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: 1491230
Sex: F
Age: 44
State: CA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 07/21/2021
Hospital:

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

Lab Data:

Allergies: Shellfish Miacins Penicillin Cipro

Symptom List:

Symptoms: The back of my head and neck were very swollen and sore since I received the vaccine. My fingers and fingertips have been experiencing extreme pain, numbness, and tingling since I received the vaccine. My right hand and arm have been having burning pain, numbness and tingling. The pinky finger on my right hand has hurt the worst and the pain hasn?t gone away.

Other Meds: Sharobel Birth Control Pill

Current Illness: N/A

ID: 1491231
Sex: M
Age: 49
State: FL

Vax Date: 06/26/2021
Onset Date: 07/04/2021
Rec V Date: 07/21/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Diffuse Right shoulder and upper arm pain starting 2 weeks and 3 days after second dose of Pfizer vaccine; in addition to Rt axillary lymphadenopathy 2in x 2in, painful, starting 2 weeks and 1 days after second dose of Pfizer vaccine, symptoms are still present, recommended OTC Tylenol as needed and follow up with primary care provider for further evaluation and treatment

Other Meds: metformin, vitamin D, vitamin B12, ipratropium nasal spray

Current Illness:

ID: 1491232
Sex: M
Age: 27
State: DC

Vax Date: 07/21/2021
Onset Date: 07/21/2021
Rec V Date: 07/21/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient came into the facility and requested the Pfizer Covid-19 Vaccine. He stated that he received the Janssen Covid-19 Vaccine in April and was leaving the country in 2 days. He stressed that he talked it over with his PCP and they decided the he should get the Pfizer vaccine before he leaves. He stated that he was worried about the Delta variant. It was administered 07/21/21

Other Meds:

Current Illness:

ID: 1491233
Sex: F
Age: 50
State: CA

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

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

Lab Data:

Allergies: Keflex Sensitivity Coconut

Symptom List:

Symptoms: I was fatigued that evening got up very early with severe panic attack. I was covered in a bright red rash, heart was racing, had sweats, chills, head had pressure pain. Took some Benadryl. The rest of the week I had flu like symptoms. My joints were inflamed and I could not eat. Body aches. Rash lasted 3 days.

Other Meds: Levothyroxine Methocarbamol Sulfasalazine Mesalamine Carafate Reglan Doxycycline Lidocaine Zofran Fentanyl patch As needed liquid morphine Trazadone Multivitamin Vitamin D Milk Thistle Magnesium Calcium

Current Illness: None

ID: 1491234
Sex: M
Age: 32
State: CA

Vax Date: 04/20/2021
Onset Date: 07/06/2021
Rec V Date: 07/21/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: I got shingles. I got a Toradol shot for the pain and was given an antiviral medication, Ibuprofen, and Tylenol 3 with Codeine.

Other Meds: None

Current Illness: None

ID: 1491235
Sex: F
Age: 16
State: CA

Vax Date: 06/11/2021
Onset Date: 06/11/2021
Rec V Date: 07/21/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received first Moderna dose. Pt had vaccine card as proof. Per CDC guidelines, if first dose of Moderna was given under the age of 18, complete the series with a second Moderna, so we gave the second dose.

Other Meds:

Current Illness:

ID: 1491236
Sex: F
Age: 39
State: DC

Vax Date: 07/21/2021
Onset Date: 07/21/2021
Rec V Date: 07/21/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient came into the clinic requesting the Pfizer Covid-19 vaccine. She stated that she received a Janssen Covid-19 vaccine 4/09/21 and was worried about the Delta variant. She stated that she and her PCP had discussed it and agreed that she should get the Pfizer Covid-19 vaccine. She received the vaccine 7/21/21

Other Meds:

Current Illness:

ID: 1491238
Sex: M
Age: 40
State: DC

Vax Date: 07/21/2021
Onset Date: 07/21/2021
Rec V Date: 07/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient came into the clinic requesting the Pfizer Covid-19 vaccine. He stated that he received a Janssen Covid-19 vaccine 4/09/21 and was worried about the Delta variant. He stated that he and his PCP had discussed it and agreed that he should get the Pfizer Covid-19 vaccine. He received the vaccine 7/21/21

Other Meds:

Current Illness:

ID: 1491239
Sex: M
Age: 57
State: GA

Vax Date: 03/20/2021
Onset Date: 04/01/2021
Rec V Date: 07/21/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: NA

Symptom List:

Symptoms: I started having numbness and tingling in the left foot and left hand after taking the shot along with headaches. I mention to my primary doctor during my physical and he has referred me to a neurologist that I have scheduled an appointment to further evaluate.. I continue to experience this and I'm awaiting my appointment with the neurologist.

Other Meds: NA

Current Illness: NO

ID: 1491240
Sex: F
Age: 65
State: FL

Vax Date: 04/12/2021
Onset Date: 04/23/2021
Rec V Date: 07/21/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Non arteritic anterior ischemic optic neuropathy

Other Meds:

Current Illness:

ID: 1491241
Sex: F
Age: 49
State: OR

Vax Date: 06/30/2021
Onset Date: 07/03/2021
Rec V Date: 07/21/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Moraine Sulfa Drugs Latex

Symptom List:

Symptoms: Extreme head and body aches, cold and hot flashes, high temperature, in bed for 5 days straight, couldn't move my neck or upper body without extreme pain.

Other Meds: Paxil 20mg

Current Illness: None

ID: 1491242
Sex: F
Age: 20
State: PA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 07/21/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Amoxicillin, Chimerisol, Venofer iron infusions

Symptom List:

Symptoms: My symptoms started one minute after receiving the vaccine. It started out I was itchy where the shot was. Then my whole body became itchy. The pharmacist gave me 200mg of Benadryl. It helped but not completely. I went to the doctor within a couple of days to try and get treatment for the itchiness. They prescribed some kind of steroid but I did not take it because I did not want it to prevent the vaccine from working. The itchiness lasted about one month. It was very intense and I had to take Benadryl the whole month. I did see an allergist that told me it was a case of hives, but the hives do not show.

Other Meds: Methotrexate 15mg, Lansoprisol 30mg, Folic Acid 5mg, Hydroxychloroquine, Prednisone 5mg, Vitamin D3 4000U

Current Illness:

ID: 1491243
Sex: F
Age: 42
State: DC

Vax Date: 07/21/2021
Onset Date: 07/21/2021
Rec V Date: 07/21/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient came into the clinic requesting the Pfizer Covid-19 vaccine. She stated that she received a Janssen Covid-19 vaccine but does not recall the date and was worried about the Delta variant. She stated that she and her PCP had discussed it and agreed that she should get the Pfizer Covid-19 vaccine. She received the vaccine 7/21/21

Other Meds:

Current Illness:

ID: 1491244
Sex: F
Age: 17
State: OR

Vax Date: 04/18/2021
Onset Date: 04/18/2021
Rec V Date: 07/21/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Per Alert, this patient's first dose/vaccine was Pfizer on 3/27 and the 2nd dose/vaccine was Moderna on 4/18, Alert says "NOT VALID" for the Moderna vaccine.

Other Meds:

Current Illness:

ID: 1491245
Sex: F
Age: 60
State: AZ

Vax Date: 04/04/2021
Onset Date: 04/22/2021
Rec V Date: 07/21/2021
Hospital:

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Lab Data:

Allergies: NKA

Symptom List:

Symptoms: 3/23 Arthritic flare up w/ painful numbness. NSAIDs, Voltaren, referred to Rheumatologist, Physical therapy.

Other Meds: Voltaren; Pu-Erh

Current Illness: None

ID: 1491246
Sex: F
Age: 58
State: CA

Vax Date: 07/20/2021
Onset Date: 07/20/2021
Rec V Date: 07/21/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: The patient received the second dose of the vaccine too early. She was 15 days out, not 21 days out. This is our only reported event.

Other Meds:

Current Illness:

ID: 1491247
Sex: M
Age: 19
State: FL

Vax Date: 07/19/2021
Onset Date: 07/19/2021
Rec V Date: 07/21/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Orthostatic hypotension leading to unconsciousness, Shortness of breath, dizziness, headache, fatigue

Other Meds: NA

Current Illness: NA

ID: 1491248
Sex: F
Age: 11
State: MT

Vax Date: 07/20/2021
Onset Date: 07/20/2021
Rec V Date: 07/21/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Raspberry Vancomycin

Symptom List:

Symptoms: COVID vaccine administered to 11 year old patient.

Other Meds: Hydroxyzine hydrochloride 10 mg daily, Melatonin 5 mg nightly, Sertraline 100 mg daily

Current Illness: None

ID: 1491249
Sex: M
Age: 35
State: CA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 07/21/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Shoulder around injection site still has pain. Usually the pain is behind the or at the side of the injection site. The pain comes and goes and it is noticeable. I still have full range and use of my shoulder. However, after four months of having the shot, it is strange how the pain/soreness is still there. My doctor said either to have physical therapy or to try to self therapy which I choose to do.

Other Meds: Q var

Current Illness:

ID: 1491250
Sex: M
Age: 15
State: CA

Vax Date: 07/21/2021
Onset Date: 07/21/2021
Rec V Date: 07/21/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: At approximately 1445 EMT was notified by the mother of client, a 15yo male, that her son was feeling light headed. The client's mother stated that they were leaving the observation site after the client's 15 minute wait following a first dose Pfizer COVID vaccine (LOT EW0191, exp: 08/31/2021) when the client reported feeling light headed. The mother brought the client back to the observation area for evaluation. EMT placed the client in the zero gravity chair and at 1450 took a first set of vitals with client seated: BP 122/48, HR 75, RR 20, skins normal color for ethnicity, dry and warm. Lead RN assessed client who explained that approximately 10 minutes after receiving the first dose Pfizer COVID vaccine (given at 1425) he felt light headed, like a "buzzed" feeling. He did not mention the feeling to his mother or the EMTs. When he stood up to leave he stated the feeling got stronger. Client stated his last oral intake was a sandwich he ate at 1230. Client denied any other symptoms such as chest pain, shortness of breath, nausea, tingling of face, mouth or throat swelling. Client's mother denied any pertinent medical history, stated client had ADHD and anxiety, denied any daily medication use and denied any allergies to foods/medications/environment. Client stated he gets the same feeling when he gets the flu vaccine. Client was given a juice box which he drank and a bottle of water which he sipped. At 1452 a second set of vitals were taken: BP 136/64, HR 70, RR 20, skins warm, dry and normal color for ethnicity. Client advised to stay in observation and to alert if symptoms worsen or persist. At 1300 a third set of vitals were taken: BP 118/52, HR 80, RR 24. Client's mother confirmed with EMT that these are normal vital ranges for client. At 1310 client stated he felt better and symptoms of dizziness and feeling lightheaded had resolved. Lead RN educated client's mother on ED protocols. Client left the observation site with his mother on his own accord and with a steady gait.

Other Meds: None

Current Illness: None

ID: 1491251
Sex: F
Age: 29
State: DE

Vax Date: 07/21/2021
Onset Date: 07/21/2021
Rec V Date: 07/21/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: patient reported feeling tingling sensation down her vaccine arm and slightly cool to the touch on lower arm, upper arm began feeling warm. patient reported no other feelings or symptoms, no allergic reaction. advised patient to move arm to see if feeling would subside. she did, then relaxed fora while and feeling began to lessen. she stayed with me long enough for the feeling to subside. she said she felt fine and left, after i told her i would report her symptom just in case.

Other Meds: n/a

Current Illness: no

ID: 1491252
Sex: U
Age:
State: CA

Vax Date: 04/01/2021
Onset Date:
Rec V Date: 07/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Recurrent cough, difficulty taking a deep breath, chest tightness, wheezing periodic, continuous mucus production worse in mornings productive cough for over past three months starting Two weeks after the second dose. Persistently suppressed pulmonary function tests With only minimal improvement with bronchodilators, insulation treatments, and nasal steroids. Patient states that this is not has not been a problem prior to the vaccine series.

Other Meds:

Current Illness:

ID: 1491253
Sex: F
Age: 45
State: MD

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 07/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Rash, lichen planus

Other Meds: None

Current Illness: None

ID: 1491254
Sex: M
Age: 55
State: PA

Vax Date: 02/20/2021
Onset Date: 03/16/2021
Rec V Date: 07/21/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: With no history of hearing problems, I lost hearing in my left ear over a two hour period on March 16, and developed acute tinnitus with hyperacusis. With steroid treatments, I recovered some of the hearing in the first week following the loss. The tinnitus and hyperacusis continue unabated, impacting my ability to function and work.

Other Meds: Daily Prescription Aspirin 81mg 1/day Simvistatin 40mg 1/day Fenofibrate 160mg 1/day Daily OTC Multivitamin 1/day Fish Oil 1000mg 2/day Vitamin D3 2000 IU 1/day

Current Illness: none

ID: 1491255
Sex: F
Age: 26
State: MA

Vax Date: 07/07/2021
Onset Date: 07/07/2021
Rec V Date: 07/21/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Itching started around 40 minutes after vaccination (arms, face, head, neck, back, legs, ears, eyes, and nose) and lasted 5 hours, then came and went through 7/10 with milder intensity. Took allergy medicine 7/10. Face redness for 3 hours after vaccination. Slight cough with clear mucus a handful of times and felt chest congestion on 7/10.

Other Meds: tylenol and ibuprofen as needed (not taken day of vaccine)

Current Illness: n/a

ID: 1491256
Sex: F
Age: 50
State: TX

Vax Date: 12/01/2020
Onset Date: 12/01/2020
Rec V Date: 07/21/2021
Hospital:

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

Lab Data:

Allergies: Cipro, Morphine, Azithromycin, Soma, Tetanus, Norco

Symptom List:

Symptoms: Continued pain in shoulder joint, not muscle. Weakness in left arm and no longer have full range of motion. Possible SIRVA.

Other Meds: Benadryl, Sudafed, Tylenol, Gabapentin, Albuterol

Current Illness: None

ID: 1491257
Sex: F
Age: 38
State: CA

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 07/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: A strong skin reaction that I?m still having it

Other Meds: Fluoxetine Valproate Sodium

Current Illness:

ID: 1491258
Sex: M
Age: 11
State: CO

Vax Date: 07/21/2021
Onset Date: 07/21/2021
Rec V Date: 07/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Mother filled out informed consent form and put the childs dob as 5/28/09. Has pt dob listed as 05/28/10. We did due diligence by having parent sign form.

Other Meds:

Current Illness:

ID: 1491259
Sex: F
Age: 72
State: CO

Vax Date: 03/29/2021
Onset Date: 04/11/2021
Rec V Date: 07/21/2021
Hospital:

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

Lab Data:

Allergies: Aspirin

Symptom List:

Symptoms: Onset of IBS (Irritable Bowel Syndrome) with serious diarrhea after eating - especially vegetables. I have NEVER had a condition like this before in my life. Saw the Dr who did blood tests and took stoop samples. All negative. Problem has persisted from April to present. Began home treatment of pre and pro-biotics. Also ordered some IBS herbal treatment. The regiment of prebiotics seems to have helped the most in bringing my system back into alignment. I can now eat salad without racing to the bathroom, And the diarrhea has subsided. But I can tell from my gurgling stomach that I am not totally "cured".

Other Meds: Multi-vitamin, papaya & pineapple enzymes, CoQ10, SaroVital-HGH, vitamins E and D, glucosamine, magnesium, zinc, calcium, turmeric, cinnamon, plankton.

Current Illness: None

ID: 1491421
Sex: F
Age: 29
State: TX

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Pain and numbness on site as expected the day of. Months later (July) I feel the same pain and numbness, my hand loses strength and feels fatigued. Pain starts at the injection site and runs down to mid forearm. This happened the morning after a hike, woke up with pain in the middle of the night, tried to sleep it off but woke up the next morning to more pain. Took Tylenol . It happened one other time in July (19th) in the morning after waking up again. This time I took no medicine and pain went away during the day.

Other Meds: None

Current Illness: None

ID: 1491422
Sex: M
Age: 24
State: AR

Vax Date: 07/21/2021
Onset Date: 07/21/2021
Rec V Date: 07/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient started feeling dizzy, hot, and nauseated then his vision started to "black out." He vomited and his heart rate was elevated. He laid down on the floor for a few minutes. Then he sat down for about 20 minutes and he said he felt a lot better.

Other Meds:

Current Illness:

ID: 1491423
Sex: F
Age: 25
State: MI

Vax Date: 07/17/2021
Onset Date: 07/18/2021
Rec V Date: 07/21/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Biaxin

Symptom List:

Symptoms: Sleeplessness, headache, eye pain, severe sore throat, throat dryness

Other Meds:

Current Illness:

ID: 1491424
Sex: F
Age: 42
State: IL

Vax Date: 07/21/2021
Onset Date: 07/21/2021
Rec V Date: 07/21/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Patient had a seizure approximately 10 minutes after vaccination. She was seated and her daughter was with her. Daughter reported seizures are common with her mom but this one seemed to be longer in duration than normal.

Other Meds: Unknown

Current Illness: N/A

ID: 1491425
Sex: M
Age: 63
State: CA

Vax Date: 04/08/2021
Onset Date: 04/26/2021
Rec V Date: 07/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Acute hearing loss 90% in right ear, 30% in left I also suffered a stroke TIA on July 3, 2021 @ 7PM

Other Meds: Lipitor 20mg

Current Illness: None

ID: 1491426
Sex: F
Age: 26
State: MA

Vax Date: 07/21/2021
Onset Date: 07/21/2021
Rec V Date: 07/21/2021
Hospital:

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

Lab Data:

Allergies: CHOCOLATE, GLUTEN, CODEINE

Symptom List:

Symptoms: PATIENT HAD LIP AND TONGUE SWELLING AFTER PFIZER VACCINE. SYMPTOMS STARTED AFTER 10MINUTES. ONE DOSE OF EPIPEN WAS ADMINISTERED AT PHARMACY. PATIENT WAS ALSO GIVEN 25MG OF DIPHENHYDRAMINE.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1491427
Sex: M
Age: 65
State: CA

Vax Date: 03/02/2021
Onset Date: 04/01/2021
Rec V Date: 07/21/2021
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Allergies: none

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Symptoms: Dry mouth at night, diagnosis type II diabetes

Other Meds: Losartan 100mg

Current Illness: none

ID: 1491428
Sex: M
Age: 55
State: PA

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 07/21/2021
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Allergies: none

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Symptoms: Patient fainted while waiting 15 minutes, fell over , may have hit head.

Other Meds: none

Current Illness:

ID: 1491429
Sex: M
Age: 30
State: CA

Vax Date: 07/21/2021
Onset Date: 07/21/2021
Rec V Date: 07/21/2021
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Allergies: None per patient

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Symptoms: Administered vaccine at 1:33 PM into RD Deltoid patient fainted at 1:36 PM after administration of Vaccine. Nurse practitioner assessed patient Vitals Taken 1:36 PM Blood Pressure: 112/80mmhg Pulse: 62 Sp02: 100%. Observed patient for additional 15 Minutes per provider. Vital retaken at 2:10 PM Blood pressure: 90/60mmhg Pulse: 63 Spo2: 100% . Per provider okay to release home . Notified if symptoms worsen go to nearest emergency room and/or contact his Primary Care, if needed. patient verbalized understanding and agreed (Note: per patient he has a history of Fainting (syncope) due to needle phobia)

Other Meds: None per patient

Current Illness: none per patient

ID: 1491430
Sex: M
Age: 28
State: UT

Vax Date: 06/24/2021
Onset Date: 06/24/2021
Rec V Date: 07/21/2021
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Allergies: None

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Symptoms: A ringing in my ears started about 45 minutes after the shot. It has not gotten better. It has made it difficult to fall asleep at night.

Other Meds: None

Current Illness: None

ID: 1491431
Sex: F
Age: 64
State: MA

Vax Date: 07/07/2021
Onset Date: 07/10/2021
Rec V Date: 07/21/2021
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Allergies: sulfa

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Symptoms: Dizziness throughout morning starting Saturday, July 10. Another episode on Monday. Mild dizziness each morning, usually resolving midday. July 20 and 21 dizziness lasting throughout day.

Other Meds: levothyroxine 88 mcg (Mylan) One A Day multi vitamin Omega 3 Vitamin E Biotin 1000 mcg

Current Illness:

ID: 1491432
Sex: F
Age: 14
State: WA

Vax Date: 07/21/2021
Onset Date: 07/21/2021
Rec V Date: 07/21/2021
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Symptoms: PT RECEIVED FIRST PFIZER SHOT ON 7/7/21. RECEIVED SECOND PFIZER SHOT ON 7/21/21 (7 DAYS EARLY). PT MOTHER RECEIVED HER VACCINATIONS 2 WEEKS APART AND BROUGHT PT IN TO GET HERS IN THE SAME TIME FRAME. WE REALIZED AFTER GIVING VACCINE THAT PT WAS 1 WEEK EARLY

Other Meds:

Current Illness:

ID: 1491433
Sex: F
Age: 52
State: AR

Vax Date: 07/01/2021
Onset Date: 07/12/2021
Rec V Date: 07/21/2021
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Allergies: None

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Symptoms: Hot to touch Itchy Lump Burning Small bumps Large red patch on arm

Other Meds: Levi thyroxine Sodium Veniafaxine HCI ER Lisinopril hydroCHL OROthiazide Rosuvastatin Calcium Glimepiride Pioglitazone Naproxen

Current Illness: None

ID: 1491434
Sex: F
Age: 32
State: CA

Vax Date: 04/09/2021
Onset Date: 04/12/2021
Rec V Date: 07/21/2021
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Allergies: None

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Symptoms: I had been off my period for 2 days when I got the vaccine and started my period again 3 days later (day 5 of my cycle). The period lasted for 13 full days and was the heaviest period I?ve ever had with thick clotting and blood. After that period I went 2 full months with no period. This has NEVER happened to me before.

Other Meds: Birth control

Current Illness: None

ID: 1491435
Sex: F
Age: 66
State:

Vax Date: 02/03/2021
Onset Date: 03/13/2021
Rec V Date: 07/21/2021
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Symptoms: Severe tinnitus in my right ear, high pitched and constant. I sought help from my primary care doctor who referred to ENT doctor. I was told nothing could be done. The hearing test was normal. Tnnitus is going on almost 5 months to date.

Other Meds:

Current Illness:

ID: 1491436
Sex: F
Age: 13
State:

Vax Date: 07/21/2021
Onset Date: 07/21/2021
Rec V Date: 07/21/2021
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Symptoms: Patient received her first Pfizer dose at 4:06pm at 4:20 mom brought patient over to me to tell me she was feeling like her neck and leg felt swollen, we all discussed that it could be swollen lymph nodes and they choose to go and check out up front. At 4:30 Mom brought patient back to the pharmacy and said she was feeling strange. Patient said her throat felt weird, she felt dizzy and was having ear pressure, but was not having difficultly breathing. I offered Benadryl and to call 911, Mom denied her needing that at the time. While we were asking patient questions her eyes started to roll and flutter and her head would fall back, but she was alert and talking and stated that she was seeing spots. I told Mom that we were going to call 911 at that time so they could come and check her out. I also go an ice pack and we placed it on her neck, her face was flushed and I took her temperature it was 99.2 at 4:42pm. Ambulance arrived at 4:45pm and they did her vitals and she walked out to the ambulance with them to be checked out. I called Mom at 6pm to check on patient and she was doing much better and did not have to go to ER.

Other Meds:

Current Illness:

ID: 1491437
Sex: M
Age: 27
State: TX

Vax Date: 07/20/2021
Onset Date: 07/20/2021
Rec V Date: 07/21/2021
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Allergies: None

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Symptoms: Patient complained of throat tightness and dry mouth, pale. Heart rate- 88 Respirations-30. Epi given, Benedryl given 50 mg PO. Instructed CO's to watch patient closer with 5 min checks X 3 hours. Patient stated signs and symptoms had improved and vital signs stable.

Other Meds: None

Current Illness: None

ID: 1491438
Sex: F
Age: 51
State: AZ

Vax Date: 07/21/2021
Onset Date: 07/21/2021
Rec V Date: 07/21/2021
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Allergies: None

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Symptoms: By 3 pm on July 13, 2021, I started feeling very nauseated. Then fever began. I started throwing up in the bathroom. My whole body started hurting, especially in my legs. Injection site soreness in my left arm. This continued for the next 3 days. On July 14 at 8:45 am spoke with someone (on the phone visit) from health center about how I was feeling. She advised me to drink plenty of fluids and just rest and keep her up to date if things got worse. By Friday, July 16th, my fever was gone, nausea was gone, pain in my legs was gone. I started to feel a little better!

Other Meds: Thyroid NP 1GR( 60 MG)- earlier that morning

Current Illness: None

ID: 1491439
Sex: F
Age: 53
State: WY

Vax Date: 03/16/2021
Onset Date: 06/11/2021
Rec V Date: 07/21/2021
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Allergies: levoquin, IV steroids

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Symptoms: On day 86 I woke up and had severe vertigo and had lost the hearing in my right ear. I have been in physical therapy for a few weeks. The hearing has returned to a minimal extent but it's better than it was on June 12, 2021. The physical therapist recommended I report the lost hearing because it has been noted as a possible side effect for some people. The hearing specialist said the nerve between the middle ear and brain is no longer working and the hearing loss is likely permanent.

Other Meds: estradiol, tecfidera, levothyroxine, vitamin D, hair/skin/nails,

Current Illness: None

ID: 1491440
Sex: M
Age: 45
State: CA

Vax Date: 07/20/2021
Onset Date: 07/20/2021
Rec V Date: 07/21/2021
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Symptoms: Client reported anxiety and nausea about one minute after receiving the COVID vaccination Pfizer. Client moved from a regular chair into the in anti-gravity chair. The client reported feeling anxiety and nausea. The client denied any other s/s of anaphylaxis. The client reports a history of anxiety with is controlled with an oral medication he takes daily for "stress". The client was unsure of the name of the medication name. Vitals obtained at 7:04PM were as follows: automatic BP 135/96, HR 88, O2 99%. The client stated he was "feeling better." The client denied any history of anxiety with injections. The client his current status was a new feeling for him. The client began drinking a juice. Repeat vitals obtained at 7:10PM were as follows: automatic BP 129/88, HR 96, O2 98%. The client denied any persistent nausea at 7:13PM. The client reported "numbness" around the vaccination site. No redness was observed around the vaccination site. Palpated around the vaccination site and client reported in tact sensation to physical touch. Repeat vitals obtained at 7:10 PM were as follows: Client ambulated to EMT observation area unassisted with a steady gait. At 7:23 PM asked the client if he was feeling okay, and the client replied "yes." At 7:36PM the client stated that he "still feels good." Repeat vitals obtained at 7:36PM were as follows: automatic BP 132/86, HR 88, O2 98%. The client left the vaccination site at 7:36PM. The client ambulated unassisted with a steady gait.

Other Meds:

Current Illness:

ID: 1491441
Sex: F
Age: 37
State: CA

Vax Date: 03/18/2021
Onset Date: 04/29/2021
Rec V Date: 07/21/2021
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Allergies: none

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Symptoms: right sided numbness dizziness

Other Meds: decadron, magnesium glycinate

Current Illness: undetermined cause tingling right face

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm