VAERS 2021 Database www.vaers.hhs.gov

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

Total Manufacturer

Incidents per State

State Total
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1381821
Sex: M
Age: 17
State: TX

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccine product that was past the 6 hours in the syringe in the fridge was inadvertently mixed up with newly reconstituted and drawn up syringe. Patient may have received product that was > 6 hours in the syringe after reconstitution. We contacted Pfizer, the CDC, and our Pharmacy vaccine experts. It was determined that microbial contamination was primary concern and no need to revaccinate. Patient was advised to watch for signs of infection, i.e. fever, redness or swelling at site and general illness. This patient reported no symptoms at time of consultation and was advised to follow up if any new symptoms occur.

Other Meds:

Current Illness:

ID: 1381822
Sex: M
Age: 28
State: CA

Vax Date: 04/08/2021
Onset Date: 05/01/2021
Rec V Date: 06/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient developed parosmia approximately 2 weeks after first COVID vaccine. Foods taste like "poop", now noting metallic taste to certain foods. Has persisted beyond 2nd Pfizer COVID vaccine administered 5/6/2021. As of 5/26/2021, symptoms have improved but not resolved

Other Meds: Albuterol HFA as needed

Current Illness: None that I am aware of but had COVID infection with loss of taste and smell diagnosed with positive COVID test 1/29/21

ID: 1381823
Sex: F
Age: 40
State: TX

Vax Date: 04/28/2021
Onset Date: 05/12/2021
Rec V Date: 06/08/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: From patient: Two weeks after the vaccine I started having pain in my left arm. The pain is severe pain that keeps me from being able to move my arm. The pain is still current

Other Meds: Allegra 180mg Montelukast 10mg Lasix 20mg

Current Illness: Fluids in ear

ID: 1381824
Sex: F
Age: 21
State: IA

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: no

Symptom List:

Symptoms: Patient undiluted dose of Pfzier vaccine. The 6 dose vial was not diluted, and the full contects of the undiluted dose was administered IM in her right deltoid. No adverse reaction experienced immediately following administration. Follow up report from patient today (6/4/21) at noon and at 7:28 Pm is that she feels fine and is not experiencing any adverse reaction.

Other Meds: unkown

Current Illness: unkown

ID: 1381825
Sex: F
Age: 53
State: MI

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

Vax Type:
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Lab Data:

Allergies: Adhesive, Penicillin, topiramate, quinine, pregabalin, ibuprofen, aspirin

Symptom List:

Symptoms: No adverse event at this time. Due to the medical failure to check both the patients immunization record and the vaccine registry, the patient received two different manufacturer mRNA vaccines. Monderna on 03/23/21 and Pfizer on 06/08/21. The patient did no-show two appointments for the second Monderna vaccine on both 04/23/21 and 05/21/21.

Other Meds: omeprazole 40 mg, 1 BID; multivitamin, 1 QD; Voltaren 1% topical gel, AAA TID; Benadryl 25 mg 1 Q4-6 hr prn; Tylenol 500 mg 1-2 Q6 hr prn; Singulair 10 mg 1 QD; amitriptyline 50 mg 1-2 QHS; gabapentin 600 mg 2 in AM, 1 at noon, 2 in

Current Illness:

ID: 1381826
Sex: M
Age: 22
State: CT

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

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Lab Data:

Allergies: none

Symptom List:

Symptoms: Recipient received the second dose of Moderna early, second dose given at 18 days from first dose. Spoke with Moderna and there is no further action to take, third dose at another interval not required, advised watch for side effects.

Other Meds: none

Current Illness: none

ID: 1381827
Sex: M
Age: 15
State: IN

Vax Date: 06/04/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Pounding heart, 168-179 bpm for approx 15 minutes, at rest. Light headed feeling.

Other Meds: Fluoxetine, l-methyl folate

Current Illness: None

ID: 1381828
Sex: M
Age: 64
State: MA

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 06/08/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Within 24 hours, my right foot swelled, especially the middle of the sole, but also the toes and top of the foot. After a two-week delay due to a misdiagnosis by my PCP, I was seen at an urgent care center. An ultrasound of the right leg discovered a blood clot. I was placed on Eliquis 10 mg twice a day for the next 7 days followed by 5 mg twice a day. After 7 days, the swelling was reduced by 90%. The swelling has remained at that level since then. I changed my PCP on May 21 and was cleared for most activities. She advised me to continues with the Eliquis for three months from May 3, with no need for further testing.

Other Meds: Citalopram Psyllium fiber

Current Illness: None

ID: 1381829
Sex: M
Age: 38
State: CA

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

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Lab Data:

Allergies: none

Symptom List:

Symptoms: On 6/8/21, patient received Johnson & Johnson vaccine. He sat for 5 minutes in the consultation room waiting for friend to get vaccinated. When he and his friend walked out of the room, patient stated that he was going to pass out. She thought he was joking, and then he collapsed and hit his head against the corner of the pharmacy counter. He was then conscious and was aware of his surroundings, but he was injured from the impact, and bled. Paramedics arrived, wrapped his head and released him. He and a friend will go to the ER for follow-up, and he was able to walk out without assistance.

Other Meds: none

Current Illness: none

ID: 1381831
Sex: M
Age: 16
State: CA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 06/08/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: 16 year old was given 2 doses of Moderna Vaccine. First on 4/20/21 and the second on 5/18/21. No reaction reported or noted.

Other Meds:

Current Illness:

ID: 1381832
Sex: M
Age: 13
State: TX

Vax Date: 05/14/2021
Onset Date: 05/20/2021
Rec V Date: 06/08/2021
Hospital:

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Lab Data:

Allergies: No Known allergies

Symptom List:

Symptoms: On 05-20-21 We received a text message from the pts mother stating that the pt was experiencing drooping of the face , pain in jaw all on left side and dizziness.

Other Meds: unknown

Current Illness: None listed with vaccine checklist

ID: 1381833
Sex: M
Age: 12
State: PA

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

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Lab Data:

Allergies: None reported

Symptom List:

Symptoms: PT felt dizzy and lightheaded after injection. transported to healthcare facility with father. vitals monitored. 1652 LYING - BP: 91/64, HR: 71, O2: 98 1659 LYING - BP: 93/68, HR: 80, O2: 97 1701 LYING - BP 101/71, 76, O2: 98 1706 STANDING - BP: 111/81, HR: 79, O2: 99

Other Meds: None reported

Current Illness: None reported

ID: 1381835
Sex: F
Age: 62
State: IN

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 06/08/2021
Hospital:

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Lab Data:

Allergies: (Biaxin), (Augmentin), Dilaudid, Nitrofurantoin, Lyrica Dairy and Gluten Contrast dye

Symptom List:

Symptoms: PAIN BASE OF HEAD BACK OF LEFT EAR. LEFT EAR FELT LIKE IT WAS FULL OF WATER. TOOK TYLENOL 500 MG 2-3Xs DAILY FOR PAIN. ON FOURTH DAY WENT TO DR.'s OFFICE. NURSE PRACTITIONER SAID THAT MY LYMPH NODES WERE SWOLLEN IN NECK, THERE WAS ALSO YELLOW , PUSS LIKE SUBSTANCE IN LEFT EAR. SHE PRESCRIBED: AMOXICILLIN 875 MG 2X DAILY FOR 5 DAYS and PREDNISONE 60MG 1X DAILY FOR 3 DAYS PAIN HAS SUBSIDED, FULLNESS IN EAR IS STILL THERE, MY BALANCE IS SOMETIMES OFF

Other Meds: Lisinopril 20mg B complex 100mg, K2 100mcg, D3 5000 IU, Ester C 1000mg

Current Illness: No illnesses

ID: 1381836
Sex: F
Age: 28
State: TX

Vax Date: 05/19/2021
Onset Date: 05/28/2021
Rec V Date: 06/08/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: I was 16 weeks along when I found out I had a miscarriage. The doctors said the baby stopped growing at 15 weeks. The clinic measured the baby stopping growing at 14 weeks, right after my second dose. I?ve had 3 vaginal on time healthy deliveries. No previous pregnancy issues. This was definitely unusual.

Other Meds: Prenatal

Current Illness: None

ID: 1381837
Sex: M
Age: 15
State: KS

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

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Lab Data:

Allergies: No Known Allergies

Symptom List:

Symptoms: Pt had walked to the lobby from the vaccination room and was sitting in a chair with his mask on. Five minutes after his injection with the COVID-19 vaccine he felt hot, nauseated, vomited a small amount of yellow emesis twice and became pale. He continued to sit up in the chair and a cool cloth was placed on the back on his neck and a fan was turned on. He was alert throughout. His BP was checked 4 minutes after the event and read 92/60 with a pulse of 74. He denied feeling lightheaded. He sat in the lobby with father by side and health department nurses monitoring him for 30 minutes. After the 30 minutes pt gets up out of chair without difficulty and ambulates around the lobby with steady gait and denies lightheadedness, nausea/vomiting or shortness of breath. Leaves accompanied by father. Encouraged to push fluid, stay out of the heat today and to take it easy the rest of the day. Checked on pt by phone through the father and he related that pt was feeling much better, denies symptoms.

Other Meds: None

Current Illness: No

ID: 1381838
Sex: F
Age: 62
State: WA

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 06/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: n/a

Symptom List:

Symptoms: headache 10 min after injection-tired and heavy chest within 2 hrs of injection-unable to sit up due to lack of energy-slept through the night-next day I was dizzy, and exhausted with difficulty in breathing-chills and fever-all my joints ached-slept all day and night-third day was able to walk around the block-still sluggish-no chills or fever or aching on third day-fourth day after vaccination (vaccine admin on Monday @ 1:15-Friday morning back to normal) 100% back to normal

Other Meds: n/a

Current Illness: n/a

ID: 1381839
Sex: F
Age: 35
State: PA

Vax Date: 05/27/2021
Onset Date: 05/29/2021
Rec V Date: 06/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Two days after vaccine: Redness on Arm (Covid Arm) Lasted May29-30 1st week of June I had a swollen neck, felt when I swallowed Currently (week of June 6 two weeks after vaccine), I have blurred vision, dizzyness, nausea, and diarrhea.

Other Meds: MaryRuth Multivitamin Acetaminophen

Current Illness: None

ID: 1381840
Sex: F
Age: 65
State: SC

Vax Date: 06/03/2021
Onset Date: 06/05/2021
Rec V Date: 06/08/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: patient says dizzy/headache the first few days, but then arm swelling started. at first just a hive that she put ice on and it helped. now its an itchy rash that has spread down to elbow. and it's 5 days after shot given

Other Meds:

Current Illness:

ID: 1381841
Sex: F
Age: 65
State: CA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 06/08/2021
Hospital:

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

Allergies: ibuprofen.

Symptom List:

Symptoms: I experienced menstrual like cramps and minor lower back aches. Later during the day the cramps started to calm down, At nighttime I experienced flu like symptoms, I started to feel a sore throat that was by my tonsils. I also had aches under my eyes The next day I still had a sore throat and I also experienced earaches. A couple days later the eye aching got worse. I also started to have sharp pains in my stomach. I also wasn't able to eat anything , when I did eat one snack I felt very stuffed. I experienced a minor headache. At night a couple days later I still had experienced some more stomach aches that became very painful. When I start going to the bathroom I saw some blood. Couple weeks later I felt a little bit better , I by chance pushed on my lower stomach area close by my pelvis and it felt very sore. After all this I felt better and gained my energy back. Then that's when I felt the stomach pains by my kidney again and the menstrual like cramps. Not until May did all of my cramps and pains come to a stop.

Other Meds: None.

Current Illness: None.

ID: 1381842
Sex: F
Age: 40
State: VA

Vax Date: 06/02/2021
Onset Date: 06/07/2021
Rec V Date: 06/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: 3:30 am that night I got shaking fever/chills. I expected that but about 5 days after the shot the inside of my mouth was in a lot of pain. A fever blister formed on my lower lip (left) and the inside of my mouth felt raw. It has been going on 2 days now- it?s hard to eat and hurts to talk. My gums are sore and I can feel raw spots on the roof of my mouth-like blisters.

Other Meds: Zoloft, tolterodine

Current Illness: None

ID: 1381843
Sex: M
Age: 24
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: PATIENT FAINTED AFTER RECEIVING FIRST COVID DOSE

Other Meds:

Current Illness:

ID: 1381844
Sex: F
Age: 33
State: NJ

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: No known drug allergies

Symptom List:

Symptoms: Patient developed a fever, body aches, chills, palpitations, dizziness and fatigue that lasted for 10 days past the second dose of the moderna vaccine Three days before being seen at Medical Center for her long lasting vaccine side effects, patient states that she took 50mg of benadryl twice a day to see if it would help with her body aches and palpitations. This probably made her symptoms worse with the increased sedation from the benadryl. Blood work and Ekg were done. EKG was read as normal. Her cbc showed an elevated WBC and platelet count. Her chemistry panel was unremarkable. She was told to stop taking benadryl, increase fluid intake and monitor her temperature. The patient was seen in followup and felt better with resolution of her symptoms. CBC was repeated twice and the last one done on June 7th showed that the wbc was normal and her platelets were coming down (only slightly above normal). Patient has fully recovered.

Other Meds: None

Current Illness: Denies

ID: 1381845
Sex: F
Age: 36
State: AR

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 06/08/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: Starting on the day of the vaccine, I went back to work and was fine. I noticed I started to feel extremely fatigue and exhausted. My arm became itchy at injection site. It turned red and swelling. The swelling did not go down. I called the pharmacy and was advised to take Benadryl and put some cortisone cream. It still did not go away. I called my PCP who advised me to draw the area and monitor if it gets bigger. It became red, swollen, and more itchy. I went to the ER I did a steroid shot and Triamcinolone cream to apply topically. The itch went away and swelling did go down after a few days but the redness still remained. I followed up with my PCP a week and 1/2 later and noticed the area of the vaccine injection site started to turn very dark. My PCP referred me to a dermatologist. He advised the color will go away over time and give it time. He prescribed Betamethasone cream to treat the discoloration. The discoloration went away after 3 months.

Other Meds: Birth control

Current Illness: none

ID: 1381846
Sex: M
Age: 16
State: FL

Vax Date: 06/04/2021
Onset Date: 06/07/2021
Rec V Date: 06/08/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Admitted with chest pain on 6/7/2021. EKG showed Pericarditis. Troponin peaked at 33. Patient discharge on NSAIDs with follow up in cardiology clinic in 2 weeks.

Other Meds: None

Current Illness: No symptoms prior to vaccination

ID: 1381847
Sex: F
Age: 68
State: AZ

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 06/08/2021
Hospital:

Vax Type:
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Vax Route:
Vax Site:

Lab Data:

Allergies: Sulfa drugs IV Contrast Dye Seasonal Allergies

Symptom List:

Symptoms: After 7 days after my 2nd dose I started to have arithma and papulations. I did not think anything of it for the first few days. I waited a few days and it happened again. I contacted my physician and they gave my a monitor to wear, they diagnosed it as atrial fibrillation. The doctor wanted to monitor it long term. I currently have a loop recorder in which they download the data everyday. I have not have any atrial fibrillation since there. I did not have any shortness of breath or I did not faint. They are going to repeat my EKG in a few months to make sure it doesn't show anything else.

Other Meds: Carvedilol 6.25mg 2xday Irbessartan 150mg 2xday Acetaminophen

Current Illness:

ID: 1381848
Sex: M
Age: 54
State: NJ

Vax Date: 04/14/2021
Onset Date: 05/05/2021
Rec V Date: 06/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: I got Shingles, I still have some. I was given an anti-viral medicine

Other Meds: Blood Pressure Medicine

Current Illness: none

ID: 1381849
Sex: F
Age: 38
State: MI

Vax Date: 03/29/2021
Onset Date: 04/29/2021
Rec V Date: 06/08/2021
Hospital: Y

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

Lab Data:

Allergies: Adhesives, Aspirin, Demerol, Hydrocodone, Morphine, Omeprazole, Relafen, and Sulfa Medications, Alcohol.

Symptom List:

Symptoms: My arm got very hot and painful to the touch for about 3 days after the vaccine. On 04/29 I woke up at 2 AM and I had trouble walking and I was very dizzy. I sat down and it felt I was having a stroke, I lost control of the left side of my body. My husband called an ambulance and it got to the point where I was having trouble speaking. I started repeating words and unable to stop. I went to the ER 04/29/2021 and they did a number of tests that determined it was not a stroke and I was admitted into the hospital. Initially I had no control of L or R legs and my muscles started spasming in both legs. I was not able to move legs at all. The Doctors would lift my legs and they would just fall. Approximately 8 AM on April 29 I started being able to walk short distances with assistance. I worked with a Physical therapist about 9:30 am and was able to climb 3 steps very slowly leading with my left foot, and not being able to lift my right foot. I slowly started regained control of L arm by 7 AM on April 29.. The weakness on the right side remained until 06/01/2021 when I finally regained full strength back in R leg. I did PT for 4 weeks 2x a week leading up to finally having full control again. I've had issues with tremors in all four extremities pretty consistently since April 29. I do still have the tremors.

Other Meds: Warfarin, Allegra, Vitamin D, Bupropion XL, sertraline, potassium, Doxycycline, Hydrochlorothiazide Maxide, 10 mg cannabis.

Current Illness: None.

ID: 1381850
Sex: M
Age: 24
State: PA

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

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

Lab Data:

Allergies: None reported

Symptom List:

Symptoms: PT felt hot and sweaty with dimming vision after injection. brought to Med obs 1 via wc. PT reports not eating anything prior to vaccination. vitals monitored 1655 LYING - BP: 116/76, HR: 79, O2: 100 1705 LYING - BP: 116/80, HR: 84, O2: 100 1710 Standing - BP: 113/74, HR: 83, O2: 98

Other Meds: None reported

Current Illness: None reported

ID: 1381851
Sex: M
Age: 40
State: WI

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

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Vision loss, hearing loss, muscle control loss and fell over. Thought I was dying. Feel better now after breathing and trying to call myself down as it panicked me. Cuts and scrapes on hand and knee and elbow from falling. Scary as luckily I made it home driving ok.

Other Meds: Tylenol 1 pill 500mg

Current Illness: None

ID: 1381852
Sex: M
Age: 54
State: MD

Vax Date: 04/07/2021
Onset Date: 04/28/2021
Rec V Date: 06/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reported a 3 inch diameter bald spot on the back of his head which started to form about 3 weeks after his second Moderna vaccine.

Other Meds:

Current Illness:

ID: 1381853
Sex: F
Age: 39
State: NC

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
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Allergies: n/a

Symptom List:

Symptoms: Patient received first shot of Pfizer vaccine. About 5 minutes after receiving pt notified us she was feeling light headed. Pt then lost concious. Called 911, they evaluated pt and left on her own.

Other Meds: n/a

Current Illness: n/a

ID: 1381854
Sex: M
Age: 38
State: NY

Vax Date: 04/05/2021
Onset Date: 06/04/2021
Rec V Date: 06/08/2021
Hospital: Y

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Allergies: none

Symptom List:

Symptoms: Chest pain, SOB, DOE Pt presented to hospital - transferred to university hospital - underwent LHC which was clean - Troponin rose to 2.23 - ESR, CRP elevated - active chest pain, EKG w/ diffuse ST elevation - myopericarditis - Cardiac MRI - colchicine/ibuprophen - developed NSVT, required beta blockade

Other Meds: none

Current Illness: none

ID: 1381855
Sex: M
Age: 57
State: MT

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 06/08/2021
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Lab Data:

Allergies: Sulfa Drugs Azithromax

Symptom List:

Symptoms: Chest pain/tightness Neck pain Headache Shortness of Breath

Other Meds: Protonix Lisinopril Ziac Effexor Tramadol Oxycodone Amytriptyline

Current Illness: Unknown

ID: 1381856
Sex: F
Age: 47
State:

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 06/08/2021
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Symptoms: No menstruation.

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Current Illness:

ID: 1381857
Sex: M
Age: 14
State: OH

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
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Allergies: NKDA

Symptom List:

Symptoms: Patient was seated post-vaccination and fainted while in his chair. He recovered within seconds and was lucid shortly after. No difficulty breathing or apparent allergic reaction

Other Meds: None

Current Illness: None

ID: 1381858
Sex: F
Age: 55
State: CA

Vax Date: 04/08/2021
Onset Date: 06/03/2021
Rec V Date: 06/08/2021
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Lab Data:

Allergies: Penicillin and Sulfa drugs

Symptom List:

Symptoms: shingles outbreak - relatively minor

Other Meds: supplements: iron, B12, calcium for allergies: Flonase and Allegra

Current Illness: none

ID: 1381859
Sex: F
Age: 49
State: MA

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 06/08/2021
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Lab Data:

Allergies: lisinopril suspect an allergy but not confirmed

Symptom List:

Symptoms: on 01/23/2021, after the vaccination, it began swelling, itching, warm to touch, red around 2 in by 6 ins around the injection site. I went to see my doctor on the 25th because it wasn't getting better and it looked like cellulitis. Virtual visit and the doctor said it looks like cellulitis and prescribed keflex, an antibiotic by mouth 3 x day 500 mg. It subsided the next day after taking the antibiotics. I saw on News they called it COVID arm, the same symptoms I had . I received the Moderna Dose 2 (Lot #06L20L) instead of day 7, I had the same symptoms on day 2 and I did not take the antibiotics and it went away around 7 days later on its own.

Other Meds: amlodipine 5 mg 1xday fish oil 1xday and vitamin D 1xday

Current Illness: no

ID: 1381860
Sex: F
Age: 41
State: CA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 06/08/2021
Hospital: Y

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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Quick onset of flu like symptoms, progressed to altered mental state, unable to close her eyes. Unable to eat or drink. Her face was frozen with her open eyes fixed to the top of her head, jaw dropped. Unresponsive, unable to verbalize. I have cared for her over 15 years and have never seen anything like this . ER visit.

Other Meds: Tegretol Phenobarbital Clonozepam Diazepam Soma

Current Illness: Epilepsy

ID: 1381861
Sex: M
Age: 51
State: CA

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/08/2021
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Lab Data:

Allergies: Lisinopril

Symptom List:

Symptoms: First became very tired. Then shivering, sweating, fever (101 degrees), injection site pain and a very upset stomach (dry heaves). I couldn't sleep, haven't felt that bad in a long time. My stomach is still bothering me days later.

Other Meds: Metoprolol, Pantoprazole, Finasteride

Current Illness:

ID: 1381862
Sex: M
Age: 24
State: MI

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 06/08/2021
Hospital: Y

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Acute myopericarditis

Other Meds: Adderall

Current Illness: None

ID: 1381863
Sex: F
Age: 1
State: MT

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
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Allergies: NKDA

Symptom List:

Symptoms: Reviewed state immunization registry prior to client's appointment. Based on record, client due for 4th Dtap immunization. Client met age and interval for 4th dose. 4th Dtap given. While updating clients personal immunization card, noted 4 doses already documented. Upon further investigation, client had already received 4 Dtap immunizations, one historical dose had been missed and not been transcribed into state registry at a prior visit, thus inadvertently administering an extra Dtap.

Other Meds: N/A

Current Illness: None reported

ID: 1381864
Sex: M
Age: 34
State: CA

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
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Symptom List:

Symptoms: Patient got dizzy, and cloudy vision after the vaccine dose

Other Meds:

Current Illness:

ID: 1381865
Sex: M
Age: 12
State: OH

Vax Date: 06/07/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
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Allergies: none

Symptom List:

Symptoms: Rash on whole body. Red, fine raised itchy rash on face, chest, back, arms Small amount in groin and on legs Face sl swollen

Other Meds: Dexmethylphenidate Zyrtec

Current Illness: Allergies

ID: 1381866
Sex: M
Age: 59
State: CA

Vax Date: 04/10/2021
Onset Date: 04/14/2021
Rec V Date: 06/08/2021
Hospital: Y

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Symptoms: PT had the J & J Covid shot on April 10. four days later he started having symptoms of dyspnea. pleuritic chest pains and headaches. HE NEVER had these symptoms before. He wanted to tough it out to see if he would improve, but this was not happening so he came to the emergency room and saw me on June 1. He was hypoxemic at triage with an 02 sat of 89% on RA. On ABG he had a PaO2 of 50 on RA. I performed CTA of the chest, and venous dopplers of the legs. No PE, no DVT, no pneumona, Had no fever, no elevated WBC and No infectioin,. Pt was admitted. Inpatient work up had normal Coronary arteries, Echocardiogram had an Systolic Ejection Fraction 70 % , Had negative respiratory pannel. No infectious agents identified. High resolution CT scan of the Scan of the chest , Demonstrates ground Glass opacites in the lungs. End Result was pt diagnosed with ATYPICAL pneumona discharged on Levaquin and two liters of oxygen by nasal Cannula

Other Meds:

Current Illness: Hypertension,

ID: 1381867
Sex: F
Age: 39
State: WA

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
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Allergies: eggs and strawberries

Symptom List:

Symptoms: Pt arrived at vaccine site for second Pfizer COVID vaccine. Pt reported experiencing itching after the first vaccination. However, she denied SOB, chest pain, dizziness, and N/V. She reported non-anaphylactic response to egg and strawberry and indicated "that was a long time ago and it doesn't happen any more". I cleared pt for second injection (0.3 mL Pfizer Lot# EP7533) which was administered at 10:28 AM. At 10:36AM I was alerted that she needed assistance. She was in her car, drivers seat, with daughter in the passenger seat. PPR she was experiencing constriction in the throat with difficulty breathing, chest pain and dizziness. Pt was diaphoretic, labored breathing, BP: 110/80, HR: 72 bmp. pulse ox on site was broken. I reclined the seat and elevated legs on the dashboard. I administered 50mg Benadryl IM of left deltoid m. at 10:39 AM. Patient was breathing and able to answer questions. She had no apparent angioedema so I delayed administration of Epi pen to continue observation. At 10:45 AM pt reported resolution of sensation of constriction of the throat however was still experiencing chest tightness and dizziness. Bp: 130/82 HR: 76. Pt continued to have intermittent chest tightness and dizziness. She had a syncopal event lasting approximately 3 seconds at 10:54. She was disoriented and unable to focus. She continued to report having intermittent difficulty focusing, dizziness and chest discomfort. "feeling fuzzy" I gave water and Chewy granola po at 11:02. I called EMS as I felt she needed to be monitored for some time and we are not set up for this at the vaccine site. Due to her inattention I was not certain that this was psychosomatic. Arrived shortly thereafter. Evaluated patient and gave her the option of going home with daughter monitoring her or going to hospital. I confirmed daughter felt comfortable with this and new what s/s to be aware of. Pt's daughter drove her home.

Other Meds: unknown

Current Illness: unknown

ID: 1381868
Sex: M
Age: 47
State: CA

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
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Symptoms: patient was given the 2nd Moderna vaccine at 21 days from the 1st vaccine

Other Meds:

Current Illness:

ID: 1381869
Sex: F
Age: 63
State: CO

Vax Date: 03/07/2021
Onset Date: 03/21/2021
Rec V Date: 06/08/2021
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Lab Data:

Allergies: Sulfa; sesame seeds and coffee; clams and oysters

Symptom List:

Symptoms: On the 21st, my rib muscles on left side - spasms - hard to breathe or take a deep breath. About month ago left foot and left hand - was start to numbness - moving up my calf a little bit - doctor thought it was a nerve impeachment. About two weeks ago, Breathing with rib muscles are starting to be better - it's not gone however. The last couple of days, I have had a little numbness in my right foot and then it went away.

Other Meds: Key ones: Thyroid medicine - Armour; Telmisarten- 80mg blood pressure; Incruz - Inhaler; SIngulair;Flonase - nasal spray; Multivitamin; Calciuim; magnesium; Vit D; Vit C

Current Illness: no

ID: 1381870
Sex: M
Age: 12
State: IL

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
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Symptoms: Patient stated he was feeling nauseous and had a headache. Patient was given snacks and vitals were taken by EMS. No known allergies. No past medical history. BP: 104/67. Pulse: 95. Os Sat: 98. Patient started feeling better and refused to go to the hospital by EMS.

Other Meds:

Current Illness:

ID: 1381871
Sex: F
Age: 65
State: CA

Vax Date: 03/19/2021
Onset Date: 03/23/2021
Rec V Date: 06/08/2021
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Allergies: Codine

Symptom List:

Symptoms: Started 03-23-2021, throwing up, freezing & hot. Severe night sweats had to change to 4 different beds a night. Clammy, headachs, did not eat for 6 days. Iching red welt on left arm the size of a pear. Very weak, balance issues. No taste and no smell. Telemed call on 04-01-2021. Medication prescribed was Promethazine 25 MG tablets and Flucinolone 0.025% ointment. Per Dr., because of the severe reactions to the first dose of the vaccine, I was advised not to have the second dose. I received a note from the doctor that I should not have the second dose. I am still having some symptoms. I am being treated by businesses like someone who has not been vaccinated. I am being threatened Quarantine.

Other Meds: Vicodin

Current Illness: low back, stomach, right shoulder, stress, thyroid

ID: 1381872
Sex: M
Age: 60
State: CA

Vax Date: 05/14/2021
Onset Date: 05/15/2021
Rec V Date: 06/08/2021
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Lab Data:

Allergies: Gluten

Symptom List:

Symptoms: Tinnitus. No treatments.

Other Meds: 40mg Famotidine daily 10mg cetirizine daily 5mg temazapam daily

Current Illness: None

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm