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: 1346694
Sex: M
Age: 19
State: MN

Vax Date: 04/23/2021
Onset Date: 05/21/2021
Rec V Date: 05/25/2021
Hospital: Y

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Received both Moderna vaccines (#1 on 3/26/21, #2 on 4/23/21) and tested positive for COVID-19 by PCR on 5/21/21. Patient was asymptomatic, testing obtained on admission to hospital for management of Diabetic ketoacidosis.

Other Meds:

Current Illness:

ID: 1346695
Sex: F
Age: 26
State: OH

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

Vax Type:
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Lab Data:

Allergies: NO KNOWN ALLERGIES REPORTED

Symptom List:

Symptoms: PATIENT REPORTED THAT SHE WAS FEELING DIZZY AND WARM ABOUT 10 MINUTES AFTER HER SHOT (NO PREVIOUS VACCINE REACTION REPORTED), SHE LOST CONSCIOUSNESS SECONDS LATER. ELEVATED FEET AND MONITORED BP OVER NEXT 20 MINUTES, FIRST 95/66, PATIENT REGAINED CONSCIOUSNESS SECONDS LATER AND SECOND BP AFTER ELEVATING FEET 98/67 LESS THAN 1 MINUTE AFTER FIRST, THIRD BP 100/67 AFTER 5 MINUTES, FOURTH BP 135/90 (PATIENT WAS TALKING AND MOVING), MOVED PATIENT TO SITTING POSITION IN CHAIR AND CHECKED AGAIN AFTER 5 MINUTES MORE 112/88, PATIENT GIVEN ORANGE JUICE AND WAS SIPPING AND REPORTING FEELING BETTER, WAITED ANOTHER 5 MINUTES AND BP WAS 105/85 PULSE 77. PATIENT REPORTED FEELING RECOVERED AND EXPRESSED CONFIDENCE IN LEAVING TO GO HOME (5 MINUTES FROM STORE). WILL CHECK IN WITH HER LATER TODAY TO SEE IF SHE IS FEELING OKAY.

Other Meds: UNKNOWN

Current Illness: NONE REPORTED

ID: 1346696
Sex: F
Age: 26
State: FL

Vax Date: 05/19/2021
Onset Date: 05/21/2021
Rec V Date: 05/25/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient has a knot under her skin near the injection site 2 days after receiving her second dose of the vaccine.

Other Meds:

Current Illness:

ID: 1346697
Sex: F
Age: 50
State: MN

Vax Date: 05/20/2021
Onset Date: 05/21/2021
Rec V Date: 05/25/2021
Hospital: Y

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Contrast Dye [Diagnostic X-Ray Materials] Anaphylaxis (High) ? Covid-19 Mrna Vacc (Moderna/Pfizer) Anaphylaxis (High) 2nd dose ? Shellfish-Derived Products Anaphylaxis (High) ? Sulfa Drugs Wheezing/Bronchospasm (High) and Shortness of breath ? Compazine [Prochlorperazine] Confusion Rigidity

Symptom List:

Symptoms: Shortness of breath, tongue feels funny, generally not feeling well

Other Meds: metFORMIN (GLUCOPHAGE XR) 500 mg extended release tablet Take 1 tablet (500 mg) by mouth 1 time per day 90 tablet 4 ? predniSONE 20 mg tablet Take 1 tablet (20 mg) by mouth 1 time per day 3 tablet 0 ? metFORMIN (GLUCOPHAGE) 500 MG tablet Ta

Current Illness: Depression with anxiety Tobacco use disorder Hepatitis Chronic alcoholism (HCC) Bipolar disorder (HCC) Migraine without aura Neck pain Headache(784.0) Pelvic pain in female Ovarian cyst Pelvic adhesive disease Abdominal pain Vaginal cuff dehiscence BMI 41

ID: 1346698
Sex: M
Age: 76
State: MN

Vax Date: 03/06/2021
Onset Date: 05/17/2021
Rec V Date: 05/25/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received COVID vaccines on 02/06/2021 and 03/06/2021. Developed COVID symptoms; tested positive for COVID on 05/17/2021

Other Meds:

Current Illness:

ID: 1346699
Sex: M
Age: 19
State: CA

Vax Date: 04/08/2021
Onset Date: 05/23/2021
Rec V Date: 05/25/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: My son woke up and complained to us of pain in shoulder where he got shot and pain in chest. Chest pain worse when inhaling or bending over. We had been telling him he sounded congested and ill for several days prior, but he denied feeling ill. Just thought he was groggy from waking up or having usual allergies. Sunday morning he told us ?I think you were right. I am sick. Told us about pains. Advised him to call advise nurse on insurance card. He was told to rest and take otc pain reliever. He rested but took no medication. By the next day his arm pain was gone and chest pain reduced to only on deep inhale.

Other Meds: None

Current Illness: None

ID: 1346700
Sex: F
Age: 31
State: NC

Vax Date: 04/15/2021
Onset Date: 04/18/2021
Rec V Date: 05/25/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies: Nitro-Macrobid, Flagyl, Phentermine, Phenergan

Symptom List:

Symptoms: I received the second shot for my Pfizer vaccine on Thursday April 15, 2021. The weekend proceeding my shot I thought that I may be having some constipation so I took some collace and proceeded about my daily activities. I had a bloated feeling and felt as though I had gas that wouldn't pass. By Sunday I had a sharp pain at times when standing up or when I pressed the lower right side of my abdomen. I didn't have pain on my left and also had discomfort around the navel area. I was able to have a bowel movement mid day Sunday and noticed that it hurt in my abdomen area to go (unlike when constipated) I also noticed that when I went to the bathroom I didn't feel the "relief" in my stomach that typically comes after you've been constipated and finally able to go. I had no appetite and nausea. By Sunday evening the pain in my lower right abdomen became more noticeable and by Monday in the early morning ours I went to hospital where it was confirmed I wold need an immediate appendectomy for acute appendicitis.

Other Meds: None

Current Illness: None

ID: 1346701
Sex: F
Age: 69
State: MI

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 05/25/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: Pain in shoulders, back and hips which has increased starting 3/28/21. This is a disruption of my ablility to conduct normal life functions including my ability to walk. My treatment includes lab work which shows I may now have inflammatory arthritis which I have never been diagnosed with before. I have had physical therapy for this which was not successful.

Other Meds: lithium carbonate er, 300 mg, 2x/day

Current Illness: none

ID: 1346702
Sex: F
Age: 70
State: MD

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

Vax Type:
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Lab Data:

Allergies: None listed

Symptom List:

Symptoms: Client was administered wrong vaccine for second dose: she was was administered Pfizer instead of Moderna. Client /family notified immediately, they were made aware that it is not recommend another dose to be given at this time. Health department will follow with any recommendation if needed.

Other Meds: None

Current Illness: None

ID: 1346703
Sex: F
Age: 14
State: FL

Vax Date: 05/17/2021
Onset Date: 05/21/2021
Rec V Date: 05/25/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: Involuntary Muscle Disorder TIC

Other Meds: none

Current Illness: none

ID: 1346704
Sex: M
Age: 53
State: CA

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 05/25/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Bacitracin Ointment

Symptom List:

Symptoms: The patient received second dose of the Moderna vaccine on 04/19/2021. The dose was administered 21 days after the first dose was administered on 03/29/2021. The patient is being monitored for any adverse reactions. As of 04/24/2021, the patent denies any symptoms.

Other Meds:

Current Illness:

ID: 1346705
Sex: M
Age: 55
State: CA

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 05/25/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Tinnitus - The morning after I received my second dose I woke up to extremely loud ringing in my left ear. It has been continuous, and loud, since 4/14/21. I reported it to my primary care clinic by phone and have not heard anything from them since.

Other Meds: Gabapentin, Carbamazepine, Lisinopril, Simvastatin, Duloxetine, Lamotrigine, Baby Aspirin

Current Illness: None

ID: 1346706
Sex: F
Age: 61
State: TX

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 05/25/2021
Hospital:

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Lab Data:

Allergies: Medications: Penicillin, Codeine, Sulpha Foods: All Citrus, Cows milk, egg whites, beef, wheat, rice, mushrooms, shellfish, lettuce, bananas, avocados, almonds, walnuts, peaches, tomatoes, strawberries, blackberries Other: Grass, trees, mold, dust, palm trees, mesquite trees, etc. Animals: Cats, dogs, cockroaches

Symptom List:

Symptoms: Participant states she Woke up not feeling well in the morning she felt like she had been hit by a truck. She had a headache and body pain then noticed about 3 hours later she needed to take her temp and had realized she had a fever of over 105 degrees. She called her doctors office and spoke to Pulmonologist he stated he believed it was a reaction to the shot, He advised her to take Tylenol drink lots of water and monitor symptoms. If not better to go to ER. She monitored symptoms and took Tylenol while drinking fluids and each day her temp went down. By Saturday temp was 103, by Sunday temp was 101 and by Monday she was back to normal.

Other Meds: Topiramate- 50mg 1xdaily in the am Montelukast- 10mg 1xdaily in the pm Levothyroxine- 25mg 1xdaily (1/2 a tablet in the am) Avalide -(takes the generic version) 150-12.5 1xdaily in the am Levocetirizine- 5mg 1xdaily Potassium Chloride- exte

Current Illness: Participant contracted COVID-19 January 6th. She states there was a cluster of individuals who had it at the same time as her.

ID: 1346707
Sex: F
Age: 73
State: OR

Vax Date: 03/16/2021
Onset Date: 04/06/2021
Rec V Date: 05/25/2021
Hospital: Y

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies: Cranberry, Blue Dye, Latex

Symptom List:

Symptoms: Approximately 3-4 weeks after receiving 2nd vaccination, she developed personality changes consisting of memory difficulties and progressing to symmetrical, ascending lower extremity weakness and associated diarrhea. Ultimately she was hospitalized with profound hyponatremia sodium of 115, new onset anemia hemoglobin of 9 and progressive thrombocytopenia as low as 15k.

Other Meds: Synthroid, D3, Probiotic

Current Illness: None

ID: 1346708
Sex: F
Age: 52
State: KY

Vax Date: 03/13/2021
Onset Date: 03/20/2021
Rec V Date: 05/25/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Allergic to salmon and kiwi

Symptom List:

Symptoms: I developed tinnitus in my left ear that lasted for 3 months. Also sometimes accompanied by a headache at my left temple.

Other Meds: None

Current Illness: Seasonal allergies

ID: 1346709
Sex: F
Age: 85
State: WI

Vax Date: 03/17/2021
Onset Date: 05/19/2021
Rec V Date: 05/25/2021
Hospital: Y

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

Allergies:

Symptom List:

Symptoms: Client began having shortness of breath on 5/19. She was admitted to the ER on 5/21 at Hospital for further evaluation and requiring oxygen.

Other Meds:

Current Illness:

ID: 1346710
Sex: M
Age: 39
State: NC

Vax Date: 05/23/2021
Onset Date: 05/24/2021
Rec V Date: 05/25/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: loss of hearing in right ear and ringing sound in ear

Other Meds: Tylenol

Current Illness: none

ID: 1346711
Sex: F
Age: 43
State: CA

Vax Date: 05/21/2021
Onset Date: 05/24/2021
Rec V Date: 05/25/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: red, itchy, swelling blotch at injection site

Other Meds: NA

Current Illness: NA

ID: 1346712
Sex: F
Age: 34
State: VT

Vax Date: 05/17/2021
Onset Date: 05/23/2021
Rec V Date: 05/25/2021
Hospital:

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

Lab Data:

Allergies: None that I know of

Symptom List:

Symptoms: Swollen and tender and warm to touch right arm where shot site , sore arm pit, was told to take Advil, and ice off and on and sleep on opposite side (left side) if I develop fever or red rash to go back to dr

Other Meds: Omeprazale 20 mg Flonase

Current Illness: None that I know of

ID: 1346713
Sex: M
Age: 14
State:

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient is a 14 yo male c/o intermittent upper left chest pain for >20 min after Pfzier vaccine. Reported pain 3/10, described as sharp and non-radiating. Denied previous episode w/ similar symptoms. Reported feeling some anxiety but denied being diagnosed or treated with anxiety. Upon assessment no acute distress noted. Alert and orientedx4, verbal and able to make needs known. Respiration even and unlabored. Skin pink, warm, dry and intact. No sx of allergic reaction. Chest non-tender, heart rate WNL, noted irregular rhythm, no murmur or extra sounds noted. No loss or altered level of consciousness noted. Mother present with patient and reports having HX of elevated BP which physician recommended increased activity and weight loss, denied medication treatment. No HX of allergies per mother. Past medical HX obtained from patient and physical assessment completed simultaneously. Pt assessed while sitting in chair. VS 160/81, HR 62, O2 97% RR 20, sponataneous resolution on symptoms after 2-3 minutes, patient observed additional 30 minutes, no acute distress noted, pt denied pain or symptoms. Advised mother to have patient evaluated by PCP for irregular heart rhythm ASAP. Advised mother to take patient immediately to ER if symptoms return or develop new symptoms. Advised mother to call 911 if patient develops chest pain, SOB, altered or loss of consciousness. Mother verbalized understanding of all advice and education. Patient went home with mother

Other Meds:

Current Illness:

Date Died: 05/22/2021

ID: 1346714
Sex: M
Age: 85
State: VA

Vax Date: 04/26/2021
Onset Date: 05/07/2021
Rec V Date: 05/25/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: death J18.9 - Pneumonia, unspecified organism shortness of breath chest pain

Other Meds:

Current Illness:

ID: 1346715
Sex: M
Age: 57
State:

Vax Date: 04/02/2021
Onset Date: 05/10/2021
Rec V Date: 05/25/2021
Hospital: Y

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

Allergies:

Symptom List:

Symptoms: Patient presented to the ED and was subsequently hospitalized on 5/10/2021. Diagnosis was Intraparenchymal hemorrhage of right temporal lobe of brain, nontraumatic. He was also admitted on 5/19/21 for angiogram. These visits are within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1346716
Sex: M
Age: 63
State: CA

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 05/25/2021
Hospital:

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

Lab Data:

Allergies: Bacitracin Ointment

Symptom List:

Symptoms: The patient received second dose of the Moderna vaccine on 04/19/2021. The dose was administered 21 days after the first dose was administered on 03/29/2021. The patient is being monitored for any adverse reactions. As of 04/24/2021, the patent denies any symptoms.

Other Meds:

Current Illness:

ID: 1346717
Sex: F
Age: 30
State: FL

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 05/25/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Adverse events experienced and are they still occurring now: Patient called in stating she received the vaccine on Friday 5/21/21 @10:30 am and later she started to experience soreness at the injection site and about the evening time at 6pm she felt nauseous and started throwing up shortly after. She vomited about 5-6 times on Friday night. Saturday morning she woke up with soreness of the body in neck, shoulder body (extreme body aches), fever also started on Saturday. Patient also c/o headache, rash on left wrist (only area), and she also feels fatigued, and chills. **Patient does have a history of blood clots and anemia** She stated as of Monday 5/24/21 @7:26pm she had a fever in the day but that subsided after taking Tylenol. Last time the patient took Tylenol was on 5/24/21 at 2pm.

Other Meds: Tylenol, Lexapro 20mg, Vitamin D, Iron

Current Illness:

ID: 1346718
Sex: M
Age: 62
State: MN

Vax Date: 04/02/2021
Onset Date: 05/17/2021
Rec V Date: 05/25/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received Johnson & Johnson COVID vaccine on 04/02/2021. Developed COVID symptoms; tested positive for COVID on 05/17/2021

Other Meds:

Current Illness:

ID: 1346719
Sex: F
Age: 88
State: NJ

Vax Date: 05/20/2021
Onset Date: 05/22/2021
Rec V Date: 05/25/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: codeine dexlansoprazole erythromycin penicillin demerol robitussin-DM Zemuron Zithromax

Symptom List:

Symptoms: headache elevated blood pressure left eye drooping

Other Meds: aspirin 81 mg daily acetaminophen as needed betamethasone valerate lotion carvedilol 12.5 mg daily cholecalciferol 1000 units daily docusate 200mg daily ferrous sulfate 325mg daily glimepiride 2mg daily levemir 6 units daily melatonin 3

Current Illness:

ID: 1346720
Sex: F
Age: 38
State: IN

Vax Date: 05/16/2021
Onset Date: 05/17/2021
Rec V Date: 05/25/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List:

Symptoms: I am nine days out from getting the vaccine and I still have a half dollar size red itchy patch on my injection site.

Other Meds: Fish oil, vitamin E, magnesium, and folic acid

Current Illness: None

ID: 1346721
Sex: F
Age: 30
State:

Vax Date: 01/24/2021
Onset Date: 03/27/2021
Rec V Date: 05/25/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Loss sense of smell 3/27/2021 tested due to known exposure /3/24/2021 tested positive for covid-19, 3/29/2021 and 3/30/2021

Other Meds:

Current Illness:

ID: 1346722
Sex: M
Age: 63
State: VA

Vax Date: 04/17/2021
Onset Date: 04/14/2021
Rec V Date: 05/25/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Bacturm (numbness in legs)

Symptom List:

Symptoms: Started with swelling hands during moderate exercise (3 mile walk). Tingling started in hands shortly thereafter and continues. Secondarily, muscle tightness especially in legs (quads very tight). Coincidentally perhaps is development strained calf muscle during a run. Finally, and related to tingling. I experience my arms "going to sleep" at night depending on which side I'm sleeping on. Summary: Tingling in fingers persists. Arms "going to sleep" at night. Tight muscles (seems to be subsiding)

Other Meds: Sertraline 50mg, Alavert, AREDs2, Vitamins B&D, Glucosamine

Current Illness: none

Date Died: 05/25/2021

ID: 1346723
Sex: M
Age: 102
State: CO

Vax Date: 05/25/2021
Onset Date: 05/25/2021
Rec V Date: 05/25/2021
Hospital: Y

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

Lab Data:

Allergies: nuts

Symptom List:

Symptoms: Patient contracted covid 2 months after receiving the full vaccine series. He was admitted the hospital and subsequently passed away. Variant testing was conducted (results are pending) and antibody testing was done. Antibody testing showed no antibodies were produced in response to the vaccine.

Other Meds: Amiodarone, potassium chloride, furosemide, metoprolol succinate, dabigatran

Current Illness: None. Other than being 100 years old, patient was in relatively good health. Did have a diagnosis of atrial fibrillation and essential hypertension.

ID: 1346724
Sex: F
Age: 36
State: IA

Vax Date: 05/08/2021
Onset Date: 05/24/2021
Rec V Date: 05/25/2021
Hospital:

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

Lab Data:

Allergies: PENICILLIN, POLLIN

Symptom List:

Symptoms: SEVERLY HEAVY MENSTRUAL CYCLE. AS OF RIGHT NOW JUST SEEING HOW THINGS GO. IF THEY DONT IMPROVE OVER THE COURSE OF THE DAY WILL BE SEEING A MEDICAL PROVIDER.

Other Meds: MULITVITAMIN, PROBIOTIC, EXCEDRIN MIGRAIN

Current Illness: NONE

ID: 1346725
Sex: M
Age: 72
State: CA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 05/25/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Presented to facility with CDC vaccination card that indicated first dose received 03-25-2021. After vaccine administered, vaccine monitor attempted to enter 2nd dose documentation when it was discovered patient received first dose 01.23.2021, 03.25.2021 was actually a 2nd dose and we just administered a third dose of vaccine to patient. RN notified patient & patients MD Dr., FA notified Medical Director Dr. Vaccine monitor notified - Patient monitored for any adverse reaction - none noted during remainder of treatment

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Current Illness:

ID: 1346726
Sex: M
Age: 17
State: IN

Vax Date: 05/19/2021
Onset Date: 05/20/2021
Rec V Date: 05/25/2021
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Allergies: None

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Symptoms: Headache, chills, swollen lymph nodes

Other Meds: None

Current Illness: None

ID: 1346727
Sex: F
Age: 1
State: NY

Vax Date: 05/12/2021
Onset Date: 05/22/2021
Rec V Date: 05/25/2021
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Allergies: Amox

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Symptoms: Rash and temp 103

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Current Illness:

ID: 1346728
Sex: F
Age: 33
State: TX

Vax Date: 03/12/2021
Onset Date: 05/24/2021
Rec V Date: 05/25/2021
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Allergies: Rituxin

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Symptoms: I have been taking Benlysta infusions for 5.5 years and I have never had an allergic reaction until 5/25/21. The only thing different in my body was the Janssen Vaccine. Midway through my IV I started itching, numbness in my fingers, lips, and feet. My face was on fire and my tongue was swelling and I could feel my throat closing. My arms turned red and blotchy and swelled. My nurse stopped the Benlysta and started Benadryl and a saline flush. The symptoms then went away.

Other Meds: Methotrexate, Benlysta, Levothyroxine, Liothyronine, Hydroxychloroquine, Folic Acid, Spironolactone, Vitamin D3, B12, Fish Oil, Magnesium, ibuprofen

Current Illness: Lupus, RA, Sjogren's, Hashimotos

ID: 1346729
Sex: M
Age: 32
State: MN

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/25/2021
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Allergies: None

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Symptoms: Moderate pain at injection site: Started within 6 hours of injection, lasting 36 hours. Felt like severe bruising. No visual signs. Minor Fatigue: Started within 8 hours of injection. Lasted 36 hours. General tiredness. No visual signs. Minor to Moderate Aching: Started 12 hours after injection. Lasted for 24 hours. Whole body aching pain with minor chills, felt like I was coming down with a cold or flu. No visual signs. All adverse events were most pronounced the morning after injection, and had mostly subsided the morning after that.

Other Meds: Vitamin D

Current Illness: None

ID: 1346730
Sex: F
Age: 72
State:

Vax Date: 03/29/2021
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Rec V Date: 05/25/2021
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Symptoms: Several weeks after my 2nd Pfizer Covid-19 vaccination I developed fingernail irregularities on my right hand, later diagnosed as Beau's lines. I do not remember the specific date this appeared. It started with purple/red color on four fingernails in the half moon area. Later turned white and one nail came off, with another growing underneath. At some point the Beau's lines appeared. By the time I got an appointment with my dermatologist, at the suggestion of my primary care doctor, for diagnosis, significant time had gone by. Around the same time after the vaccine, I developed very painful headaches we are attributing to tight neck muscles, but I have never been a headache person before and these headaches are very debilitating and unlike any headache I have ever experienced, even though I have not been a frequent headache sufferer . I understand that Beau's lines have been associated with Covid iteslf, but I highly doubt I had Covid itself. I have had, in the past, very very rare side effects to medications and I have broken out in hives from the pneumonia vaccine I had had before, several years ago.

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Current Illness:

Date Died: 05/24/2021

ID: 1346731
Sex: M
Age: 68
State: VA

Vax Date: 04/06/2021
Onset Date: 05/15/2021
Rec V Date: 05/25/2021
Hospital: Y

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Symptoms: death R65.10 - SIRS (systemic inflammatory response syndrome) (CMS/HCC) N17.9 - Acute kidney failure, unspecified SHORTNESS OF BREATH LEG SWELLING ASCITES

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Current Illness:

ID: 1346732
Sex: F
Age: 70
State: AL

Vax Date: 03/28/2021
Onset Date: 04/01/2021
Rec V Date: 05/25/2021
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Allergies: Pencil Lin peanuts shrimp Bactrim laytex

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Symptoms: Itching, pigments in skin changing still, headaches, feels like even warm water sets my skin on fire, my skin is calling off. I get ask by people everywhere asking what's wrong. It t is wearing me down. I've been on several meds and three different doctors.

Other Meds: ? Some changed since 4/ 2

Current Illness: Heart stint, Stroke,neuropathy, clinical disc disease,skin cancer

ID: 1346733
Sex: M
Age: 14
State: FL

Vax Date: 05/18/2021
Onset Date: 05/22/2021
Rec V Date: 05/25/2021
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Symptoms: Patients mom stated her son got the vaccine on Tuesday 5/18/21 and about 4 days later he ate seafood and then started to get an allergic reaction about 2 hours later. Patient started to feel that his lips swelled up along with a rash all around chin, neck and around mouth, on forehead between eyes. He took Benadryl which helped symptoms subside. He also complained of a little chest pain that lasted less than an hour but no shortness of breath. As of Monday 5/24/21 he feels fine no other symptoms. No c/o fever, fatigue, nor headache, body aches. Pain at injection site from vaccine was also reported but that subsided.

Other Meds: Remicade Vitamins

Current Illness:

ID: 1346734
Sex: F
Age: 73
State: MN

Vax Date: 03/12/2021
Onset Date: 05/17/2021
Rec V Date: 05/25/2021
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Symptoms: Patient received Pfizer COVID vaccines on 02/19/2021 and 03/12/2021. Pt tested positive for COVID on 04/20/2021 and 05/17/2021.

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Current Illness:

ID: 1346735
Sex: F
Age: 14
State: IN

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 05/25/2021
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Allergies: Amoxicillin

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Symptoms: Broke out in hives, had low grade fever, gave Benadryl and Tylenol after3 days seems to be gone

Other Meds: Nadolol

Current Illness: N/A

ID: 1346736
Sex: F
Age: 49
State: IN

Vax Date: 05/20/2021
Onset Date: 05/21/2021
Rec V Date: 05/25/2021
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Allergies: sulfa

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Symptoms: Ringing in ears, blurred vision, pain in ears, dizziness

Other Meds: metronidazole, omeprazole

Current Illness: None

ID: 1346737
Sex: F
Age: 35
State: AZ

Vax Date: 04/25/2021
Onset Date: 05/02/2021
Rec V Date: 05/25/2021
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Allergies: None

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Symptoms: A week after I received the first dose of the COVID Vaccine, I experienced an odd tingle/loss of feeling on my right side. A few days later it became itchy and painful, then a bunch of painful sores appeared. I went to the doctor and was diagnosed with shingles. They prescribed me valacyclovir to ease the pain.

Other Meds: None

Current Illness: None

Date Died: 05/23/2021

ID: 1346738
Sex: F
Age: 78
State:

Vax Date: 03/06/2021
Onset Date: 05/16/2021
Rec V Date: 05/25/2021
Hospital: Y

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Symptoms: death E87.1 - Hypo-osmolality and hyponatremia N17.9 - Acute kidney failure, unspecified

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Current Illness:

ID: 1346739
Sex: F
Age: 26
State: FL

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 05/25/2021
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Allergies: none reported

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Symptoms: Client underwent seizure activity 10 minutes subsequent to vaccine administration. Nursing staff was available to keep client safe and to assess for airway, breathing and circulation; supplemental oxygen and rescue inhaler (provided by client's caregiver) was administered. EMS was dispatched and client was safely transported to a local hospital emergency department.

Other Meds: unknown

Current Illness: epilepsy with seizure activity

ID: 1346740
Sex: F
Age: 14
State: CA

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/25/2021
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Symptoms: Pt had syncopal episode after vaccination (BP 86/60, HR 74). Pt stable VS improved (BP 101/77, HR 79, RR 20). Pt stable & released from vaccination site. Pt has hx of eczema

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Current Illness:

ID: 1346741
Sex: M
Age: 50
State: TX

Vax Date: 05/24/2021
Onset Date: 05/25/2021
Rec V Date: 05/25/2021
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Allergies: Latex, Iodine, Ceferin

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Symptoms: Fever over 104.8, chills, shakes, headache, muscular aches and pain, fever continues at 20 hours after shot hovering around 101.

Other Meds: Nothing

Current Illness: None

ID: 1346742
Sex: F
Age: 73
State: NJ

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/25/2021
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Allergies: penicillin Advil

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Symptoms: pt normally has an issue with her heart skipping beats but the day after taking the vax she noticed her heart was not skipping any beats which is very unusual for her. Pt was very tired the day following the vax until in the early evening. Pt says her BP is up higher than usual stating it is normally 160/85 and is now 186/111. Pt has an appt w/ her cardiologist on 5/26/21 to give her a Holter monitor and to check BP.

Other Meds: desipramine 50mg (1 1/2 tab at 3:00, then 1/2 tab at 5:30, 3 tabs at 11:00 PM) buspirone 10mg (2 1/2 tab at 3:00, then 3 tabs at 5:30, 2 1/2 tabs at 11:00 PM) clonidine 0.1 mg (1 tab at 10:30, then 2 tabs at 11:00 PM) hydrochlorothiazide 25

Current Illness:

ID: 1346743
Sex: F
Age: 72
State: MN

Vax Date: 03/16/2021
Onset Date: 05/22/2021
Rec V Date: 05/25/2021
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Symptoms: Received Pfizer vaccines on 2/23/21 and 3/16/21. Tested positive for COVID-19 by PCR on 5/22/21 after known exposure to person w/ COVID-19. Unknown symptoms began on 5/18/21. Patient received casirivimab-imdevimab 2,400 mg (1,200-1,200 mg) IV on 5/23/21.

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Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm