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: 1306919
Sex: M
Age: 19
State: TX

Vax Date: 05/09/2021
Onset Date: 05/10/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Nuts, Tree nuts, Seafood, Shellfish.

Symptom List: Dysphagia, Epiglottitis

Symptoms: Skin rash in the neck looking like Shingles. Headache. Chills. Body ache.

Other Meds:

Current Illness:

ID: 1306920
Sex: M
Age: 42
State: VT

Vax Date: 04/19/2021
Onset Date: 04/27/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: lactose intolerant

Symptom List: Anxiety, Dyspnoea

Symptoms: Started with tongue becoming numb (4/27)and by next day (4/28) his face was sagging and he couldn't feel the left side of his face - called PCP and they suggested he go to the ER to rule out stroke . While there they diagnosed him w Bell's Palsey and issued prednisone and an anti viral ( not sure of name). said to reschedule 2nd does 10 days out so rescheduled for 5/10. On 5/10 Husband called PCP office as his ear has been bothering him to see if he should still get his 2nd dose - Nurse called back and said they don't suggest it . He has PCP follow up on 5/13 - rescheduled 2nd does later that day in hopes he can receive it for full vaccination . As of 5/11 he can kind of blink on left side and can open his mouth more . mentioned that side of his face feels sore / bruised

Other Meds: adult multi vitamin, Motrin occasionally

Current Illness: N/A

ID: 1306921
Sex: F
Age: 62
State: PA

Vax Date: 04/23/2021
Onset Date: 05/05/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Major joint pain and inflammation in knees and ankles Major tiredness. Did not wake up on May 7. My husband had to call 911 as my Blood sugar dropped to a low of 17 I almost died

Other Meds: Humalog insulin via Pump, Synthroid, Levetiracetam, Atorvastatin, Lisinopril, Asprin

Current Illness: Diabetes Type 1 29 + years Seizure One time One month prior Thyroids 15 + years

ID: 1306922
Sex: F
Age: 63
State:

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 5/11/2021 Patient was observed post Covid-19 immunization for 30 minutes based on pre-vaccination screening . During the observation period, she experienced an adverse reaction with the following symptoms: dizziness, nausea and leg cramps, dyspnea, sweating. Assessment : Time of assessment Alert and oriented and skin dry. Actions taken: Vitals sign taken VAERS form obtained and completed by RN. At 1029 VS- BP-168/98, P- 60, O2- 97 %, given water and crackers, at 1044 VS- P- 58, O2- 98%, complains of feeling anxious, and dyspnea, 1046 feeling better, no dizziness or cramping, 1050- patient reports breathing better, complains of feeling hot and cold with chills, O2- 97-98%, P- 54=55. 1103- denies all S&S, Vs - BP_ 146/83, P- 59, O2- 99%. Medications administered: Loratadine (Claritin) 10 mg by mouth. Time: 1036. Administered by RN. Disposition: Reports no further symptoms of adverse reaction after observation for 60 minutes. Discharged home. Immunizations Administered Name Date Dose VIS Date Route Pfizer COVID-19 Vaccine 5/11/2021 9:57 AM 0.3 mL 2/25/2020 Intramuscular Manufacturer: Pfizer, Inc Lot: EW0182

Other Meds:

Current Illness:

ID: 1306923
Sex: F
Age: 49
State: FL

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

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: 1. 0949 Tingling both lower extremities, no weakness. Second vaccine. BP 126/63,HR 83 reg, sats 98%, resp 18. 1016 expressed symptoms improved HR 83, sats 97%, Resp 16. Left ambulating for home.

Other Meds:

Current Illness:

ID: 1306924
Sex: F
Age: 51
State: TX

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

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

Symptoms: Woke up the day after with headache, nausea, diarrhea, sore throat Tested negative for COVID on 3/19 and 3/20 Developed raised lesions all over body on 3/17 Differential: Phlebitis vs reactive lymph nodes vs angiolipomas vs lipomas vs other

Other Meds: Acyclovir 400 MG TAKE ONE TABLET BY MOUTH TWICE A DAY Ciclopirox 8 % Apply daily to the three thickened toenails and wipe off weekly with alcohol pad Ketoconazole 2 % APPLY 5 TO 10 ML TO WET SCALP, LATHER, LEAVE ON 3 TO 5 MINUTES AND RINSE.

Current Illness: None

ID: 1306925
Sex: F
Age: 56
State: NC

Vax Date: 03/07/2021
Onset Date: 03/12/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: I noticed ringing/buzzing in my ears several days after the shot. I went to ENT, prescribed large dose (60 mg 7 days) of prednisone. I have been off the prednisone for 4 days and no relief.

Other Meds: Losartan - HCTZ Clonazepam 0.5 MG Probiotic Nasocort

Current Illness: None

ID: 1306926
Sex: F
Age: 60
State: TX

Vax Date: 04/14/2021
Onset Date: 04/20/2021
Rec V Date: 05/11/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Pt states she had a very rapid heart rate and went to ER. Hypotension with standing and rapid heart rate were main symptoms. Did have a rash on her leg. Spent 1 night in ER. Has Echo cardiogram scheduled.

Other Meds:

Current Illness:

ID: 1306927
Sex: F
Age: 31
State: VA

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient received second dose of Moderna COVID-19 vaccine on 5/11/2021, which was 15 days after the initial dose was administered on 4/26/2021. The vaccinator, RN, notified a nursing vaccine supervisor, , RN, of this error. RN, informed the other vaccine supervisors including , RN of this error. Because the patient was vaccinated prior to the 28 day window, she was not eligible for the second dose at time of administration. Per CDC guidelines, the patient was informed that she would not need an additional vaccination even though this was administered too soon. Patient verbalized understanding.

Other Meds:

Current Illness:

ID: 1306928
Sex: F
Age: 64
State: FL

Vax Date: 04/19/2021
Onset Date: 04/21/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Shell fish, Feldene, adhesive tape. Fluoriscein, Cortisone (sensitivity), Vasotec.

Symptom List: Diarrhoea, Nasal congestion

Symptoms: She got her vaccine, she had no reaction and felt something tingly on her face and disregarded it and it went away. On Wednesday she got a spot on her face in front of her ear and it was itchy. By Thursday her ear was swollen and it was itchy in the front of the face where the spot firm occurred and itchy behind, tingly and itchy, and swollen the bottom part of his skull. She called her doctor and was given an APT for Friday. By Thursday evening it traveled down and to the crown of her head, and traveled to the back of her ear. She went to the doctor who said that she had Shingles, and was put on medication. She ended up only getting about 6 spots. They have resolved, but still has the scabbed area, the ones on the head have resolved and the swelling has gone down. She was getting stabbing pains in her scalp and top of her head, three spots down, ear and ear lobe, told it was the C2 nerve.

Other Meds: Losartan/HTZ, Vitamin C, Biotin, Vitamin D3, Red yeast rice, zinc/magnesium/calcium, Vicodin, Flexeril prn, Tylenol arthritis prn.

Current Illness: None.

ID: 1306929
Sex: M
Age: 40
State: ME

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

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

Lab Data:

Allergies: NKA

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

Symptoms: Pt experienced syncope episode directly after administration; Slow collapse to the floor; no associated trauma; Regained consciousness within 10-15 seconds; AxO within 1-2 minutes; BP 138/90; initially bradycardic in the 50's and increased in the 80's within 2 minutes; Blood glucose 130; Pt stated he did not eat any breakfast; Pt denied any discomfort after the episode; PO fluids and cracker tolerated well. Released after 15 minutes of monitoring without any issues.

Other Meds: Unknown meds (Takes meds for PTSD/Anxiety)

Current Illness: Unknown

ID: 1306930
Sex: F
Age: 20
State: CA

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List: Rash, Urticaria

Symptoms: Acute left ear pain & hearing loss in the left ear. Evaluated by ENT- No diagnosis yet.

Other Meds: NONE

Current Illness: NONE

ID: 1306931
Sex: F
Age: 43
State: MD

Vax Date: 03/22/2021
Onset Date: 04/22/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: After the 2nd dose a started getting bruises on my arm and legs. They are not painful. They are black and blue. After a couple of days, they go away

Other Meds: Adderall 20 mg 1 tab 2 x a day Lamictal 200 mg 1 tab 2x a day

Current Illness:

ID: 1306932
Sex: F
Age: 17
State: FL

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: CHILD WAS NOT AGE APPROPIATE TO RECEIVE THE VACCINE PER EUA

Other Meds:

Current Illness:

ID: 1306933
Sex: M
Age: 60
State: WI

Vax Date: 04/22/2021
Onset Date: 04/25/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Per Client, received second COVID 19 on 4/22/2021, in the left arm. Client C/O that in 2-3 days started having joint and muscle pain throughout body. On the sixth day, joint and muscle pain worsen, and now for eight days pain is still present. Per Client, by the seventh day, started taking Ibuprofen, now having itchiness throughout body, and very fatigue. Client has not followed up with PCP, but has an appointment already scheduled in two weeks to see PCP. PHN suggested that Client try following up with PCP sooner than two weeks, to go into Urgent care, ER, and with medical emergency to call 911 if needed. Client verbalized understanding information provided.

Other Meds: Yes- Metformin and Traceva

Current Illness: None

ID: 1306934
Sex: F
Age: 60
State: NY

Vax Date: 04/30/2021
Onset Date: 05/04/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Slight temperature, headache, sore arm, on 5/5/21, woke up with vertigo....still dizzy

Other Meds: Crestor, aspirin, zetia, metformin, farxiga

Current Illness: None

ID: 1306935
Sex: F
Age: 31
State:

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 5 weeks pregnant, due date December 29, 2021. Next day after the vaccine fever 102.2 for 24 hrs, chills, dizziness, heavy bleeding the day after. Confirmed miscarriage on May 1st.

Other Meds:

Current Illness:

ID: 1306936
Sex: F
Age: 29
State: NY

Vax Date: 03/02/2021
Onset Date: 03/24/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Irregular menstrual bleeding on Nexplanon. Currently now having monthly period and spotting, which I did not experience before the shot.

Other Meds: Nexplanon

Current Illness: none

ID: 1306937
Sex: F
Age: 33
State: PA

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Itchy, tender, red rash at the injection site, improved then returned one week later

Other Meds: Levothyroxine 150 micrograms, sertraline 50mg daily

Current Illness: none known

ID: 1306938
Sex: F
Age: 82
State: IL

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

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 started to experience left arm pain hours after the vaccination on 05/04/2021, and the pain gradually moved to the patient's left chest wall, anterior chest and right chest wall, patient was having shallow breathing limited by pleuritic pain, presented to the ED on 5/10/2021 and was diagnosed with acute bilateral nonobstructive pulmonary emboli based on CT angiogram chest.

Other Meds: amlodipine, lisinopril, metoprolol, nitroglycerin, albuterol, atorvastatin, Imdur - daily medication

Current Illness:

ID: 1306939
Sex: F
Age: 33
State: AL

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

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

Lab Data:

Allergies: Quinolones, Penicillin, Cephalosporins, Morphine and Related, and Latex

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

Symptoms: The Patient received the vaccine at 8:33am. She was sitting in the waiting area after her dose and started to have a seizure at or around 8:45am. She fell from her chair. The pharmacist on duty immediately responded and assisted as much as possible. No drug interference was administered. The patient seized for about 3 minutes and then came to. She waited for EMS to arrive but they took longer than she wanted to wait and she left the store at 9:05 am.

Other Meds: None

Current Illness: N/A

Date Died: 02/25/2021

ID: 1306940
Sex: F
Age: 86
State: GA

Vax Date: 01/04/2021
Onset Date: 02/10/2021
Rec V Date: 05/11/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Hospitalized and died due to COVID-19 after being fully vaccinated.

Other Meds:

Current Illness:

ID: 1306941
Sex: M
Age: 36
State: NJ

Vax Date: 05/01/2021
Onset Date: 05/08/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Ibuprofen and Naproxen - extreme full body hives Allergic to tetracycline - rash/hives

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

Symptoms: Hives across back, sides, chest, waist, pelvis, inner thighs, face, feet that spread for 48 hours. Highly raised white edges. Essentially everywhere but my shins. Injection site swelling over entire deltoid. Deltoid firm to the touch. Radiating pain down entire forearm into ring and pinky fingers.

Other Meds: Zyrtec

Current Illness: None

ID: 1306942
Sex: F
Age: 30
State: RI

Vax Date: 04/21/2021
Onset Date: 04/30/2021
Rec V Date: 05/11/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Throwing up and unable to keep anything down. Lasted 4 days

Other Meds: Fluoxetine

Current Illness:

ID: 1306943
Sex: F
Age: 31
State: IL

Vax Date: 04/12/2021
Onset Date: 05/05/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Nk

Symptom List: Injection site pain, Menorrhagia

Symptoms: Menstrual irregularities. Spotting, nirmal flow, cessation. Then spotting followed by heavy clotting(larger than a quarter) spotting for 4 days, followed by more heavy clotting.

Other Meds: Synthroid

Current Illness: Nk

ID: 1306944
Sex: M
Age: 42
State:

Vax Date: 03/31/2021
Onset Date: 05/10/2021
Rec V Date: 05/11/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Presented to ED on 5/10/2021 with abdominal pain, nausea, vomiting, marked leukocytosis of 30K with left shift. Admission screening PCR for COVID-19 Positive. No known history of COVID-19 in the past, no known contact with a person positive for COVID-19

Other Meds:

Current Illness:

ID: 1306945
Sex: M
Age: 28
State: KS

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/11/2021
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: Bells palsy on the right

Other Meds: omeprazole

Current Illness: none

ID: 1306946
Sex: F
Age: 40
State: NY

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fatigue, headaches, runny nose, mental fog and forgetfulness

Other Meds: Multivitamin Birth control

Current Illness: None

ID: 1306947
Sex: F
Age: 20
State: CA

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: NONE

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

Symptoms: Acute left ear pain & hearing loss in the left ear. Evaluated by ENT- No diagnosis yet.

Other Meds: NONE

Current Illness: NONE

ID: 1306948
Sex: M
Age: 30
State: OH

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Friday, I received the shot at 3:30pm. I got home around 5:00pm and I started to not feel not feel well at all around 8:00pm. I woke up Saturday feeling dizzy and weak just like the night before. Saturday evening I let my dog out and when I turned around to go inside I fainted and feel on my face.

Other Meds: None

Current Illness: None

ID: 1306949
Sex: M
Age: 50
State: ID

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: I was just falling asleep when my body started shaking. It was not violent, but enough to wake me and confuse me. I would call them tremors or convulsions but not sure if there's a better description. It lasted about 1 minute. The "tremors" were at a rate of roughly 2.5 per second somewhat like a very rapid heartbeat almost. In fact, I checked my pulse with my watch thinking it may be a heart issue but it only registered 58 bpm.

Other Meds: None

Current Illness: None

ID: 1306950
Sex: M
Age: 55
State: NJ

Vax Date: 04/28/2021
Onset Date: 04/30/2021
Rec V Date: 05/11/2021
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: After the 2nd shot, within 48 hours I had severe Tinnitus in both ears. Non-pulsatile high pitch.

Other Meds: atorvastatin.

Current Illness: None.

ID: 1306951
Sex: F
Age: 22
State: NM

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Not reported

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

Symptoms: 1535: Received vaccine around 0850, Denies any sign and symptoms at that time. Around 1500 suddenly felt faint, flush and saw black. Patient denies Nausea/vomiting, SOB. Patient was dizzy but was not clammy. Sat down, felt better after sitting and patient given water. Got back up after 10-15 minutes felt fine until around 1530; again felt faint, flushed and blurry vision and dizziness. Denies every losing consciousness. 1538: VS B/P 90/60, HR 78, o2Sat 92% on RA, RR-16, Sitting 1550: Medical team called; patient brought to first aid by wheelchair 1600: Verbalized feeling "much better" denies feeling flushed, nausea, vomiting, SOB, dizziness, some diaphoresis noted to forehead-cool rag applied. 1600: VS: b/p: 110/80, HR 95, O2Sat 96% on RA, RR 16, Sitting 1610: Provider on duty in attendance; assessed patient cleared for discharge home. Pt states she feels "much better" and is goo to go home. denied any further or new symptoms.

Other Meds: Not reported

Current Illness: Not reported

ID: 1306952
Sex: F
Age: 19
State:

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/11/2021
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Symptom List: Tremor

Symptoms: Patient received vaccine at 10:39am. Vaccine administration was routine, nothing noted. Patient returned to waiting area for observation. Approximately 1049am, patient started making retching sound. Vomited in small trash can in waiting area. I went out to the waiting area to check on the patient. She stated that she got very sweaty and then vomited but feels better after vomiting. She denies any shortness of breath/trouble breathing or any other symptom. I asked if she wanted a cup of water or ice pack. She requested water and a new mask and denied an ice pack. The patient states she could have had a panic attack. I requested that she continue to stay for observation. I checked in with the patient at 1059am and she stated she felt better. I requested again to stay for additional observation. At 1110am I asked the patient again how she was feeling. She stated she was feeling better. Over 30 minutes passed since vaccination, patient denied SOB or other symptoms. At 1110am, pt left waiting area.

Other Meds:

Current Illness:

ID: 1306953
Sex: F
Age: 55
State: ME

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/11/2021
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Allergies: none knowm

Symptom List: Erythema, Pruritus

Symptoms: very low grade fever which did not last more than a few hours. did not get above 100. Severe body aches which lasted about 24 hours. Just took some Tylenol which did help with the aches. Was a little nauseous throughout the day after the shot.

Other Meds: none

Current Illness: none

ID: 1306954
Sex: F
Age: 22
State: WA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 05/11/2021
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Allergies:

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

Symptoms: Administered 0.5 mL of vaccine instead of 0.3 mL

Other Meds:

Current Illness:

ID: 1306955
Sex: M
Age: 36
State: CT

Vax Date: 04/05/2021
Onset Date: 04/08/2021
Rec V Date: 05/11/2021
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Allergies: Medical tape

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

Symptoms: Grand Mal Seizure 3 days after injection. I was brought to the ER and had tests done. I had a clear EEG, EKG, CAT scan, and MRI. I am now on Keppra.

Other Meds: Allergy medicine (Flonase & Zyrtec)

Current Illness: N/A

ID: 1306956
Sex: F
Age: 27
State: IN

Vax Date: 04/21/2021
Onset Date: 04/28/2021
Rec V Date: 05/11/2021
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Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Red circle around injection site about 3-4inches big with a lump. It felt a little irritated lasted about a week.

Other Meds: Tri-Sprintec

Current Illness: None

ID: 1306957
Sex: F
Age: 35
State: NY

Vax Date: 04/30/2021
Onset Date: 05/02/2021
Rec V Date: 05/11/2021
Hospital: Y

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Allergies: Nil

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

Symptoms: 2 days after the vaccine (on 2 May), I woke with an accelerated heart rate, chest pain, tightness of chest and shortness of breath. I presented to MD where they took my vitals and an EKG. The doctor called an ambulance for me as she assessed I was potentially displaying signs of pulmonary embolism. The ambulance took me to the emergency department. I ultimately stayed there two nights, and following many tests was diagnosed with acute pericarditis versus myopericarditis. My admitting doctor and the cardiologist both advised that while they could not be 100% certain, the pericarditis could very well be an adverse reaction to the Moderna COVID-19 vaccine. The admitting doctor told me she would report it as an adverse reaction. I am now on colchacine anti-inflammatory medication for 3 months and have one follow-up with the cardiologist to come.

Other Meds: Contraceptive pill (Estelle)

Current Illness: Nil

ID: 1306958
Sex: M
Age: 41
State: CO

Vax Date: 04/01/2021
Onset Date: 04/09/2021
Rec V Date: 05/11/2021
Hospital:

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Lab Data:

Allergies:

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

Symptoms: Tinnitus with different level of severity

Other Meds:

Current Illness:

ID: 1306959
Sex: M
Age: 70
State: MI

Vax Date: 03/29/2021
Onset Date: 04/25/2021
Rec V Date: 05/11/2021
Hospital:

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Symptom List: Pain in extremity

Symptoms: Patient admitted to hospital on 4/25/2021 for trauma s/p motorcycle accident. No COVID symptoms. Patient stated that he had COVID in January 2021 and has since received both COVID vaccinations. Tested positive for COVID and Flu A via point of care antigen test on 4/25/2021.

Other Meds: Aspirin, Lipitor, Butalbital-APAP-Caffeine, cyclobenzaprine, finasteride, Flonase, gabapentin, Novolog, Lantus, lisinopril, vitamins/minerals (Bone Essentials), omeprazole, Miralax, synthroid, Flomax, tramadol

Current Illness:

ID: 1306960
Sex: F
Age: 45
State: CA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 05/11/2021
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Allergies: None

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

Symptoms: Moderna Dose 1 at 11:00 am : Migraine with aura 40 minutes after injection - controlled with excedrin, resolved in the evening. 24hours after shot, increasing pain at the location of she shot for 24 hours and resolved after a few days. No redness. Dizziness spells started a few days after first dose and lasted for 2-3 weeks. Now resolved. Moderna Dose 2 at 11:00 am : Instant pain in the arm for a few hours. Chills and fever (38.9c) started 12 hours after the shot. 18 hours after the shot, strong spinning sensation and nausea, resolved after a few minutes by lying down on the cold floor. Pain under the armpit (no swelling) for 2/3 weeks. Persistent low grade headache at the back of the head for 2/3 weeks.

Other Meds: None

Current Illness: No

ID: 1306961
Sex: F
Age: 30
State: NC

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/11/2021
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Allergies: Tree pollen Wood mulch Leaf mulch

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

Symptoms: The expected symptoms like soreness, fatigue, body aches all came on around 10am on May 7th. As the day progressed, the fever became higher and higher. Dizziness and vertigo started May 7th around 1pm, and have not stopped yet (today being May 11th, four days after). Vertigo and presyncope throughout the day, worse at night. Fainted twice over the weekend.

Other Meds: Escitalopram 20mg Sprintec (norgestimate and ethinyl estradiol) Bupropion HCL XL 150mg Trazodone 25mg

Current Illness: N/a

ID: 1306962
Sex: F
Age: 59
State: VT

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

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

Symptoms: pt stated that they felt weak 30 minutes after receiving vaccine. pt drank some water. Then after another 15 minutes pt complained of being cold. tried to move pt into vaccination room for privacy. pt was unable to stand on her own. checked with pt then called ambulance.

Other Meds:

Current Illness:

ID: 1306963
Sex: U
Age: 26
State: PA

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/11/2021
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Allergies: Percocet

Symptom List: Vomiting

Symptoms: Client had history of fainting and refused to lie down. Mother had mild reactiion. Client felt tingling in throat after injection, had Benadryl 25mg in pocket, took it and immediately felt better. bp 115/74, hr 99, pox 98%

Other Meds: Lexapro

Current Illness:

ID: 1306964
Sex: F
Age: 31
State:

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/11/2021
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Allergies: Ivory Soap

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Nausea and a decrease in appetite from time of 2nd dose to present.

Other Meds: Sertraline and birth control pills.

Current Illness: N/A

ID: 1306965
Sex: F
Age: 46
State: MD

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/11/2021
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Allergies: Hep B Vaccine

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

Symptoms: SOB.

Other Meds: none

Current Illness: none

ID: 1306966
Sex: F
Age: 19
State: OR

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/11/2021
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Allergies: No Known Allergies

Symptom List: Injection site swelling, Limb discomfort

Symptoms: presents with a potential reaction to the COVID19 vaccine. I was summoned to the patient's vehicle. She was responsive, by pale and diaphoretic slumped in the back seat. Given the nature of the vehicle, her position could not be changed. EMS was summoned so the patient could be repositioned on a gurney properly with legs elevated. The patient was responsive and relayed a history of POTS. Documentation was reviewed in detail, she does use a Clonidine patch. VS were WNL via EMS. The patient had not had anything to eat or drink today. Given this, 1L of IV fluids was started via EMS. This was a vasovagal episode with syncope in the setting of known POTS currently under treatment. With close monitoring, hydration, and repositioning, the patient returned to baseline and was returned home with her parents.

Other Meds:

Current Illness:

ID: 1306967
Sex: M
Age: 45
State:

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

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

Symptoms: Frozen ice pack was placed inside a cooler adjacent to a syringe containing Pfizer COVID-19 vaccine. Nurse was unable to administer the vaccine as the solution inside the syringe had frozen. The ice pack was removed, the syringe was wasted, and the patient was vaccinated with a separate syringe. Other syringes in the cooler were not affected in this manner upon visual inspection.

Other Meds:

Current Illness:

ID: 1306968
Sex: F
Age: 64
State: NY

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 05/11/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies: penicillin

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

Symptoms: Taken to the ER with swollen right gland and doctor had to press on the gland to remove pus, 103 fever, body pains, could hardly speak or eat, was given morphe for 2 days as the pain was excruciating. Was in the hospital for 3 days and given IV clindamycin and steroids.

Other Meds: flonase, symbicort

Current Illness: none

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am