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: 1495726
Sex: F
Age: 60
State: SC

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

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Patient came in for shingrix but was administered Moserna. Patinet had already finished the Pfizer series several months ago.

Other Meds: n/a

Current Illness: n/a

ID: 1495727
Sex: F
Age: 17
State: CA

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient age 17 was administered Moderna vaccine. Age limit for Moderna is 18.

Other Meds:

Current Illness:

ID: 1495728
Sex: M
Age: 73
State: OR

Vax Date: 03/06/2021
Onset Date: 04/01/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies: montelukast penicillin

Symptom List:

Symptoms: Abrupt onset severe tinnitus 4/1/2021, still present

Other Meds: allopurinol, carvedilol, furosemide, losartan, pravastatin, ASA 81 mg, loratadine, magnesium

Current Illness: None

ID: 1495729
Sex: F
Age: 49
State: NY

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

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

Lab Data:

Allergies: PENICILLIN

Symptom List:

Symptoms: SYNCOPE

Other Meds:

Current Illness:

ID: 1495730
Sex: F
Age: 38
State: CA

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

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

Lab Data:

Allergies: Patient reported no known allergies

Symptom List:

Symptoms: Patient came to Pharmacy along with 3 other family members for their first Pfizer vaccines. The patient, was first to be vaccinated amongst them. All family members were in the room. Patient was stable and in good health immediately after being vaccinated. However, while the third and last member was vaccinated, PT stated she was beginning to feel dizzy. I directed the patient to be seated with legs elevated. The patient was pale in color, but was conscious and alert and well-oriented. The patient was then given water and I had then brought the pharmacy manager, into the vaccine room during this time as well. Her blood pressure was taken and was initially 57/39 mmHg with a pulse of 60 bpm at around 3:55 p.m. I then proceeded to call 911 as the manager watched the patient in the vaccine room. The AGM of the warehouse was also notified to prepare for paramedic arrival. We continued to monitor her blood pressure every few minutes with the second reading at 90/63 mmHg and 70 bpm. I then called the paramedics to update them on her improving health status. The patient's facial pallor was noticeably better and color was restored and she seemed more alert and stable. The third blood pressure reading was 97/64 mmHg and 74 bpm. The paramedics arrived at that point and decided to take her to the hospital after assessment. The patient was monitored for over 20 minutes and accompanied by her family members.

Other Meds: Unknown. Patient's first time at Pharmacy. Medication history not on file.

Current Illness: Patient reported no illnesses or medical conditions on the vaccine consent form

ID: 1495731
Sex: F
Age: 35
State: NC

Vax Date: 10/06/2016
Onset Date: 10/08/2016
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Facial numbness and paralysis

Other Meds: Allertec 10mg Multivitamin

Current Illness: None

ID: 1495732
Sex: F
Age: 19
State: OH

Vax Date: 07/19/2021
Onset Date: 07/19/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: FAINTED, RECOVERED QUICKLY

Other Meds: NONE THAT WE ARE AWARE OF

Current Illness: NONE THAT WE ARE AWARE OF

ID: 1495733
Sex: M
Age: 25
State: NJ

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

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: Patient briefly experienced nausea post administration

Other Meds:

Current Illness:

ID: 1495734
Sex: F
Age: 70
State: CO

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 07/22/2021
Hospital: Y

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

Lab Data:

Allergies: eggs; MSG; Sulfa

Symptom List:

Symptoms: When I received my 1st COVID vaccine in Jan, the left side of my face turned red and warm about 25 min. after receiving it. I took advil, and put a cool cloth on it. (The left side is where the brain blood clot was found in April) Also, I was quite fatigued after the first vaccine, and had a sore arm for several days. After the 2nd Moderna vaccine, my entire face and neck got red and warm within 22 min. Enough that I turned the car around and went back to the vaccination location to show them. They said they thought I was ok to go home, and to phone 911 if I needed to. When I got home, I again took an advil, like with the first vaccine, and used a cool cloth. Also, had fatigue, and had a sore arm for several days. I am quite concerned that all my recent health issues could be related to the COVID Moderna vaccines I received, as I have heard that each of them have been somehow related to COVID vaccines. 1. The brain blood clot (left side of brain). Severe headache symptoms started on April 8th. In hospital for 5 days, beginning April 22nd. Doctor prescribed Pradaxa blood thinner when I went home from hospital. 2. The COVID toes( sores, rash, inflammation) 3. The full body rash, followed by excessive peeling(which was considered the D.R.E.S.S. syndrome from being on Pradaxa blood thinner for the blood clot) This occurred the last week in May. I was in the hospital for 3 days. Took over 4 weeks to recover; was very ill. 4. The ground glass opacities; respiratory problems with cough. (discovered in CT scan for kidney) 5. The overall feeling of being ill and fatigued for along time

Other Meds: multi-vitamin for women over 50; gummy probioditic; vit D; Lutein; Biotin; Glucosamine Chondrition; Calcium; fish oil

Current Illness: Lupus of skin

ID: 1495735
Sex: F
Age: 26
State: AL

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

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

Lab Data:

Allergies: NONE KNOWN

Symptom List:

Symptoms: Approximately 10 minutes after receiving Hepatitis B injection, the employee returned to the medical office to complain of vomiting times one, that she felt nauseated and hot, was lightheaded, and had abdominal pain. Employee denied dyspnea, itching or tenderness to injection site nor was the injection site red or raised. Employee spoke with "RN" at Urgent Care and employee stated he recommended that she should be taken to urgent care for treatment and/or further care.

Other Meds: AMITRIPTYLINE

Current Illness: MIGRAINE HEADACHES

ID: 1495736
Sex: M
Age: 17
State: CA

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient age 17 was administered Janssen (J&J) vaccine on the red mobile unit. Age limit for Janssen is 18.

Other Meds:

Current Illness:

ID: 1495737
Sex: M
Age: 25
State: MD

Vax Date: 05/20/2021
Onset Date: 05/23/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: In addition to CDC expected symptoms (swelling of the face, tiredness, headache, muscle pain, chills) I experienced nausea, coughing, sore throat, vomiting or gaging after food or coffee.

Other Meds: None

Current Illness: None

ID: 1495738
Sex: F
Age: 41
State: MO

Vax Date: 04/07/2021
Onset Date: 04/25/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 4/25/2021-woke up sweating, could not stand up right felt as if I was in labor. This lasted for several hours then I started my menstrual cycle. Since I never experienced this pain outside of actual labor went to urgent care. Thought could have kidney stones so walked next door to ER. Luckily it was not stones and I was fine. Went to ob and everything checked out fine. I experienced this pain for roughly 6 hours prior to my menstrual cycle. Once I would start the pain was better but I was bleeding clots (semi deflated grapes look). This was 5/20/2021 and 6/14/2021. When I started on 7/11/2021 the pain was gone. So three periods after first dose extreme pain. Unable to move or do anything.

Other Meds: Progesterone

Current Illness:

ID: 1495739
Sex: F
Age: 23
State: MI

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

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Chest pain comes and goes all day starting from last night until 9pm today. Headache is also another symptom.

Other Meds: Tylenol

Current Illness: Headache on the day after the second dose.

ID: 1495740
Sex: M
Age: 55
State: TX

Vax Date: 07/16/2021
Onset Date: 07/21/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies: None reported

Symptom List:

Symptoms: Patient called stating that he was possibly experiencing side effects from 2nd covid vaccine. Stated that he had hives and welt on his back and that they were extremely painful and itchy. Patient received vaccine on 7/16. Symptoms started morning of 7/21. He only used calamine lotion to treat without any relief. Denies any changes in medications, food, or topical allergens. Advised patient to seek emergent medical care.

Other Meds: None reported

Current Illness: None reported

ID: 1495741
Sex: F
Age: 16
State: CA

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient age 16 was administered Janssen (J&J) vaccine. Janssen age limit is 18.

Other Meds:

Current Illness:

ID: 1495742
Sex: F
Age: 32
State: OH

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

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: I have a rash all over my body. I am covered in hives.

Other Meds: Multi vitamin Adderall

Current Illness: None

ID: 1495743
Sex: M
Age: 14
State: IA

Vax Date: 06/16/2021
Onset Date: 06/23/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Mom called today 7-22-21 to report that pt. was diagnosed yesterday with pericarditis. Said doctor thinks possibly related to the Pfizer covid vaccinations. Doctor thinks onset was approx 4 weeks ago.

Other Meds: unknown

Current Illness: unknown

ID: 1495744
Sex: F
Age: 62
State: PA

Vax Date: 02/27/2021
Onset Date: 03/13/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Onset of Gout flareups (monthly). Treated with naproxen, colchicine, aleve, Voltaren, allopurinol. Uric acid levels when tested were 9.3 and 12.1

Other Meds: Metoprolol, Lisinopril, Hydrochlorothiazide, Goli (ACV) gummies, womens Multivitamins.

Current Illness: None

ID: 1495745
Sex: F
Age: 16
State: CA

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient age 16 was given Janssen (J&J) vaccine. Age for Janssen is 18.

Other Meds:

Current Illness:

ID: 1495746
Sex: F
Age: 40
State: MS

Vax Date: 07/11/2021
Onset Date: 07/19/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies: allergy to hair dye

Symptom List:

Symptoms: About a week after the vaccine, I woke up in the middle of the night with severe dizziness. I almost fell over when i tried to walk to the bathroom. The dizziness has lasted this week. On top of that, I have experienced shortness of breath the past few days. I am currently having both the dizziness and SOB and hoping it will end soon.

Other Meds: low dose aspirin, vitamin d3, zoloft 25mg, iron 65mg

Current Illness: none

ID: 1495747
Sex: F
Age: 37
State: NM

Vax Date: 07/16/2021
Onset Date: 07/18/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies: Tylenol, egg white

Symptom List:

Symptoms: Received dose 1 of moderna. Now experiencing vertigo, tingling of pins and needles all over my body, hands going numb, headaches prolonged. No sign of symptoms getting better. Going on 5 days went to urgent care. Nothing really given for help.

Other Meds: Ventolin, Advair

Current Illness:

ID: 1495748
Sex: F
Age: 56
State: CA

Vax Date: 07/12/2021
Onset Date: 07/22/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: hospital admission

Other Meds: Norvasc, HCTZ, Tamoxifen

Current Illness: HTN, Breast cancer(diag 11/2010)

ID: 1495749
Sex: F
Age: 14
State: KS

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

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

Lab Data:

Allergies: NON

Symptom List:

Symptoms: AFTER RECEIVING THE VACCINE PATIENT LOOKED LIKE SHE WAS FAINTING . I CALLED 911 . AFTER THE PARAMEDIC TEAM ARRIVED PATIENT STARTED TO FEEL BETTER. GRADUALLY THE PARAMEDIC TEAM LEFT AND PATIENT WENT HOME.

Other Meds: NON

Current Illness: NON

ID: 1495750
Sex: F
Age: 46
State: IN

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient left waiting area while waiting 15 minutes post-administration to go get a drink of water. On the way, patient reported getting dizzy and lightheaded and passed out for a few seconds. She fell over, hitting a vitamin display, and then landed on the ground. She was responded to and was conscious, sitting upright, and talking. She reported not being injured and stated that she was feeling okay, that she was just nervous from receiving the vaccine. EMS was still called to make sure she was okay. The patient was checked out by paramedics and was able to go home with her husband.

Other Meds:

Current Illness:

ID: 1495751
Sex: F
Age: 41
State: TN

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Rash, back pain, injection site pain, muscle aches, tiredness and headache

Other Meds: None

Current Illness: None

ID: 1495752
Sex: M
Age: 17
State: CA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient age 17 was administered Moderna vaccine at healthcare. Age limit for Moderna is 18.

Other Meds:

Current Illness:

ID: 1495914
Sex: M
Age: 14
State: CA

Vax Date: 06/16/2021
Onset Date: 07/05/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: brown sequard syndrome

Other Meds: none

Current Illness: none

ID: 1495916
Sex: M
Age: 17
State: CA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient age 17 was administered Moderna vaccine. Age limit for Moderna is 18.

Other Meds:

Current Illness:

ID: 1495917
Sex: M
Age: 19
State: MI

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: The Patient had just sat down in chair outside the pharmacy after receiving his first doe of the Pfizer Covid vaccine from the technician and he fainted and fell forward onto the floor. The technician who had gave the shot and I rushed out help him. He regained consciousness right away but he had bit his lip which made his lip bleed a little and the glasses gave him a small cut under his eye. We had him lay down for a few minutes afterward and cleaned and bandaged his small cut. His mom did mention afterward that he sometimes get dizzy when he has blood drawn. This was never stated on the patient questionnaire. The patient waited the required time after the vaccine and said he no longer felt dizzy and felt fine. We put notes on patient's file of the event and to walk him to his seat and observe him closely with his 2nd dose.

Other Meds:

Current Illness: none

ID: 1495918
Sex: F
Age: 30
State: MD

Vax Date: 05/20/2021
Onset Date: 05/23/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies: Allergy to dust, egg plant.

Symptom List:

Symptoms: In addition to CDC expected symptoms (swelling of the face, tiredness, headache, muscle pain, chills) I also experienced daily nausea, daily dizziness, daily vomiting, occasional sore throat.

Other Meds: Medical Marijuana, UTI Antibiotics.

Current Illness: Spinal injury, UTI.

ID: 1495919
Sex: M
Age: 79
State: HI

Vax Date: 04/01/2021
Onset Date: 07/18/2021
Rec V Date: 07/22/2021
Hospital: Y

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

Lab Data:

Allergies: mite extract, lactose

Symptom List:

Symptoms: 4-day history of fever, headache, congestion, cough productive of yellow sputum, weakness and body aches. Symptoms started on Sunday and he reached a T-max of 103. In the ED he tested positive for Covid PCR. Covid pneumonia

Other Meds: alprazolam, ocuvite, glucosamine, citalopram, diltiazem, omeprazole, propranolol

Current Illness:

ID: 1495920
Sex: F
Age: 54
State: MN

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies: Iohexol

Symptom List:

Symptoms: 15 minutes after getting the 2nd dose of the vaccine I experienced stiffness in the right side of my neck and ache in my right ear. this gradually went away and finished out my workday without any additional symptoms. In the early evening about 6pm I was extremely cold and having a difficult time warming up, severe headache, severe body aches, stiffness in my neck. My ears started ringing and thought it would eventually go away. All symptoms continued to the next day except for the chills - I was able to get warm. I was much better by evening and able to go to work the second day after the vaccine but the ringing in my ears never stopped and continues to this day.

Other Meds: Vitamin D, Glutathione,

Current Illness: none

ID: 1495921
Sex: F
Age: 71
State: TX

Vax Date: 07/19/2021
Onset Date: 07/22/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received second covid shot on 7/12 and second shingrix shot on 7/19. On 7/22 patient went to ER with signs of facial drooping that she believed to be a stroke. ER doctor diagnosed her with bell's palsy and believes it was caused by her second shingles shot.

Other Meds: levothyroxine, diclofenac, cyclobenzaprine, and alendronate

Current Illness:

ID: 1495922
Sex: F
Age: 59
State: TX

Vax Date: 07/19/2021
Onset Date: 07/20/2021
Rec V Date: 07/22/2021
Hospital:

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

Lab Data:

Allergies: Nka

Symptom List:

Symptoms: Day 1 after vaccine - Fever 101.5, fatigue, nausea, vomiting, head congestion and headache; Day 2 - tired, headache, sensitive stomach; Day 3 - red warm itchy spot below vaccine site on arm. Injection site very sore for day of vaccine and first 2 days after.

Other Meds: Zyrtec

Current Illness: None (Covid 4/7/2021-4/17/2021

ID: 1495923
Sex: M
Age: 12
State: LA

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

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

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Allergies: none

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Symptoms: 12 year old male had a vasovagal syncope from a pfizer covid 19 shot that lasted a few second. I laid him on the floor and elevated his leg. His skin became very pale but eventually return back to normal after 30 min of monitor. His blood pressure was low at first, but eventually return back to normal.

Other Meds: none

Current Illness: none

ID: 1495924
Sex: F
Age: 16
State: CA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 07/22/2021
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Symptoms: Patient age 16 received Moderna vaccine at Store. Age limit for Moderna is 18.

Other Meds:

Current Illness:

ID: 1495925
Sex: M
Age: 50
State: MN

Vax Date: 07/22/2021
Onset Date: 07/22/2021
Rec V Date: 07/22/2021
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Allergies: None

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Symptoms: Patient stated feeling nauseated within minutes of receiving first dose of Covid19 Pfizer-BioNTech vaccine. Patient simultaneously presented pallor and diaphoresis. Patient consumed apple juice, received ice compress, was placed in the supine position to prevent vasovagal syncope and was monitored. No dyspnea, urticaria or anaphylaxis present. No other therapy administered. After 20 minutes patient was able to sit and walk unassisted.

Other Meds: Unknown

Current Illness: Unknown

ID: 1495926
Sex: F
Age: 38
State: MS

Vax Date: 07/21/2021
Onset Date: 07/22/2021
Rec V Date: 07/22/2021
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Allergies: None

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Symptoms: My right arm at injection site has huge baseball sized knot and is hot to the touch and itchy. My arm is swollen and in extreme pain.

Other Meds: Zoloft 159 mg daily

Current Illness: Tested positive for Covid July 7, 2021

ID: 1495927
Sex: M
Age: 49
State: NC

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 07/22/2021
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Symptoms: Fever, chills, headache, muscle aches, fatigue, nausea, Gastro intestinal upset

Other Meds:

Current Illness: No

ID: 1495928
Sex: F
Age: 78
State: NV

Vax Date: 02/04/2021
Onset Date: 04/04/2021
Rec V Date: 07/22/2021
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Allergies: only statins

Symptom List:

Symptoms: Creeping crawling insect feeling from hand to shoulder on right arm. Gradual near hand at first and then slowly increased to shoulder. Dull ache at site of injection. These both began approximately a month after the second shot and continue to this day. I asked my internist about this and she is experiencing the same things! Amazing. She said it's from the vaccine and not a new medical issue with my body.

Other Meds: metoprolol, eliquis, levothtroxin, flecainide, fish oil, vit D, estradiol, medroxypro

Current Illness: none

ID: 1495930
Sex: F
Age: 18
State: CA

Vax Date: 07/22/2021
Onset Date: 07/22/2021
Rec V Date: 07/22/2021
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Allergies: None

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Symptoms: Blood rushing from head to arm of injection. Also, tingling in arm of injection. Also, feeling light headed just after injection.

Other Meds: Flinstones kids multi vitamins

Current Illness: None

ID: 1495931
Sex: M
Age: 48
State: TN

Vax Date: 07/22/2021
Onset Date: 07/22/2021
Rec V Date: 07/22/2021
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Allergies: NKDA

Symptom List:

Symptoms: Patient received vaccine and was in observation area for around 10 minutes when an associate noticed he needed assistance. I went over to the patient and asked him to tell me what his symptoms were. He was nauseated and seemed to be a little confused. His head fell back onto the chair and started making small jerking movements. I asked the associate to brace him while I called for the store manager and directed someone to call EMS. His legs went straight out in front of him and he began to make jerking movements as if he was having a seizure. We got him moved to the floor while we waited on EMS and he seemed to snap out of the episode. He was still very confused, but was answering questions. He was very warm to the touch at first, but then broke out in a cold sweat. EMS arrived and monitored him until his wife arrived. The patient decided to let his wife take him home. The pharmacy followed up with him after a few hours and he said he felt okay and was going to PCP the following day. Patient later came into the store and we talked with him about the episode, he was normal at this point.

Other Meds: Meloxicam, Tamsulosin

Current Illness: None

ID: 1495932
Sex: M
Age: 55
State: MI

Vax Date: 01/19/2021
Onset Date: 02/01/2021
Rec V Date: 07/22/2021
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Allergies: NKDA

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Symptoms: Bilateral pain in shoulders that radiates into bilateral upper arms and elbows and down into wrist with associated weakness in upper extremities. Unable to adduct arms without severe pain in shoulders. Unable to perform daily activities without assistance at times due to the pain that debilitates the writer. for appx 5-10 minutes until spasms resolve. Writer is unable to open jars which is a new symptom since receiving the vaccine along the pain in the upper extremities. I feel that I am currently at appx 40% of my usual strength which is causing myself a great difficulty with ADLS and performing my work duties as a clinical nurse. The above symptoms are new since the vaccine and seem to be increasing in frequency regularly. The pain is symmetrical in nature and is on the medial aspect in bilateral elbow joints.

Other Meds: famotidine 20mg q day sildenafil 20mg 5tab prn urine flow alfluzosin 10mg q day doxazosin 4mg q day ropinirole 0.25mg q day tadalafil 5mg q day

Current Illness: BPH, HTN, RLS

ID: 1495933
Sex: F
Age: 17
State: CA

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 07/22/2021
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Symptoms: Patient age 17 was administered Moderna at Store. Age limit for Moderna is 18.

Other Meds:

Current Illness:

ID: 1495934
Sex: M
Age: 40
State:

Vax Date: 06/19/2021
Onset Date: 06/24/2021
Rec V Date: 07/22/2021
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Symptoms: Heart palpitations and dizziness. Bradycardia. Resting heart rate dropped as low as 40 beats per minute.

Other Meds:

Current Illness: None

ID: 1495935
Sex: F
Age: 15
State: CA

Vax Date: 07/16/2021
Onset Date: 07/22/2021
Rec V Date: 07/22/2021
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Allergies: Wheat, peanuts, most nuts

Symptom List:

Symptoms: Chest pain and palpitations

Other Meds: As needed only: albuterol inhaler, Epi-pen, xopenex inhaler, alvesco inhaler

Current Illness: None

ID: 1495936
Sex: F
Age: 22
State: CA

Vax Date: 12/01/2020
Onset Date: 12/01/2020
Rec V Date: 07/22/2021
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Allergies: None

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Symptoms: Increased length of menstrual cycle. Average cycle 34 days per 1.5 years of data. Menstruation sure shortly after vaccine administration. Cycle length that time was 58 days, longer than any other in last years.

Other Meds: None

Current Illness: None

ID: 1495937
Sex: F
Age: 32
State: WA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 07/22/2021
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Allergies: Amoxicillin

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Symptoms: Intense intermittent itching in specific spots. It is usually on my arms, abdomen, lateral breast tissue, or base of head/upper cervical. Rarely in two places at once. I?ve tried taking allergy medication which has not helped. The frequency has become less often but still happens intermittently.

Other Meds: Iron Vitamin D3 ACES + Zn

Current Illness:

ID: 1495938
Sex: F
Age: 63
State: VA

Vax Date: 04/24/2021
Onset Date: 05/15/2021
Rec V Date: 07/22/2021
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Allergies: None.

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Symptoms: 4/24 ? first vaccine at 2:00 pm 5/15 ? second dose at 2:00 After receiving second shot, during waited 15 minutes and felt dizzy during the wait period but came home because son drove me to the appointment. That night, I felt very dizzy and had cold symptoms so took Tylenol every six hours ? from May 15 ? 21st. I could not volunteer/work because of poor health conditions after getting vaccine and took a leave of absence. I felt okay afterwards until June 1st. On June 1st, my left eye was swollen and my eye felt fatigued. I rested my eyes but started losing vision little by little in my left eye. On June 5th, my left eye hurt severely. I made appointment with an optometrist on June 6th and saw the optometrist on 7th at noon. During the check up, the doctor reported that the blood vessels had ruptured behind my cornea and the inside of my eye was filled with blood. He was not equipped to handle this situation so he gave referral to an eye specialist (for special eye part) and went to an appointment on June 10th. When I went to the specialist, he reported that the inside of eye was filled with blood, which was causing the blindness. He performed laser treatment and advised that I return for a check up after 5 weeks and advised to stay at home, no driving, avoid bright lights, etc. I followed the doctor's orders and stayed home for 5 weeks. I returned to the eye specialist for my 5-week check up on July 15th and the doctor reported that the condition has not gotten better. I still could not see from left eye. The doctor performed a second laser treatment on the 15th and advised to return for check-up after 6 weeks because of the severity of the condition. The doctor said that I needed extra time to recover. If conditions do not improve, he said that I will need to get surgery and additional treatment for my eye sight to return. I am currently 1 week into the second laser treatment and my condition has not improved.

Other Meds: Tylenol after the second dose due to cold-like symptoms from vaccine.

Current Illness: None.

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm