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: 1175760
Sex: F
Age: 73
State: CA

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

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

Lab Data:

Allergies: Verapamil, ampicillin, trimerisol bell peppers

Symptom List:

Symptoms: Extreme fatigue, headache, severe neck pain and stiffness, nausea, joint pain, muscle pain, chest pain, abdominal pain

Other Meds: Synthroid, estradiol, bupropion, Trintellix, budesonide, Brovana, metformin, trazodone, Mucinex, NAC, calcium, AREDS2

Current Illness: none

ID: 1175761
Sex: F
Age: 65
State: CT

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

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

Lab Data:

Allergies: Sulfa drugs

Symptom List:

Symptoms: First dose - sore arm and bruising for 2 weeks Second dose - Fever, onset 24 hours after shot, lasted for 12 hours, maximum temperature 101.7 Second dose - Dizziness/vertigo, onset 48 hours after second dose with slight symptoms; severe symptoms on morning of 3rd day after second dose, confined to bed.

Other Meds: None

Current Illness: None

ID: 1175762
Sex: F
Age: 65
State: NY

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 02/23/21, 7 pm - upset stomach and sore arm at injection site 02/24/21, 7 am to 11 pm - upset stomach, headache, body aches & chills and sore arm at injection site 02/25/21, 7 am to 02/27/21, 7 am - sore and swollen left underarm and breast, itchy rash extending down upper arm from injection site 02/27/21, 7 am to 02/28/21, 11 pm - swelling of left knee and left ankle 03/03/21, 7am to 03/06/21, 10 pm - back pain along bottom of right shoulder blade 03/08/21, 8 pm to 03/18/21, 10 pm - chest pain under right breast, especially with deep breathing, and highly elevated blood pressure

Other Meds: Probiotic

Current Illness: None

ID: 1175763
Sex: M
Age: 69
State: MD

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

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Patient received Pfizer for his second vaccine. He was supposed to receive a second Moderna vaccine.

Other Meds: Unknown

Current Illness: Unknown

ID: 1175764
Sex: M
Age: 22
State: FL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: After the shot was given, he seemed nervous and I asked if he was okay and he said yes. So I turned around to get a bandaid and he fell off the chair. He was conscious the whole time but didn't remember if he got the shot. 911 was called and I observed him while we waited for them to get here, he was never taken to the hospital. Paramedics observed and released him . Patient said he always gets nervous when he gets any type of shot or blood drawn and this type of situation has happened in the past. This was unknown to us when administering the vaccine.

Other Meds:

Current Illness:

ID: 1175765
Sex: F
Age: 42
State: CA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient reported having history of having ? vasovagal episodes? Patient reported feeling dizzy and anxious Patient provided water and seen by medical team Patient refused medical transport and signed AMA form Patient?s symptoms resolved

Other Meds: None

Current Illness:

ID: 1175766
Sex: F
Age: 46
State: PA

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: IV Iodine Dye or contrast Dye

Symptom List:

Symptoms: 01/17/2021 Pain in Right opposite of the arm got vaccination in 01/18/2021 felt a lump and had spotting bleeding . Unusual hormonal changes after the shot. Dr. seemed unconcerned. Sen to the Breast Specialist and she is schedule for a diagnostic mamma gram.

Other Meds: Lipitor 10mg daily, LoLo birth control, Vitamin D 3,000

Current Illness: No

ID: 1175767
Sex: M
Age: 16
State: OH

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Arms became swollen and red for 4 days. Continues to be fatigued.

Other Meds:

Current Illness:

ID: 1175768
Sex: F
Age: 48
State: CA

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

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

Lab Data:

Allergies: Possible penicillin allergy

Symptom List:

Symptoms: On 3/15/21 approximately 4 hours (8PM) after receiving the second vaccine I noticed a loud ringing in my ears. This has continued since at varying tones and volumes. It is centered in the middle of my head, not in one ear or the other. It ranges from the sound of a running toilet to the sound of cicadas. It is constant, varying in intensity throughout the day. Occasionally the intensity seems to cause difficulty breathing , difficulty focusing, and fatigue. Additionally, it seems to be disrupting my ability to sleep.

Other Meds: Levothyroxine

Current Illness: None

ID: 1175769
Sex: F
Age: 43
State: KS

Vax Date: 03/10/2021
Onset Date: 03/21/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: blotchy,itchy local rash at injection site. lasted ~1 day

Other Meds:

Current Illness:

ID: 1175770
Sex: F
Age: 75
State: ID

Vax Date: 03/25/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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

Allergies:

Symptom List:

Symptoms: Pt had covid vacc on 3/25/21 first dose- 4/6/21 Someone called and said she had what he thought was lymph node swelling in neck that started that day. I told him there was a chance it was the vacc but could also be signs of infection. moderna info says about 10% chance within 7 days. 4/7/21 Someone came in and said the mild swelling was back down. I recommended that they do the V safe program

Other Meds:

Current Illness:

ID: 1175771
Sex: F
Age: 51
State: NJ

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Within 24 hours?fever, chills, headache, nauseous Within 48 hours?sever nauseousness, severe vomiting, headache, diarrhea Within 72 hours?headache, nauseous, diarrhea

Other Meds: Desvenlafaxine ER 50mgs

Current Illness: None

ID: 1175772
Sex: M
Age: 19
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Woke up with headache, fatigue, body aches, low-grade fever about 14 hrs after vaccination

Other Meds:

Current Illness:

ID: 1175773
Sex: F
Age:
State: KS

Vax Date: 03/25/2021
Onset Date: 04/04/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: compazine, zythromax,daptomicyn,benydryl

Symptom List:

Symptoms: severe bone pain almost 2 weeks after vaccine, can hardly walk

Other Meds: n/a

Current Illness: none

ID: 1175774
Sex: F
Age: 35
State: NJ

Vax Date: 12/20/2020
Onset Date: 03/01/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Developed Hashimoto?s thyroiditis after vaccine.

Other Meds: Propranolol for benign tremor Multivitamin

Current Illness: None

ID: 1175775
Sex: M
Age: 52
State: MI

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

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

Lab Data:

Allergies: Seafood and some fresh fruits

Symptom List:

Symptoms: anaphylactic shock Began with neck pain on left side, heavy dry mouth, profuse sweating, saw odd colors and dashboard of car coming at me in design, very cold and light headed, trouble breathing, throat felt swelled, bowels and bladder felt they were going to let loose. went unconscious, - after recovery I had tremors for a few hours such that I could not hold a glass of water, legs felt hot to the touch and ached for several days. Still feel weak and tired.

Other Meds: Vyvance, Lamictal, Lisinopril

Current Illness: None

ID: 1175776
Sex: F
Age: 43
State: WI

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: lumps developing in the collarbone or neck area and headaches, got worse in the past 4 days.

Other Meds: None

Current Illness: None

ID: 1175777
Sex: F
Age: 38
State: IA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: A couple hour after vaccine, I experience hyperglycemia. I passed out and was unresponsive, Ambulance service was called to provide service. They gave me dextrose. The estimate date is 09/2/2021

Other Meds: Leeophyroxine Zofran Bonjesta prenatal vitamins

Current Illness: none

ID: 1175778
Sex: F
Age: 50
State: TN

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Sulfa-rash Seasonal Allergy

Symptom List:

Symptoms: My left supraclavicular lymph node was swollen. I waited a couple of days and saw my doctor who thought it was related to the vaccine. It stayed swollen for a month.

Other Meds: Allergy meds Zyzol Singular Sudafed Zitrilogy Inhaler Allergy Shots Losartan Amlodipine

Current Illness:

ID: 1175779
Sex: F
Age: 22
State: WA

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

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: The morning of April 3, staff at the Vaccination Clinic discovered a discrepancy in the preparation of Pfizer vaccine doses. It was discovered that several undiluted vaccine doses were administered. Staff accounted for all unused undiluted vaccine doses. Unfortunately, 10 undiluted vaccine doses had been administered to patients and were not able to be retrieved. This patient received one of the undiluted doses. The medical team contacted the CDC to determine the potential side effects and observation requirements of receiving an undiluted vaccine. The CDC confirmed that the recipients of the undiluted doses may experience stronger side effects and symptoms than someone who received the diluted dose (sore arm, flu-like symptoms, etc.). The site public health officer spoke with suspected recipients of the undiluted vaccine to explain potential medical side effects. The will follow up to monitor their status.

Other Meds: no

Current Illness:

ID: 1175780
Sex: F
Age: 22
State: TN

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

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

Lab Data:

Allergies: Latex, morphine

Symptom List:

Symptoms: 13:45 pm rashes and hives on the arm injected 01:00 am woke up with stiff muscles, & vomiting for 3 hours on and off. Fever of 101. Hot and cold flashes

Other Meds: Fluoxetine

Current Illness: N/A

ID: 1175781
Sex: F
Age: 28
State: MI

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fatigue, sore throat, headache, dizziness, body aches, joint pains, injection site pain, tiredness.

Other Meds:

Current Illness:

ID: 1175782
Sex: F
Age: 45
State: MA

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt became dizzy a few minutes post injection. She felt better after lying down and resting for 30 min. She has had a history of dizziness

Other Meds:

Current Illness:

ID: 1175783
Sex: F
Age: 42
State: IN

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Awoke on day after vaccination with a headache and tiredness. Took medication and laid back down to rest. Woke up for quick meeting with boss but had sensitivity to light and computer screen. Took more medication and laid back down. Later in afternoon when I awoke, I didn't feel well and was not hungry and started having a runny nose. On second day after vaccination, I awoke with migraine and began vomiting. I attempted to take Tylenol, which didn't stay in my stomach. The headache and vomiting lasted for the whole day. I took some anti-nausea medicine to help stop vomiting, which worked but the headache remained. On the third day after the vaccination, I attempted to take medication to help with headache and stuffy nose, which did not resolve so I called the ER to ask what to do. Later in the evening, my mother drove me to the ER where they administered 3 shots to bring relief to the migraine.

Other Meds: Venlafaxine 150 mg, Aspirin 81 mg, Cholecalciferol 2000 IU, Docusate Sodium 200 mg, Multivitamin, Letrozole 2.5 mg

Current Illness: N/A

ID: 1175784
Sex: F
Age: 41
State: LA

Vax Date: 03/27/2021
Onset Date: 04/02/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Ceclor, Levaquin

Symptom List:

Symptoms: I had no major reactions to first vaccine- some soreness around injection site and slight fatigue, but nothing major. I had the 2nd vaccine on Saturday, March 27. Until Wednesday I was fine- same side effects as the first injection. Wednesday and Thursday I became extremely fatigued. On Friday morning I woke up covered in hives. It was no better Saturday, so I had a telehealth appointment and was told it was likely a delated allergic reaction to the vaccne. I was given 40 mg of prednisone to take daily for 5 days and 10 mg of zyrtec once a day for 10 days. Symptoms improved slightly, but not nearly like they should have. Yesterday I have another big flare up and since my last dose of prednisone was today, I went in to a different Urgent Care and was given a Celestone shot. I woke up at 4:00 a.m. this morning with my hives being worse than they have been the entire time. I took my meds and benedryl, used ice packs, and fell back asleep. When I got up, the hives were back to how they have been the past few days- no better, but no worse either.

Other Meds: At time of vaccine I was taking prozac and contrave. Since have reactions I have been on prednisone and zyrtec.

Current Illness: None- just some seasonal sinus problems.

ID: 1175785
Sex: M
Age: 64
State: TX

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: None that I know

Symptom List:

Symptoms: At 6:00 pm start to cough real bad, then around 8:30 start having a problem breathing until 11:00 pm was real difficult, that's when we call 911.

Other Meds: Called 911 because can't breathe, took me to DOCTORS HOSPITAL EMERGENCY. They put me on steroids and antibiotics.

Current Illness: Diabetes, and High Blood Pressure.

ID: 1175786
Sex: F
Age: 44
State: OR

Vax Date: 03/28/2021
Onset Date: 03/29/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Shellfish, peanuts, Sulfa drugs

Symptom List:

Symptoms: Fatigue at 24 hours. Sore, painful arm that lasted up to 9 days (still having symptoms as of 4/7/21) - Ibuprofen helped alleviate symptoms.

Other Meds: None

Current Illness: None

ID: 1175787
Sex: F
Age: 56
State: IN

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Achy/sore Chills Joint pain

Other Meds:

Current Illness:

ID: 1175788
Sex: F
Age: 59
State: MI

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: She checked the box for Moderna on consent form but received Pfizer, she works for DPP.

Other Meds:

Current Illness:

ID: 1175789
Sex: F
Age: 37
State: NJ

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Left arm numbness, headache, all over muscle pain, kidney pain, chest pressure, nausea, vomiting, dizziness

Other Meds:

Current Illness:

ID: 1175790
Sex: M
Age: 72
State: CT

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient had a seizure in the middle of the night on Sunday. Wife called 911 and patient was transported to ER where he stayed for observation and then prescribed seizure medication. Patient has no history of seizures.

Other Meds:

Current Illness:

ID: 1175791
Sex: F
Age: 42
State: MN

Vax Date: 01/29/2021
Onset Date: 03/31/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient tested positive for COVID-19 on 4/6/2021. Symptom onset 3/31/2021, sore throat.

Other Meds:

Current Illness:

ID: 1175792
Sex: M
Age: 31
State: IN

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Passed out within 5 minutes of receiving the vaccine. Dizziness, skin pale, b/p 80/48. Transported to Hospital for treatment.

Other Meds:

Current Illness:

ID: 1175793
Sex: F
Age: 52
State: TX

Vax Date: 03/30/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: swollen, red and itchy at vaccine site a week after vaccine about an inch and a half in diameter.

Other Meds: calcium supplement and Lexapro for anxiety

Current Illness: none

ID: 1175794
Sex: F
Age: 73
State: NJ

Vax Date: 03/10/2021
Onset Date: 04/01/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, ibuprofen, Sudafed

Symptom List:

Symptoms: Had a sharp pain in left temple around 9 pm Thursday night that lasted over 30 minutes. Had several more over night along with joint pain; after one more in the morning went to the ER thinking I could have an aneurysm. ER doctor ordered bloodwork and tested for Lymes and rheumatoid arthritis in addition to cat scan. All negative so she concluded it could be Shingles. She prescribed valacyclovir and Gabapentin for 7 days.

Other Meds: Metformin, Benazepril, Lotrel, Metanx, Flonase, iron, pantoprazole

Current Illness: Anemia

ID: 1175795
Sex: M
Age: 55
State: WI

Vax Date: 03/13/2021
Onset Date: 03/28/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient called 4/7 to advise us of an outpatient treatment for a blood clot on 4/4/21. In hindsight, he is questioning whether there is an association between his COVID vaccine series and the clot. He recieved his 1st dose (reported above) on 3/13/21. Symptoms (gradually progressive redness, irritation, swelling) began approximately 3/28/21, but were not recognized as a blood clot at the time. He received his second dose on 4/3/21 (Lot EW0150) in the right deltoid muscle. He reported to the ED for treatment on 4/4/21 with continued worsening of symptoms. So far, his treatment is going well with no lasting deficits and continuing followup treatment.

Other Meds:

Current Illness:

ID: 1175796
Sex: F
Age: 61
State: GA

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 04/07/2021
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Allergies: Sulfa Bananas Avocado Latex Macrodantin Pepto Bismol Benadryl Cymbalta Requip IVP dye Gabapentin Doxycycline

Symptom List:

Symptoms: By 6pm, I started feeling feverish, with chills, nausea, chest pains and abdominal pain. I also experienced headaches and my fever got up to 102.5. I went to the ER and they gave me fluids. I was told it was a reaction to the vaccine, but my paperwork said upper respiratory infection. My cough started out dry, I had SOB, weakness, fatigue, diarrhea and joint pain. My PCP put me on a steroid and an antibiotic Keflex (500mg, 3 times a day). I get lightheaded just walking around the house. I'm still experiencing SOB, fatigue and the cough. Today is the first day that I could get up an move around. I'm fine when I first wake up, but I eventually feel depleted.

Other Meds: Nexium - 30mg Ezfe - 200mg Zoloft - 25mg Azithromycin - 500mg - 3x a week Singulair - 10mg Mag Oxide - 400mg Vitamin D3 - 50000iu Propranolol -10mg Zanaflex - 4mg (I only take 2mg) Xyzal - 2.5mg Probiotic Vitamin C - 1000mg Voltaren - 75mg

Current Illness: Low grade temperature and coughing off and on over the past few months.

ID: 1175797
Sex: F
Age: 58
State: TX

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/07/2021
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Allergies: Penicillin, Compozine, Sulfa Drugs, Vancomycin, and a long list of other medications. Also allergic to bees.

Symptom List:

Symptoms: I felt fine immediately after the injection - just a little pain in the arm where I got the injection and when raising my arm. By 6:30 pm I was achy all over and my legs were aching a lot. When I went to bed around 8:00, I hurt all over (achy and flu-like feeling, but no fever). I dozed off and on and about midnight when I woke up, I had a very rapid heartbeat. This went on all night and into the morning. It was hard to get any sleep at all. When I'd get up to go to the bathroom, I was slightly dizzy and unsteady on my feet. After I got up at 6:30 am, the highest my heartrate got was 113, then it finally began going down. I was still hurting all over, felt extremely tired, and now had fever - 99.8. The fever lasted off and on all day and into the next night. I was also very nauseated all day and I felt extremely bloated. I also had a bad headache. When I woke up on Friday, my fever and the headache was gone, but I felt extremely tired and weak and still nauseated. I slept most of the day and I still ached all over, but not as much. My lymph nodes were also swollen. On Friday afternoon, I walked up to the mailbox and I was winded and unsteady. On Saturday, I felt a little better, but was still extremely tired. By Saturday night, all the aches, pains and headache were back and I didn't sleep well at all. I rested most of Sunday and felt a little better Sunday evening. The aches and pains were going away, but I was still very tired and exhausted. I felt the same way when I woke up on Monday morning. It seemed like the vaccination made the aches and pains I normally had with Fibromyalgia about three times as bad as usual. And I was still very bloated feeling all over. By Monday afternoon the nausea finally went away. By Monday afternoon I was feeling a little better, but still tired. On Tuesday I felt better still and I noticed that I wasn't bloated as much. It seemed like I was getting back to normal.

Other Meds: 6:00 am Doxycycline and Aspirin Noon - Balziva (generic for Ovcon-35), Centrum Women's Vitamin

Current Illness: N/A

ID: 1175798
Sex: F
Age: 55
State: PA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 04/07/2021
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Allergies: NONE

Symptom List:

Symptoms: INITIALLY FEVER, ACHES, HEADACHES,HOT FLUSHES, NAUSEA, DIARRHEA, AND UPPER ABDOMINAL STOMACH PAIN WITH DIGESTIVE COMPACITIY DIMINISHED. LASTED ABOUT 1 WEEK, THEN FOR ADDITIONAL 10 DAYS AND STILL CONTINUING, I HAVE HAD HOT FLASHES, TINGINLING IN MY HEAD WITH TIGHTNESS, INCREASE HEART RATE, AND BLOOD PRESSURE, AND WAKING UP EVERY NIGHT AT 3 AM IN THE MORNING WITH BAD NIGHT SWEATS MOST OF THE TIME. NONE OF THIS EXISTED BEFORE THE SECOND PFIZER VACCINE. I AM 55 AND IN MENOPAUSE , BUT WAS TOTALLY CONTROLLED WITH NATURAL PROGESTERONE SUPPLEMENTATION. THE WORST IS THE RACY HEART, AND JITTERINESS , WITH HEADACHES.

Other Meds: THYROID, CELEXA, VIT D , VIT C, PROBIOTIC, DIGESTIVE ENZYMES

Current Illness:

ID: 1175799
Sex: F
Age: 36
State: MN

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/07/2021
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Allergies: N/A

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Symptoms: Extreme night sweats, waking up soaking wet from them. tired, hard to stay awake sleeping 10 to 14 hours a night, falling asleep at work

Other Meds: Zoloft 50 mg, Ibprophen 600 mg

Current Illness: N/A

ID: 1175800
Sex: M
Age: 68
State: PA

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 04/07/2021
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Allergies: NKDA

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Symptoms: I'm an FP physician - reporting on behalf of my father - although my father is taking immune therapy - within approximately 36 hours after receiving the second dose of Moderna he developed the anticipated side effects of body aches, fatigue, fever, joint pain however he also developed a sand paper like rash on his tongue and erythema and pain in his mouth these symptoms were fairly severe for 3-4 days and lasted a total of 10 days. He chose not to take medication to treat. He did lose approximately 4 lbs which he has regained. I didn't connect the two immediately but a close friend of mine who is a nurse - her sister had also had a similar event in close relation to having received the moderna vaccine - I've encouraged her to report as well. I hope this information is helpful.

Other Meds: tecentriq, avastin, losartan, lipitor, carvedilol, vitamin a, vitamin d, zinc

Current Illness: none - avastin and tecentriq had been started months prior without adverse side effects

ID: 1175801
Sex: F
Age: 27
State: GA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
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Allergies: None

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Symptoms: Within 5 minutes of receiving the Pfizer COVID-19 vaccine, I had terrible hot flashes and was unable to focus. This subsided within 15 minutes. Within an hour of the vaccine, my tongue went numb and mildly swelled, my face grew hot, and my throat swelled. It was difficult to swallow saliva and water. Within two hours, I grew progressively weaker, light-headed/dizzy, and experienced mild confusion (unable to understand what folks were saying on the onset). I also had quite low blood pressure when observed by the EMTs. My swelling subsided within 5 hours, both through time and the eventually emergency room treatment of Benadryl, Prednisone, and saline.

Other Meds: Kyleena (IUD), Vitamin D (supplement)

Current Illness: None

ID: 1175802
Sex: F
Age: 16
State: AR

Vax Date: 03/15/2021
Onset Date: 03/22/2021
Rec V Date: 04/07/2021
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Symptoms: The teen had a history of autoimmune disorder, alopecia areata for the past 2 years. When received the first dose of pfizer COVID vaccine, she started losing hair rapidly after about 6 to 7 days. She was started on large dose of prednisone 100mg per day after 2 weeks to slow down alopecia. However, in the span of 4 days she lost most of her hair. We are wondering if the vaccine could have exacerbated the autoimmune disorder.

Other Meds:

Current Illness: alopecia areata

ID: 1175803
Sex: F
Age: 72
State: NJ

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/07/2021
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Symptoms: Mild sore arm within hours, chills for several hours later that night . Took two Advil. Chills stopped soon after. Two days later on March 29, 2021, developed rash that started on midriff and spread up to my neck by next day. Some small blistering in spots but mostly looked like sunburn. Subsided after two days.

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Current Illness:

ID: 1175804
Sex: F
Age: 37
State: MS

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/07/2021
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Allergies: codiene, phenergan

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Symptoms: Confusion, disorientation, c/o feeling hot/floshed hand tremer @ rest waeker grip on left arm PERLA BP 170/100 168/98 BP and r WNL, no c/o SOB color good. States took regular meds this AM. Ambulance called- denies numbness BP with paramedics 164/78; P 102

Other Meds: could not recall

Current Illness: anxiety

ID: 1175805
Sex: F
Age: 65
State: MA

Vax Date: 04/02/2021
Onset Date: 04/05/2021
Rec V Date: 04/07/2021
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Allergies: NKDA

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Symptoms: Localized induration, onset 3 days after vaccination. Right upper extremity.

Other Meds: A 12, hydroxychloroquine, Levoxyl, valacyclovir

Current Illness: None

ID: 1175806
Sex: M
Age: 35
State: SC

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 04/07/2021
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Allergies: None

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Symptoms: Severe muscle soreness the next day that subsided after about 24 hours. Ongoing mild headaches, which are completely new for me. I only get headaches about once a year, typically when severely dehydrated. I now have daily mild headaches.

Other Meds: None

Current Illness: None

ID: 1175807
Sex: F
Age: 33
State:

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/07/2021
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Allergies: n/a

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Symptoms: Low fever, body aches, chills, exhaustion. I took one acetaphetamine tablet and slept. Fever broke overnight. Body aches continued into the next day.

Other Meds: Levothyroxine Armor Thyroid Gabapentin Life Extension Vitamins D and K with Sea-Iodine Pure Encapsulations PureGenomics B-Complex Microbiome Labs Mega Spore Biotic Seeking Health Zinc Carnosine Integrative Therapeutics Similase Designs for

Current Illness:

ID: 1175808
Sex: M
Age: 32
State:

Vax Date: 04/07/2021
Onset Date: 04/01/2021
Rec V Date: 04/07/2021
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Allergies: unkunk

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Symptoms: pt had loc fell to floor 0 rash wheezing itching hives redness swelling

Other Meds: unk

Current Illness:

ID: 1175809
Sex: F
Age: 52
State: WI

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

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Allergies: strawberries - anaphylaxis

Symptom List:

Symptoms: Patient was observed for 30 min after her second dose of covid-19 vaccine (note patient decided to take diphenhydramine immediately after receiving this dose of vaccine because she experienced a spike in her blood pressure with her first covid-19 vaccine). Patient felt fine and left the vaccine clinic. But about 2 hours after receiving the second dose, patient developed numbness, right upper and lower extremity weakness and headache. Upon presentation to the ED, patient developed right sided facial droop and ongoing right upper and lower extremity weakness and headache. Stroke protocols were initiated including offering tPA for clinical stroke, but patient declined it. At workup, her EKG showed a sinus rhythm, she had not reported recent illness. A CT angiogram showed no significant flow limiting stenosis either in the neck or head and there was no perfusion deficit. However, incidental bilateral aneurysms were discovered at the anterior cerebral arteries at the junction of the A3 segments and pericallosal arteries. There was no evidence that they had hemorrhage and they are small, less than 5 mm in diameter and neurosurgery has evaluated the patient and is not recommending any urgent intervention. The next day the patient was doing well, presenting symptoms/deficits resolved except for ongoing mild headache. An MRI examination of the brain has shown no acute infarct and normal brain morphology was described. She had an echocardiogram, which showed grossly normal left ventricular size and systolic function with an estimated ejection fraction of 65%. Amlodipine was started for elevated blood pressure. Note: patient had a history of hypertension but was not on medications for this prior to admission. Neurology consult = ?This is a peculiar event. It is unclear if the patient had a TIA or COVID reaction to a COVID vaccination or a reaction to headache. She does not exhibit a completed stroke on MRI scan. She has recovered completely except for mild headache. Incidental aneurysms were discovered and at some point she should have follow up for that. She should have a follow up with the stroke service. In the meantime, I think it is reasonable to continue with daily aspirin on this patient. Note that she had a cryptogenic TIA.?

Other Meds: acetaminophen as needed

Current Illness:

Total 2021 VAERS Injuries: 679,999

Page last modified: 03 October 2021 5:28pm