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: 1332219
Sex: M
Age: 40
State: NC

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 05/19/2021
Hospital:

Vax Type:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: I experienced a severe headache later the same day as my vaccination. I took some extra strength acetaminophen at the regular intervals that day/night, but by the bed time (~9:00PM) I was unable to sleep. I experienced chills/sweating throughout the night as well as body ache and nausea. By morning (5/11/2021, ~9:00AM) I began vomiting and soon could not keep down any liquids. After this continued unabated, I went to the emergency room at ~11:00AM I checked myself in and the nurses triaged me and gave me IV fluids. The wait times that morning at the ER were very long, in excess of 2 hours, and after the first full bag of saline my nausea was gone and I felt amazingly better. Realizing I wasn't going to be seen for several hours and concerned about my own Covid exposure/general risk sitting in the waiting room for most of the day, I decided to leave without being seen. I ate lightly that day and drank lots of Pedialyte. By the next day I was ready to eat normally and went about my day. Later that week I went to see my primary care doctor just to establish that nothing more was going on, as the Johnson and Johnson pause was announced that week.

Other Meds: Acetaminophen - 650 mg

Current Illness: None

ID: 1332220
Sex: F
Age: 12
State: CA

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

Vax Type:
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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: patient fainted 5 minutes after receiving pfizer vaccine. became alert after 30 seconds. school nurse attended to patient and checked vitals - bp was low and final bp returned to levels within range after 30 minutes. mother took patient homE

Other Meds: N/A

Current Illness: N/A

ID: 1332222
Sex: M
Age: 14
State: CA

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

Vax Type:
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Allergies:

Symptom List:

Symptoms: Five minutes after administration, patient's father approached pharmacist and stated pt wasn't feeling well. Upon approaching pt, patient threw up. Nurse was called and patient had low blood pressure. Patient was told to sit longer and then patient drank water and felt fine after 25-30 minutes.

Other Meds:

Current Illness:

ID: 1332223
Sex: M
Age: 36
State: IN

Vax Date: 05/12/2021
Onset Date: 05/14/2021
Rec V Date: 05/19/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Fatigue; fever; aches; headaches; chills lasted on and off for 5+ days.

Other Meds: N/A

Current Illness: N/A

ID: 1332224
Sex: F
Age: 38
State: PA

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

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Starting about 2 hrs after receiving the shot, muscle pain throughout left arm, spreading through all muscles of body by 5am. Sever periods of chills followed by sweating and feeling hot. Nausea, headache. Took Excedrin, Aleve and tums. Worst of the symptoms subsided by 24 hrs post vaccine administration. Slight nausea and headache still persists at time of filling this report out. I feel it's important to note that I had COVID in December and feel the adverse reactions were due to having sufficient antibodies against COVID. Perhaps it shpuld be recommended that people get antibody titers to determine if the vaccine is necessary as is done to determine if HepB boosters are necessary.

Other Meds: Apri, Zyrtec, Krill oil, multivitamin, probiotics

Current Illness: None

ID: 1332225
Sex: F
Age: 72
State: CA

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

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Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Patient got second dose on 05-04-2021. She came on 05-19-2021 and complained of shortness of breath and trouble breathing since her second dose. She said she didn't have side effects from the first dose. She only started having shortness of breath immediately after her second dose. She said she has difficulty breathing at rest, but when she walks it goes away. Patient has a history of asthma and uses proair as needed to help with her breathing. Advised her to go see a doctor immediately. Patient said she does not currently have a Primary Care Provider, so advised her to go to the nearest urgent care/ER for further evaluation.

Other Meds: PROAIR

Current Illness:

ID: 1332226
Sex: F
Age: 11
State: CA

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

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Lab Data:

Allergies:

Symptom List:

Symptoms: Dad came in with daughter (got his id), Pt and filled out consent form with dob (12 y.o) we gave 1st dose of pfizer and the vaccine was billed later, insurance came back with invalid dob, called ins and found out that they have her dob of exact date.

Other Meds:

Current Illness:

ID: 1332227
Sex: F
Age: 51
State: MI

Vax Date: 04/24/2021
Onset Date: 04/27/2021
Rec V Date: 05/19/2021
Hospital:

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Symptom List:

Symptoms: First two days after second shot was very fatigued, achy and feverish. Woke up on Tuesday morning, 3 Days after second shot left eye lid was swollen and eye burned badly. Went to Ophthalmologist 3 days later and diagnosed with bleeding retina and inflamed eyeball and irritated upper eyelid with no foreign object in eye. . After 10 days of steroid drops symptoms were the same. Saw ophthalmologist again on 5/17 same issue with no obvious reason as to why My eye is inflamed, gave me stronger drops to use for 10 days. If not better in 10 days I will follow up with a cornea specialist. I have never had an eye issue until my COVID vaccine.

Other Meds:

Current Illness:

ID: 1332228
Sex: F
Age: 15
State: CA

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

Vax Type:
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Lab Data:

Allergies: nkda

Symptom List:

Symptoms: patient fainted after receiving pfizer vaccine. became alert after 1 minute. school nurse attended to patient and checked vitals and mother took patient home after recovery within 15 minutes

Other Meds: n/a

Current Illness: n/a

ID: 1332229
Sex: F
Age: 19
State: VT

Vax Date: 04/21/2021
Onset Date: 05/19/2021
Rec V Date: 05/19/2021
Hospital:

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Lab Data:

Allergies: Celephanxin

Symptom List:

Symptoms: Had seizure I?m Epileptic worst one ever had different type four days after

Other Meds: Lacmitcal,zomoside

Current Illness:

ID: 1332231
Sex: F
Age: 29
State: CO

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

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Lab Data:

Allergies: NONE

Symptom List:

Symptoms: PATIENT PASSED OUT WITH EYES OPEN. SHE COULDN'T SEE ANYTHING FOR A FEW SECONDS. SHE CAME TO AND THEN ABOUT A MINUTE LATER, IT HAPPENED AGAIN. SHE WAS COMPLETELY PALE BUT CAME TO WITHIN A COUPLE OF SECONDS AND THEN FELT BETTER. WE DID CALL PARAMEDICS, WHO CHECKED HER HEART RATE AND BLOOD SUGAR. THEY DID NOT TRANSPORT HER.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1332233
Sex: F
Age: 58
State: CA

Vax Date: 03/23/2021
Onset Date: 04/16/2021
Rec V Date: 05/19/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Approximately 24 days after my second dose, I woke up feeling excruciating pain in my upper back, left arm and hands. It was both throbbing consistently and/or piercing, stabbing pain at intervals. I took a nap and some ibuprofen PM so I can sleep and ignore the pain. Went to ER the following day as pain didn't subside and was increasing in pain. X-ray showed nothing was wrong. Was prescribed two pain meds. Cold and hot compress were not alleviating the pain. Lasted for a whole week. Then pain was intermittent and less painful but still continuously throbbing. None at the upper back but pain focused on left arm/hand. Advised by ER doctor to go to primary doctor if pain does not subside in two days and did so. No new diagnosis from ER: perhaps inched nerve. It is strange what is happening to me. Felt better after another week. Relief from some huge pain until pain returned a week ago, starting Friday, May 14th. It's been throbbing since and pain is intermittent. I am again drinking ibuprofen and naproxen as prescribed before to ease the pain and allow me to sleep and work.

Other Meds: Albuterol as needed, Vitamin C, D3, Calcium

Current Illness: Coughing from 1st dose [Pfizer]

ID: 1332234
Sex: F
Age: 34
State: ID

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 05/19/2021
Hospital:

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Lab Data:

Allergies: no

Symptom List:

Symptoms: Head pressure, tinnitus, vertigo/dizziness ongoing since 7 days after the shot. Now 3 months later, symptoms remain and hearing is diminishing in right side.

Other Meds: no

Current Illness: no

ID: 1332235
Sex: F
Age: 22
State: SC

Vax Date: 05/16/2021
Onset Date: 05/18/2021
Rec V Date: 05/19/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Itchy rash, appears on both forearms, thighs, earlobe, and neck. I?ve used Cortaid on it which helps ease the each. none of the rashes have disappeared but they mellow out sometimes.

Other Meds:

Current Illness:

ID: 1332237
Sex: F
Age: 23
State:

Vax Date: 04/29/2021
Onset Date: 05/07/2021
Rec V Date: 05/19/2021
Hospital:

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Symptom List:

Symptoms: [May 7] Persistent headache in bottom back of headache, beginning in the morning. Around 5pm, headache intensified and I almost called a doctor, thinking something had ruptured. The next 2 days [May 8, May 9], I experienced a couple nosebleeds.

Other Meds:

Current Illness:

ID: 1332238
Sex: M
Age: 46
State: CA

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

Vax Type:
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Lab Data:

Allergies: no

Symptom List:

Symptoms: 3 minutes after injection patient started to stand up to get pharmacist's attention and pharmacist looked over at patient and noticed patient was clammy and looking like he was going to fall over. Pharmacist told patient to sit back down and immediately grabbed e-kit and headed to patient's side. Patient was clammy (like just got out of shower). At 3:45 PM BP was 128/63 and PR was 44. At 3:50 PM BP was 92/56 and PR 51, at this point RPh decided it was more than a vaso-vagal reaction and administered the epinephrine injection at 3:51 PM - EMS was called. At 3:52 PM BP was 130/76 and PR 59, 3:55 PM 134/86 PR 66, 3:58 PM BP was 148/83 and PR 68 at 3:59 PM EMS arrived and patient declined them taking him to hospital via ambulance due to no insurance. He had pharmacist escort him to his car so he could get his cell phone and back to pharmacy so he could call his son to pick him up and take him to the hospital. Unknown if patient ended up going to hospital.

Other Meds: unknown

Current Illness: no

ID: 1332239
Sex: M
Age: 16
State: AZ

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

Vax Type:
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Lot:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: Within minutes of receiving the vaccine, he, vomited and then fainted twice. His blood pressure plummeted (60/40) and required the on site EMT medics to intervene with a 800 cc saline IV and Zophran medication. He responded well to the treatment and was able to be release 45 minutes after the IV started.

Other Meds: none

Current Illness: none

ID: 1332240
Sex: F
Age: 34
State: PA

Vax Date: 05/06/2021
Onset Date: 05/16/2021
Rec V Date: 05/19/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Amoxicillin, celiac disease

Symptom List:

Symptoms: Hives/raised rash that has shown up all over my body. It is worse in the morning and evenings. The rash migrates and does not stay in one place. No other environmental, food, etc. factors that would answer for this sudden rash.

Other Meds: Birth control (seasonique)

Current Illness: N/A

ID: 1332241
Sex: M
Age: 17
State: CA

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

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: NKA

Symptom List:

Symptoms: minor client arrived for a second dose of Moderna, he had erroneously (underage) received the first dose of Moderna from Health Clinic. Site Lead RN escalated to Clinical Operations Coordinator to confirm that per CDC guidelines we would proceed and complete the COVID vaccination series for this minor 17yo. Client and his mother confirmed no medical illnesses or allergies and no adverse reactions from the first dose. Client also had no adverse reactions to the second dose during his 15min observation period. Client and his mother were educated on the CDC's recommendations not to vaccinate minors under 18yo with Moderna, but the CDCs approval to proceed and complete the series.

Other Meds: none

Current Illness: none

ID: 1332242
Sex: F
Age: 42
State: OR

Vax Date: 05/13/2021
Onset Date: 05/15/2021
Rec V Date: 05/19/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Pencillin and sulfa drugs

Symptom List:

Symptoms: Severe chills, spliting headaches and upset stomach about 48 hr after 2nd dose. Lasted 1 full day then a heaviness in chest set in and I am still short of breath now on day 7.

Other Meds: Claritin and Aleve

Current Illness: 3 weeks earlier - negative covid test but severe sickness with cold chills, no fever, sore throat

ID: 1332243
Sex: M
Age: 16
State: CA

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

Vax Type:
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Lot:
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Lab Data:

Allergies: nka

Symptom List:

Symptoms: minor client arrived for a second dose of Moderna, he had erroneously (underage) received the first dose of Moderna from a Health Clinic. Site Lead RN escalated to Clinical Operations Coordinator to confirm that per CDC guidelines we would proceed and complete the COVID vaccination series for this minor 17yo. Client and his mother confirmed no medical illnesses or allergies and no adverse reactions from the first dose. Client also had no adverse reactions to the second dose during his 15min observation period. Client and his mother were educated on the CDC's recommendations not to vaccinate minors under 18yo with Moderna, but the CDCs approval to proceed and complete the series.

Other Meds: none

Current Illness: none

ID: 1332244
Sex: M
Age: 28
State: TX

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

Vax Type:
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Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Pt. received Moderna (1st dose) on 04/22/2021 and Pfizer (2nd dose ) on 05/19/2021. No adverse reactions observed.

Other Meds: Cymbalta Geodon Ibuprofen Tegretol Tinactin cream

Current Illness: None

ID: 1332245
Sex: F
Age: 16
State: NJ

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

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Chest tightness

Other Meds: Taytulla, probiotics, iron, multivitamin

Current Illness: N/A

ID: 1332246
Sex: F
Age: 30
State: MI

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Fever repeatedly came back throughout the following week. Felt weak, exhausted, full body aches. Very poor working memory still has not gotten better after two weeks. Slight loss of balance. Increased depression and anxiety.

Other Meds: Tri-sprintec Biotin Claritin

Current Illness:

ID: 1332247
Sex: F
Age: 20
State: AZ

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

Vax Type:
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Lab Data:

Allergies: none listed

Symptom List:

Symptoms: Pt appeared to faint after getting immunization, she had stood up and then appeared to be dizzy and unwell. Her boyfriend who was also there for an immunization and I were able to catch her before she fell, she was brought to floor in sitting position and I recommended she lie down, she was very pale but still coherent. We called store assistant manager who came to assist and he called paramedics to check her out. I stayed with her until paramedics came, they checked her out and determined she was ok and did not need further assistance. She was driven home by boyfriend once she was given the all clear and we all determined she was ok. Patient appeared to have a fear of needles. We called patient later in evening to check on her and she said she was doing fine.

Other Meds: none listed

Current Illness: none listed

ID: 1332248
Sex: F
Age: 58
State: WA

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

Vax Type:
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Lab Data:

Allergies: Dexamethason OXYCODONE GABAPENTIN VICODIN

Symptom List:

Symptoms: 45 minutes after getting the vaccine I couldn't stand. My right leg felt like it was being sawed off from my hip. The pain would change from my foot, hand, etc. It also caused me to be horribly inflamed. I was red and swelled for 2 weeks. For 3 days the pain was so bad, I wanted to go to urgent care. I am very scared about the second vaccine.

Other Meds: PPREDNISONE 20 MG LEVOTHYROXINE SODIUM 125 MCG LIOTHYRONINE SODIUM 5 MCG CYCLOBENZAPRINE HCL 10 MG

Current Illness:

ID: 1332249
Sex: F
Age: 61
State: AZ

Vax Date: 03/27/2021
Onset Date: 04/09/2021
Rec V Date: 05/19/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Rash all over body. Getting worse by the day. Now 6 weeks after second shot

Other Meds: None

Current Illness: None

ID: 1332252
Sex: F
Age: 49
State: CA

Vax Date: 03/27/2021
Onset Date: 04/05/2021
Rec V Date: 05/19/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: None Known

Symptom List:

Symptoms: Patient received first injection of Pfizer's COVID-19 vaccine on March 27, 2021. Approximately a week or so after the injection, the patient stated that she had headaches, back aches, and occasional cough. On April 17, 2021, patient received second dose of the Pfizer COVID-19 vaccine (ER8735). Within a couple of days of the injection, patient complained that the back pain was worse. By Wednesday, April 21, 2021, patient indicated that back pain was "excruciating" and cough had increased. She contacted her Primary Care Provider's office to set up an appointment. An appointment was scheduled for Friday, April 23, 2021. In the interim, the back pain continued, the coughing increased and she developed chest pain. During the Dr. Visit on April 23, 2021, the Physician ordered a Chest X-ray which showed "bibasilar pleural effusions with associated atelectasis". The patient was advised to take Aleve for the pain and was also prescribed a muscle relaxant (Flexeril). (Please Note: Patient has never had any lung problems. Previous Xrays and CT indicated clear lungs). The Physician also ordered a CT Scan of the Chest. The CT Scan of the Chest was completed on May 12, 2021. Chest CT Findings: multiple areas of lympadenopathy in chest and lungs; Possible pulmonary metastases. Mild upper abdominal lymphadenopathy was also present. Most recently (week of 05/09/2021), patient developed pain in left calf. Ultrasound negative. Additional Note: Patient is post left mastectomy for breast cancer (Sept. 2020)- with negative margins and negative lymph nodes. Patient had remained healthy up until the onset of the headaches, back pain and chest pain, as described above. As stated, these symptoms appear to have started after the first dose of Pfizer COVID-19 vaccine.

Other Meds: One-A-Day Multivitamin

Current Illness:

ID: 1332253
Sex: M
Age: 31
State: WA

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

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: PATIENT REPORTED A SEISURE INCIDENT AFTER RECEIVING PFIZER COVID VACCINE

Other Meds:

Current Illness:

ID: 1332254
Sex: F
Age: 42
State: TX

Vax Date: 11/10/2020
Onset Date: 11/10/2020
Rec V Date: 05/19/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies: biaxin

Symptom List:

Symptoms: the evening of 11/10/20 same day as vaccine, I was at the grocery store and couldn't even lift my daughter into the cart. A nice man had to stop and help me. Throughout the day i became increasingly achy all over especially in the arms and legs and felt very tired. While in the freezer section, my legs gave out and I fell to the ground. My entire body hurt so bad I was in tears. I sat there and spoke to my husband on the phone and somehow got the strength to get the few things needed and head home. That evening my body aches continued to worsen to the point i was in constant tears over how horrible I felt. I ended up calling out sick and having to take unplanned PTO 11/11, 11/12, and 11/13. I continued to not feel well until that following Monday 11/16. i knew you could be sore from the shot, but this was something I had never experienced before. I honestly thought I got the flu from the vaccine. I did mention it to both my PCP and my daughters pediatrician when we were dealing with her HSP and the flu shot impact came up in the discussion. When my daughter's pediatrician told me the added 2 new flu strands and possibly modified the formula that year for 2020 it was scary. Ever since then, I continue to have regular body aches and exhaustion. I already had some sleep disturbances, but not sure if related, but seems to have gotten worse.

Other Meds: Amour thyroid, adderall, spirinlactalone, lunesta

Current Illness:

ID: 1332255
Sex: M
Age: 45
State: WA

Vax Date: 04/28/2021
Onset Date: 05/03/2021
Rec V Date: 05/19/2021
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Allergies: Sensitive to: Soy Tomatoes Medications: Cipro

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Symptoms: About 1 week after shot, Joint pain increased, and my hands became very sensitive to cold(like an amped version of Raynaud?s Syndrome). Feeling of tiredness in the chest.

Other Meds: Supplements (taken for chronic back injury) Vitamin D 1000iu Curcumin, 500 mg in divided dose CoQ10, 100mg Fish oil 640 mg Now brand super enzyme (digestive enzyme) Pb8 Probiotic Medications Omaprazole 20mg Famotidine (40mg, as needed. W

Current Illness: Acid reflux

ID: 1332256
Sex: M
Age: 70
State: NY

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

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Symptoms: Pt attempted to receive second dose of COVID vaccine at location. Upon review of record after updated with information from outside, record revealed pt already completed pfizer vaccine two dose series at another location ( Stadium) At Stadium he received: EL9269 on 2/6/2021 EM9809 on 2/27/2021 At he came for "first dose" and received ER8791 on 4/22/2021 -Pt felt that based on what he heard on the news, he needed to get a booster dose. He denies any reaction or side effects after receiving a third dose. Pt teaching with patient to ensure that he understood that he already completed the series and that there is NO approved or recommended booster dose at this time. Pt repeated back verbal understanding that he is not to try and get a fourth dose unless specifically recommended in the future. Reinforced that patients will have the expected protection after the two authorized doses, and a third dose is NOT authorized or recommended at this time.

Other Meds: Amlodipine, Lisinopril, atorvastatin

Current Illness: none reported

ID: 1332257
Sex: F
Age: 52
State: MD

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 05/19/2021
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Allergies: Sulfa, Flexeril, Betadine

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Symptoms: I was notified by the school nurse, that this patient was have an itchy throat and a swollen tongue for over 30 minutes after vaccination. I spoke to the patient. She said that her symptoms has not change in intensity during her wait. In consultation with the nurse, I decided to give a 50 mg Diphenhydramine dose and check on her progress after a few minutes. After 10 to 15 minutes, the patient said her symptoms seems to be lessening. But, the symptoms were still there. EMS was called. They evaluated the patient and decided to take her to the closest hospital.

Other Meds: Unknown

Current Illness: Unknown

Date Died:

ID: 1332269
Sex: U
Age:
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Rec V Date: 05/19/2021
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Symptoms: there was a child who received the second dose of GARDASIL 9 vaccine and had to be rushed to Hospital in and later died; there was a child who received the second dose of GARDASIL 9 vaccine and had to be rushed to Hospital; This spontaneous report was received from a physician and his wife via a field represent, referring to a child of unknown age and gender. The patient's concomitant medication, pertinent medical history and drug reactions/allergies were unknown. On an unknown date, the patient received the second dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9) (strength, dose, route, lot# and expiration date were not reported) vaccine for prophylaxis. On an unknown date, the patient had to be rushed to hospital (ill-defined disorder) and later died. It was unknown if an autopsy was performed. Furthermore, it was unknown if the patient had sought medical attention, laboratory diagnostic studies were performed or if received any treatment. The outcome of ill-defined disorder was unknown. The causality assessment was not reported.

Other Meds:

Current Illness:

ID: 1332372
Sex: M
Age: 73
State: GA

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 05/19/2021
Hospital: Y

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Allergies: bell peppers

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Symptoms: Major Stroke as described below: There is a large left MCA infarct with a hyperdense left MCA vessels sign consistent with a area of acute ischemia. There is medial uncal herniation compressing the left cerebral peduncle. There is compression of the left temporal horn. There is compression of the left lateral ventricle with left to right shift measuring approximately 9 mm. The basilar cisterns are patent. No intracranial hemorrhage. Bone windows demonstrates no bony lytic or destructive changes The orbital globes and retrobulbar structures appear grossly unremarkable. The visualized paranasal sinuses and mastoid air cells are well aerated. The bony calvarium is intact. IMPRESSION: There is a large left MCA vascular territory acute ischemic change with uncal herniation and mild left to right transpleural seen shift described above without hemorrhage. Dense left MCA vessels sign. Results were discussed with doctor in the the ER at 10:45 PM

Other Meds: Timoptic, Lipitor

Current Illness: Vertigo

ID: 1332373
Sex: F
Age: 40
State: MA

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 05/19/2021
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Symptoms: Severe Pain and pressure in my head as I worry if I got a blood clot. A big and painful pimple under the arm.

Other Meds:

Current Illness:

ID: 1332375
Sex: F
Age: 38
State: WA

Vax Date: 04/14/2021
Onset Date: 04/17/2021
Rec V Date: 05/19/2021
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Allergies: N/A

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Symptoms: I started having a headache the same day non stop, nausea and light dizziness, sensitivity to bright lights and a week after the vaccine I lost my sense of taste on my right side of my mouth. April 25th I woke up to my right side of my face paralyzed and rushed to the ER. I was diagnosed with Bell's Palsy

Other Meds: Multivitamin One a Day, vitamin D and collagen+biotin

Current Illness: N/A

ID: 1332376
Sex: F
Age: 65
State: CA

Vax Date: 03/11/2021
Onset Date: 05/08/2021
Rec V Date: 05/19/2021
Hospital: Y

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Allergies: penicillin

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Symptoms: Noticed bleeding in the mouth/gums. Looked inside and found bloody holes in my cheeks about 1/2" big. I noticed the top of my hands we also very bruised although I did not get hurt. I went to the ER and they took me in and ran blood tests. They diagnosed me with Immune Thrombocytopenia Purpura. My platelet level was at 8,000, and 6 months prior I was at 180-200,000. They began giving me platelets and were working up to giving my Immunoglobulen. After 2 doses of platelets they gave me 2 doses of benadryl intravenously and I had a scary reaction (I've never had a reaction to benadryl prior to vaccine). My body went numb, it felt like my muscles fell asleep, I felt like I could not breath. It's as if my body attacked anything that came in. Then I was given a sedative to calm down. As the sedative faded I began feeling immense pain in my abdomen, they thought it was internal bleeding, but after a CT scan they found 3 kidney stones. I was then put on fluids. Due to pain, my blood pressure went up and stayed up for about 8-10 hrs at around 255. I was given about 3 does of blood pressure medication throughout that time to lower it as well as morphine to help with the pain. The next morning (Day 3) I was finally given the Immunoglobulin (3 bottles = 1 dose). platelets went up to about 60,000. Then I was given a second dose and released on day 4 (but the second dose was not completed in full, only 1 or 2 bottles of the 3 were given. I was released and came back after 2 days for a blood test. I was given steroids to take for a few months. My platelets were at 120,000. I thought that I was getting better, but then a few days letter came in for another blood test and it showed I was back at 60,000 platelets. Thats where I am now.

Other Meds:

Current Illness:

ID: 1332377
Sex: M
Age: 28
State: NV

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 05/19/2021
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Symptoms: Patient fainted post vaccination, in the recovery area. Vaccination given at 3:03 pm. BP was 93/62. Patient has breakfast. but not lunch. After fainting, Pt got up immediately, and sat back on his chair. After about 30 minutes, Pt left for home.

Other Meds:

Current Illness:

ID: 1332378
Sex: F
Age: 22
State: FL

Vax Date: 04/12/2021
Onset Date: 04/14/2021
Rec V Date: 05/19/2021
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Symptoms: Visual Snow - April 14 Floaters - April 17 Slightly numb hands/feet - Mid April Moving hands motion blur - Mid April Still ongoing

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Current Illness:

ID: 1332379
Sex: F
Age: 40
State: CA

Vax Date: 03/12/2021
Onset Date: 03/17/2021
Rec V Date: 05/19/2021
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Allergies: None

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Symptoms: A few days after receiving the first dose my knees started hurting as soon as I bent them. The symptoms have increased since then at first I thought it would go away and thought that maybe I just somehow hurt myself. However, after I received the second dose the pain has intensified I now can't sleep from the joint pain on my knees and it feels like there is something pressing on the back of my knees and the stiffness is terrible. I do not have great health insurance, thus I have been putting off seeing a doctor. Yet, after last nights pain I have made an appointment and hope see one in July since there are no appointments available sooner.

Other Meds: None

Current Illness: None

ID: 1332380
Sex: M
Age: 25
State: MN

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 05/19/2021
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Allergies: Walnuts. Animal dander. Dust mite debris. Ash tree pollen.

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Symptoms: Muscle aching and sometimes twitching. Dizziness of the head and stomach. Extreme nausea of head and stomach. Vomiting. Suppressed appetite. Great pain in head and stomach. Extreme fatigue and weakness. Symptoms peaked 24-36 hours after injection and were mostly gone after 3 days. Fatigue and weakness took a week to fully disappear. Seemingly no lasting symptoms.

Other Meds: Lexapro. Clearlax. Acetaminophen.

Current Illness:

ID: 1332381
Sex: M
Age: 52
State: GA

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 05/19/2021
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Allergies: None known

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Symptoms: Severe, numerous ulcers on tonsils, throat, roof of mouth and inner lips.

Other Meds: Synjardy; Trokendi; Ozempic

Current Illness: None

ID: 1332383
Sex: F
Age: 31
State: CA

Vax Date: 05/11/2021
Onset Date: 05/18/2021
Rec V Date: 05/19/2021
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Allergies: Sulfa medications

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Symptoms: A week after getting my first dose of the moderna Covid vaccine, I developed a sore arm near the injection site as well as a red rash (2 inch diameter). There is some minor itching. I was 11 weeks pregnant at the time of the vaccination and gave experienced a healthy pregnancy so far. At 10 weeks my obgyn did see a pretty small subchorionic hematoma and has had me on pelvic rest as it heals. My due date is Nov. 30th 2021.

Other Meds: Nexium 20mg, Align Probiotics, Ritual Prenatal vitamins.

Current Illness: N/A

ID: 1332384
Sex: F
Age: 41
State:

Vax Date: 05/16/2021
Onset Date: 05/17/2021
Rec V Date: 05/19/2021
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Allergies: sulfa, insect bites

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Symptoms: I have experienced a complete loss of appetite, with no fatigue or nausea. This has been ongoing for three days.

Other Meds: none

Current Illness: none

ID: 1332385
Sex: F
Age: 48
State:

Vax Date: 04/30/2021
Onset Date: 05/03/2021
Rec V Date: 05/19/2021
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Allergies: Phenobarbitol

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Symptoms: Monday-Feeling like ants crawling under my skin. Headache, present even with Tylenol Tuesday- Ant feeling subsided, headache and neckache. Lightheadedness and loss of balance. Went to ER Thursday 5/20- Lightheaded and loss of balance Since 5/4, lightheadedness comes and goes. Light and sound affect the ability to focus. I have never felt like this before.

Other Meds: -

Current Illness: -

ID: 1332386
Sex: F
Age: 30
State: WA

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 05/19/2021
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Allergies: DOXYCYLINE

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Symptoms: HARD RED LUMP AT INJECTION SITE, RED AND PAINFUL

Other Meds: UNKNOWN

Current Illness: N/A

ID: 1332387
Sex: F
Age: 32
State: NY

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 05/19/2021
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Allergies: None.

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Symptoms: Continuous sore upper arm, site of injection since vaccination.

Other Meds: Lamictal 750mg for Epilepsy.

Current Illness: None.

ID: 1332388
Sex: M
Age: 15
State: CA

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 05/19/2021
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Symptoms: PATIENT FAINTED AFTER VACCINATION. PATIENT REGAINED CONSCIOUSNESS WITHIN 30 TO 60 SECONDS.

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Current Illness:

ID: 1332389
Sex: F
Age: 27
State: NE

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 05/19/2021
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Symptoms: Swelling of the lips, tongue, throat and feeling of heaviness in the lungs. No loss of ability to breathe. No urgent care or Epipen was used. No long term effects.

Other Meds: Lexapro

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm