VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1578442
Sex: M
Age: 31
State: IL

Vax Date: 04/26/2021
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: Penicillin; aspirin; TYLENOL; seafood; shellfish; pollen; grasses

Symptom List:

Symptoms: Received shot and as soon as I was given the shot, my throat started closing. They shot me with an epipen twice and told me to take my inhaler. I also took Benadryl. They also gave me 50mg steroid for a week. I am also on oxygen; Loss of memory.

Other Meds:

Current Illness:

ID: 1578443
Sex: F
Age: 25
State: CT

Vax Date: 02/08/2021
Onset Date: 06/16/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin and blue food coloring

Symptom List:

Symptoms: Was taking Macrobid at time of Moderna injection in Feb. 4 months later, I needed to take Macrobid again and started getting dermatographia and general hives 4 days after I finished the course. No idea if Moderna or Macrobid are related but no other medication or life style change has occurred. Dermatographia/hives are very itchy and require 3 doses of Zyrtec to not itch. They started on June 17th and have yet to go away, so about 2.5 months of hives.

Other Meds: Was taking Macrobid for a UTI at time of vaccination

Current Illness: Had a UTI

ID: 1578444
Sex: F
Age: 38
State: MA

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: Many: mold, pollen, animals, eggs, shrimp, adjuvant preservatives

Symptom List:

Symptoms: Nausea, lightheaded, dizziness, brain fog, neck pain, mild tongue tingling

Other Meds: none

Current Illness: none

ID: 1578445
Sex: F
Age: 37
State: LA

Vax Date: 12/29/2020
Onset Date: 01/01/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Flare reactions to dairy products

Symptom List:

Symptoms: 12/31/2020- chest pain 1/1/2021- Tingling in face. Benadryl then eased. 1/2/2021- Tingling on lips. Chills. Benadryl then ceased 1/3/2021- Chills 1/4/2021- Tingling on lips. Puritis to lips and face. Benadryl then ceased 1/6/2021- Feeling that something was in the back of the throat. 1/9/2021- Feeling of something in throat. Throat tingling. Benadryl then ceased. 1/10/2021- Sensation of the tongue being burnt. Benadryl then ceased. Feelings of burnt tongue/sensation in the back of the throat lasted until approx 1/18/2021 with periods of this occurring presently.

Other Meds: Multivitamins Vitamin D Zyrtec

Current Illness: NA

ID: 1578446
Sex: F
Age: 52
State: TX

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs Adhesives Latex

Symptom List:

Symptoms: adhesive capsulitis, both arms, worsening over time, in physical therapy as of 08/01/2021 (reporting date). Injection site approximately 4 inches below the shoulder joint. (Injection was not given in bursa.)

Other Meds: Lithium carbonate 150mg Vyvance 40mg Levothyroxin 137mcg Aripiprazole 10mg Liothyronine 7.5mcg Bupropion HCL XL 450mg Doxepin 100mg to 200mg Trazodone 100mg Vagifem 10mcg 2xweek Linzess 29mcg

Current Illness:

ID: 1578447
Sex: F
Age: 0
State: CA

Vax Date: 08/01/2021
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: Penicllin and sulfa

Symptom List:

Symptoms: Numbness in center of left hand minutes after injection, pain in elbow of left arm 24 hours after injection. Swollen underarm lymph node on left arm about 6 to 8 inches of swelling about 36 hours after injection. Sore arm and shoulder after injection for 36 hours after injection was given on left side.

Other Meds: Wellbutrin xl 300mg wellbutrin 150mg buspar 15mg Vitamin c 100mg Vitamin d 50mg Zinc 25mg Glycerin 25mg

Current Illness: None

ID: 1578448
Sex: M
Age: 70
State: OH

Vax Date: 08/15/2021
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 showed his arm which was red and warm to the touch in a 2inch by 2inch area. Pt stated it started earlier today. He will watch for progression of state

Other Meds:

Current Illness:

ID: 1578449
Sex: F
Age: 63
State: MI

Vax Date: 04/21/2021
Onset Date: 06/03/2021
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: Sometime late May around the 31st, I was having severe upper left abdominal pain that radiated to my back.

Other Meds: Lisinopril; simvastatin

Current Illness: None

ID: 1578450
Sex: M
Age: 42
State: HI

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: 5 minutes after giving JJ vaccine. Patient came to counter and said he needed to lie down bc he was feeling faint. I instructed him to lie down and by the time I got to him he had fainted. He was out for a few seconds. He remained lying down and felt dizzy. But was uninjured.

Other Meds:

Current Illness:

ID: 1578451
Sex: M
Age: 30
State: OR

Vax Date: 08/08/2021
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: Bloody stools and diarrhea

Other Meds: None

Current Illness: Hemorrhoids

ID: 1578452
Sex: F
Age: 13
State: CA

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: nkda

Symptom List:

Symptoms: Vomiting 08/10, headaches started 08/11, landed in the ER 08/13 at around 12:30am, treated and released for headaches and nausea. By Sat 08/14 around 9pm we are back at the ER for the headaches, vomiting and now rapid heart beat (in the 150's). During these days ibuprofen and acetaminophen weren't working. She did take Zofran for the nausea on 08/11 and 08/13. Hospital gave her fluids and meds through the IV that helped everything except rapid heart beat.

Other Meds: oral contraceptives for menstral cramps

Current Illness: none

ID: 1578453
Sex: F
Age: 57
State: WI

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

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received dose 1 of Pfizer at 1300, at 1315 she reported she was starting to itch on her right arm and leg. She was brought back and vital signs were obtained. BP: 125/82, P 76, O2 97%, Resp: 18. At 1330 she was administered 50mg Oral Benadryl per protocol. She was monitored for 30 minutes past medication administration. She was feeling better and left at 1405.

Other Meds:

Current Illness:

ID: 1578454
Sex: F
Age: 25
State: TX

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: extreme body aches, fever, chills and migraine.

Other Meds: none

Current Illness: none

ID: 1578455
Sex: F
Age: 62
State: CA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
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: High fever.

Other Meds: No

Current Illness: No

ID: 1578456
Sex: F
Age: 58
State: TN

Vax Date: 04/01/2021
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: Cipro (anaphylaxis) Lyrica (anaphylaxis) Neurontin (anaphylaxis) Septra (anaphylaxis) sulfa drugs (Anaphylactic reaction) tetanus toxoid (anaphylaxis) mirtazapine Darvocet-N 100 (abd pain) Latex (rash, itching) Tape (blisters, rash) codeine (Nausea)

Symptom List:

Symptoms: patient is a 58 y old female with h/o HTN , dyslipidemia , hypothyroidism , Dm2, CKD 3 , chronic liver disease secondary to NASH among others who currently is established with hospice and is a DNR refers that for the last couple of days has been bedbound and weak . Refers that is unable to get out of bed . Also describes subjective fevers and worsening sob . Refers that husband has similiar symptoms suggestive of covid 19 . Refers having 2 doses of covid 19 vaccine - Pfizer back in April 2021 . Due to worsening weakness came to er . seems that initially was requiring 02 non rebreather with pulse ox 89 % . At time of exam patient is not febrile , not having cough and is currently on 6 liters 02 per nc . Patient is a poor historian and doesnt know what meds she takes though says that took water pills this am . Refers that regarding code status wants to have some things done if able to be kept alive but doesnt want to prolong her life either. On admission her cbc reveals no leukocytosis . Has lymphopenia . Patient has evidence of hyponatremia and AKI with creatinine 1.7 probably reflective of use of bumex and spironolactone at home . CXR reveals b/l infiltrates consistent with possible pneumonia . ER has requested admission for eval and treatment of covid 19 . Patient at this time is not tachypneic and is not coughing actively . Is requiring 02 and is at risk for progression and worsening disease.

Other Meds: Medications taking at time of hospitalization: allopurinol 100 mg oral tablet, 100 mg/ 1 tab(s), Oral, Daily Bumex, 1 mg, Oral, BID, Not taking: Has not taken in a while Colace, 200 mg, Oral, Daily at Bedtime Dexilant 30 mg oral delaye

Current Illness: Unknown

ID: 1578457
Sex: F
Age: 48
State: PA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
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: 10 minutes after receiving vaccine in left upper arm she developed right arm pain, right leg tingling, lightheadedness, and bilateral hand swelling. Patient to ED, when arrived symptoms improved, reporting very mild lightheadedness and feeling very anxious. Pt observed of over 1 hour with vital signs stable and discharged to home.

Other Meds:

Current Illness:

ID: 1578458
Sex: F
Age: 62
State: UT

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: HYDROCODONE, PEANUTS, CASHEW, CHOCOLATE AND TUNA FISH.

Symptom List:

Symptoms: I had fatigue and tiredness and headache and i got covid in may.

Other Meds: THYROID MEDICINE; LEBOTRINE; VITAMIN C; VITAMIN D VITAMIN A K2; AND CALCIUM AND MAGNESIUM.

Current Illness: None

ID: 1578459
Sex: F
Age: 17
State: FL

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

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

Lab Data:

Allergies: Client denies any allergies

Symptom List:

Symptoms: 7:15PM patient was accompanied by her aunt/guardian. Client?s aunt/guardian completed and signed the COVID-19 consent form. Client was given a Pfizer COVID-19 vaccine (lot #EW0168 expiration date 8/31/2021) in the right deltoid by RN. 7:25PM Client c/o feeling ?dizzy? and ?hot?. Client was noted leaning forward in the chair. Client denied any chest pain or difficulty swallowing or difficult respirations. 7:27PM client B/P was 80/50; pulse 76 strong and regular; client c/o increased dizziness and feeling ?shaky? with an increase in diaphoresis was noted. Client was placed in a supine position with feet elevated. 7:30PM 911 call was made by another RN and observation of client continued with no change in condition. 7:37PM Paramedics arrived: Paramedics ran an EKG strip and did a PO2 which was unremarkable. B/P by Paramedics 96/60. Paramedics continued to observe client and did a repeat B/P. 7:41PM Client reports feeling better. Paramedics helped client to a sitting position. Client sitting B/P 104/64 and blood sugar of 50 (done by Paramedics). Paramedics administered and oral glucose liquid to client. 7:46PM Repeat blood sugar 67 and standing B/P 134/85. Paramedics recommend client?s aunt follow-up with client?s doctor on client?s hypoglycemia. Client told Paramedics she is a dancer and she (client) had an episode of feeling ?dizzy? and ?shaky? last week. Client also reports she ate ?2 hotdogs? prior to coming for COVID 19 vaccine and additionally denies missing meals. RN

Other Meds: Client denies taking any medications or supplements.

Current Illness: Client denies any illnesses or prior reactions to vaccinations

ID: 1578460
Sex: M
Age: 50
State: GA

Vax Date: 01/06/2021
Onset Date: 07/21/2021
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: Patient hospitalized due to COVID-19. Patient is fully vaccinated. Patient in ICU.

Other Meds:

Current Illness:

ID: 1578461
Sex: M
Age: 33
State: CA

Vax Date: 07/09/2021
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: None

Symptom List:

Symptoms: No symptom

Other Meds: Tylenol

Current Illness: None

ID: 1578462
Sex: M
Age: 71
State: WI

Vax Date: 04/14/2021
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: Suspected Coronavirus (Covid-19) Pt has been sick for a few days. He states that he was going to get tested for COVID today but had a near syncopal episode while getting ready this morning. Pt states that he has not been eating due to not feeling well. ? Weakness ? Fever 9 Weeks To 74 Years ? Cough HPI 71-year-old male presents for evaluation of fever and nonproductive cough. Patient reports that symptoms started 2 days ago. He states that he has been feeling progressively weak over the past 48 hours and was going to follow-up with his doctor today but had a near syncopal episode while getting ready. He states that he did not have any associated chest pain or shortness of breath. He denies any abdominal pain.

Other Meds:

Current Illness:

ID: 1578463
Sex: M
Age: 12
State: MI

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: He received his 6th Tdap vaccine in one arm (unsure which name/brand). He also received his 1st meningococcal conjugate vaccine in the opposite arm (unsure which name/brand). Moments after injections he became rigid, body shook, eyes rolled around and he lost consciousness. He regained consciousness quickly but was weak and sweaty for about 20 minutes afterward.

Other Meds: Qvar Inhaler 40 mg 1-2 x day

Current Illness:

ID: 1578464
Sex: F
Age: 50
State: CA

Vax Date: 05/10/2021
Onset Date: 05/24/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin Amoxicillin

Symptom List:

Symptoms: My first Moderna COVID vaccine was on 4/12/2021. Around 4/19/2021, I developed mild stiffness behind my knees and calves that resolved in a few days. My 2nd Moderna COVID vaccine was on 5/10/2021. Around 5/17/2021, I again developed mild stiffness in the back of my knees and calves, which resolved in a few days. Around 5/24/2021, I began to feel a burning sensation in my knees and in my elbows, initially mostly at night, usually after lying in bed for about an hour, and the burning sensation would persist throughout the night, making it difficult to sleep. It initially went away during the day, but after a few days, the burning sensation spread to other joints and began persisting at all times of the day and night. By 6/2/2021, the burning sensation was affecting the following areas of my body, often moving around and affecting different areas at different times: elbows, knees, hips, shoulders, shoulder blades, fingers, toes, ribs, and internal organs. The burning sensation in my joints and body continued throughout the month of June. I do not have health insurance, so I did not seek medical treatment until 6/26/2021 when I went to a medical facility. There they did blood tests and a urine test. The tests came back normal, showing negative Rheumatoid factor and negative ANA, as well as ruled out any infection. They gave me a shot of Toradol and a shot of Solumedrol, and prescribed 40 mg of Prednisone a day for 3 days, Naproxen, and Methocarbamol each twice daily for 7 days. The steroids helped the most, and over time the burning sensations have decreased, though still occur in a milder form sporadically, but other symptoms began shortly after I went to urgent care. These include muscle weakness, fatigue, brain fog, slight changes to my vision, painful spasms behind my ears, tingling and burning sensations on my skull, mild burning sensation in the skin near the various joints that I experienced burning in, stiffness in my jaw, elbow, and knee joints, pelvis, and needing to wear a brace on my right elbow sometimes due to pain (my right arm is the arm I received the vaccine in because I am left handed). Even today, three months after my 2nd vaccine, I am still dealing with mild symptoms, mostly pain and stiffness in my elbow and knee joints, jaw, and occasional muscle weakness throughout my body. I do not feel as well as I did before receiving the vaccine. It has greatly affected my ability to function in my life, especially from late May through the end of July, and I am still recovering.

Other Meds: None

Current Illness: None

ID: 1578465
Sex: M
Age: 18
State: TN

Vax Date: 06/10/2021
Onset Date: 06/11/2021
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: Patient experiences throbbing headache, body aches and nausea. CT head is within normal limits. Patient is treated with IV fluids, IV acetaminophen and ondansetron.

Other Meds: none

Current Illness: none

ID: 1578466
Sex: M
Age: 70
State: GA

Vax Date: 07/22/2021
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:

Symptom List:

Symptoms: The Moderna Vaccine vial 039B21A had been stored in the refrigerator, at 39 degrees Fahrenheit, for 33 to 34 day. This is 3 or 4 days longer than the recommended storage time for thawed Moderna Vaccine. The patient experienced no known adverse reactions.

Other Meds:

Current Illness:

ID: 1578467
Sex: F
Age: 48
State: GA

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: vaccine was given at 20 days instead of 28 due to error in grits and system not catching early fill.

Other Meds:

Current Illness:

ID: 1578468
Sex: M
Age: 17
State: PA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
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 stated feeling well right after vaccination, while ambulating to observation area he fainted and fell to the ground. Vital signs stable, he had not eaten yet and was given food. Left vaccination area with parent without further issues. He did receive 2nd vaccine dose on 05/21/2021 without incident.

Other Meds:

Current Illness:

ID: 1578469
Sex: M
Age: 19
State: NC

Vax Date: 08/09/2021
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: None

Symptom List:

Symptoms: Paroxysmal SVT x 24 hours. Exertional dyspnea. Dehydration.

Other Meds: OTC MVI and Flonase

Current Illness: None

ID: 1578470
Sex: M
Age: 63
State: TX

Vax Date: 02/25/2021
Onset Date: 03/04/2021
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: Double vision and droopy eyelids

Other Meds: titus pectin, curcumin, vit d, resveratrol, low dose aspirin and melatonin

Current Illness: no

ID: 1578471
Sex: F
Age: 65
State: GA

Vax Date: 07/19/2021
Onset Date: 07/19/2021
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: The Moderna Vaccine vial 039B21A had been stored in the refrigerator, at 39 degrees Fahrenheit, for 33 to 34 day. This is 3 or 4 days longer than the recommended storage time for thawed Moderna Vaccine. The patient experienced no known adverse reactions.

Other Meds:

Current Illness:

ID: 1578472
Sex: F
Age: 53
State: PA

Vax Date: 01/29/2021
Onset Date: 05/01/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: adverse reactions to antibiotics - headache, vomitting

Symptom List:

Symptoms: Starting feeling very foggy about 2 months after vaccine. Also started having random skin rashes on shoulders, neck, back and face. Also feeling hyper and exhausted at same time. Hot flashes.

Other Meds: Lexapro

Current Illness:

ID: 1578473
Sex: F
Age: 36
State: HI

Vax Date: 03/17/2021
Onset Date: 03/31/2021
Rec V Date: 08/17/2021
Hospital:

Vax Type:
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Allergies: Grass, trees, weeds, chemical fragrance, cashews, beef, corn, black rubber chemical, gold

Symptom List:

Symptoms: Severe pain and inflammation in joints that moves throughout joints and lasts up to a week

Other Meds: Escitalopram

Current Illness:

ID: 1578474
Sex: F
Age: 44
State: OR

Vax Date: 01/26/2021
Onset Date: 02/07/2021
Rec V Date: 08/17/2021
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Allergies: Sulfa drugs

Symptom List:

Symptoms: I had a flare of my rheumatoid arthritis in my right knee with severe swelling almost 2 weeks after receiving my 1st COVID vaccine. My rheumatologist expressed that this may have been related to receiving the vaccine. I received a steroid injection in my right knee to resolve the swelling/pain. The steroid did resolve the swelling/pain.

Other Meds: Cimzia, methotrexate, meloxicam, orthocyclen, allegra 180, folic acid, multivitamin, vitamin C, calcium/ zinc, flaxseed, fiber

Current Illness:

ID: 1578475
Sex: M
Age: 59
State: MN

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 08/17/2021
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Symptoms: Patient stated that eight days after receiving the vaccine got vertigo. He became very dizzy and had stomach nausea.

Other Meds:

Current Illness:

ID: 1578476
Sex: M
Age: 47
State: PR

Vax Date: 11/05/2020
Onset Date: 11/05/2020
Rec V Date: 08/17/2021
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Allergies: NO

Symptom List:

Symptoms: Patient describes symptoms started same day after received vaccine: allergies and itch on both arms and chest, body cramps on left arm and chest; pain on back of the head; a couple of days after a burning sensation start on right testicle; low back pain; intermittent dizziness; chin splits pain, weakness and intense heart palpitations

Other Meds: NO

Current Illness: NO

ID: 1578477
Sex: F
Age: 38
State: KS

Vax Date: 08/12/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
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Allergies: Dilaudid

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Symptoms: I woke up 8/13/21 fine as I was working I felt weak, went and sat down. Couldn't move arms or legs, very weak. I went to ER got blood work and CT scan of chest (came back good). Had IV for fluids

Other Meds: Multi vitamin, Omeprazole 40mg 1 time a day, buspirone 15mg 2 times a day, escitalopram 20mg 1 a day, probiotic, magnesium 500mg daily, vitamin D3, vitamin C

Current Illness: N/a

ID: 1578478
Sex: F
Age: 35
State: FL

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 08/17/2021
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Lab Data:

Allergies: Banana, kiwi, latex

Symptom List:

Symptoms: Within hours: - blisters on hands and feet - Migraines - Severe joint pain - Chest pain - Chest pressure (crushing) & tightness - SOB - Pain radiating into jaw - Swollen hands & feet - Eyes red, swollen, heavy like lead - Increased sweating - Electrical shocks and bee sting pains all over like being shocked with a cattle prodder - Muscles weak (can?t lift) & tight (can?t relax) - Lost grip & function of hands - Swollen lymph nodes - Smell like chemicals/plastic - Fatigue - Pulsatile tinnitus - Sunburned skin feeling - Brain fog - Difficulty swallowing - frequent infections (toes, eye, ear) - New allergic reactions to multiple antibiotics - Muscle pain & weakness - Neuromyotonia/muscle spasm in upper abdomen/ribcage/chest (went to er for possible aneurysm) - Lichen nitidis (raised bumps) all over chest (5/17)

Other Meds: None.

Current Illness: None.

ID: 1578479
Sex: F
Age: 33
State: AK

Vax Date: 04/30/2021
Onset Date: 05/03/2021
Rec V Date: 08/17/2021
Hospital: Y

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Allergies: Contrast dye

Symptom List:

Symptoms: Uterine cramping led to preterm birth/loss. No prior history of preterm labor or incompetent cervix. Cervix was long and closed at 18-week checkup. Got vaccinated at 20 weeks. Increased discharge and cervical dilation week following vaccination with preterm delivery exactly 2 weeks post vaccination (Moderna on 30 April) on 14 May at 22 weeks gestation. Baby did not survive. Following delivery, I had a brain bleed and postpartum preeclampsia.

Other Meds: Prenatal vitamins

Current Illness: N/A

ID: 1578480
Sex: F
Age: 28
State: PA

Vax Date: 02/09/2021
Onset Date: 04/16/2021
Rec V Date: 08/17/2021
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Lab Data:

Allergies: Vancomycin Adhesive

Symptom List:

Symptoms: Excessive vaginal bleeding started occuring my first menstrual cycle after getting vaccinated. After a concerning amount over the span of the day, I called my OBGYN for guidance and was recommended to go to the ER.

Other Meds: Spironolactone (acne) Seasonique

Current Illness: None

ID: 1578481
Sex: F
Age: 24
State: MI

Vax Date: 02/09/2021
Onset Date: 03/09/2021
Rec V Date: 08/17/2021
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Symptoms: Headache/migraines more frequently. Had a terrible one after dose 1, but after dose 2 they've become more regular and consistent, last for much longer and not being resolved by usual means

Other Meds: Metformin, Wellbutrin, Omeprazole, Sumatriptan

Current Illness:

ID: 1578482
Sex: M
Age: 75
State: MD

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

Symptom List:

Symptoms: Patient started experiencing low back pain about 5 hours after getting the Covid-19 vaccine per his wife. Patient was recommended by pharmacist to go to urgent care or ED.

Other Meds: famotidine 40 mg, triamcinolone 0.1% cream, fioricet 50-325-40 mg, Irbesartan 150 mg, simvastatin 40 mg, alprazolam 1 mg,

Current Illness: N/A

ID: 1578483
Sex: M
Age: 12
State: FL

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

Symptom List:

Symptoms: The patient experienced vasovagal syncope about 10 minutes after receiving the Pfizer BioNTech vaccine. Medical staff assisted the patient by checking response and lifting legs. Patient quickly regained consciousness in about 2 minutes. Patient rested and monitored for another 15 minutes. Symptoms did not return and patient was able to go home.

Other Meds: -montelukast (SINGULAIR) 5 MG Oral Tablet Chewable CHEW AND SWALLOW 1 TABLET BY MOUTH EVERY DAY -ofloxacin (FLOXIN) 0.3 % Otic Solution Place 4 drops into the right ear 2 times daily for 7 days. -Multiple Vit-C-FA (Multivitamin) Oral Tabl

Current Illness: Seasonal Allergies Sinusitis

ID: 1578484
Sex: M
Age: 27
State: PA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 08/17/2021
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Symptom List:

Symptoms: While in post vaccination observation area, asked for water and then slid to the floor. vital signs stable, given a snack and felt better. He did receive the 2nd vaccine dose on 05/19/2021 without incident

Other Meds:

Current Illness:

ID: 1578485
Sex: F
Age: 68
State: OR

Vax Date: 03/10/2021
Onset Date: 06/01/2021
Rec V Date: 08/17/2021
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Allergies: None.

Symptom List:

Symptoms: Burnt Tongue syndrome/numbness in roof of mouth, tongue, accompanied with pain in tongue and upper and lower jaw. Inflammation in lips, facial numbness, across nose, cheeks, mouth. Blood pressure rose to a consistent 205/98. resulted in a Change in blood pressure medication. Trying different medications to relieve inflammation.

Other Meds: Losartan/HTZ. OTC: Multi Vitamins, B-complex, Lutein and Zeaxanthin.

Current Illness: None.

ID: 1578486
Sex: M
Age: 51
State: AZ

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 08/17/2021
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Allergies: Erythromycin eye gel

Symptom List:

Symptoms: Approx. 2? diameter circular bruise/abnormal ring spot appeared within 24 hours of first injection. Abnormal circular region is located on same left arm as injection, however, not at injection site. It is located under my left bicep region, not the deltoid region.

Other Meds: Vitamin C Vitamin B12

Current Illness: None

Date Died: 08/08/2021

ID: 1578487
Sex: M
Age: 87
State: FL

Vax Date: 03/01/2021
Onset Date: 08/07/2021
Rec V Date: 08/17/2021
Hospital: Y

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Allergies: bactrim, penicillin

Symptom List:

Symptoms: short of breath, chest pain resulting in death

Other Meds:

Current Illness: chest pain, recent cardiac stents on 7/27

ID: 1578489
Sex: M
Age: 75
State: FL

Vax Date: 02/09/2021
Onset Date: 07/10/2021
Rec V Date: 08/17/2021
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Allergies: Penicillin, Shrimp

Symptom List:

Symptoms: I tested positive for Covid-19 i08/11/2021. I was just having symptoms of Sinus following. I started to have a runny nose and it was constant. I visited my doctor treated me for a Sinus infection because I did not have any other symptoms. Four days later my Oxygen levels were low. I woke up during the night and I had night sweats, but I did not feel feverish. The doctor prescribed Prednisone and Nasal Spray which I used three times daily. I was sick for five days and then I started to feel better. I use a C-PAP and usually I can smell the cleaner after I clean it. I had a brief period where I lost my sense of smell. I was not very hungry during that period. I did another Covid-19 test 08/14/2021 and it was negative. I still get tired in the afternoons since then and I am a little anemic five weeks after the illness.

Other Meds: Flecainide, Eliquis, Atorvastatin, Alopurinol, Benicar, Metformin, Clobetasol Gel PRN, Fish Oil, Cinnamon, Multivitamin

Current Illness:

ID: 1578490
Sex: M
Age: 47
State: GA

Vax Date: 07/22/2021
Onset Date: 07/22/2021
Rec V Date: 08/17/2021
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Symptoms: The Moderna Vaccine vial 039B21A had been stored in the refrigerator, at 39 degrees Fahrenheit, for 33 to 34 day. This is 3 or 4 days longer than the recommended storage time for thawed Moderna Vaccine. The patient experienced no known adverse reactions.

Other Meds:

Current Illness:

ID: 1578491
Sex: M
Age: 33
State: VA

Vax Date: 08/17/2021
Onset Date: 08/17/2021
Rec V Date: 08/17/2021
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Allergies: unknown

Symptom List:

Symptoms: a few minutes after vaccination, the pt reported that they weren't feeling well. he was seated with his head near his knees. I applied a cold pack to the back of his neck as he was sweating heavily. he stayed this way for about 20 minutes until he felt better and was able to walk out.

Other Meds: unknown

Current Illness: unknown

ID: 1578492
Sex: M
Age: 25
State: CA

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 08/17/2021
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Lab Data:

Allergies: Amoxicillin, pediazole (erythromycin ehylsuccinate and sulfisoxazole)

Symptom List:

Symptoms: No Adverse event, patient was given 2 doses of Pfizer vaccine during same visit encounter. Patient monitored for adverse reaction, patient did not have any issues while in observation. Patient was scheduled with telephone visit with PA to discuss any issues or conerns.

Other Meds:

Current Illness: None

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm