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: 1297299
Sex: F
Age: 68
State:

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

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Chills fever headache

Other Meds: None

Current Illness: None

ID: 1297300
Sex: M
Age: 66
State: WI

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

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

Lab Data:

Allergies: NKDA

Symptom List: Anxiety, Dyspnoea

Symptoms: When injecting, most of the dose dripped out of the syringe due to either a faulty syringe or the needle not being securely attached. Since most of the dose was lost, pt was given another full dose.

Other Meds: Unknown

Current Illness: none

ID: 1297302
Sex: M
Age: 34
State: OH

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: none reported

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

Symptoms: Pt explained he has a fear of needles and often comes close to passing out after receiving a vaccine. After receiving vaccine patient said he felt fine and went to sit in waiting area. A couple minutes later he fainted and fell face first onto the floor. When i got to him he was awake again and responsive. 911 was called, patient was evaluated and determined he did not need further care.

Other Meds: none reported

Current Illness: none reported

ID: 1297303
Sex: M
Age: 56
State: PA

Vax Date: 04/26/2021
Onset Date: 04/29/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Chills and severe hives on the entire body lasting four days

Other Meds: Multi vitamin,fish oil,lion?s mane mushroom capsules

Current Illness: None

ID: 1297304
Sex: M
Age: 56
State:

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

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

Lab Data:

Allergies: None known

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

Symptoms: #1 Approximately 12 hrs following my 1st vaccine shot,(7:30am 5/6 a low grade headache began and lingered the remainder of the day. For me similar to caffeine withdrawal symptoms. I had consumed my normal amount of coffee, at the typical time's that day. #2 Approximately 30 hrs following my vaccine shot 9:00pm 5/6, alternating chills, fever and sweating began and remained through the following morning 6:00am on 5/7 Aspirin was taken for the headache, no meds during the chills, fever & sweating None of the symptom's were debilitating. ,Irritating is the description I'd use Morning of 5/7 to current, 8/40 on the evening of 5/7, no symptoms

Other Meds: Daily multi vit Additional Vit D & Vit C

Current Illness: None known

ID: 1297306
Sex: M
Age: 17
State: CA

Vax Date: 04/24/2021
Onset Date: 04/26/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Patient developed morbilliform diffuse maculopapular rash from trunk to extremities, sparing face, palms, soles, groin area.

Other Meds: none

Current Illness: none

ID: 1297307
Sex: M
Age: 56
State: CA

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

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

Lab Data:

Allergies: PENICILLIN

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: THE PATIENT RECIEVED A JANSSEN VACCINE THAT WAS PAST THE 6 HOURS BEYOND USE TIME ONCE PUNCTURED; THE VACCINE WAS ADMINISTERD 7 HOURS AND 10 MIN AFTER PUNCTURED BUT THE PATIENT HASNT HAD ANY ADVERSE REACTIONS AT THIS TIME RELATED TO THE ACCIDENTAL VACCINATION

Other Meds: UNKNOWN

Current Illness: HIGH BLOOD PRESSURE

ID: 1297308
Sex: M
Age: 76
State: GA

Vax Date: 03/29/2021
Onset Date: 04/01/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pharyngeal swelling

Symptoms: Pt had a rash on his arm from the second shot, as well as the first. He also said he had nerve pain in feet and nerve pain in feet that increased during urination.

Other Meds:

Current Illness:

ID: 1297309
Sex: F
Age: 37
State: LA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: I have not had a menstrual cycle since getting the second dose of my vaccine.

Other Meds: Escitalopram Lamotrogine

Current Illness: None

ID: 1297310
Sex: M
Age: 22
State: CA

Vax Date: 02/09/2021
Onset Date: 02/12/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Myocarditis Symptoms: CHEST PAIN, UNSPECIFIED(R079). Patient presented for care early April with chest pain. However, he had chest pain that started approx. 1 week after vaccine. He is now under care with cardiology at . Pending diagnosis is myocarditis post 2nd dose of Moderna COVID Vaccine.

Other Meds:

Current Illness:

ID: 1297311
Sex: F
Age: 23
State: CO

Vax Date: 05/01/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: Medication: Penicillins, Cyclins Food: Natural latex containing fruits, soy, mushrooms, Other: Nickel, Latex

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

Symptoms: I received the Pfizer second dose on May 5th and started to have an allergic reaction on May 6th at 02:32. I was not able to attend classes due to muscle pain, headache and nausea. I was having some sort of fever where I felt hot but my body was cold. I slept for the majority of the day. Around 16:35, when I woke up, I noticed a rash and that my body was feeling swollen. I took 2 Benadryl gel pills at 18:03. I felt some difficulty breathing, and itching sensation all over my body and still had a lot of tension on the left side of my jaw. I went out to eat with my boyfriend, because we had plans and he had also complained of having some cold chills from the vaccine, and he noticed that I had red marks on my hands. By May 7 10:05 I called off of work to go my doctor, because I had massive splotches of raised itchy hives all over my body. It was confirmed that I was having an allergic reaction and I received a steroid shot in my upper gluteal muscle, as well as Famotidine 20mg twice daily for 5 days and Prednisone 20mg twice daily for 5 days.

Other Meds: N/A

Current Illness: N/A

ID: 1297313
Sex: F
Age: 16
State: CO

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

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

Lab Data:

Allergies: none known

Symptom List: Rash, Urticaria

Symptoms: After counseling and giving the patient her vaccine, the patient walked to the waiting room and sat down. 2 minutes after receiving the vaccination the patient leaned back, tensed up, became unresponsive and had a vacant look in her eyes. We called 911. Her lips started turning blue. I administered 0.3mg epinephrine auto injector and the color in her lips came back. Paramedics arrived evaluated her and transported her to the hospital.

Other Meds: unknown

Current Illness: unknown

ID: 1297314
Sex: F
Age: 23
State: NM

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

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

Lab Data:

Allergies: NKDA

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

Symptoms: within minutes after shot, patient got dizzy, light-headed, nauseous, arms tingled, had impending sense of doom; symptoms resolved after 20 minutes

Other Meds: unknown

Current Illness: aware of none

ID: 1297315
Sex: F
Age: 46
State: CA

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: iodine

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

Symptoms: Patient states immediately following her first dose of Pfizer, she began to feel "tightening" and "tingling" in throat. Patient did not notify medical personnel on site. Patient left facility after 15 minutes in observation area. Patient denies shortness of breath. Patient states symptoms resolved on their own after a few hours.

Other Meds:

Current Illness:

ID: 1297316
Sex: F
Age: 56
State: NY

Vax Date: 04/01/2021
Onset Date: 04/30/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Bactria, apples, cranberries and pears

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

Symptoms: Blood clot in nose, fatigue, shaking, tachycardia, mood change

Other Meds: Tamoxifen, simvistatin, allergy meds, melatonin, Xanax, lisinopril, vitamin d3, vitamin c

Current Illness: None

ID: 1297318
Sex: F
Age: 23
State: KS

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

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

Lab Data:

Allergies: None

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

Symptoms: I did not have any adverse events after the first dose, but about 7 hours after my second dose I experienced chills and aches, which then progressed into fever, debilitating migraines, trouble breathing, bounding pulse, and chest pain, preventing me from standing for nearly 12 hours. The following morning I felt better, but I am still experiencing headaches and body aches, in addition to chest pain.

Other Meds: None

Current Illness: None

ID: 1297319
Sex: M
Age: 57
State: WI

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

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

Lab Data:

Allergies: Tetanus toxoids

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

Symptoms: Discovery of sub therapeutic dose of vaccine. Pt received 0.3ml of Moderna vaccine; patient notified and returned to receive additional 0.2ml Moderna vaccine ; issue resolved

Other Meds:

Current Illness: laryngeal cancer

ID: 1297320
Sex: F
Age: 32
State:

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

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Attendee received 1st dose Pfizer vaccine in the Left Upper arm at 15:25. Attendee was directed to observation area. At 15:30 voiced complaints of nausea, feeling hot, and was diaphoretic. Attendee was escorted to the cot to lie down. 15:42 - Attendee stated she felt better, skin warm and dry. 16:00 -No voiced complaints- skin warm and dry. 16:15 - Denied any symptoms. Advised her that if she experienced more symptoms to seek medical attention and attendee left the site independently.

Other Meds:

Current Illness:

ID: 1297321
Sex: F
Age: 23
State:

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

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

Lab Data:

Allergies: gluten, lactase

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Appendicitis with abdominal pain that started the day after her second vaccination.

Other Meds: thyroid medication, birth control pills

Current Illness:

ID: 1297322
Sex: M
Age: 33
State: GA

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

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

Lab Data:

Allergies:

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

Symptoms: Patient received dose and was in observation area for about 4 or 5 minutes when I noticed he looked very out of it and his head was wobbling. When I tried to speak with him he wasn't answering. I then ran to his side and by the time I was there he had passed out (eyes were open and rolling to the back of his head and he was not responsive). I told my technician to call 911 and went to grab the epinephrine and emergency kit while a customer stayed next to him. He came to within a minute and I did not need to administer epinephrine, etc. He said he was okay but we called EMS, who then took over and patient decided to go with them to ambulance/ER.

Other Meds:

Current Illness:

ID: 1297323
Sex: M
Age: 46
State: FL

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: tinnitus, hearing loss in right ear, ear fullness and pressure, subacute thyroiditis

Other Meds: Fluticasone nasal spray

Current Illness: None

ID: 1297324
Sex: F
Age: 47
State: IN

Vax Date: 04/27/2021
Onset Date: 05/01/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: Na

Symptom List: Unevaluable event

Symptoms: Raised red rash on my left shoulder and neck

Other Meds: Na

Current Illness: Na

ID: 1297325
Sex: F
Age: 48
State: PA

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

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

Lab Data:

Allergies: Sumatriptan Succinate-Rash/Dermatitis, Pregabalin-Rash/Dermatitis/Leg Swelling/Fatigue, Shrimp-1 time reaction-Rash/Dermatitis- able to eat Seafood without incident, & IV Contrast.

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

Symptoms: Adverse reaction to Moderna Vaccine given to me on 5/6/2021. On 5/7/2021, I woke up with a painful red lump near the injection site. The pupils in both eyes were exceptionally large, almost as large as the green color/area of my eye. As of this afternoon, my pupils are back to normal size, but the red lump on my arm has gotten bigger. I circled the area with a marker, & I am following PCP instructions.

Other Meds: Golo Release Tablets 90ct, The Mane Choice-Manetabolism Plus Healthy Hair Vitamin Dietary Supplements 90ct, Gabapentin 600 MG tablet, Cetirizine HCl 10mg (Zyrtec Allergy Oral), Famotidine 20 MG tablet, Ferrous Sulfate 325mg (Slow Fe Oral),

Current Illness: n/a

ID: 1297327
Sex: F
Age: 48
State: LA

Vax Date: 04/03/2021
Onset Date: 04/19/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: Just crawfish

Symptom List: Injection site pain, Pain

Symptoms: Rash in my face and neck . Started like I had sand in my yes and now progressed with red spots on my face . I never had that before I took a vaccine . I?m looking to know if this is possible results of allergies to the shot .

Other Meds: Losartan , Xanax , Wellbutrin., vitamin d, b and coq10

Current Illness: No

ID: 1297328
Sex: M
Age: 26
State: WA

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

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

Lab Data:

Allergies: none reported by patient

Symptom List: Injection site pain, Menorrhagia

Symptoms: patient began to feel dizzy, and began to shake after immunization. Attempted to assist patient to more comfortable chair and they went total limp at which point I laid them down on floor and called for assistance. 911 was called and BP kept dropping so epipen was administered. Patient skin was cold to touch reported loss of hearing temporarily. Let paramedics take over when they arrived. Patient was ambulatory and was cleared by paramedics, then left under his own power after about 20 minutes

Other Meds: none reported by patient

Current Illness: none report by patient

ID: 1297329
Sex: F
Age: 17
State: VA

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

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

Lab Data:

Allergies:

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

Symptoms: PATIENT WAS GIVEN MODERNA VACCINE BY PHARMACIST. AFTER THE SHOT WAS GIVEN AND THE PHARMACIST LOOKED AT HER PAPERWORK, IT WAS NOTICED THAT SHE WAS NOT 17 YEARS. PHARMACIST SPOKE WITH FATHER WHO WAS PRESENT.

Other Meds:

Current Illness:

ID: 1297330
Sex: M
Age: 16
State: MO

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
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: Patient had no issues with 1st shot. After 5 minutes of injection pt fainted. He revived right away but pupils were dilated and he had trouble staying conscious. After a few more minutes pupils were normal but he was pale and sweaty. He drank some water and felt better. EMS were called and said he was ok. All happened within 30 minutes.

Other Meds: none

Current Illness: none

ID: 1297331
Sex: F
Age: 26
State:

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient states that she felt dizzy and was not able to see. Patient was diaphoretic but denies chest pain, SOB. V/S 130/100 - 54 - 99%. Called and was sent to ER for further evaluation

Other Meds:

Current Illness:

ID: 1297332
Sex: F
Age: 18
State: IN

Vax Date: 04/22/2021
Onset Date: 04/27/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: My arm because sore under my armpit on April 27, 2021 and by April 30,2021 my arm became very red and swollen in the arm that was injected. By May 7, 2021 the swelling and pain were gone.

Other Meds:

Current Illness:

ID: 1297333
Sex: F
Age: 38
State:

Vax Date: 05/03/2021
Onset Date: 05/04/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin Seasonal Allergies

Symptom List: Nausea

Symptoms: I developed a soreness/swollen feeling in my lymph node in my left arm pit (same arm as shot) that lasted about 14 hours.

Other Meds: Birth Control Pill - Emoquette

Current Illness: none

ID: 1297334
Sex: M
Age: 62
State: CA

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

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

Lab Data:

Allergies: NONE

Symptom List: Injection site pain

Symptoms: THE PATIENT RECIEVED A JANSSEN VACCINE THAT WAS PAST THE 6 HOURS BEYOND USE TIME ONCE PUNCTURED; THE VACCINE WAS ADMINISTERD 6 HOURS AND 50 MIN AFTER PUNCTURED BUT THE PATIENT HASNT HAD ANY ADVERSE REACTIONS AT THIS TIME RELATED TO THE ACCIDENTAL VACCINATION

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1297335
Sex: F
Age: 63
State: CA

Vax Date: 03/01/2021
Onset Date: 04/04/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: Demerol Bees

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

Symptoms: 2/3 of my upper turned red and itched. I went to e.r and was told I had cellulitis Given antibiotics and antihistamines

Other Meds: Hummulin Metformin Latuda

Current Illness: No

ID: 1297336
Sex: F
Age: 53
State: MO

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

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

Lab Data:

Allergies: none

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

Symptoms: About 5 minutes after injection patient became extremely nauseous. She also felt sweaty and dizzy for about 5 minutes. She was checked EMS and was cleared to go. She waited a little longer than 30 minutes to feel better.

Other Meds: unsure

Current Illness:

ID: 1297337
Sex: F
Age: 19
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: About two minutes after being vaccinated patient states she felt nauseous, lightheaded, weakness, blurred vision. Told her brother who was sitting next to her that she "thought she was going to pass-out". Brother held her in chair and patient lost conscious for about three seconds but was supported by brother. I, , PA-C was alerted during the event and visually witnessed it and went to the patient who was regaining consciousness at that time still in her chair. I asked her how she was feeling and she said "okay". There was concern for possible anaphylaxis due to paling of skin and epinephrine was given in the left thigh without complications. No other signs of anaphylaxis were noted including no lip/tongue/mouth swelling; no wheezing; no hives. The patient was layed on the ground with her legs elevated which she states greatly improved her symptoms; and the patient was given orange juice to drink which she tolerated well. EMS arrived and evaluated the patient within about 10 minutes and the patient was feeling well at that time. Patient never hit her head during the episode. Patient who was accompanied by mother decided not to go to the ED at this time for further evaluation as the patient states her symptoms felt similar to previous episodes of syncope. ED precautions were given to patient and patient to follow-up with PCP recommended.

Other Meds:

Current Illness:

ID: 1297338
Sex: M
Age: 37
State:

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
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Allergies:

Symptom List: Erythema, Pruritus

Symptoms: dizzy, heart racing, chest pressure, lower extremity pins and needles, EMS evaluated, pt. refused EMS transport.

Other Meds:

Current Illness:

ID: 1297339
Sex: M
Age: 63
State: TX

Vax Date: 04/27/2021
Onset Date: 04/29/2021
Rec V Date: 05/07/2021
Hospital: Y

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Allergies: Demerol

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

Symptoms: Patient states that after 2nd vaccine on 4/29/21, he woke up with severe chest pain episode in the middle of the night. He went to the ER, where he was admitted overnight. He was discharged on 4/30/21.

Other Meds: Rosuvastatin 40mg, Glipizide 10mg, Lisinopril 20mg, Pioglitazone 15mg, Ozempic 1mg, Metformin 2000mg, Desvenlafaxine 100mg, Tadalafil 5mg, Milk Thistle, Ferrous Sulfate, Vitamin D, Vitamin E, Vitamin C, Xarelto.

Current Illness: none

ID: 1297340
Sex: F
Age: 41
State: TX

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
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Allergies: I am celiac

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

Symptoms: Janssen COVID-19 Vaccine EUA Fast heart rate, 115 and up, most noticeable while at rest Experienced on 5/6 and 5/7

Other Meds: Lisenopril, levothyroxine, Zyrtec

Current Illness:

ID: 1297341
Sex: M
Age: 50
State: UT

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 05/07/2021
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Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: All of the same covid symptoms from when I had the Covid virus in June 2020. I was in the hospital for a bit then. Cold child, all joints ache, headache, can?t breathe, tightness in chest.

Other Meds: High blood pressure, cholesterol pills, anxiety

Current Illness: None

ID: 1297342
Sex: F
Age: 41
State: WA

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
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Allergies: n/a

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

Symptoms: pt received 2nd dose from a vial that had been drawn up 18 hours prior to admistration, past the 12 hr recommended time to use

Other Meds: n/a

Current Illness: n/a

ID: 1297343
Sex: M
Age: 43
State: CA

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
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Allergies: NKDA

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

Symptoms: Fatigue, body aches, fever of 103, intermittent dizziness starting 5/6 am, all of which are significantly improved today, 5/7. By the evening of 5/6 he began having gross hematuria, which is still present. Mild bilateral CVA tenderness on exam.

Other Meds: tylenol rarely prn pain/fever

Current Illness: None

ID: 1297344
Sex: F
Age: 23
State: WA

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
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Allergies: Coconut

Symptom List: Pain in extremity

Symptoms: 9:00pm injection area sore, woke up at 11:00am to body aches and swelling of face along with rash on left side of the face.

Other Meds:

Current Illness: Swelling of left side of face along with rash. Headache. Body aches

ID: 1297346
Sex: M
Age: 51
State: NY

Vax Date: 03/16/2021
Onset Date: 04/13/2021
Rec V Date: 05/07/2021
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Allergies:

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

Symptoms: Tinitus in left ear as of 4/13/21. And disgnosed with a blod clot in right calf symptom of clot felt on 4/17/21

Other Meds: Statin. And gembrifozil for triglycerides

Current Illness:

ID: 1297347
Sex: F
Age: 73
State: WA

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
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Allergies: n/a

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

Symptoms: pt recieved 2nd dose at day 18 instead of day 28

Other Meds: n/a

Current Illness: n/a

ID: 1297348
Sex: F
Age: 78
State:

Vax Date: 03/06/2021
Onset Date: 03/31/2021
Rec V Date: 05/07/2021
Hospital: Y

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Allergies: LEVAQUIN. TAPE. IODINATED RADIOCONTRAST DYES. TOPICAL IODINE. PENICILLIN. TETRACYCLINE.

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

Symptoms: Autoimmune encephalitis vs Listeria infection - 78 yo F with encephalitis. Second Moderna vaccine on 3/6/2021, admitted on 3/31/2021. 4/18 IM Progress NOTE states: #Limbic encephalitis, improving. Treating for Listeria given inflammatory findings in addition to lymphocytic CSF and few gram-positive cocci on stain. CSF paraneoplastic antibodies are negative therefore anticipating that the serum antibodies will also come back negative Depressed flat affect consistent with limbic inflammation -improving Repeat MRI 4/14 shows improvement Ampicillin, tentative plan for 4 to 8 week course for possible listeriosis Gentamicin, completed 1 week course 4/15. Continues on Keppra 4/20 Neurology Progress NOTE: Impression - Meningoencephalitis, presumed to be secondary to listeria. 4/27 ID progress NOTE : Patient found to have limbic encephalitis and possible infectious cerebritis. CSF exam, was performed after about 2.5 days of antibiotics due to patient anticoagulation, showed 27 white blood cells, 96% lymphocytes; protein 146, glucose 69. Meningitis encephalitis PCR panel negative. Gram stain with rare intracellular GPC's, culture negative. Per micro lab, 2 different techs each visualized 2 different fields with an intracellular GPC. Clinical picture was thought compatible with Listeria (which is a bacillus, but could be mistaken for a coccus). Completed 10 days of empiric vancomycin and ceftriaxone on 4/10. was on ampicillin CNS dosing, plus gentamicin for synergy started 4/9, now off of gentamicin. Ampicillin changed to meropenem due to drug eruptions. Continued slow clinical improvement; repeat MRI brain 4/13 showed radiographic improvement. Noted to have negative coccidioides serology but not titre came back at 1:8, repeat titre negative. Repeat LP shows similar findings with 28 WBCs, with lymphocytic predominant, slightly low glucose and elevated protein. Awaiting Coccidioides CSF and fungal cultures. Continue fluconazole 400 mg daily, renally adjusted. No evidence of QTc prolongation. Continue to monitor rash. No evidence of DRESS, TENS or SJS. Patient has eosinophiluria. Continue current plan of care. Diagnosis: -Limbic encephalitis -Positive coccidioides titre of 1:8 -Possible infectious cerebritis -Rash and pruritus - improving. -Breast cancer in remission s/p mastectomy, radiation, chemotherapy -Atrial fibrillation with RVR -AKI with eosinophiluria Discharged on 4/27/21

Other Meds:

Current Illness:

ID: 1297349
Sex: M
Age: 23
State: VA

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
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Allergies: none

Symptom List: Vomiting

Symptoms: patient was seated in chair in waiting area about 2-3 minutes after vaccine. he started seizing and straightening up his body and began falling out of chair. i ran over and caught him before he fell all the way out. i supported him in the chair for about 10 seconds and he came to. the whole ordeal only lasted about 15 seconds. he said he felt weird and remembered dropping his phone. he stated he did not eat that morning. i gave him water and a snack and we watched him while EMS was called. they showed up in about 5 minutes. took vitals, everything came back normal. pt did not have hx of any disease states. parent picked him up from pharmacy.

Other Meds: none

Current Illness: none

Date Died: 03/12/2021

ID: 1297350
Sex: M
Age: 73
State: NY

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 05/07/2021
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Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: My father in law died one day after his COVID vaccine. His doctor did not seem to care. She ruled it natural causes. She did not order an autopsy. He did have underlying heart conditions, but the timing of his death was suspicious.

Other Meds:

Current Illness:

ID: 1297352
Sex: F
Age: 42
State: GA

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 05/07/2021
Hospital:

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Allergies:

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

Symptoms: Low grade fever 95.8 for 3 days. Cold sweats and chills.. Just put extra clothes on to keep warm and attempt to bring my body temperature up.

Other Meds:

Current Illness:

ID: 1297353
Sex: F
Age: 57
State: NY

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/07/2021
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Allergies: Allergy to wasp stings

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Received 2nd dose at 11am, at 3am the following morning body was extremely weak, site of 2nd shot skin was very red. Slept all day May 4th, taking painkillers every 4 hrs. No food eaten. Skin as very red and warm. May 5th was able to get out of bed, although still very weak and only felt comfortable lying down. Ate light food. Painkillers every 5-6hrs. Skin was skin warm, red and area of redness broadening. May 6th energy still low, everything an effort. Ate 3 meals. Skin as day before. May 7th morning was a lot of effort to do things and now in the evening I am much better but don't feel 100%. Skin lighter red, feels itchy but ignoring.

Other Meds: Vitamin B12 Vitamin D Red Yeast Rice

Current Illness: No

ID: 1297354
Sex: M
Age: 45
State: NV

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

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Allergies: penicillin

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

Symptoms: Shortness of breath, abdominal pain, dizziness and shiver

Other Meds: metformin, lisinopril, atorvastatin, admelog , ventolin, trazodone trulicity

Current Illness: Diabetic, hypertension, hyperlipidemia, bronchial asthma

ID: 1297355
Sex: F
Age: 71
State: OR

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 05/07/2021
Hospital:

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Allergies:

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

Symptoms: I started to have a heavy feeling in my right arm. On the fourth day it became worse, and my arm was really stiff and heavy. I was taking Advil and it didn?t help much. I went to the doctor on the sixth day. The NP thought it was a pinched nerve because it was my whole arm from the neck down. On the tenth day it started to affect my other arm which was the side that I got the shot in. I had no strength in my arms and my husband had to help me dress. It was almost two weeks after the shot I went back to the doctor. I was prescribed Meloxicam and an Arthritis cream and it did not help. Blood work did not show any definitive problem. Gabapentin and Advil did help a little. Three weeks after the shot the pain started to move to my legs as well. for one week. The pain is not as bad but now it is in my arms all the way into my neck and shoulders. It has been seven weeks since the shot and now the pain is still in my right arm and into my neck and shoulder blade. I still have good range of motion right now.

Other Meds: Lisinopril

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am