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
81,570
AK1,717
AL5,780
AR3,728
AS44
AZ13,932
CA61,592
CO11,564
CT8,326
DC1,688
DE1,783
FL39,078
FM3
GA14,393
GU90
HI2,322
IA4,545
ID2,592
IL20,467
IN23,128
KS4,519
KY7,622
LA5,050
MA14,669
MD12,550
ME3,144
MH8
MI19,068
MN12,020
MO9,500
MP30
MS2,884
MT2,261
NC16,406
ND1,364
NE2,910
NH3,008
NJ18,478
NM3,879
NV4,373
NY34,675
OH19,155
OK6,223
OR8,445
PA23,853
PR2,252
QM2
RI1,991
SC6,530
SD1,180
TN9,355
TX36,459
UT4,261
VA14,732
VI50
VT1,732
WA14,640
WI10,957
WV2,327
WY859
XB5
XL1
XV2

ID: 1300331
Sex: F
Age: 29
State: FL

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

Vax Type:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: After about 10 mins patient was limp sweaty and eyes rolled back, after few minutes she fully came back stated she was fine

Other Meds:

Current Illness:

ID: 1300332
Sex: F
Age: 32
State: OH

Vax Date: 04/25/2021
Onset Date: 05/02/2021
Rec V Date: 05/08/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: PCN Bees Possibly walnuts

Symptom List:

Symptoms: Itchy red rash and swelling appeared 8 days after administration ( sunburn occured day before on lower arms and chest but not at injection site) Rash is still appearing almost two weeks later any time my body temperature rises such as after a hot bath. Also seems to be sensitive to scratchy fabrics rubbing against it.

Other Meds: Escitalopram, Tums

Current Illness:

ID: 1300333
Sex: F
Age: 32
State: TN

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 05/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Extreme nerve sensitivity approximately 10 hours after the shot and for about 48 hours after the peak of symptoms. I could feel every hair on my body, it was like all my nerves were firing all the time and all in concert. Stronger pain/nerve sensation on my back neck head and nipples. It was awful until I could handle moving to get an NSAID, then was tolerable but painful for the next couple of days.

Other Meds: Turbanifine

Current Illness:

ID: 1300334
Sex: M
Age: 42
State: GA

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

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: none known

Symptom List:

Symptoms: The patient began experiencing blood his urine 4 days post-vaccination. It happened twice on 5/8/2021, which is the day he reported it to the pharmacy. The patient advise to immediately contact his PCP for further follow up. No other symptoms or signs reported.

Other Meds: None reported

Current Illness: none

ID: 1300335
Sex: F
Age: 79
State:

Vax Date: 01/30/2021
Onset Date: 02/08/2021
Rec V Date: 05/08/2021
Hospital: Y

Vax Type:
Manufacturer:
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Lab Data:

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Symptom List:

Symptoms: This 79 year old black female received the Moderna Covid shot on 1/30 /21 and went to the ED on 2/8/21 and was admitted on 2/9 /21 with the following diagnoses listed below. I63.9 - Acute CVA (cerebrovascular accident) (HCC) N17.9 - Acute kidney failure, unspecified

Other Meds:

Current Illness:

ID: 1300336
Sex: F
Age: 19
State: NC

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: A large raised, red welt at the injection site around 6 hours after the shot. Lasted around 4-5 days. Very hot and itchy. No treatment. Left a slightly discolored patch on my arm

Other Meds: Adderall XR Citalopram Junel FE

Current Illness: N/A

ID: 1300337
Sex: M
Age: 66
State: MI

Vax Date: 03/26/2021
Onset Date: 04/25/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Non-Arteritic Anterior Ischemic Optic Neuropathy event, unspecified laterality, no treatment available, partial loss of sight in left eye.

Other Meds: atorvastatin 5MG, losartan-hydroCHLOROthiazide 50-6.25 MG, omeprazole 20MG, vitamin D 1.25MG

Current Illness: controlled hypertension

ID: 1300338
Sex: F
Age: 30
State: CA

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

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Pt. Had a Vesovegal episode at 14:55 and lasted until14:06 , pt felt dizziness and diaphoresis , vital sign was 122/81 76 20 97% on room air. Pt was laid down by this nurse and elevated legs sip of water given. Pt recovered without difficulties, verbalized she is not feeling dizzy and no sweating, ER precaution was given, pt acknowledged understanding. Observed pt for another 15 minutes and was let go.

Other Meds: vitamin D

Current Illness: N/A

ID: 1300339
Sex: F
Age: 76
State:

Vax Date: 01/30/2021
Onset Date: 02/26/2021
Rec V Date: 05/08/2021
Hospital: Y

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: This 76 year old female received the Moderna Covid shot on 1/30/21 and went to the ED on 2/26 /21 and was admitted on2/26 /21 with the following diagnoses listed below. I63.9 - Acute CVA (cerebrovascular accident)

Other Meds:

Current Illness:

ID: 1300340
Sex: F
Age: 16
State: CA

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

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

Lab Data:

Allergies: Yes

Symptom List:

Symptoms: No adverse event, this was a vaccine administration error as this person was 16 years old and vaccinated with Moderna.

Other Meds: No

Current Illness: No

ID: 1300341
Sex: F
Age: 23
State: TX

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

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: SHE GOT DIZZY AND SPACED OUT FOR 5-10 MINTUTES. SHE HAD HER EYES OPEN.

Other Meds: ADDERALL

Current Illness: NONE

ID: 1300342
Sex: F
Age: 45
State: CA

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

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

Lab Data:

Allergies: Shrimps

Symptom List:

Symptoms: Patient had itching on her right palm (hand) 2-3 after vaccination was given, no chest tightness, no dizziness, no altered breathing, no abdominal pain, no nausea or vomiting, no diaphoresis, no feeling of warmth or flushing, no altered vision, skin was normal to touch, not cool or clammy, no fever. Vital: BP: 135/78 P:76 O2: 96 R:22 At 10:35 We administered Benadryl 50mg and she drank 120cc of water. We talked to her about the side effect of the medication and monitored her. At 10:50am she said she felt better and wanted to leave, but we encouraged her to stay for 20 more minutes. Patient not driving, her husband drove. Encourage to drink more fluids and watch possible symptoms for over 48 hr, and seek medical help.

Other Meds: No medication taken anymore. She quite taking cholesterol after her Doctor instructed her to stop because xray showed shadow on her liver

Current Illness: High Cholesterol level

ID: 1300343
Sex: M
Age: 61
State: MD

Vax Date: 04/02/2021
Onset Date: 05/05/2021
Rec V Date: 05/08/2021
Hospital:

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Lab Data:

Allergies: Dilaudid

Symptom List:

Symptoms: Nerve pain across front and back of torso, blisters along nerve trunks. Diagnosed as shingles. Toradol injection, oral prednisone, and Franchville prescribed.

Other Meds: Humira Loratidine

Current Illness: Seasonal allergies

ID: 1300344
Sex: F
Age: 47
State: MI

Vax Date: 04/23/2021
Onset Date: 04/30/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: Latex allergy Shea allergy MSG allergy/sensitivity

Symptom List:

Symptoms: 1. Day of injection - Experienced expected fatigue, muscle pain, & site soreness, but also had a weird sharp, burning sensation in the upper shoulder muscle and up across into the right side of the neck for about 1.5 days post vaccination. 2. Starting late in the evening of 4/30/21 - Started getting site soreness, that had previously resolved, muscle pain again, redness around site on shoulder, & the site being really warm, almost hot, compared to the other shoulder in the same spot, and compared with the rest of my arm. Pain at the injection site seems to have resolved as of 2 days ago, but it is still unusually warm & slightly red at the injection site now.

Other Meds: Lisinopril, Pravastatin, Hydrochlorothiazide, Vitamin D, Metformin, Methylphenidate

Current Illness: None

ID: 1300346
Sex: F
Age: 60
State: CA

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: Low blood oxygen as measured with wearable pulse Ox device. Starting at approximately 13 hours after second dose, blood oxygen stayed in the 80-89% range. The following day, daytime pulse ox was measured at 85% (never that low during the day). I feel fine, but I have never seen low blood ox as a side effect.

Other Meds: amlodipine, losartan

Current Illness: none

ID: 1300347
Sex: F
Age: 45
State: FL

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: nkda

Symptom List:

Symptoms: Pt came in for their 2nd Moderna shot. During pre screening she answer no to any allergies or serious reactions in past. When patient was waiting the required 15 minutes after shot, she said her throat was feeling weird. Pt was given oral liquid Benadryl , after another minute pt said she couldn't breath, 1 adult epi pen was administered. 911 was called. Ems escorted pt out of store. unknown out come.

Other Meds: unknown

Current Illness: unknown

ID: 1300348
Sex: F
Age: 63
State: CA

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Patient complained tingling and numbing sensation radiating off her right arm right after the Moderna shot. The symptom went away on the second day.

Other Meds: NA

Current Illness: NA

ID: 1300350
Sex: F
Age: 30
State: WA

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Began vomiting at 1:00 am, 12 hours after vaccination. Vomited every 30 mins. Swallowing water also triggered vomiting. After 8 hours, lower back pain and headache began. Arrived at emergency room around 2:00 pm for fluids and medication. discharged after about 3 hours feeling heavily fatigued and much more hydrated. Slept 11 hours, no nausea, persistent mild lower back pain.

Other Meds:

Current Illness:

ID: 1300351
Sex: F
Age: 68
State: OR

Vax Date: 04/13/2021
Onset Date: 04/27/2021
Rec V Date: 05/08/2021
Hospital:

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

Allergies: Lisinopril

Symptom List:

Symptoms: symptoms lasting for over 25 days: Major Headache , extreme exhaustion, trouble breathing (SOB), loss of taste/smell, worsening arthritis, congestion in lungs and head, diarrhea, blood clot in finger (just was seen in the ER for confirmed blood clot in finger)

Other Meds: unknown

Current Illness: unknown

ID: 1300352
Sex: F
Age: 59
State: IL

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

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: After three minutes patient reported feeling funny in her throat and feeling like she had phlegm in her nostrils. She also stated her tongue felt like it was wobbly. She was able to talk fine but cleared her throat a few times and asked for water. Gave her a small amount of water and asked her to wait while we monitored her. A little bit later when I looked her way she was gone (fifteen minutes had probably elapsed). Pharmacy tech stated pt had reported feeling some itching before she left.

Other Meds: unknown

Current Illness: unknown

ID: 1300353
Sex: F
Age: 85
State:

Vax Date: 01/26/2021
Onset Date: 01/31/2021
Rec V Date: 05/08/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: This 85 year old white female received the Pfizer Covid shot on 1/26 /21 and went to the ED on 1/31/21 and was admitted on 1/31/21 with the following diagnoses listed below. I63.9 - CVA (cerebral vascular accident) (CMS/HCC) I63.9 - Stroke determined by clinical assessment (CMS/HCC) R29.810 - Facial weakness

Other Meds:

Current Illness:

ID: 1300354
Sex: F
Age: 45
State:

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

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

Lab Data:

Allergies: nuts

Symptom List:

Symptoms: large, welt-like rash around vaccine site, mild pain and burning sensation

Other Meds: bupropion, omeprazole, hydrochlorothiazide

Current Illness:

ID: 1300355
Sex: F
Age: 37
State: IL

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

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

Lab Data:

Allergies: penicillin per patient

Symptom List:

Symptoms: Patient reported experiencing trouble breathing and feeling like her left side of throat is closing along with tightness around the throat area.

Other Meds: Unaware per patient

Current Illness: N/a per patient

ID: 1300356
Sex: F
Age: 57
State: CA

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

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

Lab Data:

Allergies: Bleach, codeine, cookies and cream ice cream, peanut butter and honey, black pepper and cilantro.

Symptom List:

Symptoms: Patient complained of feeling nauseated immediately after receiving the vaccine, stated she could taste the vaccine in her mouth over a period of about 10 minutes and stated she did feel nauseated but had no emesis, spit up a small amount of saliva, verbalized she was feeling better; she was observed for 30 minutes following vaccination.

Other Meds:

Current Illness:

ID: 1300358
Sex: M
Age: 46
State: WI

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pain in shoulder joint during normal motion. Especially when lifting arm up to shoulder level at side

Other Meds:

Current Illness:

ID: 1300359
Sex: F
Age: 38
State: IL

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: Seroquel, esomeprazole, Zoloft, milk, eggs, latex

Symptom List:

Symptoms: Rash, shortness of breath, swelling tongue and throat, pounding racing heartbeat, dizziness, weakness, itching. Lasted for about a week

Other Meds: Lamotrigine, buspirone, pregabalin, Rexulti, zolpidem CR, vitamin B12, multi-vitamin, cetirizine, Baclofen, Dexilant

Current Illness: None

ID: 1300360
Sex: F
Age: 69
State: OR

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/08/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient is a 69-year-old female with past medical history of diabetes, anxiety, asthma who presents with possible allergic reaction. She had her second Covid vaccine this afternoon and within 5 minutes felt throat tightening and hoarseness. She self administered 50 mg of Benadryl p.o. EMS was called and she was given 50 mg Benadryl IV and an albuterol treatment. She had a similar reaction after her first Covid vaccine and was treated in this ED and given IM epinephrine which resolves her symptoms. She states she had many anaphylactic reactions to various allergens including vaccines. She states this feels like how her anaphylactic reactions began. She also notes some GI discomfort. She denies shortness of breath, chest pain, nausea, vomiting, diarrhea, or skin rash. Patient was provided epinephrine in the ED and within a few minutes noted that her symptoms were resolved. She was monitored for 4 hours in the ED with no recurrent symptoms. Patient was discharged home, will follow up with PCP and does have an EpiPen at home. Patient was feeling back to her baseline at discharge.

Other Meds:

Current Illness:

ID: 1300361
Sex: F
Age: 45
State: WA

Vax Date: 05/01/2021
Onset Date: 05/06/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: Chloraxadene (rash)

Symptom List:

Symptoms: Chills, fever, full-body muscle/joint aches, headache for 36 hours. After 36 hours, fever subsided and headache and back ache persisted for a few more hours, although less severe. After 41 hours, almost all symptoms gone.

Other Meds: Supplements: Multi vitamin, calcium/magnesium, vitamin D, resveratrol, adrenotone, macapause, probiotics, Curcumin, DIM Prescription: estradiol (10mcg 2x/wk)

Current Illness: None

ID: 1300362
Sex: F
Age: 71
State:

Vax Date: 02/26/2021
Onset Date: 03/15/2021
Rec V Date: 05/08/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: This 71 year old female received the Pfizer Covid shot on 2/26/21 and went to the ED on 3/15/21 and was admitted on 3/15/21 with the following diagnoses listed below. I63.9 - CVA (cerebral vascular accident) I63.9 - Cerebral infarction, unspecified E87.1 - Hypo-osmolality and hyponatremia

Other Meds:

Current Illness:

ID: 1300363
Sex: F
Age: 36
State:

Vax Date: 03/27/2021
Onset Date: 04/20/2021
Rec V Date: 05/08/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: This 36 year old female received the Pfizer Covid shot on 4/17/21 and went to the ED on 4/20/21 and was admitted on 4/20/21 with the following diagnoses listed below. I63.9 - Cerebral infarction, unspecified I63.9 - CVA (cerebral vascular accident) (CMS/HCC)

Other Meds:

Current Illness:

ID: 1300364
Sex: M
Age: 36
State: NY

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: pt is a 36 year old male witg hx of cardiac arrythmias pt had received his 1st pfizer vaccine left deltoid at 10:32 am and was sent into observation area. pt approached this writer about 10:34 and reported he felt a rapid heart rate EMT was nearby and was notified. EMT escorted pt to a seated/screened area to obtain vitals and EKG, MD was made aware and was present. 142/87, pulse ox 98 pulse 109. pt had denied any chest pain,shortness of breath, nausea or dizziness. pt denies any medications and reports this happened before in the past and he was seen by his doctor and on no medication and that he had rapid heart rate about 1 month and did not follow up with his MD. MD.10:39 118/72 pulse ox 99 pulse 115. pt denies any other symptoms writer remained with patient in screened area for observation 11:am 118/72, pulse 69, pulse ox 99, 11:10 , 136/77, 77 pulse, 99 pulse ox. pt was given water, PO and recommended to follow up with his PCP. emt offered pt option to be taken to ER for further evaluation and patient refused offer. pt is educated to make staff aware of this event upon arriving for his second injection.pt left on his own insistence and was in no distress and reported " feeling better"and denied any rapid heart rate, shortness of breath, dizziness, chest pain or nausea.pt was observed for 30 mns , seen by MD and EMT prior to leaving.

Other Meds: None

Current Illness: Cardiac Arrhytmias

ID: 1300366
Sex: F
Age: 18
State: CA

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient received the 2nd dose of the Pfizer COVID-19 Vaccine in her left arm on 4/28 at 12pm. At 9pm that even she developed symptoms of heaviness, weakness, numbness, tingling and intermittent pain from her left upper arm to her left hand and fingers. She had fever for 2 days. The symptoms resolved after 48 hours. She started having the same symptoms in her left upper arm to her fingers yesterday. She started to have right lower leg pain, numbness and tingling yesterday. She has had no chest, pain, cough, SOB, headaches, blurred vision, dizziness or fever. She has no neck or back pain. She has no rash or bruising. She received the first Pfizer Vaccine on 4/7/21.

Other Meds: None

Current Illness: Unknown

ID: 1300368
Sex: F
Age: 38
State: SC

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: allergic to cigarette smoke/Pyridine

Symptom List:

Symptoms: 1. Received J&J shot in Left Deltoid- told ahead of time "People say it burns". It did burn incredibly bad--unlike any shot I have ever had-it burned like the time I had knee injection. I assumed this was "normal" for COVID. My arm ached/hurt to move shoulder -could tell it was painful/stiff driving back again, I knew many were having "reactions" so I presumed this normal--thinking ROM issue/pain was "normal' despite my whole arm feeling such. By 1800 that evening, my entire arm was throbbing, and starting swelling-although right handed--could see entire arm bigger than other. I wasn't able to sleep/get arm in comfortable position. I thought this was a normal reaction-had patients to see-but touching/moving my arm hurt as bad as time I torn my meniscus. Over next several days, swelling went down--I could painfully move my arm, but it was weak-unable to function as usual. I still thought this was normal and struggled through week as April 4-9 was Spring break. I had trouble even leaning forward on bike because should STILL hurt--and it tapped on shoulder it would hurt incredible bad/couldn't carry daughter. Since I have higher pain tolerance- I was able to push through-however, by following week, this was no longer working--arm started swelling again. I felt the injection was high and was talking with my mom whom in primary care NP, and she mentioned shoulder injuries could happen if injection given too high--which is when I realized that my shoulder pain was not "all in my head". S/p vaccination day 19 forward, it has seemed to flare as bad as initial day one and not gone back. This is when I looked up and discovered there was also a condition called "SHOULDER INJURY RELATED TO VACCINATION" that described exact symptoms I had. It also mentioned that damage isn't necessary should from needle--- although it was a year ago-- I had probable COVID April 2020---which could have made my immune system hyper-reactive. I have had to call out sick April 16th because shoulder was causing pain, flushing and warm feeling. April 19th I saw Dr-- he drew blood (I don't know what)-- didn't do full shoulder exam and referred to orthpedicc. APril 30th I ended up calling out again as when arm would swell it made focusing at work very difficult. I saw my PCP via telehealth and she prescribed Prednisdone dose pack. May 2nd, I started treatment with cryotherapy machine and this was only thing that relieved pain and swelling enough to help relieve pressure. May 7th---I saw Dr.-unfortunately, he didn't do anything because he stated a vaccine couldn't cause such type of damage to rotator cuff, didn't believe there was a condition called SIRVA and declined to treat with cortisone shot "This whole thing started with a shot-that would be inappropriate" . He was willing to refer me to Physical therapy whom HAS heard of condition and knows how to rehab

Other Meds: Clonidine 0.2mg daily; Methylphenidate ER 54mg; Methylphenidate IR 10mg; Modafinil 200mg; Bupropion 300mg: baclofen 10mg BID; Synthroid 100mcg; Duloxetine 60mg Qpm; Metformin ER 1000mg qpm; Spironolactone 100mg PO Qpm; magnesium 400mg PO B

Current Illness:

ID: 1300369
Sex: M
Age: 77
State:

Vax Date: 01/27/2021
Onset Date: 02/06/2021
Rec V Date: 05/08/2021
Hospital: Y

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Symptoms: This 77 year old white male received the Moderna Covid shot on 1/27/21 and went to the ED on 2/6/21 and was admitted on 2/9/21 with the following diagnoses listed below. I63.9 - Acute CVA (cerebrovascular accident).

Other Meds:

Current Illness:

ID: 1300370
Sex: M
Age: 26
State: CA

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
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Allergies: Penicillin

Symptom List:

Symptoms: Onset of chills, body aches, and head ache at 1AM the morning of 5/8/2021, with a decrease in severity of the same side effects around 8AM that same morning and then in increase in severity of the same side effects around 1PM after some activity.

Other Meds: None

Current Illness: None

ID: 1300371
Sex: M
Age: 42
State: OR

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
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Allergies: None

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Symptoms: Severe rash that spread throughout body.

Other Meds: Concerta Vitamins B6, D, C

Current Illness: Contact dermatitis from poison oak exposure

ID: 1300372
Sex: M
Age: 34
State: CA

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
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Allergies: NKDA

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Symptoms: at approximately 2:13pm pt had a syncopal episode in the observation area of the clinic. Pt fell from chair to linoleum floor approximately 3 feet landing on his stomach, chest and right side of his face. an EMT in the observation area immediately called for help and attempted to rouse the patient. after being unconscious for about 15 seconds total, patient awoke and knew his name, where he was, and what had happened. PT was sit-pick maneuvered to a stretcher in semi-fowlers position, taken to a private area and assessed. PT's head, neck and back were palpated for tenderness, deformity, injury and discomfort. PT denied head neck and back pain. Upon assessment of mouth, pt did bite the tip of his tongue with a small amount of bleeding, approximately less than half a millimeter . Initial vital signs were taken at 2:16pm blood pressure 84/60, pulse rate 56, respiratory rate 18 lung sounds clear and equal in all 4 quadrants, pupils equal, round reactive to light, tracking motion, 4 mm in diameter. PT questioning revealed prehypertensive, no known medical or food allergies, no over the counter or prescription medications, pt stated that he did have a syncopal episode about 3 years ago when he was sick with the flu and bearing down on the toilet. PT stated after he got the vaccine he sat down, was moving his arm, felt dizzy, blacked out, and woke up on the floor. PT stated he was dizzy upon initial assessment, but other wise denied pain or discomfort. PT vitals Reassessed at 2:21pm BP 106/74, PR 60, RR18, LS clear PEARL -4mm. PT was instructed after about 30 minutes of observation to sit up for 2 minutes, PT denied dizziness or discomfort. PT instructed to stand in place for 2 minutes, pt denied dizziness or discomfort. PT vital signs reassessed at 2:52 pm BP 134/86, PR 68, RR 18, LS clear, PEARRL 4mm. PT was escorted to his vehicle by a paramedic where his family was waiting to drive him home. PT was encouraged to seek additional medical attention as soon as possible for further evaluation. PT left clinic site at about 3:10pm

Other Meds: None

Current Illness: None

ID: 1300373
Sex: M
Age: 38
State: CA

Vax Date: 04/29/2021
Onset Date: 05/03/2021
Rec V Date: 05/08/2021
Hospital: Y

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Allergies: None

Symptom List:

Symptoms: Admitted to hospital with rhabdomyolysis and renal failure. Also reported severe headache and abd pain prompting CT scans.

Other Meds: None

Current Illness: None

ID: 1300374
Sex: F
Age: 75
State:

Vax Date: 03/26/2021
Onset Date: 04/09/2021
Rec V Date: 05/08/2021
Hospital: Y

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Symptoms: This 75 year old female received the Pfizer Covid shot on 3/29/21 and went to the ED on 4/9/21 and was admitted on 4/9/21 with the following diagnoses listed below. I63.9 - Acute CVA (cerebrovascular accident) R56.9 - Unspecified convulsions

Other Meds:

Current Illness:

ID: 1300375
Sex: F
Age: 47
State: NV

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/08/2021
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Allergies: penicillin

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Symptoms: Fever of 100.5-101, for 20 hours. Chills. Sore and swollen joints. Headache that lasted 12 hours. Some burning in my chest. Very itchy, burning eyes that could not be relieved with eye drops. Fatigue, dizziness, and some disorientation. A week later I am still experiencing strong fatigue and weakness, and burning eyes that is not as bad but still bothersome.

Other Meds: Topiramate 25mg

Current Illness:

ID: 1300376
Sex: F
Age: 45
State: CA

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
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Allergies: None known

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Symptoms: Very anxious about receiving second vaccination, expressed anxiety during vaccination. Approximately 10 minutes after vaccine given at 11:05, c/o feeling ?warm all over?. Relevant history ? had onset of severe HA within 3 hours of first vaccine that lasted 2 days ? treated self at home with ibuprofen for same. T2DM, takes insulin and metformin, took meds today, ate 1 hotdog only for breakfast. Has not checked blood sugar today. Remote migraine history, last treated for same 8 years ago. Primary 11:18: P 103, R 20, SpO2 99%. c/o feeling ?warm all over?, skin warm, dry, pale. No rashes or hives. No dyspnea or respiratory distress. Lungs clear. Declined to lie down. 11:20: BP 117/84, P 100, R 20, SpO2 99%. c/o onset bilateral frontal HA ? this HA feels same as HA after 1st Covid vaccine. No other neurologic sxs, no dizziness, nausea. Alert, oriented, no speech or motor deficits. No respiratory distress, no rash/hives. Taking a few sips of juice. 11:22: c/o ?head feels really hot? 11:25: BP 118/84, P 95, R 16, SpO2 98%. Alert and oriented, sitting up, eating a crackers and juice. Skin warm, dry, no longer pale. 11:30: HA remains, focused in frontal area and behind both eyes, again describes as like HA following first Covid vaccine, though ?not as bad?. 11:35: HA remains, but feels enough better that she wants to go home. 11:39: Husband present with patient. Advised both that she should FU after leaving vaccination clinic with her healthcare provider today re: HA. Referred to the after-hours clinic for further evaluation today. 11:46: HA remains, no change in mental status or neurologic condition. Discharged home with husband in stable condition. Provided with address, phone, and directions to Urgent Care Center. Declined wheelchair to vehicle, walked to POV, escorted by RN.

Other Meds: Insulin, metformin

Current Illness: Type 2 diabetes

ID: 1300377
Sex: M
Age: 17
State: CO

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
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Symptoms: the patient filled the consent form out on line and did not put in the correct birthday. It was put in making him 18 instead of 17.

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Current Illness:

ID: 1300378
Sex: F
Age: 76
State:

Vax Date: 02/27/2021
Onset Date: 04/03/2021
Rec V Date: 05/08/2021
Hospital: Y

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Symptoms: This 76 year old female received the Pfizer Covid shot on 2/27 /21 and went to the ED on 4/3/21 and was admitted on 4/3/21 with the following diagnoses listed below. I63.9 - CVA (cerebral vascular accident) I63.9 - Cerebral infarction, unspecified

Other Meds:

Current Illness:

ID: 1300379
Sex: F
Age: 51
State: TX

Vax Date: 05/06/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
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Allergies: NKA

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Symptoms: patient states vaccine cause her to " clear " her psych meds at an unusually high rate and now she is having withdrawing symptoms

Other Meds: NONE

Current Illness: PSYCHIATRIC TREATMENT

ID: 1300380
Sex: M
Age: 60
State: CA

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
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Symptoms: Patient first dose received was Moderna but received Pfizer second dose

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Current Illness:

ID: 1300381
Sex: F
Age: 42
State: CA

Vax Date: 03/22/2021
Onset Date: 04/16/2021
Rec V Date: 05/08/2021
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Allergies: Vicodin

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Symptoms: Developed symptoms of left watery eye and runny nose, along with left ear pain and numbness of the left side of the tongue the morning of 4/16/2021. Symptoms were persistent throughout the day. At 9:58 PM on 4/16/2021, patient developed left-sided facial paralysis. Patient went to the urgent care on 4/17/2021 and was diagnosed with Bell's Palsy. She was given and completed the course of prednisone 60 mg QD x 7 days and valacyclovir 1000 mg TID x 7 days. Symptoms are gradually improving but still persist with continued left-sided facial droop.

Other Meds: Multivitamin, vitamin D

Current Illness: None

ID: 1300382
Sex: M
Age: 23
State: CA

Vax Date: 04/29/2021
Onset Date: 05/06/2021
Rec V Date: 05/08/2021
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Allergies: NKDA

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Symptoms: Isolated angioedema to the uvula

Other Meds: none

Current Illness: none

ID: 1300383
Sex: F
Age: 63
State: CA

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 05/08/2021
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Allergies: No ne

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Symptoms: I had the typical initial side effects, malaise, mild headache, lack of appetite and these seemed to resolve quickly. 9 days later the malaise, headache and lack of appetite returned with the addition of 99.4 fever. Those symptoms again resolved in about a day. At day 12, malaise and headache returned with the addition of brief vomiting, diarrhea and 101.2 fever

Other Meds: Synthroid 125mcg, Claritin 10mg, Wellbutrin 300mg, Zoloft 50 mg, D3 and calcium

Current Illness: Broken wrist

ID: 1300384
Sex: F
Age: 61
State: OH

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 05/08/2021
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Allergies: Milk products Eurithromyecin

Symptom List:

Symptoms: Slight fever, 98.7 (my normal is 97.4) Skin hurt everywhere All of my joints hurt Extreme exhaustion Nauseated Headaches (less than first shot) With first shot was nauseated for about 5 days and a headache for a week straight. BUT what is strange is, I'm getting way more hot flashes, like every hour of the day and a few times at night. When before, I would only get a hot flash maybe twice a day and none at night. All of the above symptoms went away after 2 days after the 2nd shot, except for the hot flashes, which are still affecting me, which affects my MS.

Other Meds: Levothyroxine 75mcg 5000iu Vit D B complex Dulera 5mcg/act aero Symbicort handing haler 18mcg 81mg aspirin Atorvastatin 40mg

Current Illness: N/A

ID: 1300385
Sex: F
Age: 43
State: NY

Vax Date: 04/29/2021
Onset Date: 05/06/2021
Rec V Date: 05/08/2021
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Allergies: Penicillin

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Symptoms: Shingles developed May 6, 2021

Other Meds: Synthroid, lo loestrin

Current Illness: None

Total 2021 VAERS Injuries: 641,776

Page last modified: 03 October 2021 5:28pm