VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1464277
Sex: F
Age: 28
State:

Vax Date: 04/19/2021
Onset Date: 05/04/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: heart arrhythmia, skipped heartbeat persistent/ongoing for 2 months

Other Meds:

Current Illness:

ID: 1464278
Sex: F
Age: 12
State: GA

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

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1464279
Sex: F
Age: 54
State: IL

Vax Date: 04/26/2021
Onset Date: 04/28/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Right side of tongue swollen for 12 hours. Treated with Benadryl, 3 doses. Resolved.

Other Meds: Multivitamin, gabapentin, metoprolol, atorvastatin, tramadol

Current Illness: None

ID: 1464280
Sex: F
Age: 34
State: KY

Vax Date: 04/01/2021
Onset Date: 05/01/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: My period was regular and lasted 5-7 days (although heavy) before the vaccine. The first period after the vaccine, my period lasted 3 weeks with 10-12 days being so heavy that I bled through multiple outfits a day even while using heavy duty pads and changing them every time I used the bathroom.

Other Meds: thyroid mediciation

Current Illness: no

ID: 1464281
Sex: F
Age: 43
State: DE

Vax Date: 01/30/2021
Onset Date: 02/05/2021
Rec V Date: 07/12/2021
Hospital: Y

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

Lab Data:

Allergies: Reglan

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

Symptoms: started with shortness of breath when walking or going up stairs about 4 days after being vaccinated. Then 10 days after vaccination I woke up in the middle of the night with my heartrate at 175bpm. Ended up calling 911. After that the eleveated heartrate started happening every day and at different times. The shortness of breath became so bad that I couldn't go up stairs and even taking a shower started an episode. I couldn't drive or do much of anything. A heart monitor showed I have SVT and PVCs. I was put on beta blockers but couldn't tolerate. I am now on calcium channel blocker for past 3 months. I am slowly getting better.

Other Meds: None

Current Illness: None

ID: 1464282
Sex: M
Age: 0
State: MA

Vax Date: 07/09/2021
Onset Date: 07/12/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: nkda

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

Symptoms: Medical assistant gave a hepatitis B vaccine to the 3 month old patient who was here for his 2 month physical but she was not aware that baby had already gotten his second hepatitis B vaccine on his 1 month old physical in May 2021 so basically this hepatitis b vaccine was not needed and he will still need to get another at his 6 month check up

Other Meds: none

Current Illness: n/a

ID: 1464284
Sex: F
Age: 50
State: GA

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

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1464285
Sex: F
Age: 46
State: MD

Vax Date: 01/18/2021
Onset Date: 07/10/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: COVID positive after vaccination

Other Meds:

Current Illness:

ID: 1464286
Sex: F
Age: 40
State: NM

Vax Date: 06/01/2021
Onset Date: 06/19/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, and Brazilian nuts.

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: After the first injection the same night around 11pm I had extreme nausea and diarrhea that lasted through the night. After the second injection my side effects were more extreme. That same night around 10pm I had drowsiness, so I went to bed. Shortly after I had nausea and chills. The chill were causing my body to shake severely even though I was covered in blankets. Then the body pain kicked in. It was so bad I couldn?t even walk, and just switching positions in bed brought me to tears. In the morning I was running a fever of 100.2 and the body aches remained. My fever lasted 48hrs as well as the body aches. Overall, I felt so bad I contemplated going to the hospital.

Other Meds:

Current Illness:

ID: 1464287
Sex: M
Age: 73
State: MO

Vax Date: 04/07/2021
Onset Date: 06/01/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: In June I began to have high blood pressure and an irregular heart rate. I saw Dr. and he sent me to a cardiologist who recommended tests and put me on Metoprolol

Other Meds: Losartan - 50mg @ 1 per day Multi vitamin

Current Illness: being treated for high blood pressure - under control

ID: 1464288
Sex: F
Age: 25
State: NY

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

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

Lab Data:

Allergies: trees, penicillin, grass, mold, dust, cats, dogs, mosquitos, roaches, dairy, almonds

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Itchy throat

Other Meds: Multivitamin, albuterol

Current Illness: asthma, anxiety

ID: 1464289
Sex: F
Age: 58
State: NC

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

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)-

Other Meds:

Current Illness:

ID: 1464290
Sex: M
Age: 33
State: TX

Vax Date: 06/15/2021
Onset Date: 06/19/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: PATIENT STARTED FEELING DIZZINESS/VERTIGO ABOUT 1 WEEK AFTER THE SHOT AND HAS BEEN HAVING SPELLS OFF AND ON. PATIENT WAS TOLD TO SEE PRIMARY CARE PHYSICIAN.

Other Meds:

Current Illness:

ID: 1464291
Sex: F
Age: 25
State:

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: Dizziness, severe weakness in limbs, ?covid arm?, low energy

Other Meds: None

Current Illness: None

ID: 1464293
Sex: F
Age: 61
State: TX

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

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

Lab Data:

Allergies:

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

Symptoms: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-

Other Meds:

Current Illness:

ID: 1464294
Sex: F
Age: 56
State: IL

Vax Date: 05/18/2021
Onset Date: 05/23/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: 5 days after first injection lymph node in left arm became swollen. days later tenderness and swelling started traveling down my arm. day after second injection. lymph node became larger, entire arm more painful and swollen, and vein's all the way down to wrist was swollen, painful, and felt like a rubber band being stretched. could not lift up my arm. first was diagnosed with Lymphadenitis and was prescribed amoxicillin. days after kept getting worse so put on Bactrim for 2 weeks and was sent for an MRI of my arm for possible blood clot in arm. No clot detected . Today arm better, still have a small lump under arm and still feed some tightness/pulling/burning in my left arm.

Other Meds: rosuvastatin, vitamins-multi, biotin, calcium, fiber, b12, turmeric,

Current Illness: None

ID: 1464295
Sex: F
Age: 46
State: TX

Vax Date: 05/24/2021
Onset Date: 07/02/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: I started bleeding on 06/02/21 from what i though was a regular menstrual cycle and have been bleeding ever since. I have been to the Dr. twice, for heavy, abnormal bleeding and abnormal clotting . First Dr. visit was on 06/15/21, bleeding for two weeks I was put on medication to control it, I was sent to do an ultrasound on 6/30/21, and had a biopsy done on 7/1/21. Results pending until the 20th of July 2021. To this date I am still bleeding however it is controlled by medication. If I skip my medication for a day I will start to bleed heavy. I have been bleeding for a month and ten days.

Other Meds: Hydrochlorithizide .25 mg

Current Illness: none

ID: 1464296
Sex: F
Age: 12
State: PA

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

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Site: Redness at Injection Site-Mild

Other Meds:

Current Illness:

ID: 1464297
Sex: F
Age: 38
State: IL

Vax Date: 03/28/2021
Onset Date: 05/31/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: Environmental allergies only

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I have, started on May 31, 2021 had very bad hive rash that flared up and traveled all over my body. I have also been experiencing worse than ever asthma attacks worse than ever, where my face gets very bright red, lips turn blue and can hardly breath. When I take my inhaler, and usually after about 15 minutes it calms down. I get headaches, get dizzy often and just feel very fatigued. I am also flushed in the face a lot, my lungs hurt like there is a lot of pressure on them and I also experience cold sweats. I contacted my DR on June 5th 2021 and I could not get in to see my DR so I went to Urgent care on June 6th 2021. They prescribed me with prednisone, a steroid to control the rash and asthma attacks. This did help a bit and then upon ending the steroid, when getting down to two per day, the symptoms came back. At that point I visited my PCD, on Tuesday June 15th 2021. She put me back on the steroids, 3x daily and that did help, she put me on those until I could see my pulmonologist. On Thursday June 17th 2021 and they took me off the steroids, and said there is nothing they can do. I have an appointment with an allergist and a dermatologist in August 2021, which is the earliest they could get me in.

Other Meds: Brio, Albuterol, XyXal, Montelukast, clonazepam

Current Illness: N/a

ID: 1464298
Sex: F
Age: 14
State: MD

Vax Date: 06/24/2021
Onset Date: 06/24/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Site: Pain at Injection Site-Severe, Additional Details: patient is to follow up with a neurologist due to numbness in her arm from elbow down

Other Meds:

Current Illness:

ID: 1464300
Sex: F
Age: 50
State: CT

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

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

Lab Data:

Allergies:

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

Symptoms: Patient received a Moderna for her 1st dose and a Pfizer vaccine for her second dose in the series. Spaced 28 days apart.

Other Meds:

Current Illness:

ID: 1464301
Sex: F
Age: 52
State: SC

Vax Date: 07/02/2021
Onset Date: 07/02/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: Smoke, Seasonal Allergies

Symptom List: Unevaluable event

Symptoms: Pt. states received Phizer 1st dose 07/02/2021, Left hand/fingers going numb after 45mins. Rash over hands and feet, soreness in the left arm 2 days, vomited a little, fatigued, nauseous, fever when nauseous, loss of appetite (bland), taste buds effected. Alerted Physicians, told to just do a report. No physical physician appt. Prescribed Finnegan. ER recommended due to lack of physician's attention to the events.

Other Meds: Aderex (Allergy Medication)

Current Illness: N/A

ID: 1464302
Sex: M
Age: 33
State: MD

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Chronic sinus congestion, leading to several infections, since the completion of both vaccine doses.

Other Meds: Ibuprofen, fiber supplement

Current Illness:

ID: 1464303
Sex: F
Age: 15
State: IL

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1464304
Sex: F
Age: 72
State: VA

Vax Date: 02/16/2021
Onset Date: 03/01/2021
Rec V Date: 07/12/2021
Hospital: Y

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

Lab Data:

Allergies: Allergic to salt-water fish, Keflex, penicillin.

Symptom List: Injection site pain, Menorrhagia

Symptoms: Face was sore and noticed drooping left side, tongue went off to the left, went to the hospital where she got a stoke. TPA through IV.

Other Meds: Normal medications always take.

Current Illness: No.

ID: 1464305
Sex: M
Age: 67
State: OR

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Gout, four days long, starting on 4/10-11/2021.

Other Meds: Aspirin; Melatonin; Albuterol inhaler

Current Illness: None

ID: 1464306
Sex: F
Age: 38
State: TX

Vax Date: 07/08/2021
Onset Date: 07/09/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: mango allergy

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: headache for 2 days then resolved, restless leg syndrome for 3 days then resolved, yellow oily diarrhea on day 4 with no change to diet

Other Meds: none

Current Illness: none

ID: 1464307
Sex: M
Age: 54
State: FL

Vax Date: 12/17/2020
Onset Date: 05/20/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Inflammation of left great toe consistent with gout. Treated with NSAIDs, Medrol dose pack. Pain persisted for about 7 weeks.

Other Meds: Prilosec, Zyrtec, Crestor

Current Illness: None

ID: 1464308
Sex: F
Age: 62
State: RI

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

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

Lab Data:

Allergies:

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

Symptoms: Error: Wrong Dose of Vaccine - Too High-

Other Meds:

Current Illness:

ID: 1464309
Sex: F
Age: 58
State: AZ

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Nausea

Symptoms: Had persistent coughing and chest pain since the vaccine, also have had shingles at the same time, doctor uncertain if symptoms are all shingles-related or not. Have been prescribed medicine for shingles for 10 days.

Other Meds: Amlodipine; Potassium; Low-Dose Aspirin; Vitamin D3; Metrazole; Omeprazole; Venlafaxine; Temazepam.

Current Illness: N/A

ID: 1464310
Sex: F
Age: 27
State: FL

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Additional Details: Within a minute of giving patient her first dose patient leaned backwards in chair seemed like she fainted for brief moment, grabbed her to make sure she didnt fall out of chair and was responsive within a few seconds. It happened a 2 more times where she leaned back again for a brief moment and doesnt rememeber. The 3rd time she leaned foward and spit up a little of the water she just had. Called 911 after the second time EMS came and checked her blood pressure and make sure she was ok.

Other Meds:

Current Illness:

ID: 1464311
Sex: M
Age: 57
State: CA

Vax Date: 01/13/2021
Onset Date: 07/10/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: This EE was fully vaccinated on 12/23/2020 and 01/13/2021.

Other Meds: Alvesco, Ventolin and Sildenafil.

Current Illness: none

ID: 1464312
Sex: M
Age: 55
State: CO

Vax Date: 06/18/2021
Onset Date: 06/26/2021
Rec V Date: 07/12/2021
Hospital: Y

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

Lab Data:

Allergies: No Allergies to medications, food, or other products.

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

Symptoms: Acute saddle pulmonary embolism. S/p pulmonary embolectomy. Spent 3 days in ICU + 2 days recovering at the Hospital

Other Meds: NO Prescriptions, over-the-counter medications, dietary supplements, or herbal remedies being taken at the time of vaccination.

Current Illness: No other illnesses at the time of vaccination

ID: 1464313
Sex: F
Age: 43
State: NC

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

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

Lab Data:

Allergies: Amoxicillan

Symptom List: Tremor

Symptoms: May: tingly/pins-and-needles in hands June: loss of feeling/numbness in left lower leg; quickly followed by acute weakness and loss of feeling/mobility in right leg and both hands and forearms

Other Meds: multivitamin, Vit D, Vit B, MTHF, Neuro-Mag, NAC

Current Illness: none

ID: 1464314
Sex: F
Age: 13
State: CT

Vax Date: 07/09/2021
Onset Date: 07/09/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List: Erythema, Pruritus

Symptoms: Moderna Vaccine administered to an adolescent (13 Years old)

Other Meds: Benzoyl Peroxide (10%) soap; Adapalene Gel (.1%) topical:

Current Illness: None

ID: 1464315
Sex: F
Age: 53
State: TX

Vax Date: 05/25/2021
Onset Date: 05/25/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: nkda

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Patient came to the pharmacy and requested the Johnson and Johnson vaccine. Patient was instead given the Pfizer vaccine. According to individuals who were present, the Johnson vaccine was entered into the computer, however the pharmacist pulled out the Pfizer vaccine and gave it to the immunizing technician. The technician did not question which vaccine she was given and injected the patient. The pharmacist filled out the CDC vaccination card accordingly and when it was give to the patient she noticed the error and questioned why she was given the Pfizer vaccine when she asked for Johnson. The pharmacist explained the error to the patient. There were no reported side effects however the patient was very upset. The Pfizer vaccine was then entered into the computer to accurately reflect the immunization she received.

Other Meds: phentermine 37.5mg

Current Illness: unknown

ID: 1464316
Sex: F
Age: 30
State:

Vax Date: 07/07/2021
Onset Date: 07/07/2021
Rec V Date: 07/12/2021
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Allergies: PCN

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

Symptoms: Chest pains starting 3-4 hours after vaccine Intermittent Heart fluttering. Fatigue and joint pains. Joint pains and fatigue have improved but CP and fluttering marginally less

Other Meds: None

Current Illness: None

ID: 1464317
Sex: M
Age: 18
State: CA

Vax Date: 06/19/2021
Onset Date: 06/21/2021
Rec V Date: 07/12/2021
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Allergies: None known

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Adverse event: acute myocarditis/pericarditis. 2 days after receiving Pfizer #2, dev substernal chest pain, largely positional with positional dry cough. Also had left arm numbness/paresthesia after second vaccine. Treatments: 1 dose enoxaparin, IVF, ondansetron x 1, then placed on/discharged from hospital on colchine Never had fever or tachycardia

Other Meds: None known

Current Illness: None

ID: 1464318
Sex: F
Age: 65
State: NJ

Vax Date: 04/01/2021
Onset Date: 06/29/2021
Rec V Date: 07/12/2021
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Allergies: Penicillin, Sulfa

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

Symptoms: Extreme arthritis like pain in joints and back of legs and brief waves of head pain. On May 10, 2021 a foot doctor prescribed Gabapentin 100 mg for nerve pain in foot and I could not take it for more than 3 days. I had extreme and worsening arthritis type joint and body aches and by the third day my brain hurt and I was worried I would have a seizure so I stopped taking it. I have had quick incidents of this type of pain since the vaccine, but I always thought arthritis. On June 29, 2021 I began having really bad joint pains and pains down the back of my legs and the waves of headache. I could never figure what was triggering these incidents and it was so bad that on June 30, 2021 I went to the doctor.

Other Meds: Bupropion HCL 75mg; Fexofenadine Hydrochloride 180 mg; Daily

Current Illness: None

ID: 1464319
Sex: F
Age: 15
State: IL

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 07/12/2021
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Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1464320
Sex: F
Age: 62
State: SC

Vax Date: 03/01/2021
Onset Date: 04/21/2021
Rec V Date: 07/12/2021
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Allergies: Sulfa drugs

Symptom List: Pain in extremity

Symptoms: Numbness in the arm. One day there was absolutely no feeling in my left arm for over an hour. The numbness is less now, only from the wrist down . New issue is a bundle of nerves in the center of my palm.

Other Meds: Low dose aspirin therapy to prevent blood clits

Current Illness: None

ID: 1464321
Sex: F
Age: 52
State: NC

Vax Date: 07/08/2021
Onset Date: 07/09/2021
Rec V Date: 07/12/2021
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Allergies:

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Patient reported a high fever (104 degrees F) followed by Aphthous ulcers (canker sores) all over her mouth. She saw a dentist on 7/12/21 and will be seeing her PCP on 7/15/21. She said that she is treating the canker sores with salt water rinses.

Other Meds:

Current Illness:

ID: 1464322
Sex: M
Age: 61
State: FL

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 07/12/2021
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Allergies: none

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

Symptoms: severe ringing in both ears. started 45 mins after injection. also, cold sweat for approx 5 mins after injection. to date ringing still there and very severe.

Other Meds: plaviks, atorvastatin,metoprolol succina

Current Illness: none

ID: 1464323
Sex: F
Age: 33
State: IN

Vax Date: 02/06/2021
Onset Date: 06/30/2021
Rec V Date: 07/12/2021
Hospital: Y

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Allergies: none

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: woke up on 6/30/21, no problems, felt normal. An hour later, got up to go to kitchen, right leg stated to go numb. Within 5 mins, right leg and hip and buttock were numb, could not feel or move it. Ended up going to ER, had L-spine MRI done, negative. Was told it was muscle inflammation causing nerve inflammation and irritation. Given one dose of IV steroids and a prednisone taper pack and sent home. The following day, 7/1/21, numbness had increased to include perineum and buttocks, and worse in the right leg. Went to see a spine specialist, who sent me to the ER to get a bigger workup. In the ER, they ended up doing a complete spine and brain MRI, all of which were negative for any structural abnormality. Diagnosed it as possible transverse myelitis, admitted to the hospital for high dose IV steroids. Had lumbar puncture 7/2/21. Had 4 doses IV steroids, then started on prednisone taper (will be for 2.5 weeks).

Other Meds: vitamin D3, multivitamin

Current Illness: gave birth 2 weeks prior

ID: 1464324
Sex: F
Age: 18
State: MN

Vax Date: 05/12/2021
Onset Date: 07/11/2021
Rec V Date: 07/12/2021
Hospital: Y

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Symptom List: Vomiting

Symptoms: Received Pfizer vaccines on 5/12/21 and 6/2/21. Admitted to hospital on 7/11/21 d/t non-COVID reasons and tested positive on admission screening for COVID-19 by PCR on 7/11/21. Patient is asymptomatic for COVID.

Other Meds:

Current Illness:

ID: 1464325
Sex: F
Age: 42
State: DE

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 07/12/2021
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Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Nearly immediate Heart palpitations and high blood pressure at time of shot, as well as arm numbness, and nearly fainted within first few minutes of vaccine. Palpitations continued on/off for 24 hours. In days following, out of breath symptom appeared on day 4 post vaccine, and continued palpitations (though not as frequent) , as well as increased general heartrate and feeling of heart beating out of chest presented as well. Symptoms continue nearly daily until present day- July 12, 2021.

Other Meds: None

Current Illness: None

ID: 1464326
Sex: M
Age: 15
State: AZ

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 07/12/2021
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Allergies:

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

Symptoms: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1464327
Sex: F
Age: 33
State: VA

Vax Date: 07/09/2021
Onset Date: 07/12/2021
Rec V Date: 07/12/2021
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Allergies: Lactose Intolerance

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Marble sized lump felt under skin on left size of body where neck and chest meet (lowest part of neck). Painful to touch. Ibuprofen taken - still waiting for lump to disappear.

Other Meds: No

Current Illness: No

ID: 1464328
Sex: F
Age: 61
State: MI

Vax Date: 04/02/2021
Onset Date: 04/09/2021
Rec V Date: 07/12/2021
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Allergies: Antibiotics; Fluoroquinolones; Sensitive to steroids and antihistamines.

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

Symptoms: One week following after the vaccination, my arthritis has gotten worse. I'm having cramps in my legs. The cramps in my legs had me go to the doctor. Doctor also notice I had more swelling were my arthritis is. I'm started taking the supplements, calcium, potassium, and magnesium, it's a combination to deal with the leg cramps. And the doctor gave me an osteopathic adjustment. The AE are disabling and impairing my function. I am also having muscle cramps in my abdomen.

Other Meds: Compound Thyroid; Supplement for sleep with Melatonin; Vitamin D; Antacid.

Current Illness: No.

ID: 1464329
Sex: M
Age: 61
State: NJ

Vax Date: 05/26/2021
Onset Date: 06/23/2021
Rec V Date: 07/12/2021
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Allergies: No

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

Symptoms: Fever, Chills, vomiting, headache, swollen arm, lethargic.

Other Meds: No

Current Illness: Vomiting, very ill, unable to walk or get out of bed. My head was in pain. I had a fever. My arm was numb. I was very afraid.

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am