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: 1291990
Sex: M
Age: 74
State: PA

Vax Date: 04/12/2021
Onset Date: 04/17/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient and his wife received a Covid19 vaccine on 04/12/2021 Approximately three days after receiving the vaccination they started experiencing the following symptoms: tiredness, loss of appetite, nausea and some vomiting. On 04/17/2021 extreme diarrhea developed and they went to their primary care doctor. The doctor prescribed antibiotics. As of 04/26/2021 the symptoms were still occurring but less severe.

Other Meds: Finasteride 5MG TAB 1per day Rosuvastatin 5mg tab USP 1per day Metformin 500mg tab 1tablet twice daily. Low dose aspirin 81mg 1tablet per day.

Current Illness: N/A

ID: 1291991
Sex: M
Age: 35
State: PA

Vax Date: 01/04/2021
Onset Date: 01/18/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Anxiety, Dyspnoea

Symptoms: SORE THROAT

Other Meds: busPIRone (BUSPAR) 5 mg tablet

Current Illness:

ID: 1291992
Sex: F
Age: 59
State: MN

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Hypertension-Medium, Systemic: Shakiness-Medium, Systemic: Tachycardia-Medium, Additional Details: Patient experienced throat tightness and dry mouth. Benadryl administered, then Epipen 0.3mg. Blood pressure was high, paramedics came to check her out. BP went back to normal and patient was sent home

Other Meds:

Current Illness:

ID: 1291993
Sex: M
Age: 33
State: KY

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Fever persisting 36 hours with a peak temperature of 102.6 degrees, body aches and fatigue

Other Meds: Zyrtec

Current Illness:

ID: 1291994
Sex: F
Age: 77
State: WI

Vax Date: 02/19/2021
Onset Date: 03/15/2021
Rec V Date: 05/06/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Patient presented to the ED on 3/15/21 and was subsequently hospitalized with NSTEMI. She also presented to the ED on 4/14/21 with chest heaviness.

Other Meds:

Current Illness:

ID: 1291995
Sex: F
Age: 32
State: TX

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Muscle ache, light headache, chills.

Other Meds: None

Current Illness: None

ID: 1291996
Sex: M
Age: 45
State:

Vax Date: 04/02/2021
Onset Date: 04/04/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Tinnitus almost constantly since shot

Other Meds: Vitamin D, multivitamin

Current Illness:

ID: 1291997
Sex: F
Age: 33
State: FL

Vax Date: 04/26/2021
Onset Date: 04/28/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Migraine, muscle spasms, heart palpitations, arm soreness. All set in swiftly within a 30 minute period, two and a half days after the vaccine was administered.

Other Meds: Prenatal vitamins

Current Illness: None

ID: 1291998
Sex: F
Age: 62
State: MI

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

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

Lab Data:

Allergies: N/A

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: I have had frequent sharp stabbing pain in my left upper arm where the shot was administered and in my left thigh, along with extreme pain from shoulder to shoulder and in my neck, along with constant ach/pain in all sites. These symptoms lasted for 9-10 days. Then the sharp stabbing pain in left arm & leg subsided, but the other ach/pain continued. Currently, a month later, I still have occasional sharp pain in my left arm along with the constant ach/pain in my left arm where the shot was administered.

Other Meds: Synthroid, Metaprolol

Current Illness: N/A

ID: 1291999
Sex: F
Age: 53
State: AR

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Received the first dose on 1/15/2021 approx 10:15 am. I noticed I had ringing in my ears that started later that evening. The ringing is constant and has never gone away since the first vaccine. I received the second dose on 2/5/2021 and the ringing just continued on. It is now May 6th and I still have the constant ringing in my ears.

Other Meds: Daily multi vitamin

Current Illness: None

ID: 1292000
Sex: M
Age: 33
State: IN

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Pain at injection site, fever, chills, body aches, headache, fatigue Treatment: NSAIDs for 24 hours, fluids

Other Meds:

Current Illness:

ID: 1292001
Sex: F
Age: 24
State: IN

Vax Date: 05/04/2021
Onset Date: 05/05/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Body aches, headache, loss of taste and smell for about 5 hours, fatigue but unable to sleep, hot and cold flashes

Other Meds:

Current Illness:

ID: 1292002
Sex: F
Age: 42
State: IN

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: Cymbalta, witch hazel, adhesive, thimerisol

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

Symptoms: Left arm pain and immobility, fatigue, headache, neck and shoulder pain, nauseated

Other Meds: Lexapro, Lyrica, Prilosec, Flexeril

Current Illness:

ID: 1292003
Sex: M
Age: 55
State: FL

Vax Date: 01/14/2021
Onset Date: 01/18/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: nkda

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

Symptoms: anosmia

Other Meds: asa 81, multivitamin, emergen-c

Current Illness: none

ID: 1292004
Sex: F
Age: 27
State: GA

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Pain in the left arm, fatigue, weakness, headache

Other Meds: No

Current Illness: No

ID: 1292005
Sex: F
Age: 71
State: MO

Vax Date: 05/04/2020
Onset Date: 05/04/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Patient received first dose of COVID-19 vaccination on 03/06/2021 which was Moderna vaccination. Patient did not recall receiving previous dose of COVID-19 vaccination and signed up to receive dose of Pfizer COVID-19 Vaccination. Patient did receive a dose of Pfizer Vaccination on 05/04/20201 after previous dose of Moderna Vaccination

Other Meds: Patient originally received a dose of COVID-19 Vaccination of Moderna on 03/06/2021. Patient received another dose of Pfizer vaccination on 05/04/2021. Patient did not recall vaccination upon initial assessment.

Current Illness: N/A

ID: 1292006
Sex: M
Age: 39
State:

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Rigors, Fever, Convulsions.

Other Meds: None

Current Illness: None

ID: 1292007
Sex: F
Age: 44
State: FL

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Pt. stated, "My arm feels heavy. It happened as soon as I got vaccinated." At 10:32am pt. stated, "It's getting better." At 10'6 pt. stated, "I feel ok, I can go home now. The heaviness is gone." Pt went home at 10:49am.

Other Meds: None

Current Illness:

ID: 1292008
Sex: F
Age: 46
State: NY

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Nausea and diarrhea within 2 hours of shot - resolved Headache and stiff neck within 2 hours of shot - persists Fever reaching 102.9 - 5/5 4am Fever persists 99-100 with advil / tylenol

Other Meds: Premarin 0.9mg

Current Illness: No

ID: 1292009
Sex: M
Age: 47
State: NC

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: None per the Patient Vaccine Consent Form

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

Symptoms: Patient experienced a seizure episode immediately after I administered his COVID-19 vaccine. I administered the vaccine at 10:22 AM and a few seconds later Patient started to shake and toss his head back. I immediately called 911/paramedics after his wife and I helped him to lay to his side. His seizure episode lasted about 2 or 3 minutes. He quickly regained consciousness and became fully responsive before the paramedics arrived.

Other Meds: Although patient stated that "his seizures were under control," due to the medication he takes, no specific medications were disclosed at the time of his visit. Patient is does not get any of his prescriptions filled at clinic. He only sche

Current Illness: A history of seizures/epilepsy per the Patient Vaccine Consent Form

ID: 1292010
Sex: M
Age: 59
State: IA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: ORIGINAL ON FILE AT FACILITY

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

Symptoms: PREPARATION AND ADMINISTRATION ERROR. PATIENT RECEIVED 180 MCG OF PFIZER COVID 19 VACCINE IMx1.

Other Meds: ORIGINAL ON FILE AT FACILITY

Current Illness: ORIGINAL ON FILE AT FACILITY

ID: 1292011
Sex: F
Age: 22
State: MO

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: 20 minutes after administering, patient complained of hives and itching. Benadryl was administered. 30 minutes after administration, patient complained that throat was closing up and having difficulty breathing. EpiPen was administered in right thigh and paramedics call. Paramedics accessed patient and patient refused to go to hospital. Patient left facility on their own.

Other Meds:

Current Illness:

ID: 1292012
Sex: F
Age: 18
State: VA

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: Vancomycin (Red Mans syndrome), foaming hand soap (hives)

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

Symptoms: At 10 minutes post-vaccination, patient had noted a dry, scratchy feeling in her throat and asked if I (mom) had brought a water bottle with us (I had not). At 20 minutes post-vaccination, patient began feeling her throat tightening, tongue swelling, and stated that her lips/mouth/tongue had a tingling sensation. At this point she was taken to the nurse/paramedic to be monitored with EKG, pulse oximetry, and given a bottle of water to drink. After 30 minutes of monitoring, the nurse/paramedic asked patient if her symptoms were improving and if she felt well enough to go home. She said that her symptoms were not gone, but improving, so she was told to sign a waiver/refusal of care form and released. However, at 11 hours post vaccination (1:30 AM), the symptoms returned (tongue swelling, throat tightening, tingling sensation in and around her mouth). I administered Benadryl (2 tablets), monitored for 30 minutes, and symptoms improved. No further symptoms after that point.

Other Meds: 25mg Amitriptyline, Butterbur (herbal supplement), Lactaid, Vitamin D, Magnesium, Tylenol (no more than 3x/week), Culturelle Probiotic Supplement

Current Illness:

ID: 1292013
Sex: F
Age: 75
State: OH

Vax Date: 04/27/2021
Onset Date: 05/05/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Injection site pain, Pain

Symptoms: Right arm "rash" described as macule with clear demarcated edge, slightly raised reported as oval around injection site. Slightly raised and itching.

Other Meds: Levothyroxine 75mcg

Current Illness: No

ID: 1292014
Sex: M
Age: 73
State: MN

Vax Date: 03/18/2021
Onset Date: 03/26/2021
Rec V Date: 05/06/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient was admitted to the hospital within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1292015
Sex: M
Age: 85
State: MI

Vax Date: 03/11/2021
Onset Date: 04/27/2021
Rec V Date: 05/06/2021
Hospital: Y

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

Lab Data:

Allergies: Tamsulosin (vertigo), telmisartan-hctz (tonge, lip swelling), morphine (mind goes crazy), silodosin (syncope)

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

Symptoms: Patient was seen by an outpatient provider and was referred to the emergency department due to hypoxia and respiratory distress. He was found to have a COVID-19 infection. He was admitted to hospital for further management. On 4/28/21, his condition declined and resulted in intubation and transfer to ICU. He is intubated at time of writing.

Other Meds: acetaminophen (TYLENOL EXTRA STRENGTH) 500 MG tablet alfuzosin (UROXATRAL) 10 MG SR tablets amLODIPine (NORVASC) 2.5 MG tablet Calcium Carbonate-Vitamin D (CALCIUM 600+D PO) clopidogrel (PLAVIX) 75 MG tablet desvenlafaxine succinate ER (PRI

Current Illness: None known

ID: 1292016
Sex: M
Age: 57
State: NY

Vax Date: 04/18/2021
Onset Date: 04/22/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: rash at base of neck similar to shingles (left side) rash upper chest similar to chicken pox (right side)

Other Meds: sertraline, busperone, tamsulosin

Current Illness: none

ID: 1292017
Sex: F
Age: 73
State:

Vax Date: 03/29/2021
Onset Date: 05/29/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Pt states that she received COVID vaccine on 3/29/21 in the morning. Later that same day she states she thinks she had a stroke and could not move the left side of the body, fell out of the car and was stuck on the ground for 1-2 hours. The patient is well now with a full range of motion returned.

Other Meds:

Current Illness:

ID: 1292018
Sex: F
Age: 65
State: TX

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: penicillin, Keflex, Clindamycin

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

Symptoms: pt states she developed a severe headache. She is dizzy, nauseated, vomiting, has sore throat, trouble swallowing, and has some fatigue. Pt has had some tele visits w/ her PCP due to her headache. She requested he prescribe Topamax which she is currently taking but does not seem to help with the pain. Pt will be seeing her PCP again for a head scan.

Other Meds: levothyroxine 175mg, metformin 500mg, oxycodone 15mg, atenolol 25mg, morphine sulfa 15 mg, rosuvastatin 10mg, omeprazole 40mg, erythymican liquid (she takes for 3 weeks and goes off of it for a week)

Current Illness:

ID: 1292019
Sex: M
Age: 65
State: PA

Vax Date: 04/15/2021
Onset Date: 05/02/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Nausea

Symptoms: Shingles outbreak 17 days after 2nd dose. Never had shingles before. Did have the old single dose shingles vaccine ago

Other Meds: Lumigan; Cosopt, vitamin D, C, A, E

Current Illness: none

ID: 1292020
Sex: M
Age: 20
State: UT

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List: Injection site pain

Symptoms: PATIENT OBSERVED TO HAVE POSSIBLE SEIZURE ACTIVITY IN CHAIR. PATIENT BROUGHT TO THE FLOOR AND LASTED ABOUT 1 MINUTE. PATIENT HAD CONTRACTED ARMS, HUNCHED OVER, PALE, DIAPHORETIC, AND VERBALLY UNRESPONSIVE. 911 DISPATCHED AND ARRIVED WITHIN FEW MINUTES. PATIENT DID NOT RECALL EVENT ONCE VITALS STABILIZED AND WAS TRANSPORTED TO NEAREST HOSPITAL.

Other Meds: NONE

Current Illness: NONE

ID: 1292021
Sex: F
Age: 33
State: MI

Vax Date: 01/30/2021
Onset Date: 03/22/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Patient developed COVID symptoms on 3/22/2021 despite 2 doses of Pfizer-BIONet vaccine. Tested positive for COVID. Symptoms include chills, body aches, diarrhea, headache, nasusea/vomiting, and rhinorrhea.

Other Meds: abilify, norgestimate-ethinyl estradiol

Current Illness: none

ID: 1292022
Sex: F
Age: 52
State: PA

Vax Date: 01/04/2021
Onset Date: 03/25/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: CodeineHives / Urticaria PenicillinsHives / Urticaria Ancef [Cefazolin]Other (document details in comments) CeftriaxoneRash LevofloxacinRash MeperidineNausea Only

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

Symptoms: Coughing, not sure about fever has no way to check, NO sob, nausea and has not eaten, head congestion, body aches (can not lay in bed without being in pain), Sinus pain and pressure, and has a sinus headaches and it is here whole head and feels like her head is in a vise.

Other Meds: ALPRAZolam (XANAX) 0.5 mg tablet buPROPion (WELLBUTRIN) 100 mg tablet celecoxib (CeleBREX) 200 mg capsule cyanocobalamin, vitamin B-12, (B-12 KIT) 1,000 mcg/mL estradioL (VIVELLE-DOT) 0.075 mg/24 hr iron sucrose (VENOFER) 50 mg iron/2.5 mL

Current Illness:

ID: 1292023
Sex: F
Age: 31
State: CT

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Received first dose Moderna on 4/14/2021. Received second dose of Moderna vaccine 5/5/2021 and was not due until 5/14/2021.

Other Meds:

Current Illness:

ID: 1292024
Sex: F
Age: 61
State: NY

Vax Date: 04/21/2021
Onset Date: 05/01/2021
Rec V Date: 05/06/2021
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Allergies: Sulfasalazine, lamasil, erythromyacin, invisible sutures.

Symptom List: Erythema, Pruritus

Symptoms: Pt woke up at 1 am on 5/1/21 and noticed a small red bump on the inside of her arm, between her elbow and wrist. Tuesday morning 5/4/21 patient noticed several blotchy red spots around injection site and now her whole right arm is swollen. She reports a bump at the injection site. It is very painful and warm to touch. Gabapentin 100mg tid started on 5/3/21, Cipro 500mg BID x 10 days started on 5/4/21 and Prednisone 20mg QD x 7 days started today, 5/6/21. Pt also reports having lifted a 70#box of tile that resulted in her "pulling a muscle" in her shoulder/neck area on her right side. She has been icing the site.

Other Meds: Pravastatin, generic celebrex

Current Illness:

ID: 1292025
Sex: F
Age: 34
State: NJ

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 05/06/2021
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Allergies: N/A

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

Symptoms: Fatigue, joint pain in knees, headache, very sore arm. Overall stiffness in body and tiredness throughout the day, but severe joint pain in knees is the worst part. It had gone away for 2 weeks after having it for 2-3 weeks straight after the second shot, but it has come back as of 5 days ago. This is pain I've never had before in my life.

Other Meds: Advil and Claritin - no one said until afterward that you 'shouldn't' take anything.

Current Illness: N/A

ID: 1292026
Sex: M
Age: 60
State: IA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 05/06/2021
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Allergies: ORIGINAL ON FILE AT FACILITY

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

Symptoms: PREPARATION AND ADMINISTRATION ERROR. PATIENT RECEIVED 180 MCG OF PFIZER COVID 19 VACCINE IMx1.

Other Meds: ORIGINAL ON FILE AT FACILITY

Current Illness: ORIGINAL ON FILE AT FACILITY

ID: 1292027
Sex: M
Age: 31
State: GA

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/06/2021
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Allergies: n/a

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: patient developed fevers (tmax 101F), body aches, fatigue, about 8 hours after receiving 2nd moderna dose.

Other Meds: n/a

Current Illness: n/a

ID: 1292028
Sex: M
Age: 69
State: NJ

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 05/06/2021
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Allergies: None

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

Symptoms: Tinnitus

Other Meds: Tresiba,jentodueto

Current Illness: None

ID: 1292029
Sex: F
Age: 48
State: NY

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 05/06/2021
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Allergies: None

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

Symptoms: I had a couple days of fever and body aches which did subside. But i am having persistent fatigue, pain on the whole side of the body of the vaccination, shortness of breath, inability to do my normal physical activities because of elevated heart rate and shortness of breathe.

Other Meds: None

Current Illness: None

ID: 1292030
Sex: M
Age: 85
State: NY

Vax Date: 02/26/2021
Onset Date: 03/26/2021
Rec V Date: 05/06/2021
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Allergies:

Symptom List: Pain in extremity

Symptoms: Experienced sudden hearing loss 4 days after first vaccine dose, hearing loss did not worsen after second vaccine dose. An MRI brain was done, no evidence of ischemic or hemorrhagic event.

Other Meds:

Current Illness:

ID: 1292031
Sex: M
Age: 62
State: VT

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/06/2021
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Allergies: None

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

Symptoms: Sever headache, nausea, muscle ache, abdominal cramps, fatigue

Other Meds: None

Current Illness: None

ID: 1292032
Sex: F
Age: 31
State: IN

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/06/2021
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Allergies:

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

Symptoms: Nausea

Other Meds:

Current Illness:

ID: 1292033
Sex: F
Age: 32
State: IN

Vax Date: 05/04/2021
Onset Date: 05/05/2021
Rec V Date: 05/06/2021
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Allergies: None that I?m aware of. Lactose sensitivity.

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

Symptoms: Treatment was excellent both times and my symptoms did not start until about 16 hours afterwards. It started with extreme chills and shakiness. Then I got a fever and a feeling of extreme heaviness - like I couldn?t get out of bed, and when I did to get water or go to the bathroom, I was immediately exhausted and incredibly dizzy afterwards. I am able to be up and moving more today, however I still have a fever and extreme cold sweats. My poor partner thought I might have wet the bed my cold sweats were so serious. I had to steady myself a few times walking my kids to their bus stop this morning. I?m afraid to drive to work my ?heaviness feeling? and shakes are so intense. I don?t regret getting vaccinated, but it?s not been fun.

Other Meds: Prazosin, buspar, lamotrigine, lisinopril, naltrexone

Current Illness:

ID: 1292034
Sex: F
Age: 26
State: IN

Vax Date: 05/04/2021
Onset Date: 05/05/2021
Rec V Date: 05/06/2021
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Allergies: None

Symptom List: Vomiting

Symptoms: Nausea

Other Meds: None

Current Illness: None

ID: 1292035
Sex: F
Age: 72
State: ND

Vax Date: 02/24/2021
Onset Date: 03/29/2021
Rec V Date: 05/06/2021
Hospital: Y

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Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient was admitted to the hospital within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1292036
Sex: M
Age: 49
State: IA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 05/06/2021
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Allergies: ORIGINAL ON FILE AT FACILITY

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

Symptoms: PREPARATION AND ADMINISTRATION ERROR. PATIENT RECEIVED 180 MCG OF PFIZER COVID 19 VACCINE IMx1.

Other Meds: ORIGINAL ON FILE AT FACILITY

Current Illness: ORIGINAL ON FILE AT FACILITY

ID: 1292037
Sex: M
Age: 34
State: CT

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/06/2021
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Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Received first dose Moderna vaccine on 4/14/2021. Was given second dose on 5/5/2021 and when second was due 5/14/2021

Other Meds:

Current Illness:

ID: 1292038
Sex: F
Age: 34
State: PA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 05/06/2021
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Allergies: NKA

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

Symptoms: Fever or Chills New loss of taste or smell Sore throat Congestion or running nose

Other Meds: atorvastatin (LIPITOR) 20 mg tablet L norgest/e.estradioL-e.estrad (SEASONIQUE) 0.15 mg-30 mcg (84)/10 mcg (7) tablets,dose pack,3 month lidocaine (XYLOCAINE) 2 % jelly

Current Illness:

ID: 1292039
Sex: M
Age: 76
State: TN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 05/06/2021
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Allergies: none

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

Symptoms: The day after my second shot I went into Atrial Fibrillation. This lasted for 6 days. I have never been diagnosed with this, but have had infrequent bouts with PVC's. Diagnosis was made at Hospital ER a few days after onset of symptoms. Visited my Cardiologist about a week after that, but by then my symptoms had disappeared. It is now about 3 months after this episode and I have had no irregular heartbeats since.

Other Meds: metropolol, pravastatin, lisinopril, prevacid, MgO, Vitamin D

Current Illness: none

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am