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
77,029
AK1,667
AL5,547
AR3,564
AS44
AZ13,598
CA59,664
CO11,241
CT8,019
DC1,662
DE1,720
FL37,586
FM3
GA13,852
GU86
HI2,244
IA4,411
ID2,518
IL19,918
IN22,825
KS4,386
KY7,278
LA4,883
MA14,246
MD12,207
ME3,058
MH8
MI18,408
MN11,625
MO9,141
MP30
MS2,768
MT2,193
NC15,812
ND1,295
NE2,795
NH2,928
NJ17,828
NM3,788
NV4,221
NY33,616
OH18,561
OK6,063
OR8,189
PA23,156
PR2,177
QM2
RI1,933
SC6,264
SD1,154
TN8,961
TX35,216
UT4,139
VA14,280
VI50
VT1,704
WA14,208
WI10,642
WV2,265
WY842
XB5
XL1
XV2

ID: 1289330
Sex: M
Age: 64
State: MD

Vax Date: 04/22/2021
Onset Date: 04/26/2021
Rec V Date: 05/05/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness, palpitations and not feeling well followed by confusion/altered mental status, chills and weakness 4 days later. Presented to medical center with bacteremia & hypotension on 4/26 PM. Transferred to same medical center on 4/29 with concerns for myasthenia crisis.

Other Meds:

Current Illness:

ID: 1289331
Sex: M
Age: 72
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The patient received a 2nd dose of Moderna only 22 days after the 1st dose with the Pfizer vaccine instead of the recommended 28 days.

Other Meds:

Current Illness:

ID: 1289332
Sex: F
Age: 56
State: NJ

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

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: as soon as the injection was administered she got a very strong metallic taste in her mouth that she still has 2 weeks later. Pt has contacted her PCP that told her to reach out to her pharmacist where she got the vax. She was to hold off on the 2nd dose to see if the symptom subsides.

Other Meds: metoprolol 25mg, rosuvastatin 20mg,

Current Illness:

Date Died: 04/28/2021

ID: 1289333
Sex: F
Age: 80
State: KY

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: March 2 - second Moderna March 3 - spontaneous bruising appears March 4 - visit with primary care doctor, blood work shows significant drop in platelets March 9 - first visit with oncologist/haematologist & hospitalized March 9-19 - hospitalized for tests, treatment to increase platelets, & many blood panels. No official diagnosis, treat as ITP. Follow up visits with oncologist/haematologist to keep an eye on platelets as they increase. March 30-Apr 4 - ER visit due to swelling of ankles, feet, and left arm. Tests show superficial blood clot, fluid on lungs, and pneumonia. Oncologist said that "we have no official diagnosis", that she's being treated for ITP. April 6-14 - follow up visit to oncologist/haematologist show elevated kidney enzymes, then later liver enzymes, low sodium. April 14 - decision to move to short term rehab for regular PT and OT. Continued swelling (fluid in third spaces.) April 21 - visit to cardiologist to perform cardioversion, successful (during first week of hospital stay, heart rhythm med had to stop). April 23 - facility nurse discovered significantly low Hemoglobin and a blood transfusion was ordered. April 24 - returned to short term rehab facility. April 25 - discovered my mother on O2 and state of health was different, extremely weak and not moving, arm hurting badly. I insisted that her oncologist is contacted. Transported to ER. Discovered her blood work abnormal. After stabilizing her, rushed to the hospital ICU. April 26 - Discussed with her ICU doctor the history of what you have read above. He explained that the covid-19 vaccination has a tendency to affect three proteins specifically that clot and thin blood. I begged him to "get it out of her system." Her bleeding was significant and platelets dropped, again. Still has her mental facilities. Responding well to aggressive treatment: albumin transfusion, plateletpheresis, and CRRT. Pleural catheter to remove fluid from the lungs. Mention of Sepsis. April 27 - Lifted her head up today, opened her eyes, making doctors very happy. Her cardiologist and the ICU doctor both said they were "confused" and everything happening to my mom was "a mystery." Though going in to the evening, her nurse expressed to me that she's worried. The ICU oncologist called me at home in the evening. He asked me if she had been having a fever on a regular basis. He said he thought it could be TTP or a rare disease called HTH, but both results wouldn't be back for one week. He planned to consult with a doctor. He explained to me that the blood was attacking itself and "confused," and that her organs were shutting down. He indicated that the blood work wasn't indicating significant infection. He referenced how the vaccination has made her auto immune system "go crazy." April 28 - I get a call very early from the nurse that she has been fighting with my mother's blood pressure all night, trying to keep it elevated. She told me to come to the hospital, because she had taken a turn for the worse. I arrive to find my mother's eyes wide open, breathing shallow, and blood pressure steady, but drops without assistance from medication. She continues to have her mental facilities. She passed away, organs shutting down, and blood pressure dropped.

Other Meds: Rx: blood pressure, blood thinner, heart rhythm, cholesterol

Current Illness: None

ID: 1289334
Sex: F
Age: 52
State: NY

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: Eggs Tree nuts

Symptom List:

Symptoms: First a sore arm. Then chills. Then soreness down my entire body except feet. Then fever. Lasted for 3 days. Arm was swollen and sore for about a week.

Other Meds: Advair Prozac

Current Illness: No

ID: 1289335
Sex: F
Age: 69
State: TX

Vax Date: 02/01/2021
Onset Date: 03/07/2021
Rec V Date: 05/05/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Blood clot(s) thrown by heart, admitted to hospital 3/8/21. I was in atrial flutter at the time. Resulted in kidney infarction. Eventually heart reset itself, however with a five second pause, resulting in the need for a pacemaker. Also, now on Eliquis for life.

Other Meds: Levrothyroxine, Preservision, Vitamin D3

Current Illness:

ID: 1289336
Sex: F
Age: 38
State: WA

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

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Thunderclap Migraine, Blurred vision in right eye, right eye lid would not remain open. Sensitivity to light and sound. Dizziness. Nauseous. Started at 1:00 am, called Primary. Advised since I do not suffer from migraines to go to the ER. I was given a Migraine Cocktail. An MRI of my brain, and CT scan. They attempted the lumbar puncture and were unsuccessful in retrieving.

Other Meds: Sertraline, Bupropion

Current Illness: None

ID: 1289337
Sex: F
Age: 73
State: CA

Vax Date: 02/27/2021
Onset Date: 03/22/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: Latex, synthetic and non-synthetic opiods. Lots of chemcial sensitivities.

Symptom List:

Symptoms: Had Moderna #1 on 2/27/21, Developed Shingles 3/22/21

Other Meds: Vitamins only

Current Illness: None

ID: 1289338
Sex: M
Age: 38
State: FL

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

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

Lab Data:

Allergies: Zithromax

Symptom List:

Symptoms: Itchy hives covering the entirety of my body. Currently on day 4 of the symptom

Other Meds: Pantoprazole 40mg 1x per day Sucralfate 1 gm 3x per day

Current Illness:

ID: 1289339
Sex: M
Age: 15
State: OR

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
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Lab Data:

Allergies:

Symptom List:

Symptoms: vaccine given to a 15 yo by nurse

Other Meds:

Current Illness:

ID: 1289340
Sex: M
Age: 54
State: CA

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

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: pt. c/o tingling sensation on left hand. Pt. advised to move left arm to help relieve symptoms. V/S: 137/83, 87,18,97% RA, PS 0/10 #21 pt stable and went home

Other Meds:

Current Illness:

ID: 1289341
Sex: F
Age: 66
State: WI

Vax Date: 02/25/2021
Onset Date: 05/04/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Patient tested PCR positive for COVID-19 on 5/4/2021 after being fully vaccinated with Pfizer COVID vaccine. She was tested pre-procedure, is asymptomatic and had no known exposure.

Other Meds: Unknown

Current Illness: None

ID: 1289342
Sex: F
Age: 66
State: PA

Vax Date: 04/14/2021
Onset Date: 04/16/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tinnitus

Other Meds: None

Current Illness: None

ID: 1289343
Sex: M
Age: 70
State: UT

Vax Date: 04/22/2021
Onset Date: 04/24/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Extreme pain in arm. Could not raise above my head. On the 29th suffered widow maker heart attack. After that, arm felt normal.

Other Meds: None

Current Illness: None

ID: 1289344
Sex: F
Age: 37
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 1635-Itching of back of throat 25mg Benadryl given. 1640- Clearing throat ,itching "slowing down" Pepcid 20mg po Given. Vitals 97% HR 75 1645 Throat clearing ceased. Feels symptoms are improving. 1653 Throat soar not tight feels normal.NO SOB mild itching L wrist 1700 Discharge home. Feeling well. Symptoms resolved ER precaution discussed.

Other Meds:

Current Illness:

ID: 1289345
Sex: F
Age: 32
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 2 locations of skin rash approximately the size of a female palm (excluding fingers) Itchy.

Other Meds:

Current Illness:

ID: 1289346
Sex: F
Age: 51
State: PA

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: Pseudoephedrine HclPalpitations Wellbutrin [Bupropion Hcl]Headaches

Symptom List:

Symptoms: SOB, CHEST TIGHTNESS, TACHYCARDIA, RTI

Other Meds: albuterol HFA (VENTOLIN HFA) 90 mcg/actuation inhaler cholecalciferol, vitamin D3, (VITAMIN D3) 400 unit capsule copper (PARAGARD T 380A) 380 square mm intrauterine device escitalopram (LEXAPRO) 20 mg tablet lisinopriL (PriniviL) 10 mg tabl

Current Illness:

ID: 1289347
Sex: M
Age: 45
State: OR

Vax Date: 03/19/2021
Onset Date: 04/06/2021
Rec V Date: 05/05/2021
Hospital: Y

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Acute saddle pulmonary embolus with acute cor pulmonale diagnosed 4/14/2021. Treated with anticoagulation, now on Eliquis for 6 months.

Other Meds: Abilify, atorvastatin, melatonin, metformin, Naprosyn, famotidine, quetiapine, Remeron, lisinopril, Zoloft, Zyrtec

Current Illness: No illness

ID: 1289348
Sex: F
Age: 37
State: NY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Several hours after the vaccine skin felt hot like sunburn; no itching or rash. Also legs felt restless. Symptoms disappeared by next morning. No medications taken.

Other Meds:

Current Illness:

ID: 1289349
Sex: F
Age: 57
State: CA

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The evening after the vaccine I noticed I had big black dots floating in my vision in my right eye. The following day there were more floaters in my vision. The outside of my vision had a dark spot. I managed to drive to work but it was scary. Every day the vision in my right eye was getting darker. At Eye Center I saw an eye specialist and I was told that my retina was detached. I had surgery to reattach my retina 04/09/2021. I am still having trouble seeing and my vision is still blurry after four weeks after surgery for Retinal Detachment.

Other Meds: Lotrel-Hypertension Vitamins

Current Illness:

ID: 1289350
Sex: M
Age: 17
State: AK

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

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

Lab Data:

Allergies: Non

Symptom List:

Symptoms: 1st dose of Pfizer administered. A little over 1 hour elapsed before patient developed hives and itching beginning at injection site (deltoid), spreading first to elbow of the same arm, then to knuckles, chest, neck, torso, and face. Some wheezing was heard by family members, but the patient displayed no other significant signs of respiratory distress. The patient lives where only accessible via boat or plane. Family called a triage line and spoke with a nurse who encouraged immediate Medivac due to location time and extensive transit times to the nearest medical facility; however, family opted to keep child at home. A physician instructed the parents to administer 50 mg of Benadryl every 6 hours, which the family did. Rash and discomfort lasted approximately 4-7 days before total resolution.

Other Meds: None

Current Illness: None

ID: 1289351
Sex: M
Age: 49
State: NY

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient presented 5/5/21 with pain in Right deltoid area. Area slightly swollen. Suggested he ice area and take anti-inflammatory medication

Other Meds: N/A

Current Illness: None

ID: 1289352
Sex: F
Age: 24
State: WY

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: Arm started swelling at injection site and got red around 01:00 am. Couldn't sleep because of the pain. I woke up with a headache and some mild nausea - body aches, as well. I had these symptoms max of two days, I think. I took Tylenol. Pregnancy - 2nd pregnancy; 1st one was full term. Date of delivery expected - September 9, 2021.

Other Meds: Zoloft; prenatal vitamin

Current Illness: no

ID: 1289353
Sex: M
Age: 53
State: WA

Vax Date: 04/23/2021
Onset Date: 04/30/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: penicillin bee venom pollen

Symptom List:

Symptoms: tinnitus, vertigo, nausea, ear pain

Other Meds: ppi

Current Illness:

ID: 1289354
Sex: F
Age: 32
State: CA

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

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Client complained of aura and had seizures. While on site client had 3 seizures lasting up to 3 minutes. EMT and MD on site. Given Versed x1 IM. EMS called. Client was taken via ambulance to emergency room.

Other Meds: Unknown

Current Illness: History of tonic clonic seizures (off of seizure medication for about a year) and asthma.

ID: 1289355
Sex: F
Age: 21
State: NM

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

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

Lab Data:

Allergies: Amoxicillin, Hydrocodone

Symptom List:

Symptoms: Dizzy, Sweaty, Lost Vision Temporarily, Hearing muffled, Sensation of needing to urinate, Chills, overwhelmed, numbness in hands

Other Meds: Vitamin Supplement, Mushroom Superfood, L-Tyrosine, Omeprazole

Current Illness: No Illnesses in last month

ID: 1289356
Sex: F
Age: 20
State: PA

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

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

Lab Data:

Allergies: augmentin

Symptom List:

Symptoms: Pt received 2nd dose of pfizer vaccine. Pt stated feeling lightheaded and anxious. Pt stated he was feeling nervous and anxious before getting the shot and has a history of panic attacks in the past that last a few minutes than he's back feeling normal. Pt was then laid on the floor with legs elevated by the reaction nurse. He then was sent to Med Ops 2 where we assessed him. Vital signs were done all WNL. Pt also given water and crackers. Pt stated was feeling better. He soon after left with mother waiting outside in the car.

Other Meds: stratera, inhaler

Current Illness: n/a

ID: 1289358
Sex: M
Age: 36
State: NJ

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

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: pain on the shoulder, weak arm, possible wrong area injection first day

Other Meds: No

Current Illness: No

ID: 1289359
Sex: F
Age: 33
State: FL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Not shared in report. Patient age and gender: 33 YOM Date and time adverse event started: 04/30/2021 at 1020pm Did the adverse event start after the first or second vaccination? First dose of vaccine Date and time of vaccination: (list both if they received both shots): 04/30/2021 at 1100. Facility name where the vaccine was given: Facility Brand and lot of vaccine: PFIZER/Lot # ER8731 Route and body location of the vaccination(s): IM Left DELTOID Adverse events experienced and are they still occurring now: Occuring now What happened as a result of the adverse event? (doctor visit, ED or urgent care visit, hospitalization, life threatening illness, disability/permanent damage, death, none of these): Has not taken anything. Ever have a reaction to a previous vaccine? If yes, what? NO PCC: These are common side effects and should self resolve within 24 hrs. Advised to take Tylenol 500mg (2 tabs every 4-6 hrs until tomorrow. Call back if any questions.

Other Meds:

Current Illness:

ID: 1289360
Sex: M
Age: 76
State: IN

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 1st dose rec'd approximately 1500 today of Pfizer Lot ER 8732 Exp 7/21 1600 Patient drove back to waiting area after leaving with c/o vision changes BP 150/98 P 64 no other sx Pupils ERRL

Other Meds:

Current Illness:

ID: 1289361
Sex: M
Age: 54
State: TX

Vax Date: 03/23/2021
Onset Date: 04/06/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Ringing in ears Dhahiri

Other Meds: N/A

Current Illness: N/A

ID: 1289362
Sex: M
Age: 17
State: PR

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: High Fever and possible muscle aches

Other Meds: no

Current Illness: none

ID: 1289363
Sex: F
Age: 26
State: PA

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

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

Lab Data:

Allergies: latex, outdoor seasonal, asthma

Symptom List:

Symptoms: Pt received second dose of pfizer vaccine. 15 min later Pt states she began feeling itchiness on her bilat hands and arms, with redness and minor swelling. She also become to get shaky. She stated she didn't eat yet today. Pt received water and graham crackers and vital signs taken. Rash and itchiness began to worsen on arms and now neck rash and redness on bilat eyelids. Pt received PO benadryl 25mg. Pt called friend to pick her up prior to receiving the medication. Pt friend states she 50 min away. Pt states feeling better after taking benadryl. Rash and redness started to subside. Pt states feeling better and is able to walk to friends car . Pts vital wnl, itchiness and rash subsided. Stated to Pt if feeling gets worse or any signs of anaphylaxis to go to local ER and follow up with PCP. Pt verbalized understanding. Pt sent home with friend. VS: 8:30 HR 93, Resp 20, BP 120/70 O2 95% 8:40 HR 113, Resp 20, BP 137/84, O2 95% 9:15 HR 96, Resp 20 BP 122/76, O2 96%

Other Meds: n/a

Current Illness: n/a

ID: 1289364
Sex: F
Age: 35
State: TX

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

Vax Type:
Manufacturer:
Vax Name:
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Symptoms: Fever at 101F, chills, full-body ache, fingertip ache, joints ache for 36 hours. Took Advil and Tylenol to reduce the pain and fever.

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Current Illness:

ID: 1289365
Sex: F
Age: 44
State: MN

Vax Date: 04/08/2021
Onset Date: 04/28/2021
Rec V Date: 05/05/2021
Hospital: Y

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Symptoms: Positive COVID-19 test >14 days post vaccination series. Presents to ED with SOB, fever, fatigue, diarrhea, malaise, dizziness.

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Current Illness:

ID: 1289366
Sex: M
Age: 34
State: CO

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 05/05/2021
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Allergies: None

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Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA I experienced soreness in the left side of my neck within a few minutes of getting the vaccine shot in my left arm. Approximately 5 minutes after the shot I experienced swelling in my throat. The swelling did not restrict my breathing but it was uncomfortable and unlike anything I have experience before. I have never had a previous allergic reaction to any shot, medication, or food in my medical history. Approximately 10 minutes after the symptoms began, the swelling of my throat went away.

Other Meds: None

Current Illness: None

ID: 1289367
Sex: M
Age: 56
State: NJ

Vax Date: 04/20/2021
Onset Date: 05/02/2021
Rec V Date: 05/05/2021
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Allergies: None

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Symptoms: Developed Shingles.

Other Meds: Simvastatin Nortriptyline

Current Illness: None

ID: 1289368
Sex: F
Age: 44
State: IL

Vax Date: 04/05/2021
Onset Date: 04/12/2021
Rec V Date: 05/05/2021
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Allergies: penicillin CT IV contrast

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Symptoms: Thrombocytopenia detected through monitoring CBC. Normal platelet counts for 5+ years Normal platelet count 2.5 weeks prior to vaccination. Low counts (69k) detected 1 week post vaccination Count of 42k detected 1.5 weeks post vaccination. Prednisone treatment started. Counts have partially responded to prednisone treatment. Patient is still receiving treatment 4 weeks post vaccination

Other Meds: none

Current Illness: One month prior: Abdominal discomfort - suspected colon spasm or IBS

ID: 1289369
Sex: M
Age: 19
State: NJ

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/05/2021
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Symptoms: panic attack after receiving vaccine - diaphoresis, anxiety. He lied down, drank water and recovered in 30 minutes. He declined referral for medical/counseling services. Was given resources for counseling and will self-refer.

Other Meds: None (marijuana)

Current Illness: none

ID: 1289370
Sex: F
Age: 53
State: IN

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

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Symptoms: My right arm pit and breast feel extremely warm to the touch. Both arm pit and breast feel like they are stuck in a cramp/charlie horse.

Other Meds: None

Current Illness: None

ID: 1289371
Sex: F
Age: 61
State: MI

Vax Date: 04/23/2021
Onset Date: 04/25/2021
Rec V Date: 05/05/2021
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Symptoms: Redness, hot to touch, itching that traveled down the arm after 1 week of the injection. First red spot occurred at the injection site the day after the injection; spot was hot to touch, had a lump, and itching and lasted over a week. 2nd splotch showed up after a week and is hot to the touch, tender and itches. Have not sought additional medical care as of this report 5/5/2021.

Other Meds:

Current Illness:

ID: 1289372
Sex: F
Age: 57
State: NJ

Vax Date: 02/15/2021
Onset Date: 04/22/2021
Rec V Date: 05/05/2021
Hospital: Y

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Allergies: penicillin, asprin, erythomycin, clindamycin, sulfa shellfish, mango

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Symptoms: stroke

Other Meds: multi-vitamin

Current Illness: ocular migraine

ID: 1289373
Sex: M
Age: 36
State: MI

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/05/2021
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Allergies: sulfonamide, tetracycline

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Symptoms: INITIALLY presented to ER 5/2 with generalized fatigues,body aches,and subjective fevers after receiving his 2nd dose of Pfizer Vaccine against CoVID-19 on 4/28/21. Patient reports dizzy spells over the past few days with shortness of breath and then last evening developed a diffuse rash over his chest and extremities associated with itching and burning sensation on 5/1 evening. He denies any nausea,vomiting,abdominal pain,diarrhea.No chest pain or cough.Denies headaches.Denies h/o of prior allergic reaction/concerns to the first dose of the vaccine or any other vaccine.Denies any new exposure other than as stated the 2nd dose of the covid vaccine. Treated with IV steroids, IV Pepcid, and IV Benadryl with improvement. Upon discharge, directed to continue Prednsione 40mg daily for three more days for a total of five days of steroids, and follow-up with PCP. SUBSEQUENTLY, returned to ER acute onset of decreased visual acuity, diffuse arthralgias, joint pain, myalgias, lightheadedness, palpitations, vertigo, muscle spasms, and difficulty moving both upper extremities. This was accompanied by sharp, 10 out of 10, nonradiating, diffuse anterior chest pressure. Nothing made this better or worse. The patient was driving at that time, and was unable to control his arms, which resulted in his vehicle leaving the roadway. He was able to bring the vehicle to a stop before crashing. Since then, his symptoms have gradually improved, although they have not completely resolved. The characteristics are identical to the events that led to his previous admission.

Other Meds: tadalafil, norco, flonase,

Current Illness: pulmonary sarcoidosis

ID: 1289374
Sex: F
Age: 27
State: OH

Vax Date: 02/26/2021
Onset Date: 03/02/2021
Rec V Date: 05/05/2021
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Allergies: none

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Symptoms: On the morning of 3/2/2021 I was 27 weeks pregnant and had to complete my glucose screening exam. I drank the entire bottle of glucose and had my blood drawn at 9AM. Around 2pm that same day I had intense pain in my upper right stomach. It lasted for about 2 hours, subsided, and then happened again around 8pm. Once the 2nd round of pain came on, I checked myself into Labor and Delivery to make sure everything was okay with the baby. They ran many tests and could not find an issue. They made me leave without resolving anything. The following day I called my doctor about what happened and she scheduled me to have an ultrasound looking at my gallbladder. The following week we found that I had gallstones so I met with a surgeon and he suggested I have surgery to get my gallbladder removed. I cannot do this until after I give birth. I was out of work for 5 days because of the pain. When talking to my doctor, she thinks the trigger of the gallbladder attack was the glucose drink and not the vaccine.

Other Meds: Prenatal and 2 baby aspirins everyday

Current Illness: none

Date Died: 05/01/2021

ID: 1289375
Sex: M
Age: 80
State:

Vax Date: 02/17/2021
Onset Date: 05/01/2021
Rec V Date: 05/05/2021
Hospital: Y

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Symptoms: Hospital Course: Patient admitted to the ICU in cardiogenic shock. Intra-aortic balloon pump. Multiple vasopressors. Intubated-mechanical ventilation. Appropriate sedation. EMD arrest 5/2 spontaneous recovery. Family meeting wife and daughter agreed to A1 designation. 0725 recurrent hypotension nonresponsive to vasopressors, calcium, serum bicarbonate. Pronounced dead at 0754. _________________

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Current Illness:

ID: 1289376
Sex: F
Age: 41
State: PA

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 05/05/2021
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Allergies: None

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Symptoms: Achiness, Sore joints/muscles, headache, chills, nausea, fatigue

Other Meds: Fluoxetine; One-a-day multi-vitamin; Magnesium w/ electrolytes

Current Illness: None

ID: 1289377
Sex: F
Age: 43
State: TX

Vax Date: 04/06/2021
Onset Date: 04/15/2021
Rec V Date: 05/05/2021
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Symptoms: Heavy irregular menstrual bleeding with cramping. Currently on day 16 of heavy bleeding. Never in my life have been irregular. I?ve been to gyno and gp for exam and bloodwork. I had two periods in a row after receiving second dose on 4/6/21. I?m still bleeding and have read other accounts of women experiencing the same.

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Current Illness:

Date Died: 04/01/2021

ID: 1289378
Sex: M
Age: 78
State: NY

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 05/05/2021
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Allergies: None known

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Symptoms: Patient had second dose of Pfizer vaccine in morning. That afternoon began complaining of abdominal pain with subsequent vomiting (x2) and possible diarrhea. Patient could not sleep that evening . Awoke next morning with continued abdominal pain throughout the day and ultimately was found unresponsive in bed. Transported to hospital where he was pronounced dead. Subsequently autopsy was performed which revealed significant pre-existing hypertensive and atherosclerotic cardiovascular disease with evidence of acute myocardial infarction. There is no clear evidence that this is related to the vaccination, however it is being reported due to potential public health interest and temporal proximity to vaccination.

Other Meds: Aspirin, lisinopril, crestor, androgel, ibuprofen prn

Current Illness:

ID: 1289379
Sex: F
Age: 40
State: GA

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 05/05/2021
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Allergies: Sulfa Allergy; Extreme Sensitivity to Fish and Shellfish; and Sensitivity to Medical Adhesives and Certain Beauty Products

Symptom List:

Symptoms: Initial Response - Redness, Tenderness, and Swelling at Injection Site that Continued Growing in Size Over the Next Weeks; Secondary Response - Rash that Presented First as One Raised Itchy Spot on Day 2 Following Injection; the Rash Progressed to Resemble Poisoin Ivy Over the Next 2 Weeks Before New Areas Near the Original Outbreaks Appeared that Resemble Classic Drug Reaction Appearance (Similar to Ringworm)

Other Meds: Levothyroxine, Oracea, Brupropion, Spironolactone, and Duloxotine (None were new at the time of Vaccination, and all had been being taken for a minimum of 6 months to numerous years beforehand.)

Current Illness: None

ID: 1289380
Sex: M
Age: 36
State: IN

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/05/2021
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Symptoms: First few hours felt warm... started to feel dizzy and sore... by evening had a fever and aching... the next day could barely move... high temperature... very sore all over body. Symptoms had subsided by the third day.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 619,600

Page last modified: 03 October 2021 5:28pm