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: 1418131
Sex: M
Age: 41
State: KS

Vax Date: 06/18/2021
Onset Date: 06/18/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reports after his first (2 doses in series) dose of the Pfizer vaccine, fairly soon after he got an erection that as of yesterday was still present. I advised him to go to the ER immediately.

Other Meds:

Current Illness:

ID: 1418132
Sex: F
Age: 63
State: FL

Vax Date: 06/03/2021
Onset Date: 06/07/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: Ammoxacilin

Symptom List:

Symptoms: Tremors in left arm and left leg

Other Meds: Zoloft,losartan,Alantis,simvastatin,alprazolam,nifedical,hctz,vitamin c, calcium,b-12

Current Illness:

ID: 1418133
Sex: M
Age: 39
State: CA

Vax Date: 06/04/2021
Onset Date: 06/07/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I had chest pain. Dr. did an EKG 06/10/2021 and ECO same day.

Other Meds: None at the time of the vaccination.

Current Illness: None

ID: 1418134
Sex: F
Age: 25
State:

Vax Date: 06/21/2021
Onset Date: 06/01/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: I AM PREGNANT I AM 33 WEEKS PREGNANT. IT HAS BEEN A HEALTHY PREGNANCY AND I HAVE NEVER HAD TO GO TO THE EMERGENCY ROOM FOR ANY DISCOMFORT MY DUE DATE IS AUGUST 12,2021. YESTERDAY I WAS VACCINATED AGAINST COVID AND SO FAR I HAVE NOT HAD ANY ADVERSE REACTIONS TO THE VACCINE.

Other Meds: NONE

Current Illness: NONE

ID: 1418135
Sex: F
Age: 11
State: MO

Vax Date: 06/22/2021
Onset Date: 06/22/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: No adverse event. patient was 11 and received Adult vaccine. Immunization record not available and was also third Hep A vaccine received.

Other Meds: None

Current Illness: None

ID: 1418136
Sex: F
Age: 95
State: SC

Vax Date: 06/21/2021
Onset Date: 06/21/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Patient had redness/swelling below the injection site. Upper arm area was warm to the touch. Patient went to local ER and was worked up for clot/bleeding and was found to not have a clot.

Other Meds: xarelto, isosorbide mononitrate

Current Illness: n/a

ID: 1418137
Sex: F
Age: 16
State: IN

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: Previously healthy 16-year-old female presents with syncope after COVID-19 vaccine. In vaccine clinic here. Soon after receiving vaccine, felt light headed and nauseous. Sat down and soon after had a syncopal episode. Quickly came back to. CART called and brought to the ED. On arrival to the ED, continued with some dizziness, but symptoms overall improving. By the time of evaluation, symptoms completely resolved, ambulating without difficulty. Denies other symptoms or complaints. No recent illness. Back to baseline without distress, nontoxic. Tolerating PO. Counseled on likely etiology, strict return precautions, and close outpatient followup. d/c'd home in good clinical condition.

Other Meds: Claritin Tylenol w/Codeine 120mg Q6h. Fluoxetine 20mg daily

Current Illness: PMH anxiety and panic attacks. Started fluoxetine 8 days prior to event.

ID: 1418138
Sex: M
Age: 19
State: WI

Vax Date: 06/21/2021
Onset Date: 06/21/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fatigue during day and loss of sleep at night. Joint pain in knees the worst then back then pelvis/hip then neck. Fever of 100.4 Fahrenheit

Other Meds: None

Current Illness: None

ID: 1418139
Sex: F
Age: 0
State: MN

Vax Date: 06/22/2021
Onset Date: 06/22/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: patient was afraid of needles to begin with, she warned me that she has passed out before, I gave her the injection, she did with the shot but after 5 mintues , she started feeling dizzinees, and fainting, so I asked to call 911 , she wouldn't let me, I gave her bottle of water , she told me to check bp so I checked bp and it was 80/50, then she said she felt good, few minutes later, i told her your bp is really low so gave her some crackers from the store, she ate, ,but then she felt like throwing up so I called 911, and attended her, emergency came they checked her bp , it was 80/50, they told her they needed to take her to hospital, but she refused, and said she will be ok, she left with her boyfirend, and was ok

Other Meds: not any that we know

Current Illness: none that was told

ID: 1418140
Sex: M
Age: 92
State: MN

Vax Date: 02/19/2021
Onset Date: 06/22/2021
Rec V Date: 06/22/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: near fall, was helped down by family; "syncope"

Other Meds:

Current Illness:

ID: 1418141
Sex: M
Age: 49
State: WI

Vax Date: 03/11/2021
Onset Date: 05/31/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: May 31 - Hip soreness moved to groin. I am not sure if this is vaccine related. After a few days I went to the doctor - received a naproxin prescription and some stretches. It got worse so I went back to get an MRI and x-rays. I was not able to lift up my right leg while sitting.

Other Meds: Lisinopril 10mg/Multi Vitamin/Vitamin D / 81 mg baby aspirin

Current Illness: none

ID: 1418142
Sex: F
Age: 60
State: MN

Vax Date: 06/21/2021
Onset Date: 06/21/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: pt given dose out of vial in fridge that had been punctured about 24 hours before vaccine given. Should have been used within 12 hours. no adverse reaction per patient with follow up call 6/22/21 - per Moderna called and no information on vaccine after 12 hours and no recommendation on how to proceed other than call to see if patient having any side effects

Other Meds: No med hx

Current Illness: none

ID: 1418143
Sex: F
Age: 65
State: IL

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: Codeine, Percocet, Macrobid, sulfa-based antibiotics, bee sting.

Symptom List:

Symptoms: Within hours of receiving the second dose of the Moderna vaccine, I noticed shingles forming on my torso.

Other Meds: Etodolac, Flonase, Zyrtec, Ambien, Multiple vitamin, Amlodipine, Simivastatin, aspirin, vitimin D, calcium, cerimeline, Vitamin B12

Current Illness: Lupus, seasonal allergies

ID: 1418144
Sex: F
Age: 31
State: NE

Vax Date: 01/12/2021
Onset Date: 01/25/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Rapid mole growth in what seemed like overnight. Shave biopsy done on 1/29/21, resulting in melanoma. Wide excision and lymph node removal to remove melanoma. No evidence of melanoma in lymph nodes.

Other Meds: Prenatal Vitamin

Current Illness:

ID: 1418145
Sex: F
Age: 66
State: CA

Vax Date: 03/11/2021
Onset Date: 03/14/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: Percocet, morphine,

Symptom List:

Symptoms: after 3rd day shoulder joint pain in left arm .after 10 days both arms moved to elbow. swollen lymph nods. also weakness in legs . still feel fatigue.

Other Meds: advil on occasion

Current Illness: none

ID: 1418146
Sex: M
Age: 27
State: OH

Vax Date: 06/01/2021
Onset Date: 06/03/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: none.

Symptom List:

Symptoms: Day after shot, noticed injection site was inflamed only under bandaid cotton. Same day removed bandaid to shower, hot water on injection site hurt alot. The follow week the skin at injection site followed sunburn like effects. Small amount of boiling, less them 1cm in size, hurt to touch, then lesseded. Skin then peeled/flaked at injection site. 3 weeks after, site still dark in color. no peeling, or pain.

Other Meds: Venlafaxine 150mg, bupropion 150mg, atrovastatin 10MG, Lisinopril 10MG

Current Illness: none.

ID: 1418148
Sex: M
Age: 17
State: WI

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: NO

Symptom List:

Symptoms: Did not have any anaphylactic reactions, or other reactions. Patient received Moderna and is under 18 years old.

Other Meds: No

Current Illness: N/A

ID: 1418149
Sex: M
Age: 57
State:

Vax Date: 05/22/2021
Onset Date: 05/25/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: nkda

Symptom List:

Symptoms: Patient reported ER visit 2 days following 2nd dose of covid 19 pfizer vacccine. He stated that he had severe flu-like illnesses & became severely dehydrated. He was given 4 bags of IV fluids in ER.

Other Meds: allopurinol, atorvastatin, escitalopram, hydrochlorothiazide, lisinopril, metformin, clobetasol 0.05% solution, desonide 0.05% cream

Current Illness: unknown

ID: 1418150
Sex: F
Age: 38
State:

Vax Date: 06/22/2021
Onset Date: 06/22/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Started experiencing neck pain and stiffness shortly after receiving the vaccine. Moving my neck from left to right, or up and down has been hard t o do because of the pain.

Other Meds: None

Current Illness: None

ID: 1418151
Sex: M
Age: 49
State: MD

Vax Date: 06/21/2021
Onset Date: 06/22/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Pt got the 2nd shot earlier that he supposed to. He got the first shot at 6/10/2021, and we gave the 2nd dose on 6/21/2021, only 11 days in between. No adverse effects reported from patient

Other Meds: n/a

Current Illness: n/a

ID: 1418152
Sex: F
Age: 20
State: FL

Vax Date: 06/17/2021
Onset Date: 06/18/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: PCN, COCONUT

Symptom List:

Symptoms: Client stated she had a slight fever on 6/18/2021, a day after receiving the rabies vaccine. Client stated she had a blister on her hand on Saturday 6/19/21. Then swelling occurred in fingers bilaterally and progressed to her palms. Client complaint on itching and pain at the sites of the swelling. Client stated today she now having swelling in her feet. Client denied any other symptoms. Client stated she did very well with the first rabies vaccine. She stated that the Tetanus injection site was redden and swollen.

Other Meds: NONE

Current Illness: NONE

ID: 1418153
Sex: M
Age: 73
State: NV

Vax Date: 03/01/2021
Onset Date: 03/12/2021
Rec V Date: 06/22/2021
Hospital: Y

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Thalamic stroke visual change-03/12/2021.

Other Meds: Aspirin; Metoprolol; Atorvastatin; Vitamin B; Senior Multivitamins; Glucosamine chondroitin

Current Illness: Diagnosis of high cholesterol; Atrial fibrillation

ID: 1418154
Sex: F
Age: 50
State: OH

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: I got home and I had a severe headache that would not go away. I was taking Advil and Tylenol which did not help. I ended up calling the doctor the following Wednesday, he said to drink plenty of water, and he prescribed muscle relaxer Flexeril and Phenergan. My symptoms would not go away so I called the doctor again and they said they couldn't do anything else for me that I needed to call the neurologist and make an appointment. I am scheduled to see neuro on July 29th Neurology. I am dealing with mouth sores that have developed, I have had them around 10 days, I have been swishing with salt water. I have also experienced burning in my throat and still have headaches.

Other Meds: N/A

Current Illness: N/A

ID: 1418155
Sex: U
Age: 18
State: NY

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1418156
Sex: F
Age: 18
State: FL

Vax Date: 06/22/2021
Onset Date: 06/22/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Vasovagal syncope. occurred within 1-3 minutes after vaccine, resolved within 3-5 minutes with supine position and legs up

Other Meds: None

Current Illness: None

ID: 1418157
Sex: M
Age: 56
State: GA

Vax Date: 04/09/2021
Onset Date: 04/26/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills, left ventricle tightened, severe headache, heart palpitations.

Other Meds: None

Current Illness:

ID: 1418158
Sex: F
Age: 33
State: NY

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1418159
Sex: F
Age: 38
State: GA

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Chills, fever- low grade, fatigue, nausea and flu like symptoms and body aches which lasted 48 hrs. Immediately stopped and completely better. Then 20-25 days later when she got congestion sore through head ache and fever that turned into bronchitis. Called the telehealth Dr. and they prescribed medicine and symptoms worsen then she went to urgent care face to face with the Nurse, prescribed Doxycycline 100mg twice a day and received two shoots antibiotic and steroids.

Other Meds: Synthroid 112 mcg 1 dose daily, Women Vitamin

Current Illness: No

ID: 1418160
Sex: M
Age: 70
State: NY

Vax Date: 03/13/2021
Onset Date: 04/04/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: tinnitus

Other Meds: lisinopril, one a day vitamin, zinc citrate,vitamin d

Current Illness:

ID: 1418161
Sex: F
Age: 46
State: CA

Vax Date: 06/22/2021
Onset Date: 06/22/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient was found lethargic after 1 hour and 30 minutes of giving the vaccine. Patient was alert and oriented x 4 during vaccination and monitoring.

Other Meds: None

Current Illness: No reported medical history

ID: 1418162
Sex: F
Age: 14
State: NY

Vax Date: 06/13/2021
Onset Date: 06/15/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: Got the Vaccine on Sunday. On Monday had chills, fever, muscle aches. Tuesday started to feel vaginal pain and swelling of vulva. On Wednesday had more chills, episode of fingernails turning blue. Extreme vaginal pain. Thursday went to Gynecologist- diagnosed with ulcers. Sent pictures to dermatologist and diagnosis of Lipschutz ulcers was made. On Friday went to rheumatologist and ruled out any auto-immune disease. Monday- 6/21/21 seen by Dermatologist who confirmed the diagosis of Lipschutz ulcers, believes it came from the covid vaccine. No current treatment available, only supportive care available.

Other Meds: no

Current Illness: no

ID: 1418163
Sex: F
Age: 71
State: CT

Vax Date: 03/20/2021
Onset Date: 03/22/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: right vocal cord paralysis--severe, immediately after vaccine. treated with oral steroids, vocal cord injection (with prolaryn gel).

Other Meds: bupropion clonazepam liothyronine mirtazapine multivitamin omeprazole

Current Illness: none

ID: 1418164
Sex: F
Age: 25
State: LA

Vax Date: 06/22/2021
Onset Date: 06/22/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, Codeine

Symptom List:

Symptoms: Pt came out from receiving vaccine and once she left the room started falling to the floor. She was incoherent for a few seconds. She quickly came through. Pt says she felt tingling in her hands, arms, and legs. Throat felt a little scratchy. Gave her some water and got some frozen water bottle because her skin was clammy. It took her about 20 minutes to come back to normal. Paramedics were called but by the time they arrived she felt better. Patient refused the paramedic ride. She stayed and extra 30 minutes to call down. She says the tingling in legs was gone but the arm and hand she receivied the vaccine in were still a little tingly. Informed pt that if she felt and worse or anything out of the ordinary to go to ER.

Other Meds: vitamin C

Current Illness: none

ID: 1418165
Sex: M
Age: 29
State: PA

Vax Date: 06/22/2021
Onset Date: 06/22/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: patient got vaccine. stated doesn't get faint with needles but a few minutes after moved to waiting chair he passed out. his his face off of the floor/wall and broke his tooth and cut his lip. called 911 and patient was taken to hospital by ambulance.

Other Meds:

Current Illness:

ID: 1418166
Sex: M
Age: 14
State: CA

Vax Date: 05/22/2021
Onset Date: 05/24/2021
Rec V Date: 06/22/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 2 days following vaccine, noted petechiae so platelets drawn and 2,000. Received 5 day course of Prednisone x2, then developed a nosebleed unresponsive to a third round of steroids requiring admission for IVIG. There is a possibility that he has some prolonged mucosal bleeding 2 days prior to the dose when he lost a tooth.

Other Meds: None

Current Illness: None

ID: 1418167
Sex: M
Age: 22
State: UT

Vax Date: 06/19/2021
Onset Date: 06/20/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Passed out, vision blacked out, severe chest pains, inflammation around heart

Other Meds: none

Current Illness: none

ID: 1418168
Sex: M
Age: 30
State: PR

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 06/22/2021
Hospital:

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

Lab Data:

Allergies: NO

Symptom List:

Symptoms: 30 years old male patient present in the observation area, present with dizziness, taquicardia, he tells that feel redness in her face and extremities. After 6 hours of the administration of the vaccine. We call the paramedic for evaluation and the observation cefalocaudal and he present with cutaneous erythema. Patient was transfer to hospital.

Other Meds: NO

Current Illness: NO

ID: 1418169
Sex: F
Age: 41
State: NY

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 06/22/2021
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Symptoms: Error: Improper Storage (temperature)

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ID: 1418170
Sex: F
Age: 67
State: VA

Vax Date: 04/01/2021
Onset Date: 04/28/2021
Rec V Date: 06/22/2021
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Allergies: Ceftin

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Symptoms: Covid Arm after first dose on 3/4/21. Itching and rash on day 8. Lasted 3 days. Tinnitus a month after 2nd dose. Still have ringing in ears. Hearing tested by audiologist and not effected.

Other Meds: Estradiol Patch Vitamin D Vitamin B6, B12, Folic Acid

Current Illness: None

ID: 1418171
Sex: F
Age: 41
State: NY

Vax Date: 06/11/2021
Onset Date: 06/12/2021
Rec V Date: 06/22/2021
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Allergies: Compazine Nuts

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Symptoms: Large rash like spots appearing on rib cage Spread to stomach on 6/14 Now on 6/22 I have 3 more spots including face with swelling

Other Meds: B12

Current Illness: None

ID: 1418172
Sex: F
Age: 51
State: MI

Vax Date: 06/12/2021
Onset Date: 06/14/2021
Rec V Date: 06/22/2021
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Allergies: No

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Symptoms: Menopausal no periods for 9 months prior to 2nd vaccine and then 2 days later started spotting for 2 days then full blown period with cramps for next 5 days on eighth day flow decreased by the hour and it was over and done by morning of day 9.

Other Meds: No

Current Illness: No

ID: 1418173
Sex: M
Age: 43
State: NY

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/22/2021
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Symptoms: Error: Improper Storage (temperature)

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ID: 1418174
Sex: M
Age: 15
State: CA

Vax Date: 06/04/2021
Onset Date: 06/06/2021
Rec V Date: 06/22/2021
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Symptoms: fatigue, tinnitus and ear pain

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Current Illness:

ID: 1418175
Sex: M
Age: 36
State: MO

Vax Date: 01/21/2021
Onset Date: 05/01/2021
Rec V Date: 06/22/2021
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Allergies: NKA

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Symptoms: Employee presented to me 6/21/21 with c/o very localized pain in right deltoid at the site of the COVID vaccine (Moderna #1 12/23/20, # 2 1/15/21, both of which administered on the right) that he said began about 3 weeks ago. Pain is elicited on palpation (no induration felt today) and with certain movements (lifting of arm and abduction). He relates this specifically to the vaccine administration site. He said that he had only experienced soreness at the administration sites immediately following the vaccinations until now. He also has had numbness involving what appears to be the medial nerve (just one time in last week) and strange sensation down at the elbow/AC area. Advised to F/U with PCP from health system return to work coordinator if employee feels he needs medical treatment . This was communicated to employee and it is unknown at this time if employee has sought medical care.

Other Meds: Testosterone, levothyroxine, anestrosole

Current Illness: None

ID: 1418176
Sex: F
Age: 62
State: NY

Vax Date: 04/05/2021
Onset Date: 04/07/2021
Rec V Date: 06/22/2021
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Symptoms: For the first two-three weeks I had a feeling that something was not right with my veins on the back of my knees e.g. could not sit for more than a few minutes and had to "walk it off". Once those symptoms were gone I was left with a discomfort or pain in my veins especially when my arms, wrists and my knees are bent and there is no normal flow. The pain is similar to as if you accidentally crashed your vein or if you were a few days hooked up to an IV from the same spot. If feels like a low grade vein inflammation that just does not go away. My veins are in general sensitive to pressure now. I nevere had such symptoms until I took Janssen. I saw the vascular specialist and they ruled out blood cloths or varicose veins problems. Over all blood tests look OK. Yet I am left with this pain and no one knows what this is about. Is this some kind of auto-immune response?.

Other Meds:

Current Illness:

ID: 1418177
Sex: F
Age: 23
State: MA

Vax Date: 06/11/2021
Onset Date: 06/13/2021
Rec V Date: 06/22/2021
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Allergies: Tide detergent, purple food dye, ibuprofen, NSAIDs

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Symptoms: 23 y/o with hx of hodgkins lymphoma (completed tx in 2016), anxiety, and depression and today noted L axillary lump and here for evaluation. Covid 2nd vaccine 2 days ago in L arm. PE: afeb/nontoxic, remarkable for 2x2 cm, tender, rubbery, mobile, nonfluctuant lymph node medial aspect of L axilla c/w local reaction to covid vaccination. Symptoms most consistent with known side-effect of COVID-19 vaccine of ipsilateral axillary lymphadenopathy, and is likely self-limited. Systemic infection is also possible, though less likely given time course. Unlikely recurrence of lymphoma with absence of B symptoms. Recommended Tylenol for pain. Provided reassurance and recommended following up with PCP if persists longer than 1 week.

Other Meds: clonazepam 0.5 mg Po BID, escitalopram 40 mg PO daily, olanzapine 1.25 mg PO daily

Current Illness: none reported

ID: 1418178
Sex: U
Age: 19
State: NY

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 06/22/2021
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Symptoms: Error: Improper Storage (temperature)

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Current Illness:

ID: 1418179
Sex: F
Age: 48
State: IL

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 06/22/2021
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Allergies: Doxycycline (antibiotic) Tree nuts Pine

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Symptoms: Large lump the size of a baseball, red and painful at vaccination injection site, lasting 5 days. Severe illness for 72 hours including fever, chills, body aches, joint pain, nausea, dizziness, diarrhea, exhaustion, and shortness of breath. Three days later, exhaustion hit with severe muscle and joint pain. My PCP prescribed Methylprednisone for 5 days and I responded well. The symptoms were resolved within two weeks.

Other Meds: Wellbutrin 300 MG Trintellex 5 MG Prilosec 40 MG Geritol Multivitamin L-Glutamine 1000Mg Vitamin C 1000MG Magnesium 500MG

Current Illness: Ongoing long haul Covid symptoms since having Covid in November 2020. I was diagnosed on November 5, 2020.

ID: 1418180
Sex: M
Age: 38
State: MT

Vax Date: 06/17/2021
Onset Date: 06/17/2021
Rec V Date: 06/22/2021
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Allergies: non-contributory

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Symptoms: Patient presented to the clinic during a COVID-19 vaccination clinic (primary for children 12 and older but walk in clinic is also active at this time). He told me that he needed a vaccination card and for his kids to be vaccinated. I was helping another patient at the time and told him that I would be with him shortly. By the time I got to writing his card information down, seeing that he got a Moderna vaccine first, he had already received his vaccine from another nurse. Nurse did not have access to a computer and states that the patient said he needed his second shot. The nurse asked the patient if he needed the Pfizer vaccine and the patient said yes. I explained to the patient that he does not need to re-do his course of either vaccine and will be considered fully vaccinated on July 1st. He expressed understanding and went to wait for 15 minutes following vaccination. I contacted RN (vaccine clinic coordinator) to report that this error occurred and informed, PharmD (pharmacy director).

Other Meds: non-contributory

Current Illness: non-contributory

ID: 1418181
Sex: M
Age: 14
State: LA

Vax Date: 06/21/2021
Onset Date: 06/21/2021
Rec V Date: 06/22/2021
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Allergies: NONE KNOWN

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Symptoms: NO ADVERSE EVENT IS KNOWN AT THIS TIME. PURPOSE OF REPORT IS THAT PATIENT IS NOT 18 YEARS OF AGE AS REQUIRED BY MODERNA VACCINE

Other Meds: NONE

Current Illness: NONE KNOWN

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm