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
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1181843
Sex: F
Age: 28
State: NY

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 04/08/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: I was 12 weeks pregnant with twins at the time of vaccination. 2 days before the vaccine I had an appointment with my doctor and they said they were healthy I had no complications. My due date is 09/20/2021. On 3/10/2021 I got the vaccine in the evening and about 12 hrs later on 3/11/2021 in the morning one of the babies bag broke. I went to the ER. They did blood work and an ultrasound. They sent me back home. I had a follow up appointment with my doctor on 3/15/2021 and she said I will most likely end up having a miscarriage. Since then I see a high risk pregnancy doctor every week. During the visits they noticed there was still a small fluid left on the sack but today 4/8/2021 that I went to the doctor they said the baby's heart beat had dropped.

Other Meds: Vitamins

Current Illness:

ID: 1181845
Sex: F
Age: 86
State: MD

Vax Date: 02/26/2021
Onset Date: 03/02/2021
Rec V Date: 04/08/2021
Hospital:

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Lab Data:

Allergies: amlodipine, metoprolol, losartan, fosinopril, Garlic, Aloe, fosomax

Symptom List:

Symptoms: cognitive difficulties, brain fog, memory problems

Other Meds: Atenolol, Calcium, multivitamin, chlorthalidone

Current Illness: sinusitis ( 1 month prior ) for which she took 7 days of doxycycline

ID: 1181846
Sex: F
Age: 48
State: VA

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

Vax Type:
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Lab Data:

Allergies: aspirin, sulfa

Symptom List:

Symptoms: Regular adverse events - bedridden from Friday night until Sunday afternoon - chills, joint pain, muscle weakness, chest pain, lung tightness, shortness of breath, hip trying to pop out of socket due to joint weakness - all experienced with covid in January 2021;Irregular adverse event: two seizures at approx. 11:30 p.m. uncontrollable body stiff, shaking, eyes roll back in head, moaning

Other Meds: Amantadine, acetazolemide, benedryl, zyrtec, melatonin, lunesta, levothyroxine, progesterine, omneprozale, tylenol

Current Illness:

ID: 1181847
Sex: F
Age: 40
State: UT

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

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Lab Data:

Allergies: Morphine, cerezyme

Symptom List:

Symptoms: Severe joint pain in both wrists, hands, knees, ankles, and feet. Can walk but painful. Severe pain even with acetaminophen.

Other Meds: Multi vitamin, calcium supplement

Current Illness: None

ID: 1181848
Sex: F
Age: 46
State:

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 04/08/2021
Hospital:

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Symptom List:

Symptoms: Pt received the COVID vaccine {Pfizer, lot # EN6202 and exp date 06/30/2021 at (1319)}. EMT observed patient return to observation area after completing required 15 minute observation period. EMT and RN co-lead responded when patient stated she felt, "shakey, flushed", had a "knot in her stomach", and her, "throat felt tight". Patient's vitals were immediately taken and had a BP of 138/82 with a HR of 106 bpm. As patient was still able to converse with staff, patient was given 50mg of PO Benadryl and was placed in the zero-gravity chair at 14:03. At 14:09 the patient's BP was 138/82 and was visibly less flushed. Then at 14:16 the patient's HR was 89 bpm and her BP was 126/72 at 14:30. Patient verbalized feeling safe, was alert and oriented x3 and left with her husband who drove the couple home from the facility at 14:34. Throughout encounter patient was offered EMS several times and patient continually declined EMS services as her husband was, "on his way".

Other Meds:

Current Illness:

ID: 1181849
Sex: F
Age: 65
State: CO

Vax Date: 02/09/2021
Onset Date: 03/24/2021
Rec V Date: 04/08/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Had a coronary incident coming out of surgery

Other Meds: Lisiniprol, levothyroxine, restoring

Current Illness: n/a

ID: 1181850
Sex: F
Age: 16
State: OH

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

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Symptom List:

Symptoms: Patient received Moderna COVID 19 vaccine and should not have according to Moderna guidelines

Other Meds:

Current Illness:

ID: 1181851
Sex: F
Age: 46
State: OH

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

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Symptom List:

Symptoms: Patient was here for the second Moderna vaccine. Tolerated first dose with no reaction. About 10 minutes after receiving the second dose she started her throat felt "tight." Denied any trouble breathing, breathing was not labored, HR and O2 were WNL. After no change in symptoms we administered 50mg of diphenhydramine. 3 minutes after administration patient stated she felt better. Observed patient for an additional 20 minutes after and patient had no further issues. Educated on when to seek emergent care.

Other Meds:

Current Illness:

ID: 1181852
Sex: M
Age: 38
State: RI

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

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Lab Data:

Allergies: None

Symptom List:

Symptoms: 4/5 (Day of vaccine)- slight headache. 4/6- worsening fever, chills, flu- like symptoms, excruciating headache. 4/7: resolving symptoms, but small (grape sized) lump under Right Axilla. 4/8- Lump size of an apple. Contacted the facility. In for examination (internal medicine) (infectious disease): Reactive lymphadenitis. soft, moveable, non-tender, not red/inflamed. recommended ice and tylenol as needed and to contact clinic of not resolving within a week.

Other Meds: Albuterol, atorvastatin, fluticasone, glimepiride, ibuprofen, jardiance, metformin, tizanidine, trulicity

Current Illness: Chronic back pain, diabetes mellitus, elevated blood pressure, hyperlipidemia, secondary erectile dysfunction,

ID: 1181853
Sex: F
Age: 49
State: GA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 04/08/2021
Hospital:

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Lab Data:

Allergies: sulfa, gluten

Symptom List:

Symptoms: About 25-30 minutes after shot was administered, I had a brief episode of increased heart rate, labored breathing and light-headedness, which subsided within a few minutes. A few hours later, I got a headache that was treated successfully with Excedrin Migraine. However, for the next 10 days I had trouble breathing that was not helped by the use of my asthma inhaler, loss of appetite, upset stomach, loose stools, trouble sleeping and headaches. Insomnia and headaches are not uncommon for me, but over this period of time they were somewhat uncharacteristic, per my usual.

Other Meds: Mutli-vitamin, Vitamin B Complex, Vitamin B-2, Vitamin B 12, Vitamin D, Rizatriptan as needed for migraines, Xanax as needed for sleep

Current Illness: n/a

ID: 1181854
Sex: M
Age: 27
State:

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

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Allergies:

Symptom List:

Symptoms: Fainted and fell on the floor, non responsive for thirty seconds .

Other Meds:

Current Illness:

ID: 1181855
Sex: F
Age: 46
State: WV

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 04/08/2021
Hospital:

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Lab Data:

Allergies: Biaxin, Sulfa

Symptom List:

Symptoms: Hives few hours after vaccine - resolved with OTC Benadryl. Fever of 101. Tingling of right side of face, right arm, right hand,right leg. Weakness of right arm, right hand, right leg. Achy right face, right arm, right hand, right leg. Drooling right side of mouth at night. Fatigue. Patient reports symptoms have been constant for past 3 weeks. Patient states that she feels like she can not function with these symptoms.

Other Meds:

Current Illness: No

ID: 1181856
Sex: M
Age: 71
State: CO

Vax Date: 03/04/2021
Onset Date: 03/06/2021
Rec V Date: 04/08/2021
Hospital:

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Lab Data:

Allergies: Penicillin (not specified)

Symptom List:

Symptoms: Moderna (lot # 029L20A) Left side Patient presented to HRH ED two days after receiving Moderna COVID-19 vaccine dose #2 at HRH vaccine clinic with palpitations, chills, and headache since vaccination. Home blood pressure = 154/82 mmHg. Diagnosed with atrial fibrillation, PACs, and PVCs. Discharged to home stable with holter monitor and follow-up with cardiology.

Other Meds:

Current Illness:

ID: 1181857
Sex: F
Age: 31
State: MI

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

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Lab Data:

Allergies: Raw egg yolk, bell pepper, pertusis vacciine

Symptom List:

Symptoms: Anxiety, tingly feeling in hands and face.

Other Meds:

Current Illness:

ID: 1181858
Sex: F
Age: 52
State: MA

Vax Date: 11/10/2020
Onset Date: 11/11/2020
Rec V Date: 04/08/2021
Hospital:

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Lab Data:

Allergies: Allergy to pollen.

Symptom List:

Symptoms: A) Within 8 hours after injection: redness, swelling and pain at injection site (upper right arm); feeling tired. B) Overnight: swelling and redness continued to spread from neck to elbow. Swelling of lymph nodes under right arm and right side of neck. Muscle pain in arm, neck and shoulder, migraine. Rash. C) Over the following 2 days, symptoms continued to worsen: swelling of lymph nodes on both sides of the neck, under left and right arm (right more painful than left) and lymph nodes near pubic area - right side. Excruciating pain in all muscles of the body, particularly neck, head, right side of the torso and right arm. This affected my ability to breathe (shallow breath, unable to take a deep breath). Mobility extremely reduced for 24 hours (unable to switch from left to right side in bed, unable to sit, get up, walk and grab objects). I had to let myself fall off my bed, then crawled on all 4 to the kitchen to get a glass of water. Eventually, the muscles of my right arm contracted, bringing my right hand almost to the level of my right shoulder. I remained paralyzed in that position for the next 3 days. Symptoms started to disappear after 4 days. It took a total of 10 days to recover full mobility of my right arm. Traces of the rash are still visible 5 months after injection.

Other Meds: buPROPion XL 150 mg tablet; Claritin 10 mg tablet; cloNIDine 0.1 mg tablet; rosuvastatin 10 mg tablet; Vyvanse 70 mg capsule; WOMEN'S daily vitamin oral

Current Illness: None.

ID: 1181859
Sex: M
Age: 62
State: IL

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/08/2021
Hospital:

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Lab Data:

Allergies: NA

Symptom List:

Symptoms: Temperature 101, Shivers, headache, body ache. Lasted about 36 hours. It also spiked up my fasting sugar level in the 190 range for a few days and it is slowly coming down over a period of 2 weeks.

Other Meds: Insulin and Metformin ER

Current Illness: None except that I had a similar but more intense reaction from the first shot on Feb 27, 2021. Note that I am a COVID survivor

ID: 1181860
Sex: M
Age: 30
State: MA

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 04/08/2021
Hospital:

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Lab Data:

Allergies: NKDA, NJFA

Symptom List:

Symptoms: Fatigue, rash, Dizziness, fever, and chills

Other Meds: Tylenol, Ibuprofen

Current Illness: None

ID: 1181861
Sex: M
Age: 66
State: NJ

Vax Date: 03/30/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: seasonal

Symptom List:

Symptoms: Mild red rash and itching below injection site on left arm. Took Certizine.

Other Meds: Benicar 5mg 2x/day, gemfibrozil 600 mg 2X/day, hydrochlorothiazide 12.5 mg 1x/day, 81 mg aspirin

Current Illness:

ID: 1181862
Sex: M
Age: 53
State: MS

Vax Date: 03/18/2021
Onset Date: 04/01/2021
Rec V Date: 04/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: no

Symptom List:

Symptoms: Major glaucoma event in one eye pressure over 55

Other Meds: alopurinol multi vitamin

Current Illness: gout

ID: 1181863
Sex: F
Age: 64
State: CA

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

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Lab Data:

Allergies: Lisinopril, Amlodipine, Metoprolol

Symptom List:

Symptoms: Eleven mins after shot, pt notified me that she was feeling dizzy and c/o burning to bilateral eyes. Escorted pt to lie down on gurney. Three minutes later, observed bilateral eye swelling. Pt was hypertensive 221/105. Pt also had headache. Pt then c/o Left throat soreness then abdominal pain. Pt had chills, temp was normal. EMS called, pt transferred to nearest emergency department.

Other Meds: Losartan, Simvastatin, Metformin, Fluoxetine

Current Illness:

ID: 1181864
Sex: F
Age: 66
State: NJ

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 04/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: fever, body aches, severe headache, rash

Other Meds: Advil

Current Illness: none

ID: 1181865
Sex: F
Age: 60
State: GA

Vax Date: 03/18/2021
Onset Date: 03/28/2021
Rec V Date: 04/08/2021
Hospital:

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Lab Data:

Allergies: Wasps and bees

Symptom List:

Symptoms: The concern is a delayed immune response? Mild Sinus/throat irritation began on day 5, but fever (102.0) intense headaches and full body aches began on day 10. I had symptomatic covid in August 2020. Could not find any info on CDC or Pfizer website regarding how many days after vaccination immune response can begin.

Other Meds: Turmeric, omega-3D,multi vitamin

Current Illness: No

ID: 1181866
Sex: F
Age: 50
State: SC

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

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Lab Data:

Allergies: none

Symptom List:

Symptoms: fever 101 chills aches , diarrhea, fatigue all symptoms progressive at time of eval.

Other Meds:

Current Illness: acute gastroenteritis week prior

ID: 1181867
Sex: M
Age: 52
State: FL

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Shortly after receiving the first shot, I started getting numbness and tingling in my left hand. I received the shot in my left arm. The numbness / tingling still continues today.

Other Meds: Pepsid once a day.

Current Illness:

ID: 1181868
Sex: F
Age: 61
State: MI

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

Vax Type:
Manufacturer:
Vax Name:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient admitted to Supervisor she had received a previous vaccine pfizer a month ago and did not tell the nurse. She was given the Johnson vaccine whom she stated was advised by her family physician. There was no reaction.

Other Meds: none

Current Illness: none

ID: 1181869
Sex: F
Age: 16
State: TX

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

Vax Type:
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Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Individual is under 18 years of age received Moderna vaccine.

Other Meds: Lamotrigine 100 MG PO, Lamotrigine 25 MG PO and Ativan 1 MG PO.

Current Illness: Stated on patient MR History: ADHD, Depression, PTSD

ID: 1181870
Sex: F
Age: 21
State: FL

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: fever, headache, body ache

Other Meds:

Current Illness:

ID: 1181871
Sex: M
Age: 55
State: KS

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

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Lab Data:

Allergies: None

Symptom List:

Symptoms: After vaccination patient ambulated with steady gait to waiting area to sit recommended 15 min, after sitting in chair in waiting area (1310) reports feeling "hot & dizzy", skin became pale and diaphoretic, eyes rolled back and didn't respond for a few seconds then was able to answer questions, kept complaining of feeling hot & dizzy, and yawning. EMS was called at 1:12 pm and arrived on scene at 1:18 pm. Patient was responsive, sitting BP 58/22, SaO2 96% on room air. Denies shortness of breath or chest pain/discomfort. 1:23 pm BP 98/60, 1:30 pm BP 108/75, 1:26 pm BP= 116/74; alert and oriented x3, speech clear and appropriate, ambulates 50 feet with steady gait/balance. Refused medical care and treatment. Signed refusal form for EMS. Patient's wife, son and parents present with him. Wife reports that he gets worked up about needles especially with blood draws. Patient leaves ambulatory with steady gait in stable condition accompanied by his wife, son and parents. Followed up via phone on 4/8/21 at 12:30 pm, patient reported he is feeling fine with no problems at present time. Reported that approximately 10 min after leaving he had another feeling of being hot for a few seconds then went away after drinking some water then had no other episodes.

Other Meds: Symbicort inhaler, Prilosec and Simvastatin

Current Illness: No

ID: 1181872
Sex: M
Age: 47
State: NY

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Mild fever, aches, fatigue

Other Meds:

Current Illness:

ID: 1181873
Sex: F
Age: 73
State: RI

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Fatigue, muscle aches especially in left arm in the morning after the shot. Slight chills in afternoon and fever of 100 around 5p.m. I took one ibuprofen. Slept well overnight and was fine the next day.

Other Meds: Simvastatin, famotidine, calcium

Current Illness: None

ID: 1181874
Sex: F
Age: 36
State: AL

Vax Date: 01/22/2021
Onset Date: 01/26/2021
Rec V Date: 04/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Consistent bruising on both upper thighs and legs; some soreness to the touch and tingling in lower legs/feet.

Other Meds: None

Current Illness: None

ID: 1181875
Sex: F
Age: 46
State:

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 04/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: previous COVID+ in Oct 2020 and Jan 2021, after vaccination with gradual worsening headaches, evaluated in EC and discharged home with instructions for isolation for viral infection

Other Meds:

Current Illness:

ID: 1181876
Sex: F
Age: 42
State:

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Whole body myoclonic jerks that last for a few seconds. It starts with the arm and proceeds to involve the whole body. Patient is fully aware of what happens but is unable to stop it.

Other Meds:

Current Illness: Asthma, psoriasis

ID: 1181877
Sex: F
Age: 66
State: MA

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

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Lab Data:

Allergies: Macrobid, rocephin, sulfa, wasps, hornets, dust and dust mites, pollen, dogs, cats

Symptom List:

Symptoms: Started feeling very cold. Then had a severe headache and extremely nauseous. Arm of injection site was very sore. Started vomiting the second day. Was still nauseous, had very bad headache, slight fever and arm pain. On day three symptoms got better but then large red arm rash on the arm where injection was given. Arm got hot, very itchy and slightly swollen and tender. Rash got to be about 5 inches in diameter. Rash has continued for 11 days but has lessened in size and intensity.

Other Meds: Crestor, chlorthalidone, famotidine, nasonex, Zyrtec

Current Illness: Allergies as above, allergy shots

ID: 1181879
Sex: M
Age: 17
State: SD

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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Allergies: none

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Symptoms: Shot given around 1125 am. Pt and pt's mother went to sit in front of pharmacy. At around 1135, pt fell out of chair, sounded/looked like he may have hit his head on blood pressure machine that he was sitting near. We thought he had fainted. Pt woke within 10 or so seconds after fall and was confused. Said his head didn't hurt. His skin did lose it's color and he was looking "white as a sheet". We had pt lie on floor and elevated his feet. After a few minutes he was feeling better and was able to sit in a chair. Pt and his mom left the pharmacy area about 15-20 minutes after pt fainted. Upon looking at video of the event, it appears that before the patient fell out of his chair that his right arm raises up and his elbow is bent in a very stiff way. A split second later his whole body appears to stiffen and bend to the left, then he falls out of the chair and is lying on the floor. When on the floor, his legs appear to be fairly stiff as well. This whole episode seems to last about 10 seconds or less. The video makes it look more like a seizure than a case of syncope.

Other Meds: unknown

Current Illness: unknown

ID: 1181880
Sex: M
Age: 44
State: MO

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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Allergies: None

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Symptoms: Got home about a half hour after I got the vaccine. Got out of my car and my lower back started hurting and has only gotten worse since. Took Advil, but got no relief

Other Meds: Adderal 20 mg

Current Illness: None

ID: 1181882
Sex: F
Age: 43
State:

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 04/08/2021
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Symptoms: Starting on the way home, became nauseated, had body aches, and flu-like symptoms for 48 hours. Left arm swelling also.

Other Meds:

Current Illness:

ID: 1181883
Sex: F
Age: 47
State: OH

Vax Date: 03/24/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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Symptoms: COVID ARM

Other Meds:

Current Illness:

ID: 1181884
Sex: F
Age: 52
State: TX

Vax Date: 03/27/2021
Onset Date: 04/02/2021
Rec V Date: 04/08/2021
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Allergies: NKA

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Symptoms: 3/28/21 patient states site of injection got red swollen 4/2/21 she started experiencing facial numbness

Other Meds: Invokana Losartan

Current Illness: none

ID: 1181885
Sex: M
Age: 34
State: FL

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/08/2021
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Allergies: penicillin (rash)

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Symptoms: Fever/chills (6 hours) treated with Acetaminophen Body aches-especially low back (48 hours) Acetaminophen Headache (6 hours) treated with Acetaminophen Severe injection site pain (48 hours) treated with Acetaminophen All symptoms resolved within 48 hours

Other Meds: Metoprolol succinate, fexofenadine, mometasone nasal spray

Current Illness: None

ID: 1181886
Sex: M
Age: 60
State: MI

Vax Date: 03/10/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital: Y

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Symptoms: Patient hospitalized 4/9/21 with exacerbations of symptoms. positive

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Current Illness:

ID: 1181887
Sex: F
Age: 62
State: NY

Vax Date: 03/20/2021
Onset Date: 03/22/2021
Rec V Date: 04/08/2021
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Allergies: None

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Symptoms: Broke out in a rash, which was itchy and moved around my body in different locations starting on my upper arms, then breast, then ears, then lower legs then abdomen. It occurred two days after the vaccination around 8;20 pm (Monday, 22 March 2021). I had never experienced this before. I occasionally get a skin rash but this is not very often . I had eaten anything different or used a new soap or cream. The next day I took Benadryl and a cortisone ointment to calm the itch. I did not have any pain or water. when it dod not want to steel and was moving around my body, I visited the clinic. The doctor prescribed an antibiotic called Cephalexin

Other Meds: Atorvastatin (10mg); Multivitamin; Vitamin E; Vitamin C

Current Illness: None

ID: 1181888
Sex: F
Age: 42
State: FL

Vax Date: 04/03/2021
Onset Date: 04/04/2021
Rec V Date: 04/08/2021
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Symptoms: Shingles within 48 hours

Other Meds:

Current Illness:

ID: 1181889
Sex: F
Age: 32
State: RI

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
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Allergies: Contrast Dye, Shellfish, Penicilin

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Symptoms: Immediately following the injection, felt immediate metallic taste in mouth, warm sensation from head to toe, lightheaded that almost lead to fainting (did not ever actually pass out), tachycardia... this lasted for about 5 minutes. Later that day I continued to feel flushed and had localized hives that went away on their own.

Other Meds: 2000 mg Cellcept

Current Illness:

ID: 1181890
Sex: F
Age: 49
State: IN

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 04/08/2021
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Allergies: None

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Symptoms: First 24 hours, arm pain/ discomfort at injection site only At 24 hours, mild myalgias/ arthralgias and low grade fever At 30 hours, progressive worsening of myalgias/ arthralgias and fevers/ chills/ rigors; TMax 102.0 F At 36 hours, severe myalgias/ arthralgias, continued fever unresponsive to administration of antipyrectics, and onset of nausea PCP contacted, aware of reactions, recommended conservative management At 48 hours, continuation of above symptoms, all severe and unrelieved with supportive care Day #3: Fevers improved, myalgias/ arthralgias resolving, mild nausea and abdominal discomfort Day #4: Low grade fevers continue, no myalgias/ arthralgias, worsening nausea, abdominal discomfort, onset of diarrhea; irritable and fatigued Day #5: Low grade fevers continue, nausea, abdominal discomfort, diarrhea, inability to tolerate PO intake, worsening fatigue Day #6: Fevers resolved. Nausea, abdominal discomfort, diarrhea, inability to tolerate PO intake and fatigue persists Day #7: Diarrhea resolved. Nausea, abdominal discomfort improved, tolerating some PO, fatigue persists Day #8: Worsening of nausea, abdominal discomfort with PO intake, tolerating minimal PO, fatigue persists Week 2: Nausea improving, abdominal discomfort improving, PO intake improving, fatigue persists

Other Meds: Tylenol Montelukast Benadryl Ibuprofen B12 Zinc Calcium Tumeric Atorvastatin

Current Illness: None

ID: 1181891
Sex: F
Age: 21
State: MI

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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Allergies: PCN as 2 year old

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Symptoms: Rash and urticaria of left arm at first then bilateral arms and legs. Truck and face spared.

Other Meds: none - OTC medication is Zyrtec

Current Illness: None

ID: 1181892
Sex: F
Age: 1
State: ND

Vax Date: 03/03/2020
Onset Date: 03/01/2020
Rec V Date: 04/08/2021
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Symptoms: No adverse reaction, this was a medication error because it was administered too early. It is difficult to determine the cause of that error because it occurred more than 1 year ago. However, the subsequent doses could have been prevented by more education of resources. In summary a repeated dose (3rd dose) on 4/30/20 should not have been administered until 9/3/20 and was counted as invalid according to system due to not being 6 months from previous dose. Patient then came in for Hepatitis A on 4/7/21. This was administered (4th dose) due to previous doses being invalid and system forecaster recommending administration to complete series. It was found that that our EMR care gaps section did not recommend administration on 4/7/21. ACIP recommendations state the following: "If the first and second doses of hepatitis A vaccine were administered less than 6 months apart, the second dose is invalid and should be repeated 6 months after the invalid second dose (7). However, if this repeat dose (the third dose) is administered anytime 6 months or more after the first dose, the series can be considered complete." In addition to needing to know extra resources, system forecaster should only be cautiously utilized unless it is updated to include ACIP recommendations. If it was, we could have prevented a 4th dose for that patient.

Other Meds:

Current Illness:

ID: 1181893
Sex: F
Age: 41
State: RI

Vax Date: 03/11/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
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Allergies: None

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Symptoms: My golf ball size arm rash lasted 7 days, Itchy, hard hot to touch and sore... Four weeks later diagnosed with Covid.

Other Meds: Multivitamin

Current Illness: None

ID: 1181894
Sex: M
Age: 41
State: PA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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Allergies: none

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Symptoms: started to sweat and felt "not right" post injection a few minutes, states has happened several times in past when getting injections. staff assisted to floor and states did lose consciousness for a moment. felt better once in obs, 1517 bp 119/68 hr 83 rr 20 sats 98% on ra. 1530 bp 138/72 hr 67 rr 17 sats 98% on ra. states s/s resolved, stood up with no issues, escorted to personal vehicle with no issues.

Other Meds: none

Current Illness: none

ID: 1181895
Sex: M
Age: 80
State: FL

Vax Date: 03/02/2021
Onset Date: 03/05/2021
Rec V Date: 04/08/2021
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Symptoms: spotty dark spots on left foot joint aches

Other Meds: etodolac , lisinopril ,amlodipine besylate, fish oil aspirin centrum silver

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm