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: 1204658
Sex: M
Age: 42
State:

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: patient self reported a fever of 107 taken with a temporal thermometer at 1700 the day of the vaccination. The patient used Tylenol a couple of times since the elevated fever. His fever initially reduced to below 102; he has not taken it recently and his temperature has been reduced to between 100.9 and 103.

Other Meds:

Current Illness:

ID: 1204659
Sex: F
Age: 38
State: MN

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
Hospital: Y

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

Lab Data:

Allergies: Vicodin - vomiting

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient reports that some of the vaccine fluid leaked down her arm and cause redness and inflammation. She reports that she started to feel ill at 1 am on Thursday with mostly vomiting and diarrhea. She reports that she got all the COVID symptoms of runny nose, sore throat, cough, aches, fever of 104, loss of taste and smell. Her left arm was very red and swollen. She was vomiting every hour and went to hospital where she was admitted overnight and given IV fluids, Benadryl and pain medication. She was discharged the next day and symptoms persisted until Sunday.

Other Meds: Violetta Birth Control Ester C

Current Illness: None

ID: 1204660
Sex: M
Age: 29
State: NC

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: None

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: Discomfort in throat due to swollen lymph nodes. Additionally, swollen lymph nodes under left armpit.

Other Meds: None

Current Illness: None

ID: 1204661
Sex: F
Age: 47
State: OR

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies: Sulfa Seasonal Allergies

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Initial symptoms was exhaustion and nausea around 12:00 pm. . Headache, chills and trouble breathing followed. Symptoms worsened as the day progressed. I triggered a high heart rate alarm on my watch while sitting and dozing about 6:00 pm. I ended up in bed at 6:30 that night and slept off and on with fever, chills, headache and throbbing arm pain until 7:00 am 4/9/2021. I had to use my inhaler during the night to help breathe but do not remember the time. The next day I was much better with the exception of tiredness, nausea and headache throughout most the day. I have pretty much fully recovered on Saturday 4/10/2021 with only tiredness continuing to bother me as of the this report. I am sleeping more than usual. I did not notify the clinic of my reaction as they were closed over the weekend.

Other Meds: N/A

Current Illness: None

ID: 1204662
Sex: F
Age: 57
State: IA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Patient reports she had "metallic taste" in her mouth for roughly 3 hours post vaccination. Patient reported that on 4/8, she woke at 0100 with "toe cramps", she got out of bed, walked around and took some Tylenol, this resolved. Then on 4/9 around 1400, she had what she described as "the beginning of a migraine" in which she had blurry/wavy vision. She has had migraines in the past, however they are very infrequent. She is not treated for migraines due to their infrequency. In the past, she would take a Tylenol at the first sign of blurry/wavy vision and this would prevent a full blown migraine. On 4/10 at 0530, patient woke from "charlie horse" in left calf. She got up, walked around again and took a Tylenol, this resolved. Later that same day, patient developed the blurry/wavy vision again, took a Tylenol again and this resolved. On 4/11, patient reported soreness in left calf from previous day's cramp and used heating pad. Patient has had 2 more episodes of blurry/wavy vision yesterday 4/12 and today, 4/13, which both resolved with Tylenol. Patient has not yet spoked with PCP. Due to the nature of the events, and the recent update of J&J vaccines,

Other Meds: Multi-vitamin, enalipril/HCTZ

Current Illness: Self treating lower back/sciatic pain with Tylenol, none prior to vaccine

ID: 1204663
Sex: F
Age: 29
State: FL

Vax Date: 04/06/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
Hospital:

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Lab Data:

Allergies: allergic to amoxicillin

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: red itchy patch on left arm. also warm to the touch. not really painful. itchiness started monday evening (4/12/21), woke up the next day (tuesday, 4/13/21) with redness and itchiness

Other Meds: birth control (Blisovi), daily multivitamin

Current Illness:

ID: 1204664
Sex: F
Age: 50
State: CA

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: sulfa

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient received second dose of Moderna vaccine in right arm at around 2:28pm. Approximately ten minutes after vaccine administration, patient began to feel "itchy and burning in throat." RN notified NP (site lead) and assessed patient. Patient denied SOB, denied dizziness, patient stated itching and burning was increasing. RN administered 50mg/ml 1ml diphenhydramine via IM injection to patient's left deltoid. Within minutes patient instantly stated she was feeling relief from symptoms. Patient advised to sit and wait for additional 30 minutes observation. Patient continues to deny SOB.

Other Meds: Zyrtec D once daily

Current Illness:

ID: 1204665
Sex: F
Age: 50
State: AZ

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: N/A

Symptom List: Pharyngeal swelling

Symptoms: Vomiting on 4/10 & 4/11.

Other Meds: Metformin 1000mg x 2 Invokana 300 mg Levothyroxine 75 mcg Latuda 40 mg Valacyclovir hcl 250mg Bupropion hcl xl 150mg x 3 Lamotrigine 250 mg Lisinopril 10 mg Desvenlafaxine suc er 200mg Fenofibrate 145mg Rovastatin 40mg D3 5000mg CoQ10, 200m

Current Illness: N/A

ID: 1204666
Sex: F
Age: 57
State: UT

Vax Date: 03/01/2021
Onset Date: 03/10/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Tinnitus in both ears 9 days after 1st vaccine. Going on for 30 days straight

Other Meds: Hormone pill

Current Illness:

ID: 1204667
Sex: F
Age: 55
State: IA

Vax Date: 03/23/2021
Onset Date: 04/07/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: Animal dander and seasonal grasses, no medication allergy

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I don?t know if all or any are vaccine related, I just know all but the swelling started after 3/23 shot. Random dizziness, nausea, headache, ache between shoulders and chest, leg swelling. Threw up several times 4/10.

Other Meds: - Atorvastatin Calcium (cholesterol) 40 mg take 1 - Amlopidine Besylate (chest pain w high blood pressure) 10 mg - If needed - Pantoprazole Sodium 40 mg - If needed - Stool softener - Tolterodine Tartrate 2 mg tab take 2 - 1 in a.m. and o

Current Illness: Leg swelling after flying on 3/12, had an ultrasound for blood clots on 3/22

ID: 1204668
Sex: F
Age: 44
State: CA

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Hydroxychloroquine Sulfate Not Specified Past Updates... body rash per pt Imitrex [Sumatriptan Succinate] CNS Effects Not Specified Intolerance 6/17/2013 Past Updates... Lactose Intolerance [Lactase] GI Symptoms Not Specified 8/18/2010 Past Updates... Nuts Not Specified 9/22/2009 Past Updates... anaphylaxis Peanut - Dietary Anaphylaxis Not Specified 11/8/2008 Past Updates... Peanut Oil Not Specified Past Updates... Hydroxychloroquine Sulfate Not Specified Past Updates... body rash per pt Imitrex [Sumatriptan Succinate] CNS Effects Not Specified Intolerance 6/17/2013 Past Updates... Lactose Intolerance [Lactase] GI Symptoms Not Specified 8/18/2010 Past Updates... Nuts Not Specified 9/22/2009 Past Updates... anaphylaxis Peanut - Dietary Anaphylaxis Not Specified 11/8/2008 Past Updates... Peanut Oil Not Specified Past Updates... ANAPHYLAXIS per rejq Pinto Beans Not Specified 7/10/2015 Past Updates... Sulfa (sulfonamide Antibiotics) Not Specified

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Chest felt tight co chest discomfort and tightness getting worse.

Other Meds: Medications hydroCHLOROthiazide (ESIDRIX/HYDRODIURIL) 25 mg Oral Tab Montelukast (SINGULAIR) 10 mg Oral Tab Methotrexate 2.5 mg Oral Tab Verapamil (CALAN SR/ISOPTIN SR) 240 mg Oral SR Tab Levothyroxine (LEVOTHROID/SYNTHROID) 75 mc

Current Illness: Problem List Collapse by Default Collapse by Default ABNL LUNG IMAGING ADJUSTMENT DISORDER W ANXIETY ADULT EMOTIONAL ABUSE ASTHMA, UNSPECIFIED CHRONIC BACK PAIN > 3 MONTHS CHRONIC NECK PAIN CORONAVIRUS COVID-19 RULED OUT ECZEMA FATTY LIVER FOOD ALLERGY HTN (HYPERTENSION) HX OF ABNL PAP SMEAR HYPOTHYROIDISM LIVER LESION MIGRAINE NONALLERGIC RHINITIS RIGHT CARPAL TUNNEL SYNDROME CHRONIC SINUSITIS SLE (SYSTEMIC LUPUS ERYTHEMATOSUS) STRESS HASHIMOTO THYROIDITIS TMJ DISORDER.

ID: 1204669
Sex: F
Age: 20
State: WA

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: amoxicillin, sulfa drugs

Symptom List: Rash, Urticaria

Symptoms: Dr writes the following " is a 20 y.o. female with a history of leukopenia who is here today for evaluation of lower back pain. Patient states that she got the J&J vaccine yesterday and then over night she had onset of severe lower back pain that is localized to her back, but can occasionally be felt in her buttocks area. She first noticed body aches prior to bed. She woke around 3am to use bathroom and had terrible headache and back pain. Headache had subsided, but the back pain has persisted. The pain is located along her lower back, bilaterally. Sometimes the pain is felt in her buttocks. Pain otherwise is localized. Pain is dull, but intense. She rates the pain as a 8 or 9/10. Pain can not be alleviated. She tried a hot pack, with no relief. Laying down increases the pain, and the pain is so severe that she is unable to move. She feels afraid to move the pain is so intense. She has noticed no other symptoms. All other symptoms from the shot have subsided. Patient also became nauseated while in the exam room. Patient had negative pregnancy test yesterday. "

Other Meds: acetaminophen (TYLENOL) 325 MG tablet Take 650 mg by mouth every 6 hours as needed for Pain. albuterol (PROVENTIL HFA) 108 (90 Base) MCG/ACT inhaler Inhale 2 puffs into the lungs every 4 hours as needed for Wheezing or Shortness of Breath.

Current Illness: vaginal yeast infection- treated with diflucan

ID: 1204670
Sex: F
Age: 50
State: OH

Vax Date: 03/16/2021
Onset Date: 03/23/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Per patient said that 1 week after her first dose, patient said her lymph nodes in her left armpit hurt. Patient said they went away in a couple of days.

Other Meds:

Current Illness:

ID: 1204671
Sex: F
Age: 40
State: CO

Vax Date: 04/01/2021
Onset Date: 04/07/2021
Rec V Date: 04/13/2021
Hospital: Y

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

Lab Data:

Allergies: none reported

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: Janssen COVID-19 Vaccine EUA: twelve days after vaccination patient presents to emergency department with a headache that started seven days prior to arrival. Patient describes headache as different than normal headaches: worse with movement and episodes of dizziness. Patient also has rash/redness on right cheek of the face. Vital signs within normal ranges except blood pressure 141/96 mmHg. Patient admitted to hospital for further testing and management.

Other Meds: acetaminophen, amoxicillin-clavulanate, vitamin B12, methocarbamol, methylprednisolone, vitamin K2

Current Illness: tonsil exudate

ID: 1204672
Sex: F
Age: 51
State: MD

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies: none that I know of

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: At 12:28 p.m. on Saturday, April 10, my blood oxygen went down to 87%. I felt cold, had chills, and was shivering. I felt weak and felt malaise when i stood up. I was monitoring my blood oxygen and temperature. Blood oxygen improved but I still felt malaise, weakness. I took one 600 mg ibuprofen at 2:40 p.m. At around 3:43 p.m. my blood oxygen was 98% and i felt better finally. Subsequently, I took 2 (200 MG) Advils at 9:50 p.m. before going to sleep. At 2:00 p.m. on Sunday, April 11, I got up to get my salad out of the fridge and I started feeling malaise. My heart rate went up, I was breathing shallow. I drank 2 Advils (400 MG). I took 1 more ibuprofen at 3:30 p.m. I felt bad until before going to sleep. Before going to sleep, I drank chamomile tea to help me breathe better and took 3 Advils. At around 8:00 p.m. on Monday, April 12, I started to experience shallow breathing. I made myself chamomile tea and drank two cups but it didn't seem to help shallow breathing. I then made myself a tea with ginger, turmeric, cayenne pepper, black pepper, lemon peel, lemon juice, coconut oil and honey. I drank it around 11:25 p.m. I was up until after 12 a.m. until finally I felt I could breathe better and went to sleep.

Other Meds: Supplements like vitamin C, vitamin D3, and colated zinc, magnesium, multi-vitamin

Current Illness: No illness at the time of vaccination. I had covid...tested positive February 29, 2021.

ID: 1204673
Sex: F
Age: 16
State: CA

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

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: none

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: WE WERE MISINFORMED BY THE HEALTH DEPARTMENT REP THAT WE CAN ADMINISTER THE MODERNA VACCINE TO ANYONE YOUNGER THAN 18 YEARS AND WE GAVE THIS 16YR OLD PATIENT THE MODERNA VACCINE. SHE WILL NEED HER SECOND DOSAGE, BUT WE WANTED TO KNOW WHAT SHOULD BE DONE? THE PATIENT HAS HAD NO REACTION TO THE VACCINE.

Other Meds: none

Current Illness: none

ID: 1204674
Sex: F
Age: 37
State: MA

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Clams/Scallops Ceclor Seasonal Allergies

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: About 45 minutes-an hour later, my tongue swelled a little, cheeks swelled, left side of face and chin swelled. I also had a rash on face. Swelling and Rash lasted about an hour or so.

Other Meds: dimethyl fumarate eliquis vitamin D Zyrtec

Current Illness: Knee Injury Blood Clots

ID: 1204675
Sex: F
Age: 40
State: CA

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient complained of being unable to breathe and began vomiting 15 minutes after receiving her COVID vaccine. Vital signs were normal. 911 was called and patient was taken to ER by ambulance.

Other Meds:

Current Illness:

ID: 1204676
Sex: F
Age: 50
State: NH

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: My left arm is still in pain after 3 weeks. It is sore to the touch and I cannot raise my arm above my head, I can lift shoulder level with minor pinching pain. But if I try to lift any higher it is severe pain inside the muscle of the bicep area where the shot was administered . It has been constant pain since the shot and with ibuprofen and ice pack it is tolerable.

Other Meds: Vyvanse Allegra

Current Illness: None

ID: 1204677
Sex: F
Age: 31
State: MO

Vax Date: 03/19/2021
Onset Date: 04/02/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: None

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Ever since Friday, April 2nd I've been experiencing symptoms of cold urticaria. My skin will break out in extreme hives once I'm exposed to cold. It happened for the first time on April 2nd when I was in my car and the air conditioner was blasting on my right arm. My right arm broke out in severe hives from the bottom by my hand up to the top by my sleeve of my shirt. I also went on a walk in about 57 degree weather and my neck, lips, arms, hands starting breaking out in hives. After I came back inside the hives went away within 5-10 minutes. When I hold cold items my hands/fingers will swell up. It has now been happening the past 2 weeks. I haven't changed my diet or done anythinng different other than the vaccine.

Other Meds: None

Current Illness: None

ID: 1204678
Sex: F
Age: 75
State: TX

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Patient received the vaccine, and 15 minutes or so after she experienced dizziness and nausea. She sat in her walker, and the ambulance was called as it was deemed it may not be safe for patient to drive. She agreed to having the ambulance called. When the ambulance came they asked her a series of questions, and they left without taking her.

Other Meds:

Current Illness:

ID: 1204679
Sex: F
Age: 64
State: FL

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Environmental Allergies, and CAT Scan dye

Symptom List: Unevaluable event

Symptoms: Light headed, dizziness, problem focusing, brain fogginess, and headaches.

Other Meds: Metoprolol Tartrate 100mg, Amlodipine Besylate 5mg, Naproxen 500mg, Rabeprazole Sodium 20mg

Current Illness: High Blood Pressure, Fibromyalgia, Joint Arthritis.

Date Died: 03/30/2021

ID: 1204680
Sex: M
Age: 90
State: NJ

Vax Date: 03/26/2021
Onset Date: 03/30/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Sensitive to Eggplant (food) No drug allergies

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Suddent Death approximately 75 hours after second dose of Moderna Vaccine

Other Meds: Aspirin, 81mg 1x day Carvedilol, 12.5 mg, 1 Tab twice daily Glimepride, 2mg, Take 1 tablet twice daily Losartan Potassium, 50 mg, Take 1 Tablet Daily Metformin HCI - 1000 mg, Take 1 Tablet twice daily Pioglitazone HCI, 30 mg, Take one table

Current Illness: Type II diabetes High Blood Pressure Interstitial Lung Disease

ID: 1204681
Sex: F
Age: 43
State: NY

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Pt complain of fast heart beat feeling hot then cold. Patient was taken by ambulance to ER

Other Meds:

Current Illness:

ID: 1204682
Sex: F
Age: 58
State: CA

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: tired, muscle pain

Other Meds:

Current Illness:

ID: 1204683
Sex: F
Age: 64
State: CA

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: none

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: pt reports feeling warm sensation on right side of head and right side of eye after receiving first dose of pfizer vaccine at 1:22pm. Pt VS taken BP: 158/84, HR-67, 02-97% RA. Education of symptoms to look out for provided. Pt reports feeling better and go home to rest. Pt escorted out to car with daughter and RN.

Other Meds: Metformin and Lisinopril

Current Illness: none

ID: 1204684
Sex: F
Age: 82
State: IL

Vax Date: 04/05/2021
Onset Date: 04/11/2021
Rec V Date: 04/13/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies: Adhesive tape, prednisone, sulfa antibiotics

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient presented to pcp office with c/o visual changes. She stated her vision was blacked out when she woke on 4-11-21 and 4-12-21. She states it was like an ink blot on her eye that lasted for about 10 minutes. Patient denied any other symptoms at the time of visit.

Other Meds: Atorvastatin, 20mg daily, Vitamin D3 2,000iu daily, Furosemide 20mg daily PRN, Gabapentin 300mg -3cap daily at bed, Asa 81mg daily, Meclizine 25mg daily prn, metformin 1,000mg -1 tab BID, ondansetron 4mg -1tab bid prn, pioglitazone15mg dail

Current Illness: N/A

ID: 1204686
Sex: F
Age: 32
State: TX

Vax Date: 03/30/2021
Onset Date: 04/11/2021
Rec V Date: 04/13/2021
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Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Only experienced soreness at injection site for about 4 days. Symptom fully subsided. Experienced a delayed reaction starting on day 11 which presented as a small red splotch. On the morning of day 12, redness spread and mild swelling occurred. Arm soreness reappeared. On day 13, redness spread a bit and mild soreness remained, swelling subsided. All symptoms completely subsided on day 14, skin in that area only mildly itches.

Other Meds: Metformin, Spironolactone, Tri-Lo Sprintec, Multi- Vitamin, Vitamin D, Goli Apple Cider Vinegar supplement.

Current Illness: None

ID: 1204687
Sex: F
Age: 65
State: OH

Vax Date: 03/05/2021
Onset Date: 03/17/2021
Rec V Date: 04/13/2021
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Allergies: None

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Approximately two weeks following her vaccine, my mother suffered from a bout of transient global amnesia, as eventually diagnosed by her family doctor. All of a sudden one evening, she lost any and all orientation to time. My father and I rushed her to the hospital for fear she was suffering from a stroke. She could not remember what day it was, what she had done that day, conversations we had the day before and she kept repeating herself in 3-minute loops. About 6 hours after the initial onset and while still in the ER, she regained all orientation however she does not remember what happened to her or what she did or said during this period of time.

Other Meds:

Current Illness: None

ID: 1204688
Sex: F
Age: 82
State: AZ

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 04/13/2021
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Allergies: Codeine

Symptom List: Nausea

Symptoms: Second day after first vaccine received slight rash on feet and legs. This happened once more. After second vaccine, next day horrific red rash this last a few days and goes away. This has happened several time since 2nd vaccine. Today it's back with a vengeance, rash is redder and spots larger. Doesnt itch and not sore. A couple weeks ago severe joint pain started. This too comes and goes. I had absolutely NONE of these symptoms before the vaccine!

Other Meds: Synthroid 2 full strength aspirin Inhaler if needed

Current Illness: None

ID: 1204689
Sex: F
Age: 52
State: TX

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
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Allergies: n/a

Symptom List: Injection site pain

Symptoms: PT complained of heaviness in chest and dizziness

Other Meds: Lisinopril Once a day Metformin twice a day

Current Illness: n/a

ID: 1204690
Sex: M
Age: 61
State: CA

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/13/2021
Hospital:

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Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Chills started 7 hours after the vaccine. Chills, shivers & shakes went on for almost 8 hours that evening. I Could not eat dinner. I was weak and didn't feel good the next couple of days. Saturday 4/1012021 my left knee started hurting & still is bothering me.

Other Meds:

Current Illness:

ID: 1204691
Sex: F
Age: 57
State: PA

Vax Date: 03/27/2021
Onset Date: 04/04/2021
Rec V Date: 04/13/2021
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Allergies: NONE

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: I RECEIVED THE FIRST DOSE OF PFIZER VAC ON 3/27, I HAD THE NORAMAL ARM PAIN AND CONGESTION AND HEADACHE ON 3-28, ON 4-1 I STARTED HAVING CHILLS AND A RASH APPEARED ON LEFT SIDE OF MY BACK, BY SUNDAY 4-4, THE RASH HAD SPREAD FROM MY BACK AROUND MY LEFT SIDE AND ONTO MY STOMACH, I WENT TO URGENT CARE ON 4-4 AND WAS DIAGNOSED WITH SHINGLES. I RETURNED TO URGENT CARE AGAIN ON 4-11 BECAUSE IT WAS NOT GETTING BETTER , AND THEN A VIDEO CONFERENCE WITH MY DR. OFFICE ON 4-13

Other Meds: PIOGLITAZONE, METFORMIN, LOSARTAN, INSULIN GLARGINE, JARDIANCE, TRULICITY, COQ10, ATORVASTATIN, ATENOLOR, MULTI VITIMEN

Current Illness:

ID: 1204692
Sex: F
Age: 70
State: AZ

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/13/2021
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Allergies: PENICILLIN, LATEX

Symptom List: Tremor

Symptoms: Patient described kidney pain for a few hours and she was freezing and her teeth were chattering for 2 hours. She stated that adverse effects resolved and she stated she has an upcoming appointment with her nephrologist.

Other Meds: BUPROPRION

Current Illness:

ID: 1204693
Sex: F
Age: 49
State: OR

Vax Date: 03/12/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
Hospital: Y

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Allergies: NKA

Symptom List: Erythema, Pruritus

Symptoms: presents with progressively worsening dyspnea on exertion for the last few weeks, much worse over the last one day. Patient reports feeling fatigued, having cough, and feeling more short of breath for the last day, and has developed central chest pain which is pleuritic in the emergency department. She reports that the chest pain is 4/10 in severity and does not radiate. Her caregiver at bedside reports that the patient has had worsening dyspnea on exertion for the last 3 or so weeks. Of note, she becomes dyspneic with limited exertion, such as going up a flight of stairs, at baseline. She had a fever of 101.4 ?F at home earlier today, but denies chills or diaphoresis. He had 1 episode of nonbloody vomiting earlier today. Denies nausea at this time. She received her second dose of the Moderna COVID vaccine yesterday, 4 weeks after the first. They note that approximately 5 years ago, she had a prolonged admission for which she was transferred to OHSU and was on ECMO for a time before making a nearly full recovery. She has had the baseline dyspnea on exertion since that time. Review of Systems Constitutional: Positive for fever and malaise/fatigue. Negative for chills. HENT: Negative for sore throat. Eyes: Negative for blurred vision. Respiratory: Positive for cough and shortness of breath. Negative for hemoptysis, sputum production and wheezing. Cardiovascular: Positive for chest pain. Gastrointestinal: Negative for abdominal pain, diarrhea and vomiting. Genitourinary: Negative for dysuria and frequency. Musculoskeletal: Negative for back pain. Skin: Negative for rash. Neurological: Positive for weakness. Negative for tingling, sensory change and focal weakness. Endo/Heme/Allergies: Does not bruise/bleed easily. Psychiatric/Behavioral: The patient is nervous/anxious. Past Medical History: Past Medical History: Diagnosis Date ? Developmental delay, moderate since birth Functional equivalent to 10-12 year old, no formal testing done otherwise. ? DVT (deep venous thrombosis) (HCC) 1/2016 while on ECMO ? Personal history of ECMO 1/2016 - ARDS after unknown viral illness Past Surgical History: Procedure Laterality Date ? LUNG BIOPSY Left 1995 Mass noted following an MVA, was benign ? MASS EXCISION Right 2006 Growth removed from right knee ? PROCEDURE N/A 1/20/2021 Procedure: LAPAROSCOPIC CHOLECYSTECTOMY; CHOLANGIOGRAMS; Service: Procedures; Laterality: N/A; POSSIBLE COMMON BILE DUCT ? PROCEDURE N/A 1/20/2021 Procedure: RIGID ESOPHAGOGASTRODUODENOSCOPY; Service: Procedures; Laterality: N/A; Medications administered in the ED: Medications doxycycline (VIBRAMYCIN) 100 mg in sodium chloride 0.9 % (NS) 100 mL IVPB (100 mg Intravenous New Bag 4/9/21 2235) ceftriaxone (ROCEPHIN) 1 g in 50 mL SNAP IVPB (0 g Intravenous Stopped 4/9/21 2234) Physical Examination: GEN: Very pleasant female sitting up in bed in NAD. Slightly anxious appearing. HENT: Moist mucous membranes. No posterior oropharyngeal erythema or exudates. NECK: Supple. No cervical or supraclavicular lymphadenopathy. CARDIOVASCULAR: Tachycardic rate and regular rhythm. No murmurs, rubs, or gallops. No pain with palpation of chest wall. PULM: Normal effort. No use of accessory muscles. Clear to auscultation bilaterally. No wheezes or crackles. ABD: Soft. Non tender. Non distended. EXT: No lower extremity edema. SKIN: No suspicious lesions noted on the exposed skin. EKG: 04/09/21 Rhythm: Sinus tachycardia Rate: 111 Axis: normal Intervals: normal Concern for possible inferior infarct noted, but felt less consistent with true ST depression Recent Imaging: Chest x-ray, 04/09/21: FINDINGS: LUNGS: Slightly low lung volumes. There is hazy reticulonodular interstitial opacity seen within the left mid and both lower lung zones suspicious for interstitial pulmonary edema. CARDIAC: Slightly worsened mild cardiomegaly. MEDIASTINUM: Normal. PLEURA: No pleural effusion or pneumothorax. LINES/TUBES: None. BONES: There is mild rightward convexity curvature of the thoracic spine along with minimal multilevel degenerative change. OTHER: Surgical clips overlie the left lung apex medially and the right upper abdominal quadrant. IMPRESSION: 1. See above. CT angiogram pulmonary: FINDINGS: Motion degrades image quality slightly. No pulmonary arterial filling defects are identified. Mild lower lobe predominant atelectasis and/or scarring. A single small bulla is present in the left lower lobe of the lung. Lungs are otherwise clear. Large airways are patent. Small bilateral dependent pleural effusions which are new relative to the comparison examination. No pneumothorax. Heart is normal in size. Relatively low attenuation pericardial effusion is present which is new relative to the comparison examination. Pericardial fluid measures up to 1.7 cm in thickness. No thoracic aortic aneurysm or dissection. No mediastinal mass or lymphadenopathy. Two small enhancing foci are present in the liver, larger 1.8 in length which are similar to the comparison examination. Interval cholecystectomy. Visualized upper abdominal contents are otherwise without significant abnormality. There has been partial resection of the left 5th rib. Osseous structures are otherwise intact. IMPRESSION: 1. No evidence of pulmonary embolism. 2. Pericardial effusion and small bilateral pleural effusions which are new relative to comparison examination. 3. Two small enhancing liver lesions which are not further characterized by this examination but are similar to comparison examination. These could potentially represent hemangiomas. Assessment / Plan a 49 y.o. female with history of hypertension, developmental delay, DVT x1 not currently on anticoagulation, GERD, and anxiety who is being admitted for acute hypoxic respiratory failure, felt likely secondary to fluid overload from cardiomyopathy from pericarditis with associated pericardial effusion. #Acute hypoxic respiratory failure #Elevated Pro BNP #Cardiomegaly #Dyspnea on exertion #Pleuritic chest pain #Elevated D-Dimer Acute. Hemodynamically stable. On room air at home, and requiring 3 L via NC here. Considerations include new onset CHF, PE, PNA, PTX, pericarditis, pericardial effusion. Presentation most concerning for new onset CHF/cardiomyopathy from pericarditis with associated pericardial effusion, as demonstrated on CT angiogram. She has significantly elevated CRP which further supports pericarditis, and onset of symptoms approximately 7 to 10 days after receiving her first COVID-19 vaccine dose 4 weeks ago, which may be associated. Also possible viral or idiopathic. Mildly elevated BNP and pleural effusions suggesting cardiomyopathy. Patient had a fever to 101.4 ?F earlier today, per caregiver at bedside, and has had shortness of breath and cough, and thus pulmonary infectious process strongly considered, though clinically I feel infection less likely. She has a chronic leukocytosis and WBC is 21 today. She received ceftriaxone and doxycycline for pneumonia today in the ED, and may consider continuing these tomorrow. No evidence to suggest tamponade on bedside POCUS. - Admit to PCU with tele - Echo in AM - Ibuprofen 800 mg 3 times daily and colchicine 0.6 mg daily for treatment of pericarditis - Diuresis: 40 mg IV Lasix given at 0037 - Respiratory support as needed, wean as tolerated - RTDP - Incentive spirometry - Consider continuing antibiotics pending clinical status in AM #Leukocytosis Acute. WBC 21.5 on admit, increased from 15.1 two and a half months ago, but that was at end of admission for cholecystitis. Potentially due to inflammation, possibly infectious process. See discussion above. - Trend with CBC #Hypertension Chronic, presumed well controlled. - Continue home hydrochlorothiazide and losartan #Thrombocytosis Acute. Suspect reactive thrombocytosis due to inflammation from pericarditis. -Daily CBC while inpatient #Elevated AST and ALT Acute, mild. Most likely secondary to congestive hepatopathy. Will trend. - AM CMP #Hypoosmolar hyponatremia Acute, mild. Considerations include beer potomania, hypothyro

Other Meds: Home Medications: Prior to Admission medications Medication Sig Start Date End Date Taking? Authorizing Provider hydroCHLOROthiazide (HYDRODIURIL) 25 MG tablet Take 1 tablet by mouth every morning. 4/1/21 Yes losartan (COZAAR) 100 MG ta

Current Illness: None reported

ID: 1204694
Sex: M
Age: 50
State: MO

Vax Date: 03/22/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
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Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Headache, left side numbness

Other Meds: Omeprazole, Brillinta, Escitalopram, Amiodorane, Aspirin, Carvedilol, Entrusto, Spironolactone, Furosemide, Atorvastatin, Vascepa

Current Illness:

ID: 1204695
Sex: M
Age: 22
State: TX

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
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Allergies: None.

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Janssen COVID-19 Vaccine EUA. The vaccine was given at 10:45 AM. At 4:00 PM I began feeling nauseous. At 9:00 or 10:00 PM I began feeling both muscle and joint pain on my upper body which made it somewhat difficult to sleep. After one or two hours of sleep at 1:00 AM I woke up with a fever, headache, and worse muscle and joint pain (upper body only). When I woke up I was sweating profusely that the bed was lightly wet and extremely hot from all the heat my body was letting go. An ice pack can relieve the headache and fever. However, I was still not able to sleep. At 4:00 AM I made the decision to consume 800 mg of ibuprofen and it took 20 minutes for my headache and fever to go away. Yet, after being able to sleep for 30 minutes, I woke up again to the same headache and fever. Around 10:00 AM the symptoms were partly gone and was finally able to get sleep after a long night.

Other Meds: None.

Current Illness: None.

ID: 1204696
Sex: F
Age: 54
State: MI

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
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Allergies: allergy history unknown but patient reported a severe allergic reaction in the past

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: patient felt tingling senstation in lips with slight swelling after fifteen minutes, which the swelling stopped in lips but the tingling sensation traveled to the tongue. after 1 hour the tingling remained in the tongue but the lips no longer tingled. referred patient to seek urgent care or ER if the tingling sensation spread and persisted

Other Meds: unknown

Current Illness: unknown

ID: 1204697
Sex: F
Age: 36
State: SC

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
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Allergies: Penicillin (rash); Zinc (bloating)

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Patient is 36, Female DOB: 08/24/1984; Allergies: Penicillin (rash), Zinc (bloating). Received Moderna Vaccine at 11:45 am Right Deltoid. Observed for 15 mins. At that time, inmate stated she was having blurred vision. Inmate to be observed for 15 mins more, but at 12:07pm, inmate states to have scratchy throat along with blurred vision and now black specs aka floaters. Manual BP: 128/80 HR 88 inmate noted to have a slight tremble and blotchy bilateral upper arms. Inmate was assessed by RN; no resp. distress noted, no hives, lungs clear, bronchial sounds clear, no stridor noted. Inmate was moved to medical room laid in supine position with feet elevated. Manual BP 120/75 HR 108 inmate states to still have scratchy tight throat and blurred vision with floaters. @12:16pm Dr. called, and orders received per standing orders to give the inmate Diphenhydramine and then monitor inmate for 30mins more. @12:30pm manual BP 140/90 HR WNL. @12:34pm 50mg Diphenhydramine IM given to Left Deltoid. @12:50pm BP 143/103 HR 95. @ 1:10pm BP 163/95 HR 92. Inmate states to still have scratchy throat and blurred vision is worse with bigger floaters. @ 1:16pm Dr. called again to update, and orders given to follow through with standing orders and send inmate to the ER via EMS. @1:28p, 911 was called and around @1:50pm EMS arrived and patient was taken to ER for further evaluation. Entire process was explained to patient.

Other Meds: NONE

Current Illness: None

ID: 1204699
Sex: M
Age: 47
State: IA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
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Allergies: None

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: On the day after the injection, a severe stiffness in both legs occurred. It was a soreness and stiffness similar to the day after running a marathon race . The soreness and stiffness would not change if I was sitting, walking, standing or kneeling. It was constant discomfort and irritation. It was not painful and therefore I originally did not go to medical. There was no discomfort in my left arm at the injection site. The discomfort increased for the rest of the day. A headache started in mid afternoon and kept increasing throughout the rest of day. I have not had a headache in years. Around 7:00 PM on Thursday, I had to sleep. I was extremely tired. My body had chills and I had to wear a sweatshirt and full set of clothes to bed just to stay warm. That is very unusual. I am usually throwing off covers every night throughout the entire year. I did not eat dinner because there was no appetite. I slept in bed for at least 12 hours. Typical night sleep = 8 hours. The next morning was no issue and therefore I did not go seek medical help because there are supposed to be side effects to vaccines. Now, I am reporting it because headache and the stiff muscles were identified on the news. However, it was around 24-36 hours and not the 6 days on the news.

Other Meds: None

Current Illness: None

ID: 1204700
Sex: F
Age: 60
State:

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
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Symptom List: Pain in extremity

Symptoms: Dizziness, diaphoretic Felt like throat was tight Chest clear, airway clear and was very anxious Benadryl 25mg given by mouth

Other Meds:

Current Illness:

ID: 1204702
Sex: M
Age: 75
State: OR

Vax Date: 03/10/2021
Onset Date: 03/24/2021
Rec V Date: 04/13/2021
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Allergies: nkda

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Patient seen in clinic on 04/07/21 reporting 2 weeks of right leg swelling and calf pain. Vascular ultrasound on 04/07/21 showed blood clots in legs. Lovenox injections started 04/07/21. Warfarin started 04/08/21.

Other Meds: atorvastatin, carbamezepine, folic acid, lisinopril, methotrexate, sumatriptan

Current Illness: none

ID: 1204703
Sex: F
Age: 38
State: CT

Vax Date: 04/07/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
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Allergies: Penicillin

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Heavier earlier period, nausea

Other Meds: Keppra

Current Illness:

ID: 1204704
Sex: F
Age: 46
State: CA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 04/13/2021
Hospital:

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Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: shiver, fever, muscle ache, headache

Other Meds:

Current Illness:

ID: 1204705
Sex: M
Age: 24
State: NY

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
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Allergies: NKA

Symptom List: Vomiting

Symptoms: At 3:15 PM, pt entered observation immediately after receiving his second dose of the Moderna CV 19 vaccine. Pt reported to the RN that he was feeling dizzy (Client reported feeling dizziness after receiving his first dose as well.). Pt also complained of piercing headache above his left eye and pain on the right side of his neck. The pain radiated down his entire left side of his body. The pt also felt tingling in the arm he received the vaccine in. Vitals were initiated and water was provided to the pt. Ice packs were applied to the patients forehead and nape of the neck where he felt the pain. Vitals NOT within normal limits. O2 saturation fluctuating and blood pressure was a bit elevated. Pt reports having a history of hypertension, but could not accurately recall having taken the medication that morning. EMS was activated at 3:35 PM because the pts O2 saturated was fluctuating dangerously and interventions were not successful in relieving the patients symptoms. Vitals were taken approximately 10 minutes apart. Vitals were not WNL. Pt continually reported that the pain was increasing and beginning to feel unbearable. It was noted that the patient had increasingly poor circulation in the arm he received the injection. O2 was taken on the opposite arm and saturation levels appeared normal. EMS at 4 PM. Vitals were taken, all WNL. Patient left with EMS at 4:05 PM and was transported to Hospital.

Other Meds: Amlodipine

Current Illness:

ID: 1204706
Sex: F
Age: 16
State: CA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/13/2021
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Allergies: NONE

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: WE WERE MISINFORMED BY THE HEALTH DEPARTMENT REP THAT WE CAN ADMINISTER THE MODERNA VACCINE TO ANYONE YOUNGER THAN 18 YEARS AND WE GAVE THIS 16YR OLD PATIENT THE MODERNA VACCINE. SHE WILL NEED HER SECOND DOSAGE, BUT WE WANTED TO KNOW WHAT SHOULD BE DONE? THE PATIENT HAS HAD NO REACTION TO THE VACCINE.

Other Meds: NONE

Current Illness: NONE

ID: 1204707
Sex: F
Age: 33
State: CA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/13/2021
Hospital:

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Allergies:

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: HA and fatigue

Other Meds:

Current Illness:

ID: 1204708
Sex: F
Age: 49
State: CO

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 04/13/2021
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Allergies: codeine

Symptom List: Injection site swelling, Limb discomfort

Symptoms: weak, light headiness, hot, pale, almost blacked out, rapid heart rate, itchy throat, dizziness, metal taste. since 2/28 vertigo so bad cannot perform daily activites, cannot walk without assistance. trouble swallowing, difficulty breathing, received inhaler from dr . high blood pressure, fast heart rate.. daily basis all day

Other Meds: estradiol, nortriptyline, methotrexate, pantoprazole, losartan, metoprolol, sulfasalazine, folic acid, vit d3, famotidine, premarin, xyzal, actemra iv

Current Illness:

ID: 1204709
Sex: F
Age: 31
State: IA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/13/2021
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Allergies: None

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Fever (102) for 24 hours, chills for 48 hours, headache, dizziness

Other Meds: None

Current Illness: None

ID: 1204710
Sex: F
Age: 54
State: MN

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
Hospital:

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Allergies:

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: _severe headache Severe chills Joint pain Muscle aches Nausea Fatigue Feel awful/ weak

Other Meds: Advil

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am