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: 1278270
Sex: F
Age: 42
State: TX

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Codiene

Symptom List:

Symptoms: Pt with allergy to Codiene and previous similar reaction c/o SOB and chest pain with rapid breathing immediately post Pfizer dose #1. Per EMS, vitals WNL, 50 mg diphenhydramine administered and patient transported. Pt advised to seek allergist consult prior to dose #2. A note was left in her chart not to give dose #2 without medical consent.

Other Meds:

Current Illness:

ID: 1278271
Sex: F
Age: 61
State: RI

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: Dizziness and general malaise

Other Meds: Unknown

Current Illness: N/A

ID: 1278272
Sex: F
Age: 70
State: HI

Vax Date: 04/02/2021
Onset Date: 04/13/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: On April 13, I experienced a fever of 102.5 and chills, that went up and down until I went to the emergency room at Hospital on April 16, and was diagnosed with bacterial pneumonia. I was prescribed a 7 day treatment of Lexofloxacin 500 mg. I had no fever after day 3 of treatment. As of this date, I have a very low energy/stamina level.

Other Meds: Lisinopril 10 mg, HCTZ 12.5 mg, Calcium 600 w/Vitamin D3, Kirkland Mature Multi vitamins and minerals, Acetaminophen

Current Illness: N/A

ID: 1278273
Sex: M
Age: 17
State: VA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Mother was likely dishonest about patient's age and he is under the age of 16.

Other Meds:

Current Illness:

ID: 1278274
Sex: F
Age: 27
State: WI

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: honey, mango

Symptom List:

Symptoms: Patient reported tongue swelling, start of throat swelling. Vitals obtained and rapid response team called to evaluate. Patient transferred to ED for further evaluation/ treatment.

Other Meds:

Current Illness:

ID: 1278275
Sex: F
Age: 22
State: ID

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Almonds

Symptom List:

Symptoms: Headache, fatigue, chills, nausea, fever over 103 degrees Fahrenheit

Other Meds: None

Current Illness: None

ID: 1278276
Sex: F
Age: 41
State: IL

Vax Date: 04/22/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Nka

Symptom List:

Symptoms: I noticed my arm at the injection site was feeling sore like it was bruised, and there was a raised lump a few inches wide. This area was inflamed, red, and warm/hot to the touch. It also itched like a giant mosquito bite. Symptoms lasted a couple days. This reaction started five days after all initial arm soreness from the shot had subsided.

Other Meds: Prednisolone Acetate Eyedrops, multivitamin, turmeric supplement, Nutrafol, CoQ10

Current Illness: Iritis

ID: 1278277
Sex: F
Age: 16
State: CA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient Received her first dose Pfizer vaccine (LOT#: EW0173 EXP: 8/2021) at 1140 on 4/30/21. Mother of patient alerted EMT. Mother stated that patient wasnt feeling well. Patient stated that she felt weak and nauseous. Patient was moved to anti-gravity chair to make patient more comfortable. Patient then experienced a syncopal episode at 1155 which lasted about 30 seconds. Patient denied SOB. Patient did not hit head. EMT took patients vital signs at 1157. BP: unable to read, pulse: 70, O2: 100%. EMS was activated. EMS arrived on scene at 1205. EMT transported patient to outside area on wheelchair. EMS transported patient into AMR vehicle and put patient on a 12 lead. Paramedics stated that everything was within normal limits. Patients parents were informed on patients health. Patients parents denied care and signed AMA form. Patients parents stated that they would take patient to hospital themselves. Parents and patient were educated on worsening symptoms of syncopal episode. Patient left vaccination site with a steady gait, unassisted with her parents at 1215.

Other Meds:

Current Illness:

ID: 1278278
Sex: F
Age: 58
State: TX

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 05/01/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
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Lab Data:

Allergies: Darvocet & Percocet = itching, shaking, dizziness, rapid heart beat & passes out. Iodine in X-ray & MRI = Severe itching & burning, fainting. Aspirin = shaking, Dilaudid = shaking, dizziness, fainting

Symptom List:

Symptoms: I had a severe headache for 12 days, Tylenol was not helping. Went to Urgent care on 12th day was told it was a stress headache. 2 days after injection I had severe stomach cramps that lasted 1 day and body aches to right shoulder, hip and thighs. Today, May 1, 2021, I am still experencing headaches and neck, shoulder aches.

Other Meds: Atrovistatin 20mg 1 at night. Doxycycline 50mg 1 day. Metoprolol ER Succinate 100 mg 1 a day. Omeprazole 20 mg 1 a day. Amlodipine Besylate 10 mg 1 a day. Fluorometholone 0.1% Ophtsusp 5 ml.- 1 drop in eyes daily.

Current Illness: None

ID: 1278279
Sex: M
Age: 31
State: NY

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: April 26 2021 10:00 pm onset of noticeable chills 11:00 pm onset of severe chills, difficulty handling cutlery and other small household items precisely April 27 2021 01:00 am woke up with severe headache and neck pain, dehydration, dry mouth, general soreness body wide. Chills were gone by 01:00 am 01:30 am-03:00 am moderate fever, burning up 03:00 am onset of mild nausea, difficulty drinking water to rehydrate 03:30 am onset of severe nausea, unable to drink water or ginger ale. headache subsides to moderate 05:45 am vomited 06:00 am nausea subsides to mild, again able to drink some water and ginger ale. neck soreness mild, rest of body back to normal 01:00 pm headache has subsided to mild and nausea is mostly gone 03:00 pm headache mostly gone, but recurs when standing up or sitting down quickly 08:00 pm mostly back to normal. mild lingering neck soreness In addition, pain at injection site (left deltoid) prevented me from raising my arm above my shoulder from April 26 ~8:00 pm to April 28 ~8 am. Symptoms other than feeling jet lagged were over by the time I woke up again the next day (8:20 am April 28) Light to mild pain using my left arm persisted until the morning of April 29.

Other Meds: None

Current Illness: None

ID: 1278280
Sex: M
Age:
State: MI

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
Hospital:

Vax Type:
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Vax Name:
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Lab Data:

Allergies:

Symptom List:

Symptoms: WHILE WAITING HERE AT PHARMACY FOR 15 MINUTES AFTER VACCINATION, HE STARTED FEELING NAUSEOUS AND DIZZY. PATIENT TRIED TO SIT DOWN ON THE CHAIR BUT BEFORE HE COULD REACHCHAIR HE JUST PASSED OUT AND FELL DOWN ON FLOOR, DID NOT LOOSE COMPLETE CONSCIOUSNESS, WOKE UP HIS OWN IN 30-45 SECONDS AND SAT DOWN ON CHAIR BY HIS OWN. EMS WAS CALLED, BY THE TIME HE DRANK SOME WATER AND ESM ARRIVED THEY EXAMINED HIM AND ASKED IF HE WOULD LIKE TO GO TO HOSPITAL BUT PATIENT DENIED AND WAS GETTING BETTER.

Other Meds:

Current Illness: NO

ID: 1278281
Sex: F
Age: 41
State: IL

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Right side jaw pain, onset within hours of injection. Right side facial numbness/tingling, onset 12 hrs after injection.

Other Meds: None

Current Illness: None

ID: 1278282
Sex: F
Age: 33
State: WI

Vax Date: 04/01/2021
Onset Date: 04/28/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Gluten

Symptom List:

Symptoms: Starting 4 hours after injection, Severe pain in entire arm of injection site, particularly the shoulder. No mobility achieved without major pain for about 14 hours. Only comfortable when laying down as gravity pull from standing was excruciating. Pain subsided and arm mobility increased as the day went on. Also, Fever suspected after 30 hours of the injection, soaked bedsheets twice from sweat with 4 hours of between events.

Other Meds: Synthroid 175 mcg Isibloom 0.15mg/0.03 mg Vitamin B12 1000mcg Vitamin D3 25mcg Allertec 10mg

Current Illness: N/A

ID: 1278283
Sex: F
Age: 35
State: NJ

Vax Date: 04/29/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Surgical Glue

Symptom List:

Symptoms: Vaginal Bleeding Est Due Date December 28th, 2021

Other Meds: Omeprazole

Current Illness: None

ID: 1278284
Sex: F
Age: 56
State: RI

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: IBUPROFEN, SHELLFISH

Symptom List:

Symptoms: PANIC ATTACK POST VACCINE. PT ASSESSED. VITALS OBTAINED. STABLE. PT DISCHARGED WITH FAMILY

Other Meds: SYNTHROID, ATIVAN, ALBUTEROL

Current Illness:

ID: 1278285
Sex: F
Age: 38
State: HI

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Egg and chicken food allergy not severe

Symptom List:

Symptoms: Started menstrual cycle about 1 week early. Irregularity is highly unusual and of concern. Otherwise no ill effect other than swelling at injection site.

Other Meds: Vitamins, regularly, but not on day of vaccine

Current Illness: N/A

ID: 1278286
Sex: M
Age: 72
State: TX

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 05/01/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: After first injection on 1/18/21- starting 1/19/21- intense joint/ muscle pain in both shoulders- under collar bone and running down to elbow on both sides. Lasted 3 weeks. After second injection on 2/13/21- starting on 2/14/21- intense joint / muscle pain in both shoulders down to elbow on both sides. Lasted approximately 4 weeks. Office visit to Dr 4/7/21 (shoulder specialist) at Clinic- x - rays, two steroid injections into left shoulder area.

Other Meds: Crestor

Current Illness: None

ID: 1278287
Sex: F
Age: 46
State: CA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: menses started a few hours after vaccination. Had not had a menses for 3-4 months prior.

Other Meds: protonix 40 mg daily lipitor 20 mg daily baclofen 10 mg 1/2 tab TID PRN astelin nasal spray 2 sprays bilateral nares BID

Current Illness: none

ID: 1278288
Sex: F
Age: 27
State: PA

Vax Date: 04/03/2021
Onset Date: 04/19/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I did not get my period after second dose. I got my first dose on 3/11/2021 and got my period after, like normal. However after my second dose on 4/03/2021, I did not get my period on 4/19 as usual. I am on birth control (kelnor) and am therefore extremely regular. I took a pregnancy test and it was negative. This is not at all life threatening, but I hope it is researched further.

Other Meds: Birth control (kelnor)

Current Illness: None

ID: 1278289
Sex: F
Age: 48
State: IN

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Shortly after patient received vaccination she states she "didn't feel right". When pharmacy staff checked on her she was seated with her head down on her arms at a table and she said she felt like she had passed out. She continued to state she didn't feel quite right. Her feet were elevated and she was given a paper bag to breathe into. She didn't have any trouble breathing and no rash was visible on the body or around the injection site. She was offered a snack but refused and soon family arrived. Family provided water and crackers and her blood pressure/pulse was taken. Both were low with BP about 84/60 and pulse around 40 BPM. When asked how her BP normally runs she stated it is normally low, but not that low. All of this occurred over the course of an hour or so and after about an hour she stated she felt well enough to walk to her car and be taken home to lie down.

Other Meds:

Current Illness:

ID: 1278290
Sex: F
Age: 74
State: NJ

Vax Date: 02/17/2021
Onset Date: 03/02/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Non known

Symptom List:

Symptoms: Covid arm - swelling , rash, red hot, measuring at least 8' x 6"

Other Meds: Lisinpril

Current Illness: Rheumatoid arthritis

ID: 1278291
Sex: F
Age: 72
State: PA

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Allergic to penicillin, Darvocet, bandaid adhesives, and shellfish. IV Vancomycin causes flushing. Contact with kiwi painfully inflames hands. Cold winter air causes red, itchy spots on hands and red blister rash on legs. Hypoallergenic adhesive used under monitor electrodes causes itchy red welts.

Symptom List:

Symptoms: Symptoms: Covid Arm; and other adverse events. Timeline is as follows: Thurs. Mar 25 ? Day of injection: mild soreness at injection site. Fri. Mar 26 ? slight headache, really sore arm (remains sore thru Mar 28); pale, bluish-red, nickel-sized mark at injection site; mild achy muscles/joints, legs felt heavy when walking. Afternoon and evening chills with low-grade fever 100.7 Sat. Mar 27? temperature 98.8. In afternoon, itchy COVID ARM rash appears as flat, red oval (about 1?x.75?) over left-arm injection site (Note: as reported previously to VAERS, Dose #1 Covid Arm rash was on my right arm, had basically disappeared by March 11. With the appearance of Dose #2 Covid Arm on my left arm, the right arm rash becomes faintly visible again for a couple days.) Sun. Mar 28 ? temperature back to normal (97.7); rash enlarges to 2?x1.5?. Rash is not quite as red as first Covid Arm rash, but itches more than first. Mon. Mar 29 ? in my right eye, experienced flashes of light and floaters Tues. Mar 30 ? rash very faint, still itches Wed. Mar 31 ? rash not visible, but area still itches Fri. Apr 2 ? rash is no longer visible.

Other Meds: Daily: OTC Centrum multi-vitamin/mineral supplement As needed: Tylenol, Pepcid, Gaviscon Note: This report is for my Covid Shot #2. One week prior to Shot #1, I stopped taking any medication except for OTC Centrum vitamin, and did not ta

Current Illness: None.

ID: 1278293
Sex: M
Age: 54
State: NY

Vax Date: 04/01/2021
Onset Date: 04/26/2021
Rec V Date: 05/01/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient developed GI bleed few days after vaccination. Unclear if it is related. His platelet count is normal. developed acute anemia due to GI bleed. Also has remote history of GI bleed 9 years ago with negative workup. did not have any recurrent bleeding since then until this episode and have been getting routine GI screening.

Other Meds: none

Current Illness: remote hx of GI bleed 9 years ago

ID: 1278294
Sex: F
Age: 34
State: IN

Vax Date: 04/01/2021
Onset Date: 04/09/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Cefzil

Symptom List:

Symptoms: Flu like symptoms 1 week post injection followed by residual swollen glands in neck , with chills. Symptoms continued and worsened to include Dyspnea, Tachycardia, palpitations , flushing, diaphoresis, severe head ache and weight loss of 12 pounds in 4 weeks.

Other Meds: None

Current Illness: None

ID: 1278295
Sex: F
Age: 70
State: WV

Vax Date: 04/03/2021
Onset Date: 04/09/2021
Rec V Date: 05/01/2021
Hospital: Y

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

Lab Data:

Allergies: hydrocodone

Symptom List:

Symptoms: Left lateral gaze palsy and/or diplopia

Other Meds: Lansoprazole DR 30MG Capsule Levothyroxine 125 MCG Tablet Simvastatin 20 MG Tablet Centrum Silver D3 2000 IU

Current Illness:

ID: 1278296
Sex: F
Age: 32
State: CA

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: C/O DIZZINESS, FEELING PASS OUT, HYDRATE AND SNACK OFFERED. SYMPTOMS IMPROVED, REFUSED TRANSPORT, HOME WITH MOM

Other Meds:

Current Illness:

ID: 1278297
Sex: F
Age: 73
State: NH

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: some pencillins, dairy, wheat and grains, sensitive to medications

Symptom List:

Symptoms: right way I could not breathe. I was at speedway and the Dr. let me walk around for about 20 minutes, and I was able to leave. At home I had to keep walking-two days later I had extreme swelling in my knees, especially behind,, they puffed up, as if you cut a tennis ball in half and placed it behind each knee, especially the right. My knees have gone down some, but they are still swollen. I had shortness of breath for two weeks. I had and have extreme fatigue, and my eyes are extremely red and irritated, more so that before the vaccine. Also initially I had really bad memory problems, I did not even know the name of my dr. when I read a message from her, I did not know who she was, that was disturbing. I had an Igg antibody test which has come back at .12, not sufficeint for antibodies, and I am wondering what to do about the second shot, which I fear could send me over the edge. I need advice.

Other Meds: none

Current Illness: chronic lyme disease, 7 years Hepatitis C

ID: 1278298
Sex: F
Age: 26
State: WA

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever (100.2?), skin discomfort, splitting headache, abdominal pain, and sore arm at injection site. For several hours (9AM-11:30AM) breathing was restricted and airways felt swollen/inflamed/not fully open. At no point was it impossible to breathe, but it took noticeably more effort to breathe.

Other Meds: None

Current Illness: None

ID: 1278299
Sex: M
Age: 38
State: CA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Vicotin

Symptom List:

Symptoms: On 4/8/21 morning, I woke up and felt a sore arm at the injection site. I started to get a body aches and mild chills in the morning. I was extremely fatigued. Then by lunchtime, I got a stomach ache, and nausea and vomiting. I was nauseous and vomitted from 3pm to 4/9/21 around 6 am. . I took emetrol and drank gatorade to ease the nausea and vomitting symptoms. By 4/9/21 at 8:30 am, I felt normal but a still fatigued, no more nausea, vomiting, and soreness

Other Meds: None

Current Illness: None

ID: 1278300
Sex: M
Age: 45
State: VA

Vax Date: 04/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: My blood pressure dropped to 65/47 with a heart rate of 59 and I nearly lost consciousness.

Other Meds: Gabapentin Omezaprole Dicyclomine Ferrous Sulfate phentermine Losartan Metoprolol Hydrochlorothiazide Multivitamin Vitamin D3 Magnesium Aspirin

Current Illness: None

ID: 1278301
Sex: F
Age: 20
State: CA

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: After vaccination the patient started voicing that they were seeing black dots, feeling lightheaded. Patient laid down for 10 minutes, consumed glucose and drank water. Patient voiced that they were feeling better soon after.

Other Meds: N/A

Current Illness: N/A

ID: 1278302
Sex: F
Age: 20
State: MI

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 05/01/2021
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Allergies: Sulfa Antibiotics

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Symptoms: After I received the vaccine I felt normal, sat for 15 minutes, and drove home. Once I got home I sat down and started to get very anxious and my chest felt heavy and my tongue and throat started to swell. I say and tried to relax and was going to call 911 if it got worse. They swelling maintained so I took one benadryl, followed by another one 30 minutes later. When I woke up the swelling was still there but had gotten better. I took another benadryl that night. The swelling continued to go down over the next couple of days. After about 5 days I felt back to normal.

Other Meds: I have the Kyleena IUD.

Current Illness: None

ID: 1278303
Sex: F
Age: 51
State: NY

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 05/01/2021
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Symptoms: Shortly after receiving the vaccination, patient experienced syncope. Pharmacist attended to the patient and ambulance was called. Patient regained consciousness before ambulance arrived. Patient was evaluated by the paramedics. As per paramedics patient was stable and was released to go home. Patient sat in the pharmacy until she was comfortable to go home. Patient was escorted by her children

Other Meds:

Current Illness:

ID: 1278304
Sex: F
Age: 41
State: NC

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 05/01/2021
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Allergies: latex, penicillin

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Symptoms: I've had all of the commonly listed side effects (pain at injection site, headache, nausea, muscle soreness, chills, sweats, extreme fatigue). The only abnormality is that they're still present five days later with only mild improvement. The nausea was gone after one day, but I'm still struggling with fatigue, sweats and occasional chills.

Other Meds: none

Current Illness: none

ID: 1278305
Sex: F
Age: 17
State: TX

Vax Date: 04/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
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Allergies: Penicillin

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Symptoms: Hours after injection i had a small welp about the size of a nickel now the welp has flattened out and is very hard and the size of a half dollar and bright red and hot to the touch And tender.

Other Meds: Tylenol

Current Illness: No

ID: 1278306
Sex: F
Age: 61
State: WI

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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Allergies: N/A

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Symptoms: Fatigue, headache, nausea -- roughly 24 hrs. Extreme kidney pain (10) -- roughly 14 hrs.

Other Meds: Atenolol, Paroxetine, Amlodipine, Chlorthalidone, Atovrastatin

Current Illness: N/A

ID: 1278307
Sex: F
Age: 49
State: NE

Vax Date: 04/17/2021
Onset Date: 04/24/2021
Rec V Date: 05/01/2021
Hospital: Y

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Allergies: Dust mites, cat dander, outdoor pollens

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Symptoms: Exactly a week after receiving my second shot I had a heart attack. No family history, no risk factors. Low blood pressure and low cholesterol, no smoking, no drugs. Hospitalized at Heart Institute.

Other Meds: Levothyroxine, Flovent, Flonase

Current Illness: None

ID: 1278308
Sex: F
Age: 37
State: CA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 05/01/2021
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Allergies: None per client

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Symptoms: On 4.9.21, Friday, client received her first Pfizer-BioNTech COVID-19 Vaccine at 1539 with lot number ER8731. Client reported to EMT feeling anxious and ?trapped.? Client also reported feeling a burning feeling in chest, hot and sweaty, and nauseated. Medical history was reviewed noting a history of seizures in November, anxiety, and heart problems. Reported takes 75mg antidepressant, indigestion medications, and "effexor." Client remained alert and oriented x3 with the following vital signs: blood pressure 148/118 and pulse of 110. Client reported that had drank ?half a pot of coffee.? Vital signs at 1600 were blood pressure of 120/98 and pulse of 100 and client noted that all symptoms went away. Then at 1609 client reported chest burning sensation, EMT offered EMS which client accepted. No medications were given by county staff. At 1612 EMS was called to site and arrived at 1616. Vital signs at 1620 were blood pressure of 107/96 and pulse of 112. Client then refused transport at 1622. After EMS left client took own supply of 1 tablet of expired Xanax. Client was noted to have steady gait while leaving site.

Other Meds: None per client

Current Illness: None per client

ID: 1278309
Sex: F
Age: 56
State: OR

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 05/01/2021
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Allergies: phenazopyridine morphine

Symptom List:

Symptoms: Patient's lower legs began hurting on 04/27/21, along with toes feeling cold and losing feeling off and on; this lasted most of the night into the early morning and the symptoms resolved on around 6:00 am on 4/28/21 From 10:00 am 4/28/21 to 08:00 am on 4/29/21 patient experienced fatigue

Other Meds: None per patient

Current Illness: None per patient

ID: 1278310
Sex: M
Age: 50
State: TX

Vax Date: 01/14/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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Allergies: Penicillin's

Symptom List:

Symptoms: 1st Pos. COVID-19 test, resulted on 7 Dec 21 Symptomatic. Second COVID -19 pos. resulted on 29 APR 21, s/s: fatigue, difficulty breathing , SOB w/ exertion Onset 29 APR 21. fullness in the trhroat, COPD Chronic Glaucoma, GERD. 1st COVID vac,14 Jan 21, 2nd 6 Feb 21. Since the second onset of symptoms was more than 90 days from the first infection and more than 14 days after the second COVID vaccination. This is considered a new case.

Other Meds: Albuterol Inhaler, Fluticasone Propionate 230mcg+ Salmeterol Xinafoate 21mcg. Aerosol Inhalation HFA , Brimonidine tartrate. 0.15% Eye Drops, Montelukast sodium 10mtg at Bedtime.

Current Illness: COVID-19

ID: 1278311
Sex: F
Age: 74
State: NJ

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 05/01/2021
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Allergies: No known

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Symptoms: Fever, vomiting, severe headache, and ears ache, neck ache, muscular ache, fatigue, diarrhea. Lasted 3 days

Other Meds: Lisinpril

Current Illness: Rheumatoid arthritis

ID: 1278312
Sex: M
Age: 42
State: IN

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 05/01/2021
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Allergies: Cipro, Levaquin, all Quinolones, lactose intolerance

Symptom List:

Symptoms: These symptoms happened during the time of the injection on 4/24/2021 and lasted from Saturday 4/24/2021 until Tuesday 4/27/2021: intermittent slight tongue spasms, slight tightness in the back of the throat, dry mouth - since 4/27/2021 these symptoms have stopped but now there is less sensation than normal in the tongue and the back of the throat which is still ongoing as of 5/1/2021. // These symptoms happened during the injection on 4/24/2021 and only lasted until the observation time at the vaccination location was over : lips felt very lightly swollen, very slight tinge in eye sockets.

Other Meds: Oxybutinin ("Oxytrol" patch was being worn during the time of vaccination), gummy vitafusion multivites multivitamins, gummy Airborne Immune Support Supplement, gummy vitafusion Calcium+D3 supplement

Current Illness: n/a

ID: 1278313
Sex: F
Age: 18
State: MI

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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Allergies: Erythromycin

Symptom List:

Symptoms: Fever, vomiting, chills. achy body, headache, tingly L hand

Other Meds: Multivitamin

Current Illness: N/A

ID: 1278314
Sex: M
Age: 65
State: MA

Vax Date: 03/09/2021
Onset Date: 04/17/2021
Rec V Date: 05/01/2021
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Allergies: NONE

Symptom List:

Symptoms: 2 weeks ago on April 17th, I woke up feeling very dizzy and nauseous. The room was spinning. My left ear was ringing, My balance was off. Every time I bent over it was worse. I vomited after I ate. Spent the day and the next day in bed. On Monday I called my doctors office and explained how I was feeling and a tele visit was scheduled later in the day. During the tele visit, the doctor diagnosed my symptoms as vertigo. I never had vertigo in the past. She couldn't tell me if it was from the vaccine or not. She did mention she had patients complaining of vertigo after getting the covid vaccine. Medication and exercises were given to me. A few days later, my big toe on my right foot was aching terribly. Each day it seems to be worse and I am at the point where I can barely walk. Today I did some research online and saw that it could be gout. I never had gout n the past. I read vaccines can cause gout. So here I am 2 weeks since my symptoms began and I am still dizzy and have the toe pain. Exercises and medication is not helping.

Other Meds: NONE

Current Illness: NONE

ID: 1278316
Sex: F
Age: 75
State: FL

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 05/01/2021
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Allergies: Compazine, Neupogen Pine Apple,

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Symptoms: Extreme redness 9 x7 inches to the upper left arm, swelling for same dimensions, extreme itching and pitting in some areas, underarm swelling, and limitation to use of the arm.

Other Meds: Metformin, Clonidine, Labetalol, Hydralazine, Hydroclorathiazine, Pravastatin

Current Illness: Hypertension Diabetes type 2

ID: 1278317
Sex: F
Age: 18
State: FL

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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Allergies: NKDA

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Symptoms: Vaccine was administered at 6:01 pm . - At 6:14 pm , she began to experience dizziness, nausea, and tiredness. - Vitals were monitored. - Denies lip/tongue/throat swelling. - Denies difficulty breathing or SOB. - Patient was monitored for a total of 75 minutes. - No wheezing. No lip swelling, No tongue swelling. No difficulty speaking in full and complete sentences.

Other Meds: Vitamin D

Current Illness:

ID: 1278318
Sex: M
Age: 70
State: CA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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Allergies: NONE

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Symptoms: The pharmacist injected me, my daughter, and son-in-law with the Maderna vaccine which had been extracted from the vial onMonday morning, April 26th and was expired and should have been destroyed no later than the evening of 4/26/21. However, due to completely inadequate controls, the syringes from the 4/26/21 date were kept in the pharmacy and were placed in a non-segregated area of the pharmacy, resulting in the administration of the expired vaccine into our bodies. I, my daughter, and son-in-law requested the Johnson&Johnson vaccine (our vaccination card indicated the J&J was given), but we were given the expired Maderna in error. We were informed of the error by the owner of pharmacist by phone within 1 hour after administration.

Other Meds: Celebrex

Current Illness: NONE

ID: 1278319
Sex: M
Age: 20
State: OH

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/01/2021
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Allergies: not aware of any

Symptom List:

Symptoms: Patient received 1st dose only 9 days prior to 2nd dose.

Other Meds: none known of

Current Illness: none known of

ID: 1278320
Sex: F
Age: 25
State: MA

Vax Date: 04/27/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
Hospital: Y

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Symptoms: Patient received her second dose of Moderna COVID vaccine on Tues, 4/27, then developed palpitations on night of 4/29. She woke up that night at 3am with vomiting and 7/10 chest pain. Chest pain was described a substernal and symptoms occurred at rest. Additionally noticed an elevated heart rate. Her chest pain did not subside so she presented to the Hospital ER where she was noted to have elevated trop from 1.8 to 3.5. TTE at bedside showed reduced EF to 40%, global apical hypokinesis. At healthcare facility, cardiac cath was normal and EF appeared normal on wet read of repeat TTE. She was started on captopril (transitioned to lisinopril on DC) and metoprolol. She will be discharged with follow up with physician.

Other Meds: Tri-Estarylla

Current Illness: Hazelnuts, Pecans, Walnuts No drug allergies

ID: 1278321
Sex: F
Age: 31
State: WI

Vax Date: 04/21/2021
Onset Date: 04/23/2021
Rec V Date: 05/01/2021
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Allergies: None

Symptom List:

Symptoms: Rapid severe onset of nausea, vomiting, diarrhea, chills - approximately 70 hours after second vaccine Migraine - onset approximately 72 hours after second vaccine, lasted approximately 36 hours Vertigo and dizziness - onset roughly 4 days after second vaccine, intermittent and ongoing still (10 days post vaccine)

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm