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: 1450923
Sex: F
Age: 63
State:

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 07/06/2021
Hospital:

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

Lab Data:

Allergies: diesel, soap and bleach

Symptom List:

Symptoms: dizziness and anxiety

Other Meds: unknown

Current Illness: none

ID: 1450924
Sex: F
Age: 38
State: TX

Vax Date: 06/12/2021
Onset Date: 06/19/2021
Rec V Date: 07/06/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: about a week after first dose I felt lightheaded, dizzy and vertigo type symptoms. My blood pressure has also been low. I feel a sense of weakness and heaviness throught my body at times.

Other Meds: none

Current Illness: none

ID: 1450925
Sex: M
Age: 16
State: WA

Vax Date: 07/01/2021
Onset Date: 07/03/2021
Rec V Date: 07/06/2021
Hospital: Y

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Patient developed myocarditis with peak troponin of 6.4, normal echo. He required hospitalization for evaluation and management of pain.

Other Meds: NA

Current Illness: NA

ID: 1450926
Sex: F
Age: 37
State: HI

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: First few minutes after injection, had mild tingling and pain from left upper back to neck and up the left side of the back of my head. Been experiencing moderate body aches specifically on my upper back, shoulders, neck and head. Headaches have been mild and comes and goes until today. Woke up 9am with headache thats increasing in intensity. Took 3 x 200mg Advil at 12:00pm but did not do much to help with headache or body ache. Feeling nauseous and very fatigued.

Other Meds:

Current Illness:

ID: 1450927
Sex: F
Age: 44
State: PA

Vax Date: 04/25/2021
Onset Date: 04/30/2021
Rec V Date: 07/06/2021
Hospital:

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

Lab Data:

Allergies: Penicillin allergy since age 18

Symptom List:

Symptoms: About 5 days after my 1st vaccine I experienced breakthrough bleeding, well after my monthly period ended. This has continued every month, about 4-5 days after my period has ended. It's 1 day of bright red blood spotting and then it stops.

Other Meds: Garden of Life supplements: Women's Raw one a day muli-vitamin, Raw Iron daily, Raw D3 10,000 IU per day, Raw Calcium Store brand Magnesium 250 mg 3x's per week and Zinc 50 mg 3x's per week

Current Illness: none

ID: 1450928
Sex: M
Age: 75
State: OH

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 07/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Dear Dr., Thank you for your interest in my unusual case. Yes, my Vitiligo continues to spread rapidly. My immune system is attacking my skin pigment rapidly. I can see changes almost on a daily basis. I am convinced the second Moderna shot is causing this sudden (unexpected) immune response after 30+ years of stable and small Vitiligo patches. All my opinion . Just a coincidence? I don't think so. I have to be very careful with the sun. I have already burned the backs of both hands. I use lots of sunscreen outdoors. I am hopeful for a good outcome over time. Sorry, no before and after photographs. Blessings! :) This is interesting. I am going to ask around and see if any of my colleagues have seen this. Has the vitiligo continued to progress at this point?? Thank you for the prompt reply. As I stated below, Dr. has already diagnosed my vitiligo at a previous visit. The purpose of my below message was "FYI" to let the Dr. know that my vitiligo has suddenly, rapidly progressed after I had two Moderna Covid vaccines. My immune system has reacted somehow. That may be just a coincidence. I predict that at the current rapid rate of spread, my vitiligo will completely disappear and be gone and my skin will look normal again by the end of the year. If correct, that is good news. Does that mean, in my case, the two Covid vaccine shots were a cure for my vitiligo? Something for Dr. to think about. I do not need an appointment. In order for the Dr. to treat or diagnose he would need to see you in the office. I am a past Dr. patient. I am a 75 years old male. My 30+ year old vitiligo condition was very stable and very small patches. I got the two covid Moderna vaccines Feb 1st, and March 1st, 2021. Since then, my vitiligo has rapidly spread everywhere. Maybe just a coincidence, maybe not????

Other Meds: Alfuzosin HCL 10 MG daily Ibuprofen daily as needed for pain.

Current Illness: None

ID: 1450930
Sex: M
Age: 23
State: PA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Nausea, loss of sight, extreme dizziness 5 minutes after receiving shot Extreme fatigue, dizziness, depression, psychosis, heat flashes, insomnia, irregular and rapid heart rate

Other Meds: None

Current Illness: None

ID: 1450931
Sex: F
Age: 60
State: OH

Vax Date: 03/25/2021
Onset Date: 04/17/2021
Rec V Date: 07/06/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, Cipro

Symptom List:

Symptoms: Developed skin rash on back which progressed to armpits and groin area

Other Meds: CoQ10, Magnesium, Fish oil, Tumeric

Current Illness:

ID: 1450932
Sex: F
Age: 23
State: SC

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

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

Lab Data:

Allergies: Cinnamon.

Symptom List:

Symptoms: The morning of the 6th I had numbness in my face and hands and then my right side went numb. I had a stroke. Mini seizures afterwards.

Other Meds: No.

Current Illness: No.

ID: 1450933
Sex: F
Age: 31
State: TX

Vax Date: 04/01/2021
Onset Date: 05/01/2021
Rec V Date: 07/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: About a month after receiving the vaccine, I developed Shingles. I had the chickenpox vaccine, and never developed chickenpox. I believe this was a reaction to the vaccine.

Other Meds:

Current Illness:

ID: 1450934
Sex: F
Age: 25
State: CA

Vax Date: 06/04/2021
Onset Date: 06/20/2021
Rec V Date: 07/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Extra and extremely strong heart beating, makes me hard to sleep and feel tired during the day.

Other Meds:

Current Illness:

ID: 1450935
Sex: F
Age: 37
State: OR

Vax Date: 06/08/2021
Onset Date: 06/23/2021
Rec V Date: 07/06/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: I have not had a period and am 8 days late. Waves of nausea daily.

Other Meds: VITAMIN D

Current Illness: NONE

ID: 1450937
Sex: F
Age: 40
State: WA

Vax Date: 06/30/2021
Onset Date: 06/30/2021
Rec V Date: 07/06/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: PATIENT CALLED ON 07/06/2021 AND REPORTED HAVING FEVER, NAUSEA AND EXTREME FATIGUE STARTING THE NIGHT OF IMMUNIZATION. SHE HAD THESE ADVERSE EVENTS FOR 3 DAYS AND ONCE THESE ADVERSE EVENTS WENT AWAY, SHE STARTED ITCHING ALL OVER HER BODY. SHE HAS BEEN TAKING BENADRYL SINCE THEN BUT STILL THE ITCHING PERSISTS.

Other Meds: none

Current Illness: none

ID: 1450939
Sex: F
Age: 51
State: NC

Vax Date: 05/18/2021
Onset Date: 07/03/2021
Rec V Date: 07/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: This is a vaccination administration error. Patient received her 2nd Covid vaccine too soon. Her 1st dose was 5/4/21 and her 2nd dose was 5/18/21, which is 2 weeks apart. Moderna should be give 4 weeks apart.

Other Meds: Omeprazole, Lisinopril/HCTZ, Norvasc, Cetirizine

Current Illness: None

ID: 1450940
Sex: M
Age: 31
State: FL

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

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

Lab Data:

Allergies: plums

Symptom List:

Symptoms: at 18:00 the patient received the vaccine and then fainted and started seizing. EMS was called and ambulance was sent. patient appeared to hit head when falling down. patient came back too and was able to answer name, DOB, and a few other questions then fainted and seized again. Emergency personnel arrived and removed patient via stretcher. Patient was awake at this time

Other Meds: unknown, none on file with us

Current Illness: unknown

ID: 1450941
Sex: M
Age: 45
State: AZ

Vax Date: 06/30/2021
Onset Date: 06/30/2021
Rec V Date: 07/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient completed consent stating he received previous vaccine noting it was Moderna Covid 19 vaccine. Here for 2nd dosage but did not have his vaccine card available at time 2nd dose was given. This nurse gave 2nd dose of Moderna Covid19 in LD with no adverse reaction at time of service. Returned with vaccine card to complete 2nd dose entry and noted 1st dose was actually Pfizer Covid 19 mRNA vaccine. Patient states and presents with no adverse reaction at that time. Follow up 6 days later on 7/6/2021 and still no adverse reaction noted. This incident was reported on site and entered into system as well with in the 24 hr time requirement and Completed VAERS. No further follow up needed at this time.

Other Meds:

Current Illness:

ID: 1450942
Sex: M
Age: 13
State: CO

Vax Date: 07/02/2021
Onset Date: 07/03/2021
Rec V Date: 07/06/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Developed dizziness and fever the morning following vaccination followed by chest pain around 48 hours after vaccination. Presented to outside urgent care where pt noted to have elevated troponin >10, prompting transfer to ED. and admission for myocarditis. Symptoms improved over next several days and chest pain was well controlled with ibuprofen and tylenol.

Other Meds: None

Current Illness: Unknown

ID: 1450943
Sex: M
Age: 62
State: NV

Vax Date: 04/01/2021
Onset Date: 05/01/2021
Rec V Date: 07/06/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: A month after I was tried all the time, struggling to get through the day. I feel down a couple of times. I had dizzy spells. Fatigue.

Other Meds: No

Current Illness: No

ID: 1450944
Sex: F
Age: 66
State: NJ

Vax Date: 04/25/2021
Onset Date: 04/26/2021
Rec V Date: 07/06/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: Rash appeared on both feet . Traveled to legs and trunk. Vasculitis legions on the arms . Rash has covered chest ,stomach.

Other Meds: Prozac ,Seroquel, Diovan

Current Illness: no

ID: 1450945
Sex: F
Age: 33
State: CA

Vax Date: 05/27/2021
Onset Date: 06/25/2021
Rec V Date: 07/06/2021
Hospital:

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

Lab Data:

Allergies: latex; tomatoes

Symptom List:

Symptoms: Shortness of breath and panic - feeling of loss of control; worry and anxiety. The severe symptoms lasted about five hours. And then management symptoms I am still experiencing. I saw my social worker/licensed. She recommended that I recommend to go to a Psychiatrist to talk about medication for the symptoms. The only thing I'm using for treatment is yoga, deep breathing and meditation and that seems to help. Pregnancy history -2nd pregnancy - 1st pregnancy - successful live birth; estimated date of delivery for this 10/10/2021.

Other Meds: progesterone; prenatal vitamin; iodine supplement; Vit D and Vit C

Current Illness: no

ID: 1450946
Sex: M
Age: 51
State:

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 07/06/2021
Hospital:

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

Lab Data:

Allergies: CT contrast, cephalosporins, metal alloys, latex

Symptom List:

Symptoms: Carotidynia; rash -fungal like; vestibular symptoms

Other Meds:

Current Illness:

ID: 1450947
Sex: F
Age: 54
State: CA

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

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

Lab Data:

Allergies: eggs, simvastatin, beef

Symptom List:

Symptoms: Pt received Pfizer first dose @ 1420 @1425 pt reported itching to neck, denies SOB or chest pain; vitals WNL @1427 Benadryl 25mg IM admin per MD order; pt tolerated well. @1429 vitals WNL; denies SOB or chest pain @1445 vitals WNL, pt denies SOB or chest pain; pt reports no longer itching @ 1457 vitals WNL; pt waiting for ride; denies SOB or chest pain @1557 pt reports itching again; Dexamethasone 4mg tab PO admin per Dr order; pt tolerated well. @1630 vitals WNL, denies SOB or chest pain, pt reports relief from itching; son picked up pt to go home. Pt left with steady gait/ with walker and no signs of distress.

Other Meds: Please see patient's medical record for updated med list; unknown.

Current Illness: unknown

ID: 1450948
Sex: M
Age: 27
State: PA

Vax Date: 07/03/2021
Onset Date: 07/04/2021
Rec V Date: 07/06/2021
Hospital:

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

Lab Data:

Allergies: No know allergies reported

Symptom List:

Symptoms: Patient called pharmacy on 07/06/2021 around 550 pm to report that he is experiencing side effects from the Janssen shot he recieved on 07/03/2021. He said he started to experience side effects the following day after shot (7/4/2021 - specific time unknown) and they have not improved. He said he is experiencing muscle pain and muscle spasms in his neck, back and arms. Also experiencing shortness of breath, nausea and chest pain. I instructed patient to seek immediate medical care. He said he was going to go to ER.

Other Meds: Unknown

Current Illness: Unknown

ID: 1450949
Sex: M
Age: 45
State: OH

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

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

Lab Data:

Allergies: Dilaudid

Symptom List:

Symptoms: patient came in for his second dose of the Pfizer covid vaccine, patient stated on their intake form that the TDAP vaccine had caused him to faint in the past. after discussion with the patient, he stated that the first dose of the Pfizer vaccine did make him dizzy for a few minutes after the vaccine, but he did not faint following the first dose. After the first dose, because of his history with TDAP, patient was asked to stay for 30 minutes on site, after 30 minutes not further side effects other than the temporary dizziness. After that discussion it was decided to administer the second dose. Immediately after the dose, patient appeared to suffer from syncope, immediately becoming dazed and his eyes closing, within 1 to 2 minutes he became alert, aware of name and dob, etc. Patient's pulse and vitals were WNL. Offer was made to call ambulance for further evaluation, but patient declined. The pharmacist, remained with patient for 30 minutes to monitor, he continued to be fine.

Other Meds:

Current Illness: unknown

ID: 1450950
Sex: M
Age: 16
State: CA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Received the first COVID vaccine Pfizer on 06/14/21. The client presented for his 2nd COVID vaccine Pfizer today with his brother. The client alerted RN that he developed a "rash" following receiving the 1st COVID vaccine Pfizer. RN responded to the client. The client reported developing a "rash while walking to the observation area" following his 1st COVID vaccine Pfizer. The client stated the rash was a "red around where I got the vaccine." The client stated the rash was intermittently itchy. The client stated his mom put a "cream" over the rash, but did not know what kind of cream it was. The client stated his symptoms lasted for several hours. The client denied any s/s of anaphylaxis following the 1st COVID Vaccine Pfizer. The client did not seek any medical care following the initial rash. RN submitted a medical consult via text message. Approval to proceed with the 2nd COVID vaccine Pfizer was received from Vaccine Operations. RN educated the client regarding approval to receive the 2nd COVID vaccine Pfizer, s/s of anaphylaxis, when to seek EMS, to follow up with PCP regarding initial reaction symptoms, V-safe. The client was instructed to complete a 30 minute observation period. The client and his brother voiced understanding of this. The client received the 2nd COVID vaccine Pfizer on 07/06/21 Lot#EW0191 exp 09/21 at 3:01 PM. The client tolerated the vaccination well. The client did not alert the EMTs of any adverse reactions during the observation period.

Other Meds: none

Current Illness: unknown

ID: 1450951
Sex: F
Age: 51
State: GA

Vax Date: 06/26/2021
Onset Date: 07/03/2021
Rec V Date: 07/06/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Patient received her first COVID-19 shot on 6/26/21 and called today to report that the swelling, redness, knot, heat, and pain in her arm still persist. She also said she has pain in her leg as well as heart palpitations. She did say that she's had heart palpitations in the past. These symptoms started about 2-3 days ago, she also said. I advised her to take Tylenol and to use a cold compress. She said she did not have plain Tylenol on hand and would take Tylenol, which she takes for arthritis. I advised her to try to get some plain Tylenol but to take what she had if she was in pain and could not wait. I also advised her to follow up with her doctor, especially regarding the palpitations. She said she would follow the above recommendations.

Other Meds: albuterol inhaler, prednisone, amlodipine, gabapentin, Tylenol, venlafaxine , duloxetine , Ibuprofen, hydrochlorothiazide , nervive nerve relief,

Current Illness: none

ID: 1450952
Sex: F
Age: 56
State:

Vax Date: 01/21/2021
Onset Date: 03/15/2021
Rec V Date: 07/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Snapping, popping, and pain in the bicep. Went to docot - x-ray, cortisone shot, PT. PT not effective. MRI showed the long head bicep was damaged. Surgery on 6/23/2021.

Other Meds:

Current Illness:

ID: 1450953
Sex: M
Age: 15
State: NY

Vax Date: 07/03/2021
Onset Date: 07/04/2021
Rec V Date: 07/06/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chest pain, Myocarditis

Other Meds:

Current Illness:

ID: 1450954
Sex: F
Age: 14
State: CA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 07/06/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: I gave vaccines to this patient i began on the right arm and administered a Flu vaccine, then i moved to the patients left arm and administered HPV#2 vaccine. I then told the mother that we usually have patients wait 15 minuets in the room but because we were so busy i was going to have them wait in the lobby. Mother said that was fine and was about to walk out when her daughter just suddenly fell to the ground in a sitting position, I reached for her arm but she still fell to her left side and hit her head on the ground. I quickly pulled her and held her in my arms blowing air to her face, mother stepped out and got help. An MA walked in the room and saw what happened and went to get the provider. Water was given to the patient and then mother and I carried patient onto the bed. Blood pressure and oxygen were then taken, provider then told us she had it all under control and we stepped out. CARDIAC REFERRAL FOR WITNESSED SYNCOPE IN CLINIC after HPV vaccination, likely vasovagal Patient already saw neurology and cardiology. She is pending a brain MRI with neurology.

Other Meds: NONE

Current Illness: NONE

ID: 1450955
Sex: M
Age: 49
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received 2nd dose of Moderna after 6 weeks timeframe.

Other Meds:

Current Illness:

ID: 1450956
Sex: F
Age: 35
State: OR

Vax Date: 05/14/2021
Onset Date: 06/21/2021
Rec V Date: 07/06/2021
Hospital: Y

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

Lab Data:

Allergies: Diazepam, Cyclobenzaprine, Lorazepam, Levothyroxine sodium, Insulin aspart, Prochloperanzine Edisylate

Symptom List:

Symptoms: Patient presented to ER with headache and cough. Patient was admitted on 06/28/2021 for pneumonia and respiratory failure. Patient discharged 07/06/2021

Other Meds: Unknown

Current Illness: Unknown

ID: 1451957
Sex: F
Age: 56
State: AZ

Vax Date: 02/27/2021
Onset Date: 03/20/2021
Rec V Date: 07/06/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: I'm 56 and very healthy, never sick, never take meds and see a doctor for well-woman only. 3-4 weeks after the 2nd dose I started feeling my hands and feet were swollen and very painful to bend. It really hit me on March 28, 2021 I couldn't grab my sheets/blankets when I was cold and My feet hurt so badly I could barely walk. Also, I was very tired, dry eyes, dry mouth, A friend of mine said it sounded like rheumatoid arthritis. I researched it and went to doctor on March 29. She knows I've been healthy and laughed at my self-diagnosis. I have no family history of RA. I told my doctor I thought I got this because of the vaccine. My doctor ordered x-rays and blood work. On March 31st she called me and said my RF and CCP were off the charts, that I have RA and that I need to see a rheumatologist.

Other Meds: none

Current Illness: none

ID: 1451958
Sex: M
Age: 35
State:

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 07/06/2021
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Symptoms: Starting the next day(s) after receiving the first dose vaccination I have had Tinnitus. The ringing is in my right ear and varies in intensity from day to day. The ringing has had little change in intensity overall. This symptom has persisted over the last 3 months. There is no treatment for Tinnitus.

Other Meds:

Current Illness:

ID: 1451959
Sex: F
Age: 66
State: CA

Vax Date: 07/06/2021
Onset Date: 07/06/2021
Rec V Date: 07/06/2021
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Symptoms: Pt reported being dizzy, lightheadedness, about 5 minutes after shot. She was given orange juice while sitting in a chair, pt did not want to lay down on ground. After another 5 minutes or so the pt fainted, losing consciousness for about 5 seconds. She continued to feel poorly so 911 was called and pt was taken to hospital.

Other Meds:

Current Illness: Pt reported to have syncope during COVID vaccine roughly 3 weeks prior.

ID: 1451960
Sex: M
Age: 50
State: WA

Vax Date: 06/27/2021
Onset Date: 07/04/2021
Rec V Date: 07/06/2021
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Allergies: None

Symptom List:

Symptoms: 2 inch by 2 inch welt around injection site on arm itchiness; That whole area has felt harder/firmer on the left arm compared to right arm ever since the injection. The itchiness and red welt showed up a couple of days ago.

Other Meds: None

Current Illness: None

ID: 1451961
Sex: F
Age: 52
State: PR

Vax Date: 07/06/2021
Onset Date: 07/06/2021
Rec V Date: 07/06/2021
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Allergies: NO

Symptom List:

Symptoms: AFTER 5 TO 7 MINUTES, DIZZINESS, WEAK LEGS, BLURRED VISION, SHORTNESS OF BREATH, NAUSEA.

Other Meds: unknown

Current Illness: HYPERTENSION, THYROIDS

ID: 1451962
Sex: M
Age: 69
State: MI

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 07/06/2021
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Allergies: none known

Symptom List:

Symptoms: headache,tiredness,muscle pain, joint pain

Other Meds: rosuvastatin calcium 10mg daily

Current Illness: none

ID: 1451963
Sex: F
Age: 34
State: PA

Vax Date: 06/30/2021
Onset Date: 07/01/2021
Rec V Date: 07/06/2021
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Allergies: None

Symptom List:

Symptoms: The day after my arm was sore and 2 days after. Swelled lymph nodes in arm and the lymph nodes in armpit. I have a lot of pain in armpit. Then like around the 3 rd Maybe 4 days after. I notice my smell is off and hardly can taste food. And as of today july/6 i still hardly can smell or taste anything. My armpit lymph nodes still swelled and still in pain. My hole arm is not sore no more. Just the armpit

Other Meds: ADHD meds

Current Illness: None

ID: 1451964
Sex: M
Age: 67
State: ME

Vax Date: 04/22/2021
Onset Date: 05/04/2021
Rec V Date: 07/06/2021
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Allergies: no known allergies

Symptom List:

Symptoms: urinary-pain, blood-in-urine

Other Meds: alpha-lipoic-acid, milk-thistle, vitamin-B6, zinc

Current Illness: pain_right-knee-joint, swelling_left-shoulder

ID: 1451965
Sex: F
Age: 43
State: TN

Vax Date: 12/29/2020
Onset Date: 07/06/2021
Rec V Date: 07/06/2021
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Allergies: N/A

Symptom List:

Symptoms: Individual fully vaccinated with COVID19 Pfizer vaccines on 12/29/20 and 1/21/21 and tested positive for SARS-CoV-2 on 7/6/21.

Other Meds: N/A

Current Illness: N/A

ID: 1451966
Sex: F
Age: 49
State: FL

Vax Date: 07/02/2021
Onset Date: 07/03/2021
Rec V Date: 07/06/2021
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Allergies: SULFA

Symptom List:

Symptoms: PAIN IN LEFT BREAST. PATIENT DESCRIBES AS A PAIN THAT FEELS LIKE ROCKS ARE IN HER LEFT BREAST. SHE FEELS IT MORE WHEN MOVING.

Other Meds:

Current Illness:

ID: 1451967
Sex: F
Age: 24
State:

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 07/06/2021
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Allergies: -

Symptom List:

Symptoms: Chills, 104 fever, extreme muscle aches, nausea, vomiting, over a 48 hour period

Other Meds: -

Current Illness: -

ID: 1451968
Sex: M
Age: 17
State: WA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 07/06/2021
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Allergies: NKDA

Symptom List:

Symptoms: Patient turned 18 years old on 3/4/2021. On 1/10/2021 and 2/6/2021, patient received dose #1 and dose #2 of Moderna COVID vaccine respectively. Patient should've received Pfizer COVID vaccine as a 17-year-old before turning 18. Per guidelines, if a 17-year-old received Moderna dose #1, Moderna should be administered as dose #2 to finish the series as off-label. There was no adverse event to the patient. This event is reported as an administration error.

Other Meds:

Current Illness:

ID: 1451969
Sex: F
Age: 15
State: CA

Vax Date: 07/06/2021
Onset Date: 07/06/2021
Rec V Date: 07/06/2021
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Allergies: N/A

Symptom List:

Symptoms: A 15 yr old female adolescent came in for second dose COVID vaccine, after failing to appear for appointment on 07/01/2021 where she was suppose to recieve second dose of Pfizer. The patient stated she was here for a second dose of Moderna on 07/06/2021, and was mistakenly administered the Moderna dose. Patient should have recieved second dose of Pfizer.

Other Meds: N/A

Current Illness: N/A

ID: 1451970
Sex: F
Age: 43
State: WA

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

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Allergies: Azithromycin, Feraheme

Symptom List:

Symptoms: Nauseous and dizzy after 45mins, feeling off and tired. Achy and feverish after 2hrs, tachycardia after 5hrs. Called EMS and heart rate was sustaining at 135 bmp, lowest at 122 bmp for over hour.

Other Meds: None

Current Illness: None

ID: 1451971
Sex: F
Age: 73
State: MN

Vax Date: 03/04/2021
Onset Date: 03/11/2021
Rec V Date: 07/06/2021
Hospital:

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Allergies: Loratadine, Nitrofurantoin, Epinephrine

Symptom List:

Symptoms: Day 1 - Small itchy red spots (like hives) at point of injection, approximately 2" diameter Day 2 - Larger itchy, more solid red area, about 3" x 2" Day 3 - Larger itchy, harder solid red area about 4" x 2 " Day 4 - Larger red area, not as hard , not as itchy, about 6" x 2.5"; top of larger area (original area) fading Day 5 - About 7" x 3", much lighter pink, not hard or itchy

Other Meds: Multivitamin, Vitamin C, Vitamin D, low-dose aspirin

Current Illness: None

ID: 1451972
Sex: M
Age: 38
State: NC

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

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Allergies: Neosporin, Amoxicillin

Symptom List:

Symptoms: Chest tightness, muscle weakness, overall fatigue, dizziness, joint pain, chills, shortness of breath, tingling feeling in hands and feet. Symptoms kept getting worse for about 3 weeks. Was hospitalized to make sure nothing wrong with heart. Heart checked out OK. Blood tests came back clean for any other diseases. Symptoms lasted for 4 more weeks getting gradually better with time.

Other Meds: None

Current Illness: None

ID: 1451973
Sex: F
Age: 39
State: OH

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 07/06/2021
Hospital:

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Allergies: penicillin, prednisone

Symptom List:

Symptoms: Started with fatigue and sore throat next day, that evening i had blisters on back of tongue , inside lips and gums (blisters/bumps lasted for weeks), next day i had low grade fever, chills, burning in chest, chest congestion, cough, head congestion and mild sob, following that was increased heart rate, palpitations and fatigue that lasted about 2 weeks. Symptoms all resolved on their own , I was advised by PCP not to get second dose of vaccine.

Other Meds: omeprazole, singular, vitamin D, naproxen

Current Illness: na

ID: 1451974
Sex: M
Age: 34
State: CA

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 07/06/2021
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Allergies: none stated

Symptom List:

Symptoms: County notified our program that the client had a previously reported COVID-19 vaccination (Pfizer) through pharmacy on 2/21/2021. This was not reported by the client to our vaccination program on 5/11/21 when he received the Janssen COVID-19 vaccination. Pre-vaccination screening conveyed the client had not had a previous COVID-19 vaccination of any kind. Client received the Janssen COVID-19 vaccine without reported incident by staff or client.

Other Meds: none stated

Current Illness: none stated

ID: 1451975
Sex: F
Age: 52
State: NC

Vax Date: 03/29/2021
Onset Date: 05/01/2021
Rec V Date: 07/06/2021
Hospital:

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Allergies: Sulfa antibiotics, seasonal allergies (pollen)

Symptom List:

Symptoms: Inflamed right Achilles tendon. I noticed a bump behind my right ankle sometime mid May. It didn't bother me until after the first weekend in June, when I was at the beach and walked a lot in ankle-deep loose sand. The bump got bigger, and I began favoring it. I went to my Primary Care doctor during the week of June 9. She prescribed meloxicam and ice to help with the inflammation. I also started using arnica gel on the inflamed area to help with pain and to try to reduce the inflammation.

Other Meds: Buproprion XL, Buspirone, Levithyroxine, multi-vitamin, turmeric, viramin d, B-complex, krill oil, Magnolia bark, black cohosh

Current Illness: allergies

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm