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

Date Died: 05/07/2021

ID: 1498879
Sex: M
Age: 84
State: NJ

Vax Date: 02/12/2021
Onset Date: 03/22/2021
Rec V Date: 07/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Bilateral retinal branch vein occlusions 1 month after. Died 5/7/21

Other Meds:

Current Illness:

ID: 1498880
Sex: F
Age: 67
State: CA

Vax Date: 04/17/2021
Onset Date:
Rec V Date: 07/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Flu-like symptoms: achy, headache, chills, difficulty getting out of bed.

Other Meds:

Current Illness:

ID: 1498881
Sex: F
Age: 67
State: FL

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

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

Lab Data:

Allergies: Morphine, Demerol

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

Symptoms: Patient reported feeling numbness in her bottom lip around fifteen minutes after the vaccine was administered.

Other Meds:

Current Illness:

ID: 1498882
Sex: F
Age: 77
State: VA

Vax Date: 03/18/2021
Onset Date: 04/21/2021
Rec V Date: 07/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Developed Trimingeal Neuralgia one week after second shot

Other Meds: Janumet, Celebrex, Warfin, Atorvastatin, Allegra, Centrum Silver Women Vitamin

Current Illness: Bursitis, A-fib, diabetes, hypertension

ID: 1498883
Sex: F
Age: 62
State: VT

Vax Date: 06/03/2021
Onset Date: 06/07/2021
Rec V Date: 07/23/2021
Hospital:

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

Lab Data:

Allergies: codeine

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

Symptoms: Raspatory issues Muscle pain fatigue Tested For congestive heart failure Severe diaheara

Other Meds: insuline umalog losartan

Current Illness: no

ID: 1498884
Sex: M
Age: 35
State: WA

Vax Date: 04/23/2021
Onset Date: 05/27/2021
Rec V Date: 07/23/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: At the end of May I began having chest pain. At first I thought it was a sore muscle, but it got worse, not better. It got bad enough to go the the ER June 11. They discharged me after doing labs and an x-ray as they ruled out a heart attack. I then went to a cardiologist June 22nd and he looked over my labs and said I wasn?t having a heart attack. He sent me off without any other tests not sure what was causing the pain. It began subsiding around July 15th, but I still have pain every now and then.

Other Meds: None

Current Illness: None

ID: 1498885
Sex: M
Age: 16
State: CA

Vax Date: 07/23/2021
Onset Date: 07/23/2021
Rec V Date: 07/23/2021
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: Client at vaccination table. per NP client loss consciousness less than a second. history of episode of syncope. NP at station assessing client. client did not fall or hurt himself, NP was at clients side. EMT called VS obtained at 2:48pm HR 63 BP 86/47 o2sat 97%, VS at 2:50pm HR 64 BP 91/57 o2sat 98%, last VS obtained at 3:07pm HR 77 BP 95/58 o2sat 98%. client remained in observation until 3:28pm no other complaints. client left observation with father at his side, client ambulating on his own.

Other Meds:

Current Illness:

ID: 1498886
Sex: M
Age: 41
State: MI

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 07/23/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
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Lab Data:

Allergies: Dairy, freshwater fish

Symptom List: Pharyngeal swelling

Symptoms: Chronic hives. Sought treatment in May after it did not go away and became worse. Dr. prescribed 180mg Allegra and 10mg singulair. This seems to keep it under control. After 1 mo. hives came back after only stopping treatment for 1 day. Restarted treatment.

Other Meds: Alphagan P

Current Illness: None

ID: 1498887
Sex: F
Age: 68
State: CA

Vax Date: 06/04/2021
Onset Date: 06/12/2021
Rec V Date: 07/23/2021
Hospital:

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

Allergies: ampicillin amox augmentin- immune complex disease-polyarthritis and rash-post root canal 1996 taxol-2005, neurontin-stevens johnsons syndrome, Pain meds- Demerol morphine ultram- vomiting, anaesthesia-dilaudid itchy

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Received MMR on 6/4/21 approx 8 days later started having Joint pain R base of r big toe r knee then left knee then hand bilateral . Pain 1/10 scale_3-4/10 up to 5 _currently. Was 8/10. Now in b/l hands Precipitating Factors___sleeping on the joints very stiff______very stiff in hands in the morning_exercise Palliative Factors______Light exercising of hands Ice, motrin, needs to massage in the morning Self treating with Ibuprofen 600 mg bid Is being referred to Rheumatologist through workers comp.

Other Meds: Tylenol Arn, ibuprofen 600MG BID, Vitamin D3 2000 once a day, fish oil 1000 once a day, flax seed oil 1400 once a day. Evista 60 mg once a day bone density estrogen blocker, Denosumab q 6months im injections, 20 mg valsartan, 12.5 mg HCTZ

Current Illness: had tetanus in April 2021 5/30 complained of not feeling well that weekend- no fever self resolved

ID: 1498888
Sex: M
Age: 64
State: CO

Vax Date: 07/02/2021
Onset Date: 07/23/2021
Rec V Date: 07/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: No adverse events. This dose of Pfizer was administered inadvertently after the patient had received a dose of the Janssen Covid vaccine in March 2021.

Other Meds:

Current Illness:

ID: 1498889
Sex: F
Age: 58
State:

Vax Date: 01/29/2021
Onset Date: 07/22/2021
Rec V Date: 07/23/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: cough, core throat, congestion, fatigue.

Other Meds:

Current Illness:

ID: 1498890
Sex: F
Age: 34
State:

Vax Date: 07/19/2021
Onset Date: 07/20/2021
Rec V Date: 07/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Shortness of breath and throat swelling

Other Meds:

Current Illness:

ID: 1498891
Sex: M
Age: 56
State: AZ

Vax Date: 04/16/2021
Onset Date: 06/18/2021
Rec V Date: 07/23/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Gluten intolerance, bee and insect

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

Symptoms: Injection to vocal chords for spasmodic dysphonia caused drainage to lungs and may only be because of the shot itself. No treatment was issued. Advised to be careful drinking, currently seems to be tapering off.

Other Meds: Advil, Fish oil, Nature made B-complex, SAM-e, Herbal remedies, Sage, Fennel, Greek Mountain tea, Oregano, Rosemary

Current Illness: None

ID: 1498892
Sex: F
Age: 47
State: CA

Vax Date: 03/24/2021
Onset Date: 06/20/2021
Rec V Date: 07/23/2021
Hospital:

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

Lab Data:

Allergies: Dicloxicillan nystatin

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

Symptoms: Dull intestinal pain with dull pain/pressure on left side. Bloating

Other Meds: Testosterone Armour Thyroid Excedrin B complex vitamin Calcium Vit D3

Current Illness:

ID: 1498893
Sex: F
Age: 29
State: CA

Vax Date: 07/22/2021
Onset Date: 07/01/2021
Rec V Date: 07/23/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: NO symptoms reported. Pt. received 2 pediatric Hep B vaccine.

Other Meds: Lisinopril, hydrochlorothiazide

Current Illness:

ID: 1498894
Sex: F
Age: 18
State: LA

Vax Date: 04/15/2021
Onset Date: 04/24/2021
Rec V Date: 07/23/2021
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: Passed out in the evening during church service. Began feeling nauseous and then passed out. Afterwards was clammy and shaking. Since the event, blood pressure has been low upon standing and heart rate has been increased.

Other Meds: None

Current Illness: None

ID: 1498895
Sex: F
Age: 34
State: CA

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 07/23/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
Dose Series:
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Lab Data:

Allergies: Penicillin, Neosporin, Azithromycin, Reglan, Zofran, dairy, egg, cat.

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

Symptoms: Severe joint pain: began 04/18/21 6:32am & is ongoing. Pain was initially severe and impacted all joints in body (hips, knees, ankles, shoulders, fingers, etc.) Worst pain presently is in hip joints, right shoulder, and left cheekbone (with visible swelling that lasted for approx 2 weeks). Pain is severe enough to interrupt ability to sleep and prevent normal function in daily life activities. Mobility negatively impacted. Sudden loud popping/cracking of hip and shoulder joints when attempting to move normally, followed by significant increase in pain. Ibuprofen 800mg makes zero impact. Acetaminophen 1000mg makes very minimal impact. Voltaren Arthritis Gel makes minimal impact. Norco 7.5mg makes moderate impact but pain still persists 24/7. Pins & needles itchiness (same as when having allergic reaction): began approx 5 minutes after vaccine administration & lasted for approx. 10 minutes before subsiding. Back & neck muscle pain: began 04/17/21 4pm & lasted approx. 8 days. Treated with Acetaminophen 1000mg and Aspercream. Chills, uncontrollable shaking, & feeling cold: began 04/18/21 5:44am & lasted until 04/19/21 Nausea: began very suddenly 04/18/21 5:47am & lasted until approx. 05/03/21. Treated with Dramamine 50-100mg ea. dose. Fever: began 04/18/21 approx. 7am & lasted until 04/21/21 with highest temp of 101F being on 04/18/21 8:53pm feeling like entire body was burning & face visibly red. Repeatedly treated with Acetaminophen 1000mg Throbbing headache encompassing head, forehead, and eyes: began 04/18/21 5:30pm & lasted for approx 8 days. Made worse by moving, standing up, or bending forward. Treated with Acetaminophen 1000mg Injection site tenderness and pain: began 04/18/21 3:57pm & lasted for approx. 3 weeks, slowly diminishing. Swollen lymph nodes on sides of neck (mostly left side): began 04/19/21 9:47pm & lasted for approx. 3 weeks Scalp & face (skin) painful sensitivity: began 04/19/21 & lasted for approx. 1.5 weeks. Skin on face, especially top half and on scalp very sensitive to even light touch to the point that touch felt painful. Allergic reaction symptoms: began 04/20/21 approx. 1am & lasted until 04/25/21. Initially felt tightening of throat with difficulty swallowing same as when having anaphylactic reaction (have had several); itching on arms began as well. Immediately treated with Hydroxyzine HCl 25mg & Benadryl 50mg. Throat tightness improved significantly at 3am. Itching on arms treated with Benadryl extra strength cream repeatedly until 04/25/21 when it resolved.

Other Meds: Hydroxyzine HCl 25mg

Current Illness: None

ID: 1498896
Sex: F
Age: 43
State: FL

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

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

Lab Data:

Allergies: Unknown

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Sudden not feeling well, and "burning" arm sensation. Nausea.

Other Meds: Unknown

Current Illness: Unknown

ID: 1498897
Sex: F
Age: 40
State: CA

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 07/23/2021
Hospital:

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

Lab Data:

Allergies: Shellfish

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Adverse: (Common adverse effects-Fever, chills, body aches, joint pain) Vaginal bleeding the same night of vaccination 5/3/2021, last menstrual period 4/19/2021, no abdominal pain or cramps, light to moderate vaginal bleeding with clots Treatment: Medroxyprogesterone 10mg 2 tabs PO BID started on 6/24/2021, Biopsy and PAP smear performed on 7/9/2021, Hysrteroscopy, D & C and possible polypectomy scheduled on 7/26/2021, 2 weeks post-op check up on 8/10/2021, Decidua cast passed on 7/19/2021.

Other Meds: Centrum MVI 1 tab PO Daily, Advanced Digestive Probiotic 1 tab PO Daily, Osteo Bi-flex Joint Health 2 tabs PO Daily, Vit. C 2000mg PO Daily, Fish Oil 1000mg PO Daily, Vit, D3 2000IU PO Daily, Tylenol Extra Strength 1000mg PO for pain BID,

Current Illness: None

ID: 1498898
Sex: F
Age: 62
State: WY

Vax Date: 04/02/2021
Onset Date: 04/01/2021
Rec V Date: 07/23/2021
Hospital:

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

Lab Data:

Allergies: Dust/mold, pollen, dairy (slight)

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

Symptoms: Extreme constipation beginning approximately 7 to 9 days after injection (note: this was my second dose. My first dose was on 3/11/21 but I don't see how to enter that information). I am still constipated (7/23/21). Also, I went for my annual Health Fair comprehensive blood test on 7/20/21 and for the first time in my life I have high total cholesterol, triglycerides (higher than ever before, at least), higher LDL than ever before, high non-HDL cholesterol. And my TSH is suddenly much higher than it has been in years. I will provide these numbers below.

Other Meds: Synthroid, Topiramate, Amitriptyline HCl, Sertraline HCl, Seroquel, Imitrex, Baclofen, Rogaine, Glucosamine/MSM, Multivitamin, Vitamin C, Acidophilus, Magnesium, Fish oil, Vitamin D

Current Illness: None

ID: 1498899
Sex: F
Age: 15
State: NE

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

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

Lab Data:

Allergies: None

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

Symptoms: No adverse event occurred. Pt was given Moderna instead of Pfizer.

Other Meds: NA

Current Illness: None

ID: 1498900
Sex: F
Age: 40
State: NJ

Vax Date: 03/30/2021
Onset Date: 04/15/2021
Rec V Date: 07/23/2021
Hospital: Y

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

Lab Data:

Allergies: No

Symptom List: Unevaluable event

Symptoms: I, patient was vaccinated on March 30, 2021 at the time mentioned above in the form with the Janssen COVID-19 vaccine at a Medical Center hospital, for 24 hours after the vaccination, I am unwell general: (headache, body ache, diarrhea, stomach ache, chills, fever and discouragement), at the hospital they recommended taking tylenol, after 24 hours all symptoms started to improve, then I was able to go back to my work. As the days passed, I began to present discomfort in my legs: (extreme fatigue, pain, swelling, redness and a lot of itching) being the symptoms more severe in the right leg, I also had a headache, chest pain and back. By April 15, 2021, I could no longer bear the By April 15, 2021, I could no longer bear the discomfort and pain so strong and decided to go for emergencies to the Bergen New Bridge Medical Center hospital, where I was hospitalized for two days, on April 15 and 16, 2021, there too. . I was diagnosed with venous thrombosis in my right leg due to the Janssen COVID-19 vaccine. After leaving the hospital, I was prescribed a medicine of (Xarelto) 20 milligrams, for 3 months and 10 days of disability, being able to return to work on April 28, 2021. After 3 months and I finished my medication on July 9, 2021, after 7 days I returned to present the same symptoms that I had presented on April 15, 2021, seeing myself in the obligation to return to the emergency center of the Medical Center hospital, there they gave me medications until July 21, 2021 where I had my follow-up appointment with my general practitioner MD, that day my doctor told me that I had not had any improvement and would have to send me medications again for another month until next month where I will have a follow-up appointment for my illness. Personally I feel that I am not evolving for the better, I feel more and more tired in my legs and the pains and swelling are getting stronger. In advance, I thank you very much for your attention.

Other Meds: Esomeprazole magnesium 20 mg for gastritis

Current Illness: No

ID: 1499078
Sex: F
Age: 53
State: CA

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 07/23/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: 2 hours after 2nd shot I had extreme pain in my left arm. I couldn't raise my left arm over my head. Then I had extreme muscle tightening and cramping up and down my spinal cord. Had to take ADVIL to reduce muscle pain. Then around midnight I started experiencing chills which lasted until 5:00am when I finally fell asleep and woke up at 7:00am drenched in sweat. The extreme muscle pain and tightness in my back lasted for 2 days and the muscle pain in my legs and joints gradually went away after 2 weeks.

Other Meds: Multi-vitamin

Current Illness: None

ID: 1499079
Sex: M
Age: 19
State: IL

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

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

Lab Data:

Allergies: No known drug allergies

Symptom List: Injection site pain, Pain

Symptoms: After vaccination, patient fainted. He immediately regained consciousness.

Other Meds:

Current Illness:

ID: 1499080
Sex: M
Age: 13
State: OH

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient began vomiting about 4 minutes after getting his second dose of the covid-19 vaccine. Patient was instructed to have a seat. Within about 5 minutes he said he was ok. He stayed around for about 15 more minutes and said he was ok to go home.

Other Meds:

Current Illness:

ID: 1499081
Sex: F
Age: 20
State: MI

Vax Date: 03/15/2021
Onset Date: 04/23/2021
Rec V Date: 07/23/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, Azithromycin

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

Symptoms: Approximately 1 month following second dose of COVID-19 vaccine (Pfizer), patient noticed increased in spotting on active tablets of birth control prior to starting placebo pills. Patient states that this lasted for a few days prior to starting placebo pills, then subsided. She attributes this increase in spotting a month following her second COVID-19 vaccine dose.

Other Meds: Oral contraceptive

Current Illness:

ID: 1499082
Sex: F
Age: 23
State: TN

Vax Date: 07/20/2021
Onset Date: 07/21/2021
Rec V Date: 07/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA on 7/21/21, experienced chills, body aches, fever and fatigue; took two extra-strength Tylenol (500mg ea) around 10pm. Around 1am on 7/22/21 took temperature at it read 100 degrees; chills and aches increased at this time. Took a sleeping pill and sucked on frozen ice treat to help cool off. Around 4am on 7/22/21, woke up feeling less feverish with the onset of stomach cramps. Then had to go to the toilet and diarrhea began. The diarrhea continued every ten minutes on average until around 6am; it lessened, but the stomach cramps continued. Ate some grits and drank water and took Imodium to help with diarrhea around 10am. Then the afternoon of 7/22/21 fever went up to 100.7 degrees and took 1000mg of Tylenol. On 7/23/21, woke up with no fever and still had sore joints. Stomach cramps went away.

Other Meds: Zyrtec; mutli-vitamin

Current Illness:

ID: 1499083
Sex: M
Age: 83
State: MI

Vax Date: 07/14/2021
Onset Date: 07/15/2021
Rec V Date: 07/23/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: penicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Pt.received a Pfizer Covid vaccination but was supposed to receive a Shingrix vaccine. He received his Covid series (Moderna) 1/22/21 and 2/19/21. This was a third Covid vaccine and unnecessary. He experienced a sore arm for approximately 2 days. He did not experience fatigue or headache. He did experience chills and hotness (fever?) for 3 days. His doctor was notified by me, pharmacist and he recommended the shingrix shot 2 weeks after this Covid shot. He is not currently experiencing side effects.

Other Meds: amlodipine, atorvastatin, tamsulosin

Current Illness: unknown

ID: 1499084
Sex: F
Age: 70
State: IN

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

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

Lab Data:

Allergies: not applicable

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

Symptoms: THE PATIENT STATES THAT THE VACCINES WERE ADMINISTERED TOO HIGH UPON SHOULDER AND NOW IS HAVING ROTATOR CUFF ISSUES ON BOTH SIDES. HOWEVER AS THE ADMINISTRATOR I REMEMBER DOING 2 FINGERS BELOW THE SHOULDER ON EACH SIDE AS MY PLACEMENT AND PATIENT STILL IS HAVING THIS ISSUE

Other Meds: not applicable

Current Illness: knee and hand injury from a recent fall approximately month ago

ID: 1499085
Sex: M
Age: 3
State: VA

Vax Date: 05/14/2021
Onset Date: 05/22/2021
Rec V Date: 07/23/2021
Hospital:

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Lab Data:

Allergies: no

Symptom List: Nausea

Symptoms: Screaming behavior for many days, Often Crying without reason, loss of attention issues, less active. developed various tics

Other Meds: Tylenol after the vaccine

Current Illness: no illness

ID: 1499086
Sex: F
Age: 21
State: IN

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

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Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Spicy foods have become too hot. severe hot and cold flashes. Whenever I eat food I now become sick. Soon after leaving became lightheaded dizzy and irritable

Other Meds:

Current Illness:

ID: 1499087
Sex: F
Age: 38
State: HI

Vax Date: 07/16/2021
Onset Date: 07/17/2021
Rec V Date: 07/23/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: No known allergies

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

Symptoms: Day 1, Fri: ~6hrs post injection: tired Day 2, Sat: strong pain at injection site and whole arm soreness; tired; headache; chest pain/shortness of breath Day 3, Sun: tired; headache; shortness of breathe. Day 4-7: tired and headache

Other Meds: Lamotrigine Bupropion XL Lorazepam Adrenal Complex Vitamin Supplement by Standard Process Dupixent Dupilumab

Current Illness: None

ID: 1499088
Sex: M
Age: 76
State:

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 07/23/2021
Hospital:

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Lab Data:

Allergies: Iodine

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

Symptoms: All body rash one month after. So far it has happened 10 times since.

Other Meds: Omeprazole Atorbastatin Levothyroxine

Current Illness: NA

ID: 1499089
Sex: M
Age: 15
State: MP

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

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Lab Data:

Allergies: no known allergies

Symptom List: Tremor

Symptoms: Patient received first dose Pfizer on 07/02/2021 Patient received second dose of Moderna on 07/23/2021 Moderna administered as second dose in error. Patient monitored 2hrs post administration, No adverse effects noted. Operations Officer and Medical Director informed and followed up with patient's mother.

Other Meds:

Current Illness:

ID: 1499090
Sex: M
Age: 36
State:

Vax Date: 07/06/2021
Onset Date: 07/09/2021
Rec V Date: 07/23/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Myocarditis symptoms - fluttering heart, excessive heart rate while at rest of 157 (confirmed via fitness Watch)

Other Meds:

Current Illness:

ID: 1499091
Sex: M
Age: 70
State: NC

Vax Date: 03/11/2020
Onset Date: 03/21/2021
Rec V Date: 07/23/2021
Hospital:

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Lab Data:

Allergies: No

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

Symptoms: DVT?s (3) in left leg

Other Meds: Simvastatin Fluticasone Propionate Nasal spray

Current Illness: None

ID: 1499092
Sex: F
Age: 30
State: CA

Vax Date: 05/12/2021
Onset Date: 07/22/2021
Rec V Date: 07/23/2021
Hospital:

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Lab Data:

Allergies:

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

Symptoms: patient is 2.5 weeks post-op and has multiple (10-12) large pulmonary opacities concerning for organizing pneumonia (has no infectious symptoms, just developed back pain and mild difficulty taking deep breaths)

Other Meds: Prenatal vitamins , started lactation homeopathic medications 4 days prior to presenting with back pain and difficulty taking deep breaths

Current Illness:

ID: 1499093
Sex: F
Age: 81
State: HI

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

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Lab Data:

Allergies: Unknown

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Post Covid-19 vaccine (1st dose) to L Deltoid at 12:15. 12:30 Patient with c/o "dizzy, heart racing" Patient transferred to wheel chair by staff, team lead and BP taken to LUA 191/78 73 and O2 sat 00% ra. Patient given sips of water and BP retaken at 12:33 154/75 62 Patient stated that she normally has high BP however, she has taken her morning metoprolol. 12:38 Patient stated she started to feel better and requested back to be raised, BP 152/85 70. At 12:40 patient informs staff that she is feeling better and wanting to stand and ready to go. Team lead notice patient unstable gait and patient verbalized being dizzy and jittery. Patient return to clinic sitting back down in wheel chair. Patient called to daughter to inform her of her condition and meet at clinic. Team lead attempted without success to encourage patient to be evaluated in ER with transport by EMS. Patient agreed to be evaluated in ED and daughter to transport. BP upon discharge from clinic was 166/89 60 with c/o head ache.

Other Meds: Metoprolol

Current Illness: unknown

ID: 1499094
Sex: F
Age: 40
State: AK

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 07/23/2021
Hospital:

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Lab Data:

Allergies: Minocycline

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

Symptoms: Chest pain 3 times after second Pfizer vaccine but one was more severe. Very strong chest pain, felt like a fist in my chest very tight and like something squeezing my heart- dizzy- had to stop making dinner and sit down. Was out of breath.

Other Meds: Thyroid meds-amour thyroid , vitamin D ,cetirizine hydrochloride -allergy meds

Current Illness: N/a

ID: 1499095
Sex: M
Age: 53
State: CA

Vax Date: 06/18/2021
Onset Date: 06/18/2021
Rec V Date: 07/23/2021
Hospital:

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Lab Data:

Allergies:

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: patient didn't experience any side effects after receiving the vaccines.

Other Meds:

Current Illness:

ID: 1499096
Sex: F
Age: 60
State: CA

Vax Date: 06/18/2021
Onset Date: 06/18/2021
Rec V Date: 07/23/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: PATIENT DIDNT EXPERIENCE ANY SIDE EFFECTS

Other Meds:

Current Illness:

ID: 1499097
Sex: M
Age: 23
State: TN

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

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Lab Data:

Allergies: None

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

Symptoms: Within 5 minutes of vaccination, patient began sweating profusely and had pale coloring. He stated he did not feel well. He may have lost consciousness and fallen down. We had him sit down, gave him orange juice to drink, and fanned him. Within about 20 minutes he stated he all of a sudden felt completely normal again and left under his own power.

Other Meds: Unknown

Current Illness: None

ID: 1499098
Sex: M
Age: 52
State: PA

Vax Date: 05/01/2021
Onset Date: 05/14/2021
Rec V Date: 07/23/2021
Hospital:

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Allergies: None

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

Symptoms: Pain in arm. Felt like there was a softball size lump on my arm even though there was no lump. Pain never eased and actually has gotten worse. My left arm is extremely weak now.

Other Meds: None

Current Illness: None

ID: 1499099
Sex: F
Age: 40
State: PA

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

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Lab Data:

Allergies: N/A

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

Symptoms: Pt was nervous because the shot due the fact she does not like needles. Pt was starting to feel nauseous after the shots . Pt was overall okay and left the pharmacy after 15 mins with her family.

Other Meds: N/A

Current Illness: N/A

ID: 1499100
Sex: F
Age: 29
State:

Vax Date: 06/25/2021
Onset Date: 06/26/2021
Rec V Date: 07/23/2021
Hospital:

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Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Patient came back for her second Moderna vaccine today and said that the day after her first vaccine she noticed small red spots on various parts of her body, mostly on abdomen - she said it might be related to her dog's fleas also. She also noticed pain in her left heel the day after the first vaccine. Since it was not an anaphylactic reaction I recommended that she get the second vaccine to complete the series.

Other Meds:

Current Illness:

ID: 1499101
Sex: F
Age: 41
State: NM

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

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Lab Data:

Allergies: Cipro, Methylene Blue, Azithromycin, shrimp, peanuts, gluten, dairy

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: This is an addendum to a previous report I filed (VAERS ID: 1446698, E-Report Number: 578250). My reaction continued and got much worse after I filed the other report. About an hour after I received the first shot of the Pfizer Covid vaccine, I started to have an allergic reaction. I felt very dizzy and weak, my throat started to close up, and my heart rate was all over the place. I took some Benadryl and some other antihistamines and that reversed the allergic reaction. I didn't need my EpiPen. About 6-7 hours after I got vaccinated, I started to experience a strange neurological event. It was like I was extremely drunk. I was slurring my speech, my vision went dark & blurry, I was very confused, couldn't make the right words, couldn't remember how old I was. My friend called 911 and sent paramedics to my house. They assessed me for a stroke or heart attack and said my heart rate & blood pressure were very unstable, but it didn't appear that I was having a stroke or heart attack at the time. I refused to go to the hospital as it was 4th of July, very late at night, and I was confused about how I was going to get home (I live very rurally and didn't have a partner who could have come with me). The next day I went to the hospital. They said something was going on with my heart and referred me for follow up care. They said I had an abnormal EKG. The ER doctor said I did appear to have an allergic reaction and advised me not to get the second shot. He could not explain the neurological event. He said it could have been a TIA or something similar, but there would be no way to evaluate that unless I had a brain scan at the time of the reaction. He advised me to follow up with my PCP and a cardiologist and any other specialists I may need. It has been nearly 3 weeks since I had the vaccine injury and I am still having heart problems. I am waiting on follow-up care with a cardiologist, but they are booked 2 months out so I don't know what's going on. I have palpitations several times a day, and shortness of breath. Sometimes it's very difficult to breathe. These episodes come on suddenly and will resolve, but will happen again throughout the day. Sometimes at night my heart will be pounding so hard it wakes me up. Sometimes if I'm lying in bed, I can see my heart pounding so hard it shakes my chest and abdomen. This is new and has not happened to me before. It's worse on exertion but happens when I'm sitting or lying down. I don't know what this condition is, but I did not have it before I got vaccinated. It doesn't appear to be myo- or pericarditis, as there is no severe chest pain or fever. I think it's something else, but so far nobody can tell me what it is.

Other Meds: NP Thyroid

Current Illness: Hashimoto's, Lyme disease

ID: 1499102
Sex: M
Age: 63
State: CO

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

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Lab Data:

Allergies: Patient did not report any allergies.

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

Symptoms: Patient received Janssen vaccination on his right deltoid via intramuscular injection at 16:40. At 16:41 while sitting outside under shade, patient experienced an episode of delayed awareness that lasted about 5 seconds. Patients vital signs were monitored and patient mental status was accessed. Patient regained awareness of person, tome, place, and event however stated that he often had syncope episodes after stressful experiences. Patient denied ambulance services called in his behalf and family members proceeded to take patient home under watch for any continued or worsening conditions. Patient and family were educated to contact emergency services if condition did not improve.

Other Meds: Patient reported not taking any prescription. Patient denies drug use.

Current Illness: Patient reported having his gall bladder removed.

ID: 1499103
Sex: M
Age: 20
State: IL

Vax Date: 04/20/2021
Onset Date: 07/19/2021
Rec V Date: 07/23/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies: NKDA

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 7/19 patient presented to ER and was admitted for generalized edema, elevated BNP, tachycardia, DM, and anxiety. Acute CHF, cardiomyopathy, and apical mural thrombus. Patient was diuresed, placed on heparin drip and anticoagulants, insulin adjusted. Echo performed. Labs.

Other Meds: unknown

Current Illness: unknown

ID: 1499104
Sex: M
Age: 24
State: MI

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

Vax Type:
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Lab Data:

Allergies: N/A

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

Symptoms: PATIENT EXPERIENCES BRIEF FAINTING SPELL AND RECOVERED QUICKLY, NAUSEA AND MINIMAL VOMITING DID FOLLOW. PATIENT DID RECOVER WITHIN ABOUT 15 MINUTES. PATIENT REFUSED TO HAVE 911 CALLED AND IS TO BE CARED FOR FURTHER AT HOME AND BY PRIMARY PHYSICAN.

Other Meds: N/A

Current Illness: N/A

ID: 1499105
Sex: F
Age: 12
State: OK

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies: none

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

Symptoms: Parent said Pt wasn't feeling well after her first covid shot. Her pulse was low when I checked her. She looked very pale, and she said she felt hot. She said her breathing was fine so no epipen was given. Pt was able to walk after she rested, and her mom took her to the hospital.

Other Meds: unknown

Current Illness: none

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am