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
78,159
AK1,674
AL5,580
AR3,596
AS44
AZ13,637
CA59,969
CO11,293
CT8,046
DC1,664
DE1,728
FL37,812
FM3
GA13,930
GU87
HI2,252
IA4,428
ID2,527
IL20,010
IN22,866
KS4,399
KY7,333
LA4,920
MA14,308
MD12,258
ME3,065
MH8
MI18,518
MN11,669
MO9,186
MP30
MS2,790
MT2,202
NC15,903
ND1,300
NE2,818
NH2,949
NJ17,914
NM3,798
NV4,252
NY33,763
OH18,655
OK6,092
OR8,221
PA23,286
PR2,193
QM2
RI1,939
SC6,296
SD1,157
TN9,011
TX35,423
UT4,158
VA14,346
VI50
VT1,712
WA14,267
WI10,690
WV2,272
WY843
XB5
XL1
XV2

ID: 1286865
Sex: M
Age: 50
State: UT

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I felt sick and fatigue after getting the shot. And the next morning I passed out on my way to work and wrecked my truck.

Other Meds: Soma, seroquil, ibuprofen, suboxone,

Current Illness: None

ID: 1286866
Sex: F
Age: 25
State: CA

Vax Date: 04/14/2021
Onset Date: 04/24/2021
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient reports heavy menstrual cycle, bleeding 10 days straight after 2nd vaccine. Was given birth control pills to control bleeding, labs ordered.

Other Meds: March 18 used ibuprofen once. April 15 used Tylenol once. Was started on birth control end of April.

Current Illness: None

ID: 1286868
Sex: F
Age: 34
State: PA

Vax Date: 03/18/2021
Onset Date: 04/19/2021
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Shingles

Other Meds: Unisom, vitamin d, magnesium, b vitamins

Current Illness:

ID: 1286869
Sex: F
Age: 74
State: CA

Vax Date: 03/26/2021
Onset Date: 05/03/2021
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies: Iodine contrast

Symptom List:

Symptoms: Woke up on 5/3/21 with severe unbalance. Hard to walk or stand. Felt like I was going to fall over or loose my balance. Very shaky. Still have effects on 05/04/21. Three of my friends were contacting me and they had the exact same thing. One spent the night in the hospital. We have all been vaccinated with the Moderna vaccine and all around the same time. Two on March 19th. Mine on March 26th & my other friend on April 1st. Just wondering if there is any connection to the vaccine. We are all over 65.

Other Meds: Aleve, vitamin D3, eye drops

Current Illness:

ID: 1286870
Sex: F
Age: 62
State: NC

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: fever 102.9, chills, sore throat, headache, full body aches, rash lasted 3 days

Other Meds:

Current Illness:

ID: 1286871
Sex: F
Age: 55
State: FL

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 05/04/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: fever, coughing, could not breathe.

Other Meds: lexipro, anabolpino, bupripone, sucralfate, famotidine, hydrochlorol

Current Illness:

ID: 1286872
Sex: F
Age: 82
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA. Itchy rash on back of right lower arm. Administered 50mg of Benadryl. Had patient wait 30 minutes for rash to stop itching and resolve.

Other Meds:

Current Illness:

ID: 1286873
Sex: F
Age: 58
State: NY

Vax Date: 04/16/2021
Onset Date: 04/21/2021
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies: None that I know of

Symptom List:

Symptoms: I had a severe headache that started in the back of my head and continued for several days. I had severe body aches and pains all over and I could hardly stand up. Then at the height of my headache I began to feel pain in my neck and right shoulder. By Saturday I could not move my neck or right arm and I was in extreme pain and went to the emergency room.

Other Meds: Atorivistaton Losartin Hydroclorithizad Valcyctover Tablets Oxycodine

Current Illness: Diabetic Hugh Blood Pressure

ID: 1286874
Sex: M
Age: 47
State:

Vax Date: 02/25/2021
Onset Date: 03/15/2021
Rec V Date: 05/04/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1286875
Sex: F
Age: 31
State: CA

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

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

Lab Data:

Allergies: SEASONAL ALLERGIES

Symptom List:

Symptoms: Patient called pharmacy at 11:15 am on 5/4/21 with complaint of lip numbness and shortness of breath. Told patient to call 911. Spoke with patient at 12:06 pm again, she stated the fire department came to her. They said her lungs sounded clear, take Benadryl and call them back if she is still having symptoms. She was not transported to the hospital. Recommended follow-up with her PCP +/or allergist and if warranted, and have 2nd COVID shot done in an MD office.

Other Meds: ALLERGY SHOTS AT AN ALLERGY CLINIC MONTELUKAST TAKEN ON 5/3/21 WITH HER ALLERGY SHOT

Current Illness: SEASONAL ALLERGIES THAT CAN CAUSE ASTHMA

ID: 1286876
Sex: F
Age: 53
State: FL

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 05/04/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: On January 12 around 10:50 PM, patient began convulsing in her sleep similar to a seizure and lightly foaming at the mouth. By 11:20, police and emergency services had arrived and moved her into an ambulance for transport to a hospital. She stopped convulsing by about 11:20 but did not seem to become conscious until they arrived at the hospital around 11:50

Other Meds:

Current Illness:

ID: 1286878
Sex: M
Age: 69
State:

Vax Date: 04/13/2021
Onset Date: 04/30/2021
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Mild fatigue, mild depression for 3-4 days.

Other Meds: none

Current Illness: none

ID: 1286879
Sex: F
Age: 54
State: PA

Vax Date: 04/25/2021
Onset Date: 05/04/2021
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: PATIENT PRESENTED TODAY WITH A COVID ARM(REDNESS, INFLAMMED AND ITCHINESS) AT THE SITE OF INJECTION. SHE ALSO STATED FEELING WEAK

Other Meds:

Current Illness:

ID: 1286880
Sex: F
Age: 52
State: SC

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: About 3 minutes after receiving the vaccine while the patient was waiting the recommended 15 minutes post-vaccination, the patient begain to experience symptoms of faintness. She tapped on our window to alert us but almost immediately began to fall out of her chair. Another patient being vaccinated at the time was able to catch the patient and support her head to keep it from hitting the ground. The patient was still alert, responsive, and in a sitting position on the ground when I reached her moments later. The patient shortly collapsed all the way to the ground; we were still able to support her head. We called 911. I rolled the patient to her back. I was able to find a pulse and was able to see the patient's chest rising with breaths. The patient still responded to verbal cues nodding that she could hear me. I removed her face covering to help ventilation. I checked the patient's blood pressure and it was within normal range. Within about 3 minutes the patient was considerably more alert. She asked for some water which we provided. Shortly thereafter she was able to stand with our assistance and return to her chair. EMS arrived and conducted an evaluation; they determined that she did not need to be transported to the hospital. The patient rested in her chair for approximately 15 minutes longer before departing.

Other Meds:

Current Illness:

ID: 1286881
Sex: F
Age: 22
State: WA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Gave 0.5 mL of vaccine instead of 0.3 mL

Other Meds:

Current Illness:

ID: 1286882
Sex: M
Age: 30
State:

Vax Date: 04/08/2020
Onset Date: 04/09/2020
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Exacerbation of chronic headache. Post-injection, headache became intractable and more severe in nature. We are working with pain medications as well as modulating the immune/inflammatory response to control pain. Outcome unknown at this time because we just initiated treatment.

Other Meds:

Current Illness:

ID: 1286883
Sex: F
Age: 36
State: MT

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

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: The second dose hit me much harder. Within 4 hours I was experiencing a low-grade fever of 100.4 degrees. Six hours after the shot I began feeling nauseous and tired. I also developed a large red circle was around the shot site on my right arm and a prominent bulge. Overnight, despite exhaustion, I experienced a fever and chills. The next day (around 24 hours after the shot) I was exhausted and very nauseous. I did not get out of bed and slept on and off for 8 hours. The red and swollen area around the shot site went down around day three. It has now been 5 days after the second dose and I am still experiencing fatigue and nausea.

Other Meds:

Current Illness:

ID: 1286884
Sex: F
Age: 35
State: WA

Vax Date: 04/25/2021
Onset Date: 05/03/2021
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies: Intolerance to: Dairy, gluten, chicken, egg

Symptom List:

Symptoms: Arm became red/swollen/ hot to touch/ and painful 8 days after injection.

Other Meds: Birth control, klonopin, multivitamin, d+k2

Current Illness:

ID: 1286885
Sex: F
Age: 60
State: MN

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient stated she felt warm after getting the vaccine and demanded we called EMS. She did not faint or have any extreme acute symptoms that we could note. When EMS arrived they were familiar with the patient and brought her in to be checked on.

Other Meds: NO

Current Illness: OXYGEN THERAPY

ID: 1286886
Sex: F
Age: 45
State: CA

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies: Sulpa drugs

Symptom List:

Symptoms: Temp of 104.4 and 10:.8

Other Meds: None

Current Illness: None

ID: 1286887
Sex: M
Age: 26
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: After vaccine was administered by CMA at 1637 and during observation period, I reviewed pt's documents and noticed that previous COVID-19 vaccine was administered 15 days ago (1st dose on 4/19). Supervising MD, Dr. and clinic manager were both immediately notified when this was realized (before pt ended his 15 minutes observation period). Dr. advised that pt be informed that minimum window for the 2 Pfizer vaccines is 17 days. He will contact Dr. for further clarification if patient needs to return for another dosage or any other recs. Pt was stable at end of 15 minutes observation period (1652) and was informed of supervising MD's recs. He was also informed to notify clinic with any side effects. I will call and check on patient status tomorrow. He voiced understanding. - PA-C 5/4/2021 1700

Other Meds:

Current Illness:

ID: 1286888
Sex: M
Age: 44
State: OR

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The person's first COVID-19 vaccine was Moderna and they received their second dose, but it was Pfizer and not Moderna.

Other Meds:

Current Illness:

ID: 1287018
Sex: F
Age: 33
State: MI

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List:

Symptoms: The next day after I received the Pfizer vaccine I started feeling sick and lightheaded it had a headache. I think nothing of it and then my menstrual cycle started early and it started off being heavier than usual. Then I notice when I went to wipe myself or use the bathroom blood clots was falling out. Being that I work in the medical field I know like if is not bigger than 1/4 there's nothing to really worry about. So as the day went on and the following days I noticed that the blood clots kept on getting bigger and bigger and coming faster and faster. At this point I started getting concerned, that's when I decided to go to the hospital. At the emergency room at Hospital they really didn't do nothing for me but gave me an ultrasound and gave me some birth control told me to follow up with my OBGYN. But I already made an appointment with OBGYN cuz I just feel like if something was going on and I can't get in to see them till June 30th. They did give me some birth control and tell me your help with the bleeding and for me to take some ferrous sulfate. They said they'd never heard of this reaction before. So I went on May 1st to get my second vaccine. Before I received it, I talked to doctor there and they told me it would be fine for me to get it. Now my symptoms and reactions are starting all over. I'm so concerned about what's going on with my body. I just need somebody to explain to me what's going on. I cannot afford another hospital ER bill again.

Other Meds: None

Current Illness: I had covid around March 15 2021

ID: 1287019
Sex: F
Age: 63
State: CA

Vax Date: 04/23/2021
Onset Date: 04/26/2021
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Per patient she reported the following side effects and timeframe. Patient states she felt tired the afternoon after her vaccine, by the evening she started to develop a headache, that worsened throughout the night. Patient denies having any side effects or reaction during her 15 minute post vaccine administration observation time. 48 hours from the time of the injection, patient noticed a "red" spot on her arm and headache continued. That following Monday, patient states she had a fever and the injection site was hot to the touch and painful. Patient was seen by her PCP, per patient was told by her PCP she had an infection at the injection site due to bacteria. She was prescribed medication for the infection. That following Thursday, patient states she noticed swelling in her injection arm. Per patient she was seen by her PCP and given an "injection for the swelling". Patient states she is on her last day of antibiotic treatment, symptoms have improved and has a follow-up appointment with her PCP.

Other Meds:

Current Illness:

ID: 1287021
Sex: F
Age: 21
State: PA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received vaccine that was stored outside of temperature requirements.

Other Meds:

Current Illness:

ID: 1287022
Sex: F
Age: 44
State: PA

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

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

Lab Data:

Allergies: NO known allergies

Symptom List:

Symptoms: About 2 hours post vaccination (shot 1 of 2): Nausea, lightheadedness, exhaustion, left sided neck soreness. Tenderness at injection site. Considering taking Tylenol but trying to wait it out in an effort to observe the immune response.

Other Meds: Morning of vaccination date: vitamin B complex, vitamin D3, ester C, and a multi vitamin.

Current Illness: None

ID: 1287023
Sex: F
Age: 43
State: UT

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Augmentin Lortab Percocet Keflex

Symptom List:

Symptoms: Within twelve hours I had nausea chills, headache and a cough. Those symptoms lasted three days. I ended up with a reactive airway cough which lasted for a week and a half. It was a dry barking cough and I had trouble catching my breath. I sometimes get a reactive cough and it was similar. Some of this is because I was a preemie baby. I went to an instant care. I was given a course of Prednisone and it cleared up. I had the second dose and did not have any long lasting side effects.

Other Meds: Levothyroxine Potassium Citrate Triamterene hydrochlorothiazide Losartan Januvia Prilosec Asmanex

Current Illness:

ID: 1287024
Sex: F
Age: 68
State: MA

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

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

Lab Data:

Allergies: Most anti-biotics

Symptom List:

Symptoms: 20 min after the vaccine became lightheaded. EMT took vitals- all fine. 4 hours after vaccine my ears became dark red and very hot. My age spots on my legs and arms became raised, darker red and extremely itchy! I also became very cold and started shaking . I called my doctors office, the Doctor on call told me to take benadryl and if not better go to ER. Within 30 minuets everything calmed down. Did not go to ER. Felt weak, lightheaded and shaky for 3 days. I have had "Red Man syndrome" and all love body rashes from antibiotics in the past. I am very nervous to get 2nd shot!!! Please tell me what to do.

Other Meds: Naltrexone 4 mg, Levothroxine 25 mg, Progesterone 100 mg, Magnesium 500 mg , Calcium 500 mg, Vit C 2000 mg, Zinc 30 mg, Omega 3 1,000 mg, D 3 4,000 iu,, Vit A 10,000 iu

Current Illness: none

ID: 1287025
Sex: M
Age: 19
State: MI

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fainting

Other Meds:

Current Illness:

ID: 1287026
Sex: M
Age: 17
State: FL

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Received vaccine. Five minutes later he stated he had a severe headache and was dizzy. He sat down and an ambulance was called. He was transported. Spoke with mother. Hospital advised her that he had more of a reaction from the act of receiving the vaccine then to the vaccine itself.

Other Meds: None

Current Illness: none

ID: 1287027
Sex: M
Age: 28
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Hx of fainting following vaccinations (6 and 10 y/o); non visualized fall resulting in abrasions on patient forehead, cheekbone, and jaw approximately 5-10 minutes post injection from sitting position on bench in front of pharmacy. Last episode 10+ years ago. Pharmacy tech called as patient was re-seated next to mom. RPh arrived mid conversation as patient began losing consciousness again with right arm muscle contraction lasting roughly 15 seconds. Following episode, he was able to answer questions ruling out mental alteration. Given treatment and education on care for his facial injuries and added 20 minutes to observation period. Patient ambulated to car with mother stating she would drive. Plan in place for administration of the second dose.

Other Meds:

Current Illness:

ID: 1287028
Sex: M
Age: 54
State: CA

Vax Date: 04/01/2021
Onset Date: 04/18/2021
Rec V Date: 05/04/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Appendicitis which led to an Appendectomy CT scan revealed appendicitis All happened on April 20

Other Meds: None

Current Illness: None

ID: 1287029
Sex: F
Age: 63
State: CO

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

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

Lab Data:

Allergies: codeine, morphine

Symptom List:

Symptoms: Patient is a 63 year old female with a history of diabetes mellitus, hypertension and migraines. Patient reports she received the 2nd dose of the Pfizer COVID-19 4 days ago . Patient reports about 6 hours after the administration she felt achy all over her body. Patient noticed some bruising/redness over her left lateral or arm soon after the vaccine was administered. Over the past couple of days she has developed nausea, vomiting and mild lower abdominal cramping. Patient also has moderate to severe headache affecting her whole head. Patient had low-grade fever/chills for a couple of days but none since yesterday. Patient reports no upper respiratory symptoms such as cough, sore throat, runny nose. She has been taking Tylenol without much relief. Patient was treated with intravenous fluids and antiemetic medication with improvement in her symptoms

Other Meds: Current Outpatient Medications on File Prior to Visit Medication Sig Dispense Refill ? Citalopram (CELEXA) 20 mg Oral Tab Take 1 and one-half tablets by mouth daily for depression 135 tablet 3 ? Atenolol (TENORMIN) 25 mg Oral Tab Take 1 tab

Current Illness: none

ID: 1287030
Sex: F
Age: 26
State: IL

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 05/04/2021
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Numbness and tingling sensation in my face and eyes 25 minutes after shot lasting about 20 minutes in duration

Other Meds: Spironolactone Sharobel (birth control) Zyrtec Vitamin D Biotin

Current Illness: None

ID: 1287031
Sex: F
Age: 22
State: CA

Vax Date: 04/27/2021
Onset Date: 05/04/2021
Rec V Date: 05/04/2021
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Allergies: penicillin, nuts, avocado, shellfish, and salmon

Symptom List:

Symptoms: allergic reaction (hives, no cough, fever, or sore throat, just hives)

Other Meds: Loryna birth control

Current Illness:

ID: 1287032
Sex: M
Age: 49
State: WA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 05/04/2021
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Allergies:

Symptom List:

Symptoms: Administered 0.5 mL of vaccine, instead of 0.3 mL

Other Meds:

Current Illness:

ID: 1287033
Sex: M
Age: 33
State: HI

Vax Date: 02/22/2021
Onset Date: 02/26/2021
Rec V Date: 05/04/2021
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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: subacute thyroiditis, hyperthyroid, 2 weeks, fever, increased heart rate, body aches, weight loss, abnormal liver enzymes. Did not improve until prescribed first atenolol and then metoprolol,

Other Meds: None

Current Illness: None

ID: 1287034
Sex: M
Age: 44
State: IN

Vax Date: 04/24/2021
Onset Date: 04/28/2021
Rec V Date: 05/04/2021
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Lab Data:

Allergies: Seasonal allergies.

Symptom List:

Symptoms: Hives.

Other Meds: N/A

Current Illness: N/A

ID: 1287035
Sex: M
Age: 56
State: FL

Vax Date: 03/17/2021
Onset Date: 03/21/2021
Rec V Date: 05/04/2021
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Horrible body rash and lacerated tongue and mouth

Other Meds: Multi vitamin , testosterone injections

Current Illness: None

ID: 1287036
Sex: F
Age: 27
State: OR

Vax Date: 05/01/2021
Onset Date: 05/02/2021
Rec V Date: 05/04/2021
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Lab Data:

Allergies: Zoloft

Symptom List:

Symptoms: At around the 30 hour mark I noticed that my left eyelid had become quite droopy. It appeared to be about half way closed. I didn't seem to have any other symptoms visible on my face but I did end up with random bruising on my right thigh, severe dizziness with nausea, fatigue that lasted about 48 hours and a headache. The fatigue started about two hours after the injection and the rest of the symptoms were the following day.

Other Meds: Bupropion (200mg), Viibrid (40mg), Propranolol (80mg), Antihistamine (Claritin), Birth Control (Tri-Sprintec), Lorazapam (as needed - took 2.5mg the morning of the vaccine)

Current Illness: None

ID: 1287037
Sex: M
Age: 46
State: WA

Vax Date: 04/14/2021
Onset Date: 04/18/2021
Rec V Date: 05/04/2021
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Allergies: None

Symptom List:

Symptoms: Mottled bruising along right side of leg. No pain. Possible blood/platelet issue.

Other Meds: N/A

Current Illness: None

ID: 1287038
Sex: F
Age: 16
State: WA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/04/2021
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Symptom List:

Symptoms: mother gave incorrect date of birth to make pt elgible to get vaccine for 16 years old minimum, pt 15yrs 8 months

Other Meds:

Current Illness:

ID: 1287039
Sex: M
Age: 28
State: CA

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

Symptom List:

Symptoms: At 1550, RRT activated when client (28 y/o M) at the vaccination table after getting the shot started getting pale, slow to respond to stimuli, and in and out of consciousness for about 1-2 minutes. Vaccinated at 1549 on the R arm, with no previous medical history, no allergies, and not taking any medication. BP ? 82/42, HR ? 79, RR ? 18, Pain ? 0/0, O2 Sat ? 93% RA. Head to toe assessment completed. During monitoring period, client?s condition improved. Stated ?I pass out every time I get a shot or seeing blood;? ?this is normal for me.? After 5 minutes, stated feeling better and ?back to normal.? EMS arrived at the scene, but by that time, client is already well. Client declined to be transported to the ER. At the end of the monitoring period, client was not experiencing what was experienced initially. Client stated not to retake his BP as it causes him to be anxious all over again. Client remained in the post-vaccination area an extra 15 minutes. He left the vaccination clinic at 1625 ambulatory and in stable condition.

Other Meds: None

Current Illness: None

ID: 1287040
Sex: F
Age: 36
State: OH

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 05/04/2021
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Symptom List:

Symptoms: Patient said she had a lymph node form in the left armpit 1 day after the first dose. Patient said it was painful and lasted 2 weeks.

Other Meds:

Current Illness:

ID: 1287041
Sex: F
Age: 68
State: CA

Vax Date: 03/21/2021
Onset Date: 04/01/2021
Rec V Date: 05/04/2021
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Allergies: None

Symptom List:

Symptoms: Blood Clot Deep Vein Thrombosis

Other Meds: Levothyroxine 0.150 mg Hydrochlorothiazide 1. 25 mg Losartan 25 mg Sertaline 50 mg

Current Illness: None

ID: 1287042
Sex: F
Age: 78
State: CO

Vax Date: 05/04/2021
Onset Date:
Rec V Date: 05/04/2021
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Symptom List:

Symptoms: after vaccination, patient began to feel lightheaded and dizzy, experienced syncope. after waiting for about 15 minutes she began to complain about chest pain. We decided to call 911 as she was extremely agitated and tremors

Other Meds: none

Current Illness:

ID: 1287043
Sex: F
Age: 25
State: AZ

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

Symptom List:

Symptoms: Itchy throat 15min after receiving 2nd dose, notified vaccine employees and kept 15min extra, and then 24hrs after 2nd dose left neck supraclavicular lymph node swelling and tenderness. Left arm vaccine site tenderness next morning after 2nd dose as well.

Other Meds: None

Current Illness: None

ID: 1287044
Sex: M
Age: 30
State: WA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 05/04/2021
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Symptoms: Administered 0.5 mL of vaccine, not 0.3 mL

Other Meds:

Current Illness:

ID: 1287046
Sex: F
Age: 63
State: IN

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 05/04/2021
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Symptoms: Documentation must have been delayed (website for documenting Vaccine) because when looked out on 3/19, there was no record of her getting the vaccine. On 3/31/31 she was given Moderna as an initial dose to find out she already received J&J on 3-19-21. so she received 1 J&J and 1 Moderna.

Other Meds:

Current Illness:

ID: 1287047
Sex: M
Age: 29
State: MN

Vax Date: 04/28/2021
Onset Date: 05/03/2021
Rec V Date: 05/04/2021
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Lab Data:

Allergies: Seclore, Pennicilin

Symptom List:

Symptoms: My arm - in the area below the injection side has become red, and warm. It has been consistent now for at least 24 hours. A large red circle approx. 4 inches across.

Other Meds: Humira, Aleve

Current Illness: None

Total 2021 VAERS Injuries: 623,354

Page last modified: 03 October 2021 5:28pm