VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

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

ID: 1330110
Sex: U
Age: 75
State: FL

Vax Date: 03/02/2021
Onset Date: 04/15/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies: Pollen

Symptom List:

Symptoms: Extreme dizziness, headache, skin dryness,, blurry vision, left knee pain,

Other Meds: Micqrdis

Current Illness: Mone

ID: 1330111
Sex: F
Age: 44
State: NY

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Tingling in my fingers, most my pointer, middle finger and thumb as well as in my toes, mostly my big toe and second toe (they feel like they are falling asleep or going numb, it's not painful just weird). It gets worse when I am cold, and my fingers and toes are turning purple more often. I still have use and function of all limbs. It started after my second shot on March 31st. I have not taken anything to treat it yet because I want to know the cause of the issue instead of treating the symptom. My doctor did prescribe me something, but I have not taken it. I did request blood tests to be conducted to check my kidney functions and blood word for just a typical workup, so when those results come back I will try to determine what is causing the tingling. I do not want nerve damage.

Other Meds: lialda, escitalopram

Current Illness: none

ID: 1330112
Sex: F
Age: 57
State: IN

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1330113
Sex: F
Age: 78
State: OK

Vax Date: 05/04/2021
Onset Date: 05/06/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies: MEPERIDINE HCL MORPHINE

Symptom List:

Symptoms: PATIENT DEVELOPED A CHRONIC COUGH AND SEVERE MUSCLE ACHES WITHIN 48 HOURS OF MODERNA DOSE 2

Other Meds: BYSTOLIC 10MG CALCIUM + D3 SIMVASTATIN 80MG TYMLOS 80MCG

Current Illness: ARM SWELLING FROM FIRST MODERNA DOSE

ID: 1330114
Sex: M
Age: 30
State: MI

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

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

Lab Data:

Allergies: amoxicillin

Symptom List:

Symptoms: Roughly 5-10 minutes after receiving the vaccine, patient fainted and began seizing for about 30 seconds. 911 was called, but patient came too and denied ambulance. Patient then vomited a couple minutes after. Patient reported he had not eaten anything and he was given orange juice and water. Patient waited another 30 minutes and reported feeling better. denied any further medical treatment.

Other Meds: unknown

Current Illness: none reported

ID: 1330115
Sex: F
Age: 43
State: PA

Vax Date: 03/12/2021
Onset Date: 03/16/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies: sulfa/bactrim

Symptom List:

Symptoms: Received the first shot in my left arm. Started with bad shoulder pain and couldn't lay on my left side a few days after the shot once the soreness subsided. The pain got worse so I saw my primary and he thought I might have a rotator cuff issue and to get the second shot in my right arm. the left got significantly worse and red (even though the second shot was given in the right arm) and there was burning down my arm. The pain was so bad I had to go to the ER twice and urgent care to get help with the pain and because the arm was very red and warm to the touch and felt like a burning pain down my arm. I had ultrasound and xrays on my shoulder and chest and all looked normal. Doctors thought I had a pinched nerve in neck and received an MRI which ruled that out. Can no longer lift my arm and orthopedic doctor diagnosed my condition as frozen shoulder and barachial neuritis (I will be getting an MRI of my shoulder and EMG to confirm). All caused by how the shot was administered in my left arm. I am in terrible pain everyday and need to go to physcial therapy 3 times a week for the next year to get movement back in my arm.

Other Meds: levothyroxine

Current Illness: none

ID: 1330116
Sex: U
Age: 75
State: FL

Vax Date: 03/02/2021
Onset Date: 04/15/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies: Pollen

Symptom List:

Symptoms: None stated.

Other Meds: Micqrdis

Current Illness: Mone

ID: 1330117
Sex: F
Age: 14
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Mild, Systemic: Shakiness-Mild, Systemic: Tachycardia-Mild, Systemic: Weakness-Mild

Other Meds:

Current Illness:

ID: 1330118
Sex: F
Age: 27
State: TX

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: The Chief Complaint is: 27 y/o F at the COVID vaccine line to get her first COVID-19 vaccine. Within 5 minutes of vaccination she complained of "head expanding", worsening headache, blood rushing to her head and feeling off balance like the room was moving. Did not feel like she was going to pass out. Vital obtained initially showed slight hypertension with BP 139/85, HR 75, RR 20 and SPO2 98% on room air. She denied any dyspnea/itching/pain (other than HA), GI symptoms. She noted she had a miscarriage on Monday but had been feeling well and staying hydrated over the last 2 days. She was observed, moved to a gurney, given water, and vitals monitored. Within 20 minutes after getting her injection she noted her head was feeling worse, hurting more and that she was starting to get nauseated. No abdominal pain. Vitals improved to BP 126/89, HR 78 and 97% on room air. EMS was called for evaluation due to worsening symptoms, recent miscarriage, ddx includes migraine/thrombosis/vagal reaction/anxiety/do not suspect allergic reaction. EMS evaluated the patient and took her for further evaluation. Will file VAERS report. Once medical issues addressed, can discuss with PCM whether she can get the 2nd dose. At this time no evidence of allergic reaction. No hives/angioedema/wheezing/abnormal vital signs.

Other Meds: None

Current Illness: Active miscarriage 2 days ago not complete

ID: 1330119
Sex: F
Age: 52
State: NJ

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Severe muscle pain all over body

Other Meds:

Current Illness:

ID: 1330120
Sex: F
Age: 55
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dose wasted as dose leaked from syringe. Patient received dose.

Other Meds:

Current Illness:

ID: 1330121
Sex: M
Age: 38
State: NJ

Vax Date: 05/01/2021
Onset Date: 05/08/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Chest pain, occurs randomly

Other Meds: No

Current Illness: No

ID: 1330122
Sex: F
Age: 25
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: triggered onset of asthma attack-Medium, Additional Details: probably not related but possible trigger of asthma attack. pt states she had a asthma attack 2 days ago. she states she has been having increase attacks in the last couple of weeks.

Other Meds:

Current Illness:

ID: 1330123
Sex: M
Age: 28
State: NV

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reported tingling sensations all over body, heavy sweating, and *feeling like fainting* 5 minutes after injection during observation period. One dose of epipen was administered and patient immediately started feeling better after 2 minutes

Other Meds:

Current Illness:

ID: 1330124
Sex: F
Age: 60
State:

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient stated she had first Moderna vaccine on 5/10, and had sore arm the same day. She stated yesterday she developed a lump at the site, that was about 1/2 inch thick, and 1" long. She stated it does not hurt. She has not tried anything on it. RN suggested she may try cool compress. RN stated to let her provider know. She stated she has a routine appt on Friday with provider. RN suggested calling him/her a heads up before appt. She stated understanding.

Other Meds:

Current Illness:

ID: 1330125
Sex: F
Age: 80
State: TX

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies: Morphine

Symptom List:

Symptoms: Sweating , pain in legs fever

Other Meds: Nothing 2 days prior to receiving to take prescribed m eyecare @ night.

Current Illness: On and on Sciatic nerve Ruhemotid Arthritis

ID: 1330126
Sex: M
Age: 56
State: PA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)

Other Meds:

Current Illness:

ID: 1330127
Sex: M
Age: 34
State:

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Nurse was about to administer vaccine, needle touched patient, then patient changed mind and wanted a different needle (vanish point instead) without administering any portion of vaccine. Due to contamination, wasted vaccine, and administered new vaccine

Other Meds:

Current Illness:

ID: 1330128
Sex: M
Age: 34
State:

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Day after dose 2 pt developed generalized rash on body. Reported rash (red, raised bumps) on 19May21. Denies any breathing difficulties or swelling. Pt took Benadryl with relief. Currently rash only appears if he scratches his skin.

Other Meds: losartan, nifedipine, omeprazole

Current Illness: No

ID: 1330129
Sex: F
Age: 78
State: GA

Vax Date: 02/23/2021
Onset Date: 03/11/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies: Code in Nausia

Symptom List:

Symptoms: Woke up one morning extremely stiff with extreme pain in every joint in my body. Could barely walk. Was fine the day before. With aspirin and Tylenol I am beginning to move easier but still not as I was.

Other Meds: Synthroid turmeric caltrate Lisinopril pravastatin 81 aspirin. CoQ10

Current Illness:

ID: 1330130
Sex: M
Age: 15
State: PA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient received vaccine and passed out. Father reported after event that patient has passed out from needles and previous vaccines and did not notify the pharmacist prior to administration. Patient recovered quickly and remained in store for 20 minutes post event with no reported issues. Father denied need to call 911 and patient was responsive within 5-10 seconds.

Other Meds:

Current Illness:

ID: 1330132
Sex: F
Age: 34
State: FL

Vax Date: 05/17/2021
Onset Date: 05/18/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Itching at Injection Site-Mild, Additional Details: Patient's legs swollen the day after the vaccine.

Other Meds:

Current Illness:

ID: 1330133
Sex: F
Age: 45
State: IN

Vax Date: 05/01/2021
Onset Date: 05/17/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies: Allergic to penicillin and most sulfa based drugs

Symptom List:

Symptoms: Approximately 6 hrs after the injection, I began to experience the following symptoms: fatigue, joint and muscle pain, fever, chills, severe headache and nausea. Treated with ibuprofen. Symptoms subsided completely after 24 hrs.

Other Meds: None

Current Illness: None

ID: 1330134
Sex: F
Age: 12
State: NJ

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Mild

Other Meds:

Current Illness:

ID: 1330135
Sex: F
Age: 63
State:

Vax Date: 04/15/2021
Onset Date: 05/18/2021
Rec V Date: 05/19/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: acute onset left sided hemiplegia, new opacification--may represent increasing pleural effusion, consolidation, and/or atelectasis, decreased lung volumes.

Other Meds:

Current Illness:

ID: 1330136
Sex: M
Age: 79
State: MN

Vax Date: 03/19/2021
Onset Date: 04/18/2021
Rec V Date: 05/19/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient hospitalized within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1330137
Sex: F
Age: 62
State: WY

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Chills, achiness in neck and shoulders, Shortness of Breath

Other Meds: Xolair, synthroid. celexa singulair and amlodipine Hydroxy, rotinirole restless leg

Current Illness:

ID: 1330138
Sex: M
Age: 55
State: VA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Swelling at Injection Site-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Visual Changes/Disturbances-Medium

Other Meds:

Current Illness:

ID: 1330139
Sex: F
Age: 63
State: MS

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies: NKDA; None reported

Symptom List:

Symptoms: PT c/o tingling/ numbness to mouth and throat. administration of Benadryl PO per standing orders. Pt remained on site 15 min w/o additional complaints. PMH - Pt received 1st dose Moderna on 3/18/2021

Other Meds: none reported

Current Illness: no

ID: 1330140
Sex: M
Age: 59
State: VT

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: I received my vaccine six weeks ago. My arm still hurts as if I got the vaccine yesterday.

Other Meds: Tamsulosen, fluoxetene

Current Illness: mild colitis

ID: 1330141
Sex: F
Age: 34
State: FL

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

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

Lab Data:

Allergies: Cillins

Symptom List:

Symptoms: Extreme fatigue,sever muscle and joint pain,nausea,vomiting (x1), dizziness ,fevers greater than 100.1 for 36 hours

Other Meds: None

Current Illness: None

ID: 1330142
Sex: M
Age: 49
State: VA

Vax Date: 03/19/2021
Onset Date: 05/15/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies: Naproxen

Symptom List:

Symptoms: Shingles

Other Meds: None

Current Illness: None

ID: 1330143
Sex: M
Age: 30
State:

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Nursing attempted to vaccinate patient, but dull needle and did not penetrate skin. A new vaccine was administered.

Other Meds:

Current Illness:

ID: 1330144
Sex: F
Age: 40
State: TX

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1330145
Sex: F
Age: 66
State:

Vax Date: 02/11/2021
Onset Date: 05/16/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: asymptomatic

Other Meds:

Current Illness:

ID: 1330146
Sex: F
Age: 29
State: IN

Vax Date: 05/17/2021
Onset Date: 05/18/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Headache, fever, chills, body aches, extreme fatigue. Leg weakness, eyes burning

Other Meds: Flonase, prenatal vitamins

Current Illness: None

ID: 1330147
Sex: F
Age: 27
State: IN

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Muscle pain in arm of injection

Other Meds:

Current Illness:

ID: 1330148
Sex: F
Age: 59
State: PA

Vax Date: 03/17/2021
Onset Date: 04/01/2021
Rec V Date: 05/19/2021
Hospital:

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

Lab Data:

Allergies: ProchlorperazineSwallowing Difficulty QuinolonesHives / Urticaria TrimethoprimOther (document details in comments) LevofloxacinSwelling MetoclopramideOther (document details in comments) Sulfamethoxazole-trimethoprimOther (document

Symptom List:

Symptoms: COVID-19 Encounter for screening laboratory testing for COVID-19 virus BMI 26.0-26.9,adult

Other Meds: albuterol HFA (PROAIR HFA) 90 mcg/actuation inhaler amoxicillin (AMOXIL) 500 mg capsule aspirin 81 mg tablet atorvastatin (LIPITOR) 10 mg tablet b complex vitamins capsule dextroamphetamine-amphetamine (ADDERALL) 5 mg tablet erythromycin (R

Current Illness:

ID: 1330149
Sex: M
Age: 21
State: CO

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: patient fainted and started convulsing - ambulance was called

Other Meds:

Current Illness:

ID: 1330150
Sex: M
Age: 69
State:

Vax Date: 01/27/2021
Onset Date: 03/20/2021
Rec V Date: 05/19/2021
Hospital: Y

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Symptoms: Presented to EC on 03/20 for "... presented for PEG tube being dislodged. He has history of severe malnutrition, recurrent aspirations prompting PEG placement ... On presentation he had HR in 120's and was started on cardizem gtt. He was found positive for COVID. He did have 2 doses of the COVID vaccine - second dose avout 2-3 weeks prior to admission.: Tests, all NAA / PCR: 07/25/2020 SARS-CoV-2 (COVID-19) NOT detected 09/01/2020 SARS-CoV-2 (COVID-19) NOT detected 12/31/2020 SARS-CoV-2 (COVID-19) detected 03/18/2021 SARS-CoV-2 (COVID-19) detected

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Current Illness:

ID: 1330151
Sex: U
Age: 28
State: CA

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/19/2021
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Symptoms: History of seizures. Complained of dizziness, nausea, photosensitivity to light, spasm and anxiety. Provided water; symptoms resolved; no transport.

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Current Illness:

ID: 1330152
Sex: F
Age: 77
State: NY

Vax Date: 03/25/2021
Onset Date: 05/19/2021
Rec V Date: 05/19/2021
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Allergies: None.

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Symptoms: She got her vaccine, about a day and a half her arm was sore and itchy. Then later on it was red, splotchy kind of redness, but not at the point of the injection, just a couple of inches below towards the elbow. This lasted for about a week. The soreness went away but could see redness in the area, which took about 4 weeks for this to disappear completely. She had a headache which lasted for a short period of time, and disappeared. She also had a swollen lymph node along her waste that were sore about 2 days after the vaccine, which also disappeared and had it only for a day or two. She started noticing a sound, thinking it was in her old house the 2nd week of April, but moved to a quieter neighborhood and still noticed it. She was reading an article this morning in the paper and realized the sound that she was hearing was tinnitus. She was only born with one ear and it sounds more like a beeping sound than a ringing, but it continues to bother her. She does not notice it when she's out driving around from the other noises in the environment but when it's quiet due to the one ear she can hear it. With only one ear she cannot determine the direction of where the sound is coming from, but does notice it during quietness. She puts her ear up to the wall to determine where the sound is coming from and plugged her ear, and determine it was from the ear itself. She is worried about it getting worse or not getting any better with only having the one ear.

Other Meds: None.

Current Illness: None.

ID: 1330153
Sex: F
Age: 55
State: WI

Vax Date: 04/07/2021
Onset Date: 05/14/2021
Rec V Date: 05/19/2021
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Symptoms: symptom onset 5/14/2021 body aches, headache, sore throat, nasal congestion, lost smell

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Current Illness:

ID: 1330154
Sex: F
Age: 40
State: TX

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 05/19/2021
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Allergies: Penicillin

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Symptoms: The same night of the injection, I experienced shortness of breath and I had to concentrate on my breathing in order to breath. That right short hurt. A day or two this continued. After the next few days I was fine. The following week, I noticed under my right breast and right arm, I had limited moving and a lot of swelling. That arm from the deltoid down also was red and swollen. I contacted my doctor a week after my vaccination. My doctor recommended not getting the second dose due to how it affected my breathing more so than anything. There is still some swelling under my right armpit where my lymph node is but it is not anywhere as bad as it was, and my doctor is not concerned.

Other Meds: Vitamin D, Atorvastatin, birth control patch

Current Illness: None

Date Died: 03/26/2021

ID: 1330155
Sex: M
Age: 88
State: PR

Vax Date: 02/23/2021
Onset Date: 03/24/2021
Rec V Date: 05/19/2021
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Allergies: Unknown.

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Symptoms: Difficulty to breath, pain in the lungs, patient was rushed to the hospital and after addition, patient goes to cardiac arrest.

Other Meds: Galantamine, Cozaar, Namenda, ferrous sulfate, pantoprazole, tamsolusine, atorvastatin, lisinopril, folic acid, quetiapine, memantine.

Current Illness: Unknown.

ID: 1330156
Sex: F
Age: 49
State: KY

Vax Date: 05/16/2021
Onset Date: 05/17/2021
Rec V Date: 05/19/2021
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Allergies: Allergic to PCN - rash

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Symptoms: Within 24 hours of receiving the vaccine, she developed muscle aches, felt feverish, had nausea and loss of appetite. These symptoms have subsided except that she still has some nausea and loss of appetite, but it is not as bothersome. About 24 hours after she got the injection, at the injection site, she also developed swelling of her arm, induration at the injection site, redness, itching. She is still having these symptoms.

Other Meds: Current Drug List: albuterol inhaler, diclofenac 1% gel, duloxetine 60 mg, gabapentin 600 mg, levocetirizine 5 mg, metoprolol 100 mg 24 hr tablet, promethazine-dextromethorphan 6.25-15 mg/5 ml syrup, trazodone 50 mg

Current Illness:

ID: 1330157
Sex: M
Age: 51
State: NY

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 05/19/2021
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Allergies: None

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Symptoms: Patient began feeling lightheaded and collapsed out of his chair. The patient did not recall falling from the chair but was conscious when attended to by the pharmacist. He had just started new medications (Lisinopril and Metformin) and had taken them in the morning prior to arriving for his vaccination. The patient did not eat anything in the morning prior to arriving for his vaccination. He was given water, a cold pack, and then orange juice. His symptoms improved and he was able to get up and walk under his own power.

Other Meds: Metformin, Lisinopril, Vitamin D2

Current Illness: None

ID: 1330158
Sex: F
Age: 78
State: TX

Vax Date: 02/09/2021
Onset Date: 03/01/2021
Rec V Date: 05/19/2021
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Allergies: Penicillin

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Symptoms: Atrophy in left leg and right arm.

Other Meds: Micardis

Current Illness:

ID: 1330159
Sex: F
Age: 19
State: NY

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 05/19/2021
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Allergies: yeast

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Symptoms: Rash Itchyness On face, neck, arm, shoulder, chest, lower arm, back (Upper and Lower)

Other Meds: no

Current Illness: no

ID: 1330160
Sex: F
Age: 48
State: NV

Vax Date: 05/05/2021
Onset Date: 05/10/2021
Rec V Date: 05/19/2021
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Allergies: sulfa based antibiotics

Symptom List:

Symptoms: elbow joint swelling and pain in same arm as injection beginning about 5 days post inoculation and lasting well through day 14 following vaccination.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm