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: 1270465
Sex: F
Age: 43
State: MD

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

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

Lab Data:

Allergies: Avelox; PCN

Symptom List:

Symptoms: Pt received Pfizer vaccine about 8:35 am, starting with itching, throat itching and cough at about 8:55 am. 25 mg Benadryl given. Nurse alert called and patient taken to urgent care on site for further evaluation and treatment. No further treatment. Member dc to home in stable condition at 1030am same day.

Other Meds: Effexor xr 150 mg; Emgality Pen 129 mg/ml; Flexeril 5 mg PRN; Zofran ODT 4 mg PRN; Lyrica 150 mg; Naprosyn 500 mg; Namenda 10mg; Nexplanon

Current Illness: None

ID: 1270466
Sex: F
Age: 24
State: PA

Vax Date: 04/26/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: difficulty breathing ,face swelling ,fast heartbeat,

Other Meds: tylenol for fever

Current Illness: N/A

ID: 1270467
Sex: F
Age: 57
State: ME

Vax Date: 04/24/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Hydrocodon, Frebreeze Spray, Coconut

Symptom List:

Symptoms: Had been fine for 2 days. All of the sudden I couldn't lift my right leg - pain was from upper thigh, hip, to mid waist. I was unable to drive, and that evening the pain was excruciating making it difficult to get comfortable to sleep. It has improved with rest, heat, and ice, but I still do not have full motion of my right leg. If it does not improve, I will go see my dr.

Other Meds: None

Current Illness: Diarrhea and stomach upset since 1st vaccine.

ID: 1270468
Sex: M
Age: 17
State: AZ

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe fatigue, muscle aches, injection site pain.

Other Meds: Vit D Sertraline Cetirizine

Current Illness: None

ID: 1270469
Sex: F
Age: 74
State: MN

Vax Date: 02/25/2021
Onset Date: 03/18/2021
Rec V Date: 04/29/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient had a number of ED visits and was admitted to the hospital. ED visits include 3/18/21, 3/29/21, and he was admitted on 3/31/21 and transferred to another hospital. These visits are within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1270470
Sex: M
Age: 59
State:

Vax Date: 01/14/2021
Onset Date: 02/16/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient developed COVID after vaccination.

Other Meds:

Current Illness:

ID: 1270471
Sex: F
Age: 31
State: KS

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills, fever, body aches, loss of taste, sweats

Other Meds:

Current Illness: None

ID: 1270472
Sex: M
Age: 51
State: WI

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Disturbed sleep , Intense uncomfrtable dreams , daytime "fog" . Has been 3 weeks now and stilloccuring .

Other Meds: none

Current Illness: none

ID: 1270473
Sex: M
Age: 20
State: IN

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Cephzil

Symptom List:

Symptoms: Nausea for 24 hours, drowsiness, throwing up

Other Meds: hydroxyzine HCl

Current Illness:

ID: 1270474
Sex: M
Age: 68
State: NY

Vax Date: 01/20/2021
Onset Date: 02/02/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: ambien, doxycycline, all SSRIs,

Symptom List:

Symptoms: 4 episodes of "brain fatigue," i.e, distorted mental acuity, inability to focus on easy daily tasks, accompanied by mild nausea. 1st and 2nd episodes (after shot #1) began upon waking and lasted 6 hours, then dissipated. The 3rd episode (after shot #2) last 4 days straight and put me in the ER. The 4th episode lasted a full day.

Other Meds: meds: gabapentin, lorazepam vitamin supplements: multi-vitamin, niacin, omega-3, iron, zinc, red yeast rice, co-Q10, calcium, B12, D3, garlic

Current Illness: none

ID: 1270475
Sex: F
Age: 58
State: MI

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Flushed, stated, she feels like she is on fire.

Other Meds: unknown

Current Illness:

ID: 1270476
Sex: F
Age: 60
State: MO

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: After Patient received Vaccine immediately developed a welt at the injection site and red rash. Patient was immediately given 5 ml of Benadryl and a cold compress. Patient was observed for 30 minutes and welt and redness went down. Patient went home to rest.

Other Meds: Do Not Know

Current Illness: None

ID: 1270477
Sex: F
Age: 54
State: FL

Vax Date: 04/21/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: itching and rash. allegra took 12am recommended antihistamine of choice (benadryl, claritin, zyertec) as labeled and if in unresolved within 3 days to see PCP for prescriptions. advised to monitor for SOB, swelling of throat/face, difficulty swallowing. Caller verbalized understanding.

Other Meds: none

Current Illness:

ID: 1270478
Sex: M
Age: 77
State:

Vax Date: 02/24/2021
Onset Date: 03/12/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient developed covid after vaccination

Other Meds:

Current Illness:

ID: 1270479
Sex: F
Age: 23
State: TX

Vax Date: 04/06/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: My family has a strong history of arthritis. Mine has never been active, I?ve never been tested for it, I have never been diagnosed. But my grandma, mom, aunt and twin sister all have it. I woke up on Wednesday the 28th with a slightly swollen and stiff knee, not triggered by any activity or environmental factor. There has been no injury or stress on the joint. But it has swollen and appears to be experiencing an RA flare up.

Other Meds:

Current Illness:

ID: 1270480
Sex: M
Age: 66
State: TX

Vax Date: 03/16/2021
Onset Date: 03/25/2021
Rec V Date: 04/29/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: March 25 - loss of taste - March 30 - shortness of breath - resp failure - March 31 - transferred to ER - intubated for three days. Transferred to hospital - March 5 - transferred to Rehab - 4/15; released to home 4/24.

Other Meds:

Current Illness:

ID: 1270481
Sex: F
Age: 47
State: IN

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List:

Symptoms: Got the chills and body ache

Other Meds: Carvedilol 6.25 x 2 daily, lexapro 10mg, hudrochlorothiazide 12.5 mg, Zyrtec, Flonase, multivitamin, potassium supplement

Current Illness:

ID: 1270482
Sex: F
Age: 50
State: MA

Vax Date: 04/21/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Penicillin and derivatives, scallops, bee stings

Symptom List:

Symptoms: I had the shot on Wednesday last week. My arm was quite tender for 24 hours, and at the 12 hour point, I felt very tired. Everything seemed to resolve. Then two days ago, my injection site got itchy. A day and a half ago, it started to ache. Yesterday it got sore and hot. This morning it's red and looking almost bruised. It's quite warm to the touch, and aches. I have no fever or other symptoms.

Other Meds: Buspirone 15mg twice daily, Sertraline 50mg once a day, One A Day 50+ vitamin, fish oil supplement, acidophilus, loratadine 10mg once daily

Current Illness: Seasonal allergies similar or less severe than previous years.

ID: 1270483
Sex: F
Age: 60
State:

Vax Date: 01/11/2021
Onset Date: 02/09/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient developed covid after vaccination

Other Meds:

Current Illness:

ID: 1270484
Sex: F
Age: 35
State: OH

Vax Date: 04/19/2021
Onset Date: 04/20/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Tinnitus in both ears

Other Meds: Over-the-counter vitamins: Vitamin C, D, Zinc, Elderberry, & Ginger

Current Illness: N/A

ID: 1270485
Sex: F
Age: 40
State: IN

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Pain at injection site approximately 4 hours after injection Fever (101) and chills approximately 8 hours after injection Extreme exhaustion approximately 24 hours later

Other Meds: Multi vitamin Fish oil Probiotic

Current Illness: N/A

ID: 1270486
Sex: F
Age: 55
State: MA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillan

Symptom List:

Symptoms: Very dizzy (seasick nauseous), flu like, chills, body aches, hive like very itchy rashes on lower back. Symptoms began within an hour of vaccine, lasted 3 days and then just stopped. Rash is still visible but not itchy. Treated rash with cortisone cream to relieve the itchiness.

Other Meds: None

Current Illness: None

ID: 1270487
Sex: F
Age: 90
State: VA

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: penicillin, sulfa,

Symptom List:

Symptoms: Fatigue for 2 months. Quarter size blisters on arms and legs for 2 months.

Other Meds: Claritin D, Lisinipril,

Current Illness: COPD, asthma, allergies to trees, grass etc.

ID: 1270488
Sex: F
Age: 39
State: MD

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I had to go to the emergency room, high d-dimer (.95), elevated Pro B Type Natriuretic Peptide (152 pg/mL) ---Days 1-2 (12-22hrs post-vaccine) were horrific - fever, body aches, extreme pain everywhere, my eyes hurt so bad I thought I'd lose my vision, I was in so much pain that I couldn't talk to ask for help. Saying they were flu-like symptoms is a euphemism. ---Days 2-9 I was weak and shaky on my legs, easily winded (e.g. breathing hard when doing laundry). Fever returned off and on. ---Days 4-13 It felt like someone was sitting on my chest. ---Day 10 I had a blood draw per my doctors request. ---Day 12 Blood draw results showed high d-dimer, and my doctor told me I need to go to the ER for a ct scan to look for blood clots. ---Day 12 Went to Emergency Department - ct scan showed no clots, but elevated Pro B Type Natriuretic Peptide ---Day 15 Finally started feeling better, but still winded easily, fatigued, dizziness, heart palpitations

Other Meds: oral birth control (tri-lo-marzia)

Current Illness:

ID: 1270489
Sex: F
Age: 41
State: PR

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Casein

Symptom List:

Symptoms: Severe headaches for at least 5 days Fatigue persisting for 1 month at least, first week in bed -loss of work week on sick leave Muscular pain in body which had reduced over the weeks Pain in nerves-initiated in right side of my body and then became strongest in spinal cord which required me to go to hospital twice-Emergency Area March19, 2021 being released with medication March 20, 2021 ; then again March 21, 2021 in hospital being released with medication by March 22, 2021. Nervousness

Other Meds: None

Current Illness:

ID: 1270490
Sex: M
Age: 12
State: TX

Vax Date: 04/19/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: RASH TO TORSO ,FACE, NOTICED SOME EDEMA AROUND EYES ON 4/26 PM NO PROBLEMS WITH BREATHING OR SWALLOWING. WENT TO URGENT CARE AT 8 PM- NO LABS PERFORMS. GIVEN ORAL BENADRYL

Other Meds: NONE

Current Illness: NONE

ID: 1270491
Sex: M
Age: 35
State: MI

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: I cannot sleep at night. My brain stays functioning throughout the night. I wake up every hour or two, and have difficulties falling asleep again. This has been happening every night since I took the second shot and it's not getting any better

Other Meds: NA

Current Illness: NA

ID: 1270492
Sex: M
Age: 54
State: ME

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Ibuprofen

Symptom List:

Symptoms: Couldn't get out of bed the next day. Achy, headache, body aches, chills, fever. This lasted throughout the entire day.

Other Meds: None

Current Illness:

ID: 1270493
Sex: M
Age: 34
State:

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Extremely sore joints and muscles. Severe headache. Fever. Chills. Joint pain started around 3 hours after vaccine and worsened over the next 36 hours. All other symptoms were noticed around 12 hours after vaccine.

Other Meds: Vitamin B-12, C, D-3, K, zinc

Current Illness: None

ID: 1270494
Sex: F
Age: 44
State:

Vax Date: 01/25/2021
Onset Date: 03/08/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient developed covid after vaccination

Other Meds:

Current Illness:

ID: 1270495
Sex: M
Age: 16
State: CA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: A 16 year old received the Moderna vaccine.

Other Meds: N/A

Current Illness: N/A

ID: 1270496
Sex: M
Age: 58
State: FL

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

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

Lab Data:

Allergies: Iodine

Symptom List:

Symptoms: 57 y/o male, with past medical history of Liver Transplant, damage to the Left Base of the Lung, Asthma, HTN, DM, Pneumonia (currently), Psych history (undisclosed), Induced Coma, Kidney and Liver Failure, who presents with dizziness and shortness of breath onset post vaccination. Patient states that this is his second dose in the two-dose series, received to the left arm. Patient states that after the first Pfizer vaccination he had some discomfort to the site, but no other reaction. NP and Paramedics at patient side. Patient legs were elevated and initial vital obtained. Patient was noted to be Hypoxic, oxygen saturation was 88-89% on RA. When asked if patient uses oxygen, he stated that yes but didn?t bring it here to the facility. Patient all other vitals within normal limits (132/73 BP, 85 P, 14 Resp). Patient noted to be Hyperglycemic at 242, patient states that he did not take his diabetes medication this am. At this time, patient was placed on 2 L of O2 by NC. Patient saturations did not improve (91%), so O2 increased to 4 L by NC with no improvement. Patient now discloses that he currently has a lung infection and is being treated with antibiotics, which he has started today. Patient states that he has pneumonia but that he was recently tested for Covid with a negative result (no documentation provided). It was determined by the NP that patient needed to be transported to the ER. Patient is unstable, hypoxic, hyperglycemic, currently being treated for lung infection and has an extensive medical history. Fire rescue arrived to site and also explained to patient that its in his best interest to be transported, patient refusing. Patient signed Against Medical Advice and patient was transported to his personal vehicle via stretcher. Due to patient refusing to be transported by Fire Rescue, the NP also had patient sign an AMA form for site. CNO and PM aware.

Other Meds: Tacrolimus Losartan Levothyroxine Clonazepam Amlodipine Montelukast Antibiotic and many more...

Current Illness: Pneumonia

ID: 1270497
Sex: F
Age: 58
State: FL

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Initially, the affected area was very painful for 4 days. Patient noted that it has become raised, red, warm to the touch and sensitive 4/29- f/u call no answer

Other Meds: hormone replacement therapy sensitivity to tetracycline, wheat, estradiol

Current Illness:

ID: 1270498
Sex: F
Age: 45
State: VT

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: 48 hrs after the first Moderna shot, I got hives pretty bad over four days. I took benadryl, took oatmeal baths and used cold compresses to help alleviate the symptoms.

Other Meds: Multi vitamins.

Current Illness: none

ID: 1270499
Sex: M
Age: 72
State: PA

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Drank a beer and took 5mg melatonin at 1000pm Apr 23 Chills from about 1100pm Apr 23 to 300am Apr 24 Got up from bed at 430am to urinate. Felt light-headed. Passed out for maybe 2-5 seconds and collapsed on way back to bed. Slept until about 900am and felt fairly normal when I got up. Just tired for rest of the day on Apr 24.

Other Meds: Rosuvastatin CoQ-10 Losartan Multivitamin Low dose aspirin Fish Oil Vitamin C Vitamin D3 Calcium/Mg/Zinc

Current Illness:

ID: 1270500
Sex: F
Age: 72
State: PA

Vax Date: 04/13/2021
Onset Date: 04/25/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: demerol - caused nausea, vomiting, diarrhea

Symptom List:

Symptoms: Patient developed shingles about 2 weeks after receiving her second Covid-19 vaccine.

Other Meds: Alprazolam 0.5 mg daily

Current Illness: none

ID: 1270501
Sex: F
Age: 70
State: WI

Vax Date: 02/27/2021
Onset Date: 04/18/2021
Rec V Date: 04/29/2021
Hospital:

Vax Type:
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Symptoms: Client received 1st dose of Pfizer vaccine on 2/5/21. Client received 2nd dose of Pfizer vaccine on 2/27/21. Client developed COVID symptoms on 4/18/21 and had a confirmed positive COVID (rapid test) test on 4/20/21.

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Current Illness:

ID: 1270502
Sex: F
Age: 42
State: MA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
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Allergies: CASHEW NUT, DEOXEPIN, MACROLIDE ANTIBIOTICS, NIFEDIPINE, ORENCIA, SCALLOPS

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Symptoms: After 30 minutes receiving the vaccine pt felt itching of the tongue, feeling flushed & itching of both cheeks, after an hour, slight difficulty swallowing & talking, tongue felt thick & funny, also itching of whole body no rashes, Took liquid Benadryl & Liquid Zyrtec per instructions of immunologist with some relief.

Other Meds: ALBUTEROL INHALER, ASPIRIN, FIORECET, ZYRTEC DEXILANT, ADDERALL XR, VALIUM, BENADRYL, CYMBALTA, EPIPEN-PRN

Current Illness: ASTHMA, RHEUMATOID ARTHRITIS, DYSAUTONOMIA, ISCHEMIC COLITIS

ID: 1270503
Sex: M
Age: 46
State: TX

Vax Date: 02/01/2021
Onset Date: 04/19/2021
Rec V Date: 04/29/2021
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Allergies: N.K.D.A

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Symptoms: Patients was tested COVID-19 positive twice > 2 weeks after being vaccinated for COVID-19.

Other Meds: Metformin

Current Illness: Unknown

ID: 1270504
Sex: M
Age: 28
State:

Vax Date: 01/08/2021
Onset Date: 03/29/2021
Rec V Date: 04/29/2021
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Symptoms: Patient developed covid after vaccination

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ID: 1270505
Sex: F
Age: 31
State: TX

Vax Date: 04/06/2021
Onset Date: 04/21/2021
Rec V Date: 04/29/2021
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Allergies: None

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Symptoms: Extremely unusual menstrual cycle. Usually my menstrual cycle is 6 days long. First day is light, second day is heavy, and then it wains from there. After receiving the Covid shot I started my period and heavily bled for four days to the point that I was soaking through super plus tampons every hour to two hours and having to wear heavy night pads. It was similar to bleeding after birthing a child. Then after the four days my bleeding stopped. On the fifth day I had severe leg pain in the upper right hip area. Then on the sixth day I started bleeding again. I?m on day 8 of my period. My period has never been this long.

Other Meds: None

Current Illness: None

ID: 1270506
Sex: F
Age: 47
State: CT

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
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Symptoms: Fever at night, aching arm at the location of injection, heavy sweating, headache (Tylenol taken at night to relieve symptoms). In the morning body aches, fever 101.1, headache. Arm pain at the location of the injection.

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ID: 1270507
Sex: F
Age: 49
State: AZ

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/29/2021
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Symptoms: None stated.

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ID: 1270508
Sex: F
Age: 41
State: NC

Vax Date: 03/31/2021
Onset Date: 04/11/2021
Rec V Date: 04/29/2021
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Allergies: Sulfa products in medicines

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Symptoms: Approximately 10 days after my first dose of the Pfizer COVID-19 vaccine, a rash began to appear on my cheeks. By Day 14, it had spread to all regions of my face, but nowhere else. It resolved by Day 16 or Day 17. I received my second dose of the Pfizer COVID-19 vaccine yesterday, 28 April 2021, at 6pm. I woke up this morning with the rash on my cheeks.

Other Meds: Vitamin D

Current Illness:

ID: 1270509
Sex: F
Age: 19
State: MD

Vax Date: 04/26/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
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Allergies: Sulfa (drug)

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Symptoms: menstrual spotting

Other Meds: Vyvanse (30mg), Zyrtec, Jaimiess

Current Illness: Seasonal allergies

ID: 1270510
Sex: M
Age: 56
State:

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/29/2021
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Allergies: Penicillin

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Symptoms: Patient is a 56yo male who presents for evaluation of symptoms of paresthesia that he experienced after receiving the first Pfizer COVID-19 vaccine. He received the first dose on April 10th at 0900 at a church near his home. 15 minutes after receiving the vaccine he reports experiencing sensation of pins and needs of his tongue, lip and face. He left the vaccine site and the symptoms became more noticeable. 90 minutes after the injection he took Benadryl which resolved his symptoms of pins and needle sensation, but it returned 4 hours later. He continued to take Benadryl every 4-6 hours from the 10th to the 14th until finally he decided to stop by the Emergency Department. There he was given a 5 day course of prednisone (40mg daily) and switched from Benadryl to Zyrtec BID. He reports good symptoms control on the Zyrtec but states that it still doesn?t feel completely resolved. He didn?t feel like the steroids helped at all. If he misses a dose of Zyrtec he feels the symptoms start to worsen again which prompts him to take another dose of Zyrtec. He denies any numbness, tingling, weakness anywhere else on his body. He denies difficulty speaking or swallowing. He has not experienced any syncope, shortness of breath, hives, flushing, vomiting, or diarrhea in conjunction with the injection. The only other time he has experienced symptoms like this was when he was given an IM injection of PCN > 10 years ago. He was then given a one-time dose of Benadryl and the symptoms resolved within an hour and never returned.

Other Meds: 1. Albuterol 90mcg po x2 puffs q4hrs prn - no recent use 2. Flonase 50mcg/spray intranasal x1 spray per nostril qdaily 3. Sildenafil 100mg po qdaily prn for ED 4. Flovent 44mcg/puff bid (stopped several months ago) 5. Pantoprazole 40mg po q

Current Illness: 1. HLP - resolved, Mar2020 2. SAR 3. Asthma, mild persistent - adds Flovent 44mcg bid in Spring & Summer; does not require ICS in Fall & Winter 4. Right Knee ACL Tear - not repaired 5. Right Knee Medial Meniscus Tear - repaired and then later removed 6. IFG 7. OA, b/l knees 8. ED 9. GERD 10. Barrett Esophagus, dx'd Oct2020 - followed by civ GI 11. Colonic Polyps, Nov2020 - ** bx results ** 12. Obesity

ID: 1270511
Sex: F
Age: 66
State: GA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 04/29/2021
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Allergies: N/A

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Symptoms: DVT diagnosed 17 days followed 2nd covid vaccine dose

Other Meds: pravastatin, omega 3 fatty acids

Current Illness: none

ID: 1270512
Sex: F
Age: 65
State:

Vax Date: 01/20/2021
Onset Date: 03/23/2021
Rec V Date: 04/29/2021
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Symptoms: Patient developed covid after vaccination

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ID: 1270513
Sex: F
Age: 51
State: MN

Vax Date: 02/02/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
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Allergies: None

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Symptoms: Patient had a positive COVID test (PCR) on 4/28/2021 despite receiving both doses of her Pfizer vaccine. Dose one was 1/12/21 and dose two was 2/2/21.

Other Meds: None

Current Illness: None

ID: 1270514
Sex: F
Age: 32
State: NY

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/29/2021
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Allergies: Medical tape

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Symptoms: I had arm pain in right arm about 5 minutes after. Had a migraine about 30 minutes after For about a week to a week and a half after getting the shot I had pain in both arms in shoulders, elbows, wrists and hands For about 5 days after I had pain in lower back, hips and knees For about 2 weeks after I would get consistent headaches everyday between 9 and 11 AM and 8 and 10 PM. If I sat to long I would be in pain, if I stood to long I would be in pain. I don?t get the pains every day but I do get them a few times a week ever since I take Tylenol or ibuprofen for the pain

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Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm