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: 1343566
Sex: F
Age: 18
State: CA

Vax Date: 05/18/2021
Onset Date: 05/20/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: no known allergies

Symptom List:

Symptoms: This is a 18 Years old Female presenting with chest pain for [a couple hours last night]. Pain started [gradually]. It is described as [dull and aching], radiating into [nowhere]. Pain is described as [moderate] upon onset and is currently [mild]. [No] history of the same. Pain [is not] worse with exercise. Patient [has no] decrease in exercise tolerance recently. Patient states that she received her second dose of her Pfizer vaccination 3 days ago, and last night she started to experience chest pain, headache, palpitations, and shortness of breath, and feeling dehydrated.

Other Meds: Pepcid 20 mg oral tablet, 20 mg= 1 tab, Oral, BID

Current Illness: unknown

ID: 1343567
Sex: M
Age: 14
State: PA

Vax Date: 05/22/2021
Onset Date: 05/22/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Administered with undiluted vaccine dose

Other Meds: Not known

Current Illness: Unknown

ID: 1343569
Sex: M
Age: 27
State: CA

Vax Date: 05/19/2021
Onset Date: 05/20/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: CHILLS FEVER HEADACHE

Other Meds:

Current Illness: NONE

ID: 1343570
Sex: M
Age: 46
State: MI

Vax Date: 05/22/2021
Onset Date: 05/23/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pt states that approximately 24 hours after receiving his first dose of the Pfizer vaccine he began having 8/10 chest pain and feels like he cannot take a deep breath.

Other Meds: None

Current Illness: COVID-19 on 4/8/21

Date Died: 04/28/2021

ID: 1343571
Sex: M
Age: 46
State: TN

Vax Date: 04/07/2021
Onset Date: 04/28/2021
Rec V Date: 05/24/2021
Hospital: Y

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received their J&J vaccination on 4/7/2021. The patient's wife tested positive on 4/12/2021. The patient tested positive on 4/23/2021. The patient presented to the ER with a severe progressive cough (starting one week prior), worsening shortness of breath, a high fever, chills, myalgias, and malaise. The patient was diagnosed with COVID pneumonia and ARDS with hypoxia and given Lovenox, remdesivir, and dexamethasone, tessalon, and Brovana. The patient was admitted on the 23rd and continued to decline until their eventual passing on 4/28/2021.

Other Meds:

Current Illness:

ID: 1343572
Sex: F
Age: 43
State: MO

Vax Date: 05/05/2021
Onset Date: 05/09/2021
Rec V Date: 05/24/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Clotting that lead to a stroke. lost right side vision in both eyes

Other Meds: Blisovi 24fe

Current Illness: none

ID: 1343573
Sex: M
Age: 72
State: NY

Vax Date: 02/20/2021
Onset Date: 03/06/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Experienced skipped heartbeats throughout the day that lasted for over a month. Eventually stopped. Not a problem now. I was told during my doctor visit 3/31/21 that the problem was possibly caused by heart inflammation as the result of the Moderna injection.

Other Meds: Tamsulosin, Doxycycline Hyclate, Metroniadazole..

Current Illness: Atrial fibrilation, rosacea, frequent urination, enlarged prostatek

ID: 1343574
Sex: F
Age: 78
State: MD

Vax Date: 03/11/2021
Onset Date: 03/13/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: NKDA, No food Allergies Trees, pollen,

Symptom List:

Symptoms: Patient reports approx 48 hours after 2nd dose of Moderna COVID 19 vaccine nausea/vomiting, fatigue, headache. Pt has had ongoing symptoms of extreme fatigue, headache, feels like her heart "flutters". Pt began experiencing intermittent shortness of breath which began approx 2-3 weeks ago. Pt reports seen by Primary 3-5 times since 2nd vaccine and concerns. Pt reports had routine bloodwork, and everything has come back normal. Pt reports has been seen by endocrinologist for evaluation and all testing and bloodwork has also been normal

Other Meds: Multivitamin daily, Vit C, B12

Current Illness: None known

ID: 1343575
Sex: M
Age: 17
State: IA

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

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient reported they couldnt stand the sight of blood and had fainted during draws before. Father was present in the vaccine office as well. Immediately fooling the administration of the vaccine patients eyes glazed over and he fainted. A few seconds later he began to have a spastic seizure that was short in nature, followed by a voiding of his bladder before he regained consciousness. Patient was given water, glucose tablets, and instructed to lay on the floor of the room with his feet elevated while a member of the staff stayed with him to treat and watch him. Followed up with patient and doctor soon after to learn this was the only time it has happened, patient fully recovered.

Other Meds: None

Current Illness: None

ID: 1343576
Sex: F
Age: 69
State: FL

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 05/24/2021
Hospital: Y

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

Lab Data:

Allergies: Sulpfa

Symptom List:

Symptoms: Swelling ankles and feet.

Other Meds: Byetta Glucophage Lisinpril Simvastin Levorthroxin

Current Illness:

ID: 1343577
Sex: F
Age: 50
State:

Vax Date: 05/10/2021
Onset Date: 05/19/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List:

Symptoms: two days fever on 5/11 & 5/12 after had the 1st dose on 5/10. The arm pain last for about 2 days. Later, Covid arm happened on 5/19, with rash, swollen & pain around the injection area. The lower arm & hand which had the injection felt soar & numb starting from 5/23 & getting better today, on 5/24. As of today, still can see the redness from the rash although it has been getting much better.

Other Meds:

Current Illness:

ID: 1343578
Sex: F
Age: 52
State:

Vax Date: 05/22/2021
Onset Date: 05/22/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: lisinopril

Symptom List:

Symptoms: Chest pain

Other Meds: none

Current Illness: none

ID: 1343579
Sex: M
Age: 13
State: CO

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Moderna was inappropriately given to an individual <18 years of age. No adverse reaction to the vaccine.

Other Meds: N/A

Current Illness: N/A

ID: 1343580
Sex: M
Age: 78
State: CA

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Blood Clot after moderna vaccine

Other Meds:

Current Illness:

ID: 1343581
Sex: F
Age: 18
State: FL

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: Codeine, keflex

Symptom List:

Symptoms: Heart pain, this actually happened after both shots. The pain went away but it was enough That she never mentioned it to me out of concern

Other Meds: Lamictal, Zyrtec, folic acid, melatonin

Current Illness:

ID: 1343582
Sex: F
Age: 56
State: MA

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Clindamycin: Anaphylaxis & SOB. Iodinated contrast dye: Throat closure, Bronchospasm & wheezing. Codeine - reaction not listed

Symptom List:

Symptoms: Pt reports immediately after getting this vaccine feeling heart racing; throat start to close & difficulty swallowing. Pt was observed for apprx 1 hr following vaccination. Pt was given several doses of Zyrtec with beneficial effect. Pt reports she felt good enough to go to work after getting her vaccine. Pt states several hours later the feeling of throat closure started again. Pt reports for the next few days having to take OTC antihistamines for these s/sx.

Other Meds: Norvasc 5mg - 1 tab PO daily; ASA 82mg - 1 tab PO daily; Levothyroxine 125mcg - 1 tab PO daily; Lisinopril 40mg - 1 tab PO daily; Prilosec 20mg - 1 tab PO daily; Lipitor 10mg - 1 tab PO daily

Current Illness: n/a

ID: 1343583
Sex: F
Age: 45
State: TX

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 05/24/2021
Hospital:

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Lab Data:

Allergies: Known sensitivity to lactose, latex and nickel

Symptom List:

Symptoms: Developed waves of tingling and numbness in feet and hands. Developed lower back pain night of vaccination. Next day developed continuous numbness in left side of face, periodic numbness in left neck, left shoulder, and left side of head. The tingling escalated for about 6 days to the point it felt like my entire nervous system was vibrating. Lower back pain persisted more frequently, likely sciatic nerve pain. Around day 21 the tingling began to get better, but developed pain in fingertips and toes. Pain came in waves but was transient. Today is almost day 39 post vaccination, still have minor transient tingling in feet and hand. Transient less frequent pain in fingertips and toes. Numbness in face/head seems to be gone.

Other Meds: Daily Vitamin c, d, k and iodine Ultima electrolytes drink (sodium, mg, potassium) day before, day of and day after Epsom salt soak night of vaccination.

Current Illness: None

ID: 1343584
Sex: F
Age: 58
State: PA

Vax Date: 05/19/2021
Onset Date: 05/22/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Viterous Detachment; Unable to clearly see out of right eye.

Other Meds: None

Current Illness: None

ID: 1343585
Sex: F
Age: 64
State: SC

Vax Date: 03/11/2021
Onset Date: 04/22/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Myocarditis Takotsubo

Other Meds: Losartan Doxycycline HCTZ Ambien

Current Illness: None

ID: 1343586
Sex: M
Age: 44
State: MD

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: The second dose was administered one week too early.

Other Meds: NA

Current Illness: NA

ID: 1343587
Sex: F
Age: 45
State: VA

Vax Date: 04/11/2021
Onset Date: 04/12/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: tinnitus, partial hearing loss, vertigo

Other Meds: Synthroid, 125mcg

Current Illness: IBS, hypothyroidism

ID: 1343588
Sex: M
Age: 67
State: OR

Vax Date: 03/20/2021
Onset Date: 04/10/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: Lisinopril

Symptom List:

Symptoms: Had a heart transplant 5 years ago. After vaccination, my calf muscles ached and I had to walk on the balls of my feet. I didn?t feel well and was achy, but all of that resolved after about 4 or 5 days. About 25 days after the vaccine, I woke up and my legs were hurting, swollen and lumpy. I went into the house and elevated my feet. I was sore from my calf to my ankles. I called the doctor and he told me to go the ER. After a 3 hour wait, one of the patients waiting almost threw up me, so I told them I was going home. Later, I went in to see the doctor about what was going on. After rubbing my calf vigorously, some of the lumps started to go away. The only thing my doctors came up with was that I was retaining water. I felt like I had gained some weight. I couldn?t stand long before my legs swelled. They prescribed a strong diuretic called Torsemide and I lost about 10 lbs. I currently wear compression socks every day, which helps with the swelling and my ankles hurt all of the time. I only take the meds as needed because it?s hard on my kidneys, which are already compromised due to my transplant meds.

Other Meds: Multivitamins Vitamin D Tums - to help my stomach deal with my med regime Amlodipine Besylate Bupropion HCL SR Rosuvastatin Calcium Gabapentin Sirolimus Famotidine Magnesium Oxide - 400mg

Current Illness:

ID: 1343589
Sex: M
Age: 15
State: CO

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Moderna was inappropriately given to an individual <18 years of age. No adverse reaction to the vaccine.

Other Meds: N/A

Current Illness:

ID: 1343590
Sex: F
Age: 17
State:

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt c/o dizziness. BP 103/84, HR 90, RR 16. Pt stable and released from the vaccination site.

Other Meds:

Current Illness:

ID: 1343591
Sex: F
Age: 63
State: NC

Vax Date: 04/22/2021
Onset Date: 04/25/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Central Retinal Vein Occlusion

Other Meds: celexa ibuprophen diphenhidramine

Current Illness: mild anxiety

ID: 1343592
Sex: F
Age: 37
State: CO

Vax Date: 05/19/2021
Onset Date: 05/22/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: I got my Second dose on May 19 2021 around noon and from night I started getting slight pain on my arm and light headache and body aches ,then I took one DOLO tablet the same night and another DOLO tablet next day and I felt all ok .From Saturday mid day I started experiencing itching and did not bother much and by Saturday night Itching has increased little bit and By Sunday,rashes appeared all over my body especially it started with both arms and then both hands and then both thighs and then legs toeas and then upper back lower back and everywhere it increased

Other Meds: none

Current Illness: none

ID: 1343593
Sex: F
Age: 87
State: NY

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: After 1st dose on 3/4/21, she developed "brain fog" which gradually became worse. After 2nd dose on 4/1, she started showing many symptoms of "Rapidly progressive dementia". The only change in medication or change in her lifestyle was the Covid vaccine.

Other Meds: Celecoxib 200mg Omeprazole 40mg Fenofibrate 160mg Atorvastatin Irbesartan 150mg Carvedilol 6.25 mg 2x Hydrochlorothiazide 12.5mg Fluoxetine 20mg Asprin 81mg Fiber capsule

Current Illness: none

ID: 1343594
Sex: F
Age: 28
State: IA

Vax Date: 05/20/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Sever fatigue , migraine, chest pain

Other Meds:

Current Illness:

ID: 1343595
Sex: F
Age: 17
State:

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt c/o dizziness. BP 103/84, HR 90, RR 16. Pt stable and released from the vaccination site.

Other Meds:

Current Illness:

ID: 1343596
Sex: F
Age: 60
State: CA

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: sulfa drugs

Symptom List:

Symptoms: About 12 hours after vaccine was administered my arm at the vaccination site was very sore. I was extremely fatigued. Even so I had a fitful nights sleep feeling cold and under blankets. The next morning I was quite ill. I had a fever, aches and pains, extreme headache even after taking Motrin. My arm at the vaccination site was so painful that I had trouble moving my arm. I spent the day in a reclined position only getting up to go to the bathroom. The next night I slept better and my fever broke in the middle of the night. I woke up the next day feeling better but still had aches and pains and fatigue. I basically spent the day sitting around and taking naps. My arm was still sore but I could move it on this day. By the end of the day I felt much better. I was able to move my arm freely at this time. The next morning (today) I felt almost well but extremely fatigued.

Other Meds: No prescription meds. Vitamin C, vitamin D and echinacea. Motrin taken for pain and fever.

Current Illness: none

ID: 1343597
Sex: M
Age: 20
State: PA

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

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

Lab Data:

Allergies: cedax- antibiotic

Symptom List:

Symptoms: In the middle of the night he stood up to go to the bathroom, turned the light on, felt dizzy and light headed. Passed out and woke up confused unable to speak correctly and unstable when trying to stand up. Eyes were dilated. After he layed down for a few minutes he was ok, could walk and talk fine. Migraine Chills Slightly warm

Other Meds: Vitamin C, D, Pristiq

Current Illness: none

ID: 1343598
Sex: F
Age: 28
State: MI

Vax Date: 05/22/2021
Onset Date: 05/22/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient fainted and stated troubled breathing multiple times once regained consciousness. Epi Pen administered and symptoms resolved within 10 minutes. Patient did not need further medical attention.

Other Meds:

Current Illness:

ID: 1343599
Sex: F
Age: 39
State: MN

Vax Date: 01/19/2021
Onset Date: 05/19/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received 2nd dose of Pfizer COVID19 vaccine on 1/19/21. Patient reported new onset of COVID like symptoms starting 5/19/21 and tested COVID19 positive on 5/22/21 via PCR NP swab.

Other Meds:

Current Illness:

ID: 1343600
Sex: F
Age: 37
State: NE

Vax Date: 01/28/2021
Onset Date: 02/01/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Complaint of pain at injection site, unable to raise arm above head and couldn't use the arm

Other Meds: Unknown

Current Illness: Unknown

ID: 1343601
Sex: M
Age: 27
State: CA

Vax Date: 05/15/2021
Onset Date: 05/17/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Extensive urticarial rash, pruritis

Other Meds: none

Current Illness: none

ID: 1343602
Sex: F
Age: 22
State: FL

Vax Date: 03/26/2021
Onset Date: 03/31/2021
Rec V Date: 05/24/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: myocarditis presented with chest pain. elevated troponins to 16,263 pg/mL, viral studies negative. MRI showed revealed late gadolinium enhancement involving the basal inferior, basal to mid inferolateral, mid anterolateral, apical lateral, apical septal, and apical inferior wall segments in a subpericardial distribution pattern, consistent with myocarditis

Other Meds: none

Current Illness: none

ID: 1343603
Sex: F
Age: 38
State: FL

Vax Date: 04/02/2021
Onset Date: 04/07/2021
Rec V Date: 05/24/2021
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Symptom List:

Symptoms: Heart Arrhythmia , shortness of breath, Fatigue, skipped Hear beat

Other Meds: Levothyroxine

Current Illness:

ID: 1343604
Sex: F
Age: 58
State: NY

Vax Date: 04/07/2021
Onset Date: 04/14/2021
Rec V Date: 05/24/2021
Hospital: Y

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Lab Data:

Allergies: cat Scan Dye, Sulfur Drugs, Linisopril

Symptom List:

Symptoms: Chest pain, Pericarditis diagnosis.

Other Meds: Synthroid, Cytomel, Zoloft, Bupropion, Amlodopine, Gabapentin, Proventil Inhaler

Current Illness: Hypothyroidism, Hearing Impaired, High Blood Pressure, High Cholesterol

ID: 1343605
Sex: F
Age: 53
State: OH

Vax Date: 04/09/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
Hospital: Y

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Lab Data:

Allergies: strawberry, Penicillins

Symptom List:

Symptoms: PT admitted 5/21/21. SARS-COVID-19 resulted positive 5/21/21. Patient received Janssen covid vaccine 04/9/21 Lot 1808982. PT had presented to ER for with 1 week history of intractable nausea, vomiting and constipation. PT documented to be COVID -19 asymptomatic.

Other Meds: Vitamin D Weekly Dose: 1 tablet Weekly carvedilol Oral 25 mg Dose: 1 tablet(s) 2 Times A Day trimethobenzamide Oral 300 MG Dose: 300 MG After Meals PRN lisinopril Oral 5 mg Dose: 1 tablet(s) 2 Times A Day linaclotide Oral 290 mcg Dose: 1

Current Illness:

ID: 1343606
Sex: M
Age: 39
State: NY

Vax Date: 05/22/2021
Onset Date: 05/23/2021
Rec V Date: 05/24/2021
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Symptom List:

Symptoms: redness to L lower leg

Other Meds:

Current Illness:

ID: 1343607
Sex: F
Age: 60
State: MA

Vax Date: 05/13/2021
Onset Date: 05/20/2021
Rec V Date: 05/24/2021
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Allergies: N/A

Symptom List:

Symptoms: Headache, Fever (99F), Ache in joints (+1 days from 2nd dose and lasting 2 days) Burning Rash on Torso, Back, Neck and Arms (+8 days from 2nd dose and still ongoing)

Other Meds: N/A

Current Illness: N/A

ID: 1343608
Sex: M
Age: 87
State:

Vax Date: 05/19/2021
Onset Date: 05/20/2021
Rec V Date: 05/24/2021
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Allergies: feels sick when taking morphine

Symptom List:

Symptoms: Clouded mental state, very "foggy". Trouble communicating verbally. Muscle weakness, trouble moving and standing. Very tired. Got better after a long night's sleep, mobility retuned as did mental capabilities.

Other Meds: Xeralto, magnesium l-threonate, vitamin d3, zinc, vitamin c, zrtec

Current Illness:

ID: 1343609
Sex: M
Age: 26
State: IL

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 05/24/2021
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Allergies: Hay fever

Symptom List:

Symptoms: Fever, fatigue, myalgia (for 24 hours) Frequent premature ventricular contractions (3-4 per minute) (peaked after 12-16 hours then subsided. Some residual still present but not as frequent) Headache (peaked around 12-16 hours) (still present with sneezing coughing or during chaining in head position (standing up or laying down)

Other Meds:

Current Illness: None

ID: 1343610
Sex: M
Age: 56
State: MA

Vax Date: 04/24/2021
Onset Date: 04/26/2021
Rec V Date: 05/24/2021
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Allergies: NKDA

Symptom List:

Symptoms: Presents with painful erythremic scaling rash in linear strip with blister formation around L lateral neck, L upper chest and L scapular area. Exam consistent with shingles herpes zoster rash. Will treat Valacyclovir as directed. Tramadol for pain due to hx of Gastric Bypass. Benadryl cream for itching. Patient seen on 5/13 and 5/24 for follow up, lesions resolving.

Other Meds: Painful itching rash to L neck, scapular and anterior chest area. He reports started of as burning and itching sensation after his COVID-19 vaccine to L Deltoid area. Rash developed a few days later. Diagnosed as zoster.

Current Illness:

ID: 1343611
Sex: F
Age: 21
State: DE

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 05/24/2021
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Allergies: MULTIPLE ALLERGIES AS PER VERBAL COMMUNICATION TO THE PATIENT. NO ALLERGIC REACTION TO THE FIRST DOSE OF THE COVID -19 MODERNA VACCINE.

Symptom List:

Symptoms: PT PRESENTED WITH THE REQEUST FOR 2ND DOSE OF MODERNA VACCINE. PHARMACIST /IMMUNIZER ENQUIRED ABOUT THE FIRST DOSE, IF THERE WERE ANY REACTION ? SHE REPLIED SHE JUST HAD FLU AFTER THE VACCINE, BUT NO ALLERGIC REACTION. VACCINE WAS ADMINISTERED. 10 MINUTES AFTER THE VACCINE, SHE COMPLAINED ABOUT BREAKING OUT IN HIVES. WITH HER VOICE CHANGING AND HAD TROUBLE SPEAKING. USE OF EPI PEN WAS RECOMMENDED , SHE ADMINISTERED AN EPIPEN TO HER THIGH. PHARMACIST WAS ABOUT TO CALL 911, WHEN SHE AND HER CAREGIVER SAID SHE DOESNT WANT ME TO CALL 911. THEY WILL GO TO THE ER THEMSELVES. CAREGIVER RUSHED HER OUT OF THE STORE TO HOSPITAL. 10 MINUTES LATER THEY SHOW UP AGAIN AT THE DRIVE THRU WINDOW TO PICK UP THEIR VACCINE CARDS. PATIENT LOOKED VISIBLY IN MUCH BETTER CONDITION THAN SHE LEFT. AN ER VISIT WAS RECOMMENDED ONCE AGAIN BY PHARMACIST AT DRIVE THRU. AS OF YET NOT SURE WHETHER SHE IS GOING TO EMERGENCY OR NOT.

Other Meds: NO INFORMATION AT THIS PROVIDER

Current Illness: NO INFORMATION AT THIS PROVIDER

ID: 1343612
Sex: F
Age: 36
State: TN

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 05/24/2021
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Allergies: Sulfa drugs

Symptom List:

Symptoms: Headache started about 5-6 hours after injection, intensity increased throughout the next 14-16 hours. Generalized achy muscles lasted for 24 hours. 3 days after injection, skin peeling noted around finger nails and under nailbed.

Other Meds: Vyvanse 30 mg daily Trintellix 20 mg daily Valtrex 500 mg daily

Current Illness: sinus infection- treated with Zpack and sinus cocktail shot

ID: 1343613
Sex: F
Age: 29
State: CA

Vax Date: 05/21/2021
Onset Date: 05/22/2021
Rec V Date: 05/24/2021
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Allergies: Gluten, Dairy

Symptom List:

Symptoms: Arm on the side of injection going numb occasionally after injection. 12 hours after injection hand on the injection side was still going numb more frequently and starting to have stabbing pain. 24 hours after injection pain spread to the feet. 2nd morning after injection numbness and pain spread to both hands and both feet. Called the doctor at this point and was told to monitor for any increased "climbing" pains. The pains are not constant they come and go, if that changes I was told to come in. 3rd-morning pain and numbness are still in the injection side hand and occasional pains in the right foot, but has decreased.

Other Meds: Xanex .013 mg

Current Illness: n/a

Date Died: 05/24/2021

ID: 1343614
Sex: F
Age: 23
State: VT

Vax Date: 05/18/2021
Onset Date: 05/20/2021
Rec V Date: 05/24/2021
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Allergies: NKDA

Symptom List:

Symptoms: presented to ED dept confused, incr n/v, weakness. Received palliative carex4 days. deceased 05/24

Other Meds: xarelto, methadone, morphine, prochlorperazine, lorazepam, ondansetron, protonix

Current Illness: fibrolamellar hepatic carcinoma with metastatic disease

ID: 1343615
Sex: F
Age: 57
State: TX

Vax Date: 05/19/2021
Onset Date: 05/20/2021
Rec V Date: 05/24/2021
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Allergies: none

Symptom List:

Symptoms: Ran a fever of 105.2 from 2 a.m. until 6 p.m. nothing I tried including cooling measures would lower it.

Other Meds: Thyroid

Current Illness: none

ID: 1343616
Sex: F
Age: 50
State: CA

Vax Date: 05/19/2021
Onset Date: 05/20/2021
Rec V Date: 05/24/2021
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Symptom List:

Symptoms: FEVER CHILLS BODYACHES HEADACHES

Other Meds:

Current Illness: NONE

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm