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: 1274303
Sex: U
Age: 21
State: MA

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: NKDA

Symptom List:

Symptoms: Patient presented to clinic for 1st covid vaccine. Post vaccination 2 min after patient mentioned not feeling to well and feeling nauseous. Patient was given apple juice and water, patient then vomited into emesis bag. MD on call Dr. was alerted. Vital signs were obtained and reported to Dr. Patient states they were feeling much better, they were observed for 15 min. Per MD order patient left once feeling able to. Pt then ambulated out of the facility.

Other Meds: unknown

Current Illness: unknown

ID: 1274304
Sex: F
Age: 18
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: Mold

Symptom List:

Symptoms: Red Face. The redness developed 24 hours after first dose Pfizer. (received shot at 12PM Friday, face began to itch noon Sat)There was no associated SOB, DOE, dysphagia, and no enlarged tongue. Face was hot and itching Neg PMH, No Meds NKA, + seasonal allergies. No new exposure history Resolved completely within 24hrs following single dose of Zyrtec .

Other Meds: No

Current Illness: A cold two days prior prior to vaccine

ID: 1274305
Sex: F
Age: 47
State: ME

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: sulfa, pennacilin

Symptom List:

Symptoms: severe brain fog lasting 2+ days, body aches 2+ days, headache

Other Meds: sertraline

Current Illness: none

ID: 1274306
Sex: F
Age: 48
State: CA

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Yes

Symptom List:

Symptoms: Joint swelling and pain, pain and swelling in lymph nodes behind knees, in groin, and armpits. Muscle pain, fatigue, inflammation in hands and feet. Lasting three weeks now without improvement

Other Meds: None

Current Illness: None

ID: 1274308
Sex: F
Age: 39
State: CA

Vax Date: 03/25/2021
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: shrimp

Symptom List:

Symptoms: Heart palpitations - very strong and frequent, occurring every minute. High blood pressure I have never had either of these conditions ever in my life. I went to urgent care once, and ended up in the ER om 4/20/21. 1 month after my second shot, the palpitations are getting better and my blood pressure is going back to normal.

Other Meds: Zyrtec, collagen/biotin, womens once daily vitamin

Current Illness: none

ID: 1274309
Sex: M
Age: 70
State: NJ

Vax Date: 02/27/2021
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: 1st shot 02/27/21 second shot 03/24/21; after second shot 7 days april 1st got red spot on arm, then dumbness then pins and needles feeling from shoulder blade to finger tips right arm.. then tremers, went to hosp. got lots of test then was told to see neurolagest ,called hospital and was told they could not get me a appointment for 4 months, so now i have to put up with all the pain 24 hours a day for 4 months and hope i can get help...i am a 100% dissabled.

Other Meds:

Current Illness: none

ID: 1274311
Sex: M
Age: 81
State: CA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
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: 2nd dose of Moderna COVID Vaccine received 21 days after 1st dose to prevent wastage of expiring doses. No adverse reaction noted.

Other Meds:

Current Illness:

ID: 1274312
Sex: F
Age: 60
State: CA

Vax Date: 04/26/2021
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: penecillin, xarelto, tizanadine, baclofen

Symptom List:

Symptoms: LOW GRADE FEVER SCRATCHING COUGH SLEPT 34 HOURS AFTER SHOT TASTE AND SMELL AFFECTED STUFFY NOSE HEADACHE

Other Meds: Lisinopril, celexa, tramadol, oxycodone, atorvastatin,

Current Illness: none

ID: 1274313
Sex: F
Age: 55
State: NJ

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: Allergic to Atorvastatin (Lipitor)

Symptom List:

Symptoms: Symptoms - Fever, body aches, swollen lymph nodes, nausea, headache, chills Treatment - Tylenol and rest

Other Meds: Omeprazole 20 MG DR capsule (Prilosec) Rosuvastatin 10 MG tablet (Crestor)

Current Illness: None

ID: 1274314
Sex: F
Age: 67
State: FL

Vax Date: 04/26/2021
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: NAPROXEN INFED ROCEPHIN

Symptom List:

Symptoms: 11:10 AM - BEGAN SCRATCHING 11:15 - BEGAN CLEARING THROAT 11;20 - BEGAN COUGHING 11:20 FELT LIKE I WAS CHOKING, ALSO FELT LIGHTHEADED 11:25 TAKEN TO ER BY WHEELCHAIR 11:30 TRIAGE - EKG, PULSE OX 11:35 PUT IN ROOM AND EVALUATED BY DR. GIVEN IV BENADRYL, PEPCID, STEROIDS 11:45 SHOT OF EPINEPHRINE 2:30 PM RELEASED FROM ER

Other Meds: CYMBALTA HYZENTRA LISINPROL CARDURA METPHORMIN JANUVIA

Current Illness: NONE

ID: 1274315
Sex: F
Age: 50
State: PA

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: Penicillin

Symptom List:

Symptoms: Post vaccine pt became dizzy, felt lightheaded, and felt throbbing in ears. Pt transferred to med obs via wc. Pt reported feeling better after sitting on stretcher. Vitals obtained and monitored. Pt had no complaints of chest pain. Pt had no complaints of SOB. After assessing extraocular movements determined no nystagmus. Pt released at 15:42. Vitals as follows: 1537 SITTING BP 119/84 HR 76 RR 18 SpO2 97%

Other Meds: Prozac / Prilosec / Doxycycline

Current Illness:

ID: 1274316
Sex: F
Age: 29
State: PA

Vax Date: 12/21/2020
Onset Date: 12/24/2020
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Clomid [Clomiphene Citrate]Other (document details in comments) Sulfamethoxazole-trimethoprimNausea and Vomiting

Symptom List:

Symptoms: URI, bronchitis, bronchiolitis, allergic rhinitis, atypical pneumonia, community-acquired pneumonia, asthma exacerbation, COPD exacerbation

Other Meds: COMPOUND LORazepam (ATIVAN) 0.5 mg tablet sertraline (ZOLOFT) 50 mg tablet valACYclovir (VALTREX) 1 gram tablet

Current Illness: none

ID: 1274317
Sex: F
Age: 26
State: MO

Vax Date: 04/08/2021
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: I reported earlier that I had a rapid heart rate and tinnitus after the vaccine. I still have the tinnitus and now I have developed shingles on the same side I got the vaccine. Not sure if it?s relevant, but wanted all of the information available.

Other Meds: N/A

Current Illness: N/A

ID: 1274318
Sex: F
Age: 49
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: unknown

Symptom List:

Symptoms: Patient received second dose of Pfizer vaccine 4/30/21 at 1410. Pt reported history of asthma and a previous reaction with the last dose of the vaccine consisting of an asthma attack with cough. EMS was called and pt was transported to ER after reaction and stabilized. As a result, pt was to wait for a 30 min. observation after this dose per pharmacy guidance on-site. Pt had also pre-medicated with maintenance inhaler, nebulizer treatment, Benadryl, and Zyrtec prior to appointment. Pt reported mild itching of the extremities and cough to RN in observation room at 1430. RN immediately administered 25mg PO Benadryl using emergency kit. RN notified pharmacist in vaccination room who came to assess pt as well. RN obtained vitals, all stable. BP 123/69, HR 76, RR 16, O2 97% on room air. Pt denied chest pain, shortness of breath. Pt able to talk, A&Ox3 with mild cough. Lungs ausculated, clear & equal bilaterally in upper and lower lobes. VS obtained and stable once more. Pt self-administered albuterol inhaler x 2 puffs with relief. However, cough continued to worsen in frequency. RN advised to pt that discharge would not be safe at this time given her symptoms and that RN would like pt to report to ER via EMS. Pt and husband expressed concern over cost of transportation via ambulance and decided to refuse ambulance transport to ER. Pt and husband ambulatory to exit at 1500 to drive to ER (less than 3 min. away from clinic). At time of discharge, pt remained A&Ox3 with no outward signs of respiratory distress apart from asthma-related cough symptoms.

Other Meds: Pt pre-medicated vaccine with home maintenance inhaler, nebulizer treatment, Zyrtec, and Benadryl

Current Illness: history of asthma per patient

ID: 1274319
Sex: M
Age: 31
State: CA

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:

Symptoms: Patient presented to ED with complaint of left arm pain starting today (2 days post-vaccine). Axillary pain, lymph node palpable. Dx axillary lymphadenopathy. Patient received ketorolac 30mg IM x1 and discharged home from ED.

Other Meds: none

Current Illness: none

ID: 1274320
Sex: F
Age: 53
State:

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:

Symptom List:

Symptoms: c/o eyes feeling tired and burning. left side of face felt "tight" and tongue felt thick. BP 188/91, HR 88,R 16, O2 sat 97. Known borderline HBP. Administered Benadryl 50 mg. 1107 BP 177/90, HR 82, R 16, O2 Sat 98. States feels much better. No more tightness in face and eyes better. No feeling of tongue thickness. Swallows well. No c/o rash, itching and none noted.

Other Meds:

Current Illness:

ID: 1274321
Sex: F
Age: 65
State: TX

Vax Date: 04/10/2021
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: Codeine, Compazine, Prochlorperazine,

Symptom List:

Symptoms: Patient came in for the first Pfizer COVID vaccine. Patient received her injection at 9:56am and started feeling " funny in the entire front chest wall" at 10:01am. no chest pain. " the same feeling when she received CT contrast or when she was diagnosed with seizure". Bp elevated. 170/76 initially at 10:05am, then repeat 164/74 at 10:15am. 152/74 at 10:50am. EKG-NSR> Her sx lasted from 10:01am to 10:25am. then restarted at 10:31am. EMS was called and she was transported to the hospital by EMS for further evaluation.

Other Meds: Amlodipine 5mg, Aspirin 81mg, Cholecalciferol, Clonidine HCl 0.1mg, Escitalopram 10mg, Ibuprofen 200g, Levetiracetam 500mg, Melatonin, Olmesartan 20mg, Simvastatin 10mg.

Current Illness: Hip pain, Low back pain, Hernia of anterior abdominal wall, vitamin d, anxiety, hyerlipidemia, hypertension

ID: 1274322
Sex: F
Age: 39
State: CA

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:

Symptoms: Initial reaction mild, stiffness in left arm, pain and swelling around injection site. Next day woke up with muscle ache and weakness. Migraine-like headache, neckache, nausea. Feeling of disorientation, fever of 102/chills. Took excedrin for symptoms, most faded by 1pm 29 April 2021. Woke up 30 April 2021 with fever 100 degrees, took ibuprofen, fever broke with sweating. Mild itchiness, redness, and swelling persist at injection site.

Other Meds: cetirizine HCL 10mg

Current Illness: none

ID: 1274323
Sex: F
Age: 31
State: NY

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: Allergic to bactrim and ceclor

Symptom List:

Symptoms: 100.1 fever after 2 ibuprofen, chills for several hours, body aches (felt more like bone aches - even my teeth hurt), didn't sleep at all due to body aches

Other Meds: Levoxyl 112mcg Venlafaxine 75mg Take daily probiotic

Current Illness: N/A

ID: 1274324
Sex: F
Age: 56
State: OH

Vax Date: 03/15/2021
Onset Date: 03/15/2021
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: Onset of sx started several hours after first Covid vaccine. Started with severe injection site pain, diffuse pruritis, body aches, fever 101.7 axillary, chills/sweats, and severe HA. Took acetaminophe, alternated w ibubrofen every 4 hours overnight. Next AM woke w T 99.7 axillary, HA, weakness, severe body aches, fatigue, sore throat and dry throat. Injection site swollen to ~7 mm diam with bruised appearance, extremely tender, unable to lie on L side. Able to sip sports drink; warm, clear liquids (soup) without appetite. Continued w Ibuprofen HA formula. Sleep difficult due to chills/sweating. Also frequent cough, SOB with ADLs. Recd Dose #2 Pfiz 4/5/21 - s/sx worsened significantly and CONTINUE.

Other Meds: --NONE--

Current Illness: --NONE--

ID: 1274325
Sex: M
Age: 54
State: NJ

Vax Date: 04/05/2021
Onset Date: 04/22/2021
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:

Symptoms: Ischemic CVA

Other Meds: Amlodipine 10mg PO daily Lipitor 80mg PO bedtime Chlorthalidone 25mg PO daily Losartan 50mg PO daily

Current Illness: HTN

ID: 1274326
Sex: F
Age: 17
State: LA

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: Patient was not 18. She had no symptoms and feels fine.

Other Meds:

Current Illness:

ID: 1274327
Sex: M
Age: 53
State: TX

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Patient received J&J vaccine dose #1. Over the next two weeks, developed fatigue, anorexia, and malaise (had been fatigued prior to dose). Presented to local hospital and ultimately was diagnosed with acute megakaryocytic leukemia. Now in hospital for initial treatment of leukemia. Unlikely to be related to vaccine, reporting due to hospitalization and severity of illness.

Other Meds: None

Current Illness: None diagnosed (see report)

ID: 1274328
Sex: F
Age: 54
State: CA

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: unknown

Symptom List:

Symptoms: patient inadvertently vaccinated on day 16 post Dose 1. patient informed, no s/s immediately reported.

Other Meds: unknown

Current Illness: unknown

ID: 1274329
Sex: F
Age: 64
State: PA

Vax Date: 03/28/2021
Onset Date: 03/01/2021
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: I GOT RINGING EARS WITH THE FRIST DOES. A FEW DAYS AFTER GETTING IT. IT HAD BEEN 24/7 . IAM HAVING TROUBLE SLEEPING. THE NOISE IS CONTANT. IT HAS GOTTON VERY LOUD AT TIMES IT WENT AWAY IN A FEW DAYS>

Other Meds: IDERAL 60mg SIMVASTATIN 20mg FOSMAX 70mg SYTHROID 112mg

Current Illness: none

ID: 1274330
Sex: F
Age: 28
State:

Vax Date: 04/22/2021
Onset Date: 04/23/2021
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: My period was two weeks early after getting my second dose of Pfizer vaccine.

Other Meds: Birth control

Current Illness:

ID: 1274331
Sex: F
Age: 36
State: OR

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:

Symptom List:

Symptoms: No adverse effects detected at this time. Despite being specifically asked, Pt did not disclose that they had received Pfizer for their first dose. Pt received Pfizer vaccine for Covid-19 at another location but received Moderna for the 2nd dose before this was discovered.

Other Meds:

Current Illness:

ID: 1274332
Sex: M
Age: 72
State:

Vax Date: 03/01/2021
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:

Symptom List:

Symptoms: asymptomatic covid infection after 1 month of vaccine administration

Other Meds:

Current Illness:

ID: 1274333
Sex: F
Age: 71
State: CA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
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: 2nd dose of Moderna COVID Vaccine administered 21 days after 1st dose to prevent wastage of expiring doses. No adverse reaction noted.

Other Meds:

Current Illness:

ID: 1274334
Sex: F
Age: 45
State: CA

Vax Date: 03/30/2021
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: No Known Allergies

Symptom List:

Symptoms: Patient first experienced drooping right eyelid the evening following vaccination. She has hx of Bell's Palsy in 2012 and reports same symptoms continued to develop, right eyelid and right mouth drooping. She also reports tingling and numbness throughout most of right side of face. These symptoms have not improved or worsened since 03/30/21 and continue today 04/30/21. She also reports sensation of heart fluttering intermittently for 3 days following vaccination; this symptom has resolved.

Other Meds: Amlodipine 2.5 mg p.o. daily Seasonique 0.15-0.03-0.01 mg one tab daily

Current Illness: none

ID: 1274335
Sex: M
Age: 35
State: MN

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

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Covid arm. 4? rash at point of injection

Other Meds: NA

Current Illness: NA

ID: 1274336
Sex: F
Age: 25
State: NM

Vax Date: 04/08/2021
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: NKDA

Symptom List:

Symptoms: Healthy young women of 25 years of age with spontaneous pregnancy. Regular period prior to becoming pregnant. Patient had miscarriage on 04/29/21 with anembryonic pregnancy. Anembryonic pregnancy confirmed by ultrasound on 4/23/21. Covid vaccine received on 4/8/21. Patient roughly 4 wks pregnancy at time of vaccine dose.

Other Meds: Prenatal vitamin.

Current Illness: None.

ID: 1274337
Sex: M
Age: 44
State: CO

Vax Date: 04/10/2021
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: None

Symptom List:

Symptoms: Severe to moderate epistaxis for 6 days. Rhino rocket at onset of bleed and removed 36 hours later. Various other packings attempted for approximately 60 hours all of which failed to stop recurring bleeding. Rhino rocket inserted and will remain inserted for four days. Scheduled to be removed by an Ear, Nose and Throat specialist at the end of four day period. Continuing treatment unknown at this time.

Other Meds: None

Current Illness: None

ID: 1274338
Sex: M
Age: 64
State: OH

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:
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Lab Data:

Allergies: NKDA

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Symptoms: The patient received their first dose of Moderna COVID-19 vaccine on 04/01/2021; The patient returned Public Health's drive through vaccination clinic on 04/29/2021 to receive their second dose of the COVID-19 vaccine. The nurse administering the vaccine to the patient asked the patient what vaccine they had received first and the patient informed the nurse they had Pfizer COVID-19 vaccine, the nurse then administered Pfizer COVID-19 vaccine to the patient as that was the vaccine Public Health was providing that day for second doses. The patient was inadvertently given the Pfizer COVID-19 vaccine instead of the Moderna COVID-19 vaccine for their second dose. Therefore there was no adverse reaction to the COVID-19 vaccine, the patient was inadvertently given Pfizer COVID-19 vaccine instead of second dose being Moderna COVID-19 vaccine.

Other Meds: N/A

Current Illness: N/A

ID: 1274339
Sex: F
Age: 46
State: UT

Vax Date: 03/19/2021
Onset Date: 04/18/2021
Rec V Date: 04/30/2021
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Allergies: NKDA

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Symptoms: Woke up in the morning (a.m.) of 04/18/2021 with two breakout lesions/welts on left backside of lower abdominal region, along with one rash on the front of the lower abdominal region of what appeared to be a Shingles (herpes zoster) outbreak/reactivation. I have never had Shingles before in my lifetime. I did experience the chickenpox at age 5. I have not received the Shingrix vaccination because I am under the age of 50 years old. I instantly went to the nearest Urgent Care and, shortly after 9:00 a.m. I was diagnosed with having a Shingles (herpes zoster) outbreak/reactivation. The doctor prescribed valacyclovir 1 gram to be taken 3 times a day for 7 days. I took all doses on time and never missed or skipped a dose. I completed this course of valacyclovir on 04/24/2021. The reason for my reporting this adverse event is because I read an article.

Other Meds: Morning: Alive Women's Ultra Potency Complete Multivitamin (1) Iodoral (1) Vitamin D3 + K2 10,000/200 mcg IU (1) and 5,000 IU/100 mcg (alternate dosages q.o.d.) Country Life Co-Enzyme B-Complex (1) Zinc Picolinate 50 mg (1) N-acetyl-cyst

Current Illness: NONE

ID: 1274340
Sex: F
Age: 70
State: NJ

Vax Date: 03/24/2021
Onset Date: 04/27/2021
Rec V Date: 04/30/2021
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Allergies: Penicillin, some sulfites, mild egg allergy, dust, mold, mild seasonal.

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Symptoms: I felt nothing at all adversely at the time of administration. I returned on 04/21/2021 for the second dose, but elected to wait the two weeks longer, as offered. On the 34th day after the first dose I broke out in hives in several areas, including upper thighs, upper and lower arms, hands and neck. I have not had an outbreak of hives for nine years and have not changed anything in my personal care routine or food selections. Some of the hives are very small, some are larger and inflamed. The lesions are very pruritic. I have no way of knowing if the hives are related to the injection, but since there is nothing else new that I know of to account for them I felt it best to report it, which was suggested by my local pharmacy as well. I am now very concerned about getting the second dose this coming week. Since I have a long-standing autoimmune condition, could this be a delayed reaction?

Other Meds: Multivitamin/mineral, D3 1000 mcg, C 500 mg, Omega 3-6-9, Liquid Kelp 800 mcg. No prescription or OTC medications.

Current Illness: No acute illnesses.

ID: 1274341
Sex: F
Age: 39
State: IL

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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Allergies: anaphylaxis to penicillin

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Symptoms: Pt started coughing 10 minutes after receiving 1st dose of Pfizer Covid vaccine. Pt was sitting down and started coughing. She informed us she has an anaphylaxis reaction to penicillin. We gave her 50mg of Diphenhydramine and gave her some water. She was alert and communication with us. After 30 minutes her coughing subsided and she said she felt better. She contacted her husband to dive her home.

Other Meds: hydroxychloroquine, Eliquis 2.5mg

Current Illness: unknown

ID: 1274342
Sex: F
Age: 54
State: OR

Vax Date: 02/26/2021
Onset Date: 03/05/2021
Rec V Date: 04/30/2021
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Allergies: None

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Symptoms: Red circle; raised welt at injection site bigger than original mark. Painful bruise feeling, like the original shot, for 3 days, then just itchy and tender for 17 days.

Other Meds: Vitamin C 1,000 mg Vitamin D-3 5,00 mg

Current Illness: None

ID: 1274343
Sex: F
Age: 47
State: CA

Vax Date: 04/20/2021
Onset Date: 04/22/2021
Rec V Date: 04/30/2021
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Allergies: None

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Symptoms: Numbness, tingling, burning bilateral feet and hands

Other Meds: Flonase

Current Illness: None

ID: 1274344
Sex: F
Age: 51
State: CA

Vax Date: 04/11/2021
Onset Date: 04/13/2021
Rec V Date: 04/30/2021
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Allergies: Codine and mushrooms

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Symptoms: Urinary/stomach pain, muscle/back pain, joint pain, chest pain

Other Meds: Atorvastatin calcium 40mg, Provera 5mg, toprol xi 50mg, hydrochlorothiazide 25mg, metformin hydrochloride 1,000mg, Farmiga 10mg, lotrel 10/40mg, doxazosin message 1mg, iron 65mg, coq 10 100mg, d3 50mcg, Kirkland triple action joint health

Current Illness: N/A

ID: 1274345
Sex: F
Age: 29
State: SC

Vax Date: 03/15/2021
Onset Date: 03/18/2021
Rec V Date: 04/30/2021
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Symptoms: My menstrual cycle was late by 7 days. This was then followed by 20+ days of continual bleeding

Other Meds: Zyrtec, Sprintec, Wellbutrin, Prozac

Current Illness:

ID: 1274346
Sex: F
Age: 71
State: CO

Vax Date: 02/21/2021
Onset Date: 02/26/2021
Rec V Date: 04/30/2021
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Allergies: no

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Symptoms: 5 days after her 2nd moderna covid vaccine shot, my mother was walking to her camper, and her knee "gave out." She has never had any pain or other problems with her knee prior to this moment. She did not sustain any falls or injuries before or after the immediate onset of knee pain. Since her knee gave out, she has had severe knee pain, swelling, and has been unable to ambulate well. She went to see an orthopedist, who did an MRI and diagnosed her with "arthritis." She has had to have fluid removed from the knee twice. She also developed shingles on her forehead 4/1/2021, 8 days after her 2nd dose of vaccine.

Other Meds: Protonix prn, Ambien prn, +50 multivitamin gummy

Current Illness: no

ID: 1274347
Sex: F
Age: 31
State: OR

Vax Date: 04/10/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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Allergies: latex

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Symptoms: On the 28th of April, 18 days from the shot, I went for a walk and came home around 6:30 p.m. to the outside of my right calf bright red and hot. I went to the ER where an ultrasound was performed and they found a DVT blood clot. I am now on an anticoagulant, Xarelto and have an appointment with my doctor on the 5th to schedule more imaging and blood work.

Other Meds: Sulcrafate, pantraprazoale, ativan, armour thyroid, digestize enzyme, neem plus, berberine complex, doterra LLV vitamins & supplements

Current Illness:

ID: 1274349
Sex: F
Age: 24
State: CA

Vax Date: 03/25/2021
Onset Date: 04/01/2021
Rec V Date: 04/30/2021
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Symptoms: 2 weeks or so after the second dose I had a very light 5 or so days of menstrual bleeding in the middle of my cycle. My cycles are between 35 and 40 days, so this was strange. I had the copper IUD put in in December so my body is still adjusting and I have very heavy periods. I have recently started my normal period afterward. The only change otherwise was receiving the 2nd dose of Pfizer.

Other Meds: Multivitamins, daily allergy relief. Uqora urinary health supplements.

Current Illness:

ID: 1274350
Sex: F
Age: 72
State: FL

Vax Date: 02/11/2021
Onset Date: 04/02/2021
Rec V Date: 04/30/2021
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Allergies: Hypopaque

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Symptoms: Fever, chills, fatigue, nausea, severe joint inflammation from the neck to all joints, down to the feet, elbows and wrists

Other Meds: Pravastatin 40 mg daily, multivitamins, vit E, vit C, Airborne, D3, Lysine , Flaxseed, Lecithen, Zinc, Tumeric

Current Illness: None

ID: 1274351
Sex: F
Age: 60
State: GA

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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Allergies: penicillins,latex

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Symptoms: my face started getting numb and my arms,legs and face feel heavy and tingly. The heaviness went away yesterday. My whole face feels numb. The patient is a 60 year old female who presents for preventive health care. Preventive health care scheduled includes other. Note: denies slurred speech/facial weakness. denies cp/sob/edema/rashes/anaphaltic reaction headache resolved.

Other Meds: NIFEdipine ER (60MG Tablet ER 24HR, 1 Oral daily, Taken starting 12/04/2020) Active. Cymbalta (60MG Capsule DR Part, 1 Oral daily, Taken starting 10/16/2020) Active.

Current Illness:

ID: 1274352
Sex: F
Age: 17
State: CA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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Symptoms: Headache (4/10). Fear of needles, with history of fainting. O2 sat 100%. BP 91/74 (pulse 63).

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Current Illness:

ID: 1274353
Sex: F
Age: 36
State: TX

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

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Symptoms: Severe itching/burning over entire body that is still ongoing and taking medication for

Other Meds: Wellbutrin Zoloft Claritin d ibuprofen Tylenol magnesium

Current Illness: None

ID: 1274354
Sex: F
Age: 71
State: CA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 04/30/2021
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Symptoms: 2nd dose of Moderna COVID Vaccine administered 21 days after 1st dose to prevent wastage of expiring doses. No adverse reactions noted.

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Current Illness:

ID: 1274355
Sex: M
Age: 27
State: MD

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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Symptoms: Lightheaded Seen by onsite EMTs Pt.CAOX3; pale;diaphoretic, initial v/s WNL. Pt. stated relief after lying supine. Once seated patient c/o lightheaded again. Pt. hypotensive at v/s recheck. Recheck 88/54 Pt. remained in supine position for extended observation time. Post orthostatic blood pressure , patient remained WNL, CAOX3 Recorded by Pt. discharged home at 15:15 p.m.

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Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm