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
88,334
AK1,815
AL6,133
AR3,993
AS45
AZ14,539
CA64,759
CO12,159
CT8,719
DC1,747
DE1,868
FL41,499
FM3
GA16,132
GU92
HI2,477
IA4,739
ID2,763
IL21,496
IN23,655
KS4,844
KY8,414
LA5,328
MA15,281
MD13,105
ME3,277
MH8
MI20,143
MN12,873
MO10,275
MP30
MS3,073
MT2,392
NC17,450
ND1,440
NE3,023
NH3,124
NJ19,456
NM4,089
NV4,600
NY36,525
OH20,140
OK6,525
OR8,918
PA24,920
PR2,483
QM2
RI2,092
SC6,952
SD1,243
TN10,038
TX38,745
UT4,482
VA15,477
VI62
VT1,780
WA15,487
WI11,573
WV2,461
WY894
XB5
XL1
XV2

ID: 1577931
Sex: M
Age: 34
State: FL

Vax Date: 08/12/2021
Onset Date: 08/14/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: chest was swollen and couldn't breath good, vomiting, went to ER and was given an anti-inflammatory

Other Meds: no

Current Illness: no

ID: 1577932
Sex: M
Age: 44
State: AZ

Vax Date: 04/04/2021
Onset Date: 04/19/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Continual head pain, brain fog, tremors, dizziness, hot flashes

Other Meds:

Current Illness:

ID: 1577933
Sex: M
Age: 73
State: KY

Vax Date: 03/10/2021
Onset Date: 07/27/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Moderna on 3/10 and 4/7. Positive on 7/28

Other Meds:

Current Illness:

ID: 1577934
Sex: F
Age: 45
State: TX

Vax Date: 04/06/2021
Onset Date: 07/16/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: X-ray dye

Symptom List:

Symptoms: Arrhythmia and PVCs

Other Meds: Singular Vitamin D

Current Illness:

ID: 1577935
Sex: F
Age: 67
State: NY

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: erythromycin, penicillin, sulfa, latex, onions, peppers, whole wheat,

Symptom List:

Symptoms: fever 102.5 for 4 days, then gradually lowered, chills, aches and pains, on 5th day extreme pain in my right side of face, cheek and especially one tooth. Infection in tooth roots and cheek, had emergency root canal and two rounds of antibiotics for infection. Face/cheek on right side continue to feel noticeable pain and sensitivity daily. Dentist has suggested I have trigeminal neuralgia with no problems with this prior to the vaccine or any problems with teeth. Will be seeing a neurologist regarding this issue.

Other Meds: alllegra, acyclovir, famotadine, singulair, vitamin D, calcium, dexilant

Current Illness:

ID: 1577936
Sex: F
Age: 46
State: WA

Vax Date: 08/06/2021
Onset Date: 08/11/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Aug 6. Got vaccination, had arm pain at shot site in the evening Aug 7. Pain in upper arm at shot site Aug 8. Little less pain in upper arm at shot site Aug 9. No symptoms Aug 10. No symptoms Aug 11. Swelling of lymph node in armpit. Pain & tightness in upper arm & armpit area Aug 12. More swelling and painful lymph node, very swollen and painful Aug 13. Little less swelling and pain in lymph node in armpit. Tender at shot site again, feels irritated. Aug 14. Bullseye rash around shot site, painful and tender, itchy, feels hot and hard. Little less pain and swelling in lymph node in armpit. Sharp shooting pain in my lymph node a few times. Aug 15. Bullseye rash spread larger, still hot & hard, painful, tender & itchy. Lymph node still swollen and painful. Sharp shooting pain in lymph node a few times. Aug 16. Bullseye rash spread larger, not as hot & hard or painful, itchy around the edges. Lymph node little less swollen and painful, still uncomfortable. Aug 17. Bullseye rash spread larger, much less painful, little less hard and hot feeling. It has a defined edge around the circle of the rash and the edges are itchy. Lymph node a little less swollen and painful.

Other Meds:

Current Illness:

ID: 1577937
Sex: M
Age: 70
State: MA

Vax Date: 08/09/2021
Onset Date: 08/10/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 1 day post vaccine pt experienced difficulty breathing and a rash on his stomach. Pt was given some benadryl at home and this helped the symptoms. Pt also stated his daughter had some prednisone at home that she gave to him.

Other Meds:

Current Illness:

ID: 1577938
Sex: F
Age: 40
State: RI

Vax Date: 05/17/2021
Onset Date: 05/18/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Shell fish Latex Seasonal allergies Penicillin

Symptom List:

Symptoms: Severe rash in neck accompanied by dry skin patches Sudden Bright red blood discharged (no period) after 1hr of vaccination Since getting the vaccine I have severe muscle aches all my body hurts it doesn't matter what pain reliver I take nothing helps it is constant muscle ache starting at my neck all the way to my legs and feet. I am also getting daily headaches. I am in constant 9 out of 10 pain on a daily basis post vaccine

Other Meds: None

Current Illness: Asthma

ID: 1577939
Sex: M
Age: 40
State: PA

Vax Date: 01/05/2021
Onset Date: 01/23/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: On 1/23 while exercising I noticed blotchy vision in my right eye that seemed to come on suddenly. On 2/3 I was diagnosed with a Branch Retinal Vein Occlusion. I don't have any risk factors for this, and extensive lab work all came back negative. Although I don't know that the vaccine was the cause, I am suspicious that it may have been, and so am wary of taking a booster shot.

Other Meds: none

Current Illness: none

ID: 1577940
Sex: F
Age: 35
State: PA

Vax Date: 01/07/2021
Onset Date: 08/05/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Fever or Chills Cough Fatigue Headache Sore throat

Other Meds: norethindrone-e.estradioL-iron (JUNEL FE 1/20) 1 mg-20 mcg (21)/75 mg (7) per tablet

Current Illness:

ID: 1577941
Sex: F
Age: 62
State:

Vax Date: 07/05/2021
Onset Date: 08/07/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: ED to hospital admission within 6 weeks of receiving COVID vaccination. Currently hospitalized as of 8/17.

Other Meds:

Current Illness:

ID: 1577942
Sex: M
Age: 50
State: WI

Vax Date: 05/12/2021
Onset Date: 05/15/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Developed Shingles 4 days after vaccination, treated with VALACYCLOVIR HCL 1 GRAM TABLET, PREDNISOLONE AC 1% EYE DROP drops,suspension , CIPROFLOXACIN 0.3% EYE DROP DROPS, still have pain and numbness 3 moths later

Other Meds: POTASSIUM CL ER 10 MEQ CAPSULE CAPSULE, EXTENDED RELEASE, ROSUVASTATIN CALCIUM 20 MG TAB TABLET, HYDROCHLOROTHIAZIDE 25 MG TAB TABLET, ATENOLOL 50 MG TABLET

Current Illness:

ID: 1577943
Sex: F
Age: 53
State: MN

Vax Date: 01/20/2021
Onset Date: 07/22/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: Patient tested positive for Covid-19 on 07/22/2021.

Other Meds: Metformin, Luvox, Allegra D, Fastin, Synthroid, Xanax, Valtrex, Zofran

Current Illness:

ID: 1577944
Sex: F
Age: 13
State: VA

Vax Date: 08/17/2021
Onset Date: 08/17/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: patient reported to the vaccination clinic to receive the 2nd dose of the Pfizer vaccine. after vaccination patient reported first symptom of having an upset stomach and began to lose vision while remaining conscious. The patient was moved from the vaccination chair onto a patient bed with head elevated and given an ice pack. after patient was placed on bed the patient still had loss of vision and the complained of itching on lower back area as well as difficulty breathing. Patient was given 0.3mL Adrenalin brand Epinephrine vial dose 1:1000 on L deltoid approximately 2 inches below vaccination site approximately 4 minutes after onset of symptoms. Vitals were monitored after Epinephrine administration and became stable. Emergency Department at the hospital was notified and reported to the room for transfer.

Other Meds: Loratadine 10mg tablet PO PRN,

Current Illness: no illnesses at time of vaccination.

ID: 1577945
Sex: F
Age: 71
State: NC

Vax Date: 08/03/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 10 days after vaccine started developing a rash and itching. The site was warm to touch. Today site is still red and slightly warm and spread almost entire upper arm.

Other Meds: Tylenol 650/ Lisinopril, Clopidogrel, Crestor, Vit B 12, Vit:D3

Current Illness:

ID: 1577946
Sex: F
Age: 11
State: CO

Vax Date: 08/15/2021
Onset Date: 08/15/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: NKDA; none listed for medication, food or other products.

Symptom List:

Symptoms: Upon giving the HPV vaccination, patient had syncope event after HPV vaccination. She was placed from sitting to supine position on exam table; other staff assistance provided. Cold cloth and ammonia inhalant administered. Patient lost consciousness for approximately one minute followed by pupil dilation, staring into space, and involuntary limb movements, left eye deviation. No loss of bladder or bowel control, no tongue biting, no convulsions noted. EMS arrived at 11:30 am. At that time Patient was responsive and crying. Full exam completed by EMS ; patient was stable. EMS and mother discussed plant to go home due to being stable and following up with pcp. No sports physical completed.

Other Meds: Not to my knowledge

Current Illness: None

ID: 1577947
Sex: M
Age: 37
State: WA

Vax Date: 08/11/2021
Onset Date: 08/12/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Severe sore shoulder and minor rash by that evening. intensity of shoulder and rash lasted 3 days, loss of sleep those days. On day 2 post injection I developed sores in my mouth and one in my right nostril, all but one have healed at this point. morning of day 3 i woke up to complete numbness on the right side of my face, didnt notice if I had facial droop. numbness resolved several hours after waking. So almost a week after the injection all that remains is one sore in my mouth.

Other Meds: none

Current Illness: none

ID: 1577948
Sex: M
Age: 56
State: IN

Vax Date: 06/25/2021
Onset Date: 06/25/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The COVID-19 vaccine administered through vaccine administrator, between June 25 and July 30 came from the lot number 039K20A. It was discovered that this particular lot was beyond its frozen expiration date by five (5) up to forty (40) days. A case was opened with Moderna (Case #: MOD21-126790). Please refer to this case number if you would like to contact Moderna directly. Moderna confirmed that the vaccine doses administered maintained the activity necessary to protect against the COVID-19 virus. Moderna also confirmed there is no danger to anyone's health from receiving a vaccine past its frozen expiration date. No adverse reactions were identified.

Other Meds:

Current Illness:

ID: 1577949
Sex: F
Age: 25
State: OK

Vax Date: 08/04/2021
Onset Date: 08/05/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Nickel

Symptom List:

Symptoms: Stiff neck/shoulder pain, trouble breathing ( few hours after) and clusters of discoloration on my arm the next day after vaccination. The discoloration still persists.

Other Meds: None

Current Illness: None

ID: 1577950
Sex: F
Age: 43
State: CA

Vax Date: 08/12/2021
Onset Date: 08/12/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Got extreme dry mouth and numb upper lip within 5 min of injection, extremely tired about an hr after shot, running nose, chills. 2 days after shot my right leg had 2 different leg trimmers lasting a couple of seconds long. Dry month is still ongoing. Numb upper lip went around in about 3 days. Energy came back around day 3.

Other Meds: Tylenol

Current Illness: none

ID: 1577951
Sex: M
Age: 86
State:

Vax Date: 04/01/2021
Onset Date: 05/07/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: ED/Hospitalization within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1577952
Sex: F
Age: 56
State:

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Sulfonamide antibiotics.

Symptom List:

Symptoms: Severe headache, bilateral flank pain, severe muscle and joint paint, urgency, severe nausea no vomiting, blood pressure- 90/0, was unable to stand, extremely weak.

Other Meds: Gabapentin, Dilantin 100mg, Fludrocortisone 0.5mg, NP Thyroid 30mg twice a day, Zinc 22mg daily, Vitamin D 5000 units daily, Oxycodone 1 tablet 3x a day as needed.

Current Illness: None.

ID: 1577953
Sex: M
Age: 79
State: TX

Vax Date: 02/01/2021
Onset Date: 08/02/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I have SOB and weakness. I have a fever. I went to the ER. I am on oxygen. They did a Covid-19 screen test, positive for Covid-19. I am currently hospitalized. They did chest X-ray, mild disturbing to lower bottom of the lungs. I was pulmonary embolism which has now cleared up.

Other Meds:

Current Illness:

ID: 1577954
Sex: F
Age: 14
State: TX

Vax Date: 05/20/2021
Onset Date:
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: My daughter's menstrual cycle was delayed. She did not have her period for 49 days.

Other Meds:

Current Illness:

ID: 1577955
Sex: F
Age: 44
State: IL

Vax Date: 06/07/2021
Onset Date: 06/28/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: none (tested yesterday)

Symptom List:

Symptoms: Numb tongue within minutes of both injections. Ever since getting the first injection, I've been getting hives all over my body that require me to take Zyrtec daily. Soon after getting the second shot (my healthcare professional told me to still get the second shot), I also had swelling in my lips and face. I took Zyrtec in the morning and Benedryl at night for two weeks. I have darkened skin where the injection was and both times the injection area was bright red, hot, and painful to touch for more than a week.

Other Meds: Desvenlafaxine, Trazodone

Current Illness: none

ID: 1577956
Sex: M
Age: 72
State: OH

Vax Date: 03/24/2021
Onset Date: 04/26/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: Severe back and shoulder pains, diagnosed with Parsonage Turner Syndrome

Other Meds: Pantoprazole 40 mg (once daily) Atorvastatin 40mg (once daily) Amiodipine 5mg (once daily) Aspirin 81mg (once daily) Flomax .08 (once daily) Glucosamine (twice daily) D3 1000 iu (once daily) B12 5000mcg (once daily) Fish Oil 1000mg (once da

Current Illness: None

ID: 1577957
Sex: F
Age: 42
State: MN

Vax Date: 04/15/2021
Onset Date: 04/27/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Presented to ED with chest pain 4/27/2021, mildly elevated troponin 0.066, peaked at 0.165, demonstrated normal biventricular function, coronary angiography demonstrated normal coronary arteries, 5/27/2021 demonstrated normal biventricular function but delayed hyperenhancement revealed localized pericardial and subepicardial hyperenhancement consistent with Myopericarditis

Other Meds: citalopram 20mg daily

Current Illness: none

ID: 1577958
Sex: F
Age: 57
State: FL

Vax Date: 08/15/2021
Onset Date: 08/16/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Pennicillin

Symptom List:

Symptoms: Pt. states that after receiving the 2nd dose of Moderna 08/15/2021, started experiencing symptoms 08/16/2021 of body aches, joint pain, and a rash throughout the left arm forming overnight 08/16/2021 into 17th. Still continuing to experience the rash, but body aches and joint are subsiding. No noted Primary visit.

Other Meds: Ativan

Current Illness: N/A

ID: 1577959
Sex: F
Age: 29
State: OH

Vax Date: 08/16/2021
Onset Date: 08/17/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Herpes simplex 1 (cold sore) outbreak on lip started 22 hours after 2nd vaccine. No signs or symptoms prior to vaccine. I have not had a cold sore in 2+ years prior to getting vaccine.

Other Meds: None

Current Illness: None

ID: 1577960
Sex: F
Age: 72
State: MN

Vax Date: 03/07/2021
Onset Date: 08/16/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Noted to be asymptomatic.

Other Meds: Vitamin D3 2,000 unit Neurontin 600 mg Methenamine hippurate 1 g Zoloft 100 mg Oravastatin 20 mg Acetaminophen SR 650 mg Calcium carbonate-vitamin D3 600 mg Cranberry 500 mg Cyanocobalamin 500 mcg Diphenhydramine 25 mg Omega 3 Vitron-C 65 m

Current Illness:

ID: 1577961
Sex: F
Age: 41
State: GA

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Pt requested Moderna Vaccine , when asked whether or not this was her first dose pt stated she has not received a Covid vaccination this was stated to the intake worker as well as the vaccinator. Pt ended up receiving a third Covid vaccination of Moderna. When her paperwork was filed it was noticed by a team member that she had already received 2 doses of Pfizer back in December earlier this year.

Other Meds: N/A

Current Illness: N/A

ID: 1577962
Sex: F
Age: 36
State: MD

Vax Date: 02/10/2021
Onset Date: 08/16/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: COVID positive after vaccination

Other Meds:

Current Illness:

ID: 1577963
Sex: M
Age: 45
State: VA

Vax Date: 08/13/2021
Onset Date: 08/14/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: extremely painful and swollen lymph nodes in armpit.... opposite arm of where the shot was administered. I would say the swelling is almost size of golf ball in my right armpit. This was Moderna first vaccine...

Other Meds: none

Current Illness: embolization of maxillary artery just over 2 weeks ago...

ID: 1577964
Sex: M
Age: 29
State: OH

Vax Date: 01/05/2021
Onset Date: 01/23/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: I tested positive with covid last august 2020 with no residual issues. January 5 2021 I received 1 moderna vaccine. Approximately 2-3 weeks later I experienced sudden onset fasciculations in both feet with concurrent bilateral thenar eminence fatigue-pain and questionable weakness, incoordination of bilateral thenar eminences. Fasciculations resolved over a few days and thenar symptoms improved. I was evaluated by neurology, which was unremarkable (however I did not receive any labs, imaging or testing). Neurologist called it an apparent "peripheral polyneuropathy, possibly related to vaccine". I opted not to receive the second vaccine dose Since onset I have experienced intermittent thenar symptoms that seem to last ~1-2 weeks every month. I have not been able to identify a pattern or trigger. Severity of symptoms overall seem to be improving

Other Meds: none

Current Illness: none

ID: 1577965
Sex: F
Age: 58
State: MD

Vax Date: 08/06/2021
Onset Date: 08/07/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Cipro Fentanyl Sulfa

Symptom List:

Symptoms: Patient reports she received Moderna COVID vaccine on 8/6/21. She reports shortly after (unsure of exact timeframe, possibly a day) she developed an annular red warm painful area on the arm. Reports it has been presents for "11 days." She states she has taken 12.5mg of Benadryl and tried ice without improvement. She was evaluated at myself at Clinic. On exam she has a 6cm x 6cm annular minimally raised area of tender blanching erythema. No systemic symptoms. Does not appear consistent with cellulitis given stability over the past 11 days.

Other Meds: Multivitamin

Current Illness: Denies

Date Died: 08/14/2021

ID: 1577966
Sex: F
Age: 69
State: KY

Vax Date: 06/15/2021
Onset Date: 08/14/2021
Rec V Date: 08/17/2021
Hospital: Y

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Symptoms: Patient admitted to ICU on 8/13/21 on noninvasive ventilation. Patient repeatedly verbalized she did not want to be intubated. Overnight, increasing oxygen needs and AVAPS increased to fio2 100% and epap 14. She had increased work of breathing and tachypnea with respirations up to 50s and oxygen saturations 79-85%. This morning, monitor alarmed asystole and RN called code blue and initiated CPR with bag valve mask. Monitor tech advised patient was normal sinus rhythm and then ventricular standstill just prior to arrest. Multiple rounds of CPR with epinephrine administered, unfortunately we were not able to regain pulse. Patient was not intubated in honor of her wishes. Resuscitation attempts stopped, and time of death called at 09:18; may she rest in peace.

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Current Illness:

Date Died: 08/09/2021

ID: 1577967
Sex: F
Age: 69
State: FL

Vax Date: 03/23/2021
Onset Date: 08/01/2021
Rec V Date: 08/17/2021
Hospital: Y

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Symptoms: Hospitalization for COVID19 8/01/21 and death 8/09/21

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Current Illness:

ID: 1577968
Sex: M
Age: 40
State: NJ

Vax Date: 06/21/2021
Onset Date: 06/22/2021
Rec V Date: 08/17/2021
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Allergies: Strawberries

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Symptoms: Increased heart rate, prolonged chest pain, radiating pain on left side of upper body, shortness of breath, heart palpitations

Other Meds: N/A

Current Illness: N/A

ID: 1577969
Sex: M
Age: 23
State: KY

Vax Date: 01/20/2021
Onset Date: 08/12/2021
Rec V Date: 08/17/2021
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Symptoms: Covid positive

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Current Illness:

ID: 1577970
Sex: F
Age: 44
State: MN

Vax Date: 08/09/2021
Onset Date: 08/09/2021
Rec V Date: 08/17/2021
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Allergies: Seasonal allergies

Symptom List:

Symptoms: My head has hurt since I?ve gotten it. I?ve been alternating ibuprofen and Tylenol and it doesn?t seem to want to entirely go away.

Other Meds: Hydroxyzine, dexilant

Current Illness:

ID: 1577971
Sex: F
Age: 69
State: GA

Vax Date: 02/14/2021
Onset Date: 02/17/2021
Rec V Date: 08/17/2021
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Allergies: Codeine; NSAIDs

Symptom List:

Symptoms: Nasal congestion, headaches.

Other Meds: Tylenol

Current Illness: No

Date Died: 08/10/2021

ID: 1577972
Sex: M
Age: 70
State: FL

Vax Date: 01/26/2021
Onset Date: 08/06/2021
Rec V Date: 08/17/2021
Hospital: Y

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Symptoms: Hospitalization 8/6/21 for Covid19 and death 8/10/21

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Current Illness:

ID: 1577973
Sex: F
Age: 55
State: GA

Vax Date: 05/01/2021
Onset Date: 05/22/2021
Rec V Date: 08/17/2021
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Allergies: NA

Symptom List:

Symptoms: ringing in my ears and loss of balance

Other Meds: Lisinopril Blood Pressure Medicine

Current Illness: NA

ID: 1577974
Sex: M
Age: 69
State: GA

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 08/17/2021
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Allergies: None

Symptom List:

Symptoms: Lungs congested for 5 months. Extremely low BP for a week and a half. Extremely high BP for a week and a half

Other Meds: Carvedilol - Atorvastatin - Cllopidogrel - Lisinopril - Aspirin

Current Illness: None

ID: 1577975
Sex: F
Age: 35
State: PA

Vax Date: 08/13/2021
Onset Date: 08/14/2021
Rec V Date: 08/17/2021
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Allergies: Cyclophorine, cefaclor, red dye

Symptom List:

Symptoms: Next morning, left eye started to twitch and has not stopped since- it is now 5 days later. Also have had severe gastrointestinal issues (diarrhea) since having the shot.

Other Meds: None

Current Illness: None

ID: 1577976
Sex: F
Age: 69
State: KY

Vax Date: 03/09/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
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Symptoms: Covid19

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Current Illness:

ID: 1577978
Sex: F
Age: 68
State: VA

Vax Date: 01/31/2021
Onset Date: 06/16/2021
Rec V Date: 08/17/2021
Hospital: Y

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Allergies: sulfa drugs

Symptom List:

Symptoms: June 16, 2021 suffered multiple blood clots in lungs

Other Meds: Hydrochorothiazide 25mg tab (1&1/2 per morning) Atorvastatin 10mg (1per day) Alendronate Sodium tablets70mg (1 per week) Topirmate 25mg (1 per day)

Current Illness: UTI

ID: 1577979
Sex: M
Age: 21
State: PA

Vax Date: 04/01/2021
Onset Date: 07/30/2021
Rec V Date: 08/17/2021
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Allergies: Omnicef [Cefdinir]

Symptom List:

Symptoms: ? Covid-19 Screening ? Nasal Congestion Viral illness

Other Meds: NONE

Current Illness:

ID: 1577980
Sex: F
Age: 52
State: NY

Vax Date: 02/24/2021
Onset Date: 02/28/2021
Rec V Date: 08/17/2021
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Allergies: Cipro

Symptom List:

Symptoms: Swollen lymph nodes / lumps in breast/ pain since vaccines

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Current Illness:

ID: 1577981
Sex: F
Age: 45
State: TX

Vax Date: 04/06/2021
Onset Date: 07/16/2021
Rec V Date: 08/17/2021
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Allergies: X-ray dye

Symptom List:

Symptoms: Heart arrhythmia and PVCs

Other Meds: Singular Vitamin D

Current Illness:

Total 2021 VAERS Injuries: 679,999

Page last modified: 03 October 2021 5:28pm