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: 1578035
Sex: M
Age: 22
State: MI

Vax Date: 08/10/2021
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: temperature excursion - vaccine stored too long in freezer temperatures

Other Meds:

Current Illness:

ID: 1578036
Sex: F
Age: 55
State: PA

Vax Date: 01/04/2021
Onset Date: 03/01/2021
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: Started to notice heart racing or heart palpitations and on 04/14/2021 went to a walk in clinic because I was uncomfortable. They found noting serious. Went to my Dr and she sent me for Holter monitor which showed no heart damage. As time has gone by the palpitations have subsided and gone away. I am not bothered on a daily basis with them. I am wondering if and when a booster is available should I get one??

Other Meds: vitamin D, Lutein 20mg, Biotin 5000 mcg

Current Illness: none

ID: 1578037
Sex: M
Age: 58
State: AR

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:

Symptom List:

Symptoms: Patient was given the wrong MFG. first Covid vaccine was Moderna, I gave Pfizer as his 2nd vaccine. First vaccine (Moderna) 7/14/21, second vaccine (Pfizer) 8/16/21 Pt was informed of error and instructed that this would be counted as his second dose, would not need a second dose of Moderna. Pt verbalized understanding.

Other Meds:

Current Illness:

Date Died: 08/09/2021

ID: 1578038
Sex: M
Age: 77
State: MO

Vax Date: 02/18/2021
Onset Date: 07/18/2021
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: Sxs onset 7/17. Moderna-1/21 and 2/18. Admitted to hospital 7/18 to 8/09. Died on 08/09 due to COVID related death per Disease report. Never admitted to ICU. Was in Step Down unit when he passed away

Other Meds:

Current Illness:

ID: 1578039
Sex: M
Age: 79
State: MN

Vax Date: 03/12/2021
Onset Date: 08/09/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Kiwi (Nic) Kiwi Adhesive Tape-Silicones

Symptom List:

Symptoms: Patient is a 79 y.o. male, currently on coumadin with a history of MI, CAD, hypertension, and atrial fibrillation who presents to the emergency department with his son for evaluation of fever, weakness, and cough. The patient reports that he has been feeling sick for about a week with fever, dry cough, nausea, and diarrhea that resolved a few days ago. He states that he has been taking tylenol for his fever, last dose yesterday, but he has not taken his other medications for the past 3-4 days. He has been drinking water but has not been eating the past few days, and he notes that he has not been urinating as much and has darker urine than normal. He came in today because his son was concerned and called him this morning and thought he sounded off. When he went to his house the patient was sitting in his chair in the living room and his TV was on in his bedroom, which was weird, but the patient has been acting normally to him. Here in the emergency department the patient endorses fever, weakness, nausea, decreased urination, dark urine, decreased appetite, and dry cough. He did not take any tylenol or ibuprofen today. He is vaccinated for COVID-19 and denies any known sick contacts. He further denies any chest pain, shortness of breath, current diarrhea, vomiting, or other urinary symptoms.

Other Meds: allopurinol (ZYLOPRIM) 100 mg oral tablet aspirin 81 mg oral enteric coated tablet atorvastatin (LIPITOR) 80 mg oral tablet cholecalciferol, vitamin D3, (VITAMIN D3 ORAL) Magnesium 200 mg oral Tab melatonin 5 mg o

Current Illness:

ID: 1578040
Sex: F
Age: 33
State: MS

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: I received the Pfizer vaccine first dose on 8/9/21 at 915 am and around 11 pm that night I could feel an irregular rapid heart rate (120?s), felling hot and flushed, my face felt full and tingly, I felt dizzy and off. I had trouble falling asleep and staying asleep that night. The next day I went in to see my primary care physician where I had lab work and an EKG done. The EKG came back abnormal so I was referred to a cardiologist where I had an echocardiogram and 14 day monitor in place. 8 days out I now feel dizzy and off some of the day, and numbness in my right forearm and hand.

Other Meds: Multivitamin

Current Illness: NA

ID: 1578041
Sex: M
Age: 61
State: AZ

Vax Date: 07/06/2021
Onset Date: 07/08/2021
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: Ringing in the ears started several days after I received the second dose of vaccine. It is mild but has been constant ever since. Have tried OTC cold and sinus medication, sinus irrigation and tylenol. Never have had tinnitus or ringing in the ears prior to this.

Other Meds: None

Current Illness: None

ID: 1578042
Sex: M
Age: 35
State: MD

Vax Date: 04/28/2021
Onset Date: 05/14/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: none at this time

Symptom List:

Symptoms: Adverse events did not occur until after second shot. Common side effects occurred - fever, headache, lethargy, flu-like symptoms etc. Reason for Doctor visit was due to new chest pain, chest tightening sensations.

Other Meds: 400mg to 800mg Acyclovir for Oral HSV1 as needed, at times daily for 7 days ; 4000 iu Vitamin D supplement daily ; 3mg melatonin nightly

Current Illness: none at this time

ID: 1578043
Sex: F
Age: 45
State: CA

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: Cephalexin, PCN, Sulfacetamide Sodium

Symptom List:

Symptoms: Developed rash the next day to torso that spread to thighs and arms and has been taking OTC of Benadryl without improvement.

Other Meds: Benadryl

Current Illness:

ID: 1578044
Sex: F
Age: 28
State: MO

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: Contrast dye

Symptom List:

Symptoms: Client complained on left extremity feeling tingly, achiness, flushing, and wheezing. Client's HR 130s and BP 150/90s. Pulse ox 98% RA. Client remained alert and oriented during event. Nurse noted mild wheezes in upper lung. Client stated she was feeling flushed off and on. Benadryl given to client. Ambulance arrived on scene at 1350 and pt refused transport. Went home with a family member.

Other Meds: Valium 5mg Lyrica Baclofen Wellbutrin

Current Illness:

ID: 1578045
Sex: F
Age: 13
State: MI

Vax Date: 08/10/2021
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: temperature excursion - vaccine stored too long in freezer temperatures

Other Meds:

Current Illness:

ID: 1578046
Sex: F
Age: 55
State: MN

Vax Date: 01/15/2021
Onset Date: 08/16/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies: Patient has no known allergies.

Symptom List:

Symptoms: Patient is noted to be asymptomatic.

Other Meds: ACETAMINOPHEN (TYLENOL ORAL) atorvastatin (LIPITOR) 20 mg oral tablet levothyroxine (SYNTHROID) 100 mcg oral tablet oxyCODONE, immediate release, (ROXICODONE) 5 mg oral tablet

Current Illness:

ID: 1578047
Sex: F
Age: 75
State: PA

Vax Date: 02/10/2021
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: Iv Dye [Gadolinium-containing Contrast Media]Shortness of breath / Dyspnea Iv Dye [Iodinated Contrast Media]Hives / Urticaria, Shortness of breath / Dyspnea Meloxicam MometasoneFatigue

Symptom List:

Symptoms: Fatigue Cold symptoms Congestion rhinorrhea

Other Meds: albuterol HFA (PROAIR HFA) 90 mcg/actuation inhaler apixaban (ELIQUIS) 5 mg tablet cholecalciferol, vitamin D3, (VITAMIN D3 ORAL) cranberry fruit concentrate (AZO CRANBERRY ORAL) cycloSPORINE (RESTASIS MULTIDOSE) 0.05 % drops docosahexaenoi

Current Illness: Asthma

ID: 1578048
Sex: F
Age: 12
State: KS

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:

Symptom List:

Symptoms: TDAP and MCV4 was given on 08/03/2021 with mom TDAP and MCV4 was given on 08/16/2021 with dad

Other Meds:

Current Illness:

ID: 1578050
Sex: F
Age: 53
State: ME

Vax Date: 12/16/2020
Onset Date: 12/18/2020
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Pennacillian

Symptom List:

Symptoms: Physical therapy,then MRI,Dr specialist, Kortazone shot,exercise, now surgery

Other Meds: Aleeve, stool softener,bengay

Current Illness: Non

ID: 1578051
Sex: F
Age: 0
State: NJ

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: N/A

Symptom List:

Symptoms: patient went to the hospital the night of the vaccine experiencing pain on her right side from shoulder to her feet. hospital prescribed and discharged on a muscle relaxer. patient still in severe pain and hospital believe it was Sciatica brought on from the vaccine.

Other Meds: amlodipine percocet celecoxib flovent procto-med HC atorvastatin humira

Current Illness: N/A

ID: 1578052
Sex: M
Age: 20
State: MO

Vax Date: 08/14/2021
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:

Symptom List:

Symptoms: Client was observed by nurse to be pale and not doing well. Nurse went to check on client and client leaned to his left falling out of his chair, losing consciousness, and hitting his head. Client regained consciousness shortly after and was alert and oriented x4. Client stated he felt dizzy, hot, and nauseous. EMS was called and client was transported by them to local hospital.

Other Meds:

Current Illness:

ID: 1578053
Sex: F
Age: 59
State: MN

Vax Date: 01/18/2021
Onset Date: 02/01/2021
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: A few weeks after my second vaccine, I was having memory issues. Would forget what I was going to say, lost my thoughts. Foggy, my brain wasn't able to keep up. It was like everyone talking about the covid brain fog that they had, but as far as I know I did not have Covid. The words are slow! I have talked to my Dr about this and she ran VitB12(920pg/ml) and Folate(40.0ng/ml) and has referred me to psychological tesing. It is better then it was, but still concerning.

Other Meds: Multi vits, blood pressure (losartan 100 mg), plant base omegas, probiotic

Current Illness:

ID: 1578054
Sex: F
Age: 90
State: FL

Vax Date: 01/19/2021
Onset Date: 08/12/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies: Latex, Venofer, Penicillin, Sulfa drugs

Symptom List:

Symptoms: The patient presents with shortness of breath. 90 year old presents to ED from other area with concerns over sob. Per EMS, the pt's o2 saturation dropped to 85% PTA and the pt became noticeably exerting herself to breathe. Pt received steroids by EMS, with no significant relief. The onset was just prior to arrival. Risk factors consist of coronary artery disease, congestive heart failure and hypertension. The patient is a 90-year-old female with a history of Chronic Obstructive Pulmonary Disease, CHF, coronary artery disease, chronic kidney disease that presented to the emergency department with complaints of shortness of breath. Patient states she has had increased weakness, fatigue and shortness of breath over the past 3 days. States she began running a fever yesterday and thought she may have COVID-19 so she was sent to the ED by her nursing home. Notes cough and shortness of breath. COVID-19 swab was not completed in the ED. currently resting in bed. In respiratory distress. On 4 L via nasal cannula with respiratory rate of 30. She is on chronic home O2 at 2 L. moderate distress. Unable to complete full sentences. Respiratory distress

Other Meds: Levothyroxine, Protonix, Albuterol, Symbicort, Brilinta, Lasix Gabapentine, Hydralazine, Norco 10, Amlodopine, Duloxetine, Iron, Tizanidine

Current Illness: Unknown

ID: 1578055
Sex: F
Age: 33
State: NC

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: no

Symptom List:

Symptoms: woke up with bad hot flashes, cramping in legs and whole body, chest is heavy, sore throat

Other Meds: birth control

Current Illness: no

ID: 1578056
Sex: F
Age: 89
State: FL

Vax Date: 01/22/2021
Onset Date: 08/15/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: The patient presents with Fall, just prior to arrival. Per EMS report, pt experienced a ground level fall at Cove assisted living. At ED, pt reports to have been feeling general weakness, dizziness, and nausea. Pt is currently COVID-19 positive and has been medicating with Doxycycline for an UTI. Associated symptoms: nausea, dizziness, General weakness.

Other Meds: Acetaminophen, Benzonatate, Donepezil, Levothyroine, Meclizine

Current Illness: Unknown

ID: 1578057
Sex: M
Age: 98
State: NY

Vax Date: 03/30/2021
Onset Date: 08/09/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient received first dose of Pfizer on 3/9/2021 and the second dose on 3/30/2021. Patient does not have any immuncompromising conditions that are known. 99 yo m with HTN, HFpEF, pulmonary HTN, s/p PPM, BPH, fully vaccinated for COVID in March 2021, presented with cough, congestion, decreased appetite x 1 week (symptoms started 8/9/2021). No known sick contacts. He developed worsening SOB so his wife took him for COVID testing 8/15/2021 which was + at urgent care; pt was transferred to Hospital. In the ED, pt was hypoxemic to 87%. Patient tested positive via PCR in the Emergency Department of Hospital. Patient is currently hospitalized receiving oxygen (non-rebreather mask 6L/min), remdesivir and steroids.

Other Meds: Proscar, furosemide, metoprolol succinate XL, Tamsulosin

Current Illness: None

ID: 1578058
Sex: F
Age: 23
State: NC

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:

Symptom List:

Symptoms: Pt felt dizzy, clammy, sweaty immediately after receiving Janssen vaccine. EMS was called and pharmacist and store managers waited with her until they arrived. Pharmacist suspected she had fainted. She was responsive and aware, vitals wnl. After about 15-20min with EMS, patient felt better and was encouraged to eat and drink something before leaving.

Other Meds:

Current Illness:

ID: 1578059
Sex: F
Age: 59
State: PA

Vax Date: 02/22/2021
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: No Known Allergies

Symptom List:

Symptoms: Tested positive to COVID-19

Other Meds: acetaminophen (TYLENOL) 325 mg tablet ergocalciferol (VITAMIN D) 50,000 unit capsule fluticasone (FLONASE) 50 mcg/actuation nasal spray ibuprofen (MOTRIN) 400 mg tablet levothyroxine (SYNTHROID, LEVOTHROID) 137 mcg tablet sulfamethoxazole-t

Current Illness: None

ID: 1578060
Sex: M
Age: 56
State: FL

Vax Date: 07/27/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: The patient presents with shortness of breath. 56 year old male presents to ED complaining of sob, secondary to COVID-19 infection. Pt reports his O2 saturation drooped to 85% PTA. He discussed this concern with his PCP, who advised him to visit the ED. Pt is COVID-19 positive. PT PRESENTS TO ED FROM HOME VIA EMS FOR CO SHORTNESSOF BREATH. PT TESTED POSITIVE FOR COVID A WEEK AND A HALF AGO. PT WAS AT 87% ON RA UPON EMS ARRIVAL. when pt arrived to the ED he was placed on 4L NC and his sat was 88%.

Other Meds: No known home medications

Current Illness: unknown

ID: 1578061
Sex: M
Age: 77
State: FL

Vax Date: 01/14/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies: no known allergies

Symptom List:

Symptoms: The patient presents with 77 year old male with history of CAD, HTN, HLD, AAA on Plavix, MI, angina, COPD, CVA, and enlarged prostate presents to ED with c/o weakness and multiple falls x1 week. Sts he woke up to use the restroom at 0400 and started leaning forward and got caught between the toilet and the wall. He c/o left sided trunk pain that's exacerbated with coughing and palpation. EMS was called to assist the patient but he refused to be transported. Patient is on 2L oxygen at night secondary to COPD. Patient states he always has a decreased urinary stream. Also states he always has a cough.. The onset was 1 weeks ago. Incidental finding--Covid.

Other Meds: Amlodipine, Trental, Zocor, Lyrica, Plavix, Ativan Colace, Zinc, Multivitamin with minerals (Emerg-C), Dulera , Spiriva, Mysoline, probioticNitrostate

Current Illness: unknown illnesses, no vaccinations one month prior

ID: 1578062
Sex: F
Age: 46
State: AZ

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Gluten, dairy, eggs, latex

Symptom List:

Symptoms: Before I was diagnosed with Hashimoto's in mid 2018, I had all sorts of strange symptoms like episcleritis in my left eye, neuropathy in my hands and cheeks, hives, dizziness and anxiety. Once I was diagnosed, I changed my diet and lifestyle. Within 6 months, all of the aforementioned symptoms subsided, and I haven't dealt with them in over two and a half years. A number of my autoimmune symptoms returned after I received the COVID19 vaccine. 3/24/2021 - Dose 1 of Moderna in my left arm 3/25/2021 - Big red blotch appears around injection site Within a week, my left armpit lymph node swelled. It stayed swollen for over a month 4/1/2021 (approx.) - pain and redness in my left eye like the episcleritis I used to get. This was intense for about a week. (I couldn't get an ophthalmologist appointment until 4/16 and by then the inflammation had subsided.) 4/21/2021 - 2nd dose of Moderna in right arm Approx late May/early June - the following symptoms appear: neuropathy in my left hand and left cheek, left eye twitching, what I call Hashi's anxiety and serious fatigue.

Other Meds:

Current Illness:

ID: 1578063
Sex: F
Age: 37
State: VA

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:

Symptom List:

Symptoms: shortness of breath, fluttering of the heart, high blood pressure, very weak, chest tightness

Other Meds:

Current Illness:

ID: 1578064
Sex: F
Age: 54
State: NC

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:

Symptom List:

Symptoms: Feeling warm, sweating, hypotension, feeling lightheaded over course of 40 min

Other Meds: Blood pressure medication

Current Illness:

ID: 1578065
Sex: M
Age: 55
State: KS

Vax Date: 08/13/2021
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: NKA

Symptom List:

Symptoms: Redness, swelling to left arm injection sight starting on 8/15/21 - 2 days after injection

Other Meds: Metformin, Pravastatin, Invokana, Glipizide, Sildenafil, Lisinopril, Levothyroxine

Current Illness: none

Date Died: 08/09/2021

ID: 1578066
Sex: F
Age: 71
State: KY

Vax Date: 04/10/2021
Onset Date: 07/30/2021
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: 7/29/2021 admitted to hospital; Pfizer on 4/10 and 5/3. Positive on 7/30

Other Meds:

Current Illness:

ID: 1578067
Sex: F
Age: 59
State: TX

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

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Allergies: cherries, Tylenol, Sulfur drugs

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Symptoms: Have had Diarrhea every time after eating anything solid since the covid vaccine. Have taken Imodium with little success. Symptoms include after eating, bloating, cramps having to run to restroom.

Other Meds: Imodium 2 caplets every 24 hours bland diet

Current Illness: none

ID: 1578068
Sex: M
Age: 72
State: GA

Vax Date: 02/23/2021
Onset Date: 07/12/2021
Rec V Date: 08/17/2021
Hospital: Y

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Symptoms: Patient hospitalized due to COVID-19. Patient is fully vaccinated. Patient had fever, cough, shortness of breath.

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Current Illness:

ID: 1578069
Sex: F
Age: 59
State: IL

Vax Date: 07/28/2021
Onset Date: 07/28/2021
Rec V Date: 08/17/2021
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Allergies: Amoxicillan

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Symptoms: Continual ringing in my ears that started a few hours after vaccination and has not stopped

Other Meds: None

Current Illness: None

ID: 1578070
Sex: M
Age: 50
State: GA

Vax Date: 08/03/2021
Onset Date: 08/05/2021
Rec V Date: 08/17/2021
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Symptoms: CONFUSION, HOARSE VOICE, SWELLING, ITCHING ALL OVER BODY. WENT TO ER AND DETERMINED TO BE ALLERGIC REACTION TO MODERNA VACCINE

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Current Illness:

ID: 1578071
Sex: F
Age: 13
State: NV

Vax Date: 07/25/2021
Onset Date: 07/29/2021
Rec V Date: 08/17/2021
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Allergies: none

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Symptoms: Patient presented to my office on 8/2/21 with eyelid edema, no injection, xerosis and papules on bilateral arms and neck, as well as a erythematous plaque with a white scale on the base of her hairline on the back of her neck that had shown up a few days after the vaccine was administered. Both of the skin complaints resolved with Kenalog 0.1% cream but the eyelid edema still recurs occasionally with stress. It resolves with cold water and Zatador ophthalmic drops.

Other Meds: none

Current Illness: unknown

ID: 1578072
Sex: F
Age: 55
State: CO

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 08/17/2021
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Allergies: No

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Symptoms: It started two weeks, I had to go to the ER, I had pressure in my head, and my ears, especially in my left ear. My gums and teeth hurt. I had sores on the left side of my gums and the top of my mouth only on the left side. Then I had tingling and numbness on my left side of my face and went down my neck. Then, I had terrible burning in my front tooth through my left nostril and through my eye and head. It was pounding and burning. I did a Telehealth before going to the Doctor. That doctor told me to go to the ER. After test results, I got Shingles and Trigeminal Neuralgia. I did get a massage three days before to try to get some relief. The ER doctor prescribe Anti-Viral medication, Vaulters and Progesterone. The next day I was about 95% better after being treated at the ER. I recover from that and then it happens again, I got shingles for the second and then it was on the right side of my mouth. It went to my arm and my back. It spread throughout my body the second time around. February 23, 2021 was the first outbreak and then later, I got it again. June 01, 2021 was the second outbreak. I haven't had my shingle shot because am trying to recover from all of the other things going. I haven't had a massage since, thinking that may have had same thing to do with my problems.

Other Meds: Vivelle-Dot; Projections

Current Illness: No

ID: 1578073
Sex: F
Age: 21
State: MI

Vax Date: 08/09/2021
Onset Date: 08/09/2021
Rec V Date: 08/17/2021
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Symptoms: temperature excursion - vaccine stored too long in freezer temperatures

Other Meds:

Current Illness:

ID: 1578074
Sex: M
Age: 29
State: MN

Vax Date: 04/07/2021
Onset Date: 08/15/2021
Rec V Date: 08/17/2021
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Allergies: seasonal

Symptom List:

Symptoms: cold like symptoms, congestion, fever

Other Meds: Flonase, Claritin

Current Illness: none

ID: 1578075
Sex: F
Age: 59
State: MO

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 08/17/2021
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Symptoms: The evening after getting my second dose, i became disoriented and lost my ability to walk. Had to lay down in the garage as I was unable to make it inside. Was there between 15-30 minutes, (couldn't tell how long) had problems speaking and had uncontrollable limb movement. It felt like what I would think a seizure or stroke would be like. NO pain, just told my husband i was dying and to call the kids.

Other Meds: fluoxetine

Current Illness:

ID: 1578076
Sex: M
Age: 47
State: TX

Vax Date: 08/12/2021
Onset Date: 08/12/2021
Rec V Date: 08/17/2021
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Symptoms: Vaccine given at 21 days rather than 28 days

Other Meds:

Current Illness:

Date Died: 08/17/2021

ID: 1578077
Sex: F
Age: 0
State: KS

Vax Date: 08/16/2021
Onset Date: 08/17/2021
Rec V Date: 08/17/2021
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Allergies: none

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Symptoms: patient died 08/17/21

Other Meds: none

Current Illness: none

ID: 1578078
Sex: F
Age: 49
State:

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 08/17/2021
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Allergies: Ackee, Lemon, Apples, Sunflower Seeds.

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Symptoms: Metallic taste in mouth after receiving vaccination, in the corner of the eye the skin in crease began to become irritated, eye became pinkish, fatigue, lump on neck on the left side (golf ball size), injection site is tense, warmth feeling in vaginal area, heaviness in chest area.

Other Meds:

Current Illness: None.

ID: 1578079
Sex: F
Age: 61
State: KY

Vax Date: 03/03/2021
Onset Date: 07/30/2021
Rec V Date: 08/17/2021
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Symptoms: hospitalized on 7/30. Moderna on 3/3 and 4/2. Positive on 7/28

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Current Illness:

ID: 1578080
Sex: F
Age: 78
State:

Vax Date: 02/09/2021
Onset Date: 08/16/2021
Rec V Date: 08/17/2021
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Symptoms: 70-year-old female from an assisted facility tested positive today for COVID-19 was brought in by EMS with worsening altered mental status, hypotensive and respiratory distress. The nursing facility stated she has been declining for two weeks, anorexia, bed bound and not participating, but was COVID negative. They test them every 2 days. They reported 2 days of worsening symptoms prior to arrival and a positive COVID-19 (8/16/2021) swab at her facility. Pfizer vaccination dates were 1/19 and 2/9. The patient was intubated immediately on arrival placed on mechanical ventilation and is not requiring sedation. She tested positive for COVID-19 and was found to be in acute renal failure, hypernitremia, leukocytosis, with elevated lactic acid, electrolyte abnormality and elevated troponin. The patient presented to the ICU intubated and on vasopressors. Husband is at home, and the daughter, is listed as the emergency contact and is the first call. She is communicating with husband and sister and will be the person communicating with the critical care team. She states her husband said the patients wishes would be to be a DNR, a partial DNR was completed since the patient is already intubated.

Other Meds:

Current Illness:

ID: 1578081
Sex: F
Age: 69
State: FL

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 08/17/2021
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Allergies: Sulfa drugs; sulfites; sulfates

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Symptoms: I received the Feb 8th did not have immediate reaction only sleepy. Started Wed night Thursday morning. Got very constipated lasted 3 months had to take Dulcolax every 3/4th day, then had to increase it. Ate more fibrous food. When I would go to bathroom, sloothing would occur- skin would come out. It's a part of SJS. Skin on body started peeling, prominent on hands and feet. Got really bad headaches and radiated to my neck. Because of SJS I cannot really take medicines for headaches. I had to go to immunologists she gave me a drug challenge test and skin started to burn so bad, she had to stop. She said we had to wait until all the Pfizer vaccine is out of my system. Went to see dermatologist he prescribed Triamcinolone acetonide apply 2x daily until skin stopped peeling and hydrocortisone ointment usp 2.5% 2x daily on face. Had a very sore throat and had to go to ENT specialist because it would not go away.

Other Meds: Verapamil; Aspirin; Women's

Current Illness: No

ID: 1578082
Sex: F
Age: 40
State: WA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 08/17/2021
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Allergies: erythromycin, shellfish, gluten, pecans, latex

Symptom List:

Symptoms: hives, shortness of breath- 3/24/2021 fever, malaise, nausea, dizziness, pruritus, migraine- 3/24/2021-3/28/2021 use of epipen for hives and shortness of breath within first 2 hours after receiveing first dose of vaccine on 03/24/2021.

Other Meds: n/a

Current Illness: n/a

ID: 1578083
Sex: M
Age: 77
State: TN

Vax Date: 01/02/2021
Onset Date: 08/05/2021
Rec V Date: 08/17/2021
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Allergies: none

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Symptoms: Had sudden worsening of chronic cough along with malaise and fever to 101.6

Other Meds: Citalopram, Aspirin 3x per week, Pravastatin 3x/wk; Midodrine 3x per day;

Current Illness: Pure Autonomic Failure, arteriosclerotic coronary artery disease, depression, cervical arthritis

ID: 1578084
Sex: F
Age: 75
State: OH

Vax Date: 01/26/2021
Onset Date: 02/19/2021
Rec V Date: 08/17/2021
Hospital: Y

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Symptoms: Covid vaccine monitoring. PT admitted 8/13/21 with diagnosis of covid 8/1/21. Prior to admission PT was in rehab facility. Documentation states the pt lost taste. Upon admission, SARS-COVID-19 resulted positive 8/14/21 PT completed Pfizer vaccine. Dose 1 received 1/26/21, Lot EJ1686 Dose 2 received 2/19/21, Lot EL3302 Patient currently admitted.

Other Meds:

Current Illness:

ID: 1578085
Sex: F
Age: 77
State:

Vax Date: 04/12/2021
Onset Date: 08/11/2021
Rec V Date: 08/17/2021
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Symptoms: Patient contracted COVID-19 post-vaccination

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 679,999

Page last modified: 03 October 2021 5:28pm