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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1310465
Sex: F
Age: 40
State: CA

Vax Date: 05/09/2021
Onset Date: 05/11/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: allergic to Humira (injected), bacitracin, neomycin sulfate

Symptom List:

Symptoms: Off-cycle/irregular menstruation. Patient started menstruation after initial dose of vaccine (vaccinated Apr 18 2021, started bleeding Apr 27) and then started again after second dose of vaccine 09 May 2021 (started bleeding 11 May). This is a 15 day gap between starts, which is highly irregular. Both vaccination events were followed by (known) common side effect of soreness and fatigue.

Other Meds: normally Xeljanx XR (tofacitinib, oral 11mg) and 12 mg Methotrexate but stopped for week of vaccination.

Current Illness:

ID: 1310466
Sex: M
Age: 16
State: NE

Vax Date: 04/28/2021
Onset Date: 05/10/2021
Rec V Date: 05/12/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Do not have any information or records on this patient from our hospital or clinic side. He attended one of the Covid Vaccination clinics that our hospital sponsored and received the first dose of Moderna vaccine at age 16.

Symptom List:

Symptoms: It was found after the fact that pt. received his first dose of the Moderna Covid vaccine on 4/28/2021 at our hospital sponsored vaccine clinic at the age of 16. Pt. guardian, grandfather, was contacted and grandfather reports pt. not having any abnormal side effects from the vaccination. Grandfather was instructed to contact hospital once pt. is 18 years of age.

Other Meds: Do not have any information or records on this patient from our hospital or clinic. He attended one of the Covid vaccination clinics that our hospital sponsored and received the first dose of Moderna vaccine at age 16.

Current Illness: Unknown, see above. Did not report any illness on day of the vaccine per completion of questionnaire.

ID: 1310467
Sex: F
Age: 39
State: TX

Vax Date: 03/31/2021
Onset Date: 04/10/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: Latex, Vicodin

Symptom List:

Symptoms: 2nd COVID vaccine: 3/31/21; 4/10/21- 4 days before my menses, I started having hives on my neck and face, which subsided 8 days later. 5/8/21 - 4 days before my menses, I started having hives on my neck and face

Other Meds: Zyrtec, Microgestin

Current Illness: N/A

ID: 1310468
Sex: M
Age: 57
State: FL

Vax Date: 04/23/2021
Onset Date: 04/27/2021
Rec V Date: 05/12/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Onset of Bells Palsy affecting right eye and developed to Dilopia.

Other Meds: Toujeo Xigduo Rapaglinide Valsartan Rovustatin Levothyroxine

Current Illness: None

ID: 1310469
Sex: M
Age: 64
State: WI

Vax Date: 04/26/2021
Onset Date: 05/06/2021
Rec V Date: 05/12/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Client went to Emergency Room with right sided weakness on 5/6/2021. He was admitted for full evaluation and follow up.

Other Meds:

Current Illness:

ID: 1310470
Sex: F
Age: 76
State: MA

Vax Date: 03/12/2021
Onset Date: 05/12/2021
Rec V Date: 05/12/2021
Hospital: Y

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Doxycycline

Symptom List:

Symptoms: DVT and PE, pt p/w progresssive SOB 2nd dose recieved on 3/12/21

Other Meds: anastrozole 1mg PO daily HCTZ 12.5mg PO daily lisinopril 20mg PO daily Pravastatin 10mg PO daily

Current Illness: None

ID: 1310471
Sex: M
Age: 41
State: CT

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 05/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies: Bactrum, Latex

Symptom List:

Symptoms: Tinnitus with onset the next day after first injection. Hissing sound in both ears. Has lasted 5 1/2 weeks so far. Some days it is barely noticeable and other days it is very distracting and causes anxiety.

Other Meds: None

Current Illness: None

ID: 1310472
Sex: F
Age: 19
State:

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

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Lab Data:

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Symptom List:

Symptoms: approximately 5 mins after recieving 2nd dose member began to have a seizure eyes open , no responsive with right arm and leg tremors. Pulse 100. lasted 5-8 minutes. Hx of seizure with does of HPV in 2014

Other Meds:

Current Illness:

ID: 1310473
Sex: M
Age: 51
State: PA

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 05/12/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List:

Symptoms: Pain and ringing in both of my ears started a few hours after the test. I have never had ringing in the ears of any sort. Ringing has continued for going on three weeks - no relief. Saw a doctor. Prescribed a dose of Prednisone. No relief at this point - ring continues 24 hours a day

Other Meds: Synthroid .075 dose

Current Illness: none

ID: 1310474
Sex: F
Age: 45
State: IN

Vax Date: 05/10/2021
Onset Date: 05/11/2021
Rec V Date: 05/12/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: I received injection on right side, my right side of my body keeps going to extreme cold - hand, arm, leg, feet. My left side is just fine. Keep having random electric shocks on both sides outside of my TN. It's triggering my cluster headaches which have been well managed.

Other Meds:

Current Illness:

ID: 1310475
Sex: F
Age: 60
State: CT

Vax Date: 03/31/2021
Onset Date: 04/10/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: Vancomycin

Symptom List:

Symptoms: I experienced acute onset of dizziness with chest pain, shaking chills, muscle spasms in my legs, headaches and nausea. I went to hospital where they did lab work, 1280 EKG, gave me fluids, and gave me Zofran medication. They also gave me a prescription for meclizine. They also did a Covid test which was negative. I saw my PCP on 04-11-2021 who ordered a chest x-ray and lab work. I also saw my PCP 05-11-2021, because I had a TIA on Sunday 05-09-2021. I still being worked up on lab work, TIA and an MRI has been ordered for next Monday 05-17-2021.

Other Meds: Baby aspirin, multi vitamins, B-complex, magnesium Q-8, fiber supplement for constipation, nexium

Current Illness: Had back issue for over a year, received steroid injection

ID: 1310476
Sex: F
Age: 44
State:

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 05/12/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: I first reported severe vertigo that began on day 7 and lasted 12 days thinking that was the end of my symptoms. I was wrong. After that, I experienced swelling of my right hand which still has not resolved. I have joint pain in my fingers, toes, and knees. I have numbness and tingling of my hands, legs, and feet. My right leg feels heavy and the thigh muscle feels tight. My menstrual cycle has been thrown off. Your vaccine has destroyed my body. I feel like I was taken out of my healthy, vibrant body and put into the body of someone who is 80 years old. You said the vaccine was safe. YOU LIED.

Other Meds:

Current Illness:

ID: 1310477
Sex: F
Age: 62
State: CO

Vax Date: 03/19/2021
Onset Date: 03/26/2021
Rec V Date: 05/12/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: 7 days post vaccination red itchy rash at site of injection.

Other Meds:

Current Illness:

ID: 1310478
Sex: F
Age: 28
State: CA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 05/12/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Five days after the first dose of the vaccine I got a migraine. The migraine was much worse than any I have had before and it lasted for five days. I was unable to get out of my bed and light really bothered my eyes. My vision was blurry. The following week I had feelings of dizziness and nausea. I went to the ER two times because I felt very faint. I was still getting dizziness with heart palpitations and headaches for two months after the vaccine. My blood pressure was very low for a month and my surgery for my Gallbladder had to be postponed for two and a half months. My headaches have not been happening as often at this time after twelve weeks. My low blood pressure has improved and I was able to get my surgery. I have not gotten the second dose because I do not want to repeat the experience. Emergency Room Kaiser, Anaheim

Other Meds: Acid Reflux medicine

Current Illness: Gall Bladder Pain/ Gallstones

ID: 1310479
Sex: F
Age: 15
State: MI

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

Vax Type:
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Lab Data:

Allergies: Citrus fruit: severe allergic reaction/anaphylaxis

Symptom List:

Symptoms: Minor client came in with mother for 2nd dose Pfizer. First dose given on 4/21/2021, as recorded in registry and on her vaccine card. Mother signed consent, DOB was recorded on form, suggesting daughter was 16, thus eligible. Registry advocate noted that client had a record with multiple vaccines recorded and all information correct exc. DOB. I went to confirm w/ minor client to prevent a second registry entry, and client reaffirmed the incorrect date several times. I assured her she was not in trouble, she confirmed she was in fact 15 yr old. Mother came in to discuss, insisted the daughter was 16, then when pressed, that she recorded the wrong DOB on form in error. She said she thought it was approved for 15 yr olds now. I counseled parent that the EUA was granted by the agency, but the committee was still meeting to confirm protocols, and not ready to administer at the local health department. Advised her that I will f/u re: side effects, outcomes in 24 hours.

Other Meds: Unknown

Current Illness: none

ID: 1310480
Sex: F
Age: 69
State:

Vax Date: 03/02/2021
Onset Date: 03/03/2021
Rec V Date: 05/12/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: At about 6:45AM on March 2, I fell unconscious to the floor while cooking oatmeal on the stove. I woke up with burns from the oatmeal on my left hand and arm, right hand and left thigh.( I felt light headed just before losing consciousness. ) I was examined by a doctor at the local burn center and was told I had 2nd and 3rd degree burns. I was admitted to the hospital and had surgery on the 4th of March to excise the burns and application of a skin substitute. On March 18 i had surgery for a skin graft to all burn sites. Tests had been performed to make sure there was not a problem with my heart and all tests were normal

Other Meds:

Current Illness:

ID: 1310481
Sex: F
Age: 43
State: NJ

Vax Date: 05/08/2021
Onset Date: 05/09/2021
Rec V Date: 05/12/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: On Sunday May 9th, I experienced a fever, chills, body ache, nausea, and headache from about 8am through 8pm. Then on Monday May 10th my left armpit (arm of both shots) was swollen and very painful. The pain has subsided a bit but is still uncomfortable today (5/12/2021). I read online it can take 4 weeks for swollen lymph nodes to fully recover.

Other Meds: one a day vitamin biotin probiotic

Current Illness: none

ID: 1310482
Sex: F
Age: 44
State: MI

Vax Date: 10/15/2019
Onset Date: 11/04/2019
Rec V Date: 05/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies: sulfa antibiotics, penicillin antibiotics, acetaminophen

Symptom List:

Symptoms: several months of decline in health followed by several visits to specialists - neurology, hepatology, infectious disease, rheumatology. symptoms: over 2 months - weight loss of 15 pounds, huge swollen cervical lymph nodes, difficulty initiating swallow, life altering weakness and exhaustion, extreme pain in shoulders, backs of arms, hips, tops of legs and buttocks. Eventual inability to walk. unable to perform daily tasks. inability to work. No appetite. Finally diagnosed as PMR (polymyalgia rheumatica) by a rheumatologist

Other Meds: tretinoin for acne prn Maxalt for migraines prn

Current Illness: none.

ID: 1310483
Sex: F
Age: 68
State: PA

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: Oxycodone

Symptom List:

Symptoms: Cough, Acute upper respiratory infection.

Other Meds: None

Current Illness: None

ID: 1310484
Sex: M
Age: 22
State: CA

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/12/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: 22-year-old male presenting in the ED with shortness of breath following his second dose of the Moderna Covid vaccine. Patient received the vaccine on Tuesday at 1 PM. Patient states that since then he has been experiencing shortness of breath with wheezing. Negative history of the same.

Other Meds: None

Current Illness: None

ID: 1310485
Sex: F
Age: 32
State:

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: Strawberries and possibly black cherries

Symptom List:

Symptoms: She had her own autoinjector with her. Epi administered into Right thigh anterolateral aspect, through pts. pants. Pt. stated she felt better in less than 1 minute. Client did not want EMT's to see her, but said she wished to go home, and her Dad picked her up. No loss of consciousness, no dizziness or lightheadedness reported. Client observed until 4:25pm, she was alert, stable &oriented X3. Vital signs within normal limits. Informed of risks of not going into ER, pt. aware, and stated she had her epi pen if needed, and would be with her father. Telephone call to pt the next day, she stated she felt like she had Covid again (had earlier this year), with fever , fatigue, but otherwise was fine, and no return of allergic reaction. Instructed to go to ER if she needed to use her epi pen, and to consult with her allergist prior to getting the 2nd Moderna Booster.

Other Meds:

Current Illness:

ID: 1310486
Sex: M
Age: 54
State: SD

Vax Date: 05/05/2021
Onset Date: 05/07/2021
Rec V Date: 05/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient began to feel short of breath on May 7th. May 10th seen by doctor and diagnosed with new onset atrial fibrillation.

Other Meds: Omeprazole, multivitamin

Current Illness: None

ID: 1310487
Sex: M
Age: 26
State: MO

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: - ALL CEPHLESPORINS , - ALL SULFA MEDICATIONS - Penicillin - Tetracycline - Amoxicillin - hydrocodone - Wellbutrin - Zoloft - Paxil - Seroquel

Symptom List:

Symptoms: Dizziness started that day, ringing in right ear started that day, pressure began to build in right ear (noticed the next day). Pressure continued to build in right ear over the 2 days. Pt. reported need to see ENT by Friday morning due to pressure in right ear and hearing loss. Saw Dr. Office on Tuesday 4/27/21

Other Meds: Singular 10mg 1xdaily, Zrytec 10mg 1xdaily

Current Illness: Allergies (stuffy nose, occasional itchy skin - windy days) due to spring seasonal growth

ID: 1310488
Sex: F
Age: 51
State: TX

Vax Date: 04/07/2021
Onset Date: 05/05/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: antihistamine, naproxyen, vicoden, red dye, acidic fruit

Symptom List:

Symptoms: RECEIVED A SHOT IN MY LEFT ARM, NEXT DAY I STARTED FEELING NAUSEAS, DIZZINESS,WAS NOT ABLE TO LIFT ARM, PAIN IN SHOULDER, LOSS OF APPETITE, HEADACHE, WHOLE LEFT SIDE GOES NUMB FROM PART OF MY LIPS TO MY FOOT THEN TINGLING, LOSS OF TASTE AND SMELL. BALANCE IS OFF,

Other Meds: LINSINOPRIL 20-25MG, PHENTRAMINE 37.5, ADVIS, TYLENOL

Current Illness: no

ID: 1310489
Sex: F
Age: 52
State: MO

Vax Date: 04/14/2021
Onset Date: 04/27/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Shingles rash and pain, no treatment.

Other Meds: None

Current Illness: None

ID: 1310490
Sex: M
Age: 31
State: IN

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Began with hot flash and numbness through entire right side of body about 20 minutes after shot. Quickly escalated to difficult swallowing, body tingling, and extreme anxiety that almost caused a full blown panic attack. Luckily it subsided after about 20 mins of duress. Unfortunately around 12 hours after the injection at 3 AM I began experiencing quite severe flu like symptoms including nausea, extreme fatigue\weakness, occasional gagging, pain and diarrhea. Lasted until I awoke on the 12th (today) at approximately 8 am. Spent entire time in an on\off sleep also tried treating with tylenol and flu medication to no avail. Temperatures were checked twice both times results were in the high 99's.

Other Meds: Propranolol, protonic, Xanax, Flomax, sertraline

Current Illness: None

ID: 1310491
Sex: F
Age: 32
State:

Vax Date: 05/11/2021
Onset Date: 05/12/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Vertigo, feeling of free falling, dizziness, mild headache.

Other Meds: 5mg adderall taken at 8am and 2pm daily

Current Illness: None

ID: 1310492
Sex: F
Age: 38
State: MI

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

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Fainted within 2-3 minutes after receiving the vaccine, fell forward and hit her head on the floor. Regained consciousness immediately, developed a lump on her forehead, mark on her nose and left cheek where she hit the floor. Had her lay down for 15 minutes, gave juice, water, and ice packs for her face. She was a little sweaty but that went away quickly. She then sat for another 15 minute before she got up to leave.

Other Meds: unknown

Current Illness: unknown

Date Died: 04/18/2021

ID: 1310493
Sex: F
Age: 89
State: CA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: NO KNOWN FOOD OR DRUG ALLERGY

Symptom List:

Symptoms: The son came on 05/06 to receive the 2nd dose of Pfizer vaccine and informed us that his mother passed away on 04/18 after 3 days of post vaccination. A home hospice patient with Stage 5 Chronic kidney disease and Stage 4 COPD (Oxygen dependent) came in on 04/15 around 4:30 pm to receive a first dose of Pfizer. After 15 mandatory waiting in the pharmacy, she went home. Around 5:00 pm, patient told her son that she is feeling nauseated. Hospice nurse was contacted. On 4/16, patient experienced hallucination. She told her son that her fingers were disappeared. Hospice nurse was contacted. Please note that vaccine adverse event is not clearly related to vaccine, since patient was on hospice, stage 5 CKD and stage 4 COPD.

Other Meds: CYMBALTA, ALBULTEROL HFA INHALER, TRELLEGY ELLIPTA

Current Illness: NO; CHRONIC HEALTH CONDITIONS - HOME HOSPICE CARE, STAGE 5 CHRONIC KIDNEY DISEASE, STAGE 4 COPD (O2 DEPENDENT)

ID: 1310494
Sex: F
Age: 40
State: TN

Vax Date: 04/01/2021
Onset Date: 04/17/2021
Rec V Date: 05/12/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Laundry detergent and adhesives on skin

Symptom List:

Symptoms: Low grade fever, ear and face pain,

Other Meds: Dexilant, 60 mg, Cyclobenzapryn 10 mg (2x), D3, 2,000 IU, Zinc, 50 mg, fish oil, 1000 mg, magnesium, 1,000 mg, Vit E, 800 IU, Melatonin, 3 mg

Current Illness: N/A

ID: 1310495
Sex: M
Age: 67
State: IA

Vax Date: 05/09/2021
Onset Date: 05/09/2021
Rec V Date: 05/12/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: Patient received dose of Pfizer COVID vaccine on 04/20/21. He received a dose of Moderna COVID vaccine on 05/09/21 instead of the Pfizer .

Other Meds: Diclofenac 50mg TID

Current Illness: Neuropathy Knee pain

ID: 1310496
Sex: M
Age: 25
State: IN

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

Vax Type:
Manufacturer:
Vax Name:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received 2nd dose of Pfizer vaccine at 15 days. This was caught after administration. It was discovered that patient had duplicate charts in state system. 1st shot was documented under work phone number and patient re-registered using personal phone number and today's dose was put into that chart. Date on vaccine card for 1st dose was missed (4/27/21). Patient's information was obtained and he was instructed to wait his 15min observatory period. I also made him aware I would contact him once I spoke with our medical personnel for further direction regarding future status of vaccination. Email was then sent for further instruction and I was told that I could offer another dose in about a month but that seemed unnecessary to him at this point. I then phoned patient around 12pm to make him aware that no repeat dose was necessary. I also instructed him to please call us or his doctor if any abnormal symptoms or questions arose. Patient agreed and had no further questions.

Other Meds: Unknown

Current Illness:

ID: 1310497
Sex: F
Age:
State: SC

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 05/12/2021
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Symptoms: Signs of Bells Palsey on left side of mouth and face. Numbness started within the first 5 minutes of Covid shot. Has have numbness every day since in left side of face.

Other Meds: Losartan

Current Illness: None

ID: 1310498
Sex: F
Age: 64
State: MI

Vax Date: 04/27/2021
Onset Date: 05/03/2021
Rec V Date: 05/12/2021
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Allergies: None known

Symptom List:

Symptoms: Congested cough

Other Meds: Xarelto Gabapentin Cyclobenzaprine

Current Illness: None

ID: 1310499
Sex: F
Age: 61
State: NC

Vax Date: 04/25/2021
Onset Date: 05/06/2021
Rec V Date: 05/12/2021
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Allergies: Wellbutrin, tape ( have to use paper), seasonal allergies

Symptom List:

Symptoms: I have an appointment with an ENT next Monday. The ringing is non-stop. I have to sleep with noise at night so that I can get to sleep.

Other Meds: I take a beta blocker, metformin, aspirin, blood pressure medicine,

Current Illness: None- I did have Covid in December of 2020, but did not have the buzzing in the ear until after the vaccine

ID: 1310500
Sex: F
Age: 60
State: IN

Vax Date: 05/10/2021
Onset Date: 05/11/2021
Rec V Date: 05/12/2021
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Allergies: mostly antibiotics

Symptom List:

Symptoms: 24 hours after second shot I had a sever migraine, nausea, pain in joints/bones, and fatigue. My lungs also had a minimal amount of pressure/discomfort

Other Meds: carvediloL 12.5 mg 2 /dy, oxyCODONE 5 mg up to 5/dy, gabapentin 100 mg up to 6/dy, omeprazole 20 mg 1/dy, albuterol 90 mcg/actuation Hfaa as needed, ergocalciferol 1,250 mcg (50,000 unit) 2/wk, Prolia 60 mg/mL Syrg 1/6 months, budesonide

Current Illness: none

ID: 1310501
Sex: F
Age: 19
State: IN

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/12/2021
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Allergies: Sulfa, Maple, Cats,

Symptom List:

Symptoms: Fever of 102.8, headache, chills, aches.

Other Meds:

Current Illness:

ID: 1310502
Sex: F
Age: 59
State: MA

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 05/12/2021
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Allergies: Cephalexin Erythromycin Gluten Sulfamethoxazole

Symptom List:

Symptoms: Pt called to report a reaction to the second Pfizer vaccine. She reports that day 2 she had itching in both arms, and day 4 had a full body rash. She took 1/2 a benadryl with some relief. Then, day 10 after this shot, she experienced low energy, emotional lability and muscle aches and pains. Last night she experienced severe muscle aches that woke her up, they are better this am. She cannot take ibuprofen as she has had a nephrectomy. She was not referred to allergy, but was encouraged to contact her PCP re any other meds that she could take for pain. She is using topical methods like heat and massage with some relief.

Other Meds: Tylenol Vit B Flexeril Valium PRN Colace Percoset PRN magnesium macrodantin Pumpkin seed-soybean oil

Current Illness: chronic kidney disease hypertension lower back pain

ID: 1310503
Sex: M
Age: 29
State: FL

Vax Date: 05/12/2021
Onset Date: 05/12/2021
Rec V Date: 05/12/2021
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Allergies: none

Symptom List:

Symptoms: After receiving the Covid19 shot, patient was sitting down, approximately 7-10 later patient passed out for approximately 30-60 seconds. Patient was laid on the ground where he regained consciousness. 911 was called, while waiting for paramedics, BP was checked and was normal, paramedics checked patients blood sugar which was normal . paramedics took patient to Hospital ER at patients request

Other Meds:

Current Illness:

ID: 1310504
Sex: F
Age: 25
State: CT

Vax Date: 05/12/2021
Onset Date: 05/12/2021
Rec V Date: 05/12/2021
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Allergies: unknown

Symptom List:

Symptoms: Syringe came undone after half of the dose was admininstered. Provider gave another half of a dose to finish recommended dosage. Providef informed patient of situation.

Other Meds: unknown

Current Illness: unknown

ID: 1310505
Sex: F
Age: 49
State: CA

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/12/2021
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Allergies: Venlofexin

Symptom List:

Symptoms: Patient complained of rash to bilateral arms 15 minutes after receiving COVID vaccine

Other Meds: none

Current Illness: none

ID: 1310506
Sex: F
Age: 46
State: CA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 05/12/2021
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Allergies: Penicillin Benadryl Amoycillin Augmentin

Symptom List:

Symptoms: I started feeling fatigue and nausea. Hives developed around 4:30 pm, on arms, scalp, neck and hands. The hives lasted about 5 days. I had continued itching and redness for another 5 days. My doctor recommended I medicate with Zyrtec before the next dose. I didn't have any issues with that one.

Other Meds: Tylenol - 500mg Cozaar Gabapentin Phentermine

Current Illness: Recent back surgery in December

ID: 1310507
Sex: F
Age: 57
State: GA

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/12/2021
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Allergies: None

Symptom List:

Symptoms: Symptoms were: fever with chills, muscle aches, headache, mild nausea and dizziness, flushed skin. These symptoms lasted about 12 hours.

Other Meds: None

Current Illness: None

ID: 1310508
Sex: M
Age: 26
State: OR

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/12/2021
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Allergies: Avocado, cantaloupe

Symptom List:

Symptoms: About 7 min after my shot I stood up to walk into the next room and became very light headed and was ready to pass out. They immediately put me into a wheel chair but I wasn?t getting better until they laid me down in the stretcher. My lips turned blue and I think I was having an allergic reaction to the shot. It was hard for me to breathe before laying down on the stretcher my heart rate dropped and my blood pressure. It took me 30-40 min to come back to stand up and slowly walk out. My arm was super sore afterwards and I would have little shocking pain flashes in my chest. I felt tired and run down/ sensitive the rest of the night. The next day my arm was still super sore and I still feel very tired and run down. The doctor on site took care of me and they put the stickers on me just in case they needed to revive me. I was sinking quickly but luckily when I laid down I got better.

Other Meds:

Current Illness:

ID: 1310509
Sex: F
Age: 45
State: PA

Vax Date: 05/12/2021
Onset Date: 05/12/2021
Rec V Date: 05/12/2021
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Allergies: none

Symptom List:

Symptoms: patient states that she was short of breath after receiving the vaccine. Patient airway was assessed for airway, breathing and circulation. vital signs were checked accordingly. She was encouraged on good breathing exercises. Vital signs were checked accordingly. She was discharged home by self in stable condition at 10:15AM.

Other Meds: none

Current Illness: none

ID: 1310510
Sex: F
Age: 29
State: NH

Vax Date: 03/01/2021
Onset Date: 03/19/2021
Rec V Date: 05/12/2021
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Allergies: No

Symptom List:

Symptoms: Extremely lathargic, cannot move without running out of breath. Has a very difficult time breathing and she is unable to do ANYTHING

Other Meds: Seraquel, Calumet, lithium

Current Illness: Asthma

ID: 1310511
Sex: F
Age: 40
State: MA

Vax Date: 05/04/2021
Onset Date: 05/07/2021
Rec V Date: 05/12/2021
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Allergies: No

Symptom List:

Symptoms: I had the usual symptoms the first day after, fever/chills etc. It?s now a week later and I have had heart palpitations for 4-5 days, blurred vision and an urgency to urinate. I have felt faintish as well. I am hoping this passes soon.

Other Meds: Multivitamin Calcium

Current Illness: None

ID: 1310512
Sex: F
Age: 46
State: MA

Vax Date: 05/02/2021
Onset Date: 05/03/2021
Rec V Date: 05/12/2021
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Allergies: Sulfa medicine

Symptom List:

Symptoms: Body ache, chills/sweats, headache, sore throat, fatigue, diarrhea for seven days. And lasting fatigue into the 10th day following.

Other Meds: Sertraline 100mg, Trazadone 50mg, Buspirone 100mg daily.

Current Illness: None

ID: 1310513
Sex: F
Age: 40
State: MA

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 05/12/2021
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Symptoms: Center of chest pain above the nipples below the collar bone.

Other Meds:

Current Illness:

ID: 1310514
Sex: M
Age: 22
State: IN

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/12/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: Fever, fatigue, headache, chills, nausea.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm