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: 1433955
Sex: M
Age: 60
State: TX

Vax Date: 06/16/2021
Onset Date: 06/20/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Codeine

Symptom List:

Symptoms: Swelling under right arm pit for 3 to 4 days. Self apply pain relieving patches that contains Methyl salicylate 10.0%, Menthol 6.0%, Camphor 3.1% for 4 days before the swelling slowly disappear.

Other Meds: Quetiapine 50 mg [twice a day], Dicyclomine 10 mg

Current Illness: CIDP, Asthma

ID: 1433956
Sex: M
Age: 36
State:

Vax Date: 05/18/2021
Onset Date: 06/09/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Second dose administered fewer than 24 days (Moderna) after the first dose (i.e., administered earlier than the 4-day grace period)

Other Meds:

Current Illness:

ID: 1433957
Sex: F
Age: 45
State: MN

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: Mold, Pet dander, Ragweed, Cephalexin, Gabapentin, Lyrica, Reclast, Latex, Penicillin

Symptom List:

Symptoms: Patient reported significant history of anaphylaxis. Around 40 minutes after receiving vaccine, patient appeared anxious, her throat felt itchy and she felt her lips/tongue were "puffy and numb". Vital signs stable. Patient stated "this is how she feels before having an allergic reaction". Patient was given adult dose of epipen around 12:28pm. A rapid response was called in the clinic and several staff arrived for assistance. Clinic doctor assessed the patient for worsening symptoms. Vital signs remained stable after epipen administration. Report given to two paramedics who transferred patient to the nearest hospital for further evaluation.

Other Meds:

Current Illness:

ID: 1433959
Sex: F
Age: 71
State: CO

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: The vaccine had an expiration date of 12/31/2069. This cannot be correct? I am wondering if I am fully covered, this being my 2nd dose. My 1st dose given on 2/4/2021, lot # EN 5318 had no expiration date.

Other Meds: n/a

Current Illness: n/a

ID: 1433960
Sex: M
Age: 72
State: KS

Vax Date: 03/19/2021
Onset Date: 06/04/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List:

Symptoms: drooping of right eyelid; double vision Diagnosed from blood test as myasthenia gravis No treatment as yet--waiting for appointment end of July

Other Meds: rosuvastatin 20 mg oral tablet pantoprazole 20 mg oral delayed release tablet Tadalafil (Eqv-Cialis) 20 mg oral tablet Xarelto 20 mg oral tablet

Current Illness: none

ID: 1433961
Sex: M
Age: 22
State: AZ

Vax Date: 06/29/2021
Onset Date: 06/29/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: Nuts

Symptom List:

Symptoms: Patient felt dizzy after 10 minutes of vaccine administration, patient taken to examination room and remains in supine position, checked BP -101/62, HR-52, RR-18, O2 saturation - 98%, skin looked pale and diaphoretic but never had any loss consciousness. Was talking the whole time, reports some nausea , but denies any sob, chest tightness or wheezing. No rashes. Watched the patient for next 30 minutes and patient left home after all the symptoms completely resolved

Other Meds: NONE

Current Illness: none

ID: 1433962
Sex: M
Age: 35
State: TX

Vax Date: 05/07/2021
Onset Date: 05/14/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: I am allergic to bananas.

Symptom List:

Symptoms: I started having cramps in my belly after the 1st dosage that carried over to the 2nd dosage. I started having panic attacks and shakiness in my arms along with lose of weight (no appetite whatsoever). It has been like that every since and then the insomnia following the 2nd dosage and I had a feeling of bloating after I ate anything, became restless, sweating a lot, vision was blurry, and noticeable changes in my stool (became yellowish). I been gasping for air after any physical activity or eating. I also noticed that the mucus is yellowish in my throat and tongue. I also experience muscle cramps when attempting to fall asleep which causes me to wake up instantly (also happens when I eat...legs and arms start twitching). If I try to swallow, the yellowish mucus wakes me up while I am trying to sleep. The symptoms started gradually and I didn't have anything of them prior to taking either dosage of the vaccine. The emergency medical team did some tests upon arriving at my home to see if I needed to be transported to the hospital (was not necessary since my heart was working fine).

Other Meds: I took the following medications at the time of the vaccination: Pantoprazole, Xifaxan, Ambien, Envive. I also took over the counter Gas-X, Probiotics, and Vitamin D.

Current Illness: No

ID: 1433963
Sex: F
Age: 52
State: OH

Vax Date: 03/10/2021
Onset Date: 04/11/2021
Rec V Date: 06/29/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies: I'm allergic to erythromycin

Symptom List:

Symptoms: I started feeling dizzy, my ears were full and though I had a sinus infection went to the Dr. and I had a sinus infection turning into an ear infection. But I didn't have any of the sinus infection symptoms. It was weird, I was just feeling dizzy and so I went to the Doctor.

Other Meds: Just my regular medication for migraine, elbutrane for depression and anxiety, allergy Claritin, cholesterol pill Crestor, thryoid medication levothcine

Current Illness: Seems like I had an ear infection between the 2 vaccinations. 1 after the first dose and another after the 2nd.

ID: 1433964
Sex: M
Age: 30
State:

Vax Date: 05/18/2021
Onset Date: 06/09/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Second dose administered fewer than 24 days (Moderna) after the first dose (i.e., administered earlier than the 4-day grace period)

Other Meds:

Current Illness:

ID: 1433965
Sex: F
Age: 30
State: MN

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: Seasonal allergies

Symptom List:

Symptoms: Dose 1, 7:05pm June 3, 2021: - Tight throat / minor swelling and elevated heart rate within 5 minutes of vaccination, lasting for about an hour - Moderate level of dizziness / lightheadedness (needed to sit down and stay sitting) beginning 1 hour after vaccination, lasting for about 3 hours. - On waking the next morning, body aches and somewhat intense exhaustion lasting for half the day. - On waking the next morning, pain and tenderness at injection site (left arm) and pain lifting or moving arm. (steadily improving over 2 to 3 days) Dose 2, 6:50pm June 24, 2021: - Tight throat immediately following vaccination, lasting about an hour (but somewhat less so than after first dose) - Pain and tenderness at injection site the same evening of vaccination (continuing for a day or two, less pain than after first dose) - Within 48 hours: Flare up of shingles symptoms from virus case end of Jan - Feb 2021 (with no other such occurrences of symptoms happening after resolution of the virus). Symptom 1: Allodynia under left armpit/upper arm (along the same path it manifested previously) lasting around 48 hours in total and lessening over this time. Symptom 2: itching on chest along the same path the rash manifested previously.

Other Meds: Insulin (novorapid); desloratadine 5mg

Current Illness: None

ID: 1433966
Sex: M
Age: 32
State: NJ

Vax Date: 06/21/2021
Onset Date: 06/25/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: None known.

Symptom List:

Symptoms: After 10 minutes, clammy hands which lasted for 10-15 minutes. After 4-5 hours, sore arm on injection site. Soreness persisted and relieved for 3 days. After 5 days, louder than previously experience in right ear along with pressure inside of right ear. Persisted for a few hours, hard to sleep. Then relieved. After 5 days, scratchy throat, even swallowing caused gag reflex. Persisted for a few hours, hard to sleep. Then relieved. After 6 days, right arm lymph node swollen to a little over a half centimeter. Saw doctor and got blood test for white blood cell count. Has not relieved yet. Please contact me at a later date to understand how long it lasted.

Other Meds: Hydrocortizone topical cream for eczema.

Current Illness:

ID: 1433967
Sex: F
Age: 47
State: IN

Vax Date: 01/26/2021
Onset Date: 02/18/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: worsening rheumatoid arthritis 3 weeks after COVID vaccine

Other Meds:

Current Illness:

ID: 1433968
Sex: F
Age: 33
State: MO

Vax Date: 06/29/2021
Onset Date: 06/29/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Pt stated feeling hot, sweaty, fast heart rate, flushed arms and chest, and weak.

Other Meds: Xanax

Current Illness: None

ID: 1433969
Sex: M
Age: 52
State: NY

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: ABOUT 2 DAYS AFTER DOSE 2 THE PATIENT REPORTS A RASH APPEARED ON BOTH HANDS AND LOWER LEGS. IT WAS A LITTLE ITCHY. RIGHT ELBOW BONE PAIN ALSO STARTED ABOUT 2 DAYS AFTER DOSE 2. THIS PAIN COMES AND GOES BUT SOMETIMES IS SO PAINFUL THAT IT WAKES HIM UP AT NIGHT. THE RASH HAS PROGRESSIVELY GOTTEN WORSE SINCE IT FIRST APPEARED. HE HAS TRIED DIFFERENT CREAMS AND OINTMENTS. THE SKIN ON HANDS STARTED PEELING IN MID JUNE 2021. HE CURRENTLY HAS AN APPOINTMENT TO SEE A DERMATOLOGIST.

Other Meds: NONE

Current Illness: NONE

ID: 1433970
Sex: M
Age: 79
State: WI

Vax Date: 03/10/2021
Onset Date: 06/25/2021
Rec V Date: 06/29/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Re infection after being vaccinated

Other Meds:

Current Illness:

ID: 1433971
Sex: F
Age: 50
State: MD

Vax Date: 04/07/2021
Onset Date: 04/12/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I received the Johnson and Johnson covid vaccine on 7 April 2021. Within 6 hours of receiving the vaccine, I experienced typical flu like symptoms. Though the majority of the symptoms subsided within 24 hours, I continued to experience headache symptoms for several days. On 12 April 2021, I woke up with a broken blood vessel in my left eye and red and black eyelid. The blood from broken blood vessel continued to get worse. I went to the ER to have tests run because the J&J vaccine was removed from use during this time.

Other Meds: None

Current Illness: None

ID: 1433972
Sex: F
Age: 23
State: CA

Vax Date: 06/24/2021
Onset Date: 06/28/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Pain in chest, fast heartbeat and shortness of breath. Pain began 6-28-21 at 5pm and has persisted through today 6-29-21.

Other Meds: N/A

Current Illness: N/A

ID: 1433973
Sex: F
Age: 25
State: CA

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Ive been having severe headaches and sinus pressure since i took the second vaccine on 6/1. The headaches won?t go away and consistent every day

Other Meds: None

Current Illness: None

ID: 1433974
Sex: F
Age: 38
State: CA

Vax Date: 06/29/2021
Onset Date: 06/29/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: Vicodin (nausea/vomiting)

Symptom List:

Symptoms: At 0925, pt received second Pfizer vaccine. 5 mins later, she reported to the RN that she had a mild headache, was feeling dizzy and "uneasy", reports that these symptoms started after the injection, although she was anxious prior. Denies sob or chest pain. Assisted pt to a gurney. BP 152/99, p=104, O2 sat 100% on RA. Pt reported having a hx of anxiety and paroxysmal supraventricular tachycardia. Vitals remained stable x 2, send pt to ED after 20 mins for further eval due to pt reporting that headache worsening, nausea/dry heaves and a new numbness and tingling to L side of face.

Other Meds: Fluticasone (FLONASE ALLERGY RELIEF) 50 mcg/actuation Nasl SpSn Amoxicillin 500 mg Oral Cap METOPROLOL TARTRATE ORAL Metoprolol Tartrate (LOPRESSOR) 25 mg Oral Tab norethindrone-e.estradiol-iron (JUNEL FE 1.5/30, 28,) 1.5 mg-30 mcg (21)/75

Current Illness: none

ID: 1433975
Sex: M
Age: 38
State:

Vax Date: 05/18/2021
Onset Date: 06/09/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Second dose administered fewer than 24 days (Moderna) after the first dose (i.e., administered earlier than the 4-day grace period)

Other Meds:

Current Illness:

ID: 1433976
Sex: F
Age: 50
State: FL

Vax Date: 05/12/2021
Onset Date: 05/30/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I got a cough, fever, chills, vomiting, and diarrhea. The fever and chill was the worst. I had a headache that I could not get rid of for a week. I went the ER. They ran nasal flu and Covid-19 test, which came back as a virial. They did blood work as well. They told me to rest and drink plenty of fluids.

Other Meds:

Current Illness:

ID: 1433977
Sex: M
Age: 57
State: AZ

Vax Date: 02/05/2020
Onset Date: 02/19/2020
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Flu like symptoms 24hrs after 2nd shot. I was happy because I felt the Vacine was working and my body was building antibodies I have had three Covid 19 tests the last week from Embry Womens Health care Phx Arizona on 6/21 and 6/23 both positive and another test yesterday still waiting results. I have Clogged sinus cavities like a cold or I am swimming are the only symptoms. I am reporting this as I think I have a breathru variant possibly Delta

Other Meds: Benadryl

Current Illness:

ID: 1433978
Sex: F
Age: 40
State: TX

Vax Date: 04/12/2021
Onset Date: 04/14/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: Ciprofloxacin, Soy, Cottonseed oil, Ciprocinonide

Symptom List:

Symptoms: Pt developed diarrhea 2 days after injection followed by severe abdominal pain and headache. Likely had clotting reaction to vaccine but was not tested for the specific type of clotting dysfunction seen with this vaccine.

Other Meds: Lexapro 10mg, Plaquenil 200 BID, Levothyroxine 100 , Albuterol MDI, Spironolactone 100, prilosec 20, claritin 10

Current Illness: None known

ID: 1433979
Sex: M
Age: 55
State: PA

Vax Date: 05/24/2021
Onset Date: 05/01/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: On 6/2/21, patient c/o decreased range of motion and pain about 3-4 days after receiving 2nd dose of Moderna. Office visits on 6/4/21 and 6/10/21 for bursitis with Celebrex 200 mg capsules prescribed once daily on 6/4 and twice daily as needed on 6/10.

Other Meds: unknown

Current Illness: unknown

ID: 1433980
Sex: F
Age: 62
State: MO

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Developed Myoelectric colon paralysis .Myocarditis. Stomach swelling .

Other Meds: none

Current Illness: none

ID: 1433981
Sex: M
Age: 31
State:

Vax Date: 05/18/2021
Onset Date: 06/10/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Second dose administered fewer than 24 days (Moderna) after the first dose (i.e., administered earlier than the 4-day grace period)

Other Meds:

Current Illness:

ID: 1433982
Sex: F
Age: 56
State: OH

Vax Date: 06/25/2021
Onset Date: 06/25/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Employee became hot , blood pressure increased , incoherent, and vomitted

Other Meds: none

Current Illness:

ID: 1433983
Sex: F
Age: 64
State: TX

Vax Date: 06/26/2021
Onset Date: 06/27/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Heart pain in the middle of the night. Intense squeezing of the heart.

Other Meds: High blood pressure meds

Current Illness: None

ID: 1433984
Sex: F
Age: 44
State: CA

Vax Date: 05/21/2021
Onset Date: 06/01/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: I took the second dose of the Pfizer Covid vaccine at pharmacy on May 21, 2021. My next menstrual cycle was a nightmare. I have been bleeding for 3 weeks straight. I have never had irregular periods. I truly feel this irregular period/heavy bleeding was caused by the vaccine.

Other Meds: none

Current Illness: none

ID: 1433985
Sex: F
Age: 52
State: TX

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe fatigue started the following day, followed by severe axillary adenopathy on the left side (the side of the vaccine), then severe muscle spasm and radicular pain on the left arm, shoulder and neck

Other Meds: benicar 40mg, activella HRT, iron, vitamin C

Current Illness: none

ID: 1433986
Sex: M
Age: 36
State:

Vax Date: 06/28/2021
Onset Date: 06/29/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: This morning when I woke up I had a slight headache on the back of my right side. I felt a wave within and my heart rate rose. I was really hungry and ate 3 or 4 bananas. I started to feel uneasy and felt tightness in my chest and pain below the injection site. My heart rate rose into the 100s. Normal RHR= 47-55. I was burping small burps. I was worried and started looking up ERs and contacting family. This event of immense amount tightness and uneasy feeling that lasted about 30-45. Temp was 99.4 then dropped to normal. I thought I was having a heart attack. I called my sister and my symptoms waned. I have had several "cycles" though out the day of feeling very uneasy and slight chest discomfort, but nothing on the level of this morning, or enough to make me go to the ER. It does seem that why I lay down or bend over when sitting down there is discomfort in my chest and I feel uneasy.

Other Meds: None

Current Illness: None

ID: 1433987
Sex: F
Age: 51
State: CA

Vax Date: 02/26/2021
Onset Date: 05/25/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 4/13/21 extremely swollen lymph nodes in neck, difficulty swallowing, generally not feeling well - urgent care doctor ran labs for mononucleosis and strep - positive mono diagnosis, patient (teacher) advised to work from home until 5/10/21, along with rest fluids and OTC pain relievers 5/25/2021 Symptoms flared - again swollen lymph nodes in neck, sore throat, contacted primary care physician/nurse practitioner who ran a second strep test and a Covid test. Covid test was positive. Primary care physician also ran labs for possible auto immune disorder. Physician to consult with immunology doctor.

Other Meds: Bupropion HCL 150 mg Sertaline HCL .125 mg Zolpidem tartare 10 mg Norethindrone 5 mg Tylenol 500 mg Ibuprofen 200 mg

Current Illness: None

ID: 1433988
Sex: F
Age: 47
State:

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received her second dose of Pfizer in her left arm (LOT # EW0179, Exp 04/28/2021 at 1010). Vaccinator, LVN administered this vaccine 2 days early. Vaccinator stated he was counting dates incorrectly and realized after giving the vaccine that he counted the days wrong. Patient was informed of the recent CDC change. Patient did not experience any side effects or adverse reactions while on site.

Other Meds:

Current Illness:

ID: 1433989
Sex: M
Age: 18
State: WI

Vax Date: 04/01/2021
Onset Date: 04/04/2021
Rec V Date: 06/29/2021
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Allergies: Minocycline

Symptom List:

Symptoms: Hand and foot edema and urticaria

Other Meds: None

Current Illness: None

ID: 1433990
Sex: F
Age: 59
State: TX

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/29/2021
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Symptoms: Patient wanted to receive a COVID vaccine (Pfizer first dose), however she received Tdap (Boostrix) instead by our staff pharmacist. Patient currently has muscle ache and soreness on injection site.

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Current Illness:

ID: 1433991
Sex: F
Age: 69
State: CA

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/29/2021
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Symptoms: Moderna vaccine given on 6/28/21, 1 days after Beyond Use Date expiration 6/27/21.

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Current Illness:

ID: 1433992
Sex: F
Age: 41
State: UT

Vax Date: 02/27/2021
Onset Date: 05/07/2021
Rec V Date: 06/29/2021
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Allergies: None

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Symptoms: The lymph nodes behind both of my ears became so swollen and painful to the touch that I couldn?t wear my eyeglasses for a week. After that went away, my spleen became tender and sore for approximately three days. Since getting the vaccine, I have episodes of dizziness and feel lightheaded frequently (a couple times per day). My periods were almost non-existent prior to the vaccine and now they?re very heavy and last a week or longer.

Other Meds: Levothyroxine 150 mcg Escitalopram 10 mg

Current Illness: None

ID: 1433993
Sex: M
Age: 47
State: MN

Vax Date: 06/28/2021
Onset Date: 06/29/2021
Rec V Date: 06/29/2021
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Allergies: none

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Symptoms: began having dizziness and mild swelling in skin about both eyes, mild headache, still present, but somewhat less

Other Meds: none

Current Illness: none

ID: 1433994
Sex: F
Age: 30
State: TX

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 06/29/2021
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Allergies: Penicillin, Novocain

Symptom List:

Symptoms: Pt states 04/21/2021 starting in the evening feeling swelling, fatigue, migraines, and dizziness. ER visit 04/27/2021 (estimated), IV drip, Benadryl, sent home with pain killers *not filled, prescription for EPI, steroid for Heart palpations. Prednisone prescribed. ER visit 05/05/2021 CT Scan, Blood Test. Doctor (05/12/2021) visit week later, prescriptions sent for presenting fever blisters and more pain medication. Pallet of her mouth (Possible Thrush) plans visit with general within a week, weight gain.

Other Meds: N/A

Current Illness: N/A

ID: 1433995
Sex: F
Age: 62
State: NE

Vax Date: 05/18/2021
Onset Date: 06/17/2021
Rec V Date: 06/29/2021
Hospital: Y

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Lab Data:

Allergies: Nicoderm (shortness of breath) Advair Diskus (Palpitations,insomnia) Afrin 0.05% nasal spray meloxicam (Shortness of breath) metFORMIN (Diarrhea) Ortho Evra (Shortness of breath) Zyban

Symptom List:

Symptoms: Pt admitted with autoimmune hemolytic anemia

Other Meds: albuterol: 1 or 2 puff, INHALATION, QID, PRN (for wheezing) albuterol: 3 mL, NEBULIZED, Q4-6H, PRN (for wheezing) amLODIPine-benazepril: 1 CAP, By Mouth, DAILY atorvastatin: 1 TAB, By Mouth, DAILY empagliflozin: 25 mg = 1 TAB, By Mouth, QAM

Current Illness:

ID: 1433996
Sex: M
Age: 22
State: NY

Vax Date: 06/24/2021
Onset Date: 06/24/2021
Rec V Date: 06/29/2021
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Allergies: None

Symptom List:

Symptoms: 1025 22 y/o new hire employee had change in level of consciousness. He was alert to self but slow to respond to verbal command and tactile stimuli , On presentation he was pale and diaphoretic and hypotensive VS 88/45 HR 54 94% on RA Oral hydration given .1035 107/55 HR 68 92% on RA . His vital signs improved after hydration and rest .1045 VS 110/65 HR 61 100% on RA. 1100 Employee was discharged and transported out to his care via a wheelchair assist x 1.

Other Meds: None.

Current Illness: None identified

ID: 1433997
Sex: M
Age: 62
State: CA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 06/29/2021
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Allergies: Tetanus

Symptom List:

Symptoms: Injection site swelling and moderate pain within 20 minutes of injection; within 30 minutes the left forearm, left metacarpal region (in particular, tissue surrounding base of left pinky finger) experienced swelling. Left calf (gastrocneuius) experienced mild, yet noticeable, swelling which diminished and was gone within 8 hours. Pronounced fatigue set in within 3 hours after injection and I was in bed the following 2 days. Mild, continuous ringing in the ears began on day 2. By day 4 was back 100% to a normal routine. The only remaining symptoms as of the date of this report are the mild, continuous ringing in the ears and the small, yet noticeable swelling of tissue around the base of the left pinky finger.

Other Meds: Simvastatin (20mg); Ezetimibe (10mg); Bystolic (5mg); Fish oil

Current Illness: NONE

ID: 1433998
Sex: F
Age: 39
State: CT

Vax Date: 06/29/2021
Onset Date: 06/29/2021
Rec V Date: 06/29/2021
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Allergies: clindamycin, sulfa

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Symptoms: patient felt racing heart beat and faint. patient sat down and received water. breathed deeply after 5 minutes felt better patient remainded for 15 minute recomended time and felt fine before departing

Other Meds: unknown

Current Illness: unknown

ID: 1433999
Sex: F
Age: 61
State: KY

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 06/29/2021
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Allergies: Seasonal outdoor allergy

Symptom List:

Symptoms: Bad Headache, sore throat, body aches

Other Meds: metformin, farxiga, glitizide, citalopran

Current Illness: diabetes type 2

ID: 1434000
Sex: M
Age: 17
State: FL

Vax Date: 06/26/2021
Onset Date: 06/28/2021
Rec V Date: 06/29/2021
Hospital: Y

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Allergies: None

Symptom List:

Symptoms: initially numbness of right arm reported on day of second vaccine. noted to have muscle aches and pains on day one after second vaccine dose. two days after vaccine, was complaining of severe chest pain, so was taken to ED.

Other Meds: None

Current Illness: None. Viral illness two months prior to vaccines

ID: 1434001
Sex: M
Age: 21
State: PA

Vax Date: 04/29/2021
Onset Date: 05/02/2021
Rec V Date: 06/29/2021
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Symptoms: Acute myocarditis with significant troponin elevation.

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Current Illness:

ID: 1434002
Sex: F
Age:
State: CA

Vax Date: 06/26/2021
Onset Date: 06/26/2021
Rec V Date: 06/29/2021
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Symptoms: Patient reported rash on arm and high level of pain in left arm. Patient started benadryl and topical hydrocortisone but no response. Pain increased, arm swelled and redness increased in area. Verified that arm was also hot to the touch. Referred Patient to md in case of skin infection and to evaluate arm.

Other Meds:

Current Illness:

ID: 1434003
Sex: M
Age: 54
State: MD

Vax Date: 06/18/2021
Onset Date: 06/19/2021
Rec V Date: 06/29/2021
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Symptoms: Around 6-7:30 pm on the 19th of June, my wife told me that my eye was started to turn red. I tried at first to put allergy drops in it. The next morning I had yellow discharge coming from my eye. I went to the doctor on Sunday and they did not know what it was, they ruled out conjunctivitis. They did prescribed me a medication to use. About two days after of using the medication I felt like it was not needed anymore. About a few days after that the redness went away until it was completely gone.

Other Meds:

Current Illness:

ID: 1434004
Sex: M
Age: 68
State: PA

Vax Date: 02/27/2021
Onset Date: 04/10/2021
Rec V Date: 06/29/2021
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Allergies: none known

Symptom List:

Symptoms: Tinnitus and loss of hearing in right ear with dizziness. Identified as viral labyrinthitis. Not resolved and still continues resulting in need for hearing aid.

Other Meds: synthroid,lipitor,metformin,irbesartin

Current Illness: none

ID: 1434005
Sex: F
Age: 29
State: IN

Vax Date: 06/11/2021
Onset Date: 06/11/2021
Rec V Date: 06/29/2021
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Allergies: Prednisone, steroids

Symptom List:

Symptoms: The first dose caused mild soreness and some discomfort which I thought was anxiety, since it disappeared after the waiting period. Almost immediately after the second dose, I began to have discomfort in my chest and to feel woozy. I thought it was anxiety. I left the pharmacy and began to have chest pains, difficulty breathing, and shortness of breath. I called the CDC Vaccine hotline to ask for advice about the reactions, and I was told my reactions were normal, and people have the same kind all the time. I took a Benadryl and went to sleep. It has been two weeks. If I become excitable or exert myself, my chest begins to hurt and it can be difficult to breathe. I have never had asthma, and I have always been active. It might be getting worse since it can feel like heartburn even if I'm not even doing anything.

Other Meds: Zonegran, Lol Loestrin

Current Illness: Epilepsy

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm