VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1287048
Sex: M
Age: 50
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: none

Symptom List:

Symptoms: Palor, lightheadedness

Other Meds: none

Current Illness: none

ID: 1287049
Sex: F
Age: 45
State: CA

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies: No allegries

Symptom List:

Symptoms: severe migraine, eyes swollen shut, lips swollen, throat felt tight, swollen, sudden jolts of pain in head, dizziness, since the 17th, day after the vaccine.

Other Meds: None

Current Illness: MS - multiple sclerosis Migraines

ID: 1287050
Sex: F
Age: 35
State: MN

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies: crustaceans, amoxicillin

Symptom List:

Symptoms: 4/17 vaccination. Afternoon, long nap. 4/18 Evening, around 730-8pm, I got chills and a fever, general 'not feeling great' . It was very sudden. I took a Tylenol, low dosage and called my OBGYN. I took second dose and then fever broke. *first pregnancy *EDD 11/8/2021

Other Meds: prenatal

Current Illness: n/a

ID: 1287051
Sex: F
Age: 76
State: FL

Vax Date: 04/13/2021
Onset Date: 04/20/2021
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies: Bee venom carry Epi pen

Symptom List:

Symptoms: Covid arm got 7 days after shot hot swelling red upper arm with rash,very itchy lasted eight days but still have tiny itchy spots on thighs,very few.

Other Meds: Just Whole Foods vitamins ,no prescription drugs ,don?t need very healthy

Current Illness: None

ID: 1287052
Sex: F
Age: 30
State: SD

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: Torodol

Symptom List:

Symptoms: Loss of peripheral vision in left eye

Other Meds: Jolessa; celexa

Current Illness: N/A

ID: 1287053
Sex: M
Age: 21
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: Administered 0.5 mL of vaccine, not 0.3 mL

Other Meds:

Current Illness:

ID: 1287054
Sex: F
Age: 38
State: NY

Vax Date: 05/01/2021
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: None

Symptom List:

Symptoms: Fever started at 6pm and continued to increase until reaching 103 degrees. I had muscle aches, headache, and joint pain and spasms. Fever broke by 9am. Body aches, headache, and tiredness continued throughout the day.

Other Meds: None

Current Illness: None

ID: 1287056
Sex: M
Age: 50
State: NY

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: n/a

Symptom List:

Symptoms: patient fainted twice complaint of dizziness

Other Meds: n/a

Current Illness: n/a

ID: 1287057
Sex: F
Age: 20
State: CA

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: None

Symptom List:

Symptoms: Pt received second Moderna vaccine one week early on 5/3/21. No immediate adverse reaction noted after vaccine.

Other Meds: None

Current Illness: None

ID: 1287058
Sex: F
Age: 57
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: NKA

Symptom List:

Symptoms: The patient experienced the following reaction(s) during the immediate of observation: Approx. 1436, pt. Began to c/o dizziness and feeling lightheaded. Upon observation, she was diaphoretic and pale. VS prone with legs elevated at 1510: BP: 100/80 HR 76, o2 97%, RR21.

Other Meds: Remeron, Vistaril

Current Illness: Unknown

ID: 1287059
Sex: F
Age: 75
State: IN

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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: When we went to bill for the vaccine, learned that this dose on 4/1/2021 was rejected as she already received 2 doses prior. She received a dose on 1/6/2021 and then on 3/3/2021; the facility was not aware and told us to vaccinate the resident as an initial dose.

Other Meds:

Current Illness:

ID: 1287060
Sex: F
Age: 51
State: OR

Vax Date: 05/03/2021
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: Sudden onset menorrhagia, never had this before

Other Meds: Vit D3

Current Illness:

ID: 1287061
Sex: M
Age: 40
State: IN

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: none that we know of

Symptom List:

Symptoms: Patient passed out. dizziness, clammy skin, blood pressure low

Other Meds: Patient got up after getting vaccine to use restroom and collapsed. We called ems who stated patient's blood pressure bottomed. we later discovered patient had a fear of needles. after about 40 minutes of observation patient left on his ow

Current Illness: none that we know of

ID: 1287062
Sex: F
Age: 65
State: TX

Vax Date: 03/11/2021
Onset Date: 04/15/2021
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies: trees and grasses (seasonal fall mostly) cats

Symptom List:

Symptoms: About 4 and a half weeks after getting the J&J vaccine, I began to experience marked symptoms: dizziness and disorientation,, balance problems, bilateral numbness in hands, feet and tip of tongue, awareness of left side of brain, intermittent mild nausea (likely related to dizziness). These symptoms had a sudden onset. I am normally very healthy and active so these unusual symptoms without any illness were quite a departure from my normal health. They have, to date, persisted continually since onset over the past 3 weeks. They are very concerning. Last night I went to the ER to be seen since I could not get an appt. with a neurologist for several months and I am concerned about my sudden change in health status.

Other Meds: Atorvastatin 10 mg 1x/day for high cholesterol Alendronate 70 mg 1x/week for osteopenia Flonase Nasal Spray for seasonal allergy Multivitamin (Centrum), Vit D3, Vit C, Vit B12

Current Illness: none

ID: 1287063
Sex: F
Age: 20
State: OH

Vax Date: 04/28/2021
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: Amoxicillin, Penicillin, Prednisone, Avocado, Banana, Eggplant

Symptom List:

Symptoms: Hives and rash developed within 48 hours. Was prescribed Methylprednisolone pack to combat it

Other Meds: Doxycycline hyclate, Effexor, metoprolol

Current Illness:

ID: 1287065
Sex: F
Age: 73
State: CA

Vax Date: 03/18/2021
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: none

Symptom List:

Symptoms: It was not known to Center and not reported by patient that she previously received Pfizer vaccine. She received Moderna vaccine on 3/18/21 with our agency. I received a fax today from pharmacy with Pfizer vaccine record thus the vaccine error was discovered.

Other Meds: aspirin, atorvastatin, calcium/vitamin D, losartan, clopidogrel, omeprazole

Current Illness: none

ID: 1287066
Sex: F
Age: 68
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: Administered 0.5 mL of vaccine, not 0.3 mL

Other Meds:

Current Illness:

ID: 1287067
Sex: F
Age: 58
State: CA

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

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

Lab Data:

Allergies: NSAIDS, PENICILLIN, SULFA, METHOTREXATE, HUMIRA, ARAVA, KEFLEX

Symptom List:

Symptoms: PT EXPERIENCED SHORTNESS OF BREATH , CHEST PAIN, LUNG PAIN AROUND 1 HOUR AFTER GETTING THE SECOND DOSE OF PFIZER COVID 19 VACCINE. SHE WENT TO THE ER ON 4/20 AND AGAIN ON 4/25 AND WAS ADMITTED FOR 4 DAYS AND WAS DIAGNOSED TO HAVE PERICARDITIS, ATRIAL FIBRILLATION AND ENLARGED HEART.

Other Meds: NOT TAKING ANY MEDICATION

Current Illness: RHEUMATHOID ARTHRITIS

ID: 1287068
Sex: M
Age: 49
State: CA

Vax Date: 04/28/2021
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:

Symptom List:

Symptoms: Patient experience mild allergy reactions to the Moderna Vaccine. Patient has swollen eyes that cause blurry vision. Patient consulted with a physician to start treatment for his symptoms.

Other Meds:

Current Illness:

ID: 1287069
Sex: M
Age: 56
State: FL

Vax Date: 05/01/2021
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: None

Symptom List:

Symptoms: First sign was a headache and nausea. Several hours later, I received chills, sweats and body aches for two days. One the second day, in the late evening I had a fever of 101, The chills, sweats and body aches continued, On the third day, I started feeling better, but very tired.

Other Meds: None

Current Illness: None

ID: 1287070
Sex: M
Age: 15
State: IN

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: Mother insisted her son be given vaccine even though he was not 16 yet.

Other Meds:

Current Illness:

ID: 1287071
Sex: M
Age: 32
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: Patient received Moderna vaccine after review. Approximately 5 minutes after receiving the vaccine they came to the drop off area stating that they felt warm and the lights seemed brighter. They explained they didn't know if it was just a random feeling or a reaction to the vaccine. I had them sit down, gave them an ice pak and cold bottled water, advised that they stay longer (around 30 minutes total) After about 10 minutes the patient felt better but they stayed the wait time. I called to check on them in the afternoon but they did not answer

Other Meds:

Current Illness:

ID: 1287072
Sex: F
Age: 19
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: penicillin

Symptom List:

Symptoms: She felt faint, nauseated, jittery, heavy breathing

Other Meds: unknown

Current Illness: unknown

ID: 1287074
Sex: F
Age: 18
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: none

Symptom List:

Symptoms: Patient was given vaccine and about 5 minutes after felt faint. Patient passed out for a few seconds. Patient peed herself. Patient left pharmacy after 45 minutes and was fine

Other Meds:

Current Illness:

ID: 1287075
Sex: M
Age: 31
State: CA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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: Employee had already received 2 Moderna shots. When he came for a J&J shot, employee documentation was not adequately reviewed to catch that he should not have a 3rd COVID shot at this time with current recommendations. Employee did not report any problems after receiving the 3rd COVID shot.

Other Meds:

Current Illness:

ID: 1287076
Sex: M
Age: 38
State: UT

Vax Date: 04/27/2021
Onset Date: 04/28/2021
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 have experienced the common side effects i.e. body aches, fatigue and headaches but on a more severe scale. My symptomps have surpassed the 48 hour period. I am still experiencing random muscle aches, which I would describe as moderately uncomfortable. Headache which goes way with IBP or Tylenol. On 5/3 and 5/4 I just began to take two doses throughout the day instead of three. I am still experiencing moderate to severe fatigue. I am slowly recovering, a little less tired since Saturday 4/30, but am still exhausted. I have sought no treatments.

Other Meds: None

Current Illness: None

ID: 1287077
Sex: M
Age: 4
State: OH

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 05/04/2021
Hospital: Y

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: Febrile seizure and stopped breathing prior to this his arms and face turned red. This started at 8:30 am on 4/27/2021 He was in the emergency room by 9am. They gave him an IV, bloodwork, urinalysis, ct scan, x-rays. They transported him to Hospital. He continues to run a fever 7 days later. The following is from his discharge papers Patient was seen at hospital for a sudden episode of shaking in his arms and legs and fluttering of his eyes. We understand that his lips turned blue and vomiting associated with this episode, and was found to have a temperature of 103. Seizure was triggered by the fever.

Other Meds: none

Current Illness: had strep throat on March 24th

ID: 1287078
Sex: F
Age: 27
State: FL

Vax Date: 02/24/2021
Onset Date: 02/26/2021
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: Rash two days post injection. Starting on neck then spread to arms and legs. Blotchy, non raised, reddened rash that itched and burned when scratched. Benadryl and cortisone cream used with little help. Oral antihistamine such as Benadryl was effective. Rash would go away and return after 1 or a few hours and show in a different area than previously. In the morning and in the evening worse. Rash would show on eye lids and face as well. Lasted about 2 weeks then resolved on its own. Now skin is more photosensitive and blotchy rash will develop with certain creams or sun exposure without specific sunscreen reapplication

Other Meds: Levothyroxine 25mcg daily

Current Illness: None

ID: 1287079
Sex: M
Age: 35
State: NE

Vax Date: 05/03/2021
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: None

Symptom List:

Symptoms: Chills, headache, body aches. Lasted about 18 hours. No treatment.

Other Meds: Multi-vitamin, fish oil

Current Illness: None

ID: 1287080
Sex: M
Age: 59
State: CA

Vax Date: 04/28/2021
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: I began to get weird blisters the day after the second shot. Then after that, a rash started to develop on my torso, and has now grown to over 65 percent of my body.

Other Meds: Lisinopril, 20mg, 3 daily ibuprofen, 600 total mg, zyrtec, 10mg, daily multivitamin, microzide, 25mg.

Current Illness: none

ID: 1287081
Sex: F
Age: 57
State: TX

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: Pt alerted me that she was starting to feel very anxious, felt as though her blood pressure was elevated, headache, slight confusion and brain fog, and some tingling in her mouth following her 2nd shot of Moderna today. After assessing the patient I thought it best to administer 25 mg oral liquid benedryl and I had an epipen ready if symptoms worsen. About 10 minute later she reported that she started feeling better. We monitored her for an hour to make sure she was feeling back to normal.

Other Meds:

Current Illness:

ID: 1287082
Sex: F
Age: 44
State: WA

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

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Fever spike 102.7 after Tylenol was taken, Extreme chills causing severe body shivering, teeth chattering, and goosebumps even while under covers, Severe headache, Nausea, Slight numbness in hands and arms, Body aches, Lightheaded and dizzy

Other Meds: Lisiniprol 30mg

Current Illness: N/A

ID: 1287083
Sex: F
Age: 87
State: OH

Vax Date: 04/17/2021
Onset Date: 04/21/2021
Rec V Date: 05/04/2021
Hospital: Y

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

Lab Data:

Allergies: Morphine, Z-pak, High Blood pressure med, levothyroxine

Symptom List:

Symptoms: Severe Nausea, Vomiting and Stomach Pains

Other Meds: Prilosec, Multi-Vitamin,

Current Illness: None

ID: 1287084
Sex: F
Age: 56
State: CA

Vax Date: 04/08/2021
Onset Date: 04/12/2021
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: cough started 4/12, still coughing as of 5/4. Taking prescription suppressants, atovaquone, and nebulizer treatment which is helping, but still coughing. achy and tired started approx 4/14 for about 5 days. Still a tiny bit achy today, but worst lasted about 5 days.

Other Meds: Progesterone, Biest, Testosterone Welchol CandidaSan Glutathione multi-vit electrolytes optimal pc st. john wort fish oil mag oxide zinc quercitin adrenal probiotics gi detox charcoal mineral 650 homeopathics: mucan, toxex, apo-hepat, apo-s

Current Illness:

ID: 1287086
Sex: M
Age: 23
State: NJ

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 received 2nd dose 1 week early. Patient received first dose on 4/21/21 and received his second on 5/4/2021. Unknown if patient experienced any side effects for receiving the vaccine earlier than his scheduled date.

Other Meds:

Current Illness:

ID: 1287087
Sex: F
Age: 43
State: VA

Vax Date: 04/25/2021
Onset Date: 04/28/2021
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: Rash on eyelids, mouth, nose, and gums. Rash blistered, scabbed, and is currently healing.....slowly.

Other Meds: Eliquis 5mg BID

Current Illness:

ID: 1287088
Sex: F
Age: 46
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: penicillin

Symptom List:

Symptoms: Client received the 2nd dose of Pfizer COVID vaccine lot #EW0167 and expiration date at 2:22pm. Client reports to vaccinator RN, that he feels dizzy. RN immediately offered client a bottle of water. PHN walked over to client sitting upright in chair alert and oriented x4 at 2:23PM. Client reports feeling "foggy and confused". Client also reports not drinking a lot of water today. At 2:31pm client reports dizziness feels "better after drinking on bottle of water." Client reports medical history includes that he is bipolar and later reports he has a history of vertigo. Vitals at 2:33PM: blood pressure:130/75, oxygen: 98% and pulse87 and "feels a little clearer, less foggy". At 2:38pm, vitals: blood pressure:120/75, oxygen: 98% and pulse:83 client reports he is still a "little dizzy". PHN gave client ER precautions and to report to provider. At 2:43pm vitals: blood pressure: 115/75, pulse:83 and oxygen:98%. client reports "slight dizziness" and that he is hungry and that fogginess is gone. At 2:48pm vitals : blood pressure:115/80, oxygen:98%, and pulse: 79. At 2:51pm, client reports dizziness is gone. At 2:53pm vitals: blood pressure: 115/80, oxygen:98% and pulse:80. At 2:55pm text lead PHN that after client felt better he reports feeling slight dizziness. PHN comes to check client. Client reports to PHN he feels good enough to drive and PHN advises if he is dizzy it is best to get a ride. At 2:58PM client left facility with a steady gait.

Other Meds:

Current Illness:

ID: 1287089
Sex: F
Age: 26
State: WA

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

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Symptoms: AFTER GIVING THE SHOT CUSTOMER REPORTED HAVING HIVES , GAVE HER BENADRYL

Other Meds: N/A

Current Illness: N/A

ID: 1287090
Sex: F
Age: 60
State: IL

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/04/2021
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Allergies: No Known Allergies (per system)

Symptom List:

Symptoms: Patient received 2nd dose of Pfizer Vaccine. Patient reported to Vaccinator that she had experienced sudden onset of nausea and vomiting and chest tightness post 1st dose and was taken by EMS to Hospital after 1st dose. Per patient she was given clearance by her PCP to receive 2nd dose of Pfizer Vaccine. Within 5 minutes of receiving dose, patient with sudden nausea, sharp headache, and complaining of chest pain. EMS called, and patient transported to ER. Vital Signs Stable: 124/71, HR 80, 100% on Room Air upon transfer.

Other Meds: unknown- called EMS- patient taken emergently to ER from Clinic.

Current Illness: unknown

ID: 1287091
Sex: F
Age: 45
State: TX

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/04/2021
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Symptoms: The day of my second covid vaccin, I was having my periods. I was feeling well. The day after in the morning my arm was really sore, I had strong nauseas and my period start to be very heavy and very painfull. I was so so tired. I had to say, after my first vaccine 4/01/21 , I just had my arm sore the day after, but I got my period during during almost 4 weeks. Then start one day before the second vaccin... I took ibuprofen and vogalen ( anti vomitid). I was feeling better sunday. Then the symptoms started again on monday 3 of may.

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Current Illness:

ID: 1287092
Sex: F
Age: 51
State: AL

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 05/04/2021
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Allergies: N/A

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Symptoms: Painful to lift arm. Pain at injection site. Bled when dose one shot was given. Over four months later and I am still having pain in my arm, not just at injection site. It hurts to rotate and lift and feels like the muscles are sore all of the time. Hurts to touch injection site but not continuously. Sometimes it feels like someone has punched me in the arm. Other times it feels like I have been stung by bees. This will even hurt into my shoulder and down to my elbow.

Other Meds: Hyzaar 50/12.5 Toprol XL 25 Magnesium Glycinate

Current Illness: N/A

ID: 1287093
Sex: M
Age: 70
State: MT

Vax Date: 04/11/2021
Onset Date: 04/26/2021
Rec V Date: 05/04/2021
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Allergies: oxycontin

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Symptoms: Right lower leg sudden onset severe swelling, pain, redness. Went to urgent care doctor who then performed assessment, blood work and ultrasound. Placed on Xarelto 15mg twice daily for 21 days.

Other Meds: methotrexate 17.5mg once weekly

Current Illness: none

ID: 1287095
Sex: F
Age: 42
State: MA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 05/04/2021
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Allergies: none

Symptom List:

Symptoms: hearing loss Left ear. tinnitus in both ears. Facial numbness (resolved now) Hearing loss left ear improved. Still high pitched tone tinnitus in both ears persistent shoulder pains.

Other Meds: none

Current Illness: none

ID: 1287096
Sex: F
Age: 56
State: MD

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

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Symptoms: PATIENT REPORTED TO HAVE VAGINAL BLEEDING LIKE A PERIOD FOR COUPLE DAYS AFTER HER 1ST SHOT. SHE CONTACTED HER DOCTOR BUT WAS ADVISED TO GET THE 2ND DOSE AS WELL CAUSE THE DOCTOR WASNT SURE THE BLEEDING IS FROM THE VACCINE. HOWEVER, THE PATIENT REPORTED TO HAVE VAGINAL BLEEDING AGAIN AFTER HER 2ND DOSE FOR 1 DAY. SHE ALSO REPORTED TO HAVE SORE ARM, AND BODYACHE AFTER THE 2ND DOSE.

Other Meds: NA

Current Illness: NA

ID: 1287097
Sex: F
Age: 47
State: AL

Vax Date: 08/15/2020
Onset Date: 04/01/2021
Rec V Date: 05/04/2021
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Symptoms: states it caused her foot to be crushed

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Current Illness:

ID: 1287098
Sex: F
Age: 15
State: CA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 05/04/2021
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Symptoms: Patient received 1st dose of Pfizer on 4/8/21 Lot EW0151 and was registered through employer with DOB. Patient received 2nd dose of Pfizer on 4/27/21 Lot EW0172 with same birthdate. After she received vaccine, vaccinator questioned her further about date of birth and patient admitted birthdate was not correct but a different year - meaning she was 15 at time of vaccination. Patient had no adverse effect from receiving vaccines but is under the age authorized for.

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Current Illness:

ID: 1287099
Sex: M
Age: 61
State: FL

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 05/04/2021
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Allergies: Topical allergies only : PABAs, poison ivy, oxybenzone, oxybenzene

Symptom List:

Symptoms: 3/18/21 about 6 hours after vaccination- severe muscle cramp Left Leg. Woke about 6am, 3/18/21 with severe headache, muscle aches, temperature 102 degrees Fahrenheit and weakness. I called my physician?s in between help line and left a message.

Other Meds: Coumadin, Acyclovir, Melatonin, Doxapine, Vitamin D, Lipitor 40mg, Topical Testosterone

Current Illness: None

ID: 1287100
Sex: M
Age: 33
State: CA

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/04/2021
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Allergies: Not reported

Symptom List:

Symptoms: Patient fainted and bumped/scraped his head in the process. He came to quickly and was alert and oriented. His physical exam was normal.

Other Meds: Not reported

Current Illness: None reported

ID: 1287101
Sex: M
Age: 51
State: MA

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 05/04/2021
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Allergies: none

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Symptoms: Tinnitus worsened considerably about a day after getting the the Covid-19 shot.

Other Meds: none

Current Illness: none

ID: 1287102
Sex: F
Age: 35
State: MI

Vax Date: 03/28/2021
Onset Date: 04/05/2021
Rec V Date: 05/04/2021
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Allergies: None

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Symptoms: Heart palpitations

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm