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: 1273318
Sex: F
Age: 40
State: NY

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Possible Seizure: nausea Dizziness Passed out ~1-2 seconds Soem shaking weakness high blood pressure

Other Meds: Lamotrigine: 250mg Once daily Adderall: 20mg 4x's a day Sertaline: 150mg once daily vitamin D3: 50mcg once daily Vitamin B12: 1000 mcg once daily

Current Illness: none

ID: 1273319
Sex: F
Age: 21
State: NY

Vax Date: 04/15/2021
Onset Date: 04/17/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Two days after my vaccine I started to get breast pain which is strange because I just had my period 1.5 weeks prior. So it?s like I started PMSing a bit early. I got my period a few days ago which means I had my period twice this month which is very uncommon for me.

Other Meds: Vitamin C, Fish Oil, Probiotic

Current Illness: None

ID: 1273320
Sex: F
Age: 56
State: FL

Vax Date: 04/27/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Amoxycillin, Mangoes, Quinoa

Symptom List:

Symptoms: Full Body Rash - I've had this for the last couple days. This is not an abnormal response for me as I often get a rash if I have a fever or before menopause when I would be on my period. And a rash is the allergic reaction I get when I take penicillin or amoxycillin. But I don't have a fever accompanying this (or any other symptoms) and it is more extensive and longer lasting than I've experienced before

Other Meds: none

Current Illness: none

ID: 1273321
Sex: F
Age: 31
State: PA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: within 24 hours, developed 3 small nodules around left clavicle (left arm was injection site); nodules around 0.5 cm, easily moveable, not painful; no change in size over last 4 weeks

Other Meds: unknown; not a patient in our practice -- only here for COVID vaccine

Current Illness: unknown

ID: 1273322
Sex: M
Age: 31
State: WI

Vax Date: 03/12/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Client employer asked for client to get a covid-19 test. Client was asymptomatic. Client was vaccinated on 3/12/21 and 4/3/21 with the Pfizer vaccination.

Other Meds:

Current Illness:

ID: 1273323
Sex: F
Age: 56
State: FL

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Metronidazole

Symptom List:

Symptoms: Arm soreness to touch and with movement x 3 days, gradually lessening each day. Significant fatigue on day 3 post injection x 1 day.

Other Meds: Cholestyramine Estradiol/Progesterone

Current Illness: none

Date Died: 04/24/2021

ID: 1273324
Sex: F
Age: 73
State: FL

Vax Date: 02/18/2021
Onset Date: 02/22/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: The day before the first vaccine she was up and acting normal, laundry, housework and knew what to do. She has severe dementia but was doing OK and knew where she was. She got the first vaccine on 1/29/21, and the 3rd and 4th day they noticed she was having hallucinations and saying things that weren't there. She could hear baby's crying but there were no baby's present. Within 7 days she had what the son described as a stroke. He said that she was watching television and he was on a conference call and he noticed she walked into a wall and he asked if she was okay and starting stumbling across the room and when he touched her she felt very heavy and said that one side of her face was drooping. He got her back into the chair and called 9-1-1. She was so agitated at the hospital that the husband does not know what they gave her and they kept her for a week. They finally got her under control. They discharged her from there and she that was all that they could do with her. They brought her home with nurses assistance and her paranoia was evident, hallucinations were very evident. They said that they tried to do a CAT Scan and an MRI and they said that she did not have a stroke. Restless was very adamant, talking strange things and wanting to go to her son's house when she was there. Before that vaccination she knew where she was and after that she did not know where she was thinking she was at one location and just confusion. She then got her 2nd vaccine and then her husband went out of town and took her back home on 2/24/21 as he was able to get her in a car and travel and able to eat and knew somewhat what was going on. On 2/25/21 when he brought her home to a long term care facility. She was chanting constantly, had irritability, anger, cognition completely eroded. She was very agitated, very combative. Drugs would not calm her down, and tried to get CAT scans or MRI's but were unsuccessful due to her combativeness. She was screaming and yelling 24 hours a day to the top of her lungs and gave her Ativan which had the adverse effects of what they were supposed to do. Had biting, hallucinations, paranoia. She had a couple of falls, they had her in a wheelchair and tried to feed her and she would fall down. They took her to the hospital a few times and she progressively got worse. On 4/19/21 she shut down and quit eating, quit drinking, closed her eyes, and lasted a week like that and then she died on 4/24/21 @ 2:30 AM. None of her doctors could figure out what had happened. They were finally able to get a CAT scan and felt that she may have a stroke. Finally they memory care facility told them to come a take her to the hospital and they had moved their hospice patient's as she was screaming and disruptive and they could not handle her anymore. They thought she was suffering from Lewy body dementia at one point. They were going to have her tested for that and they could not do it on Saturday when she passed for genetics and missed those timelines and could not do it.

Other Meds: Atorvastatin, Memtone, Lisinopril, fish oil, Vitamin D3, calcium, Antrozole.

Current Illness: None.

ID: 1273325
Sex: F
Age: 67
State: MA

Vax Date: 04/01/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Day 0 (Day of Vaccine)--headache, muscle aches, fatigue--treated with ibuprofen. Day 1 Severe headache, shaking chills, numb white hands, severe muscle aches and stiffness, fatigue--treated with ibuprofen Day 2 Mild headache and slight fatigue Day 3 Mild headache and slight fatigue Day 4 Excruciating headache, shaking chills, numb hands, drenching sweats, temp 99-100, fatigue. Treated with tylenol alternating with ibuprofen Day 5 Temperature 103 Excruciating headache, shaking chills, drenching sweats, fatigue. Visit to health center--labs showed Hgb/Hct 9/25.9 Day 6 Felt a little better but still temp 100, headache, fatigue. Follow up visit with primary care doc. Repeat CBC Day 7 Result of CBC showed hct to be 22--sent to ER and admitted to hospital. Transfused with one unit of blood. Diagnosis hemolytic anemia with cold agglutinins. Cause unknown. Discharged after three night stay with improving hemoglobin, hematocrit, and retic ct.

Other Meds: Levothyroxin 0.112/d Prilosec 40 once /day Multivit once/day

Current Illness: None

ID: 1273326
Sex: F
Age: 44
State: IN

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Allergy?s to Triptan

Symptom List:

Symptoms: Severe headache, fever 100.3, chills, sweats, fatigue, arm soreness, body aches. All lasted about 24 hours.

Other Meds: Prozac 20 mg, Norvasc 5 mg, indapamide 2.5 mg, multivitamin, Allegra

Current Illness: None

ID: 1273327
Sex: F
Age: 62
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: PT HAS HX BILAT MASTECTOMY, VACCINE WAS GIVEN INTO RIGHT THIGH PER GUIDLINE.

Other Meds:

Current Illness:

ID: 1273329
Sex: F
Age: 59
State:

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/30/2021
Hospital: Y

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

Lab Data:

Allergies: Lisinopril - swelling

Symptom List:

Symptoms: 59 y/o woman with hx Graves disease, htn, OSA, HLD, obesity who presented to OSH with 3-4 days of work finding difficulty, leg weakness, headaches, jaw pain and poor po intake. At outside hospital she was found to have left posterior frontal centrum semiovale infarct (MRI), lab work revealed thrombocytopenia with significant schistocytes on blood smear. She had a mild troponin leak with normal ECG. She had hematology input from advising Plex for suspected TTP. She was transferred to hospital on 4/30/21.

Other Meds:

Current Illness:

ID: 1273330
Sex: F
Age: 31
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt is a 31 y.o. female who noticed left facial weakness and had a feeling of heaviness as well as paresthesias in left face and arm that started 30 minutes after administration of first dose of Pfizer COVID-19 vaccination on 3/29. Two days later, noticed improvement, but still with paresthesias in the left face and arm. Neurologic exam is unremarkable except for a difference in sensation on the left face compared to the right (in all distributions). No clear evidence of Bell's palsy and also this would not explain the left arm symptoms. Plan to obtain MRI of the brain with and without contrast to ensure no demyelinating lesions or other explanations for these ongoing symptoms. Pt has been cleared to receive second dose of Pfizer vaccine pending MRI results.

Other Meds:

Current Illness:

ID: 1273331
Sex: F
Age: 23
State: VA

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

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Client complain of dizziness, chest pain and hard to breath. Seen by EMS, took vitals signs no further treatment required. Stayed for 30 min , left building in no distress accompanied by mother.

Other Meds: Unknown

Current Illness: None

ID: 1273332
Sex: F
Age: 21
State: SC

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Redness, pain, swelling at injection site; back pain, fever, sweats, fatigue, headache, left underarm pain, dizziness

Other Meds: Taytulla (birth control), Tylenol

Current Illness:

ID: 1273333
Sex: F
Age: 49
State: PA

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

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

Lab Data:

Allergies: LATEX

Symptom List:

Symptoms: POST VACCINE, C/O DIZZINESS AND NAUSEA, LAYED ON FLOOR AND PLACED FEET ON CHAIR, THEN ASSISTED TO WC AND TAKEN TO OBS TO LAY DOWN. ASSISTED TO STRETCHER, PLACED IN TRENDELENBERG, STATES SOME RELIEF AFTER A FEW MINUTES. STATED SOME RELIEF. SAT UP ON STRETCHER, DRANK SOME WATER, S/S IMPROVING PER PATIENT REPORT. ONCE S/S RESOLVED, ESCORTED TO EXIT WITH NO ISSUES WHERE HUSBAND WAITING IN CAR/IS DRIVING PATIENT HOME, AT 1100. ORTHOSTATIC VSS THROUGHOUT EPISODE. 1025 LYING BP 123/82 HR 68 RR 20 SATS 98% RA 1048 SITTING BP 131/89 HR 60 RR 20 SATS 98% RA 1055 STANDING BP 122/84 HR 64 RR 20 SATS 98% RA

Other Meds: SPIROLACTONE (FOR ACNE)

Current Illness: NONE

ID: 1273334
Sex: M
Age: 41
State: NY

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: At the medical facility, within minutes of taken the shot, my left eye vision started to get blurry. I started to sweat. Medical personnel took my blood pressure and said it was high. They had me rest on a bed for 10 minutes. They gave me water and juice. After 2 days of the vaccine, I feel strange heart palpitations every 1 or 2 hours. My blood pressure reading is at 147/88.

Other Meds: None

Current Illness: None

ID: 1273335
Sex: F
Age: 36
State: CA

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

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

Lab Data:

Allergies: Not sure

Symptom List:

Symptoms: Sweet taste in mouth, Exhaustion, body aches, fever, arm pain, mild pain in chest left side under the last rib. All this started on day of vaccine through the night and into the morning I still feel bad.

Other Meds: Spironolactone, currently an antibiotic Doxycycline , hormone pill desogen. Anxiety pill Buspirone.

Current Illness:

ID: 1273336
Sex: F
Age: 50
State: MD

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Fish

Symptom List:

Symptoms: Extreme dizziness, fainted, face hit wooden floor, broke and fractured several teeth, soft tissue injuries on my chin, cheek and nose

Other Meds: Tecfidera Ampyra Losartin Provigil

Current Illness:

ID: 1273337
Sex: F
Age: 45
State: CA

Vax Date: 04/22/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: None. But I always have an over response to any insect or spider bite.

Symptom List:

Symptoms: Started itching at injection site. Soon after had a large (apple sized) red, swollen, hard patch. It looked like what happens when I get bit by an insect or spider, but I'd had long sleeves on all day. Applied some cortisone cream to stop itching. Will take a Benadryl is swelling doesn't come down today.

Other Meds: None

Current Illness: None

ID: 1273338
Sex: F
Age: 49
State: CO

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: chlorhexidine

Symptom List:

Symptoms: I suffered from a sudden onset of brain fog that occurred >30 minutes after my vaccine was given and was followed by feelings of mild anxiety. The morning after my vaccine I suffered from multiple repetitive anxiety attacks that lasted around an hour and resolved by noon. I was using Tylenol 650 mg every 4-6 hours the day following my vaccine and Motrin 200 mg every 6 hours the afternoon and evening of my vaccine. I did have the typical vaccine reactions as well post my second dose, but not following my first dose, and those symptoms lasted about 72 hours and varied in intensity. I did have a rash on my left arm that came up after my second vaccine and lasted 5/7 days.

Other Meds: Synthroid

Current Illness: none

ID: 1273339
Sex: M
Age: 74
State: WY

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Neosporin Lidocain Levaquin

Symptom List:

Symptoms: Very intense chill, accompanied by shivering followed by extensive sleep

Other Meds: Allopurinol 100mg 2x/day Doxycycline Hyclate 100mg 2x/day Pravastatin 20mg at bedtime Florastor Probiotic Supplement 250mg 2x/day Osteo- Bi-Flex 1500 mg 2x/day

Current Illness: none

ID: 1273340
Sex: M
Age: 55
State: VA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received Moderna COVID-19 vaccine for the second dose instead of Pfizer. He received the Pfizer vaccine on 04/01/2021. Prior to administration patient was asked multiple times if he received the Moderna COVID-19 vaccine and responded, "yes." Patient was given the Moderna vaccine by the vaccinator. The vaccinator then asked the supervisor to make a new card for his first dose and after looking up the patient's record it was observed that the patient received Pfizer for his first dose. Education was provided to the patient regarding the incident and that he does not have to repeat his first dose. Patient verbalized understanding.

Other Meds:

Current Illness:

ID: 1273341
Sex: F
Age: 40
State:

Vax Date: 02/13/2021
Onset Date: 04/05/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 40-year-old female received the first dose of the Pfizer COVID-19 vaccination on 1/23. Received second dose on 2/13. Patient undergoes COVID-19 testing with only symptom of congestion/runny nose. Nasopharyngeal swab obtained 4/5 at 11:27. Coronavirus PCR test resulted positive later that evening.

Other Meds: Allergy injections weekly

Current Illness:

ID: 1273342
Sex: M
Age: 45
State: AZ

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Swollen gland / node in left armpit. Painful to touch, approximately half the size of a golf ball. No treatment yet, except for warm compresses and OTC pain reliever.

Other Meds: None

Current Illness: None

ID: 1273343
Sex: F
Age: 35
State:

Vax Date: 01/27/2021
Onset Date: 04/06/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: 35 yo female received the first dose of the Moderna COVID-19 vaccination on 12/29/20. Received second dose on 1/27/2021. Pt undergoes COVID-19 testing with no known symptoms. Nasopharyngeal swab obtained 4/6 at 1550. Coronavirus PCR test resulted positive a few hours later. Pt meets the criteria to receive bamlanivimab/etesevimab infusion and receives this medication therapy on 4/7.

Other Meds: Warfarin, low dose aspirin, amlodipine, everolimus, Gengraf,

Current Illness:

ID: 1273344
Sex: F
Age: 50
State: VT

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

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

Lab Data:

Allergies: CT Scan dye, Wellbutrin, Morphine, Codine, PCN

Symptom List:

Symptoms: Patient received vaccine at approximately 1000 was moved to the self monitoring station. Within 5 minutes of receiving the vaccine patient alerted staff she felt "itchy'. Clinic removed individual out of self monitoring and brought her to the first aide area for 1:1 monitoring. Vital signs obtained revealed BP of 120/82, HR 86 and RR of 16. Patient denied shortness of breath however clinician noted patient frequently clearing throat. 911 called to dispatch EMS and epi snap kit at bedside however patient declined use of this medication despite education. Patient remained stable until EMS transport. Clinician noted raised red welts appearing on patients back and arms.

Other Meds: Unknown

Current Illness: None

ID: 1273345
Sex: F
Age: 16
State: PA

Vax Date: 04/01/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: O

Other Meds: No

Current Illness: No

ID: 1273347
Sex: M
Age: 73
State: NY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Large amount of blood coming from resident wound. Resident stated "I was trying to use my urinal and it felt like I was all wet under my arm." Copious amounts of bloody drainage noted to axillary hematoma/wound, with large golf ball size clots, pressure applied to wound.

Other Meds:

Current Illness:

ID: 1273348
Sex: M
Age: 34
State:

Vax Date: 01/26/2021
Onset Date: 04/17/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 35 yo male received the first dose of the Moderna COVID-19 vaccination on 12/31/2020. Received second dose on 1/26/2021. On 4/17, pt undergoes COVID-19 testing with symptoms of muscle/body aches and new loss of taste/smell. Nasopharyngeal swab obtained 4/17 at 1036. Coronavirus POCT rapid test resulted positive a few hours later.

Other Meds:

Current Illness: NKA

ID: 1273349
Sex: F
Age: 40
State: TN

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

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: pt c/o chest pain following vaccination of 2nd dose Pfizer vaccine. 5min following complaints pts symptoms subsided. Vital signs were stable. BB 110/68

Other Meds: N/A

Current Illness: unknown

ID: 1273350
Sex: F
Age: 18
State: IN

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Fever body aches headache nausea fatigue

Other Meds: No

Current Illness: No

ID: 1273351
Sex: U
Age: 36
State: IN

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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Allergies: N/a

Symptom List:

Symptoms: Headache, chills, body aches, Injection site pain and swelling, general malaise, fever, poor sleep, waking dreams (hallucinations?) Used imitrex for the headache (2x doses 6 hours apart, 50mg) Used ibuprofen 400mg/tylenol 1000mg alternating for fever/swelling Symptoms resolved approx. 26 hours after they began.

Other Meds: Omeprazole otc

Current Illness: N/a

ID: 1273352
Sex: M
Age: 63
State: MA

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 04/30/2021
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Allergies: n/a

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Symptoms: high blood pressure - 162 sys/100dia 78 pulse rate

Other Meds: n/a

Current Illness: n/a

ID: 1273353
Sex: F
Age: 29
State:

Vax Date: 02/01/2021
Onset Date: 04/26/2021
Rec V Date: 04/30/2021
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Allergies: Azithromycin

Symptom List:

Symptoms: 29 yo female received first dose of Moderna COVID-19 vaccination on 1/2. Received second dose on 2/1. Pt s/p SVD @ 40w0d presented to hospital in labor on 4/25. Delivered infant on 4/26. Delivery was uncomplicated. The pt did test positive for COVID-19 on 4/26, but was asymptomatic. All COVID-19 precautions were taken. She delivered a liveborn female infant weight 3440 grams. Post partum course was uncomplicated. Pt discharged on 4/28.

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Current Illness:

ID: 1273354
Sex: M
Age: 16
State: GA

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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Allergies: NKDA, NKFA

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Symptoms: Absence Seizure Tonic Clonic Seizure

Other Meds: Zyrtec, Flonase

Current Illness: N/A

ID: 1273355
Sex: F
Age: 91
State:

Vax Date: 02/23/2021
Onset Date: 03/06/2021
Rec V Date: 04/30/2021
Hospital: Y

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Symptoms: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.

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Current Illness:

ID: 1273356
Sex: F
Age: 39
State: FL

Vax Date: 04/22/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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Allergies: Morphine Buprenorphine Gabapentin Meloxicam Penicillin Aspirin

Symptom List:

Symptoms: swelling, pain and knot present at injection site.

Other Meds: Azelastine Hydrochlorothiazide Loratadine Montelukast Omega 3 ProAir Promethazine Trelegy

Current Illness: none

ID: 1273357
Sex: F
Age: 27
State: MD

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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Allergies: no

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Symptoms: Patient had syncope episode 5 minutes after shot was given. Did not hit head ., Regained consciousness after less than 1 minute

Other Meds: unknown

Current Illness: unknown

ID: 1273358
Sex: M
Age: 87
State: ND

Vax Date: 02/27/2021
Onset Date: 03/21/2021
Rec V Date: 04/30/2021
Hospital: Y

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Symptoms: Patient presented to the ED X2 and was hospitalized within 60 days of receiving a COVID vaccine

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Current Illness:

ID: 1273359
Sex: F
Age: 68
State: FL

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 04/30/2021
Hospital: Y

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Lab Data:

Allergies: Cortisone (SOB, palpitations), Bactrim (itching)

Symptom List:

Symptoms: Pt presented to ED after receiving second COVID vaccine. Pt states within 5 minutes of second dose, she began feeling lightheaded, shakey, diaphoretic and generally not well. Personnel noticed pt leaning over the back of her chair and brought her juice, gatorade, donuts, and candy. Denies ever losing conscousness, chest pain, SOB. Pt was taken to the ED where glucose was 176. Pt states by the time she arrived to the ED her symptoms had resolved. On presentation pt had negative troponin, however EKG showed mild T wave changes. Pt admitted to internal medicine for ACS rule-out. No acute overnight events. Troponins remained negative, no EKG changes. Discharged next day.

Other Meds: Aspirin 81 mg daily, Amlodipine 10 mg daily, Carvedilol 25 mg BID, cyclobenzaprine 10 mg q8h PRN, docusate 100 mg daily, furosemide 20 mg daily, Norco 10-325 mg q8h PRN, isosorbide dinitrate 20 mg BID, Levemir 10 units SC nightly, lisinopri

Current Illness: None noted

ID: 1273360
Sex: F
Age: 42
State: RI

Vax Date: 04/27/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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Allergies: Penicillin, Amoxicillin, Ceflexin

Symptom List:

Symptoms: "Covid Arm" - Circular red rash at injection site, lump & warm, tender to touch

Other Meds: Tri-Estaryila, Vit D3 50,000 1x per week, Escitolpram 10 mg 1x per day, Zyrtec 10 mg 1x per day, Levothyroxine 50mcg 1x per day, Women's probiotic 1x daily

Current Illness: none

ID: 1273361
Sex: M
Age: 29
State: IN

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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Allergies: N/A

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Symptoms: I was very fatigued with almost flu like symptoms. They lasted all day on 4/29/21.

Other Meds: Vitamin C and Daily avitamin

Current Illness: N/A

ID: 1273362
Sex: F
Age: 39
State: NJ

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/30/2021
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Allergies: penicillin

Symptom List:

Symptoms: severe pain in left arm/shoulder, unable to move left shoulder for 1 month following vaccination and ongoing. Frozen shoulder. Currently being treated with steroids orally. If no response to treatment, may need to see orthopedics for further treatments.

Other Meds: zyrtec

Current Illness: none

ID: 1273363
Sex: F
Age: 63
State: IL

Vax Date: 04/03/2021
Onset Date: 04/04/2021
Rec V Date: 04/30/2021
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Allergies: Cefdinir

Symptom List:

Symptoms: All side effects details have been documented using V-Safe. Also called VAERS and left multiple messages with no call back. Below are only the high level issues which are still lingering but not as severe. 1) Initial deep throbbing/vibrating sensation in left lower calf that started 14 hours after vaccination. 2) Sypmtom #1 above continued non-stop for 3 days straight, both daytime & night time. 3) Sharp bone pains started to occur in the left foot/ankle. 4) Bone pain moved over to right foot/ankle, 5) Started getting a warm/cooling sensation in both lower calves/feet. Similar feeling to rubbing Vicks on those area and the warmth/cooling sensation you get after it's applied. 6) Bone pain moved to left hand/wrist. 7) Bone pain moved to right hand/wrist. 8) Still experiencing bone pain in both feet with soreness and fatigue in those areas. It's not as severe or occurring on a daily basis but still happening four weeks after vaccine. 9) Still experiencing some bone pain in hands and wrist but predominantly on the left side.

Other Meds: 1) Azopt 2) Timolol 3) Vyzulta 4) Omeprazole 5) Prolia (Had injection 19 days prior to vaccine) 6) Probiotic 7) CoQ10 8) Glucosamine-Chondroitin 9) Lutein-Zeaxanthin 10) Magnesium 11) Multi-Vitamin 12) MegaRed Advanced 4-in-1 13

Current Illness:

ID: 1273364
Sex: M
Age: 54
State: NJ

Vax Date: 03/29/2021
Onset Date: 04/05/2021
Rec V Date: 04/30/2021
Hospital: Y

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Allergies: Pollen

Symptom List:

Symptoms: 1 week post vaccine developed SOB and cough petechiae to bilateral lower and upper extremities and back

Other Meds: None docmented

Current Illness: None documented

ID: 1273365
Sex: F
Age: 51
State: IL

Vax Date: 04/15/2021
Onset Date: 04/22/2021
Rec V Date: 04/30/2021
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Allergies: None Known

Symptom List:

Symptoms: Day of Vaccination: Burning for several minutes and sore arm for several days, but both minor. Worse pain when injection site was touched, even gently. 1 Week after vaccination: Upper arm swelled, became sore and itchy with a slight rash. Worse pain when injection site was touched, even gently. 2 Weeks after vaccination: Upper arm is itchy, hot, and has a blotchy red rash. swelling has subsided, no longer sore to the touch.

Other Meds: Synthroid, Advil

Current Illness: None

ID: 1273366
Sex: M
Age: 64
State: TX

Vax Date: 03/18/2021
Onset Date: 03/25/2021
Rec V Date: 04/30/2021
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Allergies: NKDA

Symptom List:

Symptoms: Blurred vision began one week after vaccination. Pt reports it has gotten better, but is still intermittent. Pt reported having had cataract surgery the previous year (March 2020) so recommended to discuss with opthamologist

Other Meds:

Current Illness: none

ID: 1273367
Sex: F
Age: 51
State: CA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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Symptoms: MALFUNCTION OF VANTAGE POINT SYRINGE UPON INSERTION RESULTING IN LOSS OF VACCINE. PT RECD FPIZER 0.3 ML IN OTHER ARM.

Other Meds:

Current Illness:

ID: 1273370
Sex: F
Age: 29
State: IN

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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Allergies: Vicodin

Symptom List:

Symptoms: Rash around lips, and upper chest. No edema or airway obstruction.

Other Meds: N/A

Current Illness: N/A

ID: 1273371
Sex: F
Age: 88
State:

Vax Date: 03/24/2021
Onset Date: 04/04/2021
Rec V Date: 04/30/2021
Hospital: Y

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Symptoms: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm