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
45,141
AK1,325
AL3,284
AR2,144
AS39
AZ9,708
CA41,141
CO7,882
CT5,271
DC1,073
DE1,097
FL22,153
FM3
GA8,726
GU58
HI1,482
IA3,267
ID1,775
IL13,248
IN19,267
KS3,122
KY4,163
LA3,025
MA10,006
MD8,617
ME2,220
MH7
MI12,035
MN8,061
MO6,166
MP14
MS1,597
MT1,643
NC10,280
ND901
NE1,978
NH2,223
NJ10,865
NM2,614
NV2,615
NY22,423
OH12,668
OK4,462
OR5,871
PA15,263
PR1,455
QM1
RI1,486
SC3,911
SD823
TN5,620
TX21,663
UT2,934
VA10,125
VI31
VT1,276
WA9,908
WI7,479
WV1,581
WY595
XB5
XL1
XV2

ID: 1361950
Sex: F
Age: 26
State: NJ

Vax Date: 04/29/2021
Onset Date: 05/24/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: vancomycin

Symptom List:

Symptoms: Much heavier period than usual, started early with severe cramping.

Other Meds: Lexapro 10mg, Junel Fe 120

Current Illness: n/a

ID: 1361953
Sex: M
Age: 39
State: MO

Vax Date: 04/05/2021
Onset Date: 05/23/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Diagnosed with shingles. Currently being treated with an antiviral, Famvir. No serious complications, just a painful rash.

Other Meds: Omeprazole

Current Illness: None

ID: 1361954
Sex: F
Age: 39
State: CA

Vax Date: 05/06/2021
Onset Date: 05/24/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pulmonary embolism with infarction

Other Meds:

Current Illness:

ID: 1361955
Sex: F
Age: 43
State:

Vax Date: 05/25/2021
Onset Date: 05/25/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever, aches, chills, headaches, nausea, exhaustion, sore throat, ear aches, drainage, coughing

Other Meds:

Current Illness:

ID: 1361956
Sex: M
Age: 23
State: NY

Vax Date: 05/26/2021
Onset Date: 05/27/2021
Rec V Date: 05/30/2021
Hospital: Y

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

Lab Data:

Allergies: sulfa medications

Symptom List:

Symptoms: patient developed pericarditis and myocarditis with pericardial effusion and chest pain and elevated tropinin levels

Other Meds: none

Current Illness: none

ID: 1361957
Sex: F
Age: 33
State: CA

Vax Date: 05/19/2021
Onset Date: 05/24/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: After 6 days that I took the first dose of pFizer vaccine for covid19 I had itchy skin. Stared on my chest, then pass for my belly and back.

Other Meds: 50 mcg Levothyroxine for hypothyroidism

Current Illness: no

ID: 1361958
Sex: M
Age: 37
State: WA

Vax Date: 05/27/2021
Onset Date: 05/28/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Dulled sense of taste, fatigue, sore legs, shortness of breath

Other Meds: None

Current Illness: None

ID: 1361959
Sex: M
Age: 56
State: CA

Vax Date: 05/27/2021
Onset Date: 05/28/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient felt chills and body aches after receiving a 2nd dose of Moderna but next day his bupropion xl 150mg and escitalopram 20mg stop working for him. He felt electricity shock in his head which these two medication stop the sensation but for 2 days he felt the shock in his head. On the 3rd day shock sensation stopped.

Other Meds:

Current Illness:

ID: 1361960
Sex: F
Age: 14
State: CA

Vax Date: 05/30/2021
Onset Date: 05/30/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: Patient had the vaccine and during the 15 minutes wait on the chair, she felt dizzy and felt on the floor. Patient is alert and communicating the whole time. Called 911 and paramedic came and took her to hospital since she felt and hit her head on the floor.

Other Meds: n/a

Current Illness: n/a

Date Died: 05/29/2021

ID: 1361961
Sex: F
Age: 96
State: VT

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: Reaction to all medications below is nausea and vomiting codeine bactrim macrobid tramadol

Symptom List:

Symptoms: profound exhaustion, unable to stay awake even with stimulation, severe anorexia - unwilling to eat pleural effusion +4 leg edema UTI felt like she was shaking internally (found it painful) felt hot (not common) body aches outcome=death

Other Meds: Eliquis 2.5 mg BID Lasix 40 mg QD KCL 10 meq 3 AM/week gabapentin 300 mg QHS magnesium 120 mg BID Vitamin B12 500 mcg QAM Vitamin B2 100 mg QAM PreserVision AREDS 1 BID Vitamin D3 1000 IU QHS

Current Illness: none

ID: 1361962
Sex: F
Age: 42
State: NJ

Vax Date: 03/30/2021
Onset Date: 04/12/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Developed shingles on face about 6 days after first shot

Other Meds: none

Current Illness: none

ID: 1361963
Sex: M
Age: 37
State: CA

Vax Date: 05/15/2021
Onset Date: 05/22/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: Soy, Grass Pollen

Symptom List:

Symptoms: Covid second shot recieved on May 15th. Rash on arm started a week exactly after shot 1 on May 22nd. Rash started on left arm, to shoulder, to side of belly, then to other arm, right side, kept spreading all over where I ended up driving myself to the ER on May 28th. Rash is red dots, not itchy, and not affected by anti-histamine.

Other Meds: Lipitor

Current Illness: Minot Thelassamia

ID: 1361964
Sex: F
Age: 54
State: CA

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Fever, headache, body ache, chest pain and nausea(I ended up vomiting.)

Other Meds: Vitamin D-3 5,000 IU Calcium Magnesium & Zinc

Current Illness: N/A

ID: 1361965
Sex: F
Age: 37
State: CA

Vax Date: 05/26/2021
Onset Date: 05/27/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Chest tightness, tight jaw, nausea, dizziness, and feeling of full ears

Other Meds: Multivitamin and probiotic

Current Illness: N/A

ID: 1361966
Sex: F
Age: 21
State: MA

Vax Date: 05/02/2021
Onset Date: 05/02/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: melons, cucumbers, almonds,

Symptom List:

Symptoms: initially, it was a splitting headache, piercing pain that came in waves and immobilized me. It lasted two days and was worse when standing or moving. It was less intense on the second day, but hives appeared on my left arm and my arm was more sore on the second day, and stayed sore for 5 days. The body aches started around 10:00 pm on the first day. Then fatigue and joint pain. Really awful.

Other Meds: vitamin D

Current Illness: none

ID: 1361967
Sex: F
Age: 32
State: NY

Vax Date: 03/07/2021
Onset Date: 03/15/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: Allergy to morphine

Symptom List:

Symptoms: The day after I received the vaccine I was very ill. I had a fever of 103 for most of 24 hours after the shot. I had body aches and chills and just felt generally horrible. I was 8 weeks pregnant with twins at the time of the vaccine. 3 days after the vaccine I had an ultrasound which showed a large blood vessel between the twins. On March 23rd I had another ultrasound and neither of one of my twins had a heartbeat. From the measurements they could tell that I lost one twin the week of March 15th and I lost the other one the week of March 22nd.

Other Meds:

Current Illness: None

ID: 1361968
Sex: F
Age: 24
State: VA

Vax Date: 05/30/2021
Onset Date: 05/30/2021
Rec V Date: 05/30/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient's both arms, hands, and fingers were all cramp up and couldn't move. She was sweating and heart rate was 97. After having some water and resting for 40-50 minutes she was able to move her arms, hands, and fingers again. Her heart rate dropped down to 81. She was able to get up and walk around the store using the shopping cart to finish her shopping with her boyfriend. She did mention that she was under a lot of stress lately. She had similar incident in 2009, her boyfriend thought it was due to dehydration. Suggested her to follow up with her doctor.

Other Meds:

Current Illness:

ID: 1361969
Sex: F
Age: 33
State: CA

Vax Date: 05/21/2021
Onset Date: 05/30/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: Shrimp

Symptom List:

Symptoms: Redness, firmness and soft pain when touching around the area of the shot after a week of the first dose

Other Meds:

Current Illness:

ID: 1361970
Sex: M
Age: 38
State: OH

Vax Date: 05/28/2021
Onset Date: 05/30/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, ampicillin, latex, tramadol, toradol,

Symptom List:

Symptoms: Shortness of breath Headache Stuffy nose Fever Chills Fast heart rate High blood pressure

Other Meds: Percocet, aspirin, questran, depakote, Pepcid, Claritin, metphormine, neuroton

Current Illness: None

ID: 1361971
Sex: F
Age: 39
State: CA

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: sudafed, dimetapp

Symptom List:

Symptoms: mild rash on and near site injection that lasted about 5-7 days, used cortisone cream at recommendation of physician (already taking OTC allergy meds) and self resolved, no medical appt needed

Other Meds: Amitiza, Ceterizine, multivitamin, vitamin D

Current Illness: n/a

ID: 1361972
Sex: F
Age: 42
State: MI

Vax Date: 05/01/2021
Onset Date: 05/03/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: Compazine, Valcyclovir

Symptom List:

Symptoms: Burning sensation both arms, chest, face; itching upper torso; "moderma arm"; outbreak of shingles in week 2 after receiving first dose.

Other Meds: Prozac 40mg, 1 daily; Effexor XR 75mg, 3 QHS; XANAX 1MG, PRN, Ambien 10 mg, 0.5 tab Prn; seroquel 25mg, 1 PO QHS; Lisinopril 10mg, 1 daily; Vitamin D supplement.

Current Illness: None

ID: 1361973
Sex: F
Age: 44
State:

Vax Date: 03/11/2021
Onset Date: 03/17/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient asked how to report a missed abortion (miscarriage) after the second dose of the Moderna vaccine since she was told by doctors to report it. Patient had a positive pregnancy test on 3/14/21 after receiving the second dose of Moderna on 3/11/21 but did not know prior to receiving the second dose. Patient stated that it was determined she was 6 weeks pregnant 6 days after the second shot. On 4/1/2021 patient had abdominal pain and bleeding so went to the emergency room and an ultrasound was performed. It was determined that the missed abortion occurred when the baby was at 6 weeks. After several doctor visits, the patient was advised to report this and that is why this was brought to our attention. She simply asked how to report this and then I asked her some questions and gathered information. She was okay and sounded fine.

Other Meds:

Current Illness:

ID: 1361974
Sex: F
Age: 26
State: IL

Vax Date: 02/09/2021
Onset Date: 02/20/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: Pineapple Seafood

Symptom List:

Symptoms: I do not have vaccine information other than Moderna. Pt is a CPS teacher and I saw her for the sudden hearing loss.

Other Meds: No

Current Illness: None

ID: 1361975
Sex: F
Age: 43
State: WA

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Ongoing intermittent shortness of breath. This has not subsided. Initially, flu like symptoms.

Other Meds:

Current Illness:

ID: 1361976
Sex: F
Age: 42
State: CA

Vax Date: 05/30/2021
Onset Date: 05/30/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: pfizer vaccine

Symptom List:

Symptoms: Client was waiting in observation 30 mins when she asked EMTs to check her blood pressure as she was feeling palpitations. First vitals at 1512: blood pressure 158/100, pulse 82, oxygen 98%. PHNs arrived shortly. Client sitting in chair, alert and oriented x4. Per client had reaction to Pfizer first dose and medical team had recommended Janssen as second dose instead. Per client feeling nausea, headache, and palpitations. PHN gave client emesis bag. Client assessed for swelling, flushing, per client no shortness of breath at this time. Retake of blood pressure at 1513: 150/100. Per client history of hypertension, diabetes, thyroid, and took her medications today. No other allergies except Pfizer vaccine. 1515 client reported feeling warmth sensation to throat area and feeling itchiness. Per client it was same reaction to Pfizer vaccine. PHN asked client if she drove, per client had family outside waiting. PHN offered client Benadryl and client accepted. PHN administered 50mg IM on right deltoid at 1519. Vitals: pulse 107, oxygen 98%. At 1522 client stated stronger itchy throat and felt like it was starting to close. No swelling noted, per client feeling tingling around lips. Client stated shortness of breath, unable to take deep breaths. PHN Ae called 911. 1524 pulse 104, oxygen 99%. Per client feeling very dry mouth. PHN kept speaking with client, alert and oriented x4, able to answer all questions in short answers. 1527 pulse 103, oxygen 99%. Client stated feeling warmth in throat area again, began coughing intermittently. Per client new onset of strong headache to occipital area, dizziness and chills. 1531 paramedics arrived and assumed care. Client transported to facility via gurney at 1540.

Other Meds: losartan and thyroid medication, could not recall name

Current Illness:

ID: 1361977
Sex: M
Age: 16
State: OR

Vax Date: 05/26/2021
Onset Date: 05/29/2021
Rec V Date: 05/30/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: myocaritis - chest pain with elevated troponin reequiring hospital admission. symptoms started 3 days after vaccination which was his second dose of the Pfizer vaccine. First dose was on 5/1/21.

Other Meds: none

Current Illness: none

ID: 1361978
Sex: F
Age: 5
State: NJ

Vax Date: 05/13/2021
Onset Date: 05/20/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Fever. Blood spots. Cough. Fatigue . Irritability. Runny nose

Other Meds: N/A

Current Illness: N/A

ID: 1361979
Sex: F
Age: 45
State: AL

Vax Date: 05/26/2021
Onset Date: 05/27/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: Penicillin family drugs

Symptom List:

Symptoms: Sore throat, fever, runny nose, aches, fatigue, headache, cough.

Other Meds: None

Current Illness: None

ID: 1361980
Sex: F
Age: 46
State: CA

Vax Date: 05/25/2021
Onset Date: 05/26/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Sulphur , multiple Antibiotics, blue cheese,

Symptom List:

Symptoms: Within 6 hours, fatigue, headache, vomiting, dizzy, back ache, every joint in body hurt... joints continue to hurt for 3 days, headache anf fatigue still present 5 days later, Dizzy spells, severe stomach pain and back ache continued ...

Other Meds: Vitamin C ,

Current Illness: Autoimmune issues

ID: 1361981
Sex: M
Age: 14
State: CA

Vax Date: 05/30/2021
Onset Date: 05/30/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: cats and pollen

Symptom List:

Symptoms: patient fainted after 10 minutes of receiving the Pfizer vaccine. He revived really quickly. Did not require paramedic help. Patient was confused for a very short period. Bumped his right knee but no head injury.

Other Meds:

Current Illness: N/A

ID: 1361983
Sex: F
Age: 40
State: MA

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: cats, Bactrim

Symptom List:

Symptoms: I woke up at 11:30PM violently shaking and immediately began vomitting. I vomitted on and off for several hours, and the violent shaking continued as well. I was weak and tired. I did not seek treatment. I took Tylenol for muscle pain, joint pain, and fever. I did not feel better until the morning of Sunday May 30.

Other Meds: Kelnor

Current Illness: None

ID: 1361985
Sex: F
Age: 71
State: CA

Vax Date: 02/24/2021
Onset Date: 03/01/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Five days after receiving the 2nd Covid-19 shot, Patient started experiencing heart palpitations that last several hours each day. After this went on for almost three weeks, she decided to visit the Urgent Care on March 18th. They did an ECG and detected bigeminy. Patient had never had this condition prior to the 2nd vaccine. She has experienced heart palpitations now for 13 weeks since going to Urgent Care. These are intermittent. She will have them for several days in a row 4 to 6 hours during each day then they will go away for a few days then return for several more days in a row. Overall during the 16 weeks since the heart palpitations started, she has experienced them on 80% of the days.

Other Meds: levothyroxine, Albuterol Sulfate HFA inhaler, Triam/HCTZ, Guaifenesin Expectorant, Afrin nose spray, Ibuprofen, Doxylamine Succinate, Chlorpheniramine, Progesterone, Estradiol, Testosterone,

Current Illness: Side effects from first vaccination on 02/03/2021 continuing through second shot and beyond. This included fever, cough, congestion, chest pain, inability to concentrate, loss of short term memory and more. Some of these symptoms have now continued for over 17 weeks.

ID: 1361986
Sex: F
Age: 29
State: MD

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Mild heartburn onset about 5 hours after receiving injection. Over-the-counter antacid taken with crackers and water. Symptoms alleviated after about an hour.

Other Meds: Multivitamin

Current Illness: None

ID: 1361987
Sex: F
Age: 63
State: FL

Vax Date: 05/21/2021
Onset Date: 05/28/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: Latex, compazine and promethazine

Symptom List:

Symptoms: 5/28/21 noticed redness of skin at and around injection site on left upper arm - looks like sunburn; skin feels 'bumpy'. 5/29/21 the same area was now sore to touch and redness cont.'s to present.

Other Meds: Vistaril, Benadryl, probiotic, daily vitamin, calcium, venlafaxine, buspirone, trazodone, pravastatin, aleve, levothyroxine

Current Illness: N/A

ID: 1361988
Sex: M
Age: 24
State: TX

Vax Date: 05/30/2021
Onset Date: 05/30/2021
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: After administration, pt went shopping with his wife and kid. While shopping within the store, pt reports he fainted, fell down to the ground on his forehead and sustained a deep cut injury right above his left eye. He was bleeding profusely, first aid was rendered and his wife drove him to the ER

Other Meds: NONE

Current Illness: Pt reported having an extreme fear of needles

ID: 1361989
Sex: F
Age: 41
State: FL

Vax Date: 02/18/2020
Onset Date: 02/19/2020
Rec V Date: 05/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Note* I have no idea what brand of influenza shot I was given. I received an influenza vaccine that was administered directly into my right shoulder by a nurse who stood over me where I sat. I woke up the next day with a sharp pain in my shoulder and neck, having difficulty turning my head. I also had stiffness near the joint, a sore elbow, arm pain, and numbness in my fingers. A swollen sore area near my clavicle was present for at least a week. Stiffness in my right shoulder has persisted. I can't fully rotate my shoulder without pain. I struggle while working now because my arm has to be in the same position for long periods of time and aches to the point of needing extra breaks. I have trouble performing simple household activities that require repetition or full rotation of my shoulder. I am also struggling with health and wellness pursuits because of frequent pain and throbbing from my right shoulder and bicep. And I can only sleep on the left side or I wake up in extreme pain.

Other Meds: None

Current Illness: None

ID: 1361990
Sex: M
Age: 59
State: VA

Vax Date: 05/19/2021
Onset Date: 05/30/2021
Rec V Date: 05/30/2021
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Allergies: Aspirin

Symptom List:

Symptoms: Swollen with knot & red

Other Meds:

Current Illness:

ID: 1361991
Sex: F
Age: 34
State: NH

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 05/30/2021
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Allergies: Amoxacilyn

Symptom List:

Symptoms: Headache first day. 2nd day headache nausea, vomiting, headache, full body aches, fatigue, soreness at injection site. 3rd day no headache, buy still pain in Lower back and neck, soreness/ burning pain at injection site. In total headache lasted about 24 hours.

Other Meds: None

Current Illness: None

ID: 1361992
Sex: F
Age: 47
State: NY

Vax Date: 05/29/2021
Onset Date: 05/30/2021
Rec V Date: 05/30/2021
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Lab Data:

Allergies: azithromycin, vicodin

Symptom List:

Symptoms: Hives

Other Meds: birth control

Current Illness: na

ID: 1361993
Sex: F
Age: 51
State: CA

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/30/2021
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Allergies: codeine penicillin NASID

Symptom List:

Symptoms: Pain through out the body, muscles, joints, bones. cold then hot.

Other Meds: Metformin er 500 mg tablet extended release 24 hr

Current Illness: Sickness due to 1 st covid shot

ID: 1361994
Sex: M
Age: 63
State: ID

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 05/30/2021
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Allergies: penicillin

Symptom List:

Symptoms: On 1/7 extreme exhaustion, stayed in bed. On 1/8 febrile @ 101.2, extreme exhaustion, stayed in bed. On 1/9 afebrile but extreme exhaustion, stayed in bed. Felt normal on 1/10.

Other Meds: Metformin, amlodipine besylate, omeprazole, lisinopril, metoprolol tartrate, atorvastatin, B complex, Vitamin D, calcium, insulin

Current Illness: none

ID: 1361995
Sex: F
Age: 60
State: NY

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/30/2021
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Symptom List:

Symptoms: Rapid pulse 150-160

Other Meds: lexapro 20 mg daily

Current Illness:

ID: 1361996
Sex: F
Age: 18
State: TX

Vax Date: 05/30/2021
Onset Date: 05/30/2021
Rec V Date: 05/30/2021
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Allergies: No Known Allergy

Symptom List:

Symptoms: Pt started complaining of blacking out about 10 minutes into her observation period after she took the COVID vaccine shot. She complained of Blacking out and she requested to use the bathroom. When she returned from the rest room, I had her lie flat on her back with her feet elevated. I observed her for 3 minutes ,and she was breathing normally and remained conscious and she said she was feeling better. I took her blood pressure and pulse at intervals of 5 minutes. Her readings were 95/68,pulse 68;91/67,pulse 64;99/68,pulse,66;99/73,pulse 57. Her mom came about 30 minutes later. I advised mom to keep an eye on her and to give Pedialyte and continue to monitor her BP and pulse. I suggested Benadyl 25mg pill to her. I advised her that if her situation deteriorates she should take her to the ER. I also advised her to contact her primary care doctor. The mother then took her home

Other Meds: She mentioned Iron pill post vaccine adverse reaction

Current Illness:

ID: 1361997
Sex: F
Age: 19
State: MD

Vax Date: 05/25/2021
Onset Date: 05/30/2021
Rec V Date: 05/30/2021
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Allergies: Flu shot

Symptom List:

Symptoms: My back felt hot and itchy. I looked at my back and there was a rash all the way from my neck and biceps down to the top of my butt.

Other Meds: Lo Loestrin Fe 100mg Zoloft

Current Illness: No

ID: 1361998
Sex: M
Age: 25
State: WA

Vax Date: 05/20/2021
Onset Date: 05/22/2021
Rec V Date: 05/30/2021
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Allergies: N/A

Symptom List:

Symptoms: Increase in volume of the already existing high pitched tinnitus ringing in my left ear. The noise has definitely gotten much louder, which I noticed approximately 48 hours after receiving the shot.

Other Meds: Milk Thistle, Rhodiola, Cordyceps, Magnesium, Vitamin b12, Vitamin b6, Borage Oil, Spirulina, Zinc, Lipo-Flavonoids.

Current Illness: None

ID: 1361999
Sex: F
Age: 39
State: IL

Vax Date: 05/14/2021
Onset Date: 05/15/2021
Rec V Date: 05/30/2021
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Allergies: Penicillin

Symptom List:

Symptoms: Everyday for the following 8 days after the vaccine I had a severe migraine with visual aura. 2 days after the shot I had 4-5 aura migraines. I also experienced a flare up of eczema on my right pointer finger knuckle on the back of my hand. The flare up lasted the same amount of time.

Other Meds: Labetalol

Current Illness: None

ID: 1362000
Sex: F
Age: 26
State: CA

Vax Date: 05/30/2021
Onset Date: 05/30/2021
Rec V Date: 05/30/2021
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Allergies: None

Symptom List:

Symptoms: On 5/30/2021, client received her first dose of Pfizer COVID vaccine lot # EW0187 exp. 8/2021 at 3:15 pm on her left arm notified EMT at 3:19 pm that her left arm feels like "asleep" such as when you get anesthesia. Lead nurse assessed and interpreted for the client since client is speaking for the rest of her remaining observation. Client denied shortness of breath and no edema or redness observed on her left arm. She said she had no history of allergies to medications or any history of reactions to any past vaccines received. At 3:24 pm, she described her left arm numbness and pain at a 6/10 and continued to feel her left arm as asleep which started at her shoulder and go down to her arm. EMT took her vitals every five minutes as follow: 3:19 pm-blood pressure (BP) 148/96, heart rate (HR) 84, oxygen saturation (O2) 98 %, respiration (R) 14; 3:24 pm-B2/94, BP 154/94, HR 78, O2 98 %, R 14; 3:30 pm-BP 152, /94, HR 78, O2 98 %, R 14; 3:35 pm-BP 144/92, HR 88, O2 97 %, R 14; 3:46 pm-BP 146/92, HR 87, O2 99 %. At 3:45 pm, client continues to feel the same numbness on her left arm and starts to feel "cold" on her left arm. At 3:47 pm, client stated her arm is still not improving but it wasn't getting worse either. Lead nurse educated client on the severe adverse reactions to observe and to seek immediate medical attention as needed at home as well as emergency precautions given to client if her left arm numbness/pain is not improving or getting worse. At 3:50 pm, client stated "I feel fine to go home" and said someone is driving her home. She left Clinic with a steady gait and in no distress.

Other Meds: None

Current Illness: None

ID: 1362001
Sex: F
Age: 60
State: ID

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/30/2021
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Allergies: Potato pomegranate potato starch in foods, etc

Symptom List:

Symptoms: Weird white swollen line just below lower lip Twitching between eye/ lower forehead

Other Meds: None

Current Illness: None

ID: 1362002
Sex: F
Age: 33
State:

Vax Date: 05/26/2021
Onset Date: 05/28/2021
Rec V Date: 05/30/2021
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Allergies: TRAMADOL, MOTRIN (IBUPROFEN)

Symptom List:

Symptoms: patient c/o body aches, congestion, vomiting that started 3 days ago. states recieved moderna shot wednesday and symptoms started soon after.

Other Meds: UNK

Current Illness: N/A

ID: 1362003
Sex: F
Age: 43
State:

Vax Date: 05/19/2021
Onset Date: 05/26/2021
Rec V Date: 05/30/2021
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Allergies: Amoxicillin, TAMIFLU

Symptom List:

Symptoms: Pt reports rash to left upper arm since 2 days ago started with itchiness and pt notices redness, warmth, and soreness. pt states Moderna shot to same arm on 19 MAY.

Other Meds: UNK

Current Illness: N/A

Total 2021 VAERS Injuries: 410,025

Page last modified: 03 October 2021 5:28pm