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: 1324218
Sex: M
Age: 57
State: PA

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Community member recieved 2nd dose withinn 17 days of first dose of Pfizer.

Other Meds:

Current Illness:

ID: 1324219
Sex: M
Age: 47
State: FL

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfa antibiotics, bee stings, fire ants, vinyl, rubber, nickel

Symptom List: Anxiety, Dyspnoea

Symptoms: Extreme bloating in abdomen, abdominal pain, heavy vomiting, diarrhea, pain at injection site.

Other Meds: Methotrexate, oxycodone, otezla, clonidine

Current Illness: N/A

ID: 1324220
Sex: M
Age: 35
State: TX

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/17/2021
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: The patient walked in to the pharmacy for a Janssen Covid vaccination along with family. Patient was advised post vaccination administration to sit in observation for 15 minutes but did not comply and as he was walking away from the pharmacy fainted. Parents reported he did not hit his head and pharmacy was alerted post fall of what had happened. We approached the patient as he was getting to his feet and we advised again for him to come back to pharmacy to sit in a chair for further observation. His parents told us he always has fainting issues post any vaccination or blood work (no prior issue reported to vaccinations on consent form). The patient continued to decline going back to pharmacy and as he walked fainted again, he was able to hold on to shopping cart which lessened severity of fall. Pharmacy staff advised him to remain on floor and after he regained consciousness he was able to answer accurately his name, where he was and what day of week it was. At that time a nurse not employed by Company was shopping near by and began to help care for the patient. The patient and his parents continued to decline calling an ambulance, and after several minutes sat against a wall. He was starting to sweat profusely and heart rate was rapid (approximately 145 bpm per nurse) so we had him remove his coat and provided a cool compress for his head and neck. He was breathing rapidly but was able to slow his respiration upon our direction. The patient did not seem to be improving and the nurse helping advised calling EMS which we did. The patient continued to lose consciousness for brief periods awaiting and during EMS aid. EMS ran the patients blood pressure, blood sugar nd ran an ECG prior to taking patient away to hospital (results unknown to pharmacy as we stayed in area to provide information on patient vaccination administration but had no active assistance care at that time.

Other Meds: None reported

Current Illness: None reported (Mother mentioned high cholesterol post vaccination administration and reaction)

ID: 1324221
Sex: M
Age: 59
State: CA

Vax Date: 03/30/2021
Onset Date: 04/12/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: NONE THAT PATIENT IS AWARE OF

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: The patient received the Pfizer COVID19 vaccine on 03/30/2021. The patient reports that two (2) weeks after receiving the vaccine he experienced numbness and tingling in both feet. He reports the numbness and tingling progressed up both legs resulting in pain in the knees and thighs. The patient reports having sought medical attention for the progressing symptoms, however, it is unknown what the cause of the adverse reaction. The patient has reported these adverse reactions to me on 05/14/21. The patient reports he currently is still feeling muscle fatigue and nerve pain.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1324222
Sex: F
Age: 12
State: CA

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: IMMEDIATELY AFTER GETTING THE COVID VACCINE, PATIENT BECAME VERY DIZZY AND LIGHTHEADED. THE IMMUNIZER OBSERVED THE PATIENT FOR NEARLY 45 MINUTES TO AN HOUR TO SEE IF SHE WILL FEEL BETTER. BUT THE PATIENT COMPLAINED THAT THE SYMPTOMS WERE GETTING WORSE. WE REFERRED THE PATIENT TO GO VISIT THE URGENT CARE CLINIC NEXT DOOR AND SEE A PHYSICIAN. LATER, THE PHYSICIAN, TOLD US THAT HE TREATED THE PATIENT WITH PROMETHAZINE AND ONDANSETRON BUT THE SYMPTOMS WERN'T IMPROVING. HE ORDERED MECLIZINE 25MG CHEWABLE TABLETS AND THE PATIENT'S MOM CAME IN TO PICK UP THE MEDICATION. THE PA THINKS IT IS PSYCHOLOGICAL RATHER THAN AN ANAPHYLACTIC SHOCK SINCE ALL THE VITALS WERE NORMAL.

Other Meds: NONE

Current Illness: N/A

ID: 1324223
Sex: M
Age: 63
State: TX

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

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

Lab Data:

Allergies: N/A

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

Symptoms: RN GAVE A DOSE OF .6CC VS THE .3CC DOSE THAT SHOULD HAVE BEEN GIVEN. DUE TO MISCALCULATION

Other Meds: N/A

Current Illness: N/A

ID: 1324224
Sex: F
Age: 41
State: MA

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: Pet

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Dark red rash that grew over the first three days to cover most of the upper arm that was injected(Left arm). Left arm in extreme pain, with burning and itching sensations. Arm was tender to touch and any movement of my body. Pain/throbbing in all joints and limbs, especially legs which include feet, ankles, knees, and hips. Headache for over three days. Extreme dizziness, standing, walking, or lying still. Nausea most of the first two days with little to no appetite. My hands were weak for the first two days, may have been slightly swollen. Extreme exhaustion and weakness for over three days. Fluctuating between chills/shivering and all over sweating.

Other Meds: Vit D Advil Effexor Zyrtec

Current Illness:

ID: 1324225
Sex: F
Age: 30
State: PA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Seven hours after the vaccine I had a fever of 101 with a headache and chills. An hour later I had a fever of 106.5 degrees. Nothing seemed to work to bring the fever down and I had a very sever headache. I was advised to take a combination of Ibuprofen and Acetaminophen which finally brought it down to 102-103 which lasted three days. I threw up on the third night and I experienced nausea. On the fourth day I went to work, and I was exhausted when I came home, and I had a fever of io2 degrees. I had to take off work for the whole week because I had trouble keeping my fever down to normal. I was fever free after seven days and I was able to go back to work on the tenth day. I have been diagnosed post-concussion syndrome at the end of 2019 and I don?t know if that had an influence on the headaches. The headaches that I got after the vaccine caused similar pain to some I have had before but they did not cause the same symptoms of vertigo.

Other Meds: Flonase Zyrtec Natazia

Current Illness:

ID: 1324226
Sex: F
Age: 43
State: WA

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/17/2021
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: 1) 4 hours after vaccination, Lips, cheek mouth area swollen. Hives all over body developed next day. Went to urgent care day after vaccination for benadryl shot. Facial swelling is gone. However, sporadic minor hives occurring ongoing. 2) Joint, Muscle, Jaw, Pain ongoing 3) Numbness on side of face, hips, thigh, gluts, and legs, developed on 16th Sunday morning 6 days after vaccination. Ongoing currently.

Other Meds:

Current Illness: None

ID: 1324227
Sex: M
Age: 22
State: NY

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: none listed

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 10 minutes following vaccine patient became confused, sweating, pale and dizzy, lasted 10-15 minutes and then resolved without treatment.

Other Meds: none listed

Current Illness: none noted

ID: 1324228
Sex: F
Age: 20
State: UT

Vax Date: 05/14/2021
Onset Date: 05/15/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: urticaria, prednisone, antihistamines

Other Meds: none

Current Illness: none

ID: 1324229
Sex: F
Age: 56
State: MN

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: Pramipexole, adhesive tape, erythromycin, gemfibrozil, Levaquin, Lipitor, Niaspan, Pneumococcal Vaccines, Sulfa

Symptom List: Rash, Urticaria

Symptoms: Patient has had ongoing tinnitus in both ears since her vaccines.

Other Meds: Astepro, Citrucel, diclofenac, Eletriptan, Fish Oil, Ferrous Sulfate, Fexofenadine-Pseudoephedrine, Gabapentin, glucosamine chondroitin, ibuprofen, melatonin, Mirena IUD, omeprazole, Qvar, Rhinocort, ropinierole, Ventolin HFA, tramadol

Current Illness:

ID: 1324230
Sex: F
Age: 44
State:

Vax Date: 05/01/2021
Onset Date: 05/11/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Dizziness, lightheadedness, some nausea- constant and daily; tried Meclizine but only resolves briefly

Other Meds:

Current Illness:

ID: 1324231
Sex: F
Age: 51
State: MN

Vax Date: 04/26/2021
Onset Date: 04/28/2021
Rec V Date: 05/17/2021
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: A day and a half after getting the vaccine, I experienced heart pounding, body shakes, heart racing, pressure over entire body. Called 911 and went to the emergency room.

Other Meds: montelukast, albuterol

Current Illness:

ID: 1324232
Sex: M
Age: 41
State:

Vax Date: 04/10/2021
Onset Date: 04/13/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Tingling in arms/hands/legs/feet. Headaches and dizziness and brain fuzziness. Can?t focus and head hurts constantly. Tingling still comes and goes. It?s been 5 weeks after vaccination.

Other Meds:

Current Illness:

ID: 1324233
Sex: M
Age: 45
State: PA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Community member recieved second dose within 17 days of first dose of Pfizer.

Other Meds:

Current Illness:

ID: 1324234
Sex: F
Age: 14
State: CT

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: Patient was experiencing chest tightness, vision was fuzzy, felt nauseous.

Other Meds: n/a

Current Illness: n/a

ID: 1324235
Sex: F
Age: 63
State: FL

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fever, Chills, body ache, fatigue, Extreme pain and heat at injection site. The body aches and fatigue lasted 3 days. The arm/shoulder pain is still a continuing problem. On three different days, the shoulder pain has been debilitating.

Other Meds: multivitamin, vitamin B, osteo biflex, amitryptaline 10 mg

Current Illness: None

ID: 1324236
Sex: F
Age: 44
State: VT

Vax Date: 04/01/2021
Onset Date: 05/15/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Shingles

Other Meds: Multi vitamin, vitamin D, omega

Current Illness: None

ID: 1324238
Sex: F
Age: 45
State: MN

Vax Date: 04/10/2021
Onset Date: 04/20/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Tightness/pain in thighs, tiredness, and excessive energy loss

Other Meds: Vitamin D (OTC but recommended by doctor)

Current Illness: No

ID: 1324239
Sex: M
Age: 53
State: VA

Vax Date: 05/07/2021
Onset Date: 05/12/2021
Rec V Date: 05/17/2021
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, Lymph node pain, Lymphadenopathy

Symptoms: vaccine was administered outside of the two hour time limit for the vaccine to sit out at room temperature after first puncture. vaccine had sat out at room temperature for about 4 hours after first puncture. no adverse events reported.

Other Meds: none known

Current Illness: none known

ID: 1324240
Sex: F
Age: 52
State: WA

Vax Date: 04/19/2021
Onset Date: 04/21/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, cephalexin, erythromycin, simvastatin

Symptom List: Unevaluable event

Symptoms: Low blood pressure, beginning approx 24-36 hours after injection. Kept lowering meds until I had stopped all medications for blood pressure. In the meantime suffering effects of the low pressure. 1 month later I am still on half dose, not sure when I can go back to follow doses. Meanwhile taking my blood pressure reading up to 3 times a day.

Other Meds: Novolog, verapamil, lisinopril, chlorthalidone, potassium, zetia, vitamin d, vitamin e, folate, loratadine, aspirin, biotin, coq10, multivitamin, melatonin, tums, benefiber, coconut oil

Current Illness:

ID: 1324241
Sex: M
Age: 25
State: PA

Vax Date: 04/09/2021
Onset Date: 04/15/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: None known

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

Symptoms: Severe tinnitus several days after receiving the first vaccine dose. Tinnitus is accompanied by tension headaches and brain fog.

Other Meds: None

Current Illness: None

ID: 1324242
Sex: F
Age: 35
State: CA

Vax Date: 04/13/2021
Onset Date: 04/17/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Codeine

Symptom List: Injection site pain, Pain

Symptoms: Occipital Neurologica Nerve pain in back of head and spine that has gotten worse over a month.

Other Meds: Regular vitamins C, B, and D

Current Illness: No

ID: 1324243
Sex: M
Age: 55
State: CA

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient was given second dose 5 days early. First shot was on 4/22/2021 and second shot was given 5/8/2021. Patient did not experience any adverse effects

Other Meds:

Current Illness:

ID: 1324244
Sex: M
Age: 28
State: CA

Vax Date: 04/16/2021
Onset Date: 04/19/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Cognitive -- severe symptoms began ~3 days after Pfizer 2nd dose. Extreme disorientation and confusion (transient), memory loss (longterm), extreme lethargy - unable to move, intermittant psychosis (mild, esp. when going to sleep), and anxiety (transient but very extreme, unlike anything I've felt before, not improved by diazepam) (continued for 10 days then began to improve dramatically followed by alternating relapse on a daily basis for 4 weeks, up to present -- dramatically and stably improved by steroid treatment, returned after discontinuing) Nerve pain -- began ~1 week after Pfizer second dose. -- tingling, burning throughout extremities, especially fingertips, toes, hips; transient (usually 5 seconds or less). Progressively became more frequent (20+ / day), longer lasting (up to 20 seconds) and more severe (like stabbing or electric shock). Gradually resolved after course of dexamethasone beginning 3 weeks after vaccination. Sharp inner ear pain -- (both ears) began ~1 week after Pfizer second dose. Rare events (~5x / day), very transient (1-2 seconds) but extremely painful. Continues up to present, (4 weeks after Pfizer second dose). Also constant popping of both ears beginning week 2 to present, feels like fluid inside. Adenopathy -- On 4/28/21 noticed massive swelling on left pectoral muscle (contralateral to vaccine injection site), diagnosed as lymphadenopathy, moderately painful. Continued to get worse for 1 week, began dexamethasone on 5/7/21. Dramatically improved, however swelling returned after discontinuing steroid and spread to all lymph nodes, including neck and others. Became extremely painful on 5/14/21, unable to walk due to swelling in inguinal lymph nodes. Again dramatically improved after steroid injection on 5/16/21.

Other Meds: Oral acyclovir (800mg)

Current Illness: N/A

ID: 1324245
Sex: M
Age: 60
State: CA

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 05/17/2021
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: Shoulder pain developed the day after the injection (similar to shot 1), however has not gone away. It has now been 19 days post injection and shoulder pain appears not to be decreasing.

Other Meds: None

Current Illness: None

ID: 1324246
Sex: F
Age: 51
State: MN

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Heart pounding and racing, body shakes, dry mouth, weakness. They told me not to worry and I should just rest. No need to go to the clinic. My left arm is also very sore, all the way up to my neck and down the back of my shoulder.

Other Meds: montelukast, allbuterol

Current Illness:

ID: 1324247
Sex: F
Age: 71
State: SC

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: Codeine, Morphine

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

Symptoms: Patient said her arm was swollen and had a red spot initially. The redness had gone away but it was still swollen. She had not tried to put anything on it or take anything. She said it did itch sometimes. I suggested she try some Benadryl and call her primary care doctor.

Other Meds: Lisinopril, Sodium Bicarb, Spironolactone, Amlodipine, Nexium

Current Illness:

ID: 1324248
Sex: F
Age: 45
State: PA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Community member recieved 2nd dose within 17 days of first dose of Pfizer.

Other Meds:

Current Illness:

ID: 1324249
Sex: M
Age: 51
State: VA

Vax Date: 05/07/2021
Onset Date: 05/12/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List: Injection site pain

Symptoms: vaccine was administered outside of the two hour time limit for the vaccine to sit out at room temperature after first puncture. vaccine had sat out at room temperature for about 4 hours after first puncture. no adverse events reported. called patient on 5/17 and told patient about the incident and that johnson and johnson does not recommend one way or the other regarding revaccination.

Other Meds: none known

Current Illness: none known

ID: 1324250
Sex: M
Age: 42
State: FL

Vax Date: 04/06/2021
Onset Date: 04/18/2021
Rec V Date: 05/17/2021
Hospital: Y

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

Lab Data:

Allergies: ALEVE

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

Symptoms: Taken to ER with Grand mal seizures & possible stroke; admitted to hospital with seizures

Other Meds: IBUPROFEN; LISINOPRIL

Current Illness: MUSCLE SPASMS; MUSCLE ACHES;

ID: 1324251
Sex: M
Age: 49
State: NV

Vax Date: 04/06/2021
Onset Date: 04/14/2021
Rec V Date: 05/17/2021
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Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: I started having a lot of pain in my right leg. I could actually feel and see that my veins were swollen. It progressed and started moving around. I started having chest pain and headaches. I ended up at ER. They gave me pain meds and did a CT Scan and ultrasound, which were both clear. The next day, I was walking around and my hand and arm started hurting and then went numb. My right wrist was swollen to twice its size. I went to care and they told me to go back to the ER. They eventually did another ultrasound, but the swelling had gone down by then. A few hours later, my left arm started to swell and lasted for about 4 hours. From there, I had pain in my arms and legs for a few days after that, but then I was fine.

Other Meds:

Current Illness: Back pain

ID: 1324252
Sex: F
Age: 71
State: NV

Vax Date: 04/01/2021
Onset Date: 04/30/2021
Rec V Date: 05/17/2021
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Symptom List: Tremor

Symptoms: White/red or Red/white ulcer inflammation in the back of mouth lining top of mouth. Healed with Triamcinolone oral gel.

Other Meds:

Current Illness:

ID: 1324254
Sex: U
Age: 50
State: CA

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/17/2021
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Lab Data:

Allergies: unkown

Symptom List: Erythema, Pruritus

Symptoms: syncope

Other Meds: unkown

Current Illness: unkown

ID: 1324255
Sex: M
Age: 64
State: CA

Vax Date: 02/17/2021
Onset Date: 05/01/2021
Rec V Date: 05/17/2021
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Allergies: sulfa drugs

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

Symptoms: Bell's Palsy

Other Meds: n/a

Current Illness:

ID: 1324256
Sex: M
Age: 24
State: WA

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 05/17/2021
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Allergies: N/A

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

Symptoms: LIGHT HEADEDNESS, THEN SEIZURE FOR ABOUT 10 SECONDS. WE CAUGHT PATIENT AND LIED HIM ON THE FLOOR AND TURNED PATIENT ON A SIDE, ARM WAS SWELLING AND TURNED ORANGE. PATIENT WAS CONCIOUS, EMT ARRIVED AND TOOK HIM TO THE HOSPITAL.

Other Meds: N/A

Current Illness: N/A

ID: 1324257
Sex: M
Age: 38
State: MT

Vax Date: 02/12/2021
Onset Date: 05/05/2021
Rec V Date: 05/17/2021
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Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Tested positive for COVID on 5/5/21 prior to travel to. Retested on send out and still positive. Is asymptomatic.

Other Meds:

Current Illness:

ID: 1324258
Sex: M
Age: 18
State:

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/17/2021
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Allergies:

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

Symptoms: Diarrhea, headache, fatigue, violent chills, insomnia, high fever, weakness

Other Meds:

Current Illness:

ID: 1324260
Sex: F
Age: 53
State: FL

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 05/17/2021
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Allergies: Sulfa meds and Compazine

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

Symptoms: Tinnitus in both ears within a hour after 1st dose. Tinnitus became worse after 2nd dose. Occasional vertigo also. Has not gone away.

Other Meds: Np Thyroid, Lexapro, Omeprazole, Trazadone, Vit D, Magnesium, Omega 3 fish oil, Miralax, Citracel.

Current Illness:

ID: 1324261
Sex: M
Age: 23
State: CA

Vax Date: 05/03/2021
Onset Date: 05/15/2021
Rec V Date: 05/17/2021
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Allergies: None

Symptom List: Pain in extremity

Symptoms: Spontaneous bruising throughout body. Paresthesia in right leg.

Other Meds: Finasteride

Current Illness: None

ID: 1324262
Sex: M
Age: 39
State: PA

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/17/2021
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Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Community member recieved second dose within 17 days of first dose of Pfizer.

Other Meds:

Current Illness:

ID: 1324263
Sex: F
Age: 42
State: UT

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 05/17/2021
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Allergies: No allergies reported

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

Symptoms: client accidently received Pfizer vaccine for COVID vaccine #2 dose. Received Moderna for #1 vaccine dose.

Other Meds: unknown

Current Illness: none indicated on screening form

ID: 1324264
Sex: M
Age: 49
State: OH

Vax Date: 04/13/2021
Onset Date: 05/01/2021
Rec V Date: 05/17/2021
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Allergies: None.

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

Symptoms: Seasonal allergies and dust allergies were severely aggravated to the point of significantly increased inflammation of eye lids, itchy eyes, face, neck, and rash on hands that have persisted for two weeks on a far more severe level of inflammation than ever experienced before. Prescription for Prednisone 10mg (38 tablets) and over-the counter Cortisone 10 with aloe vera. Also, washing affected area with Alkaline88 pH-balanced purified water has provided instant relief to itchiness and irritation.

Other Meds: None.

Current Illness: Minor fungal infection (jock itch) that began in December 2020 and was being treated with anti-fungal soap.

ID: 1324265
Sex: M
Age: 72
State: FL

Vax Date: 02/03/2021
Onset Date: 04/10/2021
Rec V Date: 05/17/2021
Hospital: Y

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Allergies: Dilaudid - hallucinations Tramadol - vomiting

Symptom List: Vomiting

Symptoms: Platelets dropped to 1! Petecia all over body and in the mouth. Pt had to go to the ER on Saturday, April 10th. He was rushed to Doctor?s hospital . Treatment there was not effective for the diagnosis if Immune Trombocytopenia Purpura. He was then taken to the hospital for infusions of Rituxinab and Promacta infusions and oral med. He is still receiving infusions and treatment. Platelets are still very low.

Other Meds: Tacrolimus 1 mg. - 2 in am 1 in pm Ursodiol 300 mg. - 1 in pm Calcium 1000 mg. With D3 Multivitamin - Senior

Current Illness: None

ID: 1324266
Sex: M
Age: 79
State: OH

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 05/17/2021
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Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I am an RPh and I administered the pneumovax 23 vaccine to this patient in his left deltoid. Within 2 minutes of receiving the vaccine, his head and face became bright red and he indicated he felt very hot and that his throat felt slightly constricted. I administered 50mg of benadryl PO to the patient and he said he felt better right away. He then complained that his back felt very tight and painful. The medics were called upon the administration of benadryl and arrived shortly after. Despite talking and refusing transport the hospital, this patient's blood pressure and pulse was very low so the medics trandported him to hospital. About an hour later, the ER called me and we spoke about the incident and she informed me the patient's pulse had risen and he wanted to leave the hospital.

Other Meds:

Current Illness:

ID: 1324267
Sex: F
Age: 32
State: CO

Vax Date: 04/16/2021
Onset Date: 04/19/2021
Rec V Date: 05/17/2021
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Allergies: doxycycline

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

Symptoms: patient began having irregular and heavy menstrual bleeding for approximately 30 days following vaccination. Also broke out into a rash consistent with pityriasis rosea.

Other Meds: levothyroxine 88mcg, prenatal vitamin with DHA

Current Illness: none

Date Died: 03/09/2021

ID: 1324268
Sex: M
Age: 79
State: VA

Vax Date: 02/10/2021
Onset Date: 03/06/2021
Rec V Date: 05/17/2021
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Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Lethargy, Exhaustion, Inability to Walk, Heart Attack and Death from Acute Cardiac Arrest

Other Meds: Calcium Acetate, Tamulosin, Chelated Ferrous Iron, Vitamin B

Current Illness: None

ID: 1324269
Sex: F
Age: 55
State: NV

Vax Date: 03/19/2021
Onset Date: 03/24/2021
Rec V Date: 05/17/2021
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Allergies: none

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

Symptoms: diarrhea

Other Meds: Celexa, Lipitor, Melatonin, Multi-Vitamin

Current Illness: none

ID: 1324270
Sex: M
Age: 58
State: TX

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/17/2021
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Allergies: NONE

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

Symptoms: PATIENT FELT DIZZY AND FELL AS HE WAS WALKING OUT OF THE IMMUNIZATION ROOM. HE WAS BROUGHT BACK INTO THE IMMUNIZATION ROOM AND BLEEDING WAS STOPPED. HE STATED HE WAS FINE AND DID NOT WANT US TO FILE A CLAIM/REPORT. HE LATER CONTACTED US TO LET US KNOW HIS KNEE WAS SWOLLEN. WE FORWARDED TO OUR CLAIMS DEPARTMENT AND THEY ARE HANDLING IT FROM THERE.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am