VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1371314
Sex: F
Age: 69
State: CO

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

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

Lab Data:

Allergies: allergic to several foods that have additives and preservatives. Tabacco smoke, marijuana, experienced anaphylaxis to allergy shots about 15-20 years ago. Cats, horses, polyester in clothes.

Symptom List: Dysphagia, Epiglottitis

Symptoms: 5 to 10 minutes after this dose, the patient experienced sharp pain in both ears. The pain has occurred again intermittently since then. She is in clinic today for her 2nd dose and 30 minutes post-vaccination she is denying any

Other Meds: phentramine-ADD, hydrocodone-interstitial cystitis, myrbetriq- Benadryl, fluticasone, pro-air-asthma, azelastine-allergies, Qvar. Imitrex-as needed, hydroxyzine.

Current Illness: none

ID: 1371316
Sex: F
Age: 29
State: MD

Vax Date: 05/28/2021
Onset Date: 05/29/2021
Rec V Date: 06/03/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: none

Symptom List: Anxiety, Dyspnoea

Symptoms: pregnant, due date Sept 9, 2021 I developed hives about 24 hours after the 2nd dose. It started in left armpit and spread all over both arms and in the upper thighs near the underwear line. Nothing on torso, back, or lower legs. I called my OB/GYN about 8pm to seek guidance on treatment and was instructed to take benedryl. The hives temporarily went away, and did not fully go away until Monday morning (3 days after the shot). I took benedryl: Saturday 8pm Sunday 8am, 7pm Monday 4am

Other Meds: prenatal vitamin

Current Illness: none

ID: 1371317
Sex: F
Age: 60
State: NJ

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

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

Allergies: Tetanus & Statins

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

Symptoms: None stated.

Other Meds: Lyrica, Advair, Fish oil capsules

Current Illness:

ID: 1371318
Sex: M
Age: 76
State: CA

Vax Date: 02/13/2021
Onset Date: 04/01/2021
Rec V Date: 06/03/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: erythromycine caused hives

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Rheumatoid factor elevated at 45, CRP 122 Patient was in good health, with distant history of Graves Disease until April 5 when he presented to Hospital with complaints of chest pain, worse with sitting up. CAD was ruled out with troponins and he was taken to the cath lab and found to have essentially normal coronary arteries. He was started on colchicine with improvement in chest pain. On April 30th he presented to Hospital with low grade temps, cough and right sided chest/abdominal pain. He was found to have moderate pleural effusion. Because he was on Eliquis, for episode of afib thought related to pericarditis, pleurocentesis was delayed until May 3 when 1.5 L of fluid was removed from his pleural space. He continued on colchicine and 3 days later reported feeling essentially normal. Blood and fluid cultures were negative. Pleural fluid cytology showed predominantly chronic, inflammatory lymphocytes and macrophages/monocytes, reactive mesothelial cells. There was no overt morphologic evidence of malignancy. Patient was feeling well. Dr stopped Eliquis, Cochicine and patient did well until May 17 when he again reported aches, chills and pleuritic chest pain. Pleural effusion recurred and patient restarted cochicine with improvement

Other Meds: Atorvastatin, Metoprolol

Current Illness:

ID: 1371319
Sex: F
Age: 37
State: MN

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 06/03/2021
Hospital: Y

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

Lab Data:

Allergies: None

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

Symptoms: I had an ectopic pregnancy that wasn't diagnosed and eventually ruptured, which resulted in the loss of the pregnancy. I had to have emergency surgery and my left fallopian tube had to be removed.

Other Meds: None

Current Illness: None

ID: 1371320
Sex: F
Age: 50
State: FL

Vax Date: 05/29/2021
Onset Date: 05/29/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: None known

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

Symptoms: After my second dose I sat down for the 15 minutes that they make you wait and my injection site was really really sore and about 10 minutes in I felt total weakness and tiredness and the muscles of my injection arm that was all I felt but then I went grocery shopping and about 30 minutes in I started feeling chills and hot flashes. Went home started having more chills and headache had some wine to see if I could relax and the muscle pain would go away slept really bad my arm was killing me everything was hurting my fingers every joint and bone and muscle was hurting every organ was hurting my head felt like it was going to explode I threw up after I drank water muscle spasms on my lips and other parts of my body, dizziness. This lasted a day and 1/2.

Other Meds: Fluoxetine 20 mg.

Current Illness: None

ID: 1371321
Sex: M
Age: 49
State: AZ

Vax Date: 04/09/2021
Onset Date: 06/02/2021
Rec V Date: 06/03/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: received notification that patient was hospitalized 06/02/2021 at Medical Center with COVID-19 infection and CVA

Other Meds:

Current Illness:

ID: 1371322
Sex: M
Age: 71
State: SC

Vax Date: 03/15/2021
Onset Date: 05/15/2021
Rec V Date: 06/03/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: tape

Symptom List: Pharyngeal swelling

Symptoms: High fever 105 first 4 hours then between 100 To 104 for three days. Headache, sweats, chills, vomiting, dry heaves, body fatigue, no taste or smell, It took five to start felling better after 7 days all was good.

Other Meds: HMD Fluticasone Rx#: 7912813 50mgc as need Jenkins n = night HMD TiZNidine Rx#: 7955331 2mg as needed Vujicic m = morning HMD Pravachol Rx#: 7912815 40mg 1 n Jenkins HMD Hydrochlorot Rx#: 7912811 25mg 1 m Jenkins

Current Illness: none

ID: 1371323
Sex: M
Age: 30
State: CO

Vax Date: 05/07/2021
Onset Date: 05/10/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: blurred/slowed vision, head pressure, ear pressure, sinus pressure, eye pain, ear pain, tinnitus, anxiety

Other Meds: none

Current Illness: none

ID: 1371324
Sex: F
Age: 26
State: TX

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 06/03/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Tree Nuts

Symptom List: Diarrhoea, Nasal congestion

Symptoms: First pregnancy (around 5 weeks pregnant),two day long migraine and fever that was resistant to Tylenol. Was eventually prescribed a nausea medicine to sleep it off.

Other Meds: Celexa 20 MG, Pre-natal vitamin

Current Illness: None

ID: 1371325
Sex: F
Age: 80
State: NH

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: started of with just muscle pain in left arm, as time went on, both arms,shoulders, legs, are all quite painful. they get worse when not moving,move arms hard to stand up, or

Other Meds: simvastin,metoprolol, felodipine, allopurinol, clonodine, pramipexole, benazepril

Current Illness: none

ID: 1371327
Sex: M
Age: 23
State: IL

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

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

Lab Data:

Allergies: none

Symptom List: Rash, Urticaria

Symptoms: Patient was given second dose post 9 days after the first dose.

Other Meds: none reported

Current Illness: none

ID: 1371328
Sex: M
Age: 40
State: WA

Vax Date: 04/05/2021
Onset Date: 04/22/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Large DVT in left leg. Put on blood thinners in the ER. Still undergoing treatment

Other Meds: None

Current Illness: None

ID: 1371329
Sex: M
Age: 37
State: LA

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Vaccine was not stored in freezer properly

Other Meds:

Current Illness:

ID: 1371330
Sex: F
Age: 75
State: FL

Vax Date: 05/17/2021
Onset Date: 05/31/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: itching 1 week after vaccination., then (redness) in site of injection about one inch in surrounding areas.Patient reports no itching or pain but a feeling of warmth and a dull headache. Advised patient to consult with her physician about getting the second dose

Other Meds:

Current Illness:

ID: 1371331
Sex: F
Age: 59
State: IL

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

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

Lab Data:

Allergies: None.

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

Symptoms: The first Moderna shot was received on 05/01/2021. The only symptom after the first shot was soreness at the injection site for a few days. The second shot was received on 06/01/2021. The symptom of soreness at the injection site started later that same night. The next morning a feeling of tiredness increased throughout the day with teeth-chattering chills starting in the early afternoon and a fever that spiked up to 103 degrees at one point. Nausea, loss of appetite, low-grade fever, and extreme lethargy continued. Tylenol, water, crackers, and Jell-O helped provide relief. Today (06/03/2021) there is no more fever. I still feel tired but I no longer feel extremely lethargic.

Other Meds: No prescriptions; two ibuprofen were taken the morning of June 1 for a backache.

Current Illness: None.

ID: 1371332
Sex: F
Age: 67
State: FL

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

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

Lab Data:

Allergies: Denies

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

Symptoms: 67 y/o female with past medical history of Migraines and Hypertension who presents with dizziness post vaccination. Patient states that this is her second dose in the two-dose series. Patient states that she received her vaccination to the right arm. Patient states that with the first vaccination she did experience dizziness, nausea and migraines. Patient denies headache, vision changes, sore throat, difficulty swallowing, difficulty breathing or chest pain. Patient denies feeling nervous or anxious with vaccinations. Patient initial vitals with Hypertension noted, 197/112 BP, 78 HR, 98 % RA, 12 Resp. Patient instructed to lay on cot and water bottle provided. Patient vitals continuously monitored with persistent hypertension present (186/103, 223/118 BP) at this time the NP requested the Paramedics to obtain the BP manually. Patient BP manually taken every 5 minutes x2 with readings as follows, 150/96 and 138/80. Patient states that she is feeling better and dizziness has resolved. Patient placed in sitting position for 5 mins and then instructed to stand for 5 mins. Patient stable on her feet with no dizziness reported. Patient discharged in stable condition and ambulated without difficulty. Patient has a follow up appointment immediately with HCP post vaccination, today.

Other Meds: Topamax Amlodipine Tylenol

Current Illness:

ID: 1371333
Sex: F
Age: 38
State:

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

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Injection was given with Consent forms signed by the long-term care facility where patient resides. Upon reporting vaccination it was discovered that the patient had previously received the Johnson Covid vaccine on March 24, 2021. No adverse reactions have occurred.

Other Meds:

Current Illness:

ID: 1371334
Sex: F
Age: 46
State: CT

Vax Date: 03/29/2021
Onset Date: 03/31/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: None known. Artichokes may cause hives

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 48 hours after vaccine joint swelling and pain in wrist, ankles and feet. Required medical treatment with Prednisone. Ongoing treatment to date (6/3/21).

Other Meds: Was not on any medications when vaccinated. Currently being treated for adverse reaction: initially: Prednisone 10 mgs for 2 weeks, now on 5 mgs 1X per day.

Current Illness: No illnesses

ID: 1371335
Sex: F
Age: 45
State: IN

Vax Date: 04/25/2021
Onset Date: 04/26/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: doxycyclene

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

Symptoms: Chills, fever, severe body aches, sore arm

Other Meds: metformin, dexilant, celexa, bydureon, basaglar, lisinopril

Current Illness: no

ID: 1371336
Sex: F
Age: 53
State: MO

Vax Date: 05/27/2021
Onset Date: 05/27/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: Seasonal allergies to pollens, dust mites, mold. Also, have had adverse reaction Hydrocodone-Acetaminophen.

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

Symptoms: Tongue started swelling with slurred speech, also not feeling well and itching. 6 days later, tongue is still swelling

Other Meds: Synthroid, Vitamin D, Omeprazole

Current Illness: None

ID: 1371337
Sex: F
Age: 52
State: AZ

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

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

Lab Data:

Allergies: penicillin - anaphylaxis

Symptom List: Unevaluable event

Symptoms: Patient 3/16/21, 1430: Personally evaluated the patient and participated in her treatment. Please see his portion of the note for complete HPI, initial assessment and plan. Patient was sent to the emergency department from the Covid vaccination site. Only after receiving the vaccine, patient began having difficulty breathing, urticaria across her chest. She was given 2 doses of IM epinephrine, EMS was called and she was brought to the emergency department. Arrival to the emergency department, she was tachypneic, no longer had a rash but did complain of some tightness in her throat. She then began having nausea and vomiting. She was given an additional dose of epinephrine here and also given Solu-Medrol, Pepcid, Benadryl. Patient was closely monitored. She had initial improvement but then said she was beginning to have tightness in her throat again. On my exam, she is a mild pharyngeal erythema and edema. There was no stridor. She was handling secretions with no difficulty. I ordered racemic epinephrine, albuterol, IV fluids and Zofran. After receiving all her medications her symptoms began to improve. Did not see an indication to intubate the patient at this time. Recommended admission she agrees. Case was discussed with the hospitalist and she will be admitted.

Other Meds: unknown

Current Illness: unknown

Date Died: 06/03/2021

ID: 1371338
Sex: F
Age: 32
State: MA

Vax Date: 04/09/2021
Onset Date: 05/31/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: No drug allergies

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

Symptoms: 32 year old female received vaccines while pregnant with her 3rd child. Pt has asymptomatic Factor V Leiden. She delivered on 5/27/2021 and passed away on 5/31/2021.

Other Meds: Prenatal vitamins

Current Illness: NA

ID: 1371339
Sex: F
Age: 57
State: CA

Vax Date: 04/28/2021
Onset Date: 05/17/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Injection site pain, Pain

Symptoms: Initially, after the first shot, I felt fatigued. Ten days later, I woke to neck and face tremor with shaking in lip on 5/17/2021. Each night since I have have tingling and electrical sensations in neck, mainly on the left but have noticed it on my right a couple of times as well. I woke to a tremor sound in my left ear another night. Face sensations and lip shaking on two additional occasions and the other nights, a tingly, electrical current type tremor. These last only a short moment but it's scary. I have never had any health issues. I also have mild twitching at night in legs and arms. Maybe I am more sensitive and attuned now but I think that is also related to these other symptoms.

Other Meds: Multi-Vitamin

Current Illness: No illnesses

ID: 1371340
Sex: F
Age: 39
State: IL

Vax Date: 04/19/2021
Onset Date: 05/14/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Injection site pain, Menorrhagia

Symptoms: My period used to be quite regular and last 3 days. My period after covid vaccine second shot has been pretty much non-existent. On my first cycle I had no blood. On second, one day of light spotting and that was it.

Other Meds: Clomid

Current Illness: None

ID: 1371341
Sex: F
Age: 30
State: LA

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Vaccine was not stored frozen properly

Other Meds:

Current Illness:

ID: 1371342
Sex: F
Age: 60
State: IL

Vax Date: 05/23/2021
Onset Date: 05/23/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: Adhesive

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Couldn't move left arm in so much pain within 6 hrs of shot. 101 temperature for 4 days. Dr gave steroids. I still have pain when using. Supposed to see specialist. At this point it has been 11 days.

Other Meds: Vitamin d

Current Illness: None

ID: 1371343
Sex: M
Age: 13
State: NJ

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

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

Lab Data:

Allergies: Amoxicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: nausea for through the night and fatigue

Other Meds: None

Current Illness: none

ID: 1371344
Sex: F
Age: 36
State: ID

Vax Date: 04/22/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: Cucumber, Pickles, Relish

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Drop in blood pressure (92/58), nausea, dizziness, tingling in hands and feet, trouble breathing through a mask, lightheaded, unable to sit up. Symptoms were similar to how an adverse reaction to my food allergy starts.

Other Meds: Lunesta, Seroquel, Trazodone, Levothyroxine, Prazosin, Stool Softener

Current Illness: Small reaction to first Pfizer COVID-19 vaccination

ID: 1371345
Sex: M
Age: 55
State: MD

Vax Date: 03/27/2021
Onset Date: 05/09/2021
Rec V Date: 06/03/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List: Nausea

Symptoms: CT of the chest revealed significant bilateral PE with possible heart strain. Was given TPA. Monitoring after receiving after TPA and improved

Other Meds: lithium 300 mg BID, prazosin 1 mg, quetiapine 150 mg, sertraline 100 mg

Current Illness:

ID: 1371346
Sex: F
Age: 54
State: CO

Vax Date: 05/10/2021
Onset Date: 05/31/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: PCN

Symptom List: Injection site pain

Symptoms: Initial sxs after 1st shot: mild arm soreness. Second shot: approx. 6 hrs post: HA, nausea, body aches, chills/fever/fatigue and lethargy. Lasted approx 24 hrs. May 31 PM: developed severe vertigo and nystagmus with nausea/vomiting on 6/1/21. Medications have managed the N/V but dizziness, vertigo and nystagmus persist

Other Meds: BCP, Mg, tumeric, Vit. D and B, multi-vitamin, NSAID

Current Illness: none

ID: 1371347
Sex: F
Age: 48
State: MI

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

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

Lab Data:

Allergies: Latex Sulfa Cefepime

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

Symptoms: Fever Body aches Difficulty breathing Excessive sweating and urination Migraine Lethargic Nausea/vomiting Weight loss

Other Meds: Warfarin Spirinolactone Metoprolol Lasix Levothyroxine Bupropion

Current Illness: None

ID: 1371348
Sex: F
Age: 16
State:

Vax Date: 04/07/2021
Onset Date: 04/22/2021
Rec V Date: 06/03/2021
Hospital: Y

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Allergies:

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

Symptoms: Myocarditis (with chest pain, shortness of breath, dizziness) starting after first dose, worsening after second

Other Meds:

Current Illness:

ID: 1371349
Sex: F
Age: 29
State: MN

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

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Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Itchy

Other Meds: None

Current Illness: None

ID: 1371350
Sex: F
Age: 48
State: GA

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 06/03/2021
Hospital:

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Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Sporadic, lower left side uncontrollable facial twitching for approximately 12 hours

Other Meds: Pristiq, Deplin, Rosuvastatin

Current Illness:

ID: 1371351
Sex: F
Age: 33
State: RI

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 06/03/2021
Hospital:

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Lab Data:

Allergies: No.

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Later the evening of vaccination I had a high fever of a 104.2, chills, cold sweat. I took a Tylenol to bring it down. Two days after the vaccine in my right eye was cloudy and I couldn't see properly. Also, pain at the injection site.

Other Meds: I was taking a prenatal vitamin, vitamin D, melatonin.

Current Illness: No.

ID: 1371352
Sex: F
Age: 22
State: LA

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 06/03/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

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

Symptoms: Vaccine was not stored frozen properly

Other Meds:

Current Illness:

ID: 1371353
Sex: F
Age: 61
State: VA

Vax Date: 01/04/2021
Onset Date: 01/09/2021
Rec V Date: 06/03/2021
Hospital: Y

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Lab Data:

Allergies: imitrex sulfa amoxicillin erythromycin augmentin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Joint pain and rash starting within week after vaccine administered. Pericarditis diagnosis on 5/7/2021. Was hospitilized. Rheumatoid Arthritis probable with elevated RA factor, positive ANA, and High ANA titer. Awaiting other autoimmune test results to verify diagnosis.

Other Meds: zoloft pepcid as needed

Current Illness:

Date Died: 05/03/2021

ID: 1371354
Sex: M
Age: 52
State: MI

Vax Date: 04/15/2021
Onset Date: 04/26/2021
Rec V Date: 06/03/2021
Hospital:

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Lab Data:

Allergies: N/A

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Patient developed dizziness, chills, fever, body ache, sore throat, difficulty breathing, and stopped eating beginning April 26, The adverse effect is the belief that a breakthrough case of Covid-19 will be less severe if you had the shots. A false sense of security.

Other Meds: Unknown

Current Illness: None

ID: 1371355
Sex: M
Age: 33
State: FL

Vax Date: 05/28/2021
Onset Date: 05/31/2021
Rec V Date: 06/03/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies: None

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

Symptoms: Woke up to chest pain 3.5 days after 2nd dose. Went to ER where elevated Troponin levels were found from bloodwork. Sent to another hospital in ambulance where I was put on a Heparin drip. After multiple tests (EKG, echocardiogram, CT scan) cardiologist diagnosed Myocarditis. Released from hospital after 2 days once they determined that the heart was healthy aside from the inflammation.

Other Meds: None

Current Illness: None

ID: 1371356
Sex: F
Age: 0
State: MO

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 06/03/2021
Hospital:

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Lab Data:

Allergies: NKA

Symptom List: Pain in extremity

Symptoms: Pt. is 4 months old and had Kinrix administered instead of Pediarix. No adverse s/s noted at this time.

Other Meds: None

Current Illness: N/A

ID: 1371357
Sex: F
Age: 44
State: VA

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 06/03/2021
Hospital:

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Lab Data:

Allergies: Anaphylaxis to PCN's. Reactions to Reglan through an IV: increased heart rate, jitters, uncontrollable muscle spasms, talking out of my head, rocking back and forth etc.

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

Symptoms: within 3 hours started a fever and chills. By 12 hours later fever even with a dose of tylenol remained at 103. Next day fever and chills but also included muscles aches. Within 24 hours could not bring fever down below 103+ (even with tylenol and motrin, double dose of each at the same time) and started uncontrollable muscle jerks/spasms. Continued high fever for 4 days along with muscle spasms for 48 hours. Fever broke 4 days later but was left with a sore throat, no taste, no appetite and nausea and diarrhea. 6 days later nausea, diarrhea, and sore throat subsided and left with inability to taste normally. Tastebuds went back to normal around two weeks after vaccine. The severity of the fever and muscle jerks was the main concern.

Other Meds: None

Current Illness: None

ID: 1371358
Sex: M
Age: 29
State: CA

Vax Date: 05/03/2021
Onset Date: 05/10/2021
Rec V Date: 06/03/2021
Hospital:

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Allergies:

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

Symptoms: Constant muscle spasms throughout my body, especially at night. What started as painless muscle spasms that mostly effected my sleeping is beginning to turn into painful muscle cramping. I?ve also had lingering chest pain that comes and goes and radiates into my arm and back. Enough to take me to the emergency room. I am otherwise a completely healthy person and have not had issues like this until after the vaccine.

Other Meds:

Current Illness:

ID: 1371359
Sex: M
Age: 26
State: CA

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

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Allergies: None

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

Symptoms: Fever, Headache, Shivering, and muscle pain

Other Meds: None

Current Illness: None

ID: 1371360
Sex: M
Age: 44
State: IN

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

Vax Type:
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Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Fever, chills, body aches, headache, fatigue, sweating.

Other Meds: Celexa, omeperazole

Current Illness:

ID: 1371361
Sex: F
Age: 59
State: MD

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

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Lab Data:

Allergies: EPINEPHRINE HYDROMORPHONE

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: PT STARTED TO FEEL DIZZY, WHEN LAID BACK SHE STARTED TO HAVE SEIZURE LIKE ACTIVITY. LEGS AND ARMS SCHAKING, VERY STIFF, GARGLING NOISE FROM MOUTH, SWEATY, PALE, AND WASNT RESPONSIVE. 911 WAS CALLED AND DR. CAME IN ROOM TO ASSIST UNTIL EMS ARRIVED. SEIZURE LIKE ACTIVITY LASTED AROUND A MINUTE AND A HALF. ONCE PT CAME TO SHE WAS STILL UNABLE TO RESPOND TO ME FOR ANOTHER MINUTE AND THEN WHEN SHE COULD RESPOND SHE DIDNT HAVE ANY RECOLECTION OF WHAT HAD HAPPENED. PTS VITALS WERE MONITORED AND GLUCOSE WAS ALSO CHECKED, ALL WERE NORMAL. EMS ARRIVED AND TRANSPORTED PT TO NEAREST ER.

Other Meds: XANEX 0.25 ATORVASTATIN 20MG IBUPROFEN 600MG LEVOCETRIZINE 5MG LEVOTHYROXINE 25MCG LEXAPRO 5MG

Current Illness: NONE

ID: 1371362
Sex: F
Age: 37
State: LA

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 06/03/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

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

Symptoms: Vaccine was not stored frozen properly

Other Meds:

Current Illness:

ID: 1371363
Sex: M
Age: 59
State:

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 06/03/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Constant pain in shoulder since second vaccine inj

Other Meds:

Current Illness:

ID: 1371364
Sex: F
Age: 53
State: DC

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Patient administered Moderna, as third dose. Patient denies ever receiving any covid-19 vaccine, however, two doses documented in state registry from . RN called to confirm vaccine administration. No adverse reaction noted during the 15 min post vaccination observation period.

Other Meds:

Current Illness:

ID: 1371365
Sex: M
Age: 16
State:

Vax Date: 04/24/2021
Onset Date: 05/27/2021
Rec V Date: 06/03/2021
Hospital: Y

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

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

Symptoms: Spontaneous pneumothorax 5/27/21 in a young healthy athlete with no preexisting conditions Pfizer vaccine 4/24/21 & 5/15/21

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am