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: 1181948
Sex: M
Age: 36
State: PA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: The patient experienced dizziness, lightheadedness a few minutes after receiving the vaccine, he also complained of sweating and chills. I gave him some water to drink and mountain dew, and I had him lay on his back for several minutes. The patient said he felt better and more alert after laying on the floor. After 10 minutes, I had him sit back up, he was feeling much improved. After 10 more minutes, he wanted to get a snack before he left. I requested he come back after the snack just to check in on him after he had walked around. The patient left the pharmacy feeling normal again.

Other Meds: Unknown

Current Illness: None

ID: 1181949
Sex: F
Age: 29
State: TX

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Mild nausea, cold clammy, Vital signs stable

Other Meds: None

Current Illness: None

ID: 1181950
Sex: F
Age: 40
State: MI

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient stated she was having chest pain and that her chest was getting tighter and tighter. Pulse and blood pressure were normal. ambulance was called and they took pulse and blood pressure as well it was normal. they preformed more tests (unknown to me in the ambulance) she did not leave with paramedics

Other Meds: none

Current Illness: none

ID: 1181951
Sex: F
Age: 55
State: WI

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

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

Lab Data:

Allergies: Contrast Media

Symptom List:

Symptoms: Pt states that she was experiencing anxiety and tongue tingling on her way out of the clinic. Had patient wait in clinic another 15 min and took her vitals. B/P- 130/80, P-72, R-20, SPO2-98% room air.

Other Meds:

Current Illness:

ID: 1181952
Sex: F
Age: 30
State: PA

Vax Date: 03/20/2021
Onset Date: 03/24/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I have red, itchy rash that resembles hives in these places: under my breasts/ top of stomach, and going down the whole stomach (this is the worst area), armpits, elbow creases, behind my knees, groin/ thighs, base of neck/ collarbone. A virtual doctor prescribed me prednisone, and it helped for the 6 days but the day I came off of them, it came back and worse. Now I am on a prescribed steroid cream but I have an appointment with an allergist next week

Other Meds: None

Current Illness: None

ID: 1181953
Sex: F
Age: 51
State: UT

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

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

Lab Data:

Allergies: Thymerasol

Symptom List:

Symptoms: Pt became light headed and dizzy 25 minutes after vaccine administration, 40 minutes after vaccination reported feeling heat and tingling on L side of face, neck and arm.

Other Meds: Adderall, advair, buproprin, estrodall, micronized progesterone, sertraline, DHEA, Vitamin D, magnesium

Current Illness: migraines

ID: 1181954
Sex: F
Age: 81
State:

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Lobster, shellfish

Symptom List:

Symptoms: After 20 hours, red area around vaccination site, warm to the touch, persisting until present time, April 8, 1:45 pm. Slight itchiness around site.

Other Meds: None

Current Illness:

ID: 1181955
Sex: F
Age: 32
State: MA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Light headed was and fainted about 48 hrs after vaccine was administered

Other Meds:

Current Illness:

ID: 1181956
Sex: F
Age: 51
State: CA

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

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

Lab Data:

Allergies: Benadryl, sulpha antibiotics

Symptom List:

Symptoms: Intense vertigo and dizziness. Lasted 5 days

Other Meds: 240 mg verapamil 400mg magnesium 2400mg fish oil Vivelle dot 200 units Botox in head for migraines one month prior

Current Illness: None

ID: 1181957
Sex: F
Age: 32
State: MD

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Muscle and joint aches starting approximately 9:15 AM 04/08, dizziness and syncope at appx 10:00 AM, followed by nausea. I was transported via ambulance to given Zofran and started on LR IV en route. At Suburban I was next placed on normal saline IV and given Tylenol. I was feeling pain in my back left hip and on the back left side of my head so I had hip and chest x-rays and a head CT done. All imaging and labs were normal and I was feeling well enough to be discharged at appx 2:30 PM. Following the visit to the ER I continued to feel muscle and joint aches, but no longer any dizziness or nausea. I also started having a headache. I continue to have a headache through today, 04/09. I followed up with my primary care provider this afternoon who said it was possibly a lingering concussion from hitting my head during syncope episode.

Other Meds: Bupropion, Amitiza

Current Illness: Depression, anxiety, IBS

ID: 1181959
Sex: F
Age: 22
State: TX

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Per EMS, " nausea and facial flushing" post injection. She reported a similar reaction to the H1N1 shot (not reported verbally to injector). 25 mg Bendryl IV by paramedic, she reported relief felt and declined transportation.

Other Meds:

Current Illness:

ID: 1181960
Sex: M
Age: 70
State: NY

Vax Date: 03/11/2021
Onset Date: 03/27/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: I felt fatigued for 2 days after the vaccination and then no issues until around day 16. I developed chills, fever, headache, neck aches, malaise and extreme fatigue that lasted 12 days and then resolved for the most part except still experiencing some fatigue. I was concerned because I was expecting side effect shortly after the vaccine however the symptoms were very much delayed. Although I have been very isolated before and after the vaccine I grew concerned I may have been exposed to COVID though highly unlikely and got a PCR covid test which came back negative

Other Meds: Thyroid medication for underactive thyroid (compounded T3 & T4)

Current Illness: none

ID: 1181961
Sex: M
Age: 32
State:

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

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

Lab Data:

Allergies: ciprofloxacin - hives

Symptom List:

Symptoms: received vaccine 9am. started feeling under the weather 10pm. woke up next day 3am with headache. fainted on his way to the bathroom to get Tylenol. hit his head.

Other Meds: sertraline

Current Illness:

ID: 1181962
Sex: F
Age: 62
State: MN

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fatigue that worsened over 3 week period, weakness in legs, arms that progressed over that time, dizzy foggy brain that progressed, chest tightness/heaviness that became more frequent over time, ending in inability to stay active for normal activities, fever on & off - thought MS exacerbation - symptoms completely subsided by 4/7/21

Other Meds: Cymbalta, Vit D. B12 Zinc Magnesium Calcium Fish Oil

Current Illness:

ID: 1181963
Sex: F
Age: 37
State: CT

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chills, Fever, Racing Heart, Frequent Vomiting, Headache, Lower Back Pain, Hip Pain, Lack of appetite, tiredness and muscle aches lasting a full 24 hours. It started about 6-8 hours after vaccination.

Other Meds: Metoprolol

Current Illness:

ID: 1181964
Sex: M
Age: 68
State: OH

Vax Date: 03/18/2021
Onset Date: 03/22/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Shingles on left side of head, exterior layer and around eye, face to nose. Intense headaches began on morning of 4 th day after 2 nd vaccine dose, leading to intense stabbing headaches 3 minutes apart on 8th day after dose...initially misdiagnosed/ treated as cluster headache. Shingles Rash presented 9 th day after dose. This has involved 1 Visit to urgent care; 3 ER visits and repeated ophthalmologic care. Still not resolved, with ongoing eye and nerve pain

Other Meds: Atrovastatin, 81 mg aspirin, Vitamin C

Current Illness: None

ID: 1181965
Sex: F
Age: 67
State: NC

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: slurred speech, garbled speech, ataxia, stumbling

Other Meds: atorvastatin, raloxifene, B12, CoQ-10, Vit D3, Biotin, Citracal, potassium, multivitamin, super vit B-complex, fish oil, L-methylfolate, Vitamin E

Current Illness: none

ID: 1181966
Sex: F
Age: 56
State: PA

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

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

Lab Data:

Allergies: Multiple

Symptom List:

Symptoms: She said she felt poorly, and then developed diffuse itching about 10-15 minutes after receiving the vaccine. She then developed a few hives on trunk and arms. She was given Claritin and Pepcid PO. Symptoms improved in about an hour.

Other Meds: Unknown

Current Illness: Prior hives

ID: 1181967
Sex: F
Age: 51
State: OK

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

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

Lab Data:

Allergies: Morphine Sulfate: anaphylaxis - Criticality High Codeine Phosphate: hives - Criticality High Ambien: Criticality High

Symptom List:

Symptoms: EMS picked up pt at residence hard to arouse , sleepy, fever

Other Meds: Taking Ezetimibe 10 MG Tablet 1 tablet Orally Once a day, Taking Spironolactone 25 mg Tablet 1 tablet Orally Once a day, stop date 05/19/2021, Taking Hydrochlorothiazide 12.5 MG Capsule 1 capsule in the morning Orally Once a day, Taking Ome

Current Illness: unknown

ID: 1181968
Sex: M
Age: 38
State: MN

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

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: Confirmed Shingles outbreak. First time ever having shingles. Received prescription for Valaciclovir.

Other Meds: Toujeo, Lispro, gabapentin, and duloxetine.

Current Illness: None.

ID: 1181969
Sex: M
Age: 26
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA - Broke out in severe hives which resulted in burning sensation all over the body from head to toe, occurred 24 hours after vaccine was taken. Progressively got worse.

Other Meds:

Current Illness:

ID: 1181970
Sex: F
Age: 31
State: NY

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

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

Lab Data:

Allergies: lithium, penicillin, amoxicillan, propranolol, venalafacin

Symptom List:

Symptoms: Extreme nausea and headache with in 20 minutes of receiving the vaccine. Within an hour difficulty focusing and extreme fatigue symptoms have not lessened and its been over 5 hours since shot was received.

Other Meds:

Current Illness: Unknown autoimmune disorder, flu 2 weeks prior

ID: 1181971
Sex: F
Age: 53
State: IN

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: General feeling of not feeling well. Fatigue. Started two days after shot, still going on a little.

Other Meds: Sertraline, otc digestive enzymes

Current Illness: None

ID: 1181972
Sex: F
Age: 54
State: OH

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Tetracycline Tomatoes, corn, strawberries, legumes

Symptom List:

Symptoms: Severe pain at injection sight 5 minutes after injection. Dizziness 10 minutes after injection and lasting 15-20 minutes. Nausea the next morning starting at 9:30 am and continuing for at least 4 hours.

Other Meds: Zyrtec Famotidine Vitamins Calcium

Current Illness: N/A

ID: 1181973
Sex: M
Age: 21
State: IN

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

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Adverse event(s): Hives/red swollen skin(arms, legs, abdomen, back), fever, swelling of lips, fast heartbeat, high blood pressure, dizziness, weakness, headache Treatment: Prescribed Medrol (Pak) 4mg tablets, OTC antihistamine Zyrtec daily x 2 weeks, Benadryl at night Outcome: N/A. side effects have been reduced, occasional flare of hives.

Other Meds: N/A

Current Illness: N/A

ID: 1181974
Sex: F
Age: 47
State: NJ

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Post vaccination reports tightness to throat, tingling in mouth w/ no respiratory symptoms or complaints reported / noted. Medical monitoring x 30 min w/vital assessment: BP 144/99 P85 RR 18 O2 sat 99%RA. Symptoms resolve post rest, monitoring, released from facility w/self.

Other Meds:

Current Illness:

ID: 1181975
Sex: M
Age: 68
State: IN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 99.7 fever for one day, tired, injection site tenderness for three days

Other Meds: high blood pressure medicine, cholesterol medicine, multi-vitamin, iron, baby aspirin, fibercon, niacin,

Current Illness:

ID: 1181976
Sex: F
Age: 28
State: MA

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: adhesive tape lexapro

Symptom List:

Symptoms: Patient received second Moderna vaccine on April 5, next day redness swelling L thigh (inj site) now spreading, erthematous sunburn like rash 14 cm in diameter on 4/8

Other Meds: hydrocortison-pramoxine topical sertraline tamoxifen vitamin D Zoladex ibuprofen PRN multivitamin

Current Illness: No acute illnesses

ID: 1181977
Sex: F
Age: 75
State: CO

Vax Date: 01/31/2021
Onset Date: 02/02/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Clarithromycin (not specific)

Symptom List:

Symptoms: Patient presented to ED two days (2/2/21) after receiving dose #2 COVID-19 vaccine at a Vaccine event reporting weakness, tired, and decreased oral intake. Vitals stable. No injection site symptoms. Receiving IV fluids and potassium replacment. Discahrged to home medically stable.

Other Meds:

Current Illness:

ID: 1181978
Sex: F
Age: 42
State: MN

Vax Date: 12/31/2020
Onset Date: 04/21/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 12/31/2020 Pfizer Covid vaccine Lot # EL 0140 01/21/2021 Pfizer Covid vaccine Lot # EJ1686 03/29/2021 became ill 3/31/2021 tested Covid positive with PCR test 04/9/2021 returned to work

Other Meds: Baby ASA, Metformin, Spironolactone

Current Illness: none

ID: 1181979
Sex: M
Age: 34
State: TN

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Syncope and fell out of chair, vital signs stable, first aid provided, EMS called, injured right side of face in fall

Other Meds:

Current Illness:

ID: 1181980
Sex: F
Age: 44
State: CO

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

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

Lab Data:

Allergies: Celiac disease (gluten)

Symptom List:

Symptoms: Extreme fatigue (still) Body aches Nausea Headache Loss of appetite

Other Meds: Prilosec Daily multivitamin Iron Vitamin B12

Current Illness: N/a

ID: 1181981
Sex: F
Age: 27
State: FL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Small localized red raised rash at injection site. Nausea. Muscle aches

Other Meds:

Current Illness:

ID: 1181982
Sex: F
Age: 81
State: KY

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

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

Lab Data:

Allergies: HYDROCODONE,LOVASTATIN, METRONIDAZOLE, NIACIN, PENTAZOCIN, PSEUDOEPHEDRINE

Symptom List:

Symptoms: PATIENT HAD COVID VACCINE ON 03/26/21 FOR A FEW DAYS AFTER VACCINE PATIENT HAD FEVER CHILLS. PATIENT ALSO REPORED REDNESS AND SWELLING TO INJECTION SITE. ON 04/01/21 PATIENT WOKE UP WITH A ITCHY RASH FROM HEAD TO TOE THAT PROGRESSIVELY BECAME WORSE DURING THE DAY. PATIENT WAS SEEN AT URGENT CARE BY APRN. PATIENT WAS INSTRUCTED TO TAKE BENADRYLY 2-3 TIMES A DAY A FOR 2-3 DAYS AND IF NO IMPROVEMENT NOTED TO RETURN TO URGENT CARE. PATIENT REPORTED HAVING RASH FOR SEVERAL DAYS WITH IMPROVEMENT NOTED WITH BENADRYL.

Other Meds:

Current Illness:

ID: 1181983
Sex: F
Age: 57
State: TN

Vax Date: 03/18/2021
Onset Date: 03/25/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: At 0430 (3/25/21) patient awakened with palms and soles of feet itching and rash. Also, short of breath. Presented to ER with itching, rash of buttocks and short of breath. Patient was hyperventilating and states had similar symptoms in past about a dozen times. Patient allergic to PCN, suprax, sulfa and shrimp. At 0544 patient was given Benadryl 25mg IVP, Pepcid 20mg IVP solumedrol 125mg IVP, Ativan 1mg IVP,. At 0619 Benadryl 25mg IVP, Sent patient home with scripts for Decadron 6mg 1 po QD x 5 days, vistaril 25mg po QID, epipen, pepcid 20 mg 1 po Q12 hours x 5 days and instructed to followup with PCP

Other Meds:

Current Illness:

ID: 1181984
Sex: M
Age: 72
State: KS

Vax Date: 03/10/2021
Onset Date: 04/02/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: acetaminophen containing products

Symptom List:

Symptoms: idiopathic thrombocytopenic purpura, treated with dexamethasone x 4 days

Other Meds: Carbidopa/levodopa, calcium/vitamin D, dexamethasone, B12, Lasix, magnesium oxide, potassium chloride, turmeric, zonisamide

Current Illness:

ID: 1181985
Sex: F
Age: 46
State:

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

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Symptom List:

Symptoms: post vaccine observation session, patient complained of throat tightness/trouble swallowing and voice became raspy. patient has multiple reported allergies and carries epipen. Received 2 doses of epi IM and one dose Benadryl prior to arrival in EC, for throat and tongue swelling again. At triage, sleepy, on transfer to floor became unresponsive and noted to be seizing (received 3 doses ativan) with no resolution, subsequently intubated for airway protection and transferred to ICU.

Other Meds:

Current Illness:

ID: 1181986
Sex: F
Age: 35
State: NC

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

Allergies: Ceclor, nickel

Symptom List:

Symptoms: Lump in arm that has lasted three weeks so far

Other Meds: Zyrtec, fish oil, vitamin d3, Latuda, buspar, trintillex, atorvastatin, jardiance, metformin, synthroid, melatonin

Current Illness: None

ID: 1181987
Sex: F
Age: 68
State: CA

Vax Date: 02/11/2021
Onset Date: 03/05/2021
Rec V Date: 04/08/2021
Hospital:

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Lab Data:

Allergies: codeine

Symptom List:

Symptoms: 12 hours after taking the second vax. her arm was swollen, red and painful. she some chills, nausea and fever that lasted about 48 hours. Weeks later these symptoms came back and were more extreme. 4/5/2021 pt has SOB w/ slight exertion. she developed numbness in her left side of her face including her ear down to her teeth. 4/6/2021 she started violently shaking with chills. her fever was about 102 and she had a severe headache. She had nausea w/ dry heaving. She had chest pain from reflux. She could stand but not walk. Ambulance was called and she was taken to ER, She had CT, Chest XRAY, EKG, Covid TESTs, Antibodies blood test. Lab work. O2 level was 98%. All test were normal/negative. She was discharged to go home. On 4/8/2021 her temp was 104. She had brain fog. She went back to same ER. They did the same test. This time the chest x-ray shows small right lower lobe infiltrate. Pt had no cough. Her white blood count was normal and was told she had viral pneumonia. She never had any type of symptom normal to having pneumonia. She was put on antibiotics and something for nausea. Her fever and headache finally broke after about 5 days. She had no strength and was basically laid up sick for almost a month. She feels like she had a bad reaction to the covid vax since she had a viral lung infection with typical pneumonia symptoms.

Other Meds: multivitamen

Current Illness: no

ID: 1181988
Sex: F
Age: 61
State: CT

Vax Date: 03/24/2021
Onset Date: 03/26/2021
Rec V Date: 04/08/2021
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Lab Data:

Allergies: Bactrim

Symptom List:

Symptoms: Two days after the shot, I woke up with severe left-sided (same arm as shot) neck, upper back and whole arm pain. It has lasted for two weeks now. Nothing seems to help the pain. Heat seems to help some. But I cannot do activities of daily living without pain. I have been to a chiropractor besides my Primary Care Dr. Not absolutely sure if it is from the shot but could be a contributing factor.

Other Meds: Wellbutrin, Elderberry Syrup, Vit. B Complex, Vit. D3, Fish oil

Current Illness: No

ID: 1181989
Sex: F
Age: 56
State:

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

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Symptom List:

Symptoms: Pt. experienced difficult swallowing breathing 20 minutes post administration. Provider evaluated airway, deemed stable for transport to ER. Pt. reports similar episode when exposed to meat products. Pt. prescribed EpiPen, Medrol dosepak, and hydroxyzine and released from ER.

Other Meds:

Current Illness:

ID: 1181990
Sex: F
Age: 47
State: GA

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

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Allergies: sulfur drugs

Symptom List:

Symptoms: Within 10 minutes of receiving vaccine, patient became dizzy/woozy feeling. Patient complained of feeling "drunk", with muscle weakness and cotton/dry mouth. Patient was taken back into a private room, BP was taken and patient was monitored. Around 30-45 minutes later, patient started feeling better.

Other Meds: none

Current Illness: no known illness at time of vaccination

ID: 1181991
Sex: F
Age: 29
State: MI

Vax Date: 04/01/2021
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
Hospital:

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Lab Data:

Allergies: No

Symptom List:

Symptoms: On Monday I started vomitting and couldn't keep anything down for 12 hrs. I had to take medication to stop the vomitting.

Other Meds: I was taking prenatal vitamins.

Current Illness: No

ID: 1181992
Sex: F
Age: 19
State: PA

Vax Date: 02/18/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
Hospital:

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Lab Data:

Allergies: NO medications

Symptom List:

Symptoms: pt tested positive for covid today 4-8-21

Other Meds: N/A

Current Illness: N/A

ID: 1181993
Sex: F
Age: 46
State: TX

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

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Allergies: None

Symptom List:

Symptoms: Painful injection. Arm immediately went numb. 15 mins later feeling restored. 6 hours later got chills fever muscle aches frequent urination twitching from muscle spasms. Face felt like it was on fire, sweating, headache however body pain was so so bad. My heart rate stayed around 128-130 bpm for 6 hours. Tight chest heard to breathe

Other Meds: None

Current Illness: None

ID: 1181994
Sex: F
Age: 23
State: CA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/08/2021
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Symptom List:

Symptoms: Pt received Pfizer as 1st dose( at different facility) and was given Moderna as 2nd dose at facility. She did not experience any side effects and is aware of current CDC recs on this issue.

Other Meds:

Current Illness:

ID: 1181995
Sex: F
Age: 65
State: CA

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

Symptoms: Client received the 1st dose of COVID vaccine Moderna lot #041B21A and expiration of 5/6/2021 at 11:00AM. At 11:11 AM client reports nausea to EMT 4 minutes before her 15 minutes of observation were up. EMT gave client emesis bag. Client went to the restroom and vomited x1. Client reports vomiting and feeling better-no nausea or headaches reported, EMT gave client water bottle. At 11:16 am vitals were as follows: blood pressure: 110/50, pulse: 83 and oxygen 98%. PHN notified and found patient sitting upright alert and oriented x 4. Client was asked to stay another 30 minutes. Client reports eating breakfast. Client reports no history of any medical conditions. She takes no medications, no allergies. No history of any reactions to vaccines prior to this vaccine. No complaints, client states she"feels fine." Client is not driving but taking the bus home. At 11:20 AM vitals were as follows: blood pressure: 120/100, pulse: 77 and oxygen 98%, repeat blood pressure. Client alert and oriented and feels fine, having a conversation with PHN. At 11:35AM vitals were taken blood pressure 120/80, pulse: 76 and oxygen: 97%. Client reports no symptoms. At 11:46AM vitals were as follows: blood pressure: 130/90, pulse: 74 and oxygen 97%, client reports feeling fine. At 11:50AM client walked out of facility with a steady gait.

Other Meds: none

Current Illness: none

ID: 1181996
Sex: F
Age: 54
State: OK

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

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Symptom List:

Symptoms: Patient broke out in a rash which developed into blisters. Patient was seen in the ER multiple times and was referred to a burn center

Other Meds:

Current Illness:

ID: 1181997
Sex: M
Age: 45
State: FL

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

Vax Type:
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Lab Data:

Allergies: No

Symptom List:

Symptoms: Body Rash

Other Meds: Tumeric and Daily Vitamin

Current Illness: Gastritis

ID: 1181998
Sex: F
Age: 42
State: NC

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
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Symptom List:

Symptoms: Patient received 1st dose of Pfizer Covid Vaccine. During post-vaccination monitoring period the patient reported that she was feeling discomfort in her throat. No shortness of breath. Given patient history of anaphylaxis from "red fire ants", she was administered diphenhydramine 25 mg liquid x 1. After 30 minutes of observation, patient reported resolution of throat discomfort and ambulated out of the vaccination clinic with her husband and family.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm