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: 1376451
Sex: F
Age: 61
State:

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

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

Lab Data:

Allergies: No known Allergies

Symptom List: Dysphagia, Epiglottitis

Symptoms: After getting the vaccination the patient claimed to have a slight fever and body ache. A day later she developed a rash on stomach, lower back, both arms and inside of thigh from knee up

Other Meds: Atorvastatin, Lisinopril, Venlafaxine, Maxalt, Eliquis

Current Illness:

ID: 1376452
Sex: F
Age: 74
State: MD

Vax Date: 02/06/2021
Onset Date: 02/18/2021
Rec V Date: 06/06/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List: Anxiety, Dyspnoea

Symptoms: NSTEMI, symptoms started around administration of vaccine. symptoms got worse which made her come to hospital treatment: went to cardiac cath, received 2 stents outcome: discharged to home

Other Meds: aspirin 81 mg, vitamin D3, levothyroxine 50 mcg, omeprazole 20 mg, citrucel, preservision AREDS

Current Illness:

ID: 1376453
Sex: M
Age: 45
State: CO

Vax Date: 06/03/2021
Onset Date: 06/04/2021
Rec V Date: 06/06/2021
Hospital:

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

Lab Data:

Allergies: Penicilin

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

Symptoms: Severe vertigo experienced for four days and counting. Early morning symptoms are the worst, but symptoms continue throughout the day and evening. As a professional helicopter pilot, I cannot perform my job with these symptoms.

Other Meds: None

Current Illness: None

ID: 1376454
Sex: F
Age: 33
State: MN

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

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

Lab Data:

Allergies: sulfa sertraline

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient had reported facial rash approximately 1 hour after her first vaccine, resolving after <24 hours. No other symptoms to suggest serious allergic reaction and no reported h/o other serious allergic reaction in past. She was pretreated with 25 mg oral diphenhydramine before her 2nd vaccine dose and placed in the 30 minute observation area. She developed sensation of tongue swelling just over 20 minutes after vaccine dose and was brought to medical tent. Vitals were within normal limits. She was not in distress. She continued to complain of tongue swelling. No difficulty breathing or swallowing, no rash or nausea. Epi-pen was administered as well as additional diphenhydramine 25 mg. Medics called. Repeat vitals stable. She improved after epi-pen but subsequently developed complaint of throat tightness and was noted to have mild facial flushing approximately 15 minutes later, therefore a second epi-pen was administered. Medics arrived shortly thereafter and she was transferred to hospital. During her observation period she disclosed that she had had a serious reaction to Sulfa in childhood but was not sure what it was. She had not previously disclosed this.

Other Meds: unknown

Current Illness: none known

ID: 1376455
Sex: F
Age: 43
State: CA

Vax Date: 05/14/2021
Onset Date: 05/15/2021
Rec V Date: 06/06/2021
Hospital:

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

Lab Data:

Allergies: Allergy to mugwort, and possibly related sunflower products. Dairy Intolerance.

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

Symptoms: Within 24 hours I felt sore all over, a little nauseous, dizzy, very tired, and started getting a migraine. At the same time my period started early full force. It was as if I Haden;t just had my period less than 2 weeks prior, but I had, I've had relatively irregular cycles since I was 13, but I haven't; had one this bad for a long, long time. I felt awful for 5 full days, slowly recovers for 4 more days, then I was fine. The only lingering effects was my eczema became super inflamed and never calmed back down. And my right arm where I got my 2nd shot was soar for 2 weeks.

Other Meds: Dietary Supplements - Vitamin E, D3, Iron, Super B-Complex. Over the counter meds - Aleeve Herbal Remedy - CBD gummy (10mg)

Current Illness: I had a mild cold mixed with my allergies 1 week before my 2nd covid19 vaccination shot.

ID: 1376456
Sex: M
Age: 49
State: DE

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

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

Lab Data:

Allergies:

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

Symptoms: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium

Other Meds:

Current Illness:

ID: 1376457
Sex: F
Age: 73
State: MD

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

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

Lab Data:

Allergies: codeine, macrobid, sulfa

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Starting the night of the vaccine, pt had severe muscular pain in the back and side and severe constipation, both of which required her to visit the hospital

Other Meds:

Current Illness:

ID: 1376458
Sex: F
Age: 45
State: WA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 06/06/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List: Pharyngeal swelling

Symptoms: I experienced typical immune response symptoms as explained in provided literature and from public sources such as the CDC and my local health department. In addition to typical symptoms of an immune response (fatigue, headache, muscle aches) that were transient, I also experienced an exceptionally heavy mensuration two weeks after the immunization. This is NOT caused to situational stress or anxiety. I fully expected to be just fine after the immunization, I have no needle phobia, and the vax clinic was in a familiar setting staffed with kind, efficient, and professional volunteers and medical staff. I was with my husband who is a loving, supportive partner. I assure you that there was no ?psychological? effect that caused heavy menses after the immunization as is stated in much of the news sources; it was not ?all in my head? as the CDC a state health department seem to think. I am quite insulted that this side effect is regarded as such. I though medical professionals could look past Stereotypical ?female histrionics? and consider this a side effect. A second unusual symptom I experienced was a lack of control of my temper. Situations that I would normally find mildly irritating or slightly frustrating were sources of extreme anger and frustration. This occurred 72-96 hours after the immunization. I didn?t realize this until several days after the exceptional negative reactions.

Other Meds: None

Current Illness: None

ID: 1376459
Sex: M
Age: 35
State: NV

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Shakiness-Severe, Additional Details: pt has fear of needles, has fainted in the past with injections. patient went in and out of conciousness for about 15 seconds and then woke up, 911 was called and paramedics checked all vitals. he said he felt better and did not want to go to hospital wife drove him home.

Other Meds:

Current Illness:

ID: 1376460
Sex: F
Age: 74
State: PA

Vax Date: 04/08/2021
Onset Date: 05/01/2021
Rec V Date: 06/06/2021
Hospital: Y

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

Lab Data:

Allergies: compazine, Diovan

Symptom List: Diarrhoea, Nasal congestion

Symptoms: First Moderna vaccine #1 on 3/8/21 and second Moderna vaccine #2 on 4/8/21. About 4 weeks after receiving vaccine dose #2, patient (who was previously healthy) presented to the hospital with about 3-4 weeks of acutely altered mental status and rapid decline in cognitive function and ability to perform ADLs after previously having normal cognitive function. Also found to have new, acute left arm weakness with new isolated radiculopathy and de-innervation on neurologic testing. See by multiple specialists at hospital, including neurologist, rheumatologist, and hematologist. Definitive diagnosis still unclear but on the differential diagnosis discussed by medical team is secondary Sjogren's Syndrome with CNS involvement accelerated by immune activation soon after receiving 2nd Moderna dose. Unclear if there is actual relationship with vaccine but could be possible given the timing of vaccine administration and onset of patient's symptoms.

Other Meds: amlodipine, atorvastatin, Vitamin D, multivitamin

Current Illness:

ID: 1376461
Sex: F
Age: 40
State: AZ

Vax Date: 05/30/2021
Onset Date: 05/31/2021
Rec V Date: 06/06/2021
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: vaccine was administered outside of storage recommendations. patient returned on 6/6/21 to re-vaccinate

Other Meds: none

Current Illness:

ID: 1376462
Sex: F
Age: 25
State: MO

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

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

Lab Data:

Allergies: NKA

Symptom List: Rash, Urticaria

Symptoms: After vaccine was administered, approximately 10 minutes went by, patient complained of a bad headache and nausea

Other Meds: not listed

Current Illness: none known

ID: 1376463
Sex: F
Age: 34
State:

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

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

Lab Data:

Allergies: eggs, soy, oats, dairy, hops

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

Symptoms: bumpy, itchy red rash on left arm emerging 2 days after vaccination, approximately 2 inches in diameter diarrhea common symptoms including headache, fever, severe body aches, dizziness, fatigue

Other Meds: collagen powder, benadryl, Vitamin D

Current Illness: none

ID: 1376464
Sex: F
Age: 14
State: OH

Vax Date: 06/05/2021
Onset Date: 06/05/2021
Rec V Date: 06/06/2021
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: Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: patient passed out for abt 5sec and cameback, Her face was flushed and immediatly after turned white. She drank some water and after that she was feeliong okay. Mother reported she has fained before from the HPV vaccine. SHe didnt not want to call the ambulace. Sat for another 15 under observaction and then she was okay to go home

Other Meds:

Current Illness:

ID: 1376465
Sex: M
Age: 54
State: WI

Vax Date: 05/10/2021
Onset Date: 05/12/2021
Rec V Date: 06/06/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: The patient developed severe arthralgias of multiple joints including bilateral knees, wrists, shoulders 2 days after the second dose of Covid 19 vaccine. The patient has had progressive pain of multiple joints, and migratory arthralgias for 2 weeks. He was evaluated 5/25/2021 initially and no source for his symptoms was found. Throughout the 2 weeks he has had no headaches, dizzyness, lateralizing neurological symptoms, but he did have profuse diaphoresis and mild myalgias. 3 weeks after the onset of symptoms patient has been diagnosed with Parvovirus infection reactivation due to the vaccine. He is responding to Prednisone 60 mg x 2 days, 40 mg x 3 days, 20 mg daily for 5 days and taper as tolerated. Patient also received Doxycycline for tick borne illness treatment until labs were negative. He received Percocet for pain management and Tramadol.

Other Meds: multivitamin, fish oil supplement, aspirin 81 mg, vitamin D supplement

Current Illness: March 2021 had fever, chills, body aches and was negative for Covid 19 infection. symptoms resolved after about 1 week.

ID: 1376466
Sex: M
Age: 32
State: AL

Vax Date: 06/04/2021
Onset Date: 06/04/2021
Rec V Date: 06/06/2021
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: Systemic: Body Aches Generalized-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Tingling fingertips-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: A couple of minutes after the shot, the patient said he had a sharp neck pain. He sat down and then said he felt hot all over except his arms which were tingling/numb. Patient was clearly very anxious and said he felt "odd," and he asked me to call his wife and appeared to be having a panic attack. It lasted about 10 minutes, and at 13 minutes post vaccine, patient said it had passed. He seemed fine when he left after his 15 minutes and said over and over he did not want me to call an ambulance.

Other Meds:

Current Illness:

ID: 1376467
Sex: F
Age: 25
State: CO

Vax Date: 04/23/2021
Onset Date: 04/30/2021
Rec V Date: 06/06/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Swollen lymph node on left side of neck

Other Meds: No

Current Illness: No

ID: 1376468
Sex: F
Age: 13
State: TN

Vax Date: 05/15/2021
Onset Date: 05/17/2021
Rec V Date: 06/06/2021
Hospital:

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

Lab Data:

Allergies: NO KNOWN DRUG ALLERGIES

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient broke out in rash on neck and arms, May 17th 2021, two days after 1st covid vaccine. The rash lasted 2 days and went to the walk-in clinic on May 19th, The rash was diagnosed as allergic reaction and treated with oral steroids and an anti-histamine. Patient had a liver transplant 2 years ago and still is a patient at facility. She had a visit at Facility this past Monday, May 31st 2021. They are aware of the rash and the reaction to the first vaccine but told patient she must get the 2nd dose (strongly recommended). I discussed with her and guardian signs and symptoms of allergic and when to seek immediate medical attention. They understood the risks of an allergic reaction with 2nd covid dose and what to do.

Other Meds: TAKES LIVER MEDICATION FILLED AT VANDERBILT, UNCLE DID NOT KNOW THE NAME OF THE MEDICATIONS AND WAS GOING IN TO WORK.

Current Illness: NO

ID: 1376469
Sex: F
Age: 16
State: PA

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Systemic: Convulsion-Severe, Additional Details: Patient went into a 3 second convulsion episode within a few seconds of receiving the vaccine. She had trouble seeing for about 4 minutes afterwards. 911 was called and paramedics took her vitals, all in range. Her mom had an episode in the past (possible Family History), and she has not eaten since the night before, shot was administered at 10:30AM.

Other Meds:

Current Illness:

ID: 1376470
Sex: F
Age: 22
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Patient said some areas of her arm felt numb and tingling about 30 minutes after her immunization. I gave her a cold compress to put on the injection site. I recommended that she take acetaminophen or ibuprofen. I told her to use the compress for 15 to 20 minutes and to check back later if still having an adverse reaction.

Other Meds:

Current Illness:

ID: 1376471
Sex: M
Age: 42
State: AZ

Vax Date: 05/30/2021
Onset Date: 05/31/2021
Rec V Date: 06/06/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: vaccine was administered outside of storage recommendations. patient returned on 6/5/21 to re-vaccinate

Other Meds: none

Current Illness:

ID: 1376472
Sex: F
Age: 50
State: TX

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

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

Lab Data:

Allergies: NO

Symptom List: Unevaluable event

Symptoms: Patient felt pain right on the injection site when the vaccine was administered. The pain persisted and extended to the whole arm in the next few days. There was no redness or swollen tissue. Now, after 1 month since the shot, the pain is not going away. After tried some OTC pain medications, Patient still feels pain all the time, and it affects her daily movements also, i.e. reaching out or driving, and this is the reason patient came back now to report the issue.

Other Meds: NO

Current Illness: NO

ID: 1376473
Sex: F
Age: 17
State: IL

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

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

Lab Data:

Allergies:

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

Symptoms: Patient was waiting for her family members to get vaccinated after she received hers. She was standing by her father and passed out.

Other Meds:

Current Illness:

ID: 1376474
Sex: M
Age: 39
State: MD

Vax Date: 03/31/2021
Onset Date: 04/19/2021
Rec V Date: 06/06/2021
Hospital: Y

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

Lab Data:

Allergies: mesalamine

Symptom List: Injection site pain, Pain

Symptoms: stroke received tPA then transferred to hospital for possible thrombectomy

Other Meds: none

Current Illness:

ID: 1376475
Sex: F
Age: 63
State: CA

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 06/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Site: Pain at Injection Site-Mild, Systemic: urologic symptoms-kidney pain, urinary pain, repetitive urination-Medium

Other Meds:

Current Illness:

ID: 1376476
Sex: F
Age: 27
State: TN

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

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Swelling in legs, and severe headache, eye pains

Other Meds:

Current Illness:

ID: 1376477
Sex: F
Age: 0
State: MA

Vax Date: 01/19/2003
Onset Date: 06/06/2021
Rec V Date: 06/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: The patient had a vasovagal episode after administration for Pfizer Dose 1. She had a previous history of vasovagal episodes with flu and possibly HPV shots

Other Meds:

Current Illness:

ID: 1376479
Sex: F
Age: 57
State:

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

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

Lab Data:

Allergies: morphine, seasonal allergies

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: patien received dose 2 of the Pfizer COVID vaccine (lot EW0161, exp 7/2021) at approximately 1110. At 1125, patient reported to EMT and EMT that she felt chest tightness, feeling sweaty and like she needed to burp. Patient moved unassisted to zero-gravity chair and placed supine. PHN approached to assess, patient denied shortness of breath, dizziness, pain radiating, numbness or tingling of extremities, headache or swelling. Patient reported eating breakfast and consuming tea. Patient reported allergies to morphine and seasonal allergens. Medical conditions include hypertension and varicose veins. Medications include atenolol that the patient takes regularly, last dose the evening before. Patient reported fear of needles and history of panic attacks. PHN offered Benadryl but patient declined. PHN encouraged patient to follow up with provider. Vital signs at 1125: blood pressure 164/94, pulse 80, O2 97%, respirations 18. At 1130, patient reported symptoms were improving and reduced sense of anxiety. Vital signs blood pressure 178/110, pulse 77, O2 97%. At 1133, patient reported symptoms had resolved. At 1140, vital signs: blood pressure 158/88, pulse 76, O2 97%, respirations 16. Vital signs at 1155: blood pressure 156/86, pulse 63, O2 98%, respirations 16. Patient sat up with assistance of EMT. EMT explained to patient when to call 911. Patient left with husband, walking with steady gait at 1200.

Other Meds: atenolol

Current Illness:

ID: 1376480
Sex: M
Age: 24
State: TX

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

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

Lab Data:

Allergies:

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

Symptoms: Systemic: Seizure-Medium.

Other Meds:

Current Illness:

ID: 1376481
Sex: M
Age: 15
State: NV

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

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Systemic: Seizure-Mild

Other Meds:

Current Illness:

ID: 1376482
Sex: M
Age: 76
State: CA

Vax Date: 01/20/2021
Onset Date: 02/10/2021
Rec V Date: 06/06/2021
Hospital:

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

Lab Data:

Allergies: Abalone Sulpha drugs

Symptom List: Injection site pain

Symptoms: lost strength in left thigh and then all the muscle seemed to melt away in about a week. Still can not support self from left knee, it gives out and I fall

Other Meds: Xaralto prylosec

Current Illness: none

ID: 1376483
Sex: F
Age: 45
State: GA

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/06/2021
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Allergies: shrimp, fish, peanuts,some other nuts

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

Symptoms: Wednesday, I fell asleep soon after I got home. I had a couple of hours of extremely deep sleep. (In retrospect, this makes perfect sense because neurological stress does that to me.) When I was waking up, I realized that I had the sensation of hot. I didn't have a fever or a sunburn. Nonetheless, the nerves near the skin for much of my arms, legs, and part of my torso were saying, 'Hot'. They were all normal body temp when I checked with my hand. On Thursday, the sense of 'hot' continued. The sensation was morphing from 'hot' to the sore feeling one gets from a sunburn. The truth didn't match the sensation. There is no skin damage. Touching it does not aggravate the soreness. As I type on Sunday, my inner thighs have a slightly lesser version of both 'hot' and sore. This is also true of my arms, rest of my legs, and other parts of my body to a lesser extent. In light of health issues noted above... The sensations were the same between right and left. My glucose was normal a couple hours before the shot and when I checked soon after waking.

Other Meds: Insulin

Current Illness:

ID: 1376484
Sex: F
Age: 15
State: IA

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 06/06/2021
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Allergies:

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

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1376485
Sex: F
Age: 71
State: FL

Vax Date: 02/23/2021
Onset Date: 03/24/2021
Rec V Date: 06/06/2021
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Allergies: Sulfa, seasonal alergies

Symptom List: Tremor

Symptoms: 1day after 2nd dose, exhaustion, joint aches and stiffness Ongoing symptoms, as of 6/6/21- extreme joint aches, knees, hands, elbows sometimes severe, sometimes milder

Other Meds: Meloxicam, 15 mg daily: nitrofurantoin. 50mg, 2 x daily

Current Illness:

ID: 1376486
Sex: F
Age: 14
State: MI

Vax Date: 06/04/2021
Onset Date: 06/04/2021
Rec V Date: 06/06/2021
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Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Additional Details: patient was having given epipen then felt better but called 911 then they took her since epipen was administered but while leaving the pharmacy she was in good condition feeling better no need to administer 2nd dose of epipen

Other Meds:

Current Illness:

ID: 1376487
Sex: F
Age: 27
State: AZ

Vax Date: 05/09/2021
Onset Date: 05/16/2021
Rec V Date: 06/06/2021
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Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Rash on injection site

Other Meds:

Current Illness:

ID: 1376488
Sex: M
Age: 15
State: AZ

Vax Date: 06/03/2021
Onset Date: 06/04/2021
Rec V Date: 06/06/2021
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Allergies: none

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

Symptoms: Vaccine was administered outside of storage recommendations. patient returned on 6/5/21 to re-vaccinate

Other Meds: none

Current Illness:

ID: 1376489
Sex: M
Age: 60
State: MN

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

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Allergies: Walnuts

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient received 1st vaccine on 4/29/2021 (no side effects), 2nd vaccine on 5/27/2021 (patient states he had sore joints). On 6/5 He awoke at 3:00 a.m. in the setting of leg cramps. He got out of bed to walk off the cramps, but then developed substernal chest pain. He describes the pain as ?squeezing? and cramping with radiation towards the left shoulder. He began to feel lightheaded and diaphoretic, and thus began driving himself to the ED. On the way, he felt his symptoms were worsening so he called dispatch he recommended he pull over at a nearby gas station. EMS met him there and transported him the rest of the way to the ED. In the outside ED, he was initially hypertensive to 175/99.

Other Meds: Albuterol 90mcg inhaler (PRN), Vitamin C 500 mg daily, Fish oil daily, Fiber gummy daily, Lactobacillus acidophilus daily, multi vitamin daily.

Current Illness: N/A

ID: 1376490
Sex: F
Age: 15
State: TX

Vax Date: 06/06/2021
Onset Date: 06/06/2021
Rec V Date: 06/06/2021
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Allergies: n./a

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

Symptoms: pt briefly lost consciousness and felt dizzy, was able to walk 5 minutes after incident

Other Meds: n/a

Current Illness: n/a

ID: 1376491
Sex: F
Age: 48
State: KY

Vax Date: 06/02/2021
Onset Date: 06/03/2021
Rec V Date: 06/06/2021
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Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Patient called pharmacy on Thurs 6/3/21 approx. 10:15am to report adverse reaction that she believed to be a result of receiving her COVID vaccine. Patient received Janssen/J&J vaccine (207A21A 06/23/2021; L arm) at our store on Wednesday, 6/2/21. She reported 30 minutes to 1 hour prior to calling us that she started experiencing sharp stomach pain (epigastric region). She denied any history of pancreatitis and has already had her gall bladder removed. I explained that was not one of the common adverse effects from the vaccine, but that it is possible that it could be attributed to the vaccine. I recommended she contact her doctor to see if they want to bring her in and examine her to rule out anything severe that may be going on. If she cannot get in touch with the doctor and the pain becomes severe, I recommended seeking emergency medical help. The only other symptom she had mentioned experiencing was the typical arm soreness at the injection site associated with intramuscular vaccines.

Other Meds:

Current Illness:

ID: 1376492
Sex: F
Age: 51
State: TX

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 06/06/2021
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Allergies: None

Symptom List: Pain in extremity

Symptoms: Big Swelling and not going down since injection for my second shot and is painful sometimes Has not sort treatment but sometimes take pain medication (Aleve)

Other Meds: Metoprolol, metformin, atorvastatin, amlodipine

Current Illness: None

ID: 1376493
Sex: F
Age: 15
State: CT

Vax Date: 06/04/2021
Onset Date: 06/04/2021
Rec V Date: 06/06/2021
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Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Additional Details: we called 911, 3 EMT's arrived and they took her vitals and stayed with her and her father for roughly 20 minutes and she left with her father.

Other Meds:

Current Illness:

ID: 1376494
Sex: M
Age: 47
State: MD

Vax Date: 04/15/2021
Onset Date: 05/01/2021
Rec V Date: 06/06/2021
Hospital: Y

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Allergies: penicillins

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

Symptoms: STEMI treatment: went into V fib arrest and did CPR and went to cardiac cath and received PCI discharged home

Other Meds: none

Current Illness:

ID: 1376495
Sex: M
Age: 17
State: IA

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 06/06/2021
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Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Assessor and vaccinator did not realize that the patient was only 17 years old, and the Moderna vaccination was given. A call from the DPH was received by the pharmacy to notify us of the error. The patient's sibling (age > 18yo) was contacted since he spoke English. The sibling stated that patient did not have any side effects. I notified the family of the administration error, and they opted to continue with the 2nd dose as planned.

Other Meds:

Current Illness:

ID: 1376496
Sex: M
Age: 14
State: NE

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

Symptom List: Vomiting

Symptoms: Fever (high 101.7), chills, sweating, fatigue, headache, stomachache, nausea, leg weakness. Started upon waking in the morning 06/05, resolved by the time he woke on 06/06. Took Tylenol for fever twice on 06/05.

Other Meds: Taltz injections monthly

Current Illness: None

ID: 1376497
Sex: F
Age: 37
State: NY

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 06/06/2021
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Allergies: Apple, peanut butter, tree pollen

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Red, oozy rashes all over face within hours of first shot. Persisted. After 2nd dose condition worsened: Itchy red hives progressed to throughout body concentrated on lower back. Condition progressed to needing a round of prednisone 40mg. Symptoms significantly decreased. Allergist and derm prescribed Dupixent. I have taken the loading 600mg and then 300mg (two weeks later). Second dose of Dupixent coincided with tapered dose of prednisone and symptoms are starting to return. Biopsy suggest eczema and eosinophilic pustular folliculitis. However treatment is currently not resulting in recovery.

Other Meds: Birth control

Current Illness:

ID: 1376498
Sex: F
Age: 45
State: WA

Vax Date: 04/17/2021
Onset Date: 04/27/2021
Rec V Date: 06/06/2021
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Allergies: None known

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

Symptoms: Exceptionally heavy menstruation for two cycles after the administration of the first and second dose of the Moderna covid vaccine. I experienced an exceptionally heavy menstrual flow two weeks after the first Moderna covid vaccine (reported to VAERS). After the second vaccine I again experienced two more cycles of extremely heavy menstural flow. The flow was notable because it was as heavy or heavier at times than post-partum bleeding after having two completely natural births. Both cycles were so heavy they interfered with my daily activities including work. This have never happened to me before in the preceding 35 years of menstruation. I recently completed a third menses which was typical and normal for me. Please do not insult me by attributing heavy menses to ?psychological effects? of receiving the Moderna covid vaccine. I am not an anxious, stressed person, I do not have a needle phobia, I fully expected to be just fine after the vaccine, and I received it in a comfortable, efficiently run, familiar location accompanied by my loving, supportive husband who also received the vaccine. This is a genuine, unaknowledged side effect that needs further study. It is exceedingly embarrassing to bleed though my clothing at work because heavy menses was unexpected. I had to go home to change and had to inform my (male) superior of my need. Sure wish this would be part of the educational piece of side effects!

Other Meds: None

Current Illness: None

ID: 1376499
Sex: M
Age: 43
State: SC

Vax Date: 05/04/2021
Onset Date: 05/06/2021
Rec V Date: 06/06/2021
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Symptom List: Injection site swelling, Limb discomfort

Symptoms: Site: Pain at Injection Site-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Additional Details: PT REPORTS SHOULDER ACHE THROUGHOUT ENTIRE SHOULDER ARE SINCE 2 DAYS AFTER 1ST SHOT & PAIN & NUMBNESS DOWN ARM AS WELL

Other Meds:

Current Illness:

ID: 1376500
Sex: F
Age: 15
State: FL

Vax Date: 06/06/2021
Onset Date: 06/06/2021
Rec V Date: 06/06/2021
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Allergies: NONE

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

Symptoms: Patient vaccinated with Pfizer 3 weeks previously. Inadvertently, today 06/06/21 was administered the Janssen vaccine. Patient was placed under observation for 45min. The patient became very upset, upon being advised the second dose received was not the Pfizer but Janssen. She was see by site medical (Fire Rescue) and the parent declined transport to hospital after contacting the Pediatrician. All vitals signs were within normal limits when patient left the observation area.

Other Meds: UKN

Current Illness: NONE

ID: 1376501
Sex: M
Age: 21
State: NJ

Vax Date: 06/04/2021
Onset Date: 06/04/2021
Rec V Date: 06/06/2021
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Allergies:

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

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Additional Details: 4 minutes after administration, he got lightheaded, fainted, fell out of his chair, and hit the ground hard. he sat up and we called EMTs and kept him talking, they said he had low blood pressure and took him to the hospital.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am