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
88,334
AK1,815
AL6,133
AR3,993
AS45
AZ14,539
CA64,759
CO12,159
CT8,719
DC1,747
DE1,868
FL41,499
FM3
GA16,132
GU92
HI2,477
IA4,739
ID2,763
IL21,496
IN23,655
KS4,844
KY8,414
LA5,328
MA15,281
MD13,105
ME3,277
MH8
MI20,143
MN12,873
MO10,275
MP30
MS3,073
MT2,392
NC17,450
ND1,440
NE3,023
NH3,124
NJ19,456
NM4,089
NV4,600
NY36,525
OH20,140
OK6,525
OR8,918
PA24,920
PR2,483
QM2
RI2,092
SC6,952
SD1,243
TN10,038
TX38,745
UT4,482
VA15,477
VI62
VT1,780
WA15,487
WI11,573
WV2,461
WY894
XB5
XL1
XV2

ID: 1317793
Sex: F
Age: 65
State: NC

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/14/2021
Hospital: Y

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

Lab Data:

Allergies: IVP contract dye, Sulfa, codeine and derivatives, Vicodin, Ultram, Seafood

Symptom List:

Symptoms: Eyes itching, throat swelling, tongue thickness, facial swelling & itching on 5/06/21 On 5/08/21, approx 4:30pm. Wave of pain top of neck spread over my head. Immediately throat swelling, tongue thickening, slurred speech, left side face numbness & tingling. Called 9-1-1. Approx 3:30 am, wave of heat over my head; face & left arm felt so heavy like I couldn't move. Numbness to left face, eye & my tongue. There has been and continues to be a metallic taste in my mouth.

Other Meds: Gabapentin 100 mg 2 caps/am Gabapentin 100mg 2 caps/pm Nexium 20 otc ASA 81 mg q day Naproxen Sodium 220 mg x2 am/pm Zyrtec 10 mg otc

Current Illness: N/A

ID: 1317794
Sex: M
Age: 28
State: TX

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

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: After Client completed the 15 minute observation period ,upon standing he complained of rapid heart rate. Client was then monitored for an additional 30 minutes 3:06 pm BP -160 /80 HR -120, O2 sat 99% 3;21pm Bp- 140/80 ; HR 120 O2 saturation 99% Client stated he was feeling better 3;36pm Bp _ 132/80 HR - 80 , O2 sat 99% CLient stated he was feeling better was allowed to leave with step son and wife. Client was advised to rest and seeking medical attention should symptoms reoccur.

Other Meds: omeprazole

Current Illness: None

ID: 1317795
Sex: F
Age: 49
State: TX

Vax Date: 05/09/2021
Onset Date: 05/11/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: large red bruise , simular to a rash on right arm.

Other Meds: no

Current Illness: n/a

ID: 1317796
Sex: M
Age: 67
State: TX

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 05/14/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: On 3/17/21 15:05 Inmate arrives via ambulance due to SOB, fever and chills and 02 sats at 88% since 9 am per EMS report given to hospital ER. On 3/19/21 pt transferred to a different hospital via EMS. Inmate had 2nd hospitalization on 5/3/21 for SOB again and then was d/c'd on 5/6/21 with dx of mild to moderate Pulmonary Edema, Cardiomegaly, small bilateral effusion.

Other Meds: Colace,ED ASA, Metformin, Imdur, Plavix, Lisinopril, Synthroid, Albuterol Sulfate Inhaler

Current Illness: CAD, HTN, GERD, T2DM, Hypothyroidism, Hemorrhoids, lower back pain, respiratory failure, Unspecified abnormalities of breathing, heart failure

ID: 1317797
Sex: M
Age: 13
State: WA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient Fainted

Other Meds: None

Current Illness: None

ID: 1317798
Sex: F
Age: 70
State: WA

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: given the wrong vaccine, should have been given moderna

Other Meds:

Current Illness:

ID: 1317799
Sex: F
Age: 36
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: On May 14, 2021 approximately at 10:30am, due to syringe malfunction, the entire dose of the moderna covid-19 vaccine did not get administered to the patient (some of the vaccine spilled out of the syringe onto the patients arm and hand). The exact amount that was injected into the patient is unknown. Patient had no adverse events. Called moderna on what the protocol should be and representative stated if less then half or if unknown how much of vaccine was spilled to give another dose immediately on the opposite arm.

Other Meds:

Current Illness:

ID: 1317800
Sex: F
Age: 92
State: PA

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: not available

Symptom List:

Symptoms: pt presented at store today with a bruise on her upper left calf. she did not remember hitting her leg. she noticed it after her janssen covid vaccine. I advised pt to seek medical attention due to the risk of low platelets/blood clots- under advisement of the EUA. Pt was going to get looked at Med Express.

Other Meds: not available

Current Illness: not available

ID: 1317801
Sex: M
Age: 51
State: KY

Vax Date: 04/02/2021
Onset Date: 04/26/2021
Rec V Date: 05/14/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Developed bilateral pulmonary emboli

Other Meds:

Current Illness:

ID: 1317802
Sex: F
Age: 39
State: NJ

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: None provided by patient

Symptom List:

Symptoms: Patient indicated that she had swelling in the armpit following the injection and sit was still present today 5/14.

Other Meds: NA

Current Illness: Not known

ID: 1317803
Sex: F
Age: 16
State: OR

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

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: Administration Error: this is a 16 year old that received the J&J vaccine (approved for ages 18 and over only). In this event, the patient attended a vaccine clinic with a family member and was added on to the schedule as a 'walk-in' appointment at the parent's request. The patient received the vaccination before they were processed in the computer. After administration during the electronic documentation, the patient's age was flagged and the error discovered. The parent and patient were advised of the age-related error, and the patient had no adverse effects in the immediate observation period.

Other Meds: Acetaminophen and ibuprofen as needed; Loestrin FE

Current Illness:

ID: 1317804
Sex: F
Age: 34
State: AK

Vax Date: 05/06/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: Cannibinoids, fish, shellfish

Symptom List:

Symptoms: Itchiness at injection site immediately post injection, ongoing. This morning I had a large red mark on my upper shoulder and by mid-day a large knot under the red mark with swelling. (Photo was taken to monitor for possible progression.) There is considerable heat over the red mark, but that is expected with the swelling.

Other Meds: None

Current Illness: None

ID: 1317805
Sex: M
Age: 39
State: FL

Vax Date: 05/10/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I had the normal side effects for the vaccine, chills, low fever, nausea. All that went away on the 3rd day and I was fine. Today on my 4th day I am feeling nausea and vertigo. I had laberintitis before, and this feels the same.

Other Meds: None

Current Illness: None

ID: 1317806
Sex: M
Age: 53
State: PA

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Woke up in the middle of the night, felt unwell and then had a syncopal episode. He fell and struck his head and suffered a head laceration. He chose not to seek medical care. Has fully recovered.

Other Meds: Belbuca, oxycodone

Current Illness:

ID: 1317807
Sex: F
Age: 17
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: na

Other Meds:

Current Illness:

ID: 1317808
Sex: M
Age: 64
State: NC

Vax Date: 04/14/2021
Onset Date: 05/10/2021
Rec V Date: 05/14/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Left hemibody weakness, severe dysarthria-- >NIHSS 27-- >R M1, R ACA occlusions. Underwent thrombectomy with NSGY. MRI w/large R MCA stroke.

Other Meds: Norvasc, aristada, cogentin, baraclude, folvite, lantus, hctz, synthroid, lopressor, prilosec

Current Illness: HTN, DM, cirrhosis, polysubstance abuse, hepatitis B, DM,hypothyroidism, schizophrenia, anxiety/depression

ID: 1317809
Sex: F
Age: 46
State: WI

Vax Date: 04/20/2021
Onset Date: 04/30/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient has had a history with vaccines. She started noticing fatigue on the 10 day. On the 11th day she had hives and itching all over. That did not go away until she took Zyrtec on the 14th day. She discussed with her doctor who stated she has a PEG allergy

Other Meds: none

Current Illness: none

ID: 1317810
Sex: F
Age: 47
State: WI

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Patient reported that a few hours after the day of her COVID vaccine, she had numbness and tingling in her arm, which spread all over her body. She stated it felt like pins and needles and worsened with activity. She stated she sees a physical therapist and after some exercises it started to feel worse. She continues to have tingling all over her body at this time. The RN asked her to also inform her primary care doctor as he knows more about past history, surgeries, etc.

Other Meds: Unknown

Current Illness: Unknown

ID: 1317811
Sex: F
Age: 55
State: SD

Vax Date: 05/08/2021
Onset Date: 05/09/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Flu-like symptoms with fever during afternoon/night after. Woke up at 6 am, felt nauseous and fainted on the bathroom floor, hitting head on a drawer pull, causing laceration and concussion. Low-grade fever over the next 24 hours, with bouts of nausea, dizziness, and labored breathing.

Other Meds: Ashwaganda, Korean ginseng, Alive multi, krill oil, vit C, coq10, True Focus

Current Illness: none

ID: 1317812
Sex: M
Age: 46
State: IN

Vax Date: 04/08/2021
Onset Date: 04/11/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: Augmentin

Symptom List:

Symptoms: Red rash and itching on left arm went away after two days then 2 days later came back bigger and redder than before and lasted about 4 days. Has cleared up since. 1st day was very painful also.

Other Meds: Diltalziem 120 mg

Current Illness: None

ID: 1317813
Sex: F
Age: 49
State: AZ

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: High fever, chills, backache, fatigue

Other Meds: NP Thyroid

Current Illness: N/A

ID: 1317814
Sex: F
Age: 20
State: MT

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chills, Fever, Dizzy, Chest Tightness

Other Meds:

Current Illness:

ID: 1317815
Sex: M
Age: 50
State: IN

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Muscle ache, chills and fever

Other Meds:

Current Illness:

ID: 1317816
Sex: F
Age: 59
State: WA

Vax Date: 04/01/2021
Onset Date: 05/04/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 1) Body pain x 36 hours 2) Positional Vertigo. Vertigo with change in position from lying down to standing up and from from lying supine to lying prone. Started around day 3 post second dose and continuing until at least 2 weeks post vaccine (at the time of this report symptoms are ongoing). 3) Headache on and off which started around day 7-10 post second dose of vaccine and ongoing at time of reporting (2 weeks post vaccination).

Other Meds:

Current Illness:

ID: 1317817
Sex: F
Age: 61
State: OR

Vax Date: 04/28/2021
Onset Date: 05/08/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 24 hours after 2nd vaccine on 4/29 had typical reaction, foggy head, head ache, chills, body ache, fatigue 36 hours after 2nd vaccine on 5/30 had very painful constant and unrelenting stomach cramps for a solid 7 hours 48 hours after had unusual skin pain on torso area off and on for 2-3 days 10 days after vaccine developed first stages of shingles with significant pain in upper back and torso, mostly on left side 12 days after shingles rash appeared on upper left back, side and chest, lymph nodes in arm pits swollen and tender 15 days after full blown case of shingles with large rash and significant pain in left torso area

Other Meds: aspirin (RA ASPIRIN EC) 81 MG EC tablet (Taking) take 1 tablet by mouth once daily. metoprolol succinate (TOPROL-XL) 50 mg 24 hr tablet (Taking) take 1 tablet by mouth once daily. pravastatin (PRAVACHOL) 20 mg tablet (Taking) Take 1 tab

Current Illness: none

ID: 1317818
Sex: F
Age: 35
State: UT

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: About 5 years ago she had drug induced psychosis and has been fine since. After receiving the second shot it appears to have started the psychosis again even though there were no other drugs involved.

Other Meds: Citalopram, omprozal, buprenorphine, diazepam

Current Illness: Urinary track infection

ID: 1317819
Sex: F
Age: 33
State: PA

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: Shellfish

Symptom List:

Symptoms: Nose bleed and sporadic high blood pressure. Monitor blood pressure.

Other Meds:

Current Illness:

ID: 1317820
Sex: M
Age: 71
State: IL

Vax Date: 04/29/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: NO

Symptom List:

Symptoms: PT CALLED STATING LUMP ,BRUISING ON LEFT INNER THIGH. PT NOTICED BRUISING HAS BEEN INCREASING. WE RECOMMENDED TO GO TO ER OR CONVENIENT CARE TO EVALUATE .

Other Meds: UNKOWN

Current Illness: N/A

ID: 1317821
Sex: F
Age: 23
State: CA

Vax Date: 04/11/2021
Onset Date: 05/10/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 3 days of ovulation resulting in pregnancy. And then a corpus literal cyst and a miscarriage.

Other Meds: Prenatals

Current Illness: None

ID: 1317822
Sex: M
Age: 19
State: IL

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: D-Allergy Augmitten Diflucin

Symptom List:

Symptoms: Mild fatigue Headache Sore left arm Chills *Took Ibuprofen to ease symptoms

Other Meds: Fish oil Vitamin C Vitamin D Zyrtec

Current Illness: None

ID: 1317823
Sex: F
Age: 29
State: MT

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Stuffy Nose & Headache

Other Meds:

Current Illness:

ID: 1317824
Sex: M
Age: 37
State: PA

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

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

Lab Data:

Allergies: Walnuts, Beestings

Symptom List:

Symptoms: Pt, while sitting after receiving vaccine, started to react negatively after 28 mins. Complains of difficulty breathing and had noticeable hives. Pt was given benadryl to reduce allergic reaction. After a few minutes, pt breathing became better, hives went away. Pt was released to himself at 5:20pm

Other Meds: Simvis Statin, Tylenol, Benedril, Claritin

Current Illness:

ID: 1317825
Sex: F
Age: 25
State: TX

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reports headache ( pain scale of 6/10) and nausea, no other symptom. BP :99/61, pulse: 72, Spo2 :100% Patient was seen and cleared by EMS.

Other Meds:

Current Illness:

ID: 1317826
Sex: F
Age: 54
State: AZ

Vax Date: 04/16/2021
Onset Date: 04/19/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: white bread

Symptom List:

Symptoms: developed shingles 2 and 1/2 days after 1st Vaccine, went to banner urgent care on 4/23 because of rash starting on 4/19 and was on left torso from belly button to spine left . started as small red bumps and progressed to. nerve pain /pressure all over left torso. diagnosed on 4/23 at as shingles. took anti viral for 7 days . (VAL?)

Other Meds: Womens multivitamin

Current Illness:

ID: 1317827
Sex: M
Age: 14
State: IN

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: Corn intolerance

Symptom List:

Symptoms: Rash on upper right arm down to right elbow

Other Meds:

Current Illness: Bronchitis

ID: 1317828
Sex: M
Age: 73
State: AZ

Vax Date: 02/12/2021
Onset Date: 03/22/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Several weeks after receiving the second injection all the skin on my hands started cracking (bleeding in some locations) and then the skin started peeling off. I could literally grab sections of skin and peel it off in sections. That lasted for several weeks to a month and then the hands started to heal and it started on my feet, again with bleeding and sore cuts and then the cracked skin started peeling off. I didn't take photos of my hands but I have photos of what was happening to my feet. My wife was afraid it was some contagious disease. I'm in good health, 73 years old at the time, and have never had that condition happen before. It was quite concerning. Item 20 below asks if I've fully recovered. The hands have completely "healed" and the feet for the most part with a lot dryness and the split skin cuts still healing.

Other Meds: Armourthyroid (35mg). Vitamin D and Magnesium Malate

Current Illness: None

ID: 1317829
Sex: F
Age: 41
State: UT

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Menstrual cramps and bleeding that started a day after the vaccine and have lasted over a week. This started 2 weeks after my last period.

Other Meds: Birth Control pill

Current Illness:

ID: 1317830
Sex: F
Age: 67
State: FL

Vax Date: 04/15/2021
Onset Date: 04/20/2021
Rec V Date: 05/14/2021
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Allergies: Toradol, phenazopyridine

Symptom List:

Symptoms: Patient stated that she initially only had a sore arm. However about 3 days after her left beye appeared to hve a ruptured, blood vessel. She contacting the International eye institute and asked that she monitor. Cleared on its own, though worried in may happen again with her dose today. Should it occur referred her to her eye doctor,

Other Meds: Unkown

Current Illness: Unknown

ID: 1317831
Sex: F
Age: 15
State: KS

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
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Allergies: Latex

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Symptoms: Pt. sitting with mother and sister in observation area. Mother signed for assistance. Pt reported feeling hot and having blurred vision. Able to state name throughout event. Pupils dilated, skin hot. Pt instructed to remove mask and breath deeply, cool pack applied to back of neck. After several minutes patient reported vision retuning to normal. Patient incontinent during episode. Pt transferred to private room. Water, peanuts, and fruit snacks provided. Sister very tearful and anxious. Water and snacks provided. Family remained 30 minutes. Verbalized feeling okay, reported slight headache. Mother made appointment for patient to see pcp today, family left clinic.

Other Meds: n/a

Current Illness: N/a

ID: 1317832
Sex: M
Age: 58
State: IL

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 05/14/2021
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Allergies: No Known Allergies.

Symptom List:

Symptoms: Occasional cough, occasional shortness of breath, and occasional wheeze. He believes this occurred after his COVID19 vaccination February 6, 2021.

Other Meds:

Current Illness:

ID: 1317833
Sex: M
Age: 58
State: VA

Vax Date: 05/05/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
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Allergies: NONE

Symptom List:

Symptoms: Left Hand Swelling

Other Meds: NONE

Current Illness: NONE

ID: 1317834
Sex: F
Age: 56
State: NC

Vax Date: 04/27/2021
Onset Date: 05/03/2021
Rec V Date: 05/14/2021
Hospital: Y

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Allergies: NKA

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Symptoms: Presented to Hospital with HAs, confusion, septic shock, AKI. GTC on day of discharged, prompting transfer to hospital.

Other Meds: Lotrel, abilify, flexeril, cymbalta, nexium, amaryl, synthroid, mag ox, mobic, metformin, MS contin, percocet, actos, pravachol

Current Illness: None

ID: 1317835
Sex: F
Age: 51
State: CA

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/14/2021
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Allergies: None

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Symptoms: Intense pain in my left leg without being able to move it. Myalgia.

Other Meds: Xarelto, metformin, benasepril, ibuprofen, trubada.

Current Illness: Diabetes, Hypertension, cholesterol, DVT.

ID: 1317836
Sex: F
Age: 25
State: FL

Vax Date: 05/04/2021
Onset Date: 05/12/2021
Rec V Date: 05/14/2021
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Allergies: No allergies

Symptom List:

Symptoms: Bruise on right calf spread all over and got bigger

Other Meds: Adderall 15 mg

Current Illness: None

ID: 1317837
Sex: F
Age: 79
State: CT

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 05/14/2021
Hospital: Y

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Allergies: Bactrim [Sulfamethoxazole-Trimethoprim] Other (See Comments) Thrush o Ciprofloxacin Other (See Comments) erythema multiforme o Erythromycin Other (See Comments) erythema nodosum o Nsaids Other (See Comments) Avoids due to GI bleed hx o Carbapenems Rash/Dermatitis o Codeine Delerium/Confusion/Psychosis o Flagyl [Metronidazole] Rash/Dermatitis o Macrolides And Ketolides Rash/Dermatitis o Penicillins Rash/Dermatitis o Quinolones Rash/Dermatitis o Tetracycline Rash/Dermatitis

Symptom List:

Symptoms: Arrival Date: 2/14/2021 Discharge Date: 2/18/2021 Primary Discharge Diagnosis: Principal Problem: Sepsis (HCC) POA: Yes Active Problems: GERD (gastroesophageal reflux disease) POA: Yes Portal hypertension (HCC) POA: Yes Thrombocytopenia (HCC) POA: Yes Esophageal varices (HCC) POA: Yes Chronic systolic heart failure (HCC) POA: Yes Essential hypertension POA: Yes Hyperlipidemia POA: Yes Operations/Procedures: None Pertinent Diagnostic Studies: Xr Chest 1 View-portable Result Date: 2/15/2021 Portable chest at 0039 hours HISTORY: New left internal jugular catheter. AP sitting portable chest compared to February 14, 2021 and shows introduction of a left internal jugular catheter with the tip doubled back on itself possibly in the distal brachiocephalic vein. No evidence of pneumothorax. There is a coarse appearance to the pulmonary interstitium bilaterally some of which may reflect chronic disease though the possibility of a very small infiltrate at the left base retrocardiac cannot be excluded and has not changed. No significant pleural effusion or definite acute vascular congestion. The heart, mediastinal and hilar structures are not enlarged or changed. Degenerative disease of the spine is noted with a mid thoracic scoliosis convexity to the right. Left internal jugular catheter in place with distal tip curved back on itself possibly in the distal brachiocephalic vein. Chronic interstitial lung disease bilaterally as well as what may be a small focal infiltrate at the left base unchanged. Xr Chest 1 View-portable Result Date: 2/14/2021 PROCEDURE: XR CHEST 1 VIEW-PORTABLE HISTORY: cough COMPARISON: 9/27/2020 Impression: Limited portable view obtained. Heart mediastinum stable There is mild central vascular and interstitial prominence which could reflect developing mild interstitial edema or interstitial pneumonitis. No severe CHF. Some slightly more focal patchy increased interstitial airspace opacity in the left lower lobe retrocardiac region is identified and could represent a developing infectious inflammatory infiltrate. Clinical correlation and follow-up advised Incidental findings: CXR- Chronic interstitial lung disease bilaterally as well as what may be a small focal infiltrate at the left base unchanged. Test Results Pending at Discharge: Pending Labs Order Current Status Microscopic Urinalysis In process Blood Culture Peripheral Preliminary result Blood Culture Peripheral Preliminary result Active Issues Requiring Follow-up: ISSUE- Needs to follow up with PCP Discharge Medications: Discharge Medications New Medications Sig cefpodoxime 200 MG tablet Commonly known as: VANTIN Start taking on: February 19, 2021 Take 1 tablet (200 mg total) by mouth daily. Do not start before February 19, 2021. Quantity: 6 tablet Discharge Disposition: Home Or Self Care Code Status: DNR Details of Hospital Stay History of Present Illness (from the H&P) CHIEF COMPLAINT: Chills fever, nausea, vomiting, diarrhea after receiving Covid vaccine #2 (Pfizer) HPI: This is a 79 y.o. female with a past medical and surgical history as below-most significant for breast cancer that was diagnosed in 2017, portal hypertension secondary to fatty liver in 2019, resultant esophageal varices that bleed presents with the following chronological history: Approximately 9 AM yesterday morning she went to the clinic for her second Covid vaccination. At that time her temperature was 97.3. She felt fine the rest the day. At 1 AM she woke up with shakes. She continued with nausea and that resulted in vomiting and then diarrhea. She also had severe pain in her thighs. This was severe enough that she called the ambulance. Patient also relates later that she had had some burning on urination 2 days prior to the vaccination. She had leftover Macrodantin that she took 9 PM yesterday. Also relates back in December she was seen by Dr for vaginal infection and 2 times a week she has to administer intravaginal antibiotics. She has had multiple GI bleeds secondary to esophageal varices and is followed regularly by Dr who has had to do multiple banding procedures on her. She also relates she has an enlarged spleen and is followed by Dr. In the emergency room she was noted to be febrile and hypotensive. She received a total of 5 L of normal saline in the ER to bring her pressures up with a systolic below 100. She has a very elevated procalcitonin as well as lactic acid. Urine is positive for large amount of blood and small leukocyte esterase Hospital Course 79 y.o. year old female with HTN, infiltrating ductal carcinoma of the right breast stage I status post lumpectomy with positive margins was on anastrozole but taken off secondary to abnormal liver enzyme testing, CLL/thrombocytopenia stage I with no treatment needed, fatty liver complicated by portal hypertension/splenomegaly resulting in bleeding esophageal varices, history of viral cardiomyopathy in 2006, B12 deficiency, history of admission for septic shock, chronic diarhea, presented to the emergency room on 2/14 complaining of fevers, myalgias fatigue nausea and vomiting 24 hours after having a second dose of COVID-19 vaccine. She was admitted for septic work-up and later found to be hypotensive after 7L of fluids and was transferred to the ICU for septic shock, left IJ was placed. Source of infection found to be septic from UTI. Urine culture sterile with less than 1000 colony forming units and blood cultures no growth to date. On the day of discharge. Shock resolved. Her procalcitonin trended down. Wonder whether she had an exaggerated response to the Covid vaccine given that today the urine culture shows no growth. Regarding acute on chronic diarrhea she had unremarkable GI PCR and diarrhea improved after starting Imodium. She is had extensive work-up for this with GI as outpatient and days colonoscopy planned in the near future. CLL with splenomegaly/nodular hyperplasia of the liver with noncirrhotic portal hypertension/neutropenia/thrombocytopenia/hyperbilirubinemia/esophageal varices requiring banding in the past -Was restarted on propanolol and midodrine prior to discharge. -Chronic stable anemia/B12 deficiency-getting supplementation every 3 months Thrombocytopenia -she did have drop in platelet counts during admission while being on pantoprazole and Lovenox and these were discontinued and platelet count stabilized. She can have repeat CBC as outpatient to document improvement in platelet count. She was not noted to have any platelet type bleeding. History of right-sided breast cancer status post lumpectomy was on anastrozole but stopped secondary to liver disease Lab Studies: Lab Results Component Value Date GLUC 86 02/18/2021 CALCIUM 8.4 (L) 02/18/2021 NA 149 (H) 02/18/2021 K 3.8 02/18/2021 CO2 23 02/18/2021 CL 114 (H) 02/18/2021 BUN 18 02/18/2021 CREAT 0.9 02/18/2021 Results from last 7 days Lab Units 02/16/21 0702 MAGNESIUM mg/dL 1.9 Lab Results Component Value Date CALCIUM 8.4 (L) 02/18/2021 PHOS 2.4 (L) 02/17/2021 Results from last 7 days Lab Units 02/18/21 0724 02/14/21 1855 WHITE BLOOD CELL COUNT Thou/uL 4.1 < > 2.9* HEMOGLOBIN g/dL 10.0* < > 8.8* HEMATOCRIT % 30.0* < > 27.7* PLATELET COUNT Thou/uL 33* < > 37* NEUTROS PCT % -- -- 84.7 NEUTROS ABS Thou/uL -- -- 2.40 LYMPHS PCT % -- -- 10.9 LYMPHS ABS Thou/uL -- -- 0.30* MONOS PCT % -- -- 3.1 MONOS ABS Thou/uL -- -- 0.10* EOS PCT % -- -- 0.8 EOS ABS Thou/uL -- -- 0.00 BASOS PCT % -- -- 0.5 BASOS ABS Thou/uL -- -- 0.00 < > = values in this interval not displayed. Lab Results Component Value Date ALT 28 02/18/2021 AST 15 02/18/2021 GGT 22 09/09/2019 ALKPHOS 116 02/18/2021 BILITOT 1.0 02/18/2021 Physical Exam at Discharge Last Vitals: BP 117/70 (BP Location: Left arm, Patient Position: Lying) | Pulse 73 | Temp 98.1 ?F (36.7 ?C) (Tympanic) | Resp 18 | Ht 1.626 m (5' 4") | Wt 73.2 kg (161 lb 6 oz) | SpO2 94% | BMI 27.70 kg/m? Patient was seen and examined by me on the date of discharge. General Appearance: Alert, Awake, not in acute distress. Cardiovascular: S1-S2 regular, no murmurs present. Respiratory: Bilateral air entry present, no added so

Other Meds: calcium citrate-vitamin D 315-200 MG-UNIT per tablet Commonly known as: CITRACAL+D Take 1 tablet by mouth 2 (two) times a day. clindamycin 2 % vaginal cream Commonly known as: CLEOCIN INSERT ONE APPLICATORFUL BY VAGINAL ROUTE ONCE DAILY A

Current Illness: Vitamin B12 deficiency, Chronic lymphocytic leukemia of B-cell

ID: 1317838
Sex: F
Age: 41
State: MD

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
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Allergies: Shellfish

Symptom List:

Symptoms: Abdominal cramping and headache

Other Meds:

Current Illness: History of COVID19 infection 3 months ago Feb 2021.

ID: 1317839
Sex: M
Age: 18
State: NY

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
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Allergies: None

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Symptoms: Fever of 103 degrees F, Chills, Fatigue

Other Meds: None

Current Illness: None

ID: 1317840
Sex: F
Age: 16
State: IL

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
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Allergies: None

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Symptoms: Right after patient received the vaccine she turned very pale and told the technician she felt light headed. She remained seated in the room and closed her eyes a couple times but never appeared to lose consciousness. Her dad joined us in the room and confirmed she was really nervous before the vaccine. We kept her seated for several minutes and then she said she felt sick and vomited. After that she started to regain her color and was able to move to the waiting room. She sat there for about 5 more minutes and then felt well enough to leave with her dad.

Other Meds: Unknown

Current Illness: None

ID: 1317841
Sex: F
Age: 57
State: OH

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/14/2021
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Allergies: tramadol

Symptom List:

Symptoms: The evening of patient's vaccination, she experienced bruising, itching , and pain at injection site. She also experienced pain on the left side of her neck. Patient stated her glands in neck area have been swollen as well. Patient says she still has itching in area around the vaccinations site and is still bruised. Bruise is approximately 3&1/2 inches in width and 2&1/2 inches high on left arm around injection site. Patient went to an urgent care center for a reason unrelated to vaccination to have physician look at injection site. She stated they suggested that she use a cold compress on vaccination site area.

Other Meds: acetaminophen, gabapentin 100 mg, diazepam 5 mg, albuterol hfa inhaler, metoprolol succ er 50 mg

Current Illness: None

ID: 1317842
Sex: M
Age: 53
State:

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
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Symptoms: seizure, possible stroke, transported to local hospital

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 679,999

Page last modified: 03 October 2021 5:28pm