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: 0930903
Sex: F
Age: 32
State: NE

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

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

Lab Data:

Allergies: No allergies

Symptom List:

Symptoms: At 7:10am yesterday 1/7/21 I received the covid vaccine. Immediately my lips went numb, and my left arm and hand went numb. I waited at the hospital for 15 minutes and then attempted to drive home. I got about 2 blocks away and noticed my face was numb all the way from my chin to my nose. I went back into work into employee health and let them know. They called the pharmacist who instructed me to go to the ER. While walking to the ER I began to have difficulty breathing, and throat tightness. They called a rapid response alert and I was taken on a stretcher to the ER. I felt dizzy, nauseous and the numbness to my face was from my mid neck up to the top of my hairline at the top of my face. My left hand and arm were still numb. When they took my vitals I was hypertensive BP approximately 155/86, I was also tachycardia HR 104-110. EKG was abnormal-sinus tachycardia HR 104, and probable left atrial enlargement. I began to have severe chills/shaking for approximately 1 hour. I was given 1 liter of normal saline IV, Benadryl 25mg IV, and Zofran 4mg IV. After inspection by the doctor my throat was not swollen, or closing so an epi pen was not administered. My oxygen saturation remained above 91%. After 3 hours of being monitored in the ER my numbness to my face started to improve so I was discharged home. Labs were taken in the ER and my potassium was 3.1, calcium was 8.1. The day prior at my primary care doctors office labs were taken and all my labs were normal including my potassium and calcium. My primary care physician believes the low electrolytes the day of the reaction were due to the reaction to the vaccine. I also had a repeat EKG today (1/8/21) the day after the reaction at my primary cares office and it was normal sinus rhythm with no abnormalities. Vitals were all within normal limits. Today (1/8/21) approximately 36 hours after the vaccine administration I have mild numbness to my face as well as moderate body aches. My primary care physician believes I should not have the second dose of the covid vaccine as she fears I would have a anaphalactic reaction.

Other Meds: Daysee birth control 1 tab per day, omeprazole 20mg per day, trazodone 100mg nightly for sleep, multivitamin one per day, colace stool softener 1 per day, culturelle probiotic 1 per day, fish oil 1 per day

Current Illness: No illnesses

ID: 0937407
Sex: M
Age: 43
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia, Fever, NauseaVomiting, Hand erythema and swelling Narrative:

Other Meds:

Current Illness:

ID: 0937413
Sex: F
Age: 42
State:

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia, Fever, chills, generalized itching 7 days later Narrative: Took Benadryl and Zyrtec for the itching.

Other Meds:

Current Illness:

ID: 0943154
Sex: M
Age: 35
State:

Vax Date: 12/27/2020
Onset Date: 12/29/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia, Rash, Rash started back of neck/warm to touch. Neck muscle above shoulders pain Narrative: Employee went to Employee Health and was sent home 12/30/2020. No medications taken.

Other Meds:

Current Illness:

ID: 0943415
Sex: F
Age: 30
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, NauseaVomiting, Subjective Fever

Other Meds:

Current Illness:

ID: 0943435
Sex: M
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness, NauseaVomiting, Tingling feeling Narrative: Patient returned after 1.5 hours. Monitored an additional 30 minutes. Tingling sensation and nausea diminished. Upon return at 1420: 130/84, HR 79 o2 98%; Recheck 1425: 118-81, HR 73 O2 97%; 1440 120/81, HR 73 O2 98%; 1455 127/85, HR 71 O2 99%. VSS stable. Per patient request, 25mg Diphenhydramine administered by staff Patient sent to ED for further observation.

Other Meds:

Current Illness:

ID: 0943448
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: FLUSH THEN CHILLS Narrative:

Other Meds:

Current Illness:

ID: 0943477
Sex: F
Age: 43
State:

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia, Fever, Temp 101.9 Temp 99.9 1/6 @ 0600

Other Meds:

Current Illness:

ID: 0943632
Sex: M
Age: 50
State:

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Agitation, Palpitations, HYPERtension, Tachycardia, Anxiety, clammy skin, nervousness Narrative: Employee with history of severe anxiety, panic attacks. States this is same symptoms as panic attack.

Other Meds:

Current Illness:

ID: 0943638
Sex: M
Age: 41
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia, NauseaVomiting, fatigue Narrative:

Other Meds:

Current Illness:

ID: 0943799
Sex: F
Age: 38
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache upset stomach, metallic taste, loose stool Narrative:

Other Meds:

Current Illness:

ID: 0943891
Sex: F
Age: 39
State:

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness Tingling Left arm to finger tips.

Other Meds:

Current Illness:

ID: 0943897
Sex: F
Age: 55
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia & ErythemaMultiform Narrative:

Other Meds:

Current Illness:

ID: 0943925
Sex: F
Age: 0
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia, Arthralgia, tingling sensation in roof of mouth, thick tongue feeling "tonsils touching my throat"....occured 6 minutes after injection. Flushed feeling and aches and pains started 90 minutes after injection, and flushed feeling continues through 6 hours. Narrative: tingling sensation in roof of mouth, thick tongue feeling "tonsils touching my throat"....occured 6 minutes after injection. Flushed feeling and aches and pains started 90 minutes after injection, and flushed feeling continues through 6 hours (has not gone away).

Other Meds:

Current Illness:

ID: 0943933
Sex: M
Age: 55
State:

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache sore arm, chills Narrative; 12/18 0100 AM woke up with a sore arm. Went back to sleep then woke up in the morning with ongoing sore arm, chills, and headache. He took 400 mg ibuprofen. All symptoms resolved by mid-afternoon on 12/18.

Other Meds:

Current Illness:

ID: 0943984
Sex: F
Age: 39
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Angioedema, FATIGUE, THROAT TIGHTENING - DENIES DIFFICULTY BREATHING OR SWALLOWING

Other Meds:

Current Illness:

ID: 0943994
Sex: F
Age: 34
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness Narrative: employee felt light headed after vaccine, no interventions, passed quickly felt better after 20min wait time

Other Meds:

Current Illness:

ID: 0944004
Sex: F
Age: 29
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness Narrative: Pt felt dizzy and did not feel comfortable standing up ~ 10 minutes after vaccination. Pt reported she hadn't eaten in awhile and was given crackers to eat. She was observed for 15 additional minutes and felt better so was released.

Other Meds:

Current Illness:

ID: 0944108
Sex: F
Age: 41
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Bleeding, Myalgia, tingling in the fingers of the right hand; fatigue Immediately upon vaccination - bleeding at the injection site which the employee reports as filling the bandaid over the site. When she got home in the evening and took it off blood ran down her arm but the bleeding stopped immediately. This has resolved. 12/29 at about 2:00 employee reports onset of tingling in the fingers of her right hand - index, middle, ring, and pinky. For about 2 hours the tingling was intense. As of 12/30 this has markedly improved and the tingling is intermittent. Later in the evening of 12/29 she noticed the onset of muscle pains throughout her body but especially in her feet. She also became very fatigued. These symptoms linger on 12/30. On 1/1 employee reports symptoms muscle soreness had resolved. 1/4 tingling in her fingers/arm has improved but is still present. She will follow-up with her PCP if this symptom persists beyond 2-4 weeks.

Other Meds:

Current Illness:

ID: 0944395
Sex: M
Age: 54
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia Dry mouth; pain and swelling of left arm

Other Meds:

Current Illness:

ID: 0944398
Sex: F
Age: 38
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Tachycardia (see above, tachycardia) Narrative: Recipient immediately felt "bad" s/p vaccination - vitals demonstrated HR 133. No other signs or symptoms of anaphylaxis. Tachycardia resolved within 1-2 minutes of rest without intervention to HR of high 70s-low 80s. BP 131/91, SpO2 98% on room air, temperature 98.4F. Recipient able to ambulate on own to exam room. Exam benign, including recipient's HR observed prior to/during/after exam to be high 70s. Tolerated oral intake without issue, no further intervention indicated. Recipient observed for 30 minutes after vaccine administration without further issue.

Other Meds:

Current Illness:

ID: 0944401
Sex: F
Age: 40
State:

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia, Arthralgia fatigue, polyuria and soreness in shoulder 12/27. weakness 12/28. pain upper UE is better, mild soreness conts in LE 12/29

Other Meds:

Current Illness:

ID: 0944404
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: tingling lips, thick tongue approx 7 minutes after administration of vaccine, lasted 1 minute Employee had tingling of her lips and felt like a thick tongue. She states it lasted 1 minute.

Other Meds:

Current Illness:

ID: 0944406
Sex: M
Age: 0
State:

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache & Myalgia

Other Meds:

Current Illness:

ID: 0944408
Sex: M
Age: 0
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache & Myalgia Narrative:

Other Meds:

Current Illness:

ID: 0944410
Sex: M
Age: 0
State:

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache & Myalgia Narrative:

Other Meds:

Current Illness:

ID: 0944411
Sex: F
Age: 47
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia NUMBNESS, NUEropathy, tingling, pain bilateral calves Narrative:

Other Meds:

Current Illness:

ID: 0944413
Sex: M
Age: 57
State:

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia & Arthralgia

Other Meds:

Current Illness:

ID: 0944417
Sex: F
Age: 55
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Rash red, swollen, tender, warm at left arm injection site; fatigue Narrative:

Other Meds:

Current Illness:

ID: 0944421
Sex: M
Age: 53
State:

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Subtle tingling left earlobe and left jaw Narrative: Patient complains of occasional tingling "pins and needles" sensation in left ear, left jaw starting 2 days after vaccination . No other complaints. Has not followed up with physician. States sometimes "it feels like its getting better"

Other Meds:

Current Illness:

ID: 0944424
Sex: M
Age: 52
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever, NauseaVomiting, Tachycardia, COVID Vaccine administered 12/28 and nausea began pm with fever the following day with chills,fatigue,andtachycardia. Tmax102F

Other Meds:

Current Illness:

ID: 0944427
Sex: F
Age: 0
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache

Other Meds:

Current Illness:

ID: 0944430
Sex: M
Age: 47
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness, Headache, NauseaVomiting, achey, lightheaded

Other Meds:

Current Illness:

ID: 0944434
Sex: F
Age: 52
State:

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia, Arthralgia, chills, goosebumps, temp 98.6, took tylenol 1000mg Narrative:

Other Meds:

Current Illness:

ID: 0947873
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: TIAStroke numbness of R face and RUE Narrative: I recommended transfer via 911 from clinic to nearest ER; she refused and signed out against medical advice. She plans to go to ER by private vehicle driven by a friend.

Other Meds:

Current Illness:

ID: 0947899
Sex: F
Age: 67
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: HYPERtension & Tachycardia Narrative: Increased heart rate and blood pressure following vaccination. Required ER visit.

Other Meds:

Current Illness:

ID: 0947907
Sex: F
Age:
State:

Vax Date:
Onset Date: 12/22/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: lump in throat Narrative: lump in throat lasted about one hour, ED told her it was not an allergic reaction,

Other Meds:

Current Illness:

ID: 0950259
Sex: F
Age: 57
State:

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/08/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Appendectomy Narrative: Developed abdominal pain with nausea on 12/24/2020, went to ER and noted to have appendicitis, resulting in an appendectomy

Other Meds:

Current Illness:

ID: 0950260
Sex: F
Age: 43
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: NauseaVomiting flushing

Other Meds:

Current Illness:

ID: 0950261
Sex: F
Age: 61
State:

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Confusion, Fever, SkinRash, Rash, Diarrhea, NauseaVomiting, HYPERtension, SWOLLEN TONGUE W/RASH; HIGH SED RATE

Other Meds:

Current Illness:

ID: 0950262
Sex: F
Age:
State:

Vax Date:
Onset Date: 12/28/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

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Symptoms: Dizziness & Tachycardia 45yo female, rapid response call, here for palpitations, n/v, dizziness, "feeling faint" s/p getting covid vaccine at 8am. PT stated her reaction started 5/10 mins after vaccine and went away in 12 minutes. Denies hx of cardiac issues or in her family. No hx of tobacco use.

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ID: 0950263
Sex: M
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Onset Date: 12/28/2020
Rec V Date: 01/08/2021
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Symptoms: BlurredVision, Confusion, Dizziness, Headache, NauseaVomting, Mild/ Migraine and dizziness/ No known previous reactions Narrative: 10 minutes after injection she felt a migraine, with hx migraines. Vitals were stable. 20 minutes post injection she said she felt dizzy, woozy and slightly confused.

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ID: 0950264
Sex: M
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Rec V Date: 01/08/2021
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Symptoms: BlurredVision, Headache, lightheadedness, visual disturbance, diaphoresis Narrative: has orthostatic hypotension - referred to emergency room

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ID: 0950265
Sex: F
Age: 54
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Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/08/2021
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Symptoms: Dizziness, NauseaVomiting, HYPERtension, lightheadedness, abdominal cramping Narrative: Employee reported nausea and lightheadedness approximately 5 mins of vaccine administration. BP was 155/86. Within a few mins she developed a headache and dizziness. BP check at this time 165/93. Employee escorted to ED for eval. She was given 1 liter Lactated Ringers and 4mg IV zofran, which resulted in symptom resolution. She was discharged home from the ED around 1:40 pm.

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ID: 0950266
Sex: F
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Rec V Date: 01/08/2021
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Symptoms: Tachypnea, Tachycardia, Tingling in Arms, Flushing 911 was called and patient was transported to hospital emergency room

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ID: 0950267
Sex: F
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Onset Date: 12/23/2020
Rec V Date: 01/08/2021
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Symptoms: Metallic taste in her mouth, swollen lips and cheeks, slight difficulty breathing, thought to be d/t anxiety Narrative: Employee reported anaphylactic reaction to previous vaccination but apparently denied this in ED. Has allergy to penicillin, receives weekly iron infusions. Given Benadryl and sent home in stable condition.

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ID: 0950268
Sex: F
Age: 37
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Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/08/2021
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Symptoms: RespDepression SOB, eye swollen, face red, pepcid, claritin

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ID: 0950269
Sex: F
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Symptoms: Headache & NauseaVomiting Narrative: Employee reported headache approximately 15 mins after initial vaccine admin. BP at 15 min check 145/86. BP recheck ten minutes later 145/81. She also reported moderate nausea at this time. Employee escorted to ED for further eval. BP WNL on arrival to ED and no further intervention performed. She was discharged home.

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ID: 0951292
Sex: M
Age: 0
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Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
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Symptoms: Dizziness, HYPOtension & Bradycardia Patient received the moderna vaccine at around 0750 on 1/5/2021. 0755 he reported feeling dizzy. Provider present, patient reclined. Pt PB approximately 70/35, bradycardic. 2L O2, Epi given. Brought to ER, BP increased to approximately 120/90 patient awake and talking.

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ID: 0951293
Sex: M
Age: 35
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Vax Date: 01/05/2021
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Rec V Date: 01/08/2021
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Symptoms: HYPERtension Elevated Temperature of 99.4F Narrative: Pt. referred to ED for eval of possible covid vaccine reaction "a fever" per pt.;denies CP/SOB/vomiting. Vaccine administered to R deltoid.

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Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm