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
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1323149
Sex: F
Age: 52
State: MN

Vax Date: 04/09/2021
Onset Date: 04/14/2021
Rec V Date: 05/17/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient admitted to hospital several times within 6 weeks of receiving COVID vaccination for infective myositis of left lower leg.

Other Meds:

Current Illness:

ID: 1323150
Sex: F
Age: 32
State: VA

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

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

Lab Data:

Allergies: mussels

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient had anaphylaxis reaction to Pfizer ( LOT#: EW0176, EXP date: AUG2021)first dose. Vaccine administered around 0855, approximately at 0904 patient reported difficulty breathing and reported it to (observer). Observer brought the patient to a patient care room and reported it to the team lead. Patient appeared flushed, Provider noted that the patient was holding her throat. EpiPen 0.3mL (Lot #0FM355 Exp: NOV2021) was administered at 0910 and held in patients left thigh for 10 seconds. Patient reported a burning sensation when Epipen was given. EMS was called at 0913 arrived at 0922. Patient reported lip tingling and chills after EPiPen was administered. Patient developed a horse like cough but was reporting that her ability to breath was getting better. Vital signs taken at 0908 BP: 124/84 HR:82 O2: 98%. Second Vital signs taken at 0920 BP: 124/84 HR:100 O2: 98%. Third set of vitals taken at 0930 BP: 130/88 HR: 102 SPO2: 98%. Patient transported to Hospital at 0932.

Other Meds:

Current Illness:

ID: 1323151
Sex: F
Age: 17
State: TX

Vax Date: 04/12/2021
Onset Date: 05/10/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: Moderna vaccine inadvertently given to 17 year old patient.

Other Meds:

Current Illness:

ID: 1323152
Sex: F
Age: 37
State: TX

Vax Date: 05/03/2021
Onset Date: 05/04/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Vomiting, muscle weakness, severe joint pain.

Other Meds: none

Current Illness: none

ID: 1323153
Sex: F
Age: 37
State: PA

Vax Date: 04/10/2021
Onset Date: 04/29/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: Tetracycline

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: I developed dermatographia with no clear allergic trigger. Symptoms include itchy hives and red patches of skin from anything scratching my skin. Symptoms improve but are not resolved with antihistamines and steroids. I?ve never had anything like this before and it was sudden onset.

Other Meds: Nuvaring Clindamycin phosphate lotion

Current Illness: None

ID: 1323155
Sex: F
Age: 34
State: MD

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

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

Lab Data:

Allergies: No

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: Noticed spotting today (5/17) . Not sure if it will be a full fledged period.

Other Meds: Synthroid 125

Current Illness: No

ID: 1323156
Sex: F
Age: 25
State: IN

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

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

Lab Data:

Allergies: No

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Muscles pain, headache, chilling, fever

Other Meds: No

Current Illness: No

ID: 1323157
Sex: F
Age: 56
State: WI

Vax Date: 04/27/2021
Onset Date: 05/09/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: ERRATIC HYPOTENSIVE EPISODES IN A PATIENT WITH HYPERTENSION WHILE NOT ON ANTIHYPERTENSIVE MEDICATIONS.

Other Meds:

Current Illness:

ID: 1323158
Sex: M
Age: 59
State: GA

Vax Date: 04/12/2021
Onset Date: 05/02/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: SHINGLES. Starting on or about 5.2.21, shooting pain in knees, followed by odd sensations to touch. RICE'd & used roll on pain relievers. Waking up every two hours in pain. Pain moved to back a couple of days later. 5.8.21 quit using roll on because rash developed on left leg. Monday 5.10.21 rash is worse and went to Resurgens for knees and overall pain. Dr. thought shingles so went directly to Primary Care. Got positive diagnosis of Shingles, antivirals and pain meds. On or about Wednesday 5.12 ear pain and odd hearing sensations started. Went back to PCP - ear infection. Got antibiotics.

Other Meds: Metformin, Rosuvastatin, Klonopin, Turmeric, Zinc, vitamins C & D

Current Illness: none

ID: 1323159
Sex: F
Age: 51
State: CO

Vax Date: 05/03/2021
Onset Date: 05/04/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: No allergies, but food sensitivities to FODMAPS limits diet

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Initially a sore arm at injection site about 2 hours after vaccine. At 15 hours after 2nd dose, nausea and vomiting started at about 20-30 minute intervals. When stomach contents were empty, vomiting bile and any water I sipped. I would have gone to the ER, butI have a supply of anti-nausea/anti-emetics from radiation therapy, I used them from 5/4 to 5/8 in order to retain any fluids. Accompanied by whole body weakness/ fatigue and lightheaded/dizzy spells. Took last anti-nausea med on Sat 5/8 evening. Began to try solid food (BRAT diet-like) in Sun 5/9. Body weakness and fatigue noticeable through 5/13. Also very constipated after resuming normal diet.

Other Meds: Buproprion Synthroid Low dose naltrexone Gentle iron Vitamin D3 Calcium citrate

Current Illness: None

ID: 1323160
Sex: F
Age: 15
State: MD

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

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

Lab Data:

Allergies: None.

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: She got her vaccine, she was sitting in the chair and 4-5 minutes after the shot she started telling her grandfather that she felt nauseated. She then started feeling dizzy and looked like she was going to pass out and he caught her and he laid on her on the floor on a pillow. There was a off-duty paramedic to assist her and they suggested to call 9-1-1 and they showed up 5-6 minutes later. She was then taken to Hospital. They ran a lot of laboratory tests, urinalysis and everything was negative. Her white blood cell count was high and her URC's and UBC's were high. Her albumin was also high. She was then released from the ER and was told to FU with PCP within 2 days. She is still having the symptoms of headache, sore throat, and achy bones, the typical flu-like side effects. She is taking Tylenol for the symptoms, as well as cough drops for her throat.

Other Meds: None.

Current Illness: None.

ID: 1323161
Sex: F
Age: 60
State: NC

Vax Date: 05/06/2021
Onset Date: 05/09/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Rash, Urticaria

Symptoms: Extreme left shoulder pain and ears stopped up.

Other Meds: none

Current Illness: none

ID: 1323162
Sex: M
Age: 64
State: FL

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: pt states his left arm was tender and next day he began to develop soreness in all joints. He started taking over the counter aleve and tylenol. The joint pain continued to progress. He has constant pain. He contacted Labs to have blood work. The blood work showed the protein levels at 48% which is why he was having so much inflammation in his joints. The RA test was normal. Pt will be going to an Urgent Care since he is still in so much pain and the symptoms are not getting any better. He was very active and now has trouble moving around. Mobility is down 25 to 30% compared to 100%.

Other Meds:

Current Illness:

Date Died: 05/04/2021

ID: 1323163
Sex: M
Age: 51
State: NY

Vax Date: 04/30/2021
Onset Date: 05/04/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: Patient was admitted to the hospital on 4/5/2021 for severe AKI with hyperkalemia. Patient had a prolonged hospital course due to kidney failure and AIDS. The patient developed acute respiratory failure on 5/1/21 and was transferred to the ICU, where he was found to be in septic shock. Patient passed away on 5/4/21 at 9:59am

Other Meds:

Current Illness: Newly Diagnosed AIDS

ID: 1323164
Sex: M
Age: 86
State: IA

Vax Date: 03/12/2021
Onset Date: 04/27/2021
Rec V Date: 05/17/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Pfizer Dose 1 2/19/21 (EN6200) Pfizer Dose 2 3/12/21 (EN6207) COVID Positive 4/29/21 5/3/21: A is a 6-year-old male past medical history significant for COPD with chronic bronchitis, AAA, pulmonary embolism chronic heart failure, OSA and previous smoker was referred from infusion center for hypoxia on room air of 88%. Patient endorses that since field note Will with some shortness of breath; contacted PMD and COVID test was done and was found to be positive. Patient was then referred to infusion center and was found to be hypoxic on room air 88% and referred to the emergency room. Patient endorses that progressively has been feeling short of breath with generalized malaise otherwise denies any fever chills or rigors. Patient had 2nd COVID-19 vaccine X2 doses in March. Patient was found to be hypoxic in the emergency room requiring 2 liter/minute to bring saturation to acceptable level. Chest x-ray shows mildly cardiomegaly with pulmonary vascular congestion and grossly scatter bilateral pleural plaques. CT angio of chest to rule out PE was done and was unremarkable for pulmonary embolism; however shows right lower lobe airspace disease that might represent pneumonia; intervals catheter bilateral calcified pleural plaques stable as prior. 5/11/21: Patient is an 86-year-old male was admitted with COVID-19 pneumonia with superimposed bacterial pneumonia. Patient had been vaccinated in March 2000 in 21 for COVID-19. Patient was started on remdesivir received Actemra as well. Patient was covered with IV Zosyn for possibility of superimposed bacterial pneumonia. Blood cultures x2 were negative for the patient. Pulmonology team was following the patient and we were able to successfully wean the patient down to room air. Pulmonology cleared the patient for discharge. Patient was discharged to skilled nursing facility with a prednisone taper as recommended by pulmonology. On 05/10/2021 patient had a sinus tachycardia and EKG revealed right bundle branch block which was discussed with Cardiology. Patient was asymptomatic and Cardiology did not recommend any further workup for right bundle branch block. Patient's electrolytes were in the normal range. Patient was in sinus rhythm upon discharge from the hospital on 05/10/2021. Patient was discharged to skilled nursing facility in a stable medical condition on 05/10/2021

Other Meds: ammonium lactate topical BID probiotic 1 cap PO QD multivitamin 1 tab PO QD pantoprazole 40 mg PO BID simvastatin 40 mg PO HS

Current Illness: COPD with chronic bronchitis AAA PE CHF OSA History of smoking

ID: 1323165
Sex: F
Age: 52
State: PA

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

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Redness and swelling at vaccine site.

Other Meds: None

Current Illness: None

ID: 1323166
Sex: F
Age: 26
State: IN

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

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

Lab Data:

Allergies: Bees

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: Sore arm to the point I could not raise it above my shoulder for 24 hours Fever for roughly 3 hours on May 16th Chills for roughly 3 hours on May 16th Muscle aches for 12 hours on May 16th Headache for 12 hours on May 16th

Other Meds: Synthroid 75mmg Enskyce Sertraline 25mmg

Current Illness: NA

ID: 1323167
Sex: M
Age: 63
State: VA

Vax Date: 05/14/2021
Onset Date: 05/15/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: penicillin, codeine

Symptom List: Ear pain, Hypoaesthesia

Symptoms: dizzy, fever

Other Meds: metoprolol, hctz, rosuvastatin, losartan, met forming, magnesium, bayer aspirin, centrum silver,

Current Illness: fluid removed from lungs 3 days prior to vaccine. High blood pressure. Diabetes.

ID: 1323168
Sex: F
Age: 28
State: CA

Vax Date: 04/16/2021
Onset Date: 04/19/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: Mango, seasonal allergies

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Within 1 week post vaccine began having bright red blood mixed in with stool worsening. Dr unsure if related to vaccine and prescribed mild laxative. Problem continued and worsened after receiving booster vaccine 5/14/21. Sometimes small amount mixed in with stool other times enough blood to make water and toilet paper bright red.

Other Meds: St. John?s wort, ashwaganda, gummy vit from Costco, biotin, Flo pms gummy

Current Illness: None

ID: 1323169
Sex: F
Age: 21
State: NM

Vax Date: 05/07/2021
Onset Date: 05/14/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Pt received the vaccine on the 7th of May. 1 week later she noticed a red, mildly raised rash at the injection site. Pt denied any pain itching or burning at the site. Pt denies any prior similar reactions to vaccines. She has not had the rash for 4 days with mild improvement. No other associated symptoms to include difficulty of breathing, SOB or diffuse rash other than injection site were noted by the Pt.

Other Meds: BCP

Current Illness: NK

ID: 1323170
Sex: F
Age: 18
State: FL

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

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

Lab Data:

Allergies: none

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: The patient fainted a few minutes after given the vaccine. The patient was pale and needed to stay in a flat position. The EMT was called and the patient was not taken to the hospital. The patient was feeling better after 30 minutes. The patient stated that she sometimes faints when giving blood.

Other Meds: unknown

Current Illness: none

ID: 1323171
Sex: F
Age: 14
State: TX

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

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Patient experienced vasovagal reaction post-Pfizer #1. Per parent, patient was "fine" for the first 10 minutes, then started c/o symptoms. EMS assessment at 1259: initial BP 71/33, HR 45, RR 20, SPO2 97%, BSG 109. EKG indicated bardycardia, then sinus arrythmia. Final assessment before transport to hospital: BP 100/61, HR 85, RR 15, PSO2 98%. Parent was counseled by a health department RN to discuss the reaction with pediatrician prior to receiving the second vaccine.

Other Meds:

Current Illness:

ID: 1323172
Sex: F
Age: 66
State: WI

Vax Date: 04/14/2021
Onset Date: 04/19/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Client reports nausea, retching, extreme fatigue started 5 days after receiving the vaccine - symptoms continue - has been diagnosed with gastroparesis and is scheduled for treatment this week.

Other Meds:

Current Illness: Denies

ID: 1323173
Sex: F
Age: 48
State: MD

Vax Date: 05/11/2021
Onset Date: 05/12/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: Latex Erythromycin

Symptom List: Injection site pain, Pain

Symptoms: After the COVID Vaccination around 3am in the morning this writer had a very bad case of Acid Reflux/Heartburn and Insomnia. This writer continues with the adverse reactions as of 5/17/2021. This writer was able to take over the counter acid reflux medications and Melatonin 6mg . Medications have helped a little.

Other Meds: Cozzar 50 mg QD Cymbalta 60 mg QD

Current Illness: None

ID: 1323174
Sex: M
Age: 39
State: IN

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: Eggs, Gluten, Tylenol

Symptom List: Injection site pain, Menorrhagia

Symptoms: Headache, body aches, chest tightness, very tired

Other Meds: Zyrtec, Flonase, Elderberry, Probiotic

Current Illness:

ID: 1323175
Sex: M
Age: 69
State: CA

Vax Date: 01/15/2021
Onset Date: 01/20/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: cephalexin

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: patient developed persistent diarrhea

Other Meds: amlodipine, hydrochlorothiazide, nadolol, atorvastatin, metformin, allopurinol, omeprazole, divalproex

Current Illness: None

ID: 1323176
Sex: F
Age: 49
State: IL

Vax Date: 04/10/2021
Onset Date: 04/25/2021
Rec V Date: 05/17/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: J&J Dose 4/10/21 (1808980) COVID Positive 4/27/21 4/29/21: Presented to ED and admitted. 4/30/21: Pt. is a 49-year-old female with history of persistent asthma who was diagnosed with COVID-19- 5 days ago. The patient tested positive for COVID-19 infection on 04/25/2021. Since then she had dry cough, on and off wheezing, worsening shortness of breath. Since yesterday she became extremely short of breath for which she decided to come to the emergency room. Earlier yesterday she was evaluated by an ED physician and she was advised to be admitted because of hypoxemia and pulse oximetry of 87%. Patient declined admission and went home. She came back with worsening shortness of breath. On exam patient was comfortably breathing on 2 L with oxygen saturation 95% ; chest examination was significant for bilateral extensive rhonchi with good air entry and no wheezing. Blood work shows sodium 133, potassium 2.4, BUN 5, creatinine 0.5, albumin 3.4, D-dimer was elevated at and follow-up with CT of the chest with contrast was done. It showed bilateral extensive multilobar pneumonia . There was no pulmonary thromboembolic disease. 5/4/21: Patient is a 49-year-old female who was diagnosed COVID positive on 4/25/2021. She presented to the emergency department on 4/30/2021 with worsening shortness of breath and was noted to be hypoxic. She was admitted to the medical floor with acute hypoxic respiratory failure, secondary to bilateral COVID-19 pneumonia. She received 1 unit of convalescent plasma. She was started on Rocephin, Zithromax, dexamethasone, and Remdesivir therapies. She had a persistent dry cough for which codeine/guaifenesin was effective. Her potassium was also noted to be low, and it was supplemented. She was started on oral therapy and this has maintained it. She is no longer requiring supplemental oxygen. She reports she is feeling much better. She has completed her Remdesivir therapy today and is requesting to go home.

Other Meds: esomeprazle 40 mg PO QD Breo Ellipta 200-25 mcg PO QD omega-3 fatty acids 3 caps PO QD albuterol 1 puff Q6h PRN

Current Illness: Asthma

ID: 1323177
Sex: F
Age: 32
State: RI

Vax Date: 05/15/2021
Onset Date: 05/16/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: penicillin & amoxicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Body aches, nausea, headache, fatigue within 15 hours of shot

Other Meds: prenatal vitamins

Current Illness:

Date Died: 02/27/2021

ID: 1323178
Sex: M
Age: 84
State: TN

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

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

Lab Data:

Allergies: Not recorded in the PCP records

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Worsening shortness of breath since the vaccination; collapsed in bathroom on day 10 post-vaccination

Other Meds: amlodipine, cilostazol, loratadine, tamsulosin, gabapentin, simvastatin, and insulin

Current Illness: No acute illnesses

ID: 1323179
Sex: F
Age: 40
State: NC

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

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

Lab Data:

Allergies: Latex Procardia Celexa

Symptom List: Nausea

Symptoms: Sharp nerve type pain in left arm that has moved up to left shoulder blade and into the spinal area in between my shoulder blades. The pain causes a cold ice pick feeling. It?s hard to turn my head to the left. I had arm soreness since injection with headache that lasted until yesterday late, nausea, fatigue, chills all over and achy body. These pains in my shoulder, neck and back started this morning when I woke up. I did wake up around 4am with cold sweats that actually caused me to sweat through my clothes and hair. This new pain is severe.

Other Meds: Levoxyl (at night) Xanax Benadryl(at night) Tylenol Zanaflex (at night) Linzess ( as needed) Vicodin 5/325 (as needed for gallbladder)

Current Illness: Postural Orthostatic Tachycardia Syndrome Liver disease( swollen liver due to medication toxicity from levoxyl which is countered with Benadryl taken at night) Generalized Anxiety disorder with panic attacks Hypothyroidism due to NO thyroid Arrhythmias

ID: 1323180
Sex: F
Age: 38
State: NC

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 05/17/2021
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Allergies: Sulfa, lexapro

Symptom List: Injection site pain

Symptoms: Almost right away my tongue got all tingly and I became very dizzy. It eased up after a few hours. Tired and weak feeling for 2 days. Severe arm pain for 3 days. 1 week later the itchy red rash they call "covid arm" appeared and lasted for around one week. I also got a very itchy hive like rash down the back of my left leg at the same time that lasted the same amount of time.

Other Meds: Zyrtec, famotidine, Vitamin D, magnesium, probiotics

Current Illness: None

ID: 1323181
Sex: F
Age: 35
State: IN

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 05/17/2021
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Allergies: Penicillin

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Headache, body aches, nausea, very tired

Other Meds: Birth Control

Current Illness:

ID: 1323182
Sex: M
Age: 0
State: MI

Vax Date: 05/15/2021
Onset Date: 05/16/2021
Rec V Date: 05/17/2021
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Allergies: none

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: Rash with small white bumps from the knee to the upper thigh, with some discoloration of the skin toward the inner thigh. Redness noted all over the thigh area

Other Meds: none

Current Illness: none

ID: 1323183
Sex: U
Age:
State: CA

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 05/17/2021
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Symptom List: Tremor

Symptoms: PT WITH AUTISTIC, WAS STUCK WITH NEEDLE FOR VACCINE, BUT MOVED SUDDENLY AND THE VACCINATOR REMOVED THE NEEDLE FOR SAFETY CONCERNS AND DID NOT RECD VACCINE. MOM WAS REFERRED TO PEDS FOR THE VACCINE.

Other Meds:

Current Illness:

ID: 1323184
Sex: M
Age: 84
State: IL

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 05/17/2021
Hospital: Y

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Allergies: nka

Symptom List: Erythema, Pruritus

Symptoms: 84 y.o. male who presents with chills, weakness and low back pain that had onset approximately an hour and a half ago. Upon presentation, the patient's temperature was noted to be 102?. Patient's states that he had a similar set of symptoms several years ago was found to have sepsis of unknown origin. He denies anorexia malaise generalized body aches headache cough dyspnea chest pain nausea vomiting abdominal pain diarrhea or urinary tract symptoms. The patient has been covered vaccinated and reports no known exposures. Of note, the patient has been on cephalexin for the past week due to a postoperative infection related to his recent carpal tunnel release. Transferred to a different hospital for Severe Septic shock, on dopamine drip; remains inpatient as of 5/17/21

Other Meds: Current Outpatient Medications: ? albuterol (PROVENTIL) (2.5 MG/3ML) 0.083% nebulizer solution, INHALE 1 VIAL IN NEBULIZER EVERY 4 TO 6 HOURS AS NEEDED, Disp: , Rfl: ? fluticasone furoate-vilanterol (BREO ELLIPTA) 100-25 MCG/INH inhaler

Current Illness:

ID: 1323185
Sex: F
Age: 12
State:

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 05/17/2021
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Allergies: No known allergies

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Small raised, red bump that appeared immediately after injection at injection site. Patient also experienced itching and small red dots that started to appear around injection site seconds after injection. Administered 50mg po Diphenhydramine following injection. Itching subsided and no additional redness or swelling occurred.

Other Meds:

Current Illness:

ID: 1323186
Sex: F
Age: 37
State: AZ

Vax Date: 05/15/2021
Onset Date: 05/16/2021
Rec V Date: 05/17/2021
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Allergies: N/A

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Sore arm, 104 degrees fever, body ache, headache, nausea, nosebleed.

Other Meds: N/A

Current Illness: N/A

ID: 1323187
Sex: F
Age: 56
State: TX

Vax Date: 02/05/2021
Onset Date: 02/17/2021
Rec V Date: 05/17/2021
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Allergies: No allergies.

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Titinus occurred about 10 days after the first doze. I was watching TV. Suddenly my ears ring so loud. I thought it would go away if I rest. But no. Once it started, it is 24 hours a day, non-stop. Now it has been 3 months. The ring volume is not as loud as the first occurrance. But it will sometime get louder and calm down a little. My right ear has more issue than left ear. Right ear feels a little clogged and ring. Sometimes I feel the ring only come from right ear. occasionally I can hear it from left ear. I tried to massage the muscle around my right ear. It helped. But the ring is still there. I try to make my surrounding sound loud to cover the ring. It will help. But if the surrounding sound are off, the ring becomes very loud. If I put on headset or ear plug, the ring is very loud and clear.

Other Meds: taking centrum women's multivitamin everyday except the day got vaccinated 2/5/2021.

Current Illness: Had thyroid problem in 2020 , taking sythorid till 08/2020 and got better later in 2020 but not tested in 2021.

ID: 1323188
Sex: F
Age: 41
State: MI

Vax Date: 05/10/2021
Onset Date: 05/15/2021
Rec V Date: 05/17/2021
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Allergies: None, Mild skin irritations from latex gloves.

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Redness, itchy, swollen and warm to the touch, near/around the injection site, about 2-3 inches affected area as of today 5/17/21. Also, underarm is a little sore.

Other Meds: Birth control pills

Current Illness: None

ID: 1323190
Sex: M
Age: 37
State: MN

Vax Date: 01/14/2021
Onset Date: 05/13/2021
Rec V Date: 05/17/2021
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Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: tested positive for COVID 5/16/21

Other Meds:

Current Illness:

ID: 1323191
Sex: M
Age: 28
State: WV

Vax Date: 04/23/2021
Onset Date: 04/25/2021
Rec V Date: 05/17/2021
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Allergies: I have Eosinophilic Esophagitis but don't know the allergy trigger (tests were inconclusive)

Symptom List: Pain in extremity

Symptoms: 1) I tested Positive for Covid-19 on December 28, 2020 2) I got the the vaccine on April 23, 2021 3) Before receiving the vaccine I noticed ringing in ears one time. I thought it was strange because I hadn't had that in a long time that I could remember. 4) After taking the vaccine within 2-4 days I noticed pressure in my ears that tended to cumulate to ringing when the pressure got high enough. 5) After a few days there has been no more ringing but there is still pressure, this is particularly in my left ear. 6) Along with the pressure it feels as though fluid runs out of my left ear. I have used peroxide twice to try and clean my ears since then. I have not swam since summer or early fall. This feels slightly similar to an ear infection but different. Not as painful as much as annoying. 7) I have had both covid and the 2nd dose so I feel as though there is no real need for me to get a 2nd dose. Most data suggest for recovered covid-19 only 1 dose could possibly be sufficient and I do not see a benefit/risk of receiving a 2nd dose if it could possibly make these symptoms worse, when I have already had a 1st dose along with the virus itself not that long before. 8) Though I have not had any other vaccinations in the past month, in the past year (since June 12 of 2020) I have had the following: 2 doses of Hepatites A, Influenza 0.5 ml, Tetanus depntheria peitussis, Oral typhoid 4 capsules, Vaxchora dose, Menreo , Yellow fevor Sanofi pasteur, Polio sanofi pasteus, A second flu vaccine in October. I apologize if I spelled things wring I am trying to read cursive handwriting on an immunization card.

Other Meds: Loratadine type allergy tablets, (calcium, magnesium, & Zinc Plus D3 Spring Valley supplement), Orgain organic plant based Protein creamy fudge flavor

Current Illness:

ID: 1323192
Sex: F
Age: 45
State: GA

Vax Date: 05/14/2021
Onset Date: 05/15/2021
Rec V Date: 05/17/2021
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Allergies: Latex Codeine

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Ringing in the right ear Fever 100.1 Tired Groggy Dry mouth Thirsty

Other Meds: Zyrtec-D Multi vitamin

Current Illness: N/A

ID: 1323193
Sex: M
Age: 66
State: KY

Vax Date: 04/19/2021
Onset Date: 05/08/2021
Rec V Date: 05/17/2021
Hospital: Y

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Allergies: None

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Blood clots

Other Meds: Pramipexole Amitriptoline

Current Illness: None

ID: 1323194
Sex: F
Age: 30
State: OK

Vax Date: 03/18/2021
Onset Date: 04/27/2021
Rec V Date: 05/17/2021
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Allergies: Avocado

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Missed miscarriage. LMP March 7, positive pregnancy test on March 31. COVID vaccinations on March 18 and April 22. April 27, first ultrasound measured fetus at 6w1d (behind what was expected given LMP, should have measured 7w2d), embryonic cardiac activity was present, but could not be documented by M-mode. Provider warned 60% chance of abnormal pregnancy. BetaHCG testing results: April 27 was 28,247H; April 29 was 29,925H. A follow-up ultrasound on May 6 showed no fetal heart tones, and and fetus still measured 6w1d, unchanged from last visit. Provider prescribed misoprostol which was taken same day (May 6) to complete the miscarriage. Follow-up ultrasound May 13 showed gestational sac was gone and endometrium was less than 1cm in thickness.

Other Meds: Pre-natal vitamins, baby aspirin

Current Illness:

ID: 1323195
Sex: M
Age: 40
State: IN

Vax Date: 05/15/2021
Onset Date: 05/16/2021
Rec V Date: 05/17/2021
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Allergies: None

Symptom List: Vomiting

Symptoms: Chills, headache, fever, stuffed up,

Other Meds: Aspirin, lisinopril, coreg, hrdrochlorothiazide, vitamin d,

Current Illness: None

ID: 1323196
Sex: M
Age: 51
State: FL

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 05/17/2021
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Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fever, achy joints, chills, sweating, headache

Other Meds: Lisinopril

Current Illness:

ID: 1323197
Sex: F
Age: 51
State: IN

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 05/17/2021
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Allergies: Penicillin sulfur(Family) Tons of foods (primary trees like Apple, Avacado, trees, dust mites, Molds, Candida

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: took Benadryl 1/2 Tab prior to Vaccine due to having many food and seasonal allergies. appx 22 minutes after Vaccine in Right arm I had a funny and bad taste in my mouth. Shorthly after that My tongue and roof of my mouth felt smooth, followed by numbness in my upper lip and then lower lip. I went to the Nurse at check out and had asked how my face was I often get red and flush and blotchy when having an adverse reaction. she said I did not look well and wanted me to keep my mask off and hook me up to be monitered and take my blood pressure, I then also took the othr half tab of Benadryl that I had in my pocket. I then got a really bad metal taste in my mouth and drank a bottle of water. Then I thought I was doing better then my Right Pinky finger felt numb or (Asleep) followed shortly by my right ring finger and then whole right hand. They then took my BP again and was high so they had suggested I go to the ER in the Hospital to be monitored. I agreed the numbing on my arm and high BP was concerning since my BP typically is very Normal. after about 2 to 3 hours I started to feel much better so asked to be released once the tingling/numbness was gone and all my blood work came in great.

Other Meds: Benadryl 1/2 tab 30 minutes before shot Daily vitamin eye drops Allegra seasonal allergy. Did not take today because was taking Benadryi before Vaccine

Current Illness: none noted

ID: 1323198
Sex: F
Age: 51
State: WA

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 05/17/2021
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Allergies: amoxicillin, sulfa

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Arm extremely sore for 2-3 days after injection. Continual soreness and reduced range of motion still present five weeks after injection. Upper left arm at injection site.

Other Meds: daily probiotic pill

Current Illness:

ID: 1323199
Sex: F
Age: 53
State: KY

Vax Date: 03/30/2021
Onset Date: 04/03/2021
Rec V Date: 05/17/2021
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Allergies: codeine, morphine

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Approximate 3 - 4 days following vaccination with first Moderna COVID-19 vaccine, the patient develop new onset lichen planus rash affecting the trunk, arms, and axillae. She never had prior lichen planus rash prior to this outbreak.

Other Meds: Simvastatin, acetaminophen, albuterol, budesonide-formoterol, bumetanide, cyclobenzaprine, dorzolmaide, doxazosin, ferrous sulfate, hydralazine, labetalol, montelukast, omeprazole, and potassium.

Current Illness: No acute illnesses.

ID: 1323200
Sex: F
Age: 53
State: SC

Vax Date: 05/14/2021
Onset Date: 05/15/2021
Rec V Date: 05/17/2021
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Allergies: Seasonal allergies

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: Started with 100.6 fever at 3am- 10pm following day 5/15/21 along with stomach ache, nausea and headache 5/16/21 right underarm lymph node began slightly. Dark yellow pee, once. 5/17/21 - woke up with swollen lymph nodes, underarms and left side neck, right arm lymph node, painful.

Other Meds: N/A

Current Illness: N/A

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am