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: 1230365
Sex: F
Age: 44
State: CA

Vax Date: 03/27/2021
Onset Date: 03/31/2021
Rec V Date: 04/19/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: I'm a nursing mother and noticed the decrease of milk production went down by 50% since my vaccination.

Other Meds: None

Current Illness: None

ID: 1230366
Sex: F
Age: 30
State: CA

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/19/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: abdominal pain, leg pain for 10days and still exist

Other Meds:

Current Illness:

ID: 1230367
Sex: M
Age: 48
State: IN

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/19/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Flu like symptoms lasting over 2 days now. Dizzy, tired, aches, headache, fever. Second morning felt better, but getting worse as day went on.

Other Meds: Nonr

Current Illness: None

ID: 1230368
Sex: M
Age: 28
State: CA

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

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Lab Data:

Allergies: UNKNOWN

Symptom List:

Symptoms: PATIENT RECIVED 1ST DOSE OF MODERNA VACCINE, HE WAS SENT TO SIT DOWN FOR 15 MINUTES AFTER VACCINES. AFTER 5 MINUTES SITTING, THE PATIENT STARTED TO SEIZING IN THE CHAIR. THE SEIZURE LASTED LESS THAN 1 MINUTE AND HE BECAME CONCISOUS AGAIN.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1230369
Sex: F
Age: 34
State: TX

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 04/19/2021
Hospital:

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Lab Data:

Allergies: n/a

Symptom List:

Symptoms: 1/27/2021 vaccination Flushed, heat head to toe. Increasing in size. I went to the back. 15 minute mark; anxiety. Pulse in 130's. BP was 159/80. I left the facility about 90 minutes later. BP was back to normal. No more heat. 1/28/2021 Extreme body aches, chills, HA all day; 'Felt like I had been run over'. By 6pm I started shivering; temp went to 102 for 6 hours straight. Took Tylenol. Low grade fever for another 6 hours. 1/29 symptoms persisted but 'tolerable' and my temp was back to normal.

Other Meds: multivitamins, birth control

Current Illness: n/a

ID: 1230370
Sex: F
Age: 34
State:

Vax Date: 01/12/2021
Onset Date: 04/17/2021
Rec V Date: 04/19/2021
Hospital:

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Symptom List:

Symptoms: The EE completed Pfizer vaccine on 1/12/21- She was diagnosed with positive COVID on 4/18, symptomatic. High risk community exposure- husband and daughter tested positive on 4/15.

Other Meds:

Current Illness:

Date Died: 04/13/2021

ID: 1230371
Sex: M
Age: 44
State: IL

Vax Date: 04/10/2021
Onset Date: 04/13/2021
Rec V Date: 04/19/2021
Hospital:

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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Patient passed away on 4/13 after presenting to local hospital with near syncope and AKI. Records from local hospital are unavailable, unclear regarding cause of death and circumstances thereforth.

Other Meds: ? Buproprion-XL 300 mg extended release tablet daily ? Folic acid 1 mg tablet daily ? Docusate 100mg twice daily ? Gabapentin 300mg twice daily ? Hydrocodone-APAP 10-325 mg 1 tablet every 6 hours as needed. ? Hydromorphone 8 mg table by mo

Current Illness:

ID: 1230372
Sex: M
Age: 32
State: CA

Vax Date: 04/09/2021
Onset Date: 04/17/2021
Rec V Date: 04/19/2021
Hospital:

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Lab Data:

Allergies: Rx: all ciliin related drugs including penicillin Food allergies: peanuts

Symptom List:

Symptoms: Received vaccine on 4-9, same day experienced chills, fever, light headedness, and soreness around injection site. Symptoms persisted throughout weekend. On 4-17, broke out in hives on arms, neck, and backs of hands.

Other Meds: Fenofibrate 160mg, Atorvastatin 80mg, seroqel 400mg, fluoxetine 60mg, alprazolam .5mg

Current Illness: sourness at injection site located in right arm, chills with mild fever day of, and after vaccination.

ID: 1230373
Sex: F
Age: 66
State: IN

Vax Date: 04/17/2021
Onset Date: 04/19/2021
Rec V Date: 04/19/2021
Hospital:

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Lab Data:

Allergies: asprin

Symptom List:

Symptoms: Chills, Fever, Weakness

Other Meds: none

Current Illness: none

ID: 1230374
Sex: F
Age: 33
State: CO

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/19/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Mild headache and dizziness for 2 days, starting within 4 hours after receiving shot. Mild to moderate fatigue starting 6 hours after shot and lasting for roughly 36 hours. Chills and fever of roughly 100F, onset 14 hours after shot and lasting approximately 5-8 hours, reduced with 1 Advil. Moderate arm soreness began 6 hours after shot was given and lasted for roughly 50 hours

Other Meds: Birth control (jolessa)

Current Illness: None

ID: 1230375
Sex: F
Age: 43
State: MO

Vax Date: 04/12/2021
Onset Date: 04/18/2021
Rec V Date: 04/19/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List:

Symptoms: patient described a rash of were she was injected, itchy, soreness, and warm to the touch

Other Meds: unknown

Current Illness: none

ID: 1230376
Sex: F
Age: 68
State: VA

Vax Date: 03/05/2021
Onset Date: 03/28/2021
Rec V Date: 04/19/2021
Hospital:

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Lab Data:

Allergies: Allergic to all antibiotics, seafood, balsam of peru, vitamin E, fragrance, MCI/MI, Quarternium 15.

Symptom List:

Symptoms: I developed Bell's Palsy (droop of mouth and unable to close right eye) three weeks after COVID vaccine shot #1. I went to the emergency room and was diagnosed and given a prescription for Prednisone. My doctor was out of town and the doctor on call added 3000 units of Valtrex. I was referred to another Dr., who indicated that this may be a result of the vaccine. She conferred the treatment given.

Other Meds: Synthroid, Cytomel, Norvasc, Bystolic, Crestor, low dose aspirin, vitamin D3, Otezla

Current Illness: None

ID: 1230377
Sex: F
Age: 63
State: CA

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/19/2021
Hospital:

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Lab Data:

Allergies: Benadryl, Ambien

Symptom List:

Symptoms: Nauseated, pounding headache; severe chest pain; trouble breathing; sharp quick repeated pain in my fingers, wrists, and feet; 100 degree temp; pelvic pain much more severe than I have ever had with Interstitial Cystitis = EIGHT HOURS

Other Meds: Estradiol patch .05

Current Illness: 0

ID: 1230378
Sex: F
Age: 31
State:

Vax Date: 04/10/2021
Onset Date: 04/19/2021
Rec V Date: 04/19/2021
Hospital:

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Lab Data:

Allergies: Chocolate, codeine, latex, oxycodone

Symptom List:

Symptoms: Pulmonary Embolism

Other Meds:

Current Illness:

ID: 1230379
Sex: F
Age: 31
State: AZ

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

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Shortness of breath, lots of pressure on chest, Chest pains Throat closings, arms and legs went numb, rapid heartbeat, light headed

Other Meds: None

Current Illness: None

ID: 1230380
Sex: M
Age: 18
State: TX

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/19/2021
Hospital:

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Lab Data:

Allergies: None that know of

Symptom List:

Symptoms: Day 1 Wed a.m. vaccination Day2 Thurs - nausea/dry heaves briefly in morning around 10am Day 3 Fri - actual vomiting around 11am; son said feeling nauseated all morning up to that point Day 4 Sat - woke up with a stiff neck (back of neck) and low grade fever and chills with intermittent nausea - came and went similar to when had COVID last November but not as bad as the real thing but similar pattern Day 5 Sun - same as Saturday but sore neck went away Day 6 Mon - same up until around mid day; later that day had a headache -took Advil and cleared Day 7 Tues - woke up with a headache; took Advil and cleared Day 8 Wed - threw up again in the morning but thought that might not be related to COVID vaccine; in his mind, his symptoms related to the vaccine ended Monday early afternoon so 6 days including the day of the vaccine (no side effects on vaccine day - Wednesday), but really can't tell for sure one way or the other whether connected. Question is whether he should get the second shot or not. Is 6 to potentially 8 days of side effects a concern? Also, parent has been curious as to whether son was a long hauler from covid for brain fog but son thinks it could be burnout from school. Strange that had such a long lasting reaction compared to to others his gneral age, including those who had covid after he had it so longer ago.

Other Meds: Straterra 80 mg daily Zyrtec 10mg daily

Current Illness: None

ID: 1230381
Sex: F
Age: 41
State: CA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/19/2021
Hospital:

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Lab Data:

Allergies: shell fish, some antibiotics, lidocaine, iohexol, some paint

Symptom List:

Symptoms: First day, obvious swelling on left arm with bruise. Left side of the body experienced muscle pain. At night, fever started at 37.6. Second day morning, fever 38.5 degree. Fever lasts whole day. Sever headache. Taking Tylenol every 7 hours. Body temperature dropped half an hour to one hour after taking Tylenol but came back 3-4 hours later. Muscle with pinch pain. Short breath. Stomach ached. fascial muscle also pinch pain. Almost no food intake. Only water. Eye hurt when seeing light. Cooling forehead by cold wet towel. On third day, temperature dropped to 37.8. Sweating a lot. Felt weak. Headache when moving or coughing.

Other Meds: none

Current Illness: none

ID: 1230382
Sex: F
Age: 49
State: MA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/19/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Whole body muscle pain Injection site pain Slight headache Extremely fatigued

Other Meds: None

Current Illness: None

ID: 1230383
Sex: F
Age: 56
State: MI

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 04/19/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: Dizziness, terrible headaches, fatigue, nausea

Other Meds: multi vitamin, baby asa, zinc, vit D and vit c

Current Illness: none

ID: 1230384
Sex: F
Age: 39
State: PA

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

Vax Type:
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Lab Data:

Allergies: LIDOCAINE

Symptom List:

Symptoms: POST VACCINATION PT. REPORTS NAUSEA AND NUMBNESS AND TINGLING TO BILATERAL HANDS. PT. REPORTS HX. ANXIETY AND PANIC ATTACKS, ALSO VERBALIZED BECOMMING ANXIOUS AS SHE WAS UNABLE TO BE VACCINATED WITH HER DAUGHTER. VS OBTAINED. INSTRUCTED ON BREATHING EXERCISES, OFFERED LITE SNACK AND WATER. NEURO INTACT. PT. REPORTS ALL SYMPTOMS RESOLVED. PT. AMBUALTED TO EXIT WITH STAFF AND DAUGHTER. VS AS FOLLOWS: 1718 BP LYING 151/91, HR 90, RESP 18, O2 SATS 98% 1724 BP SITTING 155/96, HR 92, RESP 18, ,O2 SATS 95% 1738 BP STANDING 150/81, HR 97, RESP 18, O2 SATS 97%

Other Meds: LEVOTHYROXINE, OMEPRAZOLE, LOSARTAN, STATIN

Current Illness: NONE

ID: 1230385
Sex: F
Age: 62
State: MN

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/19/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Zinc, Sulfa, Contrast Media

Symptom List:

Symptoms: 2 days after vaccine patient was complaining of extreme fatigue for 9 days still unresolved.

Other Meds: Aimovig, Botox, Magnesium, Celexa, Robaxin, Imitrex

Current Illness: Ringing in ears

ID: 1230386
Sex: M
Age: 52
State: TX

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 04/19/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Onions and garlic (lily family)

Symptom List:

Symptoms: Abdominal pain at first, in lower right, followed by back pain in lower right the following morning. Both have continued with varying degrees of severity. Abdominal pain has been mild to moderate; back pain has been moderate to somewhat severe but is now mild.

Other Meds: Insulin aspart via pump; testosterone cypionate via injection biweekly

Current Illness: None

ID: 1230387
Sex: M
Age: 64
State: OH

Vax Date: 03/12/2021
Onset Date: 04/05/2021
Rec V Date: 04/19/2021
Hospital: Y

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: NKA

Symptom List:

Symptoms: 4/5/21 Patient presented to ED w/fever, weakness, cough and SOB. Initial temp was 103 and RA pulse ox 87%. Signs of AKI with cr up from baseline of 0.9 to 1.49 and he was hyponatremic (Na 130). Pt was admitted on O2 per NC, IVF, Decadron and Remdesivir. He completed a 5 day course of Remdesivir. AKI and hyponatremia resolved. he was not able to be weaned off oxygen. H was discharged on 4/13 on oxygen 2L per NC and Decadron to complete a 10 day course.

Other Meds: allopurinol 300mg QD ASA 81mg BID atorvastatin 20mg QD carvedilol 12.5mg QAM and 25mg QPM Vitamin D3 2000 IU daily lisinopril-HCT 20-12.5mg QD oxcodone 10mg QID prn pain senna 2 daily prn constipation

Current Illness: 3/29/21 Swab done at pharmacy positive for SARS-CoV-2 No clinical details available

ID: 1230388
Sex: F
Age: 45
State: MO

Vax Date: 02/19/2021
Onset Date: 03/01/2021
Rec V Date: 04/19/2021
Hospital: Y

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Blood clot in right subclavian vein on March 1.

Other Meds: Desvenlafaxine, drospirenone and ethical estradiol, and pantoprazole

Current Illness: None

Date Died: 03/25/2021

ID: 1230389
Sex: F
Age: 65
State: VA

Vax Date: 03/08/2021
Onset Date: 03/15/2021
Rec V Date: 04/19/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: High fever, severe night sweats, blood clots in lungs

Other Meds: Letrozol 2.5 mg Vit D3 500 iu, Corgard, Synthroid

Current Illness: Metastic Breast Cancer

ID: 1230390
Sex: M
Age: 42
State: CO

Vax Date: 04/06/2021
Onset Date: 04/19/2021
Rec V Date: 04/19/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: Palpitations, light-headedness while seated

Other Meds: none

Current Illness: none

ID: 1230391
Sex: F
Age: 59
State: MD

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

Vax Type:
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Lab Data:

Allergies: Amrix, lyrica, tramadol, morphine,

Symptom List:

Symptoms: Numbness of mouth and tongue with mild difficulty swallowing. Resolved in 15 mins and improved with Benadryl 25 mg orally. VS and examination was normal.

Other Meds: aripiprazole, buspirone, divalproex, escitalopram, Humalog insulin, ibuprofen, ipratropium, lisinopril, meclizine, metformin, metoprolol, montelukast, symbicort, toujeo, Ventolyn MDI

Current Illness: none

ID: 1230392
Sex: F
Age: 67
State: CA

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 04/19/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Yes - sulfa.

Symptom List:

Symptoms: 1) Kidney infection - horrible pain; 2) Lost all hearing in left ear. First shot - February 11, 2021. Second shot - March 12, 2021. Two days after second shot - horrible pain in lower right side. Kidney infection. Lab tests confirmed. Treated. One month after Second shot, April 11 - lost all hearing in my left ear: Sudden Sensorineural hearing loss, or SNHL. Still no resolution. Trying everything. I am deaf.

Other Meds: LEVOTHYROXINE 137 MCG; MIRTAZAPINE 15 MG; CITALOP0RAM 20MG; Vitamin D; Vitamin C; Omega 3 Fish Oil; Iron.

Current Illness: None - completely healthy. No kidney infections for over a decades

ID: 1230393
Sex: F
Age: 35
State: NY

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 04/19/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Received the shot at 5:15pm. Before bed around 9pm, my neck and arm was hurting. Woke up next morning for work around 3am with a sore throat and sore arm. 2nd day, sore throat was gone, however I felt fatigue for 2 days and had a runny nose for about 5-7 days.

Other Meds:

Current Illness:

ID: 1230394
Sex: F
Age: 25
State: TX

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/19/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: No none allergies

Symptom List:

Symptoms: Within 1 hour of receiving the vaccine, I had mild tongue swelling, shortness of breath, fingers swelling, intense sweating and faintness. Within 24 hours of receiving the vaccine, hives developed on my left thigh. The tongue swelling, shortness of breath and faintness happened on and off for the first day. It resolved on its own by the next day. The hives got progressively worse and peaked roughly 48 hours after getting the vaccine. They slowly faded, but are still faintly noticeable. I had general malaise for the rest of the week. I have photos showing the progression of the hives.

Other Meds: Vitamin B12 and Vitamin D3

Current Illness: None

ID: 1230395
Sex: M
Age: 63
State: OR

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/19/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient given repeat first dose, 6 days after first dose at a different vaccination clinic. Patient stated he "forgot" he received the dose elsewhere and on self attestation he had never received another dose. We discovered the error when entering the administration in our state vaccine database.

Other Meds:

Current Illness:

ID: 1230396
Sex: M
Age: 23
State: TX

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List:

Symptoms: The patient received his first Moderna Covid-19 vaccine about 3:30pm. At about 3:45pm the patient presented with generalized itching. He stated that he had taken one Claritin 10mg tablet earlier in the day. I recommended taking some Benadryl and the patient agreed. I gave him 4 teaspoonsful of Benadryl Elixir (50mg). I ask the patient to remain in the waiting area for 30 minutes or so and afterwards to let me know how he was doing. He didn't return to the pharmacy counter and was gone before a could speak to him. I called his mobile number and left him a detailed message and to call me if he had any further concerns. I didn't hear back from the patient.

Other Meds: Claritin 10mg

Current Illness: none known

ID: 1230397
Sex: F
Age: 44
State: WA

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

Vax Type:
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Lab Data:

Allergies: Known allergy to sulfa

Symptom List:

Symptoms: 11 days+ (on-going) of major fatigue - sleeping 14-16 hours a day, tired most of the time. For the first 36 hours also had some nausea and painful abdominal cramps.

Other Meds: Hypothyroidism medicine (a natural dessicated thyroid)

Current Illness: None

ID: 1230398
Sex: M
Age: 51
State: CA

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

Vax Type:
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Lab Data:

Allergies: oxycodone, bee sting

Symptom List:

Symptoms: Post covid vaccine, patient is just now complaining of "asthma cough" even with normal or deep breath, slight chest heaviness and flushed face. Denies any numbness and tingling, nausea and vomiting, diaphoresis. Every third breath makes him have a cough. He stated that it's less severe than what he had during the 1st dose of moderna. He already took a benadryl 50 mg 1 hour prior to coming to the clinic today per Dr. Anterior and posterior lunch fields clear without any wheezing.

Other Meds: Benadryl and androgel

Current Illness: none

ID: 1230399
Sex: F
Age: 27
State: FL

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 04/19/2021
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Allergies: None usually

Symptom List:

Symptoms: After the shot I had a pasta lunch and then took a nap for about one hour. When I woke up ( 3-4 hours after the shot) I had a fever. I could tell because I was very hot and sweaty even though my room was air conditioned. I drank water and immediately was nauseous and vomited. I continued to have sweats, chills, and after about another hour body aches set in. My whole body was cramping up and my hands were shaky. I was very short of breath over short movements like to get to the bathroom, I would be out of breath and dizzy. Around 1700 (6 hours post shot) I took Tylenol and continued to take it every six hours. I was able to keep ginger ale and crackers down but didn't eat much else until the next morning. I think the fever broke in the night. The next morning I was just really tired and sore, but much less achy than the day prior. I was able to eat light meals and I stopped taking Tylenol sometime that mid-morning. I felt fine the next day (about 48 hours after the shot).

Other Meds: Yaz (birth control)

Current Illness: None

ID: 1230400
Sex: F
Age: 29
State: IL

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/19/2021
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Symptom List:

Symptoms: began with a thick throat and lips and face began to swell - left side was more swollen than the left, began taking Benadryl but it took almost 3 full days for it to go down.

Other Meds: birth control pill,

Current Illness:

ID: 1230401
Sex: F
Age: 39
State: TX

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/19/2021
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Allergies: Eggs

Symptom List:

Symptoms: Went to the emergency room experienced chest tightening, shortness of breath, stomach pain, nausea. Ambulance was called they checked my vitals and monitored me for twenty minutes, determined an irregular EKG and took me to the nearest hospital. The hospital checked vitals and determined I was having an allergic reaction to the vaccine.

Other Meds: Levothyroxine

Current Illness: None

ID: 1230402
Sex: F
Age: 39
State: MT

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/19/2021
Hospital:

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Lab Data:

Allergies: Chicken, eggs, milk, penicillin

Symptom List:

Symptoms: Facial flushing, shortness of breathe, elevated blood pressure (155/115), chest tightness, hives on top half of back Received benadryl, steroid, pepcid, aspirin Breathing eased, blood pressure came down. Had to continue treatment for 5 days

Other Meds: None

Current Illness: None

ID: 1230403
Sex: M
Age: 25
State: PA

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

Symptom List:

Symptoms: POST VACCINE PATIENT BECAME DIAPHORETIC, DIZZY, HAVING VISUAL DISTURBANCES AND NASUEA. BROUGHT TO OBS VIA WC, PLACED IN TRENDELENBERG ON STRETCHER, VSS THROUGHOUT OBSERVATION. S/S RESOLVED AND PATIENT ESCORTED TO EXIT WITH NO ISSUES AT 1450. 1445 INITIAL BP 131/72 HR 70 SATS 96% RA 1448 SITTING BP 125/71 HR 66 SATS 97% RA 1450 STANDING BP 121/55 HR 82 SATS 97% RA

Other Meds: NONE

Current Illness: NONE

ID: 1230404
Sex: F
Age: 76
State: CA

Vax Date: 04/06/2021
Onset Date: 04/18/2021
Rec V Date: 04/19/2021
Hospital: Y

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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Presented to Hospital for dyspnea. Diagnosed with large right sided pulmonary embolism; platelet count 138 T/UL at time of ER visit. Transfer to larger facility for higher level of care on 4/19/21.

Other Meds: Alendronate, bupropion, calcium, levothyroxine, loratadine, losartan, metoprolol, omeprazole, simvastatin

Current Illness: unknown

ID: 1230405
Sex: F
Age: 60
State: GA

Vax Date: 04/10/2021
Onset Date: 04/16/2021
Rec V Date: 04/19/2021
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Allergies: None

Symptom List:

Symptoms: Six days after receiving the Johnson & Johnson/Janssen vaccine, the patient complained about strong pain in the right arm (same as vaccination arm). She went to the ER on the 7th day after receiving the vaccination and after doing EKG, ultrasound, and CT scan, they found multiple blood clots in her right arm where she receive the vaccine.

Other Meds: None

Current Illness: None

ID: 1230406
Sex: M
Age: 69
State: OR

Vax Date: 03/13/2021
Onset Date: 04/10/2021
Rec V Date: 04/19/2021
Hospital: Y

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Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: On 4/9/2021 started with left sided pleuritic CP and went to ED and found to have bilateral pulmonary emboli. On Eliquis 5mg BID No underlying chronic conditions for increased risk of PE Extensive work up without a direct cause found, no underlying malignancy noted

Other Meds: Vit D, Melatonin, Multi vitamin

Current Illness: None

ID: 1230407
Sex: M
Age: 26
State: NY

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

Symptom List:

Symptoms: Nausea, syncope

Other Meds: None

Current Illness: None

ID: 1230408
Sex: F
Age: 43
State:

Vax Date: 03/18/2021
Onset Date: 04/01/2021
Rec V Date: 04/19/2021
Hospital:

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Lab Data:

Allergies: Codeine and Demerol

Symptom List:

Symptoms: Reports tinnitus in bilateral ears starting 2 weeks after first Covid vaccine dose. Did not seek care, declined care when offered at 4/15 second dose.

Other Meds: Reports tinnitus in both ears starting 2 weeks after vaccine.

Current Illness:

ID: 1230409
Sex: F
Age: 57
State: AZ

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 04/19/2021
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Allergies: Codeine: Shortness of breath

Symptom List:

Symptoms: Flushing, throat tightness, slight headache. Treated with Diphenhydramine 12.5mg IV x 1, Famotidine 20mg IV x 1, and Methylprednisolone 125mg IV x 1.

Other Meds:

Current Illness:

ID: 1230410
Sex: F
Age: 65
State: NY

Vax Date: 03/16/2021
Onset Date: 04/04/2021
Rec V Date: 04/19/2021
Hospital: Y

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Lab Data:

Allergies: egg whites

Symptom List:

Symptoms: Patient had slurred speech, headache, pain in the thigh muscles, bloody nose, lost strength in the arms, hands and legs, could not chew or swallow. She was diagnosed with Guillian Barre Syndrome and hospitalized from 04/04/2021-04/18/2021.

Other Meds: unknown

Current Illness: unknown

ID: 1230411
Sex: F
Age: 67
State: CO

Vax Date: 02/27/2021
Onset Date: 03/01/2021
Rec V Date: 04/19/2021
Hospital: Y

Vax Type:
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Allergies: lactose, egg

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: patient presents to dialysis session two days after vaccination reporting right lower extremity pain and redness for one week. Admitted for management of cellulitis, received antimicrobials, and discharged to home improved and medically stable.

Other Meds: Nephrovite, vitamin D3, darbopoetin, fish oil, folic acid, furosemide, genamicin ophthalmic, omeprazole, potassium chloride, psyllium, Velphoro, zolpidem

Current Illness: right lower extremity pain and redness for one week, clogged peritoneal dialysis catheter

ID: 1230412
Sex: F
Age: 60
State: OH

Vax Date: 04/13/2021
Onset Date: 04/15/2021
Rec V Date: 04/19/2021
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Allergies: None

Symptom List:

Symptoms: Deep Vein Thrombosis right leg, superficial femoral vein to popliteal vein and distal

Other Meds: Metoprolol

Current Illness: Diverticulitis

ID: 1230413
Sex: F
Age: 35
State: CO

Vax Date: 04/17/2021
Onset Date: 04/19/2021
Rec V Date: 04/19/2021
Hospital:

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Allergies: No

Symptom List:

Symptoms: A red, round lesion about two inches in diameter at the place of injection. Time: 48 hours after injection Dose: 2nd dose of Moderna (no reaction to first dose Moderna 044A21A)

Other Meds: Celexa (10mg)

Current Illness: No

ID: 1230414
Sex: F
Age: 67
State: NV

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

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Allergies: Yes

Symptom List:

Symptoms: Woke up this morning with severe shoulder and rib pain. Very limited movement. Did ice injection site yesterday and took ibuprofen but pain got so bad am. Putting heat taking ibuprofen not working decided to take Lortabs 375/5 very little relief.

Other Meds: Yes

Current Illness: Asthma, arthritis, allergies

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm