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: 1293507
Sex: F
Age: 71
State: CA

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

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

Lab Data:

Allergies: Milk

Symptom List:

Symptoms: At first two days after 2nd dose Moderna vaccine, have fever headache , body aches and chills. On the third day after vaccine, started having mouth soreness. Then my gums became red, looks like gingivitis and very painful. I started have fever about 38 degree C almost every day afternoons. Took Telenol. Soon My mouth developed many ulcers and blisters. My tongue changed color to white and painful. Those symptoms last about 3 weeks.

Other Meds: Hydrochlorothiazide 25 mg Amlodipine mg

Current Illness: None

ID: 1293508
Sex: F
Age: 28
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was to receive 2nd dose of moderna vaccine, 0.5 mL. During administration, syringe needle became loose and syringe disconnected from needle while in patient arm. Because of this, more than half of volume of vaccine leaked out and ran down patient arm. Administering nurse estimated that less than half the dose was administered into the arm. Nurse Manager called on-call physician. Physician stated that since less than half of dose was administered to patient, she recommended an additional half dose (0.25 mL) be given to patient. Patient was educated on Dr response, and patient verbalized approval of plan. The additional 0.25 mL dose was then administered to patient.

Other Meds:

Current Illness:

ID: 1293509
Sex: M
Age: 82
State: MO

Vax Date: 05/05/2021
Onset Date: 05/06/2021
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:

Symptoms: Next morning severe weakness, fever and chills.

Other Meds: Multiple - have diffuse scleroderma (take immune suppressants), kidney disease and anemia - and had covid-19 pneumonia, first testing positive 2/15/21 and was in hospital 3/12/21-4/3/21 then a nursing/rehab until 5/4/21.

Current Illness: Have had diffuse scleroderma (take immune suppressants), kidney disease and anemia for 8 years - and had covid-19 pneumonia, first testing positive 2/15/21 and was in hospital 3/12/21-4/3/21 then a nursing/rehab until 5/4/21.

ID: 1293510
Sex: F
Age: 55
State: PA

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Had J&J COVID-19 vaccine 4/2- headache, fevers chills for about 48 hours headaches and waves of nausea continued neck and shoulder blades achey Feels like pressure on both sides of her head 4/9 trouble breathing 4/11- frontal headache, nausea got worse, vomited 2 nights in a row due to coughing

Other Meds:

Current Illness:

ID: 1293511
Sex: F
Age: 31
State: HI

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 known

Symptom List:

Symptoms: 30 seconds after giving the immunization patient said her head started to feel funny. She then put her head in her hands and closed her eyes. I asked if she was all right and if she wanted me to get her some water. She asked if she could just sit there for awhile. I stayed with her for about 3-4 minutes all the time asking how she was doing/feeling. I said maybe I should help her move out to the waiting area since the immunization rooms air conditioning was not working and the cooler air might help her.( As a side note, she came in very apprehensive about receiving the vaccine.) She then got up and started walking to the door where I opened it for her . Then as she walked through door, and with my hand helping guide her, she took about two and a half steps and passed out suddenly - falling away from me. There were about 5 other people in the waiting area the witnessed the fall and we all heard how when she went down she hit her head pretty hard on the floor. I immediately went down to see how she was (ie. conscious, bleeding, any swelling at impact site). She was then conscious again but disoriented. She answered questions I put to her but wanted to stay lying on the floor. A lady that was waiting asked if she should call 911, which I responded YES, thank you. Her husband was also called and came in. Paramedics showed up about 10 minutes later and began monitoring and eventually did transport her to the hospital via ambulance.

Other Meds: None known

Current Illness: None known

ID: 1293512
Sex: M
Age: 29
State: WA

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

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

Lab Data:

Allergies: No known allergy

Symptom List:

Symptoms: Patient got the 1st dose of Pfizer vaccine at 1:58 pm on 5/6/21. Patient felt slightly dizzy about 3 minutes after getting the vaccine. Then he passed out and fell on the floor with seizure for about 5 seconds. He regain conscious and said he didn't remember anything. He also said his stomach felt upset. Later he felt chest tightness and blurry vision. We called 911 at 2:02 pm. They came in at 2:07 pm. They checked the patient's blood pressure. Patient had low blood pressure. He was sweating and felt hot. He didn't eat or drink anything before getting the vaccine. They transferred him to the emergency room for further check-up.

Other Meds: N/A

Current Illness: No

ID: 1293513
Sex: M
Age: 30
State: CA

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

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

Lab Data:

Allergies: Allergic reaction to Gardasil vaccine

Symptom List:

Symptoms: Had raising heart beat and dizziness the with the first shot in the evening of 3/12/2021 it happened about two times and it went away. Second dose 4/2/2021 Heart palpitations started immediately after the second dose. Did not mention anything to the staff at the workplace vaccine event. I kept having heart palpitations, on 4/13/2021 I had a sharp pain on the left side of my chest that radiated down my left arm. I made an appointment for the next day. 4/14/2021 I left work at about 9:30 for dizziness, blurry vision, vomiting, and sharp left side head pain. I had a doctors appointment at 2:30 on 4/14 they did an EKG and it came out abnormal, blood pressure was borderline. Was put on blood pressure medication for 3 months.

Other Meds: non

Current Illness: non

ID: 1293514
Sex: M
Age: 46
State:

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: None

Symptom List:

Symptoms: Prior to vaccination patient experienced dizziness and feeling "sick". Denies symptoms of active illness. Blood glucose level 280. Patient stated he would be more cautious and take his prescribed medications.

Other Meds:

Current Illness:

ID: 1293515
Sex: F
Age: 44
State: NY

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Ceclor Erythromycin

Symptom List:

Symptoms: Pain and swelling at injection site. Fever Body aches *diagnosed with shingles 1 week later Shingles symptoms started 2 days after vaccine.

Other Meds: Flovent Claritin B complex Multivitamin Vitamin d

Current Illness:

ID: 1293516
Sex: F
Age: 51
State: NY

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

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

Lab Data:

Allergies: Hydrocodone, Bees

Symptom List:

Symptoms: Patient began feeling very dizzy and nauseous, then when she sat up after resting for 20 mins felt a sudden onset of chest pain. EKG and vitals looked normal. EMS was called and patient was transferred to hospital.

Other Meds: Metoprolol, Celebrex, Topiramate, Rosuvastatin, Mag-ox

Current Illness:

ID: 1293517
Sex: F
Age: 42
State: UT

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

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

Lab Data:

Allergies: no allergies

Symptom List:

Symptoms: Patient first dose was with Phizer and got 2nd dose of vaccine with MODERNA on day 05/06/2021

Other Meds: aripiprazole, zoloft, quetiapine, buspar, proventil

Current Illness: no known

ID: 1293518
Sex: F
Age: 39
State: WA

Vax Date: 04/27/2021
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: sensitivity/allergy to penicillin

Symptom List:

Symptoms: 2nd COVID19 (moderna) vaccine shot was administered in upper right arm. No major side effects within 12 hours except very mild soreness. After 12 hours, I experienced extreme fatigue, nausea, soreness at injection site. 18 hours after injection, I began to experience red splotchiness/flushing of the skin around the injection site and further beyond that area all around my outer upper right arm, down to upper elbow region as well as significant swelling/edema of the upper arm. The skin was hot to the touch. I had significant pain, tenderness, stiffness, redness all around the injection site. The fatigue and nausea subsided after 2 days. These symptoms of my upper arm (swelling, tenderness, pain, stiffness, red flushed skin, hot to the touch) all lasted several days and then slowly went away after 5 days.

Other Meds: CBD supplement, 10 mg allertec (cetirizine 5 mg) folic acid vitamin D magnesium

Current Illness: no other illnesses, only seasonal allergies during Springtime

ID: 1293519
Sex: M
Age: 46
State: WA

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

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Pt. self identified panic attack post second pfizer vaccine. PT declined RN interventions, self managed symptoms. Pt. ambulated from clinic after describing improved symptoms

Other Meds: unknown

Current Illness: unknown

ID: 1293520
Sex: M
Age: 56
State: DE

Vax Date: 04/25/2021
Onset Date: 04/26/2021
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:

Symptoms: Lightheaded and dizziness that persisted for over a week.

Other Meds: Allopurinol 300 mg Lisinopril 10 mg Omeprazole 40 mg Chewable Vitamins

Current Illness: none

ID: 1293521
Sex: F
Age: 43
State: CA

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

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: This is a medication error. Directed to complete VAERS. Marcelina came in to get 2nd dose of Moderna vaccine. She accidently received the pfizer vaccine instead. no adverse reaction at time of observation at covid clinic.

Other Meds: unknown

Current Illness: unknown

ID: 1293522
Sex: F
Age: 64
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: She got headache, upset stomach, and body pain 12 hours after getting the vaccine.

Other Meds:

Current Illness:

Date Died: 05/04/2021

ID: 1293523
Sex: F
Age: 79
State:

Vax Date: 02/18/2021
Onset Date: 02/26/2021
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:

Symptoms: This 79 year old female received the Covid shot on 2/18 and went to the ED on 2/26 and was admitted on 2/26 with chest pain and abdominal pain and again to the ED on 3/14 and admitted on 3/14 with hyperkalemia, acute renal injury, chest pain and died on 05/04/21 . Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation.

Other Meds:

Current Illness:

ID: 1293524
Sex: M
Age: 25
State: GA

Vax Date: 05/06/2021
Onset Date: 05/06/2021
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:

Symptoms: Patient received one dose of Janssen on April 8 and May 6. Was asked three times if he had another Covid vaccine , he denied each time. Signed consent and completed registration.

Other Meds: none

Current Illness: none

ID: 1293525
Sex: M
Age: 30
State:

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:

Symptoms: patient description of event was that he was going in and out of consciousness, and while unconscious vomited and inhaled vomit, woke up gasping for air and coughing up vomit.

Other Meds:

Current Illness:

ID: 1293526
Sex: F
Age: 61
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: Stadol

Symptom List:

Symptoms: Started with headache... arm pain , sneezing and runny nose. After work when I got home I started feeling achy and running a low grade fever. Midnight the chills started and I couldn?t get warm. My fever has been up and down from 100 6 to 103.8. Tylenol works to reduce it for about two hours and then it climbs back up and my body starts cramping in the joints and muscles.

Other Meds: prilosec, Claritin. Cholesterol, metformin. Beta blocker, Gout meds, aspirin, Tylenol, fish oil, CoQ10, multi vitamin, vitamin D and E

Current Illness: Allergies

ID: 1293527
Sex: F
Age: 31
State: IL

Vax Date: 04/30/2021
Onset Date: 04/30/2021
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:

Symptoms: Moderna COVID?19 Vaccine EUA sharp sudden menstrual cramping, swollen breast and swollen nipples.

Other Meds: None

Current Illness: none

ID: 1293528
Sex: M
Age: 50
State: TX

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 05/06/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Visited ER on 5/3/21 with symptoms of shortness of breath, cough, fatigue, oxygen sats 90-91% on room air, tachycardia (HR 114), BP 182/127

Other Meds: none

Current Illness:

ID: 1293529
Sex: M
Age: 46
State:

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:

Symptoms: First attempt at administering the patient's second dose of the Moderna COVID-19 Vaccine led to detachment of the syringe barrel from the needle. Unclear whether any vaccine entered the patient's arm. Called MD who advised that we administer a half dose (0.25 mL) of the vaccine to the patient, which we did immediately.

Other Meds:

Current Illness:

Date Died: 05/04/2021

ID: 1293530
Sex: U
Age: 62
State:

Vax Date: 04/06/2021
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:

Symptoms: death

Other Meds:

Current Illness:

ID: 1293531
Sex: F
Age: 23
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: At 1:32pm Clinical Pharmacist alerted Nurse that patient verbalized that she was feeling dizzy, nauseous, "tingling on my face" and pain in the arm. RN responded and took the vitals signs recorded above. Patient reported last food eaten was at 10am. She came to the vaccine appointment from work. She reported she had not had much fluid to drink today. RN provided a cup of water (about 240mL). Patient has a history of anxiety and depression. Patient reports that she takes Hydroxyzine for anxiety in emergencies. She also takes Zoloft for depression. Patient denies any history of diabetes and heart conditions. Patient reports that she has an inhaler that she has not used recently. She reports she uses it for "when she overheats". Patient denies chest or throat tightness. Presented patient to NP. Agreed with plan for patient to wait in observation station until patient felt comfortable returning home. Coached patient in deep breathing exercises and advised patient on signs of more severe reactions and when to be seen at an Emergency room. Patient agreed to plan and verbalized a second time that she had no chest or throat tightness. Patient left at 2:02pm.

Other Meds:

Current Illness:

ID: 1293532
Sex: F
Age: 35
State:

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:

Symptoms: Fever, chills, aches for thirty-six hours. Much improved at forty-eight hrs. Took three rounds of Tylenol eight hours apart.

Other Meds:

Current Illness:

ID: 1293534
Sex: F
Age: 47
State: OR

Vax Date: 04/28/2021
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: Penicilin Soy, ginger, fennel

Symptom List:

Symptoms: About 2 hours after first pfizer shot, had a solid rash on chest, and red dots on stomach. Took 50mg of benadryl and went to bed. By 9pm, rash was gone, but later had itching in middle of night.

Other Meds: Took 50mg benadryl after reaction, and seemed to help, but started itching at night. No rash by morning.

Current Illness: None

ID: 1293535
Sex: F
Age: 42
State: CA

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

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

Lab Data:

Allergies: Not that I'm aware of

Symptom List:

Symptoms: Two hours after receiving the first doze, I started to get dizzy (the room started to spin). I contacted the pharmacy to ask if it was a common side effect, and the pharmacist told me to lie down on my side to see if the dizziness goes away in about 30 minutes. It didn't. I contacted the office of my primary care physician, and the nurse told me that it was not a common side effect, that I should go into the urgent care or ER. I did not take myself in, as I was feeling extremely dizzy. After 8 hours from getting the shot, I started to feel better and went to sleep. I felt better the next morning; however, I continued to have on and off dizziness/vertigo for the next 10 days, to the point that I chose not to drive my children around. In addition to dizziness/vertigo, during the first 10 days, I also experienced sensitivity to sounds and a feeling of a band around my head, squeezing. From day 11 to day 14, I experienced extreme fatigue. I was out of breath and my heart was racing from doing basic activities, such as cooking, cleaning the floor, and walking from one room to another.

Other Meds: None

Current Illness: None

ID: 1293536
Sex: F
Age: 42
State: TX

Vax Date: 03/15/2021
Onset Date: 03/18/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: Latex, macrobid, penicillin

Symptom List:

Symptoms: Went to ER with swelling, redness, itching, and extreme heat coming from injection site. Was prescribed Clindamycin and the site proceeded to get better after first dose.

Other Meds: Abilify, Viberzi, losartan, methylphenidate, fluvoxamine,

Current Illness: Alopecia, folliculitis

ID: 1293537
Sex: F
Age: 79
State: AZ

Vax Date: 04/30/2021
Onset Date: 05/04/2021
Rec V Date: 05/06/2021
Hospital: Y

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

Lab Data:

Allergies: statins

Symptom List:

Symptoms: Hospitalized at Hospital.

Other Meds:

Current Illness:

ID: 1293538
Sex: F
Age: 72
State: CA

Vax Date: 02/16/2021
Onset Date: 04/15/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: Lorazepam

Symptom List:

Symptoms: Pt experienced severe muscle pain and nausea following second vaccination. Also had an episode of cellulitis to hand requiring antibiotic treatment. Basic lab testing revealed new diagnosis of Lupus.

Other Meds: Metoprolol, Benazepril, Atorvastatin

Current Illness: Cellulitis of hand

ID: 1293539
Sex: F
Age: 33
State: IL

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Patient experienced sudden dizziness and nausea within 5 minutes of receiving Janssen COVID-19 immunization. Gave her water, crackers and cold/wet rags for her forehead as she felt hot. Took her temperature, returned normal. Gave her a trash can to keep near. Kept an eye on the patient and realized she was getting red in the face and more dizzy than she had been. Went out and stood next to patient, with her mom on her other side. Began to experience light sensitivity, feeling like the room was spinning. Patient almost fell out of the chair while sitting still. Mom used a personal pulse oximeter on patient, all results normal. Asked the patient about other symptoms, such as chest/abdominal/leg pain, headache, shortness of breath. Patient reported a headache, dizziness, nausea and leg numbness roughly 30 minutes following the vaccine. I recommended going to the ER, mom believed it would pass with time, but insisted she never responds this way to immunizations. Patient began to experience stabbing chest and abdominal pain around 45 minutes. Patient's mom was still hesitant to take her to the ER immediately on her own and asked us to call her PCP. He wanted the patient to go to the ER. Patient believed she would fall if she stood, offered to get a motorized cart, wheelchair or call an ambulance to transport her. Both patient and mom requested the ambulance. Asked a technician to check patient medications and allergies for EMTs, retook the patient's temperature which was normal again. Stayed with patient until EMTs arrived, reported all symptoms patient was experiencing.

Other Meds: None

Current Illness: Unknown

ID: 1293540
Sex: F
Age: 62
State:

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 05/06/2021
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Lab Data:

Allergies: Meloxicam High Bleeding, Fatigue, GI Upset, Nausea and/or Vomiting, Pain Venofer (iron Sucrose) High Shortness Of Breath, Other (See Comments) dizziness, nausea, itchy and burning throat, achiness and flu-like symptoms; Nausea, dizziness, itchy and burning throat and gums and chest and arms; SOB; achiness and flu-like symptoms. Citalopram Medium GI Upset, Headaches, Dizziness, Nausea and/or Vomiting, Insomnia Cymbalta [duloxetine] Medium GI Upset Influenza Virus Vaccine Trival 2011-2012 (18 Yr +) Medium Itching, Rash, Swelling Pregabalin Medium Diarrhea, GI Upset, Insomnia Ambien [zolpidem] Not Specified GI Upset Constipation Celebrex [celecoxib] Not Specified Lightheadedness, Nausea and/or Vomiting Dizzy,nausea Erythromycin Not Specified GI Upset Ezetimibe Not Specified GI Upset Fenofibrate Not Specified Other (See Comments), Headaches constipation Glucosamine Not Specified Headaches Hazelnut Not Specified Hazelnuts (skin test - itching of skin and throat with ingestion of while hazelnut and rash and swelling and redness); Iodinated Contrast Media Not Specified dizziness, nausea, itchy throat Iodine And Iodide Containing Products Not Specified Itching, Other (See Comments), GI Upset dizziness, nausea, i

Symptom List:

Symptoms: 3/21/21 - SOB, some wheezing, and dizziness Over the following week: local injection site pain and rash; pain in chest exacerbated by deep breaths; other musculoskeletal pain - knee pain; L ear pain; R hand/wrist forearm shooting pain; pain in R axilla (prior h/o LAD there, possibly worse after the vaccine) - Prednisone for msk pain (increased from 3 to 6 mg - at 6 mg for a couple of days) - Flovent HFA 110 2-4 puffs/day may have helped but s/e hoarseness 4/1 to 4/2/21 Patient updated me and I recommended: Flovent Diskus instead of HFA to see if it is tolerated better (less hoarseness / dysphonia) Discussed options for pain control Ordered SARS-CoV-2 spike Ab to help provide guidance about antibody response with one dose (caveat: normal values are unknown) - she plans to get it next week Large local reaction has resolved (was present for about one week). Today, she still has SOB and pain in her rib cage; pain between shoulder blades. She also feels somewhat fatigued. Feels better if she can take a deep breath. These symptoms wax and wane. Better somewhat with Flovent Diskus 1 puff BID, acupuncture, pain relievers, lidocaine patches, and muscle relaxant.

Other Meds:

Current Illness:

ID: 1293541
Sex: F
Age: 60
State: IA

Vax Date: 03/26/2021
Onset Date: 03/28/2021
Rec V Date: 05/06/2021
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Allergies: no allergies, but has history of muscle aches with statins

Symptom List:

Symptoms: This patient received both doses of vaccine. The reaction started 2 days after the first vaccine but was not reported to us until after 5/6/2021. The patient received dose number 1 on 3/26/21. 2 days later she had itchy sores on her scalp. These never resolved. She received dose number 2 on 4/24/2021. I asked the patient if the reaction flared or got worse after the second dose. The patient said it stayed exactly the same. The reaction did not stop (or get worse) as of 5/4/21 so the patient sought medical care. She was prescribed clobetasol 0.05% to apply topically to the scalp twice daily for 2 weeks. She returned to our pharmacy on 5/6/21 to pick up the medicine, and it was at the counseling touchpoint that she told us about her reaction.

Other Meds:

Current Illness: none known

ID: 1293542
Sex: M
Age: 52
State: IN

Vax Date: 03/19/2021
Onset Date: 04/12/2021
Rec V Date: 05/06/2021
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Allergies: Morphine

Symptom List:

Symptoms: Started breaking out in a rash on feet and lower legs and developed bruising. Red spots went to upper thigh and lower back. A few spots on both arms.

Other Meds: Lisinopril Gabapentin Pantoprazole

Current Illness: N/A

ID: 1293543
Sex: F
Age: 58
State: TX

Vax Date: 04/12/2021
Onset Date: 04/14/2021
Rec V Date: 05/06/2021
Hospital: Y

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Lab Data:

Allergies: Stadol, Tortola,imitrex, penicillin,

Symptom List:

Symptoms: Feet turned black blood thinner 3 blood clots in lungs 1 clot in heart

Other Meds: Lorazepam,gabapentin,cyclobenzaprine, uprenorphine,aspirin,cetirizine,esomeprazole,ondansatron,nystatin

Current Illness: Other than a rash and sinus infection I was feeling pretty good for me

ID: 1293544
Sex: F
Age: 65
State: CT

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 05/06/2021
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Allergies: Penicillin

Symptom List:

Symptoms: Got shot Thurs. 4/8/21 and had daily weird side effects until 4-16-21 when I Woke up with severe headache, after several days of pain that traveled from big toe up leg over buttocks where a rash broke out on my back right hip at bikini line area. It was painful, itchy and some blisters appeared the following day. I went to a walk in clinic and was diagnosed with shingles and given medicine for 7 days. I completed the medicine and blisters have dried up.

Other Meds: None

Current Illness: None

ID: 1293545
Sex: F
Age: 73
State: MO

Vax Date: 03/10/2021
Onset Date: 03/12/2021
Rec V Date: 05/06/2021
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Allergies: egg based rabies vaccine

Symptom List:

Symptoms: fever,ataxia,vomiting , diarrhea, muscle aches,

Other Meds: eliquis seroquel amlodipine glipizide trintilex lisinopril metoprolol janumet

Current Illness:

ID: 1293546
Sex: M
Age: 72
State: UT

Vax Date: 01/26/2021
Onset Date: 02/24/2021
Rec V Date: 05/06/2021
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Symptoms: 20% loss of hearing in 6 weeks as documented by audiologist

Other Meds:

Current Illness: none

ID: 1293547
Sex: F
Age: 64
State:

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 05/06/2021
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Lab Data:

Allergies: Tetanus antitoxin

Symptom List:

Symptoms: Patient complained of itching and redness at LAC site. She believed it may be from the blouse she is wearing. Her blood pressure was slightly elevated. Heart rate, oxygen saturation, and temperature were normal. Patient reported improvement with clothing sensitivity. No medications given. Patient drank two 8 fluid ounces of water.

Other Meds:

Current Illness:

ID: 1293548
Sex: F
Age: 16
State: CA

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

Symptom List:

Symptoms: Accompany minor with dad received vaccine for first time. Pt complain of dizziness, diaphoretic, pale to face, body stiffness and started jerking once on floor. Pt placed to floor for safety precautions. V/s obtained w/ b/p 80/54, HR 92 O2 98%. Jerking stopped with v/s obtained again w/ b/p 82/56 HR 95 O2 99%. EMS arrived and taken over care. Pt was more a/ox3. Taken to hospital via EMS.

Other Meds: Prozac and Atarex

Current Illness: none

ID: 1293549
Sex: F
Age: 49
State: CA

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 05/06/2021
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Symptoms: Pt reported mild chest tightness, but states she did not take medications for BP this morning 0953: BP 127/66, HR 65; O2 96%, Temp 36.5C; Denied need for higher level of care Reports she will take BP meds with hydration once she leaves hospital vaccine clinic Left @1020 from hospital symptom free

Other Meds:

Current Illness:

ID: 1293550
Sex: F
Age: 18
State: CT

Vax Date: 05/03/2021
Onset Date: 05/06/2021
Rec V Date: 05/06/2021
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Allergies: none listed

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Symptoms: An 18 year old female, with no reported history of allergies, presented to store on May 3, 2021 for her second COVID-19 vaccine. Approximately 24 hours after vaccination, she developed a headache. Approximately 48 hours after vaccination, she developed a rash that spread from the neck to the legs. She went to Hospital Emergency Room. In the ER she was given Banophen (Benadryl) and famotidine. Later that same day, the symptoms resolved. At approximately 9am on May 5, 2021, the rash returned and spread to the palms of the hands and the face. At approximately 11:20 am, the patient took Banophen and famotidine. She called the pharmacy around noon for advise, as the rash was still present. Patient was advised to call her primary care physician.

Other Meds: unknown

Current Illness: none listed

ID: 1293553
Sex: M
Age: 23
State:

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/06/2021
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Symptoms: patient fainted, had him sit down, drink water and a piece of candy. pt reported feeling much better

Other Meds:

Current Illness:

ID: 1293554
Sex: F
Age: 44
State: IL

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

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Symptoms: Intense pain with tingling and numbness through left arm and hand immediately upon administration. I immediately told the administrator who informed me that happens sometimes and suggested I move my arm around. Three minutes later, I experienced a vasovagal syncope without losing consciousness and received medical attention from on-site paramedics. The paramedics monitored me and I left the event approximately 25 minutes later. The arm pain subsided after a few minutes and my blood pressure and heart rate had returned to normal about twenty minutes later. I did not receive further medical attention.

Other Meds: None

Current Illness: None

ID: 1293555
Sex: M
Age: 33
State: AZ

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/06/2021
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Allergies: No healthcare, at the time of last allergy test. No allergies to medications or foods.

Symptom List:

Symptoms: Started with full body sweats and dizziness, lost peripheral vision, extreme tinnitus but what I could hear was muffled like I had a pillow over my head. Almost lost consciousness. First to subside was the dizziness and loss of peripheral vision, muffled hearing after, tinnitus subsided around the same time of the body sweats. Only lasted 5 minutes, but was followed by a less extreme version of all the same symptoms an hour to two hours later. No episodes since.

Other Meds:

Current Illness: Unknown, no healthcare. Last time I saw a doctor I was 17.

ID: 1293556
Sex: F
Age: 50
State: PA

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 05/06/2021
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Allergies: None.

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Symptoms: Joint and muscle pain, headache, chills, fever, fatigue, nausea.

Other Meds: Phentermine, Atorvastatin, Vitamin D, Multivitamin, L Tyrosine

Current Illness: None.

ID: 1293557
Sex: M
Age: 58
State: FL

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 05/06/2021
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Allergies: None.

Symptom List:

Symptoms: Within five minutes of receiving the vaccination, I felt weak and dizzy, then lost consciousness. I was told I was out a few minutes before the store called the ambulance. I was under observation for a few more minutes and felt dizzy again and started trembling and losing consciousness again. I was taken to the emergency room where I had a reported heart rate of 40bpm and it took several hours before my blood pressure and heart rate normalized again. I was given IV fluids and zofran for the nausea. I maintained flu like symptoms, fatigue, muscle pain, dizziness, memory loss, and disorientation for three days after receiving the vaccination. It took one week to get back to normal health.

Other Meds: None.

Current Illness: None.

ID: 1293558
Sex: M
Age: 63
State: CA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/06/2021
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Allergies: None

Symptom List:

Symptoms: Muscle and Joint aches, upset stomach, mild loss of balance, temperature 102.4, Pain at injection site. Lasted for 48hrs

Other Meds: None

Current Illness: None

ID: 1293559
Sex: M
Age: 22
State: CA

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

Symptom List:

Symptoms: States felt fine until that evening and then developed muscle aches and felt somewhat short of breath. Thought these were both side effects so went to bed. The muscle aches have resolved but is still short of breath, reports hard to take a deep breath today although he sounds fine on the phone as he speaks calmly and in complete sentences. He has no mouth swelling, there has been no rash or hives at all. He has no hx of asthma and doesn't believe anxiety is playing a role. Pt concerned he may have gotten COVID from the vaccine.

Other Meds: Insulin, multi-vitamin

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm