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: 1286136
Sex: F
Age: 59
State: NJ

Vax Date: 04/12/2021
Onset Date: 04/16/2021
Rec V Date: 05/04/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: Codeine, Aspirin, Penicillian

Symptom List:

Symptoms: SEVERE HEADACHE, NAUSEA, BODY ACHE, DIAREA, FATIGUED AND TIRED. STARTED FEW DAYS AFTER SHOT AND I AM JUST TODAY MAY 4, 2021 STARTING TO FEEL A LITTLE RELIEF. STILL HAVE SOME NAUSEA AND HEADACHE SYMPTOMS. I WENT TO ER ON APRIL 28, 2021 AND BLOOD WORK CAME BACK GOOD, 2 NEGATIVE COVID TESTS. RECEIVED IV PAIN MEDS AND FLUID DUE TO DEHYDRATION. I WAS PRESCRIBED ONDANSETRON FROM MY PRIMARY DOCTOR FOR NAUSEA. MAY 4, 2021 I AM DISCONTINUING THE MEDICATION. AS I SAID I AM STARING TO FEEL BETTER TODAY.

Other Meds: Duloxetine - for Fibromialgia

Current Illness: None

ID: 1286137
Sex: F
Age: 59
State: WA

Vax Date: 04/07/2021
Onset Date: 04/10/2021
Rec V Date: 05/04/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Allergic to all sulfites as preservatives in food, in medications, and made naturally by food. Allergic to cornstarch, gelatin, wheat, eggs, peanuts, rice, benadryl, compazine, onions, garlic, etc....

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA My symptoms involved my spinal cord, spasms traveling up and into my neck and head. It increased my lymph fluid and flared up my menieres disease. I had painful headaches throughout my face. My occipital glands were inflamed. when I would stand after sitting the spasms would travel and then my neck felt like it was being squeezed, my hearing would fade and I would almost pass out. I couldn't sleep at night because of the pain. after one week, my doctor prescribed a medrol pack. After 6 days the symptoms returned. I ended up in Emergency. they gave me injections of both valium and Toradol. then my doctor put me on 12 more days of prednisone. I have completed it but still am struggling with the spasms in my neck.

Other Meds: Potassium Chloride; Triamterene-HCTZ 25 mg.; Atorvastatin calcium 10 mg; Clopidogral Bisulfate 75 mg; Vitamin C 1000 mg; Super b complex; Biotin 10,000 mcg; Epi pen as needed; Albuteral Sulfate inhaler as needed;

Current Illness: I had had a common cold/sinus infection as a result from reintroducing eggs into my diet

ID: 1286138
Sex: F
Age: 0
State: IL

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

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Lab Data:

Allergies: n/a

Symptom List:

Symptoms: After first dose of moderna was administered patient got up to sit in waiting area. She began to complain of not being able to see and said that she could only see black. She then said that she could not hear anything. She became sweaty and felt faint. We had her lie down and called 911. She got better by the time EMS arrived and was not transported to the hospital.

Other Meds: n/a

Current Illness: n/a

ID: 1286139
Sex: F
Age: 44
State: ME

Vax Date: 04/09/2021
Onset Date: 04/18/2021
Rec V Date: 05/04/2021
Hospital:

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Lab Data:

Allergies: pennicillin

Symptom List:

Symptoms: serious hives from neck to groin area, including both arms and itchy hands.

Other Meds: Levothyroxin, vit B12

Current Illness: no

ID: 1286140
Sex: F
Age: 35
State: IL

Vax Date: 04/26/2021
Onset Date: 04/29/2021
Rec V Date: 05/04/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Swelling in the left eye lid. This happened after my first shot as well. About 3-4 days after.

Other Meds: birth control, probiotics

Current Illness: None

ID: 1286142
Sex: F
Age: 61
State: GA

Vax Date: 04/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/04/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: patient began having symptoms the day she went to hospital and was diagnosed (per patient), of Bells Palsy of the right side of face.

Other Meds:

Current Illness:

ID: 1286143
Sex: M
Age: 58
State: PA

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 05/04/2021
Hospital:

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Lab Data:

Allergies: Allergies No Known Allergies

Symptom List:

Symptoms: respiratory illness Cough - benzonatate (TESSALON PERLES) 100 mg capsule; Take 2 capsules (200 mg total) by mouth 3 (three) times a day as needed for cough for up to 7 days Increase fluids. Can honey and honey tea as needed. Can use OTC allergy medications like Claritin, Zyrtec and Allegra as needed. OTC Tylenol or ibuprofen for fever, discomfort. Recommended saltwater gargles, nasal saline sprays, humidifier and vapor rub at night. If symptoms persist without improvement over the next 2-3 days despite above treatment, follow-up with PCP for further evaluation.

Other Meds: predniSONE (DELTASONE) 10 mg tablet triamcinolone (KENALOG) 0.5 % ointment

Current Illness: None

Date Died: 04/23/2021

ID: 1286144
Sex: M
Age: 49
State: NY

Vax Date: 04/21/2021
Onset Date: 04/23/2021
Rec V Date: 05/04/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Shortness of breath followed by sudden collapse followed by death.

Other Meds: Doxepin, Gabapentin, Lamotragine, Methocardimal, Resperidone

Current Illness:

ID: 1286145
Sex: F
Age: 37
State: OH

Vax Date: 04/14/2021
Onset Date: 04/17/2021
Rec V Date: 05/04/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Macrobid Benadryl

Symptom List:

Symptoms: Patient reports usual reactions six hours after vaccine (body aches, chills, fever of 103). These resolved after 48 hours with the aid of ibuprofen and Tylenol. On Saturday, April 17,2021; she was awakened with a piercing headache on the top of the right side of her head and radiating to her right eye. She was seen in the ED at Hospital on 04/28/2021 for the headache that would not subside. She was seen again on 05/04/2021 for fainting with the headache. The ED physician has asked for a VAERS report since the headache has not resolved and is worsening.

Other Meds: None

Current Illness: None

ID: 1286146
Sex: F
Age: 45
State: OR

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

Vax Type:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: My mentral cycle is 8 days late as of today. My cycle is regular and this is a new occurance.

Other Meds: melatonin 1mg as needed, sertraline 100 mg nightly

Current Illness: none

ID: 1286147
Sex: M
Age: 31
State: NJ

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

Vax Type:
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Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Shortly after the administering the vaccine the person tensed up and became unresponsive. He appeared to be having a seizure. I was able to get the patient to the floor and he became responsive. He said he "was ok". We had contacted EMS. We had the patient lie flat until the EMT's arrived. He was very sweaty and tired but he insisted he was fine. He refused to go to the ER and he was able to get a ride home.

Other Meds: unknown

Current Illness: None

ID: 1286148
Sex: M
Age: 20
State: MI

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

Vax Type:
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Lab Data:

Allergies: nkda

Symptom List:

Symptoms: Vaccine administered too early. 1st dose = 4.24.21; 2nd dose = 5.4.21. Patient received 2nd dose of Pfizer vaccine too early on 5/4/21. Per MCIR, he received his first dose at Kroger on 4/24/21. This was not recognized until patient had received his vaccine already.

Other Meds: sertraline

Current Illness: na

ID: 1286149
Sex: F
Age: 17
State: SC

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 05/04/2021
Hospital:

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Lab Data:

Allergies: NA

Symptom List:

Symptoms: Patient is 17 years and 8 months (not 18 years of age as required for Moderna vaccine). No adverse reaction.

Other Meds: NA

Current Illness: NA

ID: 1286150
Sex: F
Age: 66
State: CA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 05/04/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: ShellFish

Symptom List:

Symptoms: Patient to the ED with c/o numbness of his face, buttocks with breakout of Shingles shortly after Vaccine. Patient received Vaccine on 4/22/2021 and broke out and just recovering from Shingles.

Other Meds: Albuterol Inhaler

Current Illness: Hx COPD

ID: 1286151
Sex: F
Age: 80
State: NE

Vax Date: 04/12/2021
Onset Date: 04/17/2021
Rec V Date: 05/04/2021
Hospital: Y

Vax Type:
Manufacturer:
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Lab Data:

Allergies: NSAIDS, lisinopril, losartan, phenylephrine, celecoxib, naproxen, nickel

Symptom List:

Symptoms: Severe thrombocytopenia developing 1 week after 1st Moderna vaccine. Pt got first vaccine April 12 or 14 (she can't remember which) and is due for her next May 10 or 12 (though she is not getting this dose per Hem/onc note). Plt down to 3K (from 258K on 3/29/21). This has required 2 hospitalizations with multiple transfusions, bone marrow bx, high levels O2. She is currently in the hospital and her oncologist noted on 5/4/21: "this is covid vaccine related until proven otherwise (she got her 1st Moderna shot one week before plts plummeted); would not get 2nd dose; should be reported to VAERS."

Other Meds: Prlia, tylenol, albuterol inhaler, ASA, lipitor, Vit D, CoQ10, B12, decadron, glucosamine, synthroid, lutein, prilosec, GInseng complex, vesicare, tagrisso

Current Illness: None

ID: 1286152
Sex: F
Age: 52
State:

Vax Date: 01/21/2021
Onset Date: 04/26/2021
Rec V Date: 05/04/2021
Hospital: Y

Vax Type:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: I63.511 - Acute ischemic right MCA stroke R53.1 - Left-sided weakness G51.0 - Facial paralysis on left side I63.9 - Stroke determined by clinical assessment I63.411 - Cerebral infarction due to embolism of right middle cerebral artery

Other Meds:

Current Illness:

ID: 1286153
Sex: F
Age: 67
State: AZ

Vax Date: 02/17/2021
Onset Date: 02/27/2021
Rec V Date: 05/04/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: PENICILLIN propylene glycol

Symptom List:

Symptoms: Random hives appearing on most parts of my body. A few pop up each day and then resolve in a day or two and then more pop up every day since now for the past 7 weeks or so.

Other Meds: MULTI VITAMINS

Current Illness: N/A

ID: 1286154
Sex: F
Age: 54
State:

Vax Date: 04/14/2021
Onset Date: 04/20/2021
Rec V Date: 05/04/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Ibuprofen, naproxen, advil, iodine, penicillin, sulfa antibiotics

Symptom List:

Symptoms: Chronic epistaxis approximately 6 days after receiving vaccine. She is currently on Coumadin therapy and her INR is normal.

Other Meds: Coumadin, gabapentin

Current Illness:

ID: 1286155
Sex: F
Age: 57
State: CA

Vax Date: 04/23/2021
Onset Date: 05/03/2021
Rec V Date: 05/04/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: patient called in pharmacy 11:35 am on 5/4/21 and told that she had gotten seizures 2 times yesterday night on 5/3/21 at 9pm and 10:30pm. she went to ER and got injection. she will see neurologist to check overall. she states she missed seizure meds few times recently.

Other Meds: LAMICTAL 200MG, 1 BID TOPAMAX 200MG ,1 BID KEPPRA 750 MG, 1 BID VENLAFAXINE 37.5ML, 1 QD

Current Illness:

ID: 1286156
Sex: F
Age: 59
State: OR

Vax Date: 01/12/2021
Onset Date: 02/01/2021
Rec V Date: 05/04/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: SHRIMP

Symptom List:

Symptoms: Face feeling cold and nostril pain have become more sensitive to certain food consumption, such as, lime/lemon, honey and certain vegetables (Bok chow, green mustard and etc). Watchful of food type consumption and result is the same.

Other Meds: PRESCRIPTION: GABAPENTIN

Current Illness: TRIGEMINAL NEURALGIA AND HIGH BLOOD PRESSURE

ID: 1286157
Sex: M
Age: 62
State: MI

Vax Date: 04/08/2021
Onset Date: 05/03/2021
Rec V Date: 05/04/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Possible breakthrough COVID infection. The patient tested positive, asymptomatically, on 5/3/2021. He received two doses of the COVID vaccine on 3/11/21 and 4/8/21. He states that members of his household tested positive for COVID 6 weeks prior to 5/3/21 and he experienced anosmia and sore throat at that time but never got tested to confirm if he had COVID.

Other Meds:

Current Illness:

Date Died: 04/17/2021

ID: 1286158
Sex: F
Age: 75
State: NC

Vax Date: 03/06/2021
Onset Date: 04/16/2021
Rec V Date: 05/04/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: NKMA

Symptom List:

Symptoms: Pt had an appointment with her cardiologist 4/15/2021 and no changes in patient's health noted states daughter. Patient performed yard work at noon 4/16/2021 and developed chest tightness that was relieved by rest. After patient's nap at noon no more chest discomfort occurred. Patient went to bed that night and husband noted she was sleeping comfortbly with no breathing difficulties at midnight. At 3 am husband found patient cold and she had expired.

Other Meds: Losartin 50mg;Flecainide 100mg;Xarelto 20mg;Atenolol 25mg; Acetaminiophen; Multi-vitamin;Vitamin D3;Vitamin C 500mg; Magnesium Glucinate 400mg; Glucosamine 1500mg; Black Cumin seed oil 1000mg; Garlic extract 1200mg; Fish,Flax and Borage Oil

Current Illness: No acute illness

ID: 1286159
Sex: M
Age: 33
State: TX

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever, post-nasal drip, cough, burning throat, stuffy head, achiness, fatigued. From Friday morning through Monday afternoon. Starting Monday night the fatigue and fever seemed to go away and it was just the post-nasal drip, cough, and stuffy head through Tuesday.

Other Meds: None

Current Illness: Slight sore throat prior

ID: 1286160
Sex: F
Age: 35
State: TX

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reports feeling slight chest tightness, no other symptoms reported. Patient states she feels fine and will follow up with ER if need be. Cleared by EMS. BP:115/82, pulse :76, Spo2: 98%.

Other Meds:

Current Illness:

ID: 1286161
Sex: F
Age: 16
State: CA

Vax Date: 04/27/2021
Onset Date: 05/03/2021
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies: erythromycin

Symptom List:

Symptoms: 03May21-daughter C/O obstruction in throat. upon view, left tonsil is enlarged, red, 'puffy', striated with white patches. Uncomfortable to swallow. slight runny nose, congested voice, puffy eyelids (slight). Went to urgent care, was tested for Mononucleosis and results positive.

Other Meds: birth control pill

Current Illness: Covid19- diagnosed 07april, waited 2 weeks post end of symptoms to vaccinate

ID: 1286162
Sex: F
Age: 35
State: CA

Vax Date: 04/15/2021
Onset Date: 04/17/2021
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies: Mango(fruit)

Symptom List:

Symptoms: I have a lump in my left armpit. The size is about a half-inch. There was nothing before vaccination. I had a little pain for 3 days, but now there is no pain.

Other Meds: N/A

Current Illness: N/A

ID: 1286163
Sex: M
Age: 53
State: CA

Vax Date: 04/01/2021
Onset Date: 04/04/2021
Rec V Date: 05/04/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: UNKNOWN

Symptom List:

Symptoms: Was ?sick? for 9 days after receiving the Covid shot: Doesn't feel right, Covid Brain, felt like back of brain was swelling and shaking and would get a head rush when bending over. Felt like he had radiation in his blood like there was amphetamines in it, ?edgy?, fatigue, sleepy. Denies fever or muscle aches. Went to the ER on 4/4 or 4/11 not for sure on date. They didn't do a COVID test and diagnosed him with depression due to his dog dying and divorce.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1286164
Sex: F
Age: 19
State: MI

Vax Date: 05/01/2021
Onset Date: 05/02/2021
Rec V Date: 05/04/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Extreme pain in left arm : spans from elbow to armpit

Other Meds: Propranolol, Prozac, Fludrocortisone

Current Illness: None

ID: 1286165
Sex: F
Age: 66
State: OK

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

Vax Type:
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Vax Route:
Vax Site:

Lab Data:

Allergies: Lipitor, Zantac, Zocor, Titanium dioxide

Symptom List:

Symptoms: Vaccine Friday 4/30/21 at 1 pm?.By 8pm entire left side was red, itchy and turned into whelps. Used allergy medication and tylenol with relief. Is using benadryl which works well but makes her very drowsy.

Other Meds: Systane OTC Eye drops as needed ASA 81 mg daily Vitmain D-3 2000 Unit 2 Tablets daily Calcium 500mg 2 tablets daily Synthroid 75mcg Daily Lisinopril 5 mg daily amitriptyline 10 mg daily HS PRN

Current Illness: None known

ID: 1286166
Sex: F
Age: 72
State: MI

Vax Date: 03/28/2021
Onset Date: 04/29/2021
Rec V Date: 05/04/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Patient is a 73 y.o. female who presents today with multiple complaints worsening shortness of breath, cough, weakness, headache, nausea, and diarrhea. Symptoms began with a cough 3 days prior. She went to dialysis on her usual time. Sent to ER to be evaluated due to cough. Positive COVID-19 4/27. Other family members positive. Patient became progressively more weak, short of breath that she was unable to go to dialysis today. She has had poor intake with intractable nausea and diarrhea. Audible gurgling. In ER, potassium elevated and chest x-ray with congestion consistent with overload. Nephrology intending on dialysis today while inpatient. Due to poor respiratory status now requiring oxygen typically only at night. Decadron added. Not a candidate for remdesivir.

Other Meds: Pacerone Norvasc Eliquis Apresoline

Current Illness: No acute illness

ID: 1286167
Sex: M
Age: 44
State: CA

Vax Date: 04/25/2021
Onset Date: 05/03/2021
Rec V Date: 05/04/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Covid arm, large red spot at injection site.

Other Meds: Lisinopril, Rapid Keto Burn and vitamins

Current Illness: None

ID: 1286168
Sex: M
Age: 26
State: CA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Light headed, nausea, limb weakness, "Sparkly" vision to the point of loss of vision, vomiting.

Other Meds: None

Current Illness: None

ID: 1286169
Sex: F
Age: 86
State: PA

Vax Date: 03/01/2021
Onset Date: 05/02/2021
Rec V Date: 05/04/2021
Hospital: Y

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: Patient with no reported past medical history or past surgical history presented to ED and found to have massive bilateral pulmonary embolism. Upon presentation, patient was confused and lethargic. The morning of the event, niece reports that patient was in her usual state of health this am and had gone downstairs to the kitchen this afternoon, when she was downstairs she began complaining of nausea and generalized back pain. Her niece went to grab her things to take patient to the hospital but when she returned she found the patient laying on the floor due to weakness and pain, no reported fall or trauma. Chest/Abd/Pelvis CT Angio was significant for large PE in R and L main pulmonary arteries. No family history of DVT/PE.

Other Meds: None

Current Illness: None

ID: 1286171
Sex: M
Age: 34
State:

Vax Date: 04/25/2021
Onset Date: 05/01/2021
Rec V Date: 05/04/2021
Hospital: Y

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Allergies: No known allergies

Symptom List:

Symptoms: This patient was admitted on 5/1/21 with chest pain. He was found to have an inferior STEMI with a thrombotic lesion in the proximal circumflex artery that was stented. He was also found to have a chronic right gastrocnemius deep vein thrombosis on a lower extremity ultrasound on 5/3/21. He is currently undergoing a hypercoagulable workup. There is potential concern that the thromboses may have been related to his COVID vaccine, as he received the second dose on 4/25/21.

Other Meds: Multivitamin

Current Illness: None

ID: 1286172
Sex: F
Age: 38
State: PA

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 05/04/2021
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Allergies: Latex

Symptom List:

Symptoms: Congestion, stuffy nose, store throat, things taste funny, fever x1 day, diarrhea Cough - benzonatate (TESSALON) 100 mg capsule; Take 1 capsule (100 mg total) by mouth 3 (three) times a day as needed for cough for up to 7 days - guaiFENesin (MUCINEX) 600 mg 12 hr tablet; Take 2 tablets (1,200 mg total) by mouth 2 (two) times a day as needed for cough for up to 7 days

Other Meds: clobetasoL (TEMOVATE) 0.05 % cream cyclobenzaprine (FLEXERIL) 5 mg tablet diphenhydrAMINE (BENADRYL) 25 mg capsule hydrOXYzine HCL (ATARAX) 25 mg tablet(Expired) ibuprofen (MOTRIN) 800 mg tablet naproxen (NAPROSYN) 375 mg tablet rOPINIRole

Current Illness: None

ID: 1286173
Sex: F
Age: 67
State: MI

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/04/2021
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Allergies: Bees and penicillin

Symptom List:

Symptoms: Patient called stating she received her 2nd dose of Pfizer vaccine 4/29/21 and later that evening she started with hives on her shoulders which spread to her chest, severe diarrhea starting around midnight, severe joint pain, fatigue and headache which all lasted until Saturday when she began to feel much better. Patient is not concerned at this time - she called so that we could report to VAERS on her behalf.

Other Meds:

Current Illness:

ID: 1286174
Sex: M
Age: 50
State: AZ

Vax Date: 04/22/2021
Onset Date: 04/25/2021
Rec V Date: 05/04/2021
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Allergies: none

Symptom List:

Symptoms: Localized swelling at injection area a couple of days afterwards and continued pain in the entire arm up to 2 weeks after second dose. Left arm felt as if there was a torn muscle and 10 days after second dose, a large bruise appeared running lengthwise from armpit to below the interior elbow. the torn muscle feeling is subsiding though and seems to be getting better day by day.

Other Meds: none

Current Illness: none

ID: 1286175
Sex: M
Age: 24
State: PA

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/04/2021
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Allergies: NKDA

Symptom List:

Symptoms: Pt brought to med obs #1 via stretcher in trendelenburg position d/t brief LOC after receiving vaccine. Reports h/o syncope with previous injections, last episode approximately in high school, per his report. Reports tunnel vision with nausea, diaphoresis, and tingling sensation to BUE. Pt regained consciousness prior to arrival in med obs. Pt offered and accepted water, declined snack, reports he ate PTA. PA-C at bedside to assess patient. Orthostatic VS obtained. VSS. No s/s of distress noted. Pt refused wheelchair, opting to ambulate to exit with staff escort. VS are as follows: 1344: BP 93/58, HR 80, RR 18, O2 sat 98% on RA 1349: BP 105/71, HR 79, RR 20, O2 sat 96% on RA 1354: BP 95/65, HR 72, RR 18, O2 sat 98% on RA 1359 (lying): BP 126/76, HR 89, RR 18, O2 sat 100% on RA 1404 (sitting): BP 115/82, HR 66, RR 16, O2 sat 100% on RA 1405 (standing): BP 109/78, HR 86, RR 16, O2 sat 99% on RA

Other Meds: none

Current Illness: none

ID: 1286176
Sex: F
Age: 27
State: PA

Vax Date: 12/24/2020
Onset Date: 01/01/2021
Rec V Date: 05/04/2021
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Allergies: NKA

Symptom List:

Symptoms: Cough started this am- took the first dose of the Covid vaccine on 12/24, Sore Throat, Headache, Generalized Body Aches.

Other Meds: Amphetamine-dextroamphetamine XR (ADDERALL XR) 25 mg 24 hr capsule; Levothyroxine (SYNTHROID) 50 mcg tablet; Norgestimate-Ethinyl Estradiol (ORTHO TRI-CYCLEN) 0.18/0.215/0.25 mg-35 mcg (28) per tablet; PARoxetine (PAXIL) 20 mg tablet

Current Illness:

ID: 1286177
Sex: M
Age: 32
State: CA

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

Symptom List:

Symptoms: patient received Pfizer vaccine and within 5 minutes of administration had a syncopal episode while seated. Patient was diaphoretic and clammy during monitoring period. Vitals 147/87, HR 50, Spo2 100%. Patient reports prior syncopal episodes during blood draws and acupuncture as stated by girlfriend. Was sent to to Urgent care onsite for further monitoring.

Other Meds: None

Current Illness: n/a

ID: 1286178
Sex: F
Age: 69
State:

Vax Date: 02/27/2021
Onset Date: 03/11/2021
Rec V Date: 05/04/2021
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Allergies: Lisinopril

Symptom List:

Symptoms: Chronic arthritis in shoulders, knees, wrists, and ankles (not present before vaccine)

Other Meds: Losartan, rosuvastatin, diltiazem, eliquis, metformin, HCTZ, metoprolol, omeprazole

Current Illness: None

ID: 1286179
Sex: F
Age: 45
State: MA

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/04/2021
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Allergies: Possible allergy to keratin

Symptom List:

Symptoms: Patient reports having first dose Moderna vaccine 4/29/21. She started to have left eyelid swelling 4/30/21 which has progressed to mild facial swelling, 2 small hives on forehead and generalized pruritus. Advised to continue taking Claritin. She cannot tolerate Benadryl due to side effects. Started on prednisone taper and advised to go to ED if sx worsen

Other Meds: Xanax 0.25mg, dextroamphetamine 10mg, doxycycline 100mg, hydroxyzine 10mg PRN, loratadine 10mg

Current Illness: None

ID: 1286180
Sex: F
Age: 66
State: CA

Vax Date: 04/28/2021
Onset Date: 05/02/2021
Rec V Date: 05/04/2021
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Lab Data:

Allergies: vancomycin

Symptom List:

Symptoms: Full body rash developed 4 days following injection. Red and itchy. Located on back, arms, buttocks, legs. Pt came to clinic for treatment of rash. No breathing difficulties.

Other Meds: Nifedepine, Losartan, gabapentin, trazadone, estradiol

Current Illness: none

ID: 1286181
Sex: F
Age: 28
State: MI

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 05/04/2021
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Allergies: N/A

Symptom List:

Symptoms: After leaving vaccine site, patient felt throat swelling. She took Benadryl herself and felt relief.

Other Meds: N/A

Current Illness: N/A

ID: 1286182
Sex: M
Age: 48
State: HI

Vax Date: 04/02/2021
Onset Date: 05/01/2021
Rec V Date: 05/04/2021
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Symptoms: Pt tested positive for covid infection on 5/3

Other Meds:

Current Illness:

ID: 1286183
Sex: M
Age: 64
State: NJ

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/04/2021
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Allergies: NONE

Symptom List:

Symptoms: PATIENT BECAME FAINT ANDTHEN ADMIN UNRESPONSIVE AFTER RECEIVING VACCINE . STARTED TO SWEAT . EPIPEN WAS ADMINISTERED AND PARIENT SLOWLY RETURNED TO NORMAL. PATIENT STATED THAT THEY HAVE REACTION TO INJECTIONS OR NEEDLES AND IT HAS HAPPENED BEFORE AND CONSIDERS IT PSYCOLOGICAL.

Other Meds:

Current Illness:

ID: 1286184
Sex: F
Age: 51
State: MO

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 05/04/2021
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Allergies: No

Symptom List:

Symptoms: Pain, redness, swelling, rash and knot at injection site, 102.6 fever, tiredness, muscle pain, chills, nausea and headache. The arm pain, swelling and rash took 7 days to resolve. All other symptoms resolved 24-48 hours later with NSAID pain reliever.

Other Meds: No

Current Illness: No

ID: 1286185
Sex: M
Age: 16
State: KS

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 05/04/2021
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Allergies: Denies any.

Symptom List:

Symptoms: Too young. Mom reports child experienced body aches and tiredness starting the evening after getting vaccinated and ending the afternoon the day after vaccination.

Other Meds: None

Current Illness: Denies any.

ID: 1286186
Sex: F
Age: 40
State: NJ

Vax Date: 04/27/2021
Onset Date: 05/04/2021
Rec V Date: 05/04/2021
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Allergies: None

Symptom List:

Symptoms: Severe pain in the left arm where vaccine was taken Swelling at the vaccine site Redness at the vaccine site

Other Meds: Tylenol

Current Illness: None

ID: 1286187
Sex: F
Age: 59
State: WA

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 05/04/2021
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Lab Data:

Allergies: Numerous antibiotics, Vitamin B complex

Symptom List:

Symptoms: Hypertension, Tachycardia, Febrile (over 100.4) for 18 days, chills, severe systemic muscle & joint pain, burning pain, golf ball size lymph nodes, difficulty breathing, cough, asthma exacerbation, lungs sounds - wheezing, productive cough, fatigue, flushing face (magenta colored), severe weakness, lethargy, mild peripheral edema, dizziness, decreased urine output, diarrhea, painful injection site, nausea, change in dreams.

Other Meds: None

Current Illness: None - although patient relates having high fever, cough, HA, joint pain after first injection for 5 days. First injection was on 3/10/2021

Total 2021 VAERS Injuries: 559,999

Page last modified: 03 October 2021 5:28pm