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
63,479
AK1,562
AL4,914
AR3,110
AS44
AZ12,730
CA54,886
CO10,464
CT7,347
DC1,568
DE1,561
FL33,514
FM3
GA12,508
GU74
HI2,078
IA4,130
ID2,361
IL18,091
IN22,023
KS4,061
KY6,276
LA4,395
MA13,121
MD11,272
ME2,858
MH8
MI16,697
MN10,689
MO8,360
MP30
MS2,487
MT2,035
NC14,437
ND1,184
NE2,562
NH2,717
NJ16,033
NM3,532
NV3,784
NY30,921
OH17,029
OK5,673
OR7,479
PA21,111
PR1,959
QM2
RI1,833
SC5,601
SD1,087
TN8,048
TX31,896
UT3,791
VA13,180
VI48
VT1,592
WA13,026
WI9,856
WV2,120
WY754
XB5
XL1
XV2

ID: 1271617
Sex: F
Age: 41
State: OR

Vax Date: 04/02/2021
Onset Date: 04/02/2021
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: Stayed for 15 minutes, reaction came approximately 10 minutes after I left the pharmacy. Adverse episodes occurred twice; once approximately half hour after injection that occurred for 30 minutes, second approximately 30 minutes after first that occurred for approximately 30-40 minutes. Felt rush through my body Arms first, then across my chest up over my back and into my face White, clammy palms Tingling in arms/fingers Blood felt "itchy" Tingling in lips Trouble breathing Extreme thirst Vision impairment Throbbing feeling in neck that persisted for first day Joint pain Numb teeth Evening Fever/chills Day after Extreme fatigue Shortness of breath Feeling ?off?

Other Meds: None

Current Illness: None

ID: 1271618
Sex: F
Age: 45
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: Nubain

Symptom List:

Symptoms: Headache, body aches, fever, difficulty resting bc I feel so awful.

Other Meds: Wellbutrin 350mgs

Current Illness: N/A

ID: 1271619
Sex: F
Age: 59
State: MI

Vax Date: 03/24/2021
Onset Date: 03/25/2021
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: Headaches for a week, plus a swollen, sore lymph node under left arm -- the size of a chicken egg -- that grew over the course of a week and a half, then took a few days to subside.

Other Meds: none

Current Illness: none

ID: 1271620
Sex: F
Age: 52
State: IN

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

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

Lab Data:

Allergies: Allergic to penicillan, bactrim, many environmental allergins

Symptom List:

Symptoms: Low grade temperature. Fatigue, weak. Joint pain. Arm felt tight and painful. Really bad headache.

Other Meds: Pristique, montelucast, metoprolol, pravastatin

Current Illness:

ID: 1271621
Sex: F
Age: 72
State: KS

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

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

Lab Data:

Allergies: PCN - anaphylaxis Fish - anaphylaxis

Symptom List:

Symptoms: Patient had Moderna #1 COVID-19 vaccine this morning in office. Due to history of anaphylaxis to PCN she waited for 30 minutes following injection. Near the 30 minute mark she reported having generalized itching, more pronounced in palms of hand and left ear. She denied lightheadedness, tongue itching/swelling, SOB, N/V/D, abdominal pain. No prior reaction to vaccinations in the past. She was evaluated by myself and was in no acute distress. She had swelling and itching of left external ear and redness and itching to her palms. No rash was noted. Lungs CTA. Patient was monitored in office for 30 minutes following reaction. She was given 50mg Benadryl po and 20mg Pepcid po. Ice pack applied to left ear for itching and swelling. Vitals remained stable throughout visit. Patient felt comfortable leaving, husband drove her. I spoke with her via phone four hours later and all symptoms had resolved other than fatigue. BP 140/70, Pulse 93, O2 99%, Temp 97.7F

Other Meds: Cephalexin, Benadryl, Fexofenadine, 5-FU, Gabapentin, Ibuprofen, Ipratropium Bromide-Albuterol, Lexapro, Losartan/HCTZ, Melatonin, Niacinamide

Current Illness: No other illnesses

ID: 1271622
Sex: F
Age: 65
State: IN

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: 10 minutes following vaccination patient had difficulty breathing. Pharmacist helped patient to the ground. Intern called 911. Patient had two seizures as well. Pharmacist attempted to administer epinephrine. Medics arrived and patient was doing better. Patient came back a few hours later to let us know she was ok and thanked us.

Other Meds: unkown

Current Illness: unkonwn

ID: 1271623
Sex: F
Age: 26
State: NJ

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: Patient received second dose on 4/29/2021 after receiving first dose of Moderna covid-19 vaccine on 4/13/2021.

Other Meds:

Current Illness:

ID: 1271624
Sex: F
Age: 48
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:

Symptom List:

Symptoms: Pt saw sign for covid vaccine and asked for a covid shot. Pharmacist reiterated COVID shot and said the second dose is on may 27 and she said ok. Later when reporting to registry we discovered the fact that patient already got both doses of pfizer vaccine. informed doctor (talked to MA and she was going to have doctor call the patient)

Other Meds:

Current Illness:

ID: 1271625
Sex: M
Age: 84
State:

Vax Date: 02/19/2021
Onset Date: 03/19/2021
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 an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.

Other Meds:

Current Illness:

Date Died: 04/29/2021

ID: 1271626
Sex: M
Age: 78
State: GA

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/29/2021
Hospital: Y

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

Lab Data:

Allergies: NO KNOWN DRUG ALLERGIES REPORTED

Symptom List:

Symptoms: SPOUSE REPORTS THE FOLLOWING FOR PATIENT 4/21/2021 @ 9PM GENERAL MALAISE 4/22/2021 APPROX 4AM SEVERE HEADACHE TOOK IBUPROFEN 4/23/2021 AFTER LUNCH, PATIENT WAS UNABLE TO WALK AS PREVIOUS AND HAD 4 FALLS, ALSO COMPLAINED OF A SORE THROAT. 4/24/2021 DID NOT FEEL WELL, TEMP UP TO 100.4, NAUSEA AND VOMITTING X 1 AND CHEST PAIN, CALLED EMS AND WAS TRANSPORTED TO MEDICAL CENTER ER. 4/26/2021 PATIENT WAS DISCHAGED HOME AFTER TREATMENT FOR RHABDOMYOLYSIS AND RETURNED TO THE HOSTPITAL AGAIN ON 04/27/2021 WITH RHABDOMYOLYSIS AS PRIMARY DIAGNSOSIS. RESIDENT DISCHARGED TO SNF ON 04/28/2021.

Other Meds: FLOMAX 0.4MG DAILY IBUPROFEN AS NEEDED

Current Illness: NONE REPORTED

ID: 1271627
Sex: F
Age: 71
State: FL

Vax Date: 04/28/2021
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: Vaccine vial was not properly reconstituted and patient was ultimately getting only the diluent ( Sodium Chloride 0.9% ) administered. Patient was contacted later same day about incident and was given the properly reconstituted vaccine dose. No adverse reactions were reported by patient when they returned to get the satisfactory vaccination dose.

Other Meds: N/A

Current Illness: N/A

ID: 1271628
Sex: M
Age: 37
State: IL

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: The patient was in the observation area with wife after being vaccinated. At 13:22 the patient fell out of his chair, he became unresponsive and started having a seizure which lasted 2 minutes. The paramedics arrives at 13:23 and took his vitals. At 1325 the patient had another seizure which lasted 1 minute and 42 seconds. After the seizures he became responsive, but very lethargic. He was transported to the hospital at via ambulance at 13:26.

Other Meds:

Current Illness:

ID: 1271629
Sex: F
Age: 51
State: IA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
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: fever (102.0), chills, body aches, headache, diarrhea - all symptoms persisted for approximately 36 hours No medical treatment was sought, recovered at home.

Other Meds: Zyrtec

Current Illness: none

ID: 1271630
Sex: F
Age: 34
State: NC

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: cefalexin

Symptom List:

Symptoms: Splotchy rash in patches from neck to navel, large splotches on and around nipples. This rash improves and then worsens and new irritations appear. Skin becomes dry and irritated. Very itchy. I am prone to skin rashes and have a high tolerance for itchiness, but have been unable to stop scratching.

Other Meds: Multivitamin

Current Illness: None

ID: 1271631
Sex: M
Age: 30
State: FL

Vax Date: 04/28/2021
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:

Symptom List:

Symptoms: RPH on duty incorrectly mixed the vaccine incorrectly. Instead of using a new vial of vaccine and adding 1.8ml of Sodium Chloride 0.9%, he accidently used a used vial of little to no vaccine and added 1.8ml of NACL 0.9% and drew up 6 shots of this. Therefore, patient got Sodium Chloride instead of the actual vaccine. However, the mistake was caught early and patient was able to come back the same day to get revaccinated with the correct dose of the vaccine. No adverse reaction reported as of 4/29/21.

Other Meds:

Current Illness:

ID: 1271632
Sex: F
Age: 51
State: MI

Vax Date: 04/26/2021
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: Codeine; Doxycycline

Symptom List:

Symptoms: Pt reported that the morning after the dose, she was weak and had trouble walking. Pt fell that morning due to weakness, stated that she "felt like a truck had run over" her. She is now having pain in her left hand and shoulder. Pt still feeling weak 3 days after dose.

Other Meds: Ascorbic acid; Aspirin; B Complex Vitamins; Cholecalciferol; Ferrous sulfate; Magnesium; Montelukast; Multi-vitamin; Ocrelizumab; Spironolactone

Current Illness:

ID: 1271633
Sex: F
Age: 25
State: MN

Vax Date: 04/28/2021
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: None

Symptom List:

Symptoms: Patient sat in the waiting area and soon she said she is feeling dizzy and wants to lay down. Helped her get on the floor to lay down. She said she also had a vision black out. She was conscious throughout and said she is feeling better after laying down. This was her 2nd shot and she had done fine with that. She had not eaten for a while and then said she had similar reaction with the 3rd HPV shot. Took her BP and it was normal. She laid on the back for a while and then sat in the chair with her feet elevated. After about 40 minutes she said she is doing fine and left.

Other Meds: None

Current Illness: None

ID: 1271634
Sex: F
Age: 61
State: MA

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: Had typical body aches during first 36 hours post 2nd shot (had no reaction to 1st dose). In addition, at about 24 hours after getting 2nd dose, I developed hives. First patches on upper back and front of torso. Hives spread each day to a new location on lower back, upper legs and arms, butt and eventually in crevices at elbows and behind knees. Each patch dried up after 2-3 days. Whole episode lasted 9 days, then poof, gone. Since hives weren't terribly itchy (except after shower or if rubbed by clothes), I didn't take any antihistamine or put cream on them.

Other Meds: Daily Multi vitamin, 2x week small dose of clobetasol ointment, 2x week small dose vaginal estrogen cream

Current Illness: None

ID: 1271635
Sex: F
Age: 44
State: FL

Vax Date: 04/28/2021
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: latex, NSAIDS, Benadryl

Symptom List:

Symptoms: clammy, swollen left cheek, difficulty swallowing, upper arm (site of injection) had no feeling

Other Meds:

Current Illness:

ID: 1271636
Sex: F
Age: 54
State: NJ

Vax Date: 04/07/2021
Onset Date: 04/21/2021
Rec V Date: 04/29/2021
Hospital: Y

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

Lab Data:

Allergies: cypro, citrus acids

Symptom List:

Symptoms: woke up left side of face was numb and tingling like a shot of novocaine.

Other Meds: januvia,celebrax,crestor

Current Illness:

ID: 1271637
Sex: F
Age: 47
State: CA

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: Gluten, latex.

Symptom List:

Symptoms: Patient (date of birth: 01/27/1974) received the 1st COVID vaccine (PFIZER, Lot #: EW0179, and expiration date: 08/2021) at 11:48AM. EMT made contact with the patient in the observation area around 1225. The patient complained of "right ear redness and swelling" and stated it was a "sign" to her of an impending allergic reaction. EMT visually assessed the patient's ear and saw no swelling, only light redness. Patient was advised to sit in the zero gravity chair for further evaluation. At 1227, baseline vital signs were taken, while patient was sitting: blood pressure: 114/68, heart rate: 77, respiratory rate: 12. Skin was cool, dry, and normal for ethnicity. Nurse then responded to EMT with patient. EMT asked the patient if she was taking any medications. She stated that she is taking WELLBUTRIN and has allergies to gluten and latex. At 1233, a second set of vitals were taken: blood pressure: 118/78, heart rate: 84, respiratory rate: 12. Skin was cool, dry, and normal for ethnicity. Patient was negative for orthostatic pressures. EMT advised the patient to continue to sit in the zero gravity chair for an additional 30 minutes, to observe for additional signs and symptoms. Patient was educated by EMT regarding the signs and symptoms to look out for and when the patient should contact her primary care provider. The patient was also given the information to sign up for V- safe as well as educated regarding the importance of doing so. After the observation time was completed, around 1: 00PM, the patient walked out of the site unassisted and with a steady gait.

Other Meds: RX: Welbutrin.

Current Illness: None.

ID: 1271638
Sex: F
Age: 71
State: VT

Vax Date: 04/04/2021
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: Sulfa drugs,

Symptom List:

Symptoms: Continuous Lt. arm shoulder ache/pain sometimes radiating down arm to hand. This is the 3rd week since symptoms started.

Other Meds:

Current Illness: none

ID: 1271639
Sex: F
Age: 73
State: LA

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

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

Lab Data:

Allergies: METFORMIN

Symptom List:

Symptoms: presented to ED on 4/4 with slurred speech and numbness since this am, but more than 24 hrs; diagnosed with CVA, ischemic stroke. dizziness past 1-2 weeks

Other Meds:

Current Illness:

ID: 1271640
Sex: F
Age: 52
State: PA

Vax Date: 01/09/2021
Onset Date: 03/18/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin-pot ClavulanateRash

Symptom List:

Symptoms: Fatigue Muscle or body aches Nausea or vomiting Diarrhea

Other Meds: escitalopram (LEXAPRO) 10 mg tablet ferrous sulfate (SLOW RELEASE IRON) 143 mg (45 mg iron) tablet extended release LORazepam (ATIVAN) 0.5 mg tablet(Expired) MEDICAL SUPPLY, MISCELLANEOUS (MISCELLANEOUS MEDICAL SUPPLY MISC) omeprazole (PriL

Current Illness: NONE

ID: 1271641
Sex: M
Age: 33
State: CO

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: Client had syncopal episode after vaccine, fell, and hit his head on floor. Due to signs and symptoms of concussion, he was transported via EMS to hospital

Other Meds:

Current Illness:

ID: 1271642
Sex: F
Age: 44
State: GA

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

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

Lab Data:

Allergies: Allergic to mangos

Symptom List:

Symptoms: I threw up in the morning of 4/19/21. I have experienced various degrees of severe headache, extreme fatigue and nausea everyday since I received the vaccine (10 days now). I am currently nursing/lactating.

Other Meds: Post natal vitamins

Current Illness: No

ID: 1271643
Sex: F
Age: 67
State: WI

Vax Date: 03/24/2021
Onset Date: 04/27/2021
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: Client had first Pfizer injection on 3/24/2021. The client presented to the emergency department on 4/27 with a fever, generalized weakness, body aches, headache and right flank pain. She had lithotripsy and a right ureteral stent replacement the day before, 4/26. She is on ciprofloxacin. Urine Analysis was consistent with a UTI. Most recent positive urine culture grew out multidrug-resistant Klebsiella. The patient will be admitted to the hospital service for further evaluation and treatment.

Other Meds:

Current Illness:

ID: 1271644
Sex: F
Age: 28
State: GA

Vax Date: 04/07/2021
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:

Symptom List:

Symptoms: Early menstrual period

Other Meds: Levothyroxine and liothyronine

Current Illness:

ID: 1271645
Sex: F
Age: 59
State: MI

Vax Date: 04/21/2021
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: latex

Symptom List:

Symptoms: Headaches, body aches, and a red, hot, inflamed upper arm. This lasted for several days.

Other Meds: Claritin

Current Illness: none

ID: 1271646
Sex: M
Age: 37
State: CA

Vax Date: 04/20/2021
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: N/a

Symptom List:

Symptoms: Pfizer covid vaccine first dose given on 4/20/21 Tuesday. First sign/symptoms of right palm and finger numbness noticed on Saturday 4/24/21. This numbness sensation continue through 4/24 to 4/26, while frequency increased and also noted becoming more severe and noticeable. On 4/27 to 4/28, noticed also right thigh and right buttock numbness occurred, and right hand (arm) numbness noticed on top of right finger/palms. On 4/28 and 4/29, noticed the numbness increased in severity. Noted a bit numbness or stiffness of neck, especially right side. A bit concern if it's adverse event from covid vaccine, and if this is temporary. Will continue monitor and self assess, may need contact local health facility or emergency room if continue worsen.

Other Meds: Loratadine as needed for allergy.

Current Illness: N/a

ID: 1271647
Sex: F
Age: 54
State: HI

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: none

Symptom List:

Symptoms: Extreme sweating, flushed, hot diaphragm, rapid heart beat, swollen tongue.

Other Meds: Omega 3, B-12

Current Illness: none

ID: 1271648
Sex: F
Age: 60
State: WA

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Aspirin

Symptom List:

Symptoms: Driving home my eyes were sensitive to light and I couldn't see, very sensitive, and soon as I got home I experience flashes of light, then string of lights going off and on, by Thursday, the string of lights were wider and were everywhere. There were flashes of light like being on the red carpet and you can t see because of the flash of lights. I also had heart palpitations. Now I have blurry eye vision and my eyes are puffy and feels like something is inside my eye.

Other Meds: No

Current Illness: No

ID: 1271649
Sex: F
Age: 44
State: CT

Vax Date: 04/01/2021
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: Shingles presenting on V1 nerve. Not experiencing stress or have a compromised immune system.

Other Meds: Diclofinac pot tabs 50mg Maxalt 25 mg

Current Illness: None

ID: 1271650
Sex: F
Age: 18
State: PA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
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Symptoms: PATIENT FAINTED

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Current Illness:

ID: 1271651
Sex: M
Age: 28
State: MA

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

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Allergies: None

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Symptoms: Received COVID vaccine (Pfizer) 3 days prior to admission which was followed by subjective fevers and chills x 2 days but no longer endorses this. Had a headache one day prior to admission that resolved with tylenol. Reports that he has hx HTN but home BPs (which he takes infrequently) have been 140s-150s systolic in the past. Has never been on meds for blood pressure. Chest pain was substernal 5/10 lasted 2 hours and believes it relieved with his blood pressure coming down. Does not describe any other alleviating factors. It was nonradiating, just happens for have left arm pain after vaccine that was present prior to chest pain.

Other Meds: None

Current Illness: None:

ID: 1271652
Sex: M
Age: 48
State: SC

Vax Date: 03/01/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
Hospital: Y

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Symptoms: COVID infection after vaccination

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Current Illness:

ID: 1271653
Sex: F
Age: 64
State: WI

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/29/2021
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Allergies: none

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Symptoms: patient stated that around 12 hours after vaccine administration she developed extreme fatigue and around 48 hours after receiving vaccine she developed a headache severe enough for her to miss work. The fatigue is still present and forces patient to nap for 2 hours which is unusual for her and she still gets headaches on and off which is unusual for her.

Other Meds: metformin 1000mg bid, atenolol 25mg -2 tabs qd, lisinopril 20mg qd, pravastatin 40mg qd, levothyroxine 137mcg qd

Current Illness:

ID: 1271654
Sex: F
Age: 56
State: MN

Vax Date: 04/26/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
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Allergies: Amoxicillin, cephalosporins, penicillin V

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Symptoms: The day after her 2nd COVID vaccine, patient began experiencing intermittent episodes of tingling in her bilateral hands and feet. The episodes last about 5 minutes at a time. She has no associated weakness or other concerning symptoms.

Other Meds: Vitamin C, Vitamin D, clindamycin gel, flexeril, iron, flonase

Current Illness: None

ID: 1271655
Sex: M
Age: 43
State: CA

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
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Symptoms: Fatigue Fever Chills Dizziness when standing

Other Meds: Losartan Metoprolol Aspirin

Current Illness:

ID: 1271657
Sex: F
Age: 32
State: FL

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
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Symptoms: RPH on duty incorrectly mixed the vaccine incorrectly. Instead of using a new vial of vaccine and adding 1.8ml of Sodium Chloride 0.9%, he accidently used a used vial of little to no vaccine and added 1.8ml of NACL 0.9% and drew up 6 shots of this. Therefore, patient got Sodium Chloride instead of the actual vaccine. However, the mistake was caught early and patient was able to come back the same day to get revaccinated with the correct dose of the vaccine. No adverse reaction reported as of 4/29/21.

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Current Illness:

ID: 1271658
Sex: M
Age: 38
State: MD

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
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Symptoms: Pale, lightheaded,faint, eyes rolled back, unresponsive and to after a few seconds. Pt. diaphoretic. EMS called. Patient placed in wheelchair. Vital signs: BP=108/68 HR=88 Sat.O2=99% NSR on 3 Lead 15 minutes observation with EMS before release. Discharged home at 16:00 p.m. Patient refused ER visit.

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Current Illness:

ID: 1271659
Sex: F
Age: 45
State: CA

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/29/2021
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Allergies: Sulpha

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Symptoms: Lethargy, fever, swelling above my clavicle, Moderna arm, swelling below my underarm all the way to the side of my left breast. Extensive bruising after swelling went down below my armpit.

Other Meds: Juleesa (birth control), Chaga mushroom, zinc, quercetin, B12, probiotic, vitamin C, spirolina

Current Illness: None

ID: 1271660
Sex: F
Age: 43
State: CA

Vax Date: 04/17/2021
Onset Date: 04/24/2021
Rec V Date: 04/29/2021
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Symptoms: Rash all over body. Current treatment: Topical antibiotic (mupirocin)

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Current Illness:

ID: 1271661
Sex: F
Age: 22
State: UT

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/29/2021
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Allergies: None

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Symptoms: Since my second dose, I've been experiencing migraines, shortness of breath, and an extremely increased heart rate. While attending my routine cycle class (been attending about 3 times a week for several months) I nearly passed out which is extremely unusual. I have also been experiencing a much lighter than usual menstrual cycle. A few days following my vaccination I was also experiencing pain in my left lung (this has since subsided).

Other Meds: Lutera (Oral Contraception)

Current Illness: None

ID: 1271662
Sex: M
Age: 51
State: IL

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
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Symptoms: Dose was not drawn up in syringe and nothing was administered though patient received the IM injection

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ID: 1271663
Sex: F
Age: 23
State: CO

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/29/2021
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Allergies: walnuts, pine nuts

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Symptoms: Moderna COVID-19 Vaccine EUA: patient presents to allergy clinic for follow-up. Patient reports within three minutes of vaccination feeling of throat closing and could not swallow. Reports nausea but denies urticaria and wheezing. Two minutes later reports feeling cold and shaky as if going in and out of consciousness. Diphenhydramine administered and per patient a medic was called who reported 5-6 minutes of seizure-like activity and patient being non-responsive with blood pressure 80/palp en route to the emergency department (ED). In the ED patient received epinephrine, steroids, and diphenhydramine, monitored for several housrs, and discharged. Two days later patient reports waking up and feeling as if throat was closing up again, self-administered Epi-Pen and diphenhydramine, and returned to the ED. Steroids and diphenhydramine were adminsitered, patient was monitored, symptoms resolved, and patient was discharged. Since vaccination patient reports fatigue, dizziness, lightheadedness, persistent diarrhea, and numbness. Patient advised to continue home management and follow-up allergy testing recommended.

Other Meds: None reported

Current Illness: None reported

ID: 1271664
Sex: F
Age: 20
State: CA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
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Allergies: Denies

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Symptoms: Client received first dose of COVID vaccine at 11:00 am in zero-gravity chair due to history of fainting with injections. Client complained of feeling faint and vison and hearing going out @ 11:05am. Client provided with water and cold pack, reported feeling better, also reports not eating prior to vaccination. Client complained of headache @ 11:30am. Vital signs within normal limits. Client reports feeling better, headache only symptom @ 11:40am. Client able to leave observation area with steady gait, her friend present to drive home @ 11:45am. Client advised to follow up with primary care.

Other Meds: Denies

Current Illness: Denies

ID: 1271665
Sex: F
Age: 52
State: CA

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

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Symptoms: 1. Starting around 6 pm, I felt like I got the flu. Violent shivers, fever of 102.5, intense body aches. Lasted about 24 hours. 2. I had noticeable "brain fog" for about a week following the injection.

Other Meds: N/A

Current Illness: N/A

ID: 1271666
Sex: F
Age: 31
State: MD

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
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Symptoms: Cc :Chills ,weakness, sweating, anxiousness, low blood pressure and pulse rate intervention: patient was taken to medical tent for observation, and vital signs are as follow: BP86/40 PR62 TEMP 98.7 OXG SAT 96% Patient was offered water and vital signs were retaken: BP 94/58 PR 62 OXYG SAT 96% Patient was laid Trendelenburg position, BP improved and he felt better. Patient walked back to car in stable a condition

Other Meds:

Current Illness:

ID: 1271667
Sex: M
Age: 38
State:

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/29/2021
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Symptoms: Pt has history of passing out when dealing with medical situations. Pt passed out but immediately was about to come to. Checked by ems and was monitored for 30 mins. Pt was stable at the time of release.

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Current Illness:

Total 2021 VAERS Injuries: 559,999

Page last modified: 03 October 2021 5:28pm