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
72,692
AK1,644
AL5,383
AR3,427
AS44
AZ13,370
CA58,447
CO11,045
CT7,880
DC1,635
DE1,679
FL36,521
FM3
GA13,503
GU82
HI2,203
IA4,343
ID2,477
IL19,459
IN22,620
KS4,298
KY6,965
LA4,746
MA13,966
MD11,971
ME3,005
MH8
MI17,986
MN11,392
MO8,960
MP30
MS2,686
MT2,151
NC15,469
ND1,275
NE2,742
NH2,869
NJ17,371
NM3,713
NV4,101
NY32,968
OH18,168
OK5,965
OR8,010
PA22,598
PR2,113
QM2
RI1,915
SC6,091
SD1,139
TN8,730
TX34,370
UT4,039
VA13,999
VI50
VT1,672
WA13,862
WI10,439
WV2,230
WY809
XB5
XL1
XV2

ID: 1327417
Sex: F
Age: 18
State: CT

Vax Date: 04/09/2021
Onset Date: 04/19/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: My daughter had finished her normal menstrual period on 4/6/21 (which is barely a period due to being on The Pill). On 4/19 while playing soccer she started to bleed acutely and profusely. She experienced severe cramping all event as well. This entire episode lasted for approximately 3 days. We immediately called her OBGYN. Who specifically asked if she had gotten the Covid vaccine. When I responded yes, it was communicated that this type of incident was happening a lot.

Other Meds: Birth control (Larissa)

Current Illness: None

ID: 1327418
Sex: F
Age: 39
State: CO

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List:

Symptoms: After 2nd shot, arm was very sore for a few days but it has been 3 weeks and my left upper arm still aches all day. No redness or swelling present.

Other Meds: Multi vitamin, biotin, omega 3, l-theanine, turmeric

Current Illness: N/a

ID: 1327419
Sex: F
Age: 35
State: NC

Vax Date: 03/30/2021
Onset Date: 04/27/2021
Rec V Date: 05/18/2021
Hospital: Y

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

Lab Data:

Allergies: Zyrtec, Claritin

Symptom List:

Symptoms: I am currently pregnant, I be 31 weeks tomorrow. The adverse event occurred on 27 weeks, 6 days, had a marginal placenta abruption, was in Hospital for 5-6 days for monitoring. So far baby and I are doing okay. EDD: high risk pregnancy, not specified.

Other Meds: None reported

Current Illness: None reported

ID: 1327420
Sex: M
Age: 33
State: FL

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: NONE

Symptom List:

Symptoms: Extreme swelling at vaccine site, red spot - after 10 days, still some swelling Nausea, headache, general discomfort (felt like I was hit by a truck) - about 5 days, lessening each day Treatment with acetaminophen

Other Meds: NONE

Current Illness: NONE

ID: 1327421
Sex: F
Age: 73
State: CT

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 05/18/2021
Hospital:

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

Allergies:

Symptom List:

Symptoms: Chills, fever, headache, couldn't feel legs after second dose 8 weeks later: hair falling out, cysts on liver and kidney, cyst on scalp 10 weeks later: large bruising over injection site.

Other Meds:

Current Illness:

ID: 1327422
Sex: M
Age: 33
State: UT

Vax Date: 04/28/2021
Onset Date: 05/10/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: At approximately 5:20pm on 5/10/21 I started having jumbled speech. I would be speaking clearly and then random words would take the place of the words I was trying to say. I was unable to use the correct words my brain was telling myself to say. Then I started experiencing tingling sensation throughout my right arm. Believing that I could be having a stroke my wife rushed me to the emergency room at hospital. En route to the ER, my left arm began to have tingling sensation in it as well. Once at the ER I began hyperventilating. I was in the ER for approximately 4-5 hours, for 3 of those hours I had difficulty communicating and could not speak clearly. I was told I may have been having a complex migraine and was discharged and referred to a neurologist. I met with the neurologist and given that I have no history of headaches or migraines, they concluded that it most likely was not a complex migraine and discussed the possibility of an immune response. It has now been a week since my ER visit, since then I have been getting extremely fatigued every afternoon and my head feels spacey.

Other Meds: none

Current Illness: none

ID: 1327423
Sex: M
Age: 61
State: IL

Vax Date: 03/30/2021
Onset Date: 04/27/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Augmentin

Symptom List:

Symptoms: On April 27 felt tingle / pulse shoot down left arm, on April 28 felt tingle / pulse shoot down right arm, on May 1 fely tingle in legs knee down to toes and also arms , from that point I have have pins and needles, burn, tingle numb pulsing off and on in arms to fingers, knees to toes and also in face numbness , have seen muscles soften and skin sag and lost autonomic nerve sensation in privates area and have not had bowel movements for over a week and a half other than wit hlaxative until last 3 days have had very small bowel movements , also eyes had been for years but vision has gotten worse , additionally anxiety i high and not sleeping well as worry and concern increases .

Other Meds: finasteride, Vitamin D3

Current Illness: Tinnitus

ID: 1327424
Sex: M
Age: 16
State: MT

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient had syncopal episode with in 60 seconds of vaccination. Patient responded immediately to nurse when name was called. Patient was helped down to the floor vital signs taken BP low O2 sat 95%. Ambulance crew was in the parking lot of College came in to assess patient, FNP came from clinic at College to assess patient. Continuous monitoring of vital signs, patient BP came up, patient given orange juice to drink per FNP. Patient was very anxious about vaccination and had eaten since the previous day. Patient monitored about 45 minutes, vital signs improved, patient appearance improved and stated he felt better. Patient 's Mother reached on phone by ambulance crew, she did not want him transported. Patient left College accompanied by brother. Advised to be seen by provider or ER if symptoms worsen.

Other Meds: none

Current Illness: none

ID: 1327425
Sex: M
Age: 59
State: NY

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: DUST MITES

Symptom List:

Symptoms: 4 DAYS IN A ROW: NEARLY CONTINUOUS HEADACHE, EXTREME SLEEPINESS (RESULTING IN 1 HOUR "ANP"). FOR 2 DAYS: AT TIMES DIFFICULTY FOCUSING. 7 DAYS: SORE LEFT ARM.

Other Meds: VITAMIN D 200 IUS, L-THEANINE 200 MG, DIGESTIVE ENZYMES, PURE ENCAPSULATIONS SP ULTIMATE, ANTI-OXIDANTS.

Current Illness: NONE

ID: 1327426
Sex: F
Age: 38
State: CA

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

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

Allergies: Pseudoephedrine Hcl

Symptom List:

Symptoms: Patient received in RN triage area, post-COVID vaccination administration. Patient being observed for 15 minutes as recommended per CDC guidelines on post-vaccination RN monitoring. Patient approached nurses stating that she felt nauseous and lightheaded. Patient noted diaphoretic, and pale in color; while helping patient to the wheelchair the patient fainted and was completed unconscious. Patient guided to floor by staff. Patient was unconscious for about a minute while on floor. RRT called. When patient came to patient reporting lightheadedness, blurred vision. Vitals 09:11: BP: 103/62, HR: 63, O2: 96%. Patient denies any history of syncope or fainting. Patient stated that she had not had anything to eat this morning. Denies any Hx of anaphylactic reaction to vaccines. Patient denies adverse reactions to vaccinations in past. Tolerated injection well. Patient sent to ER with RRT . All questions and concerns addressed.

Other Meds: denies

Current Illness: none

ID: 1327427
Sex: F
Age: 34
State: CA

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Starting 48 hours after vaccination, patient developed 30 hours of fevers greater than 100.3 and blood nose ~15 hours

Other Meds: Bupropion 150mg qdaily

Current Illness: None

ID: 1327428
Sex: F
Age: 27
State: CA

Vax Date: 05/15/2021
Onset Date: 05/16/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: No

Symptom List:

Symptoms: Chills, fever, huge headaches, muscle pain, joints pain, difficult in breathing, heavy chest, nausea, frequent urinations, random pinching sensation on my arms.

Other Meds: No

Current Illness: No

ID: 1327429
Sex: M
Age: 65
State: OK

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 05/18/2021
Hospital:

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Lab Data:

Allergies: sulfa antibiotics

Symptom List:

Symptoms: shoulder joint pain since date of injection on march 1, 2021. Pain for over two months

Other Meds: Multivitamins Gabepentin

Current Illness:

ID: 1327430
Sex: M
Age: 52
State: VA

Vax Date: 04/28/2021
Onset Date: 05/14/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Diagnosed with shingles.

Other Meds: Fish oil and multivitamin

Current Illness: None

ID: 1327431
Sex: F
Age: 57
State: WA

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: breatst cancer survivor - Taxotore - chemo drug

Symptom List:

Symptoms: Trigger asthma symptoms; headaches - I noticed headaches the next day; On Wednesday I had a really bad one all day. The headache kept going until I went to ER (sent me there said they couldn't treat me at Urgent Care) on Friday when my breathing was getting very compromised - pain in my right lung on Thursday and Friday and It felt like I had a really bad bronchial infection. Before I went to ER - I was using my inhaler all the time - 4-6 times a day (14th, 15th, 16th and the first half following the ER visit.) No other treatment - they said just follow up with Primary care or Pulmonologist. After my ER visit, I used my inhaler for the first half of the week and then it started getting better and also the environment was having less pollen and so that was improving as well.

Other Meds: Epseradiol - vagina dryness; post menopause; Acyclovir- genital herpes; Multi-Vitamin; Vit D; Benafiber; allubuterol as needed - but I usually I don't need it - it's usually dust in the air, bronchial infections or stress that causes me t

Current Illness: rhinitis - nose was draining - so maybe it was the pollen with a high pollen count at that time - a couple weeks before

ID: 1327432
Sex: M
Age: 17
State: MD

Vax Date: 05/12/2021
Onset Date: 05/14/2021
Rec V Date: 05/18/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 17 y.o. male who presents with chest pain, elevated troponins and diffuse ST elevations concerning for pericarditis vs myocarditis admitted for cardiac monitoring and evaluation. Pt states he has had 1 day of sudden onset L shoulder pain and chest pain. Endorses dyspnea due to pain with deep breaths, denies tachypnea, nausea/vomiting, diaphoresis. Endorses mild chills and aches after COVID vaccine 3 days prior to onset of symptoms, denies any fever, URI symptoms, diarrhea, rash, known COVID contacts. Pain continued to worsen and spread across his chest, causing presentation to ED this afternoon. No history of PE, DVT, long travel, recent surgery, malignancy, alcohol or cocaine use. Significant cardiac history in family: dad with CAD w/LAD blockage, both parents with hypertension. At ED, labs notable for elevated troponin 0.456, repeat 0.67 and diffuse ST elevations on EKG concerning for pericarditis. COVID neg, CXR unremarkable, blood cx drawn, no abx started. Patient was given toradol for pain with minimal improvement. Peds cardiology was consulted and patient was transferred to different ED for further care. At different ED, repeat EKG showed similar diffuse ST elevations in I, II, aVL. Repeat troponins uptrending (4.91), proBNP 562, ESR 43, CRP 18. Mildly tachycardic but otherwise hemodynamically stable. Given tylenol for pain. Cardiology recommended admission for trending troponins, echo and cardiac monitoring. CV: Troponins were trended every 12 hours with a max of 4.91. His last troponin checked on the morning of discharge was 0.41. He had an echo that showed normal cardiac function, an MRI that indicated normal ventricular size and function, with minimal or healing and inflammation or mild myocarditis. During his admission, he had continuous cardiorespiratory monitoring, that did not show any arrhythmias. Resp: On 2L NC for comfort, no respiratory distress or hypoxia. FENGI: Regular diet Neuro: Ibuprofen scheduled and tylenol PRN for pain. He was initially started on ibuprofen 800 mg every 8 hours, but was starting to have pain prior to being due for medicine every 8 hours so his regimen was changed to 600 mg every 6 hours which controlled his pain adequately. ID: Myocarditis panel sent with some results still pending. Thus far, he is CMV negative, EBV IgG was positive but not IgM. RVP was negative. This all occurred in the setting receiving the Covid vaccine 3 days prior to presentation, which has been reported as a rare reaction to the Covid vaccine. At the time of discharge, labs pending results include mycoplasma pneumonia, coxsackie, parvovirus, enterovirus. Etiology of myocarditis remains unclear at this time, could be related to infectious etiology not yet clear to us, vs related to his COVID vaccine prior to admission.

Other Meds: None

Current Illness: None

ID: 1327433
Sex: F
Age: 46
State: NY

Vax Date: 04/29/2021
Onset Date: 05/18/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: COVID arm (rash); hives; hot to the touch at injection site.

Other Meds: Vitamin C, D, Turmeric, Quercetin, Black Cohosh, Zinc, Multivitamin

Current Illness:

ID: 1327434
Sex: F
Age: 44
State: WI

Vax Date: 03/24/2021
Onset Date: 04/04/2021
Rec V Date: 05/18/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Event: 10 days after 1st dose, I suffered a celiac artery dissection and common hepatic artery dissection. Symptoms: Horrific abdominal pain!!!! Extremely high blood pressure. Treatment: Lisinopril

Other Meds: bupropion XL 300 mg 24 hr tablet venolafaxine XR 150 mg 24 hr capsule multivitamin Vitamin D 5,000 IU Metoprolol succinate 100 mg tablet Metoprolol succinate 50 mg tablet (taking 150 total) Metormin 500 mg tablet TWICE/DAY Aspirin 325 mg ta

Current Illness: none

ID: 1327435
Sex: M
Age: 14
State: CA

Vax Date: 05/14/2021
Onset Date: 05/17/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: He noted his skin was sensitive/tingly in his trunk/abdomen and that he felt a little achey when he woke up yesterday morning (5/17/2021) but nothing severe, I just assumed is was post injection soreness, he also had some left arm soreness about 18-24 hours post injection. Around 5pm yesterday (5/17/2021) he has sudden onset of fever (103 degrees) and he had just been checked for volleyball practice at 2:30pm and was afebrile. Fever continued through the night between 102 and 104 with Tylenel every 4 hours and one episode of Ibprofen. Fever down to 99 degrees by 7am this moring (5/18/2021). Did rapid COVID test from drug store and was negative. Pediatricians office said to monitor through day, call back if high fever returned and to notify VAERS.

Other Meds: None

Current Illness: None

ID: 1327436
Sex: F
Age: 44
State: NV

Vax Date: 05/10/2021
Onset Date: 05/12/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Extreme vertigo, nausea, brain fog and fatigue that began approximately 36 post vaccine, followed by facial swelling .

Other Meds: Armoire thyroid 90mg

Current Illness: None

ID: 1327437
Sex: F
Age: 17
State: IL

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: NO ADVERSE REACTIONS. ADMINISTRATION DEVIATION: UNAUTHORIZED AGE GROUP

Other Meds:

Current Illness:

ID: 1327438
Sex: M
Age: 45
State: MI

Vax Date: 05/14/2021
Onset Date: 05/15/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: none reported

Symptom List:

Symptoms: Patient had large welt where vaccine was administered, said it was big in size, compared to golf-ball size. It was warm to the touch and red in color. Patient was advised to take benadryl and apply ice to the area. It decreased in size slightly but remained swollen over the weekend. Patient was then advised to seek a doctor as the swelling was still prominent.

Other Meds: none reported

Current Illness: none reported

ID: 1327439
Sex: F
Age: 16
State: TN

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 16 year old patient received 1st dose of Moderna vaccination. Patient had no adverse outcomes.

Other Meds:

Current Illness:

ID: 1327440
Sex: F
Age: 28
State: CA

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: Gluten, nuts, seeds, tomatoes, raw egg whites

Symptom List:

Symptoms: Rash on right side of face, right ear, and right hand, and around injection site.

Other Meds: Wellbutrin XL, Ibuprofen as needed, green tea

Current Illness: None

ID: 1327441
Sex: M
Age: 18
State: MI

Vax Date: 05/13/2021
Onset Date: 05/17/2021
Rec V Date: 05/18/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Myocarditis in the setting of recent second Moderna vaccine. Troponin peaked at 9.67 and trended downward. He was taken for cardiac catheterization on 5/17/2021 and was found to have normal coronaries. He had a cardiac MRI on 5/17/2021 which was found to be positive for myocarditis. Echo completed displaying preserved EF without wall motion abnormality or Due to the episode of NSVT will start low dose metoprolol tartrate until follow up with cardiology in the outpatient setting then hopefully able to discontinue. Post procedure restrictions discussed, patient verbalized understanding. No cardiac rehab indicated.

Other Meds: no

Current Illness: none

ID: 1327442
Sex: M
Age: 39
State: TX

Vax Date: 05/14/2021
Onset Date: 05/15/2021
Rec V Date: 05/18/2021
Hospital:

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

Allergies:

Symptom List:

Symptoms: Rectal Bleeding

Other Meds:

Current Illness:

ID: 1327443
Sex: M
Age: 45
State: WI

Vax Date: 03/17/2021
Onset Date: 03/24/2021
Rec V Date: 05/18/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
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Vax Route:
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Lab Data:

Allergies: Eggs, Vicatin, Gluten

Symptom List:

Symptoms: Had the shot on 3/17 and about a week later i started to feel dizziness. I had bouts of that off and on more on than off up until had my second shot on 4/26/2021. I still have bouts of dizziness off and on still more on than off. It's almost like you feel yo constantly have had 1 too many drinks and are tipsy

Other Meds: Singular, Multi Vitamin daily 1,

Current Illness: Had Covid in Dec

Date Died: 05/15/2021

ID: 1327444
Sex: M
Age: 86
State:

Vax Date: 04/03/2021
Onset Date: 05/13/2021
Rec V Date: 05/18/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: seizure, encephalopathy, death

Other Meds:

Current Illness:

ID: 1327445
Sex: M
Age: 49
State: IL

Vax Date: 05/05/2021
Onset Date: 05/10/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I had the 2nd moderna shot on May 5 the following Monday I had pain right below my chest left side bottom of rib cage Monday May 10th then developed a rash around Wednesday May 12th, this was a couple a bumps on skin left side front bottom of rib cage. Other than pain, I generally feel fine. Pain is severe at times but not consistent. Gradually the rash spread from a coupe of spot into a line of spots from the original point to sternum and then around the back to the spine. Gradually the pain became more consistent and more. I did an E-visit with APNP at 5/16/2021 8:37 AM.

Other Meds: Omeprazole, latanaprost, fexofenadine, Omega 3

Current Illness: Noen

Date Died: 03/26/2021

ID: 1327446
Sex: F
Age: 72
State: VA

Vax Date: 03/24/2021
Onset Date: 03/26/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: penicillin: hives fenofibrate: GI upset jardiance : vaginal itching

Symptom List:

Symptoms: Patient's friend called office on 3/29/21 to notify PCP that patient had passed away on 3/26/21.

Other Meds: lidocaine topical 5% film Depends Adult Diapers Nitrostat 4 mg tablet Eliquis 5 mg tablet furosemide 40 mg tablet amiodarone 200 mg tablet metoprolol tartrate 25 mg tablet fenofibrate 134 mg capsule magnesium oxide 400 mg ta

Current Illness: Type 2 diabetes mellitus with other skin complications I10 Essential hypertension E78.5 Hyperlipidemia, unspecified hyperlipidemia type I25.10 CAD (coronary artery disease) M17.9 Osteoarthritis of right knee M48.06 Lumbar spinal stenosis R32 Incontinence in female H91.93 Deafness, bilateral Z79.899 Encounter for long-term (current) use of other medications Z79.01 Long term current use of anticoagulant therapy Z86.010 History of colon polyps Z53.20 Colonoscopy refused I65.29 Stenosis of carotid artery, unspecified laterality Z11.59 Encounter for screening for other viral diseases H40.9 Glaucoma I48.91 Atrial fibrillation

ID: 1327447
Sex: F
Age: 62
State: PA

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/18/2021
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Allergies: None

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Symptoms: When giving the vaccine in the patient's left arm, when I pushed the plunger on the syringe, it looked like the vaccine was dripping out in between the syringe and the needle. I could not determine if the patient received at least half of the dose, so I gave her another 0.5 ml dose in her right arm.

Other Meds: Metformin

Current Illness: None known

ID: 1327448
Sex: M
Age: 17
State: IL

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 05/18/2021
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Symptoms: NO ADVERSE REACTIONS. ADMINISTRATION DEVIATION: UNAUTHORIZED AGE GROUP

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Current Illness:

ID: 1327449
Sex: F
Age: 27
State: FL

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 05/18/2021
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Allergies: None

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Symptoms: Did not have a period

Other Meds: Birth control

Current Illness: none

ID: 1327450
Sex: F
Age: 65
State: FL

Vax Date: 04/02/2021
Onset Date: 04/21/2021
Rec V Date: 05/18/2021
Hospital: Y

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Allergies: Morphine, Codeine, Serapin, Ava Pro, BenaCar, Bydureon

Symptom List:

Symptoms: DVT RIGHT LEG

Other Meds: None

Current Illness: None

ID: 1327451
Sex: M
Age: 65
State: TN

Vax Date: 05/14/2021
Onset Date: 05/15/2021
Rec V Date: 05/18/2021
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Allergies: erythromycin, venlafaxine

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Symptoms: Extreme fatigue, weakness, dizziness, muscle soreness, profuse sweating-no fever detected, heart seemed to race at times, headaches. Started the morning after vaccine, and is still continuing today, 5th day, 5/18/2021. I had to see my doctor today due to symptoms continuing and not improving. Doctor did a Covid test to make sure I didn't now have Covid. Was advised to rest and drink fluids.

Other Meds: Vitamin D3, Vitamin B complex, Orthomune vitamin, tylenol, allegra,

Current Illness:

ID: 1327452
Sex: F
Age: 16
State: IL

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 05/18/2021
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Symptoms: NO ADVERSE REACTIONS. ADMINISTRATION DEVIATION: UNAUTHORIZED AGE GROUP

Other Meds:

Current Illness:

ID: 1327453
Sex: M
Age: 2
State: MO

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 05/18/2021
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Allergies: Penicillin

Symptom List:

Symptoms: Proquad and Varivax given on the same date. Patient had 1 episode of vomiting 24hrs after vaccination

Other Meds: none

Current Illness: none

ID: 1327454
Sex: F
Age: 34
State: MA

Vax Date: 05/11/2021
Onset Date: 05/16/2021
Rec V Date: 05/18/2021
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Allergies: GLUTEN PRODUCTS

Symptom List:

Symptoms: Five days after pt received the second dose of Pfizer vaccine, she noticed redness, swelling & itchiness on left eye & today it got worse, Pt took otc anti-allergy meds without effect.

Other Meds: BIOTIN TAB 1000 MCG 3X/DAY CAMILLA 0.35 MG 1 TAB DAILY

Current Illness: NONE

ID: 1327455
Sex: M
Age: 38
State: CA

Vax Date: 04/20/2021
Onset Date: 04/27/2021
Rec V Date: 05/18/2021
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Allergies: Ampacillin

Symptom List:

Symptoms: Intense pain say injection site, rash occurring one week after injection

Other Meds:

Current Illness:

ID: 1327456
Sex: M
Age: 67
State: CO

Vax Date: 03/30/2021
Onset Date: 04/01/2021
Rec V Date: 05/18/2021
Hospital: Y

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Lab Data:

Allergies: lisinopril

Symptom List:

Symptoms: Pt was in the hospital treated for NSTEMI in the week after receiving Moderna COVID vaccine. Patient is now out of the hospital.

Other Meds: Voltaren gel; sertraline 100mg, tamsulosin 0.4mg, aspirin 81mg

Current Illness: n/a

ID: 1327457
Sex: F
Age: 54
State: CA

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/18/2021
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Allergies: NKA

Symptom List:

Symptoms: RN gave second dose as Pfizer instead of Moderna. Language barrier involved. Interpreter used. Dizziness reported. Provided water and emotional support. Dizziness resolved in approximately 10 minutes

Other Meds: None known

Current Illness: none known

ID: 1327458
Sex: M
Age: 30
State: CA

Vax Date: 05/14/2021
Onset Date: 05/17/2021
Rec V Date: 05/18/2021
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Allergies: NONE

Symptom List:

Symptoms: MODERATE INDURATION, ERYTHEMA, AND MILD TTP OVERLYING THE SUPERIOR LEFT TRICEP.

Other Meds: NONE

Current Illness: NONE

ID: 1327459
Sex: F
Age: 17
State: IA

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/18/2021
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Allergies: NKA

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Symptoms: Patient passed out as soon as she got to the waiting area post-vaccination. She was unresponsive for less than 15 seconds before waking up. She was breathing the whole time. We moved her to the ground to avoid any injury if she was to pass out again. We called paramedics who were at the pharmacy within 5 minutes. They checked vital signs and deemed she was ok. Patient walked out of the store on her own with her mother.

Other Meds: Unknown

Current Illness: Unknown

ID: 1327460
Sex: M
Age: 40
State: NV

Vax Date: 05/08/2021
Onset Date: 05/11/2021
Rec V Date: 05/18/2021
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Symptoms: Started 5/11 in the morning with headache and dizziness. Left arm started feeling heavy and numb also finger tips got tingling. Started to get sharp chest pains near my heart then started to feel fatigue. Then my tongue started to get swollen/numb and I couldn't really talk. Went to urgent care and due to my condition they called the ambulance and went to hospital. They did an EKG/chest x-rays and blood work. Couple hours later they send me home with no diagnosis just to see primary doctor. Symptoms were mild for 2 days then again on 5/14 symptoms came back and went back to urgent care. They did an EKG/Covid test/ only and doctor just said it was a panic attack. I disagree I still don't feel completely right.

Other Meds:

Current Illness:

ID: 1327461
Sex: F
Age: 64
State: WA

Vax Date: 05/04/2021
Onset Date: 05/05/2021
Rec V Date: 05/18/2021
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Allergies: Morphine

Symptom List:

Symptoms: Mild chills back & shoulders from 1AM to 7AM May 5. A 3" x 5" rash appeared on left bicep on May 7 and lasted about 48hrs.

Other Meds: Vit C & D

Current Illness: None

ID: 1327462
Sex: F
Age: 38
State: MI

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/18/2021
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Allergies: codine

Symptom List:

Symptoms: dizzy light headed

Other Meds:

Current Illness: no

ID: 1327463
Sex: M
Age: 67
State: CA

Vax Date: 02/18/2021
Onset Date: 02/21/2021
Rec V Date: 05/18/2021
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Allergies: Lisinpril, Contrast Dye

Symptom List:

Symptoms: RECEIVE 2ND SHOT 0N 02-18-2021 and on 02-21-2021 Low Blood sugar. called 911 went to emergency. For the next following week and a half blood sugar remained 50 - 80. Dr. stop Gilipizide and blood rises bay to normal. On March 4, 2021 Felt very dizzy and continue to fall each time i got up, called emergency. Took CAT Scan and MRI. March 6, 2021 been having bad headaches (never experience bad headaches); Took routine urine test, Urine Microalbumin; on March 21, 2021 test result highest results, 45.6 ug/mg. During time to date lost approximately 8 pounds.

Other Meds: Warfin/Coumadin 2.5mg; Entecavir/Baraclude 1mg; Metroprolol/Taprol 100mg; Losartan/Cozar 150mg; Buptopion/Wellbutrin 450 mg.; Metformin/Glucophage 2000 mg; Ditt-XR/Dilacor 120 mg; Atorvastatin/Liptor 40mg

Current Illness: Hepatitis B; Hypertension; Late effect of cardioembolic stroke; Diabetes type 2; Atrial Fibrillation; Left Heart Failure; Coronary Disease; Braddycardia; duodenal ulcer; coaagulopathy; Lumbar herniation with radiculopathy; left common iliac artery aneurysm; right common iliac artery aneurysm

ID: 1327464
Sex: F
Age: 76
State: NC

Vax Date: 03/21/2021
Onset Date: 05/12/2021
Rec V Date: 05/18/2021
Hospital: Y

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Allergies: No

Symptom List:

Symptoms: After vaccine on Wednesday three fingers on my right hand went numb and my mouth felt like I had a shot of Novocain, then my tongue had a little tingling. I texted my doctor and he said to go to the ER and they checked me out did EKG, blood work, CAT scan, covid test that was negative and I was admitted. I got an MRI and did other urine test, I was being checked every hour. I was given Plavix and other meds and was told that I had a stroke/TIA.

Other Meds: Synthroid 100mg, Metoprolol 12.5mg, Omnipresoli 40mg, Allegra 180mg, Losartan Potassium 50mg, D3 2000IUs, Baby Aspirin, Plavix Clopidogrel 75mg, Rosuvastatin Calcium 10mg,

Current Illness: No

ID: 1327466
Sex: M
Age: 74
State: GA

Vax Date: 03/01/2021
Onset Date: 05/15/2021
Rec V Date: 05/18/2021
Hospital: Y

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Allergies: NKDA

Symptom List:

Symptoms: subdural hemorrhage: presented with confusion and headache. Required evacuation

Other Meds: losartan, metoprolol, protonix, disulfram

Current Illness: none

ID: 1327467
Sex: M
Age: 54
State: IL

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 05/18/2021
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Symptoms: LT arm pain, arm tingling, arm numbness

Other Meds:

Current Illness: ELEVATED BLOOD PRESSURE

Total 2021 VAERS Injuries: 603,387

Page last modified: 03 October 2021 5:28pm