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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1397021
Sex: M
Age: 17
State: NY

Vax Date: 06/02/2021
Onset Date: 06/08/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Allergic reaction

Other Meds: None

Current Illness: None

ID: 1397022
Sex: M
Age: 64
State: MN

Vax Date: 06/11/2021
Onset Date: 06/12/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Woke up extremely cold, but skin hot to touch, body very stiff and headache. these continued for several hours. Also was very tired, so took a long nap. Late afternoon, all but headache was totally gone, headache as gone by the next day.

Other Meds: None

Current Illness: None

ID: 1397023
Sex: F
Age: 18
State: NC

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: WITHIN 3 MINUTES OF ADMINISTERING VACCINE, PATIENT ALERTED ME THAT SHE FELT DIZZY; SAT HER BACK DOWN IN IMZ BOOTH; WITHIN SECONDS SHE FAINTED; CALLED EMS; LOWERED HER TO THE FLOOR; POSSIBLE SEIZURE (NOT CONFIRMED) BUT LOOKED AS THOUGH HER ARM STIFFENED; PT HAD NO HX OF EPILEPSY; MADE GURGLING NOISES B4 SHE REGAINIED CONSCIOUSNESS; ROLLED HER ONTO HER SIDE SO SHE WOULDN'T ASPIRATE; SHE STATED THAT SHE WAS IN A DREAM STATE WHEN SHE WAS SITTING IN THE POST VACCINATION SEATING; BODY FELT NUMB& THROAT FELT TIGHT BUT BOTH RESOLVED WITH NO NEED FOR EPIPEN; FELT QUEEZY FOR CONTINUING OBSERVATIONS; EMS ROLLED HER OUT ON THE STRETCHER TO CONTINUE OBSERVING HER IN THE TRUCK & THEN RELEASED HER INTO HER FATHER'S CARE;

Other Meds: NOT KNOWN

Current Illness: NONE

ID: 1397024
Sex: F
Age: 60
State:

Vax Date: 06/12/2021
Onset Date: 06/13/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Swelling, redness and pain at the site of injection

Other Meds:

Current Illness:

ID: 1397025
Sex: M
Age: 15
State: WA

Vax Date: 06/10/2021
Onset Date: 06/12/2021
Rec V Date: 06/14/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient developed chest pain with elevated troponin levels 2 days after receipt of dose #2 of the Pfizer SARS-CoV2 vaccine. He was admitted to the hospital with the diagnosis of myocarditis.

Other Meds: None

Current Illness: None

ID: 1397026
Sex: F
Age: 29
State: FL

Vax Date: 06/10/2021
Onset Date: 06/12/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: blisters on fingers, cold sores lt eyelid

Other Meds:

Current Illness:

ID: 1397027
Sex: F
Age: 71
State: OR

Vax Date: 06/01/2021
Onset Date: 06/02/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: All Antihistamines Antibiotics - For Surgery Vancomycin Works Very Well Antibiotics - Most (Ciprofloxacin 500 MG is OK) Augmentan Clindamycin HCL Keflex Levaquin Anti-Depressants Beta & Channel Blockers Beta dine Celebrex Chlordiazepoxide-Clidinium Cap Codeine Cortisones Decongestants Epinephrine Hydrocodone / Contrast Dye Oxycodone Penicillin Prilosec Prvicid Reglan Salsalate Steroid Inhalers i.e. Provental Versed Vioxx Zelnorm

Symptom List:

Symptoms: Recovering from surgery, doing well after shot, back pain became signifantly worse (back to right after surgery). Assume reaction caused swelling in the tissues of my back.

Other Meds: Acyclovir 400 MG 1 Time Per Day Armour Thyroid 120 MG Capsule (1 Per Day) Climara .1 Mg/Day (1 Estrogen Patch Weekly) Dilauded 2 Mg (5 Tablets Per Day) Lisinopril, 10 MG Tablet 1 Per Day Promethazine (Phenegren) 12.5 MG Tablet as Needed To

Current Illness: Recovering from back surgery.

ID: 1397028
Sex: F
Age: 17
State: VT

Vax Date: 06/09/2021
Onset Date: 06/10/2021
Rec V Date: 06/14/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Appendicitis, appendectomy (gangrenous, perforated), recovery - pain management, antibiotics

Other Meds: Imipramine 50mg

Current Illness:

ID: 1397029
Sex: M
Age: 69
State: CA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient called the pharmacy complaining of a rash the day after his second dose occurring on the side of vaccination combined with swelling x1 day. The patient also endorsed aches and pain in his finger tips. He endorsed the rash was not getting bigger .

Other Meds: none

Current Illness: none

ID: 1397030
Sex: F
Age: 48
State: IL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient stated she was not feeling well immediately after administration. We offered her water and to put up her legs. She did then started panicking and saying she was seeing stars and felt like she was going to faint. I went to get the machine to take her blood pressure and she said she could not breathe and needed an EpiPen. I administered an EpiPen and we called 911.

Other Meds:

Current Illness:

ID: 1397031
Sex: F
Age: 74
State: UT

Vax Date: 05/22/2021
Onset Date: 05/23/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: Malted barley flour; malt; barley, tomatoes

Symptom List:

Symptoms: Chronic covid-19 rash got worse. It was ALMOST clearing up. About 24 hours AFTER the Janssen shot, rash began with red, itchy splotches on my face and neck. Several hours later these areas became more numerous, more inflamed, so that by 48 hours later they resembled 3rd-degree burns b/c of their hotness and intensity. Neck also broke out in hives, besides being red and inflamed. The normal course for this whole reaction BEFORE the shot, was about a 5-6 day cycle, before the rash would start all over. Since the shot, the intense burning reactions occur every other day, before the first 'burn'/inflamed area is healed. It is intensely itchy, painful, and non-stop hotness.

Other Meds: 12.5 mg Sertraline; 12.5 mg Iodoral; 1 ml Estradiol-0.01% vaginal cream; 100 mcg Vitamin K-2; Coldwater Omega-3 (2 capsules)=1336 mg fish oil concentrate; 600 IU Naturally sourced Vitamin E (as d-Alpha Tocopheryl); 1 Capsule Mega-spore biot

Current Illness: Ongoing face rash since I had covid 19 beginning March 1, 2020. Otherwise I was/am healthy. no other illnesses.

ID: 1397032
Sex: F
Age: 14
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: persistent daily headache only slightly relieved by ibuprofen for more than 10 days

Other Meds:

Current Illness:

ID: 1397033
Sex: M
Age: 16
State: CO

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: WHILE SPEAKING WITH THE PATIENT, HE BECAME PALLOR IN COLOR AND DIAPHORETIC. HE BEGAN COMPLAINING OF CALF PAIN AND EXPRESSED PREVIOUS SYNCOPAL EPISODE AFTER RECEIVING THE FLU VACCINE LAST YEAR. I ASSISTED PATIENT TO RECLINE IN HIS SEAT IN THE CAR, PROVIDED A COLD BOTTLE OF WATER, PLACED AN ICE PACK ON THE BACK OF HIS NECK, AND BEGAN TO FAN HIM. PT REMAINED CONSCIOUS AND ABLE TO ANSWER NEUROLOGICAL QUESTIONS WITHOUT HESITATION. AFTER 2 MINUTES, PT BEGAN TO REGAIN COLOR AND WAS ABLE TO SIT UP. AFTER ANOTHER 5 MINUTES, PT WAS ABLE TO STAND AND WAS FEELING MUCH BETTER, SKIN COLOR RETURNED TO NORMAL.

Other Meds: N/A

Current Illness: NONE REPORTED

ID: 1397034
Sex: F
Age: 51
State: NJ

Vax Date: 04/09/2021
Onset Date: 04/12/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: I was fine until the following day felt some tingling in my fingertips and feet. Then the day after that, my face has some tingling. By Monday, the left side of my face was feeling numb when I went to work and as the week went on the tingling became worse and became more painful. The pain went from my jaw up the left side of my face, pain across and was traveling up my head pass my temple (up to my forehead). I was diagnosed at the hospital with Trigeminal Neuralgia. I started to get shooting pain across my back (happened the second week just out of nowhere and I'm the type of person that waits to see what would happen and then it slowly, after a few weeks, went to the lower right side of my back. So, I thought it was from the way I was sleeping and then on June 3rd, I went to my Doctor because the pain had started to radiate down the front/back of my leg and my hip on the right side of my body (leg and hip); therefore, I went to my PCP. He gave me what he though (complete physical) his clinical diagnosis was since I had nerve trouble (possibly related to nerve inflammation and he wanted to see because it was not a disc or anything else...nerves have become inflamed). He give me a steroid shot and give me oral steroids and if after I took them that if I didn't feel the pain anymore in my nerves it was because my nerves became inflamed. The pain has gone away and I am keeping my fingers crossed that it does not happen again. My Doctor and I do believe that before COVID came out that I was very ill and I had all the COVID symptoms. I went and at that time there was no testing available. The Doctor basically tested me and feels that I may have had COVID since he tested me for Strep Throat the last week of February 2020.

Other Meds: I am on Lexapro and Klonipin every single day.

Current Illness: None

ID: 1397035
Sex: F
Age: 72
State: TX

Vax Date: 06/08/2021
Onset Date: 06/09/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: Xepia,Quinalone,Cipro,Otoprio,TD Vax,Iodine,PCN

Symptom List:

Symptoms: On Tuesday she started with a headache and then on Wednesday she had a sore arm and Headache. On Thursday she had Headache with body aches and fatigue. On Friday Headache went away and fatigue went away but had some redness on her arm. She used some alcohol and [laced on the redness on her arm. Saturday the redness went away and then at night it later reappeared along with itching but everything prior resloved. Then Sunday she had a rash and then monday she had another spot of redness about 1 and 1/2 inches down.

Other Meds: Sucralafte

Current Illness:

ID: 1397036
Sex: F
Age: 43
State: CO

Vax Date: 12/31/2020
Onset Date: 01/11/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Fatigue, unable to stay awake x 3 days , felt hot and cold, severe body pain, lump r side of neck then lump under arm pit , Bells Palsy

Other Meds: Topiramate, Dulixetine, D3, Gabapentin, Arava, B12, Levocetrizine, Probiotic, Flonase, Multi Vitamin, Humira pen,

Current Illness:

ID: 1397037
Sex: F
Age: 35
State: WA

Vax Date: 02/01/2021
Onset Date: 05/01/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Extreme pain in left big toe.

Other Meds:

Current Illness:

ID: 1397038
Sex: F
Age: 45
State: TX

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I experienced muscle weakness and tingling in my legs. I went to the ER and was given medication. The Toradol and the narcotic did not help. But the Gabapentin medication did provide relief.

Other Meds:

Current Illness:

ID: 1397039
Sex: F
Age: 39
State: SD

Vax Date: 02/05/2021
Onset Date: 02/23/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Sulfa

Symptom List:

Symptoms: Dizziness, disorientation, incoordination, distorted vision, sinus congestion, ears plugged, confusion, difficulty thinking, brain fog, etc

Other Meds: Multivitamin, Vitamin D, Ibuprofen, Ambien

Current Illness: None

ID: 1397040
Sex: F
Age: 17
State: WI

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

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

Lab Data:

Allergies: Penicillins

Symptom List:

Symptoms: Patient was seen in COVID vaccine clinic for first dose of Pfizer vaccine. Patient has a history of penicillin allergy where she developed hives and also a contraindication to the flu vaccine when she was 6 months old. The contraindication listed in the chart was "crying for 3 days." Patient received COVID vaccine and 20 minutes later reported her throat felt as if it was swollen and her tongue was tingling. 50 mg Benadryl given to patient. Vital signs all stable, pule ox on RA 100%. Mother called PCP who recommended being seen in the Emergency Dept d/t complaint of swollen throat. RRT called to help facilitate transfer to ED.

Other Meds: Unknown

Current Illness:

Date Died: 05/12/2021

ID: 1397041
Sex: M
Age: 65
State: CA

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

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

Lab Data:

Allergies: chickhen, tomatoes, garlic, onions, anything with codeine

Symptom List:

Symptoms: Day after shot patient was tired, he was not feeling well, & he never fully recovered. He went to work on Monday, May 10th & worked until 6:00pm. Returned home eat a little & went to bed. Tuesday, May 11th he worked at home, Wednesday, May 12th we had coffee, laughed & joked around & he went back to work at home. I went to check on him about five minutes later & he was sitting up sleeping. He would usually wake up & say I took a power nap but he was not breathing. I started mouth 2 mouth but he did not respond. My sister told my nephew to call 911 & they told us to lay him on the floor & start CPR until the paramedics arrived. Once they arrived & took over they tried to get him to breathe & restart his heart. The paramedics worked on him for a long time giving us updates on what they were trying to do. Patient never regained consciousness. They indicated probably a heart attack.

Other Meds: Losartan Potassium 50 MG twice a day

Current Illness:

ID: 1397042
Sex: M
Age: 12
State: NC

Vax Date: 06/11/2021
Onset Date: 06/12/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Grandmother (guardian) said at around 3:30am 6/12/21 patient woke up and came to her bedroom, was shaking uncontrollably, felt cold to the touch, this lasted for about 45 minutes. Patient did not have a fever but continued with the shaking, she said it reminded her of a seizure but patient was able to talk and walk around. Patient was able to go back to sleep after that and only had a fever of 101 during the day of 6/12/21.

Other Meds: none

Current Illness: none

ID: 1397043
Sex: F
Age: 46
State: NY

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: Kiwi, avocado, pistachios, pinenuts, pecans, latex, lidocaine

Symptom List:

Symptoms: Stomach Pain. It was a constant pain after I was given the vaccine and it lasted about two weeks but they reappear every time I go running. I used to ran between 5 and 6 miles every day now I can barely run 2 miles every other day. The Stomach pain doesn't allowed me to continue. This never happened to me before. It starts after 15mins of my run and by min 23 I need to stop. The pain last for around 30 mins and then it is gone. If I try to start running again the pain comes back stronger than before.

Other Meds: Vitamins, Iron

Current Illness: None

ID: 1397044
Sex: M
Age: 36
State: TX

Vax Date: 03/19/2021
Onset Date: 04/02/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Stomach Pain, difficult to eat and sleep, restlessness because of pain lasted a week.

Other Meds: VenlasaxineER 300mg, Amloditine Besylate 2.5mg, Trazondone 100mg

Current Illness: None

ID: 1397045
Sex: F
Age: 72
State: TX

Vax Date: 02/19/2021
Onset Date: 03/18/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: Duramorphe-severe itching Liquid Potassium-Mouth Blisters Amoxicillin Fentanyl-vomiting Butrans-itching

Symptom List:

Symptoms: One month after getting the second dose of the vaccine I went out to eat and I ordered my food. I was nauseous and I threw up. I was feeling hot and cold waves going through my chest. I didn?t eat and I felt really weak. I had to pull over because I felt so weak that it was not safe to drive. I made it home and I went to bed. I went to work the next day, but I still felt very weak, and I was having trouble thinking. I had a brain fog, and I was making mistakes at work. I was dizzy and my Equilibrium was off. It was like I had dementia and my brain wouldn?t work. The next day I was bedridden after that for almost five days. It lasted for ten days and then I woke up and Felt almost normal. I have not had any problems since then. I had seen my doctor and I had blood work and they were normal.

Other Meds: Nifedipine Nitro Cream Xanex Dexilant Minocycline Plaquinal/hydroxychloroquine Tylenol 4 Levothyroxine Lexapro

Current Illness:

ID: 1397046
Sex: F
Age: 41
State: TN

Vax Date: 06/11/2021
Onset Date: 06/13/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: Latex, whey and sulfa meds

Symptom List:

Symptoms: I had a typical reaction with my first dose. The second dose seem typical for the first 24hrs. After that joint pain increased all over and I started having muscle spasms. The fever went away by Sunday but them my arm started to turn red, heat up and swell at the injection site. It started out about the size of a quarter and grew to the size of my palm by Monday afternoon. My shoulder started to hurt at that point and still hurts today. The pain is from the front all the way around to the shoulder blade and the headache that started on day 2 is still here.

Other Meds:

Current Illness:

ID: 1397047
Sex: F
Age: 73
State: AZ

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

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

Lab Data:

Allergies: OPIOIDS, NSAID

Symptom List:

Symptoms: Pt was waiting for 15 minutes after Moderna vaccine. Then her daughter noticed pt had slurred speech and called pharmacist over to check. When I came over and asked her some questions, she report no anaphylactic reaction. I measured her blood pressure, was normal at 122/76. She was able to say her name clearly when asked. But when I asked for her DOB, or what date is today, pt was just mumbling and couldn't say the numbers. Her daughter wanted us to call paramedics, then arrived within 5-10 minutes. I gave her a bottle water and she felt and talked better after that. When paramedics arrived, pt was checked out and she was better. She reported feeling fine after that.

Other Meds: n/a

Current Illness:

ID: 1397048
Sex: M
Age: 42
State: PR

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: NO

Symptom List:

Symptoms: Male Patient oriented in space and time at 6 minutes after the moderna vaccine second dose, report to feel dizziness, sweating and pale skin. At this moment we take the vitals; SO2% 98, 81 HR. After evaluation patient report to feel better and take water.

Other Meds: NO

Current Illness: NO

ID: 1397049
Sex: F
Age: 51
State: IL

Vax Date: 06/08/2021
Onset Date: 06/09/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: sulfacetamide

Symptom List:

Symptoms: Pt called stating she wanted to report side effects from the vaccine and asked if we could do it for her. She stated she had nose bleeds for two days following her second dose of Pfizer. She had taken her flonase the day before the vaccine was given and has not taken it since. She said after the two days she has been getting nose bleeds off and on

Other Meds: trazodone, flonase

Current Illness: not known other than allergies

ID: 1397050
Sex: F
Age: 36
State: KS

Vax Date: 06/08/2021
Onset Date: 06/12/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: sulfa- rash hydrocodone- rash

Symptom List:

Symptoms: Patient called to report that she believes the second dose of her Moderna Covid shot has delayed her menstrual cycle. According to the patient, her menstrual cycle is very precise and she should have started on Saturday, June 6/12/2021. She has only spotted the last three days and that is very unusual for her. She also reports she is sexual active and not on any birth control. She was planning on calling her OB, after speaking with me because she was concerned that she may also be pregnant. Unknown the result of that conversation.

Other Meds: Wellbutrin, robaxin, oxycodone, loratadine

Current Illness: none reported by patient

ID: 1397051
Sex: F
Age: 18
State: NV

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 06/14/2021
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Symptoms: Administered Pfizer as second dose when Moderna was given as the 1st dose.

Other Meds:

Current Illness:

ID: 1397052
Sex: F
Age: 34
State: OK

Vax Date: 02/19/2021
Onset Date: 06/10/2021
Rec V Date: 06/14/2021
Hospital: Y

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Allergies: Latex, codeine, clindamycin, lactose, peanut

Symptom List:

Symptoms: LMP: 01/11/21 EDD: 11/14/21 Fetal demise at 14 weeks 5 days (by ultrasound) Delivery: 06/10/21 Birthweight: 1oz Low progesterone through out pregnancy, progesterone supplements were prescribed

Other Meds: Ritual prenatal vitamins

Current Illness: NA

ID: 1397053
Sex: F
Age: 18
State: CT

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 06/14/2021
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Allergies: N/A

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Symptoms: Symptoms included tightness of the throat and trouble breathing. They took my blood pressure and it was also very low. I took benadryl and they gave me some water and a shot of epinefrin. I got to the hospital probably around 6:45. They gave me more benadryl, and started giving me prednisone and another steroid. It took a few hours for it to improve, and there wasn't any immediate relief. I was released at around noon and took 2 more days of steroids before feeling better.

Other Meds: Gabapentin, Lexapro, Lamictal, Trazodone, Zyrtec, Atarax

Current Illness: N/A

ID: 1397054
Sex: F
Age: 55
State: AZ

Vax Date: 05/07/2021
Onset Date: 05/12/2021
Rec V Date: 06/14/2021
Hospital: Y

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Allergies: Sulphur

Symptom List:

Symptoms: Extream fatigue, and inability to eat. Slept two days and nights (Thursday and Friday), could not stand to get out of bed on Saturday and Sunday. Began to experience stomach ache in the middle of the abdomen on Sunday. Had a visit at an urgent care facility on Monday, the doctor thought that I might have COVID and she requested a COVID test. Went to the emergency room and was informed that the gallbladder is infected. The surgeon ordered a HIDA scan, and informed me that gallbladder removal is not necessary. The attending physician informed me that the blood work test results do not indicate the presence of an infection. Did not eat for six or seven days. Had to eat before getting discharged.

Other Meds: Aubagio 7 mg, Metoprolol 50 mg, Levothyroxine 120 mg, Gabapentin 100 mg, Calcium

Current Illness: See item 12

ID: 1397055
Sex: M
Age: 38
State: MD

Vax Date: 03/01/2021
Onset Date: 05/29/2021
Rec V Date: 06/14/2021
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Allergies: Walnuts

Symptom List:

Symptoms: Shingles

Other Meds:

Current Illness: None

ID: 1397056
Sex: M
Age: 10
State: VT

Vax Date: 06/13/2021
Onset Date: 06/13/2021
Rec V Date: 06/14/2021
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Allergies: No known drug allergies

Symptom List:

Symptoms: Patient's father reported patient's date of birth as 3/17/09 making patient 12 years old and eligible for vaccination. Patient's pediatrician office notified the pharmacy that the patient's date of birth is 3/17/11 making the patient 10 years old at time of vaccination. They verified the date of birth on the forms from his last visit, 10 year check up.

Other Meds: unknown

Current Illness: no known

ID: 1397057
Sex: M
Age: 15
State: HI

Vax Date: 06/10/2021
Onset Date: 06/12/2021
Rec V Date: 06/14/2021
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Allergies: None

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Symptoms: Pt presented with mother to the Urgent Care complaining of intermittent mid sternal chest pain. No fever or chills. No cough. No shortness of breath. He had been vaccinated with 2nd Pfizer dose for Covid on Thursday. SX started 2 days ago. He had taken ibuprofen 2 tablets this am and was no longer having chest pain during the encounter. EKG was performed which showed mild ST elevation in the inferior lateral leads. He was sent to the lab at a healthcare facility for a Troponin which was elevated at 377. He was redirected back to the ER.

Other Meds: None known

Current Illness: None

ID: 1397058
Sex: F
Age: 39
State: SC

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 06/14/2021
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Allergies: No

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Symptoms: I got my second dose, I got nausea, vomiting, diarrhea, pain in joints. I was uncomfortable. I took Tylenol and ibuprofen. The next day I felt fine. A week later I noticed swelling around my collar bone. I went to the doctor and they stated it was normal. The following Tuesday I woke up with a headache and it got worse through out the day. It felt like motion sickness. I ended up throwing up. I went home took my temp and it was high. I laid down and took a nap and woke up and felt worse. I went to the ER and they ran test. I still had a fever. They prescribed my Tylenol, ibuprofen, nausea meds. It lasted about 12 wks.

Other Meds: No

Current Illness: No

ID: 1397059
Sex: M
Age: 74
State: TN

Vax Date: 05/24/2021
Onset Date: 06/07/2021
Rec V Date: 06/14/2021
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Allergies: moxifloxacin

Symptom List:

Symptoms: Patient received vaccine on 5/24/21. He called pharmacy on 6/14 complaining that his arm had been sore for about a week since getting the vaccine. he stated that his arm did not bother him after he got the vaccine but started "aching" on 6/7/21 and has been aching on and off every since. patient states that he does not have problem moving his arm or raising arm above his head, but was concerned that the pain did not start until approximately 2 weeks after receving vaccine. he states that there is no redness or swelling or heat around the injection site, has not developed rash or any other reactions, etc. I told patient to continue taking tylenol since that was helping with his muscle soreness and to contact his doctor if aching sensation continued.

Other Meds: furosemide, losartan, citalopram, finasteride, carvedilol, trazodone, omeprazole, calcitriol, doxazosin, verapamil, atorvastatin, potassium, montelukast

Current Illness: none

ID: 1397060
Sex: M
Age: 30
State: IA

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 06/14/2021
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Symptoms: Patient originally received Moderna vaccine as 1st dose. Given Pfizer 2nd dose in error.

Other Meds:

Current Illness:

ID: 1397061
Sex: F
Age: 14
State: NV

Vax Date: 06/03/2021
Onset Date: 06/04/2021
Rec V Date: 06/14/2021
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Allergies: none

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Symptoms: Starting early morning after vaccine, approximately 15 hours after vaccine, patient developed severe chest pain, shortness of breath, and tachycardia. Her fever was high throughout the day (often 102.8 even after Tylenol and Ibuprofen). I am a physician and my husband is as well, we monitored her heart rate, oxygenation, temperature, and symptoms at home. We called her doctor and asked whether this could be myocarditis and whether we should go to the ER. She felt that we should just have her rest and monitor her vitals. I dosed her with two large doses of Ibuprofen (600 mg twice during the day), and by 6 pm on 6/4 her chest pain started to improve and her fever broke. The severe crushing chest pain lasted about 12 hours.

Other Meds: none

Current Illness: none

ID: 1397062
Sex: F
Age: 43
State: NJ

Vax Date: 04/02/2021
Onset Date: 06/12/2021
Rec V Date: 06/14/2021
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Allergies: No

Symptom List:

Symptoms: Periodic pain in the injection site. Today I am experiencing it again so I decided to report.

Other Meds: None

Current Illness: None

ID: 1397063
Sex: M
Age: 0
State: MA

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 06/14/2021
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Symptoms: Blurry visions

Other Meds: 5 min after receiving the first dose of Pfizer Covid vaccine, patient reported blurry visions; His temp: 97.1F ; BP/HR 5 min apart: 90/50 (87); 85/52 (86); 94/64 (66).

Current Illness:

ID: 1397064
Sex: M
Age: 44
State: FL

Vax Date: 06/13/2021
Onset Date: 06/13/2021
Rec V Date: 06/14/2021
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Allergies: No

Symptom List:

Symptoms: Fever, chills, headache, muscle aches, joint pain

Other Meds: None

Current Illness: None

ID: 1397065
Sex: M
Age: 23
State: CA

Vax Date: 06/09/2021
Onset Date: 06/09/2021
Rec V Date: 06/14/2021
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Symptoms: About 8 hours after receiving the Jansen COVID-19 dose, the site around the injection point began to few sore and my entire body began to feel sore, especially at the joints. Furthermore, my heart rate became elevated and beat erratically. These symptoms continued for about 12 hours. I could not sleep overnight as I ached all over and my heart rate was rapid. The next morning, I began to feel much better. My heart rate began returning to normal, though my heart area still felt somewhat sore. By about 36 hours after receiving the dose, all of my side effects were minimal. By about 48 hours after receiving the dose, I had virtually no more side effects.

Other Meds:

Current Illness:

ID: 1397066
Sex: F
Age: 19
State: NY

Vax Date: 06/13/2021
Onset Date: 06/13/2021
Rec V Date: 06/14/2021
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Allergies: Gluten

Symptom List:

Symptoms: Patient was given the Janssen vaccine then sat in the pharmacy to wait for the 15 minutes observation period. About 5 minutes of sitting down the patient fainted with loss of consciousness and looked pale. The patient almost fell out of the chair she was sitting in but was caught by her mother. Pharmacist rushed over to check on patient and emergency services were contacted. Patient regained consciousness within about 30 to 60 seconds of fainting. Paramedics then arrived and took the patients blood pressure. They found it was low but it regulated back to normal at later readings. The patient had multiple risk factors for fainting including, not eating that day, having anxiety about the vaccine, having worked a lot the day before, and she recently lost a significant amount of weigh. After the paramedics assessed her the patient was feeling much better and the paramedics told her she was ok to go home with her mother and she did not require further medical examination. Patient left with her mother, pharmacist followed up with the patient and she is feeling much better the next day.

Other Meds: None

Current Illness:

ID: 1397067
Sex: F
Age: 19
State: NC

Vax Date: 06/09/2021
Onset Date: 06/09/2021
Rec V Date: 06/14/2021
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Allergies: Grass

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Symptoms: Hives

Other Meds: None

Current Illness: None

ID: 1397068
Sex: M
Age: 47
State: AL

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 06/14/2021
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Allergies: Allergies to shellfish, cats and pollen

Symptom List:

Symptoms: i) Pain in left arm and shoulder started same evening. Lasted 3-4 days ii) High fever for next 2 days. Temperature was as high as 102 iii) Dry coughing and breathlessness iv) Ongoing asthma attacks and breathlessness. Started the day after second shot. v) General feeling of tiredness and lack of focus. (Ongoing)

Other Meds: Ocuvite; Living Green Multivitamin

Current Illness:

ID: 1397069
Sex: M
Age: 32
State: CO

Vax Date: 03/22/2021
Onset Date: 03/26/2021
Rec V Date: 06/14/2021
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Symptoms: Severe back and leg pain began after doing daily stretches on 3/26. MRI determined that the minor herniation had ruptured and caused an extrusion. A surgical microdiscectomy was necessary to remove the extrusion.

Other Meds: Buspirone 5mg

Current Illness:

ID: 1397071
Sex: F
Age: 68
State: ME

Vax Date: 04/05/2021
Onset Date: 04/08/2021
Rec V Date: 06/14/2021
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Allergies: NSAIDS

Symptom List:

Symptoms: Weakness that started in extremity (legs) and spread to all extremities over a 3 to 4 week period. Patient has received medical care, but has not returned to her previous normal, prior to vaccination date.

Other Meds: unknown

Current Illness: unknown

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm