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
88,334
AK1,815
AL6,133
AR3,993
AS45
AZ14,539
CA64,759
CO12,159
CT8,719
DC1,747
DE1,868
FL41,499
FM3
GA16,132
GU92
HI2,477
IA4,739
ID2,763
IL21,496
IN23,655
KS4,844
KY8,414
LA5,328
MA15,281
MD13,105
ME3,277
MH8
MI20,143
MN12,873
MO10,275
MP30
MS3,073
MT2,392
NC17,450
ND1,440
NE3,023
NH3,124
NJ19,456
NM4,089
NV4,600
NY36,525
OH20,140
OK6,525
OR8,918
PA24,920
PR2,483
QM2
RI2,092
SC6,952
SD1,243
TN10,038
TX38,745
UT4,482
VA15,477
VI62
VT1,780
WA15,487
WI11,573
WV2,461
WY894
XB5
XL1
XV2

ID: 1364548
Sex: M
Age: 23
State:

Vax Date: 05/27/2021
Onset Date: 05/27/2021
Rec V Date: 06/01/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: approximately 13min post vaccination patient fell to the ground, medic went over and then checked for injuries. Within minutes patient was answering questions and was oriented to person, place and time. Patient then started vomited, vomited for about 2 minutes stated he then felt better. Dad came and medic recommended that we call 911 and have the paramedics take him to the hospital - Dad agreed.

Other Meds:

Current Illness:

ID: 1364549
Sex: F
Age: 52
State: WA

Vax Date: 05/25/2021
Onset Date: 05/25/2021
Rec V Date: 06/01/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: penincillins, tegretol derititive s

Symptom List:

Symptoms: AFTER PT RECIEVE IM SHOT in the left arm, a nodule form there. it look like reaction to the vaccine. the pt was intructed to put ice on it and it should go oway. pt was reach out 7 days latter to confirm it went oway.

Other Meds: none

Current Illness: immunosuppressive pt

ID: 1364551
Sex: F
Age: 48
State: TN

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 06/01/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: epinephrine

Symptom List:

Symptoms: shingles

Other Meds:

Current Illness:

ID: 1364552
Sex: F
Age: 35
State: KY

Vax Date: 05/27/2021
Onset Date: 05/29/2021
Rec V Date: 06/01/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: No

Symptom List:

Symptoms: I have inflamed lymph nodes under my right armpit. The inflamed lymph nodes pressure seems to be causing a sensation/ sensitivity in my small finger and finger next to it. And have discoloration on my arm.

Other Meds: Fiber supplement Multi vitamins Ibuprofen Dicyclomine

Current Illness: No

ID: 1364553
Sex: M
Age: 32
State: MD

Vax Date: 05/22/2021
Onset Date: 05/25/2021
Rec V Date: 06/01/2021
Hospital: Y

Vax Type:
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Symptom List:

Symptoms: from 5/25/21 note: 32 y.o. male with a history of DVT (left leg; on Xarelto), recurrent PE, EtOH abuse, anxiety, and depression presents to the emergency department complaining of right leg pain since the last two days. He reports to receiving his Moderna COVID-19 vaccination three days ago. Thereafter, he noticed his leg pain to occurs. He also notes to intermittent pleuritic chest pain, but not currently. He notes that his leg is not as swollen compared to his previous DVT. He has full sensation and motor control of his digits. He admits to dizziness. He denies changes in breathing, abdominal pain, recent surgeries, recent travels, recent hospitalizations, or family history of blood clots. History is from the patient Old records reviewed. Last ED visit on 3/2/21 for pleuritic chest pain. Recent hospitalization 2/8 to 2/9 for pulmonary embolism in the setting of Xarelto non-compliance. US LLE Dplx (9/26/2020) DVT in the left popliteal, posterior tibial, peroneal and anterior tibial veins. US LLE Dplx (2/8/21) Nonocclusive thrombus in the left popliteal and posterior tibial veins. US RLE Dplx (5/25/21; today) DVT in the right femoral and popliteal veins. from 5/27/21 note: Patient is a 32 y.o. male with history of EtOH abuse and recurrent DVT/PE known to be noncompliant with Xarelto presenting to the ED with altered mental status. Of note patient was discharged from the hospital this afternoon where he was treated for DVT with heparin, previously on Xarelto but due to noncompliance was discharged with plan for Lovenox. Patient is alert and oriented x3, however intermittently not responding appropriately to questions and does not appear to be the best historian. Per EMS patient was found down, unresponsive in a bush. Patient admits that when he left hospital he went to gas station and drank "18 ounces of wine." EMS states when they arrived to scene patient had unsteady gait, frequent falls, no signs of significant head trauma. Patient was tachycardic in route and noted to be hypoxic in route. Patient currently complaining of mild headache but denies chest pain, shortness of breath, nausea, vomiting, diarrhea, abdominal pain, back pain or any further symptoms once again believe patient to be a poor historian.

Other Meds:

Current Illness:

ID: 1364554
Sex: F
Age: 42
State: NC

Vax Date: 01/08/2021
Onset Date: 01/18/2021
Rec V Date: 06/01/2021
Hospital:

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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: shingles

Other Meds: zonegran 300mg po qhs, tizanidine 12mg po qhs, gabapentin 900mg po qhs, Wellbutrin 300mg po qd

Current Illness: none

ID: 1364555
Sex: F
Age: 72
State: NY

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 06/01/2021
Hospital:

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Lab Data:

Allergies: Zithroma

Symptom List:

Symptoms: Small red spot all over body. Some are rough. Very itchy

Other Meds: Perforomist, Montelukast, Arnuity, Lansoprazole, Restasis, Cevimeline, Alphagan, Lumigan, Sulfasalazin, Humira, Cymbalta, Prolia, Citracal, Atorvastatin, AREDS 2, Nascobal, Prilosec alternates with Lansoprazole, Multivitamin and Just thrive

Current Illness:

ID: 1364556
Sex: F
Age: 53
State: WI

Vax Date: 04/16/2021
Onset Date: 04/19/2021
Rec V Date: 06/01/2021
Hospital: Y

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Symptom List:

Symptoms: Patient hospitalized within 6 weeks of receiving COVID vaccination. First hospitalization was 4/19/21, then 5/4/21. On 5/11/21 patient presented to the ED and was subsequently hospitalized for 16 days with decompensation of cirrhosis of liver.

Other Meds:

Current Illness:

ID: 1364557
Sex: F
Age: 41
State: KY

Vax Date: 02/20/2021
Onset Date: 05/29/2021
Rec V Date: 06/01/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: TESTED COVID POSITIVE AFTER RECEIVING 2ND DOSE OF COVID VACCINE

Other Meds: acetaminophen (TYLENOL) 500 MG tablet Take 1 tablet by mouth every 6 (six) hours as needed for Pain 30 tablet 0 ? Benzocaine-Menthol 15-3.6 MG LOZG Use 1 lozenge in the mouth or throat four times daily as needed (sore throat). 18 each 0 ? b

Current Illness: INFLAMMATORY ARTHRITIS, CARPAL TUNNEL SYNDROME

ID: 1364559
Sex: F
Age: 65
State: NH

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 06/01/2021
Hospital:

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Symptom List:

Symptoms: Severe joint pain

Other Meds: Liesinopril, omepresol,bupropion,150, ibuprofen 800

Current Illness:

ID: 1364560
Sex: F
Age: 38
State: MN

Vax Date: 05/29/2021
Onset Date: 05/29/2021
Rec V Date: 06/01/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: 2nd dose of Moderna was given to early. First dose was given on 5/13/21 and the second dose was given on 5/29/21

Other Meds: N/A

Current Illness: None

ID: 1364561
Sex: F
Age: 42
State: FL

Vax Date: 04/28/2021
Onset Date: 05/29/2021
Rec V Date: 06/01/2021
Hospital:

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Symptom List:

Symptoms: same as previously reported via completed VAERs. Now mensus has started again, more than 10 days early. This is now twice since vaccination. Heavy bleeding, severe cramping and bloating along with pain in joints. Fatigue & melancoly.

Other Meds:

Current Illness:

ID: 1364562
Sex: F
Age: 31
State: IN

Vax Date: 05/27/2021
Onset Date: 05/28/2021
Rec V Date: 06/01/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: Cough Congestion Uncontrollable urge to sleep body aches slept for 3 days after still dealing with lingering effects

Other Meds:

Current Illness:

ID: 1364564
Sex: F
Age: 43
State: NY

Vax Date: 05/08/2021
Onset Date: 05/09/2021
Rec V Date: 06/01/2021
Hospital:

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Lab Data:

Allergies: sulfa based meds I get a rash and hives

Symptom List:

Symptoms: The night after the shot I developed COVID arm which burned and itched and swelled up. The next night a rash spread to my arms and trunk. The next night my right leg swelled up horribly and got a rash as well on my upper quad. My eyes burned for days after the shot and my eye doctor said my eye lids were inflamed and gave me steroid eye drops to help. The next night I woke up in the middle of the night itching my face. My whole face was covered in a rash that burned and was swollen. I had 4mg pills of methylpredisolone on hand at home and self treated with three pills (one each day for three days) and that helped with the swelling and Benedryl helped with the itching. I started having heavier periods at increments more than once a month (like once a week). I also have experienced significant weight gain - almost 10 pounds - in the month after the shot. I have weighed the same thing since I was in college and still wear the same clothes until after the shot. The periods have subsided but the weight is still here and I've done nothing else differently.

Other Meds: Spironolactone, Maxalt, zinc, vitamin D

Current Illness: Hashimotos Thyroiditis, Vitiligo

ID: 1364566
Sex: F
Age: 44
State: MI

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 06/01/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient went to ED with possible vaccine related reaction. CHIEF COMPLAINT: POSSIBLE ALLERGIC REACTION (sx p 2nd covid vax rec'd vax and was being observed developed sl dizziness and legs got weak and started shaking, en route w/ ems she felt like her tongue got thick 0.3 epi admisitered per EMS. on arrival pt is trembling but denies feeling cold, hypertensive, NSR oropharyx clear LS CTA b/l c/o feeling thirsty dry mouth after epi. obtained manual bp d/t trembling) The patient is an otherwise healthy 44-year-old female who presents to the emergency department today via EMS with concerns for an allergic reaction. The patient states she just received her 2nd Covid-19 vaccine (Pfizer) when about 15 minutes after, noticed a bilateral lower extremity weakness, dizziness, as well as dry mouth. EMS did provide IM epinephrine given at roughly 3:30 p.m.. The patient was further brought to the emergency department for further evaluation and monitoring. Patient states she has not noticed any rashes or itching, is not having any shortness of breath or trouble breathing. She states that she does have dry mouth, but is not having any sensation such as a difficulty swallowing or swelling. No headaches. No chest pain, abdominal pain, back or neck pain. No nausea vomiting dysuria or hematuria. MEDICAL DECISION MAKING The patient was seen upon arrival in the emergency department. She remained stable from a respiratory and hemodynamic standpoint. She presents status post IM epinephrine after feeling dizzy with a bilateral lower extremity weakness and shaking after the COVID-19 vaccine. On my initial evaluation, she does appear well, without any concerning propagation of an allergic response. She was monitored here in the emergency department for about 2-1/2 hours with no a change in her clinical status. She is almost 3 hours out from her IM epinephrine dose, and is feeling better. She is tolerating fluids. Does not have any posterior or pharyngeal swelling or sensations at this time, so I do feel comfortable with discharge home. Return precautions were discussed, the patient was discharged in stable condition.

Other Meds: aspirin 325 MG tablet BIOTIN PO Cyanocobalamin (B-12 PO) VITAMIN D PO

Current Illness: NA

ID: 1364567
Sex: F
Age: 58
State: WA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 06/01/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List:

Symptoms: Numbness, burning, tingling like when your body part falls asleep. Most often at night and is in both hands bilaterally, but primarily in my fingertips. Especially, my r. thumb. This is painful and happens every night where I wake up and have to sit up or stand to drain the blood back to my extremity to decrease the burning sensation and even then I'm now finding it doesn't always help. I have noticed this is happening during the day to my right hand more often and I'm dropping objects picked up with my r. hand. I have an appt to visit my doctor regarding this because it has become so bothersome and is new onset since vaccination.

Other Meds: Emsam transdermal patch, gabapentin prn

Current Illness: none

ID: 1364568
Sex: M
Age: 46
State: NY

Vax Date: 04/13/2021
Onset Date: 04/24/2021
Rec V Date: 06/01/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Tinnitus in left ear starting around April 24th and as of June 1st (today) still present.

Other Meds: Viberzi, Fenofibrate, Fish Oil

Current Illness: None

ID: 1364571
Sex: M
Age: 37
State: NJ

Vax Date: 05/31/2021
Onset Date: 05/31/2021
Rec V Date: 06/01/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: After administering the vaccination, I realized that the vaccine was given after the recommended beyond use time. The vial was punctured at 9:15AM on 5/31 and the beyond use time was 3:15 PM. The vaccine was administered to the patient at 3:45 PM, 30 minutes after the beyond use time of 6 hours. I attempted to reach the patient several times to inform him of this error, but I was unable to reach the patient.

Other Meds:

Current Illness:

ID: 1364573
Sex: F
Age: 36
State: TX

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 06/01/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List:

Symptoms: I started with dizziness, arm pain, nausea, fever, fatigue, bone pain, muscle pain, severe headache.

Other Meds: N/a

Current Illness: Asthma

ID: 1364574
Sex: M
Age: 15
State: FL

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/01/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Route:
Vax Site:

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient under 18 was accidently given the Moderna Dose instead of the Pfizer one indicated

Other Meds: No concurrent Medications

Current Illness: None

ID: 1364575
Sex: M
Age: 66
State: IL

Vax Date: 03/01/2021
Onset Date: 05/01/2021
Rec V Date: 06/01/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: After 1st and 2nd shot Mild flush face sore arm same night no other problems Until on or about 5/1/21 Headaches dry throat rapid heart beat legs angels swelling cold not flashes can not sleep every night and sometimes in morning

Other Meds: Tramadol , Losartan , Advil CBD Gummies , zinc.

Current Illness: none

ID: 1364576
Sex: F
Age: 79
State: MN

Vax Date: 03/24/2021
Onset Date: 04/28/2021
Rec V Date: 06/01/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1364577
Sex: F
Age: 25
State: IN

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 06/01/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: Offender given Moderna vaccine in error. Offender observed with no adverse reaction noted. Offender received the first dose of Pfizer COVID 19 vaccine 5/14/21 and is due for 2nd dose 6/4/2021.

Other Meds: NONE

Current Illness: NONE

ID: 1364579
Sex: F
Age: 50
State: NY

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 06/01/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: multible events shoulder injury tremors throughout her body body aches blood circulation problems she has seen multible doctors neurologist cardiologist gastro were as the doctors feel the vaccination has triggered these series of events that is dibilitating her body.she has not been able to work since inception of covid vaccination.

Other Meds:

Current Illness:

ID: 1364580
Sex: F
Age: 45
State: GA

Vax Date: 05/19/2021
Onset Date: 05/21/2021
Rec V Date: 06/01/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient broke out in rashes that blistered on her right (opposite) arm 2-3 days after receiving her 2nd moderna vaccine

Other Meds: N/A

Current Illness: N/A

ID: 1364581
Sex: F
Age: 57
State: TX

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 06/01/2021
Hospital: Y

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

Lab Data:

Allergies: Adhesive, aspirin, band-aid plus antibiotic, influenza vaccine latex, morphine, penicillin

Symptom List:

Symptoms: Patient complaining of a pricking needles to head. At 10:30, patient was constantly jerking and not responding to questioning. Episode lasted 2 minutes. 911 called. Placed patient in supine position and at 10:30 patient showed visible signs of not breathing, holding throat, gasping for air. EpiPen given. Patient transported to ED at 11:17. Upon arrival to ED at 11:19 am, left sided facial droop and weakness with slurred speech and complaints of a severe headache noted. Patient received keppra 3000 mg intravenous x 1 dose at 1211. Patient was discharged from emergency department 5/28/21 at 1330 with prescription for keppra 500 mg by mouth twice daily and ambulatory referral to neurology.

Other Meds: tylenol #3 take 1 tablet by mouth every 8 hours as needed for pain, albuterol HFA inhaler 90 mcg/actuation inhale 2 puffs every 6 hours as needed for wheezing or shortness of breath, atorvastatin 40 mg by mouth daily, breo ellipta 100-25 mc

Current Illness: urinary tract infection

ID: 1364582
Sex: M
Age: 50
State: FL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 06/01/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: Starting on the day of the vaccine (2nd dose), I noticed typical sore arm. At 7pm, had a fever, nausea, ful body pain, and flu-like symptoms. I did take ibuprofen and Benadryl a few hours later around bedtime. I woke up with fatigue, lethargy and Covid fog (decrease mental acuity and lethargic). I had symptoms for 4 days and symptoms started to improve. I noticed my heart rate increased at 120 and would only decrease if I lay down. I went to see a doctor who diagnosed me with POTS (posterial orthostatic tachycardia syndrome). I was prescribed metroprolol 25mg once a day.

Other Meds: none

Current Illness: Covid infection 11/26/2020

ID: 1364583
Sex: M
Age: 63
State: WI

Vax Date: 04/20/2021
Onset Date: 04/28/2021
Rec V Date: 06/01/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient presented to the ED on 4/28/2021for COPD exacerbation. Patient presented to the ED on 5/11/2021 and was subsequently hospitalized for 3 days. These visits are within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1364584
Sex: M
Age: 13
State: MO

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 06/01/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies: tetanus

Symptom List:

Symptoms: Meningococcal was mixed with sterile diluent instead of Liqiud Conjugate Component - contacted patient and has no side effects

Other Meds: n/a

Current Illness: n/a

ID: 1364586
Sex: F
Age: 34
State: CT

Vax Date: 05/31/2021
Onset Date: 05/31/2021
Rec V Date: 06/01/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: Pt. received 2nd Moderna shot at 3:23 pm on 5/31/21. At about 3:45 pm pt. brought to our attention that she was having difficulty breathing. She said it started as soon as she got the shot but she waited thinking it would be going away. She was anxious, upset, eyes teary, looked afraid, and was raising her shoulders as she breathed. 911 was called. Pt. agreed to receive epi-pen. Time given was 3:47 pm. Pt. reported that breathing felt a little easier. BP taken at 3:51 pm was 182/121 pulse 93. Ambulance personnel arrived at about 3:52 pm. Pt told emt that the difficulty breathing was not like when she needs to use her inhaler. Ambulance personnel assessed and left with pt.

Other Meds: hydrochlorothiazide 25 mg q day clotrimazole-betamethasone 1%-0.05% cream bid albuterol hfa prn (hasn't used recently)

Current Illness: none

ID: 1364588
Sex: F
Age: 47
State: MN

Vax Date: 05/06/2021
Onset Date: 05/01/2021
Rec V Date: 06/01/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: after 2nd dose, rapid heart, chills, feverish, tired, achy for about 12 hours. Now everyday dizziness throughout the day.

Other Meds: lexapro, balsalazide

Current Illness: none

ID: 1364589
Sex: F
Age: 16
State: OH

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 06/01/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: codeine

Symptom List:

Symptoms: Patient given Moderna 0.5mg Covid Vaccine when should have been given Pfizer covid vaccine due to age (16years old). No adverse effects ere noted by mom when contacted. Per CDC guidelines, patient will receive 2nd Moderna vaccine.

Other Meds: none

Current Illness: unknown

ID: 1364590
Sex: F
Age: 93
State: MN

Vax Date: 01/27/2021
Onset Date: 05/28/2021
Rec V Date: 06/01/2021
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Symptoms: COVID positive after full vaccination series.

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Current Illness:

ID: 1364591
Sex: F
Age: 44
State: TX

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 06/01/2021
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Allergies: None

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Symptoms: Inflammation of small bowel at terminal ileum; abdominal pain, distention with vomiting. Small bowel obstruction. Admitted to hospital; NG tube to suction X 2 days. Discharged home with follow up with GI. Futher testing (CT-E, fecal studies and labs) ALL negative for any type of inflammatory bowel disease. No other, or chronic, cause for sudden small bowel inflammation

Other Meds: Lisinopril/HCTZ, Zoloft, Valtrex, probiotics, Zyzal

Current Illness: none

ID: 1364592
Sex: F
Age: 59
State: NE

Vax Date: 05/26/2021
Onset Date: 05/29/2021
Rec V Date: 06/01/2021
Hospital: Y

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Allergies: None listed on consent form

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Symptoms: Patient received the vaccine around 7:17pm on Wednesday, May 26th, 2021. She waited for 30 minutes after receiving the vaccine. She reported a funny/metal taste in her mouth and upon investigation, case reports showed this is a possible side effect of the Moderna vaccine. The reports said this was a self-limiting side effect with an unknown cause. The patient did not report any other side effects such as pulse rate, sweating, nausea/vomiting, headache, anaphylaxis, etc. Patient did not seem concerned. She called a week later to report that she had a stroke 72 hours later on Saturday, 5/29, in the evening. She reported experiencing a similar taste change when she received the contrast dye during her CT scan. She also had muscle cramps prior to the stroke. She is now out of the hospital and can no longer walk.

Other Meds: None listed on consent form

Current Illness: None listed on consent form

ID: 1364594
Sex: F
Age: 93
State: MN

Vax Date: 01/19/2021
Onset Date: 05/28/2021
Rec V Date: 06/01/2021
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Symptoms: COVID positive after full vaccination series

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Current Illness:

ID: 1364595
Sex: F
Age: 17
State: WI

Vax Date: 05/27/2021
Onset Date: 05/27/2021
Rec V Date: 06/01/2021
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Symptoms: received the Covid 19 Pfizer vaccine and passed out approximately 2 minutes after the vaccine. Was seated at the time. Physical support until patient regained consciousness approximately 30 seconds after. Assisted via wheelchair to cot to lay down and water provided. Mother with. Instructed to lay down for second dose of vaccine when receiving it. Left with mother ambulatory in stable condition approximately 30 minutes after dose administered.

Other Meds:

Current Illness:

ID: 1364596
Sex: F
Age: 31
State: PA

Vax Date: 05/11/2021
Onset Date: 05/13/2021
Rec V Date: 06/01/2021
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Allergies: None

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Symptoms: Swelling to left lower face starting 6 days after vaccination

Other Meds: None

Current Illness: None

ID: 1364597
Sex: F
Age: 59
State: MN

Vax Date: 04/14/2021
Onset Date: 04/27/2021
Rec V Date: 06/01/2021
Hospital: Y

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Symptoms: Patient presented to the ED with acute left-sided weakness and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. Per doctor's notes: Stroke workup including MRI has been unremarkable. Patient was evaluated by general neurology and felt that her condition was most likely consistent with her hemiplegic migraines.

Other Meds:

Current Illness:

ID: 1364598
Sex: M
Age: 14
State: OK

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 06/01/2021
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Symptoms: Ten minutes after receiving vaccine patient had syncopal event. He was unconscious approximately 5-10 seconds. After event patient was extremely diaphoretic, pale and slightly confused for <5 minutes. He complained of feeling very tired. Patients systolic bp unable to be detected, HR 57, O2 97%. Patient was laid in modified Trendelenburg position. BP rechecked after 5 minutes and was in the 90s systolic. Mother said he had a history of a heart murmur that nothing needed to be done about until he was an adult. Advised to go to ER for EKG d/t unknown cardiac condition.

Other Meds:

Current Illness:

ID: 1364599
Sex: F
Age: 46
State: FL

Vax Date: 05/28/2021
Onset Date: 05/31/2021
Rec V Date: 06/01/2021
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Allergies: Pennicilynn

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Symptoms: 101,Fever after 8 hours of receiving the vaccine, nausea fist few hours. fever lasted for 24 Hours. Heavy period started 60 hours after receiving second dose.

Other Meds: Vitamin c , turmeric, probiotic

Current Illness: No

ID: 1364600
Sex: M
Age: 47
State: MD

Vax Date: 03/31/2021
Onset Date: 04/21/2021
Rec V Date: 06/01/2021
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Allergies: none

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Symptoms: The first day I noticed a burning rash on the back of my leg, that lasted for about a few days until the pain was unbearable. Blisters started to appear and spreading. Nerve pains started to occur throughout the body that resulted into going to the clinic and was diagnosed with Shingles. The doctor prescribed a 7 day anti-viral prescription that helped with the pain, after taking it the pain went away a few days later. After taking the medication as prescribed I did recover from my symptoms.

Other Meds: multi-vitamin (doesn't know dosage or brand name)

Current Illness: Shingles

ID: 1364601
Sex: F
Age: 32
State: MA

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/01/2021
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Allergies: NONE

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Symptoms: NEEDLE FAILURE, VACCINE WAS LEAKED OUT ; ONLY LESS THAN 20% VOLUME WAS ADMINISTERED ON LEFT ARM. OUTCOME : 1) IMMEDIATELY INFORMED PATIENT OF THE VACCINE ADMINISTRATION ERROR 2) ADMINISTER 0.5 ML MODERNA VACCINE IN THE OPPOSITE ARM ( RIGHT ARM) IMMEDIATELY . 3) PATIENT HAS NO SYMPTOMS .

Other Meds: N/A

Current Illness: NONE KNOWN

ID: 1364602
Sex: F
Age: 75
State: VA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 06/01/2021
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Allergies: most antibiotics (only one can take is amoxicillin)

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Symptoms: My left arm was sore. My whole body felt sore. I had diarrhea. Developed a tooth abscess. The tooth had to be pulled. I have a video exam with my doctor. She gave me antibiotics and over-the-counter medicine for the diarrhea.

Other Meds: Metoprolol, 25mg, 2xday Atorvastatin, 10mg, 1xday pantoriolz ,40mg, 1xday Amlodipine 2.5mg 1xday Furosemide 40mg 1xday Cinataltice 60mg 2xday losartan 50mg 2xday inhaler as needed

Current Illness:

ID: 1364603
Sex: F
Age: 61
State: WA

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 06/01/2021
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Allergies: Allergy to codeine, no food allergies

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Symptoms: Tingling/numbness and weakness of left arm from biceps to wrist... on and off throughout the day... when the tingling feeling happens my arm gets weak and I cant lift things safely and my hand grip is weaker. the tingling sensation is like "falling asleep" limb.

Other Meds: None

Current Illness: None

ID: 1364604
Sex: F
Age: 46
State: MD

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 06/01/2021
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Allergies: None

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Symptoms: Two days after first vaccine shot - 3 strong/sharp pinches felt in heart over an hour or so. I did consider it significant. Note that the full shot was not injected - somehow the needle broke off and most of the injection was on my lap. The nurse thought about half of it had gotten in - the needle did not penetrate beneath more than just beneath my skin. I had no other symptoms at from the first shot. The second shot went fine - 9 hours after shot did get whammed with body pain for a solid six hours and needed to rest for 48 hours but did not feel the concern about it the way I did with the pinches which I thought were unusual.

Other Meds: None

Current Illness: None

ID: 1364606
Sex: F
Age: 58
State: FL

Vax Date: 05/27/2021
Onset Date: 05/30/2021
Rec V Date: 06/01/2021
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Allergies: Steroids

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Symptoms: Left arm has a red rash developed a few days after the vaccination. Red rash is ichy on a scale of 3. I continue to take Claritin as my sinues and allergies have flared up. Arm is a bit swollen from the vaccination and has come down slightly.

Other Meds: Claritin, Rosuvastatin

Current Illness: Allergies, High Blood Pressure, Cholestrol

ID: 1364607
Sex: M
Age: 84
State:

Vax Date: 04/03/2021
Onset Date: 04/27/2021
Rec V Date: 06/01/2021
Hospital: Y

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Symptoms: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. Diagnosis was Acute hypoxemic respiratory failure

Other Meds:

Current Illness:

ID: 1364608
Sex: F
Age: 64
State: TX

Vax Date: 05/23/2021
Onset Date: 05/25/2021
Rec V Date: 06/01/2021
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Allergies: I am allergic to penicillin and sulfur.

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Symptoms: I had a slight fever, the highest was a 100 it didn't last long. The site where I got the vaccine swell up and became very sore.

Other Meds: I take my blood pressure medicine and thyroid medication, and multi women vitamins.

Current Illness: None.

ID: 1364609
Sex: F
Age: 16
State: OH

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 06/01/2021
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Allergies: Latex

Symptom List:

Symptoms: Individual given MOderna Covid Vaccine when should have been given Pfizer Covid Vaccine due to age (16 years old). No adverse affects were noted when family was notified.

Other Meds: Acetaminophen, Methylphenidate ER, Intuniv ER, Ventolin,

Current Illness: none

Total 2021 VAERS Injuries: 679,999

Page last modified: 03 October 2021 5:28pm