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: 1307225
Sex: F
Age: 70
State: OR

Vax Date: 03/09/2021
Onset Date: 04/03/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Clindamycin Sulfa-hives

Symptom List:

Symptoms: My feet were very cold starting about a week after the vaccine. I noticed twitching and numbness in my feet three weeks after the vaccine. I started taking a new medication Nortriptyline at the same time. I stopped the new medication and the symptoms persisted. I went to the the ER to rule out Guillen Barre syndrome. The numbness and tingling were working its way up my legs. It has been ten weeks and the feeling of numbness and tingling is as far up as my knees on both legs and I am having symptoms in my wrist. My feet are burning at night and it has been getting worse. I have seen specialists and I have a neurology consultation. My doctor suspects Chronic Inflamed Peripheral Neuropathy after ruling out RA, Lupus Multiple Myeloma and Diabetes.

Other Meds: Synthroid Protonic OxyContin

Current Illness:

ID: 1307226
Sex: F
Age: 73
State: FL

Vax Date: 05/05/2021
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: PCN

Symptom List:

Symptoms: Burning Sensation and itchy of the eyes

Other Meds: Amiodarone Eliquis levothyroxine lovastatin calcitriol carvedilol lisinopril Morphine

Current Illness:

ID: 1307227
Sex: M
Age: 38
State:

Vax Date: 05/08/2021
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: raw fruits that grow on trees whose peeling you can eat

Symptom List:

Symptoms: Fever of 100 degrees (11 pm to 4 pm the following day), extremely tired (11 pm to 11 pm the following day), foggy headed (6 am Monday to 7 pm Monday evening

Other Meds: Vitamin C, D3 with K2, Zinc, cranberry pills, Zyrtec, finasteride

Current Illness:

ID: 1307228
Sex: M
Age: 68
State: OR

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:

Symptoms: Pt received 0.3 ml instead of 0.5 ml dosage.

Other Meds:

Current Illness:

ID: 1307229
Sex: F
Age: 39
State: NH

Vax Date: 04/17/2021
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: None.

Symptom List:

Symptoms: She got her vaccine, pain in the arm, fatigue but nothing severe. She now is feeling unwell, cramping stomach and menstrual like symptoms, and it is now over a week late where she is typically normal. She was in pain all day yesterday and pain today, and she called her doctor and they have scheduled her an appointment for the middle of June, but will call her if they get a cancellation.

Other Meds: Prenatal vitamins.

Current Illness: None.

ID: 1307230
Sex: F
Age: 57
State: IL

Vax Date: 04/22/2021
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: Bactrim(asthma attack), IV contrast (throat pain/tightness),

Symptom List:

Symptoms: Patient received Pfizer COVID-19 vaccines on 4/1/2021, and on 4/22/2021. 57YO female presents on 4/30 with chief complaint of chest tightness and throat swelling sensation. Patient has a history of allergic reactions. She developed a mild reaction after her first Covid vaccine (4/1). More severe reaction after her second vaccine which was one week prior (4/22). She was doing better after an ER visit and 2 days of prednisone. On 4/30 she began developing the same symptoms specifically tightness in the chest difficulty breathing raspy voice and a feeling of swelling in her throat. No difficulty swallowing.

Other Meds: albuterol inhaler prn, amitriptyline 25mg daily,

Current Illness:

ID: 1307231
Sex: M
Age: 21
State: NM

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:

Symptoms: PATIENT HAD PREVIOUSLY RECEIVED PFIZER COVID VACCINE ON 4/28/21

Other Meds: NONE IN PT RECORD

Current Illness:

ID: 1307232
Sex: M
Age: 50
State: OH

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: Unknown

Symptom List:

Symptoms: Patient came into pharmacy to receive 2nd dose of Shingrix but received 3rd dose of Pfizer covid vaccine, advised patient of possibility of increased side effects from incorrectly receiving 3 covid vaccines. Currently, no side effects have been reported

Other Meds: Unknown

Current Illness: Unknown

ID: 1307233
Sex: F
Age: 71
State: NC

Vax Date: 03/08/2021
Onset Date: 03/22/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Topamax BuSpar

Symptom List:

Symptoms: On March 23, 2020. Left arm in pain., from shoulder down to hand. Also nerve pain down arm. On March 25 th red marks showed up on upper arm. On March 27th went to urgent care and diagnosed with Shingles. Told to take Medrol dose pack and Acyclovir for 5 days. Pain lasted approx 1 month on the left arm, could not sleep on that arm . Resolved after 5 weeks.

Other Meds: Levothyroxine Alprazolam Pantoprazole Multivitamins Omega three Calcium Vitamin D

Current Illness: None

ID: 1307234
Sex: M
Age: 36
State: CA

Vax Date: 04/24/2021
Onset Date: 05/08/2021
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:

Symptoms: On Sat, May 8th around 4:30 PM, while sitting and watching TV, I felt a numbing shock to the left side of my body (particularly left cheek, my entire left arm, and legs) and got up to check myself in the mirror. I got chills and my teeth began chattering, but my arm in particular felt like it was on fire. I thought I was having a stroke so I managed to drive myself to the ER where I was admitted. When the doctors performed the initial tests on me, my skin felt dull on my left side but my arm felt a burning-numbness to it. The doctors performed two MRIs, a CT scan, an Echo Cardiogram, Blood Tests, Blood Pressure readings, and a Covid-19 test and found no problems in my brain or heart, no Covid infection, and a healthy cardiovascular system. I was released May 10th with the diagnosis of a Transient Ischemic Attack (TIA) of unknown cause. When I woke up today on 5/11, the burning-numbing sensation returned to my arm again (even as I type this) but this time I know it is not a stroke. I have had no medical history, exercise regularly, have a healthy diet (vegetarian/vegan for more than seven years), the only thing I've done recently is had my first Moderna shot injected intramuscularly in my left arm, the same arm where this burning-numbness is taking place. I thought it is best proactive to report this event and if there is any correlation to the vaccine

Other Meds: None

Current Illness: None

ID: 1307235
Sex: F
Age: 69
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:

Symptoms: 1206 Dizziness .second vaccine BP 145/80, HR 89, Resp, 17, Sats 98%. Glucose 165 Hx DM 1224 Dizziness resolved left for home.

Other Meds:

Current Illness:

ID: 1307236
Sex: M
Age: 38
State: GA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: VACCINE WAS DRAWN UP THE DAY BEFORE AND WAS GIVEN AT THE 15 HOUR MARK. PATIENT DENIES ANY ADVERSE REACTIONS

Other Meds:

Current Illness:

ID: 1307237
Sex: M
Age: 82
State:

Vax Date: 04/01/2021
Onset Date: 04/16/2021
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:

Symptoms: Hypo-osmolality and hyponatremia Thrombocytopenia, unspecified

Other Meds:

Current Illness:

ID: 1307238
Sex: M
Age: 38
State: CA

Vax Date: 02/08/2021
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: Unknown

Symptom List:

Symptoms: COVID + post COVD vaccination

Other Meds: Unknown

Current Illness: Unknown

ID: 1307239
Sex: F
Age: 20
State: GA

Vax Date: 05/01/2021
Onset Date: 05/09/2021
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:

Symptoms: There are red itchy bumps on my hands, arms, and thighs

Other Meds: One a day teen gummy vitamin, advil

Current Illness: None

ID: 1307240
Sex: F
Age: 62
State: WA

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

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

Lab Data:

Allergies: SULFA, WHEAT, SKIN ADHESIVE

Symptom List:

Symptoms: WHOLE-BODY ARTHRALGIA AND INJECTION SITE PAIN. STARTED 6 HOURS POST-VAX . LASTED 48 HOURS. TREATED WITH TYLENOL AND EDIBLE THC

Other Meds: SYNTHROID, ZOCOR, CELEBREX, MULTI-VIT

Current Illness: NONE

ID: 1307241
Sex: F
Age: 46
State: WI

Vax Date: 05/05/2021
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: Morphine, Codeine, Wellbutrin

Symptom List:

Symptoms: I broke out in an extremely itchy rash from my head to my feet. My lips felt numb and tingle. I suffered from a 24 hour period of insomnia. Extreme anxiety with massive mental racing thoughts that i couldn't control. Followed by 2 days of fatigue, body aches, head aches, muscle and joint pain. Loss of appetite with extreme diarrhea and abdominal pain.

Other Meds: Goli apple cider supplements. Phentermine for weight loss ( one 30 mg tablet daily).

Current Illness: None

ID: 1307242
Sex: M
Age: 23
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Reports 1 hr after vaccine developed hives on his chest, +itching, no breathing problems. Did not take medication, hives worsened day 2. Resolved spontaneously on day 3. Advised patient receive J&J.

Other Meds:

Current Illness:

ID: 1307243
Sex: F
Age: 68
State: OR

Vax Date: 04/16/2021
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: No Known Allergies

Symptom List:

Symptoms: Had chest/back pain on 4/27. Thought it was a pulled muscle. Notice small rash on back on Friday morning. Thought it was due to cream used to help pulled muscle. Rash enlarged and was only on one side. Looked up "shingles" on Sunday 05/02/21. Diagnosed with shingles. Given prescriptions for valACYclovir 1 tablet by mouth 3 times a day until supply gone and Nortriptyline 1 capsule by mouth daily at bedtime.

Other Meds: None

Current Illness: None

ID: 1307244
Sex: M
Age: 27
State: NC

Vax Date: 04/09/2021
Onset Date: 04/29/2021
Rec V Date: 05/11/2021
Hospital: Y

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

Lab Data:

Allergies: Erythromycin, Sulfa

Symptom List:

Symptoms: Patient admitted to the hospital on 5/10/2021 with bilateral facial nerve palsies, followed by numbness and tingling of both arms and legs. Symptoms starting to resolve.

Other Meds: None

Current Illness: None

ID: 1307245
Sex: F
Age: 63
State:

Vax Date: 03/16/2021
Onset Date: 03/18/2021
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:

Symptoms: Hypo-osmolality and hyponatremia Thrombocytopenia, unspecified

Other Meds:

Current Illness:

ID: 1307246
Sex: F
Age: 17
State: TX

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient under age 18 was vaccinated with Johnson and Johnson which is a vaccine error. Single vaccine at age 17. Troubleshooting: Scribe and vaccinator did not validate age; screeners at the beginning of the process did not ask or turn away. Parent validated age as 18. Unreported as error, found in data mining.

Other Meds:

Current Illness:

ID: 1307247
Sex: M
Age: 35
State: GA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: VACCINE DRAWN UP DAY BEFORE AND GIVEN AT THE 15 HOUR MARK PATIENT STATES LOW GRADE FEVER X 1 DAY

Other Meds:

Current Illness:

ID: 1307248
Sex: F
Age: 23
State: NY

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: NKDA

Symptom List:

Symptoms: pt felt light headed, stood up and then fell over. EMT came to assess. No difficulty breathing. Only lightedness. Experienced some nausea afterwards.

Other Meds: NA

Current Illness: NA

ID: 1307249
Sex: F
Age: 39
State: WA

Vax Date: 04/03/2021
Onset Date: 04/07/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Unknown.

Symptom List:

Symptoms: Sudden onset of menstrual period, lasting 2 weeks with extremely heavy flow and pain. Saw my Dr. and she did a blood test to check for platelet count, which all labs done were normal. Period lasting from 4/7 to 4/21 all the while I take my birth control as normal with no missed doses. Now on 5/7 having severely heavy flow again with clotting. Dr. prescribed naproxen and an extra "mini-pill" hormone supplement on top of my regular birth control. Will monitor.

Other Meds: Mono-ness birth control pill.

Current Illness: None.

ID: 1307250
Sex: F
Age: 31
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:

Symptoms: Pt became shaky, throat felt itchy. Complained of chest feeling tight. Benadryl 25mg IM given at 1045. Complained of spotty vision. Pt reported having filler in lips a few days ago. Wheezing in left lung, Epi given at 1101. Pt left with EMS 1125.

Other Meds:

Current Illness:

ID: 1307251
Sex: M
Age: 53
State: NJ

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

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

Lab Data:

Allergies: Cipro, PNC

Symptom List:

Symptoms: Extensive lower abdomen and bilateral leg rash developed on 5/10/21 after pt received his 2nd dose of Moderna COVID 19 vaccine on 4/27/21. I can send pictures of the rash

Other Meds: Tizanidine, Carvedilol, Metformin, Lotrel, Coreg, Neurontin, Pravachol, Syntrhoid

Current Illness:

ID: 1307252
Sex: M
Age: 17
State: OH

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient not 18 years old, received dose of Moderna. No reactions noted.

Other Meds:

Current Illness:

ID: 1307253
Sex: F
Age: 33
State: FL

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: None

Symptom List:

Symptoms: The Patient received her second Covid Moderna Vaccine and Waited 15 minutes. She felt well to continue to resume work here at the store. About 30 min later she complained she felt nauseus and dizzy. I immediately sat her down and asked her if she needed me to call 911. I provided a cold compress for her one on her head and one for her neck and took her Blood pressure two times. I asked if she had any history of high blood pressure or was on any medications. Patient said she has not been to a Dr. but did not have High Blood Pressure. Pts Pressure was 145/95 the first time then after 135/91. Pt sat with cold compresses and still did not want to go to the hospital. Then 30 -40 min later paramedics were in the store and we asked her if she would allow them to check her. Upon checking her pressure was similar 135/100 and she still felt off balance when she stood up with the paramedics. She said she felt like her right side was imbalanced and leaning to the right. The paramedics and I said she would be better to get checked by the Dr. and she went to the ER. We will follow up with the patient as well. The store manager was involved and aware of the situation.

Other Meds: None

Current Illness: None

ID: 1307254
Sex: F
Age: 62
State: MN

Vax Date: 03/08/2021
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: Lisinopol - penicillin -

Symptom List:

Symptoms: Major rash - neck, back, chest, stomach, some on thighs, left eyelid, major itching - saw doctor - took Benadryl at night and Zyrtec during day. Been 3 weeks and still have signs of rash and some minor itching.

Other Meds: Potassium Citrate - Amlodipine - Losartan - Colesevelam - Atenolol - Allopurinol - Rosuvastatin - multivitamin - CuraLin

Current Illness: None

ID: 1307255
Sex: F
Age: 64
State: MD

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: I have been having episodes of tinnitus for about 30 years. After the first vaccine, tinnitus was 24/7 with increased in sound. After 2nd vaccine, unnerving - loud, constant, losing sleep. Still loud, constant but must be getting used to it - able to sleep. However, if I wake up early, cannot get back to sleep because of noise.

Other Meds: Effexor, Trazadone, Synthroid, Vitamins B and D

Current Illness: No

ID: 1307256
Sex: F
Age: 23
State: GA

Vax Date: 03/20/2021
Onset Date: 04/06/2021
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:

Symptoms: Weeks 1 . Extreme dizziness and headaches. Week 2.- Brain fog, disorientation, double vision, headaches, depersonalization, dizziness, heart palpitations. Week 3-Brain fog, painful nerve pain in feet, legs, arms, hands. Hand/eye tremors. Double vision, headaches. Week 4-Brain, persistent nerve pain, leg weakness, hand weakness, disorientation , double vision, headaches , depersonalization, persistent tremors.

Other Meds: NONE

Current Illness: NONE

ID: 1307257
Sex: F
Age: 54
State: TX

Vax Date: 04/12/2021
Onset Date: 04/14/2021
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:

Symptoms: On Wednesday night I started seeing flashes on the right side of my right eye. When I turn my head to see to my right side is when this happens.

Other Meds: None

Current Illness: None

ID: 1307258
Sex: F
Age: 17
State: WA

Vax Date: 05/04/2021
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:

Symptom List:

Symptoms: vasovagal reACTION

Other Meds:

Current Illness:

ID: 1307259
Sex: F
Age: 55
State: CA

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:

Symptom List:

Symptoms: Widespread macular rash starting from injection site and spreading to involve chest, torso and thighs

Other Meds:

Current Illness:

ID: 1307260
Sex: M
Age: 35
State: FL

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: none/unk

Symptom List:

Symptoms: Pressure at vaccination site with pain, dizziness, sweating, felt like can't breathe. Everything went blank

Other Meds: none

Current Illness: none as stated by client

ID: 1307261
Sex: M
Age: 17
State: TX

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 05/11/2021
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Symptoms: Patient under age 18 was vaccinated with Johnson and Johnson which is a vaccine error. Single vaccine at age 17. Troubleshooting: Scribe and vaccinator did not validate age; screeners at the beginning of the process did not ask or turn away. Parent validated age as 18. Unreported as error, found in data mining.

Other Meds:

Current Illness:

ID: 1307262
Sex: F
Age: 53
State: MI

Vax Date: 04/29/2021
Onset Date: 05/01/2021
Rec V Date: 05/11/2021
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Allergies: Naproxen

Symptom List:

Symptoms: SYMPTOMS OF VACCINE ~ SAME DAY SITE SORENESS TO THE TOUCH & ARM HURT, BODY ACHES, FELT TIRED, SLEPT ALL DAY. TWO DAYS AFTER, I FELT TOTALLY DRAINED & MY THOUGTHS WERE/ARE (STILL TO DATE 5/11/2021) EXTREMELY 'OFF' & 'FOGGY', NOT THINKING STRAIGHT, FOCUS & CONCENTRATION ARE BOTH WAY OFF. NOT AT ALL FEELING LIKE MYSELF.

Other Meds: Vitamin C, Zyrtec, Women's 50+ Centrum Silver & Dyazide

Current Illness: None

ID: 1307263
Sex: F
Age: 16
State: VA

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/11/2021
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Symptoms: Dose one was given without diluent being added to vial. 0.3 ml dose given. Patient waited for 30 minutes at vaccination site without any signs and symptoms developing.

Other Meds:

Current Illness:

ID: 1307264
Sex: M
Age: 44
State: WA

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

Symptoms: Administered 0.5 mL of vaccine instead of 0.3 mL.

Other Meds:

Current Illness:

ID: 1307265
Sex: M
Age: 74
State: UT

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 05/11/2021
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Allergies: Metoprolol

Symptom List:

Symptoms: Urticaria rash on legs, bilaterally.

Other Meds: Atorvastatin, Doxazosin, Losartan-HCTZ

Current Illness: None

ID: 1307266
Sex: M
Age: 93
State:

Vax Date: 02/15/2021
Onset Date: 04/06/2021
Rec V Date: 05/11/2021
Hospital: Y

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Symptom List:

Symptoms: N17.9 - Acute kidney failure, unspecified D69.6 - Thrombocytopenia, unspecified K92.2 - Acute lower GI bleeding K92.2 - GI bleed

Other Meds:

Current Illness:

ID: 1307267
Sex: M
Age: 83
State: IL

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

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Lab Data:

Allergies: No known drug allergies

Symptom List:

Symptoms: Presented to ED ~ 12 hours after receiving 2nd Covid vaccine. Chief Complaint: FEVER. (Pt had second COVID vaccine around noon. He presents via ambulance " feeling terrible" with fever, malaise. He is somewhat confused and uncomfortable here. Daughter in law here). No muscle aches, chest pain or cough. He has had loss of appetite. He has had dyspnea (chronic). He has had altered mental status (mild confusion). He has had skin rash (chronic LE). Pt was kept for observation x3. He was given IV fluids and a started 4.5 gm of Zosyn (Piperacillin Sod-Tazobactam So). Diagnosed with pneumonia - switched to oral augmentin at discharge. On home oxygen.

Other Meds: ? Allopurinol Oral : Tablet 300 mg, 1 TABLET DAILY ? Cardize

Current Illness: No known acute illnesses

ID: 1307268
Sex: M
Age: 36
State: MI

Vax Date: 04/15/2021
Onset Date: 05/06/2021
Rec V Date: 05/11/2021
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Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Patient developed a rash on 5/6 and with shingles on 5/10 by a physician. The physician started him on anti-virals. Spoke with patient on 5/11 and he states that the rash is starting to dry up but is still painful at times. Rescheduled 2nd dose of Pfizer vaccine to next week.

Other Meds: unknown

Current Illness: unknown

ID: 1307269
Sex: M
Age: 34
State: VA

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 05/11/2021
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Symptoms: Patient had syncopal episode with seizure-like activity within 15 minutes of vaccination. Fell out of chair and scraped nose and side of head. Patient was transported to the ER by EMS.

Other Meds:

Current Illness:

ID: 1307270
Sex: M
Age: 51
State: WI

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

Symptom List:

Symptoms: patient passed out. when awoken was clammy and sweaty. Lowered him to the floor where he complained about being hot and cold alternatively. BP was usually low 110's over 60 pulse ran about 56. Patient was nauseas. Used ice packs to cool him, and towels to warm him. He did not vomit. He continued to be dizzy and sweaty. BPs and pulses did not improve, after 40 minutes of symptomatic treatment, he consented to an ambulance being called. He was treated by paramedics, I do not know if he was taken to the hospital.

Other Meds: unknown

Current Illness: none

ID: 1307271
Sex: M
Age: 60
State: MI

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/11/2021
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Allergies: NA

Symptom List:

Symptoms: This event applies to three separate people - same event, same description. Two occurred on 5.7.21, one occurred on 5.5.21, different staff members involved. Other individuals: DOB: 10.16.2002 AND (name) DOB: 11.5.1995 . Same immunization, same manufacturer, same lot number. "Vaccinator was giving the patient him/her second dose of the vaccine and said the plunger of the syringe malfunctioned and the needle retracted into the syringe before the entire dose was given. this resulted in vaccine spilling out onto the outside of the patient's arm. vaccinator was informed by team lead to give the patient another dose in order to be sure pt receives the entire dose, per CDC guidelines. a full dose was then given without malfunction. VanishPoint syringes was used. "

Other Meds: NA

Current Illness: NA

ID: 1307272
Sex: F
Age: 39
State: NY

Vax Date: 02/11/2021
Onset Date: 02/17/2021
Rec V Date: 05/11/2021
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Lab Data:

Allergies: Orthotricycline

Symptom List:

Symptoms: Beginning a few days after the first vaccine I began experiencing a flood of discharge (had never happened before). It occurred for 3-4 days and was so significant I had to wear a pad. This stopped once my period started, but shortly after my period I began to get consistent cramping for over a week (long enough that I made a doctor's appointment, and the doctor had me make a follow-up ultrasound appointment). In the end my next period came 5-6 days early.

Other Meds: Pentasa, Claritin

Current Illness:

ID: 1307273
Sex: M
Age: 38
State: CA

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 05/11/2021
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Symptoms: diarrhea -- same day, resolved within 24 hours injection sight pain -- pain was much more than a typical shot, felt like a tendon injury by the end of the day, pain impacted mobility. Completely resolved over night.

Other Meds: omeprazole

Current Illness:

ID: 1307274
Sex: M
Age: 82
State: IN

Vax Date: 04/02/2021
Onset Date: 04/29/2021
Rec V Date: 05/11/2021
Hospital: Y

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Allergies: Allergies: Penicillin, zocor, biaxin, keflex, tape

Symptom List:

Symptoms: We admitted patient to the hospital DOB 08/30/1938 MR#46977 FIN#98705621120 on 04.30.21 through our ER to Med/Surg for new right middle lobe PE. Pt received the Johnson and Johnson (Janssen) COVID vaccine on 04.02.21 at the Pharmacy (lot# 042A21A). The pt was on warfarin prior to admission for diagnosis afib and therapeutic (INR 2.2) at time of admission so he was placed on heparin high intensity infusion. Pt subsequently developed hemoptysis so heparin infusion was held and pt was transferred to the hospital for hematology/pulmonology/oncology consult. At accepting facility heparin was held on admission and was restarted on 05.02.21.

Other Meds: Albuterol/Ipratropium 2.5mg-0.5mg/3mL Albuterol 90mcg/inh HFA allopurinol alprazolam symbicort diltiazem lisinopril loratadine ropinirole zoloft terazosin warfarin

Current Illness: coughing up blood

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm