash presenting itself Prior to rash extreme sensitivity to touch on right side hip. Peeling occurred after 1st shot on lower legs. Benedryl seemed to help

Other Meds:

Current Illness:

ID: 1273738
Sex: M
Age: 48
State: VA

Vax Date: 04/10/2021
Onset Date: 04/17/2021
Rec V Date: 04/30/2021
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Allergies: Alpha-gal

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 7 days after vaccine I had a pretty intense, unprovoked anxiety attack. I was not under any stress, have never had anything like this occur, was not doing anything strenuous and all of a sudden had what I thought might even be a stroke or heart attack. I walked back to the house and took BP and it was 172/75 and pulse rate was only 64...but I was sweating, faint feeling, blurred vision, completely exhausted and it felt like my heart was pounding...but it wasn?t.?? I took BP multiple times but it was fine. Just a really strange anxiety attack I guess that lasted a few hours. I wasn?t worried about it and was t going to report it but have had 3 other people who unsolicited told me about their anxiety attack between 5 -7 days after shots. Two were phizer and one was Modena. Figured I would report it in case it helped someone else to not panic if they had an event like this. It was quite scary and I don?t get worried about things like that!

Other Meds: Crestor

Current Illness:

ID: 1273739
Sex: F
Age: 56
State: ME

Vax Date: 04/04/2021
Onset Date: 04/05/2021
Rec V Date: 04/30/2021
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Allergies: NKDA

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

Symptoms: malaise, arthralgias requiring tylenol, lasting at this time 4 weeks with mildly elevated CRP and D-dimer

Other Meds: Diltiazem CD 180 QD, Vitamin D

Current Illness: none

ID: 1273740
Sex: M
Age: 33
State: PA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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Allergies: NONE

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

Symptoms: POST VACCINE, PATIENT NOTED TO HAVE TREMORS, AND NEAR SYNCOPAL EPISODE. ASSISTED TO FLOOR, FEET PLACED ON CHAIR, DID NOT LOSE CONSCIOUSNESS. ASSISTED TO STRETCHER, TAKEN TO OBS WITH DAD, PLACED IN TRENDELENBERG, REPORTS SLIGHT RELIEF (SPECIAL NEEDS). ALSO REPORTED NAUSEA. VSS THROUGHOUT EPISODE. ONCE S/S IMPROVED, SAT UP AND SNACK PROVIDED. ONCE S/S RESOLVED, ESCORTED VIA WC WITH FATHER TO EXIT WITH NO ISSUES AT 1245. 1140 LYING BP 110/76 HR 98 RR 22 SATS 99% RA 1200 SITTING BP 108/75 HR 90 RR 20 SATS 98% RA 1230P STANDING BP 110/72 HR 88 RR 20 SATS 99% RA

Other Meds: NONE

Current Illness: NONE

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am