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: 1333876
Sex: F
Age: 52
State: CA

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: pain and welling at injection site?3inches in diameter. Fever over 100F, chills, body aches, headaches, dizziness, weird taste in mouth, loss of appetite. injection site pain started about 10-15 minutes after injection and worsened. Now 36 hours after injection and pain is still very bad. Other symptoms started about 18 hours after injection

Other Meds: none

Current Illness: none

ID: 1333877
Sex: F
Age: 53
State: TX

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: ASA, Erythromycin & Amoxicillin

Symptom List: Anxiety, Dyspnoea

Symptoms: "Big bright red and slightly swollen arm" She stated the redness was "Red as a Dodgeball" onset 05.05.21 thru 05.08.21. . She also report generalized malaise "Tired & no Energy" during the same time frame. She did not call her allergist or PCP as advised date of injection if she were to have a reaction/side effects.

Other Meds: Unknown

Current Illness: localized erythemic circular reaction "size of silver dollar" injection 04.08.21.

ID: 1333878
Sex: M
Age: 14
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: nkda

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

Symptoms: Nausea only

Other Meds:

Current Illness:

ID: 1333879
Sex: M
Age: 11
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Mother of patient falsified the patients birthday on DHA form 207. Mother of patient stated that the child was born in April of 2009, but when checked against medical records as well as the schools records, the child was actually born in May of 2009. The child would turn 12 9 days after receiving the vaccine.

Other Meds: n/a

Current Illness: n/a

ID: 1333880
Sex: F
Age: 62
State: IN

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Unable to move left arm and is wheelchair bound

Other Meds:

Current Illness:

ID: 1333881
Sex: F
Age: 13
State: SD

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

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

Lab Data:

Allergies: none known

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

Symptoms: Event occurred during COVID vaccination clinic of students at School, under direction of Hospital COVID Vaccination team. Syncopal event 5 minutes after injection. Fell backwards striking her head on the floor. Regained consciousness immediately. Pale, diaphoretic, reported lightheadedness and nausea. BP 86/50 HR 116 SpO2 99%. Consumed several ounces water and ice pack to head and neck while in observation. Released to parent after 30 minutes. BP 110/60 HR 90 SpO2 98% skin dry, color pink, denied nausea. Able to ambulate without assist. Presented to urgent care 5/18/21 for concussion evaluation reporting sensitivity to bright lights. Advised by provider to rest, avoid electronics and strenuous physical activity.

Other Meds: unknown

Current Illness: none known

ID: 1333882
Sex: F
Age: 42
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient got dizzy after vaccine administration. Had no breakfast. Patient has Hx of hypertension Exam was normal Patient was given juice and crackers Patient discharged to home

Other Meds:

Current Illness:

ID: 1333883
Sex: F
Age: 42
State: CO

Vax Date: 04/16/2021
Onset Date: 04/23/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: Gluten

Symptom List: Pharyngeal swelling

Symptoms: Dysfunctional uterine bleeding, exceptionally heavy period, early period (20 days), extreme cramps resulting in near-fainting or fainting, sudden fall in blood pressure

Other Meds: None

Current Illness: None

ID: 1333884
Sex: F
Age: 35
State: CA

Vax Date: 04/27/2021
Onset Date: 04/30/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Eye floater

Other Meds:

Current Illness:

ID: 1333885
Sex: M
Age: 76
State: PA

Vax Date: 04/06/2021
Onset Date: 04/11/2021
Rec V Date: 05/20/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: ED to Hosp-Admission Discharged 5/4/2021 - 5/10/2021 (6 days) Treatment team COVID-19 Principal problem Hospital Course HPI: Please see H&P for details Hospital Course: 76-year-old gentleman was admitted to hospital because of COVID-19 pneumonia and respiratory failure with hypoxemia secondary to it. He was placed on oxygen which was titrated. He was started on remdesivir and finished the course. Initially his condition got worsened and ID was consulted and he was given Tocilizumab. He also was started on dexamethasone from day 1. His condition has improved significantly. He is requiring 2 L of nasal cannula. At this point he is going to finish his course of dexamethasone as outpatient and he will be discharged home with oxygen. He was also educated about proning and he is very good at this. He also had remote patient monitoring arranged. He is going to follow-up with his PCP. Admission Diagnosis Medical Problems Hospital Problems POA * (Principal) COVID-19 Yes Depressive disorder Yes Type 2 diabetes mellitus (CMS/HCC) Yes Chronic lymphoid leukemia in remission (CMS/HCC) Yes Pneumonia Unknown Acute respiratory failure with hypoxia (CMS/HCC) Yes

Other Meds: ASPIRIN ORAL codeine-guaiFENesin (ROBITUSSIN-AC) 10-100 mg/5 mL liquid lisinopriL (ZESTRIL) 5 mg tablet metFORMIN (GLUCOPHAGE) 1,000 mg tablet metoprolol succinate XL (TOPROL-XL) 25 mg 24 hr tablet pravastatin (PRAVACHOL) 80 mg tablet

Current Illness:

ID: 1333886
Sex: F
Age: 57
State: UT

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 05/20/2021
Hospital: Y

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

Lab Data:

Allergies: Ceclor

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

Symptoms: Started out with what I thought were flu like symtoms - chills, then I was warm- extremly tired Then my chest started hurting- I thought this was the vaccine working- then I started getting short of breath- still thinking this is the vaccine working- then my chest started hurting extremely bad- and my abiity to breath became worse- finaly I contacted my doctor-because I thought maybe I had gotten bronchitis- so she prescribed an inhaler in the mean time - I ordered a oygen meter- and my oxygen was registering in the 80s- then my chest was getting more and more painful. And then a few days later, my oxygen started dropping down to the 70s and my body temp dropped to 95.1- I was passing out at home, although I didnt realize that is what was happening, I would just wake up and an hour would have passed and I didnt even realized I was out, and this kept happening especially during the time that my temperature kept dropping below 95. I rushed to the emergancy room which after I had been there a long time- they found that I had a *************** *********BLOOD CLOT- MASSIVE********************** A SADDLE BLOOD CLOT ************** IN LUNGS They immediately admitted me, and immediately started me on Lovonox and Coumidin I am currently on oygen and I will have to take Coumidin for the rest of my life. Due to the size of the clot (5-6 inches) they were concerned about my heart, the clot caused a strained on the right side of my heart, so they put my on a different beta blocker Coreg to slow my heart rate down, I will also have to take this medication for the rest of my life

Other Meds: Losartin Metroporol Gabipentin Bacfilin

Current Illness: Highblood pressure Arthritis

ID: 1333887
Sex: F
Age: 35
State: CA

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

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

Lab Data:

Allergies: Multiple food and drug allergies

Symptom List: Rash, Urticaria

Symptoms: Ten minutes after receiving the vaccine I started to break out in hives. My face swelled up including my lips, throat, and tongue. Nurses at the clinic usetwo epipens and called 911. The paramedics used a third epipen, a breathing treatment, and sub q Benadryl. I was rushed to a nearby hospital and intubated and given more epinephrine, steroids, benadryl, pepcid, and an epinephrine IV drip.

Other Meds: Xeralto 20mg, Daptomycin 750mg,

Current Illness: MRSA infection (from staph aureus in a central catheter) and endocarditis,

ID: 1333888
Sex: F
Age: 49
State: MD

Vax Date: 04/17/2021
Onset Date: 04/24/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: pt says about a week after taking vax she has joint pain in right elbow and her arm is swollen. Pt had this same reaction after taking the 1st vaccine on 3/20/21. She contacted her PCP at that time and was told to use ice packs. Pts symptoms never went away before getting second dose and now they have gotten worse. Pt will see her PCP on 5/21/21.

Other Meds: advil

Current Illness:

ID: 1333889
Sex: F
Age: 33
State: RI

Vax Date: 04/28/2021
Onset Date: 05/10/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: I developed a red, raised rash that was itchy and painful within a few weeks of receiving the first dose of the Pfizer vaccine. It was later diagnosed as shingles. I also experiences frequent surges of heat in my feet throughout the day. The sensation quickly fades within a few seconds. *Note, I recently was diagnosed with with a molar pregnancy and my immune response was likely lowered as a result. I have also been very stressed as I have dealt with multiple miscarriages (5) within a span of a year and a half.

Other Meds: Prenatal Vitamin Sertraline Vitamin D

Current Illness: I had a miscarriage that week-determined to be a complete molar pregnancy.

ID: 1333890
Sex: F
Age: 51
State: CA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: My lungs got really tight and I experienced chest pain. I did use my rescue inhaler and continued Advair, but had to go to ER and be put on Prednisone.

Other Meds: colchicine, Advair and albuterol

Current Illness: No

ID: 1333891
Sex: F
Age: 52
State: NY

Vax Date: 05/01/2021
Onset Date: 05/18/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: 2nd dose Nausea, severe headache , severe muscle pain in legs, buttocks, ankle joint pain , itching at sit L arm; , could not left left arm, stomach ache, eye pain, delirious, feeling extremely tired and unwell, loss of appetite, chills , swollen glands at throat, sore throat. Weakness, confusion, eye pain. Dizziness.

Other Meds: Tylenol

Current Illness: No

ID: 1333892
Sex: M
Age: 29
State: NJ

Vax Date: 03/28/2021
Onset Date: 04/13/2021
Rec V Date: 05/20/2021
Hospital: Y

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

Lab Data:

Allergies: none known

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

Symptoms: Difficulty breathing and chest pain for several hours- went to Dr following week-sent to hospital ER- admittedfor 3 days-with multiple blood tests, EKG's and cardio cath done- diagnosis was Myocarditis/Pericarditis. Had MRI on Hearth done 5/18/2021 follow up with cardiologist 6/1/2021

Other Meds: Adderall 30mg

Current Illness: none

ID: 1333893
Sex: F
Age:
State: MI

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: Codeine , shellfish, mold and mildew.

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Insomnia for 12 days....anxious.....face bright red on 5 th day.....hot and cold feeling.....metallic taste in mouth on 7 th day........dry mouth. 10 th day was better but 2 more days of sleeplessness.

Other Meds: Synthroid, Toprol, Elival, vitamin D, Allegra Prolia shot

Current Illness:

ID: 1333894
Sex: F
Age: 38
State:

Vax Date: 04/24/2021
Onset Date: 04/26/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Major depression lasted about 3 days after first dose. Then lasted for about 24 hours after second dose.

Other Meds: Daily digestive enzyme

Current Illness: None

ID: 1333895
Sex: F
Age: 19
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Patient felt lightheadedness and headache after shot. Put pt up for legs elevated, patient felt better instantly,. She was monitored for an extra 10 minutes until symptoms subsided. Patient left with mother

Other Meds:

Current Illness:

ID: 1333896
Sex: M
Age: 47
State:

Vax Date: 03/24/2021
Onset Date: 04/08/2021
Rec V Date: 05/20/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Patient positive for COVID-19 on 04/08/21 after completing vaccination. On 4/8 Patient directly admitted with fever of unknown origin, found to be COVID +, started on Remdisivir, on 4/9 ID consulted and recommends - Patient should have his remdesivir stopped, and should be started on casirivimab/imdevimab.

Other Meds:

Current Illness: orthotopic heart transplant 12/2/2020

ID: 1333897
Sex: F
Age: 15
State:

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

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Stood up after vaccine and then passed out. Evaluate by EMS BP 100/72 P 60. Felt better. Went home with mom.

Other Meds:

Current Illness:

ID: 1333898
Sex: M
Age: 33
State: CT

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

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

Lab Data:

Allergies: Tramadol - stated reaction tachycardia

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

Symptoms: Pt with vasovagal reaction immediately after vaccine. Near syncope. No loss of consciousness. Patient with immediate dizziness, lightheaded, feeling of near fainting, nausea and dry heaves. Given water, snack. Vitals stable throughout. Laid patient down with feet elevated. Ice pack to back of neck and cool compress to forehead. Denied any SOB, chest discomfort, or difficulty breathing at any point. Observed x60 min with near resolution of symptoms. Discharged to home with friend as driver. Instructed not to drive and to seek emergency medical attention if new or worsening symptoms at home.

Other Meds:

Current Illness:

ID: 1333899
Sex: F
Age: 16
State: MD

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: patient reports numbness of the injection site. Upon performing exercise, patient was able to move her right arm. Ice pack was placed on the site for 15 minutes. patient was fine. and was able to drive home

Other Meds:

Current Illness:

ID: 1333900
Sex: M
Age: 63
State: VA

Vax Date: 04/01/2021
Onset Date: 05/16/2021
Rec V Date: 05/20/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Acute Pulmonary embolus

Other Meds:

Current Illness:

ID: 1333901
Sex: F
Age: 81
State: PA

Vax Date: 04/29/2021
Onset Date: 05/04/2021
Rec V Date: 05/20/2021
Hospital: Y

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

Lab Data:

Allergies: Meloxicam PenicillinsHives / Urticaria TramadolNausea and Vomiting Duloxetine Gabapentin Omeprazole Statins-hmg-coa Reductase Inhibitors

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

Symptoms: Office Visit 5/4/2021 screening laboratory testing for COVID-19 virus +1 more Dx Cough ? Diarrhea ? Fatigue Reason for Visit ED to Hosp-Admission Discharged 5/5/2021 - 5/17/2021 (12 days) Last attending Treatment team Pneumonia due to COVID-19 virus Principal problem Hospital Problems POA * (Principal) Pneumonia due to COVID-19 virus Yes Asthma without status asthmaticus Yes Systemic lupus erythematosus (CMS/HCC) Yes Overview Signed 12/1/2020 7:46 AM Note: Document: 08/22/19 - Consults Rheumatology Paroxysmal atrial fibrillation (CMS/HCC) Yes Atrial fibrillation with RVR (CMS/HCC) Yes Esophageal stricture Yes Hospital Course HPI: patient is an 81 y.o. female with pmh of COPD and HTN presented to the ER with complaint of palpitations. She reports since her second covid short on 4/29, she's been feeling "ill." she states she's been having diarrhea, chills, fatigue, and cough. In the ER, she was found to be in afib with RVR. She was given a one time dose of cardizem but then spontaneously converted to NSR. She is not hypoxic but admits to increased cough and occasional dyspnea. CTA was done in the ER due to elevated D dimer. Pulm embolism was ruled out, however, she was found to have bilateral infiltrates concerning for viral pna Hospital Course: Please send details from consultation note from hematology gastroenterology 81-year-old Caucasian female she had a history of COPD hypertension she was admitted through the emergency room on May 6 with a chief complaint of palpitation chest discomfort. She was found to have A. fib with RVR with underlying history of paroxysmal atrial fibrillation. Patient was admitted and atrial fibrillation is rate controlled in maintain with increase his Lopressor. ACS is ruled out by cardiac enzyme patient was found to have a COVID-19 pneumonia fortunately patient oxygen saturation remained good continue having mild cough. And initially she was not started any dexamethasone or any antiviral remdesivir. But over the time patient actually having mild wheezing shortness of breath but oxygen saturation remained stable so then dexamethasone was started. Heart rate was pretty controlled with current medication Lopressor anticoagulation did not start since patient was found to have a severe thrombocytopenia. Patient was seen by hematologist recommend to bone marrow biopsy thought that the sudden drop possible from infectious source. So then that point Heparin Olympic Eliquis was not started. Over the time patient platelet count back to normal platelet count 1 75,000 Eliquis started 2 days ago. Since she looked tolerating Eliquis heart rate is well controlled after adding dexamethasone she is underlying history of COPD her wheezing is much improved and she is currently on DuoNeb. In the history of asthma without status asthmaticus patient will be discharged home with continue current medication Decadron for 5 more days started Eliquis 5 mg 2 times daily since she is tolerating and platelet count is normal I recommend to check CBC for platelet count in 5 days. This patient will benefit to see hematologist outpatient although she refused to do a bone marrow biopsy. She is having chronic low back pain and currently on narcotics recommend to follow-up with PCP to change his narcotic medication.. Initially she had a CTA chest done which was normal although D-dimer was mildly elevated negative for pulmonary embolism and a mild infiltration concerning viral pneumonia so bacterial antibiotic was not started. Stable to be discharged home she was having intermittent low-grade fever for almost like 5 to 10 days. The fever is totally gone now. She is clinically stable new medication is adjusting increase Lopressor 50 mg 2 times daily. Eliquis 5 mg p.o. twice daily and she is going to go home with Decadron only for 5 days.. Patient also have underlying history of chronic dysphagia patient was seen by gastroenterology recommend to follow-up outpatient in 2 to 3 weeks Follow-up PCP in 5 days, follow-up with hematology as scheduled

Other Meds: albuterol 2.5 mg /3 mL (0.083 %) nebulizer solution amLODIPine (NORVASC) 2.5 mg tablet apixaban (ELIQUIS) 5 mg tablet calcitonin, salmon, (MIACALCIN) 200 unit/actuation nasal spray calcium carbonate-vitamin D3 (CALTRATE 600 PLUS D) 600 mg (

Current Illness:

ID: 1333902
Sex: M
Age: 22
State: NC

Vax Date: 03/25/2021
Onset Date: 03/27/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Similar to the reaction to his first dose, patient experienced extreme fatigue and increased seizure frequency, and more generalized seizures that worsened, and then resolved by day 26. Rescue medication (ativan) was used at home on 5 occasions. On April 7, 2021, (day 14) Pt had an in-person with neurologist to follow up on the seizures that occurred after the first dose. Later that day, Pt went into status epilepticus and had to go to the emergency room, which resulted in his being admitted to the neuroscience ICU for observation. He was discharged to home on April 8. Symptoms improved gradually and resolved by April 19 (day 26). Video foolow-up visit with neuro on 4/22.

Other Meds: Depakote, Lamictal, multivitamin, colace

Current Illness: none

ID: 1333903
Sex: F
Age: 50
State: IN

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: sulfamides

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Dose 1 mild possible anaphylaxis lasting only minutes - 6 days severe normal side effects Dose 2 - Pretreated per Allergist recommedations - Extreme fatigue, cognitive impairment, lymphedema, peripheral edema, fluid retention, weight gain, loss of hearing in left ear

Other Meds: Calcitrol, pilocarpine, pantoprazole, flonaise, azelestine

Current Illness: Unspecified Neuromuscular Autoimmune - Elhers Danlos, Sjorgens, CFS/ME, Fibromyalgia, Asthma

ID: 1333904
Sex: F
Age: 17
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 05/20/2021
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Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Blurry vision, near syncope after receiving vaccine. Onset of symptoms was 3-4mins after vaccine administration. Did not eat breakfast this morning Given juice and crackers Exam was normal Discharged to home

Other Meds:

Current Illness:

ID: 1333905
Sex: M
Age: 35
State:

Vax Date: 04/19/2021
Onset Date: 05/10/2021
Rec V Date: 05/20/2021
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Symptom List: Nausea

Symptoms: Cerebral venous thrombosis

Other Meds:

Current Illness:

ID: 1333906
Sex: F
Age: 43
State: TN

Vax Date: 05/06/2021
Onset Date: 05/08/2021
Rec V Date: 05/20/2021
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Allergies: Sulfa allergy, onions, bananas, glycerin

Symptom List: Injection site pain

Symptoms: Patient reports a "chicken-pox like" rash that is itchy and red-spotted with small pustules. It starts above the knees and runs down to her feet on both legs. States it started 2-3 days post vaccination and has worsened some since. She has been treating it mainly with benadryl at night which has helped some, but is now using a leftover medrol dose pack as of today (5/20/21). She has a appointment to get the rash looked at next week.

Other Meds: Lisinopril, escitalopram, saxenda, levothyroxine, prenatal vitamins, tylenol

Current Illness: None

ID: 1333907
Sex: M
Age: 51
State: NH

Vax Date: 04/27/2021
Onset Date: 05/16/2021
Rec V Date: 05/20/2021
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Allergies: NKA

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

Symptoms: Patient presented to PCP office 5/17/2021 for intermittent SOB, pain with breathing, and acute pain to left lower calf. Calf pain began 5/16/2021. SOB had been intermittent and ongoing since after receiving 2nd COVID vaccine per patient. He was dx with acute DVT of LLE. Chest CT was not performed to evaluate for PE as patient reported improvement with SOB/breathing over the prior few days. He was started on Xarelto for blood clot. Blood clot was unprovoked, no prior history of clots/bleeding disorders. He is a generally healthy and active 51 year old male. Unclear if there is a correlation between recent COVID vaccination.

Other Meds: Aleve 220mg tablet take 1 tablet 1-2 times weekly PRN

Current Illness: None

ID: 1333908
Sex: F
Age: 48
State: VA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/20/2021
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Allergies: Amoxicillin

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

Symptoms: Numbness/tingling in my ring and pinky finger in the left hand. It started just a few hours after my first vaccine and has remained persistent since that time. Some days it can be more prominent than others but has generally remained consistent since the time of the vaccine.

Other Meds: Zoloft, Adderall

Current Illness: I had experienced a head cold. Was tested for Covid (to be sure) and it came back negative. I was fully recovered before the vaccine.

ID: 1333909
Sex: F
Age: 36
State: IN

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
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Allergies: None

Symptom List: Tremor

Symptoms: Extreme abdominal pain, especially on right side. Shortness of breath. No energy. Intense joint pain. Nausea.

Other Meds: Mono birth control

Current Illness: None

ID: 1333910
Sex: F
Age: 43
State: CA

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
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Symptom List: Erythema, Pruritus

Symptoms: Pt asked for covid vaccine and said she had never had it, but after administered I found that she had had Moderna one dose only in February 2021.

Other Meds:

Current Illness:

ID: 1333911
Sex: F
Age: 21
State: IN

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/20/2021
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Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Soreness in injection site beginning around 3 PM on the 18th, with fever-like symptoms (hot and cold, soreness and sluggishness) starting around 3 PM and becoming worse throughout the night. Woke up on the 19th at 7:30 AM with continued injection site pain and fever like symptoms but no notable fever. Also began to feel nauseous on the morning of the 19th, which continued all day. Woke up on the 27th at 10:00 AM feeling mostly back to normal with a small amount of injection site pain left over.

Other Meds:

Current Illness:

ID: 1333912
Sex: F
Age: 73
State: NC

Vax Date: 03/30/2021
Onset Date: 04/18/2021
Rec V Date: 05/20/2021
Hospital: Y

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

Symptoms: Pericarditis

Other Meds:

Current Illness:

ID: 1333913
Sex: M
Age: 73
State: IL

Vax Date: 02/01/2021
Onset Date: 03/11/2021
Rec V Date: 05/20/2021
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Allergies: Sulfates

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Tinnitus in left ear

Other Meds: Fluticasone & lisinipril.

Current Illness:

ID: 1333914
Sex: F
Age: 25
State: MN

Vax Date: 01/19/2021
Onset Date: 05/18/2021
Rec V Date: 05/20/2021
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Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Developed s/s of COVID 5/18, tested positive 5/19

Other Meds:

Current Illness:

ID: 1333915
Sex: F
Age: 56
State: PA

Vax Date: 04/14/2021
Onset Date: 05/09/2021
Rec V Date: 05/20/2021
Hospital: Y

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Allergies: ClindamycinDizziness / Lightheaded

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: COUGH ED to Hosp-Admission Discharged 5/9/2021 - 5/13/2021 (4 days) Hospital MD Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem Hospital Course: Please refer to the admission H&P for details of presentation. In summary, patient is a 56 y.o. female with known history of moderate obesity, obstructive sleep apnea requiring CPAP at home, dyslipidemia, hypothyroidism and bronchial asthma was admitted to the hospital service for evaluation of shortness of breath and cough. Upon admission patient was found to be having Acute hypoxic respiratory failure secondary to COVID-19 pneumonia. Chest x-ray upon admission showed Patchy bilateral opacities consistent with atypical pneumonia. Patient completed 5 days course of remdesivir during hospitalization. Patient was discharged on dexamethasone.Patient received 1 unit of conversant plasma during hospitalization. Patient qualified for 2L of oxygen by nasal cannula at discharge. Patient currently feels well and is wanting to go home today. Patient is advised to follow-up with primary care physician within a span of one to 2 weeks. Currently patient is being discharged in a medically stable condition after being evaluated by our team. All the questions and concerns of the patient and family were addressed in detail at the time of discharge.

Other Meds: albuterol HFA (PROVENTIL;VENTOLIN) 90 mcg/actuation inhaler ascorbic acid, vitamin C, (VITAMIN C) 250 mg tablet carBAMazepine (TEGretol) 200 mg tablet cholecalciferol, vitamin D3, (VITAMIN D3) 2,000 unit tablet tablet guaiFENesin (MUCINEX)

Current Illness:

ID: 1333916
Sex: F
Age: 14
State: MO

Vax Date: 05/17/2021
Onset Date: 05/18/2021
Rec V Date: 05/20/2021
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Allergies: None

Symptom List: Pain in extremity

Symptoms: Patient experienced ongoing and severe/disabling low blood sugar for several hours. We could not get her blood sugar to stabilize at home and had to take her to the emergency room for assistance.

Other Meds: levoythyroxine for thyroid

Current Illness: None

ID: 1333917
Sex: F
Age: 23
State: KY

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
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Allergies: Cockroaches and Cherry Flavoring

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

Symptoms: Approx. 11 hours after injection I developed a low grade fever accompanied by extreme headaches and full body aches. Pain impacts daily life activity.

Other Meds: Nortriptyline-25mg Tylenol PM

Current Illness: None

ID: 1333918
Sex: F
Age: 34
State: OR

Vax Date: 01/06/2021
Onset Date: 01/25/2021
Rec V Date: 05/20/2021
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Allergies: None

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

Symptoms: Vaccines administered 12/19/2020 and 01/06/2021. Second vaccine determined to be done in 3rd week of pregnancy (prior to positive pregnancy test). Miscarriage occurred 01/25/2021 at 6 weeks. Otherwise healthy, prenatally-optimized 34 yo woman without personal or family history of miscarriage or pregnancy complications.

Other Meds: Prenatal vitamin

Current Illness: None

ID: 1333919
Sex: F
Age: 83
State: AL

Vax Date: 05/12/2021
Onset Date: 05/20/2021
Rec V Date: 05/20/2021
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Allergies: None

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

Symptoms: None. Dose administered too early

Other Meds: N/A

Current Illness: None

ID: 1333920
Sex: F
Age: 33
State:

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/20/2021
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Symptom List: Vomiting

Symptoms: Patient was in office for her annual exam, states she received first Pfizer dose on 4/10/2021 at another location, I gave her the option to get her second dose as we have them on hand, she agreed, after giving her the Pfizer vaccine 10-15 minutes later she found her card and it was Moderna vaccine that she had received first on 4/10/2021 not Pfizer. No adverse reaction after 15 minute observation time occurred.

Other Meds:

Current Illness:

ID: 1333921
Sex: F
Age: 44
State: TX

Vax Date: 04/21/2021
Onset Date: 04/23/2021
Rec V Date: 05/20/2021
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Allergies: morphine, sunscreen, makeups, latex

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: rash started left clavicle and shoulder 2 days post vaccine. Other areas of rash started on right arm, left arm , down back and legs a week later. Tried to use hydrocortisone cream and benadryl with no help.

Other Meds: lorsartan 100mg; amlodipine 2.5mg; spirolactlone 50mg; bystolic 2.5mg,; zyrtec; flonase,; botin 10,000mcg, b12 5000mcg; doxycycline 50mg; addyi; melatonin 9mg

Current Illness: none

ID: 1333922
Sex: F
Age: 30
State: NY

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 05/20/2021
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Allergies: na

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

Symptoms: patient fainted within 11min during the 15min observation window. patient woke up within seconds after I approached her to see if it was an allergic reaction. EMS was called immediately.

Other Meds: na

Current Illness: na

ID: 1333923
Sex: F
Age: 63
State: NY

Vax Date: 05/17/2021
Onset Date: 05/18/2021
Rec V Date: 05/20/2021
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Allergies: Sulfa drugs, Inapsine

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Area of erythema on right arm at vaccine administration site, 3 inches long and 1.5 inches wide. Still present as of this reporting. Site is slightly warm to the touch and slightly tender on palpation. Minimal pain when using right arm. No blisters, bumps, or rashes noted elsewhere on body. Temperature got as high as 100.4 during the 24-48 hour period following the injection.

Other Meds: Estradiol, Gabapentin, Adderall, Zyrtec, Vitamin D3, Calcium, Armour Thyroid

Current Illness: none

ID: 1333924
Sex: M
Age: 15
State:

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
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Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Client felt clammy, almost faint. Tingle in legs and felt nauseous. Evaluated by EMS. BP 100/60 P 72 Felt better and went home with mom.

Other Meds:

Current Illness:

ID: 1333925
Sex: F
Age: 55
State: PA

Vax Date: 04/23/2021
Onset Date: 05/04/2021
Rec V Date: 05/20/2021
Hospital: Y

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Allergies: NKA

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

Symptoms: Clinical Support, 5/4/2021, Family Medicine - LPN, Close exposure to COVID-19 virus, Dx, Covid-19 Screening Reason for Visit. ED to Hosp-Admission Discharged 5/6/2021 - 5/8/2021 (2 days), Hospital, DO, Last attending, Treatment team COVID-19 virus infection, Principal problem, Medical Problems , Hospital Problems, POA, (Principal) COVID-19 virus infection- Yes, Hypokalemia- Yes, Diarrhea- Yes. Presenting Problem/History of Present Illness/Reason for Admission Hypoxia [R09.02] COVID-19 virus infection [U07.1] Severe sepsis Hospital Course, Pleasant 55-year-old female admitted to the hospital with signs of severe sepsis with associated acute hypoxic respiratory failure. Was found to be febrile, tachycardia, tachypneic, hypoxic on admission. Chest imaging did reveal patchy infiltrates consistent with viral pneumonia. Was diagnosed with COVID-19. Started on antiviral, corticosteroid, and received antibiotic therapies while in hospital. Improved significantly over the course of 2 days and was able to titrate back to room air. I recommended discharge home, she will continue to isolate until 14 days from initial diagnosis. Recommended the use of albuterol as needed, and she will continue a taper of prednisone. She will follow-up with PCP in 7 to 10 days

Other Meds: acetaminophen (TYLENOL) 500 mg tablet albuterol HFA (PROVENTIL;VENTOLIN) 90 mcg/actuation inhaler benzonatate (TESSALON) 100 mg capsule multivitamin 400 mcg tablet predniSONE (DELTASONE) 10 mg tablet

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am