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: 1382175
Sex: F
Age: 67
State: PA

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 06/08/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient suddenly fainted and fell, striking and lacerating the back of her head on a table leg. The laceration resulted in copious bleeding. After regaining consciousness, patient telephoned for help, and was transported by ambulance to Emergency Dept. After tests verifying no internal bleeding, the laceration was closed with four staples. Patient had no prior history of fainting, nor subsequent fainting. Fainting incident was sudden onset and not preceded by significant episode of faintness. During this day after vaccination, patient also suffered more typical second-dose side effects, including soreness of shoulder, rash, malaise and low-grade fever (100.2?F).

Other Meds: Calcium, Vitamin D, Multi-vitamin Supplment

Current Illness: None

ID: 1382176
Sex: M
Age: 56
State: IL

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 06/08/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List:

Symptoms: My left arm has persistent moderate pain at the injection site, persisting now almost three months after receiving first shot on March 17, 2021

Other Meds: lisinopril, diltiazem, hydrochlorathiazide, doxazosin, simvistatin

Current Illness: none

ID: 1382177
Sex: F
Age: 78
State: CO

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 06/08/2021
Hospital:

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Lab Data:

Allergies: Lisinopril heart medication causes mouth and throat to swell up

Symptom List:

Symptoms: I felt fine after my vaccination until about midnight. I felt weak, and generally sick - horrible. I felt like I had a fever and I felt like my heart was still thumping too hard. I felt nauseas and generally all over sick as a dog, weak as a kitten. And I was afraid as well, because it was midnight and I live alone. I thought about going to the ER due to my condition. I took my BP and it was 120/68 which is normal. I took my temperature and it was 96.7 and then I did my blood oxygen and it was 96 with a heart rate of 66 so all of my little at home tests were normal. I was no longer afraid. I took two baby aspirin and I drank a lot of water and I went to sleep. I did not feel good in the morning but due to my vitals being okay, I began to stop worrying. Around noon the day after my vaccine, I felt OK. I contacted my DR the next day and they called me back and I was fine at that point so said nevermind.

Other Meds: Spironolactone, Metoprolol, Lorazepam, Vitamin D3, Vitamin C, Albuterol as needed for COPD

Current Illness: No

ID: 1382178
Sex: M
Age: 16
State: TX

Vax Date: 05/16/2021
Onset Date: 05/24/2021
Rec V Date: 06/08/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Throat pain, difficulty swallowing, bacterial infection, Uvula swelling.

Other Meds: Prozac Nortriptyline Deplin

Current Illness: None

ID: 1382179
Sex: F
Age: 51
State: TX

Vax Date: 04/02/2021
Onset Date: 04/10/2021
Rec V Date: 06/08/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: I developed a fungus in my mouth similar to thrush. I've never had that before. Also on my eyelid I have developed an itchy burning rash.

Other Meds: Effexor 150 mg per day and Gabapentin 400mg per night

Current Illness:

ID: 1382180
Sex: M
Age: 58
State: TX

Vax Date: 04/22/2021
Onset Date: 04/01/2021
Rec V Date: 06/08/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Headaches

Other Meds: Lisinopril

Current Illness: None

ID: 1382181
Sex: M
Age: 24
State: MN

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

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Lab Data:

Allergies: Denies allergies

Symptom List:

Symptoms: Reports began to experience pain in left arm approx. 2 hours after receiving the tetanus immunization. States later in the day 6/6/21 began to have a line of swelling from his immunization site to his elbow/ac area that was reddened and hard and cold to touch. Denies increased warmth. States pain continues and includes numbness, tingling and shooting pains in left arm. Reports that due to swelling and pain is unable to lift or extend left arm. Denies any other symptoms including any breathing problems.

Other Meds: Ibuprofen prn for aches and pains

Current Illness: Denies

ID: 1382182
Sex: M
Age: 31
State: TX

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

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Lab Data:

Allergies: NONE REPORTED

Symptom List:

Symptoms: 3:17 PM-DIZZNESS AND NAUSEA AFER GETTING VACCINE. PATIENT WAS GIVEN WATER AND GATORADE. BP:120/72 PR:65

Other Meds: NONE REPORTED

Current Illness: NONE REPORTED

ID: 1382183
Sex: M
Age: 36
State: PA

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

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Lab Data:

Allergies: no

Symptom List:

Symptoms: Later that eveing around 10pm I developed muscle pains and chills. A headache came about 2 hrs after and a little later I developed a fever and the headache went from light to mild. Throughout the night I could not sleep because the headache had gotten so severe and I had uncontrollable chills and shakes and a fever. 3/6 I did start around the clock Tylenol which did reduce the fever and make the headache less as intense but for about 2 days the headache so bad with pressure associated it felt as if my eyes were going to bulge out of my head. By day 3 I woke up feeling better but was in a fog which lasted the remainer of that day and by day 4 all symptoms had subsided

Other Meds: Vit D, Zinc and Vit C

Current Illness: no

ID: 1382184
Sex: F
Age: 27
State: NY

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

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Lab Data:

Allergies:

Symptom List:

Symptoms: Woke up the morning after my shot with a huge migraine, probably the worst one I've ever had. I was vomiting all day , dripping in sweat, exhausted, and didn't start feeling better until the next afternoon.

Other Meds:

Current Illness: Had covid shortly before 1st vaccine shot

ID: 1382185
Sex: F
Age: 47
State: CA

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

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Lab Data:

Allergies: Erythromycin

Symptom List:

Symptoms: Muscle aches - entire body - 36 hours Jaw pain - 36 hours Headache - 36 hours Nausea - 12 hours Vomiting - 6 hours Fever/chills - 24 hours

Other Meds: N/A

Current Illness: N/A

ID: 1382186
Sex: M
Age: 84
State: MN

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 06/08/2021
Hospital:

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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Ongoing pain and muscle weakness on the side of the shot for 60 days post vaccine

Other Meds: Sinemet, Metoprolol, Losartan, Glimepiride, Pantoprazole, Bupropion, Namenda, Requip

Current Illness: none

ID: 1382187
Sex: F
Age: 22
State:

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

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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient fainted

Other Meds:

Current Illness:

ID: 1382188
Sex: M
Age: 56
State: IL

Vax Date: 01/07/2021
Onset Date: 05/28/2021
Rec V Date: 06/08/2021
Hospital:

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Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: On May 28, 2021 had symptoms of stuffy nose and cough, On 6/1/2021 lost sense of taste and smell. On 6/2/2021 had COVID test and was positive.

Other Meds: Unknown

Current Illness: Unknown

ID: 1382189
Sex: F
Age: 68
State: AL

Vax Date: 05/03/2021
Onset Date: 05/04/2021
Rec V Date: 06/08/2021
Hospital:

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Lab Data:

Allergies: No

Symptom List:

Symptoms: I had it at 10am on Monday and woke up at 3am at Tuesday morning with headache, shaking and fever. Body aches and all of that. So that continued through Thursday, I started feeling better by Thursday afternoon however I woke up at 4am Friday morning with a horrible cough. It sounded like I had Crip and I couldn't catch my breath and coughing up yellowish mucus. I had a low grade fever. I called the Doctor that day and he told me to continue my breathing treatments with the Nebulizer that I do 4 times a day and take Mucinex. I was really sick for a few days. I ended up calling the Doctor every Friday and could hardly speak cause I had Laryngitis because I was coughing so hard. The cough went for 2 weeks without getting better and got worse. The 3rd week on the weekend I went to urgent care that afternoon because I started getting a fever. They told me I shouldn't have gotten my vaccine because I was too close coming out of COVID and had too many antibodies. I also had an infection on my tongue with little bumps and it stings and I have a horrible taste when I eat certain foods - I take a swish and spit medicine I use everyday. I have a after covid care for long haulers with a Pulmonologist 7/2/2021.

Other Meds: Nadolol, Omniprizol, Trazadone, Cymbalta, Amitriptyline, Clonopin, Novax, Inhalers, Oxygen

Current Illness: COVID long haul

ID: 1382190
Sex: F
Age: 60
State: MI

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

Vax Type:
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Lab Data:

Allergies: PCN

Symptom List:

Symptoms: This is a 60 y.o. patient with a past medical history significant for DLBCL, hypogammaglobulinemia, anemia, COPD, peripheral neuropathy, chronic back pain, and tobacco abuse who presented to ED for symptoms of fevers, chills, malaise. Pt states that she has been fevering since the beginning of April, when she was diagnosed with COVID.

Other Meds: Proventil Flonase Neurontin Robaxin Ultram

Current Illness: None known

ID: 1382191
Sex: F
Age: 57
State: NH

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 06/08/2021
Hospital:

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Lab Data:

Allergies: None Known

Symptom List:

Symptoms: 1st shot - mild headache and arm ache - took advil and was fine within 24 hrs 2nd shot - headache, severe body/joint/muscle aches, nausea, chills/night sweats, racing heart, severe fatigue finally resolving in 60 hours. Joints hurt so bad, it was painful to walk, sit and undress, very painful. No medication taken as nausea prevented stomaching the thought of taking anything Today 6/8/21 saw my primary care for annual visit and mentioned these side effects as well as new symptoms listed below that she said I should report. Since 2nd vaccine I randomly get severe muscle/joint pain. About 3 mos ago my right shoulder had the same pain as after the 2nd vaccine. I could barely move it and couldn't lift my arm to shave my arm pit. It lasted about 1 1/2 weeks and then gradually resolved mysteriously came and went. About a month later my right knee had the same odd pain, it was hard to walk. My knee down to my ankles swelled to the point you couldn't see my ankles. Within 24 hours swelling resolved and a few days later pain went away. Last week my left knee started with same pain front and back and I limped and had stiffness for a few days and it is now resolving. I have never had any of this pain in my life. It has been since my 2nd vaccine and the same pain

Other Meds: Daily one a day vitamin w/ Iron Tums - calcium Vitamin C Cinnamon tab

Current Illness: None Known

ID: 1382193
Sex: M
Age: 45
State: OH

Vax Date: 04/12/2021
Onset Date: 04/15/2021
Rec V Date: 06/08/2021
Hospital:

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Lab Data:

Allergies: ALL NSAIDS

Symptom List:

Symptoms: Two to Three days after my 2nd dose of the Pfizer vaccine I woke up around 4 am by a foul odor taste and or smell i stayed in bed the smell and taste got very bad for 2 weeks and went away on it's own,on the 4th day after vaccine i woke up and went to brush my tooth It Felt like I pour acid into my mouth with a severe burning feeling followed by severe gum and tooth pain also some sporadic chest pain.I looked into my mouth and noticed my entire mouth looks like bumps and or hives looking about 7 days later most of the bumps/hives turned into ulcers.this symptoms is still present,also around day 4 or 5 I shaved my short beard and noticed a tiny balled patch of beard under my chin ever since this is getting worse and it is about the size of a quarter or more.I went to see my Family Physician and was told these symptoms i having could be from nasal polyps and or sinuses she did blood work to check for sickness everything came back negative,i was told to talk to my Immunologist and or an ENT I went 05/25/2021 to see the Immunologist and he said their was no evidenvce of nasal polyps that the vaccine must have did something to my immume.

Other Meds: Medformin 500mg/ Trileptal 300mg/ Amatryplyne 25mg/ Ziluton Er600mg/ Atorvastatin 40mg/ Amlodipine 10mg/ Cyclobenzaprine 10mg/ Buspirone 10mg/ Xhance/ Symbacourt / Albuterol solution

Current Illness: Neck lumbar and leg pain/ legs and arms pain numbness

ID: 1382194
Sex: F
Age: 47
State: MI

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 06/08/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: mold, dander, grass, pollen, dairy

Symptom List:

Symptoms: Neurological, I started getting numbness and tingling all over body shortly after receiving vaccine, particularly in hands and feet. Occasionally still experience those symptoms along with generalized weakness and fatigue. Also problems with muscles coordination and feeling of being stuck. That night felt more sick, woke up the next day and felt better.

Other Meds: thyroid and asthma medications daily, olmeprazole

Current Illness: Asthma, surgery one month prior

ID: 1382195
Sex: M
Age: 18
State: NY

Vax Date: 05/18/2021
Onset Date: 05/19/2021
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: nose bleed. multiple 5-10 minute nose bleeds over the course of 2-3 days after vaccination

Other Meds:

Current Illness:

ID: 1382196
Sex: F
Age: 81
State: IN

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

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: stated a little of everything going on, not feeling good, UTI and sinus infection, had last covid vaccine on March 4, was on 4 different kinds of HTN meds that were being adjusted, woke up Thursday AM 6/03 with dizziness, went to ER, Stated concern about symptoms after taking covid injection 5 wks after second dose, had second dose March 4 of Moderna injection for covid, received in left arm, soreness in muscle very little that lasted one day, stated on April 18 LLE cellulitis and went to urgent care, rash to chest 3 days after taking tetracycline, was told she had statis dermatitis by doctor, stated went away after 1-2 days of using hydrocortisone and compression stocking, HTN meds changed one week before rash

Other Meds: Tramadol 50 mg, Estradiol 0.01%, pantoprazole 40 mg, potassium chloride 10 meq, carvedilol 25 mg, tizanidine 2 mg, gleevec 400 MG, amlodipine 5 mg, may have been taking clonidine 0.1 mg and furosemide 20 mg and hydralazine 25 mg and nifedip

Current Illness:

ID: 1382197
Sex: M
Age: 22
State:

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: No immediate adverse events witnessed. Patient received 2 doses of Janssen vaccine. Duplication of dosage was discovered upon billing insurance. Patient received 1st dose on 5/3 at pharmacy. Second dose was given on 6/4 at different pharmacy. Upon initial interview of patient before administration, no mention was made of previous vaccine doses. After vaccine was administered the patient remained on site for 15 minutes for observation and no adverse reactions were noted. There has been no contact made with the patient since.

Other Meds:

Current Illness:

ID: 1382198
Sex: F
Age: 67
State: TX

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 06/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: mycin, succinylcholine

Symptom List:

Symptoms: There was pain at injection site and some swelling for about 5 days. The next day, I began to have some hip pain on my left. The same side I received the vaccine. It continued to get worse over the next 2 days. On Friday night, I bent down to pick something up and couldn't get up right. It was like I was stuck. That was around 11pm, so the next day on the 30th , I went to my clinic and saw the PA. We diagnosed it as inflammation in my left hip. She prescribed 5 days of prednisone . The prednisone gave me some relief.

Other Meds: metformin, nexium, zyrtec, gabapentin, levothyroxine, norco, concerta, clopidogrel, Symbicort, methylphenidate, Flonase, prednisolone, escitalopram.

Current Illness: Arthritis, joint pain

ID: 1382199
Sex: F
Age: 49
State: MS

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

Vax Type:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies: Codeine, Zofran, Toradol

Symptom List:

Symptoms: Pt came in office 6/8/21 with c/o right arm hurting from shoulder down past elbow since 2nd covid vaccine on 4/1/21.

Other Meds: Lexapro, Coreg, Omeprazole, Trazadone, Atorvastatin

Current Illness: none

ID: 1382200
Sex: F
Age: 32
State: NY

Vax Date: 05/25/2021
Onset Date: 05/27/2021
Rec V Date: 06/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Sulfa, spinal injection during c-section but unclear which component of spinal injectoin

Symptom List:

Symptoms: Red, dotted rash that covered entire anterior and posterior torso (chest, breasts, neck, shoulders, axilla, entire back), groin, inner thighs, and buttocks, causing significant itching. The rash lasted 3 days, and resolved with daily use of Benadryl , itching continued for 5 days

Other Meds: Multi Vitamin

Current Illness: None

ID: 1382201
Sex: M
Age: 33
State: CA

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: About 10 seconds after injection he felt dizzy. They gave him a timer. He started throwing up several times. They gave him a choice of hospital or going home. He chose home. About 20 minutes later he had the chills and developed a headache. He then developed diarrhea. He went to bed. When he woke up in the middle of the night he felt like he went into a GrandMal seizure. He had memory loss and confusion. He could not get up. His entire body was hurting. He went to the hospital. They gave him anti-nausea medicine. Put him on an IV (UNKNOWN NAME). They prescribed him on a medicine for cluster headaches (can not remember name). Gave him 2 or different meds for his migraines. Dr. said he would call him in a week. The hospital gave him Ondansetron 8mg as needed.

Other Meds: Cozzar 25mg 1xdaily Costor 40mg 1xdaily Onfi Bid 20mg Oxtellar 1200 BID

Current Illness: Fever

Date Died: 06/05/2021

ID: 1382202
Sex: M
Age: 78
State: CT

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

Vax Type:
Manufacturer:
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Vax Route:
Vax Site:

Lab Data:

Allergies: NO KNOWN ALLERGIES

Symptom List:

Symptoms: During rounds at 10pm, CNA observed resident unresponsive. Nurse was immediately called, who in turn call the code. Nursing staff responded and started CPR. A total of 16 rounds of compressions and shocked x 2, prior to Paramedics taking over 10 minutes later. They continued CPR for another 10 minutes before resident was pronounced dead.

Other Meds: Sertraline HCl Tablet 50 MG Give 1 tablet by mouth one time a day for Depression Rosuvastatin Calcium Tablet 10 MG Give 1 tablet by mouth one time a day for lipid control OXcarbazepine Tablet 300 MG Give 1 tablet by mouth two times a d

Current Illness: NO ACUTE ILLNESS AT TIME OF VACCINATION - RESIDENT WITH CHRONIC HEALTH CONDITIONS.

ID: 1382203
Sex: M
Age: 77
State: MI

Vax Date: 02/08/2021
Onset Date: 05/23/2021
Rec V Date: 06/08/2021
Hospital: Y

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

Allergies: aspirin

Symptom List:

Symptoms: Pt w/no significant PMH p/w worsening symptoms over 10 days of cough, general malaise, nausea, poor oral intake, and sore throat. On admission, was hypoxic on RA & generally ill appearing. CXR showed poss viral pneumonia consistent w/COVID-19 and COVID test was positive despite having received Pfizer vaccine on 01/15 & 2/8/21. Was admitted for acute hypoxic resp failure secondary to COVID and given 3L O2, dexamethasone and remdesivir. Was ultimately discharged 3 days later w/follow-up.

Other Meds: atorvastatin, trazodone, tamsulosin, omeprazole

Current Illness:

ID: 1382204
Sex: F
Age: 39
State: MN

Vax Date: 04/13/2021
Onset Date: 06/07/2021
Rec V Date: 06/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Pt was admitted for planned chemotherapy for Lymphoma, tested positive for COVID on admission

Other Meds:

Current Illness:

ID: 1382205
Sex: F
Age: 30
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Joint in left shoulder was incredibly painful for a month. Constant sharp pain especially when I moved it. Could hardly use my arm.

Other Meds:

Current Illness:

ID: 1382206
Sex: F
Age: 41
State: NC

Vax Date: 03/05/2021
Onset Date: 03/16/2021
Rec V Date: 06/08/2021
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Allergies: skin cream, name unknown

Symptom List:

Symptoms: Sudden onset short term memory loss. Testing has included MRI, CT, EEG, extensive blood tests, including Lab (rare neurological disorders). All are normal. SARS test was negative with disclaimer that it didn't eliminate the possibility of her having Covid. Currently receiving high dosage of Prednisone for "encephalopathy" diagnosis. She is not responding. This has been going on for 3 months.

Other Meds:

Current Illness: cold, only symptom runny nose. No fever, chills, aches.

ID: 1382207
Sex: F
Age: 17
State: NJ

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 06/08/2021
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Symptoms: Patient is 17 years of age and received a Moderna Vaccine. No signs or symptoms of an adverse event were noted.

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Current Illness:

ID: 1382208
Sex: F
Age: 63
State: FL

Vax Date: 03/19/2021
Onset Date: 04/09/2021
Rec V Date: 06/08/2021
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Symptoms: Skin numbness and underlying pain

Other Meds: Lexapro, levothyroxine, Percocet, Omeprazole, Ambien, Seroquel, desvenlafax, metoprolol

Current Illness:

ID: 1382209
Sex: F
Age: 14
State: NY

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 06/08/2021
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Symptoms: nose bleed. multiple 5-10 minute nose bleeds for 2-3 days after vaccination

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Current Illness:

ID: 1382210
Sex: M
Age: 65
State: NM

Vax Date: 06/05/2021
Onset Date: 06/05/2021
Rec V Date: 06/08/2021
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Symptoms: 2 hours after administration, patient began to have severe pain, chills, fever, sweats, and difficulty sleeping. symptoms lasted for roughly 24 hours. at the current time, patient's only complaint is large swollen red area at the injection site and itching. to help sleep the first night, patient took a hydrocodone pill he had from a recent surgery. I recommended he use benadryl before bed, and zyrtec during the day to help with the current itching.

Other Meds:

Current Illness:

ID: 1382211
Sex: F
Age: 53
State: TX

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 06/08/2021
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Allergies: No

Symptom List:

Symptoms: Issue overlapped between both vaccines. In all fairness, I've had this issue before, so I see my eye doctor regularly. However, this time it was more severe. Every morning the white parts of everything was pink, which has happened before. I went to the doctor because I started having visual disturbances and pain in my left eye. It got to the point to where I couldn't drive. I went to the wrong facility, so they had to reschedule me for the following Monday. I saw Dr. set me up the see another Dr. on 3/31 because she determined that something was going on with my optic nerve in both eyes. I was given the worst case scenario, which is a tumor, and sent me to have an MRI on 4/28. I went back to see Dr. on 5/19. He did more testing and said that he sees pressure in both eyes, but the left is worse. The MRI showed a possible tumor and the only way to confirm everything is through a spinal tap, which I'm not agreeing to due to previous issues with my spine. He told me to rest, use moisturizing drops (which now burn) and return to see him in 3-4 months, unless I have another episode where everything goes reddish again.

Other Meds: Hydrocodone - 10/325mg - 1 tablet 4 times a day as needed Ibuprofen - 600mg - 3x a day as needed Gabapentin - 600mg - 3x Losartan - 100mg - 1x daily Fluoxetine - 40mg - 1x a day Vitamin D - 2000 units - daily Multivitamin - 1x a day Clonidi

Current Illness: No

ID: 1382212
Sex: F
Age: 57
State: FL

Vax Date: 05/15/2021
Onset Date: 05/17/2021
Rec V Date: 06/08/2021
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Allergies: None

Symptom List:

Symptoms: Full-body rash that last for two weeks. Especially torso, upper arms, butt, behind the knees, eyelids, head, and neck. Itchy little dots that looked like measles.

Other Meds: None

Current Illness: None

ID: 1382213
Sex: M
Age: 15
State: NY

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 06/08/2021
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Symptoms: Congestion and runny nose with some blood for 2-3 days after vaccination

Other Meds:

Current Illness:

ID: 1382214
Sex: M
Age: 36
State: NJ

Vax Date: 06/04/2021
Onset Date: 06/04/2021
Rec V Date: 06/08/2021
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Allergies: Do have some slight to moderate food and seasonal allergies

Symptom List:

Symptoms: Was fine before the COVID19 vaccine shot. After 15 minutes of observation, I experienced a runny nose which I was told was fine. About an hour later, I experienced slight swelling under my left eye and cheek. A few minutes after, my throat began to have a scratchy feeling and a slight wheezing which was concerning. As soon as I experienced this feeling, I took one Benadryl immediately. After about a half an hour, the swelling under my eye and cheek gradually went down, my runny nose stopped after a few minutes , and my throat itching stopped after about 15 to 20 minutes. I felt fine afterwards.

Other Meds: Hydroxychloroquine and Allegra

Current Illness:

ID: 1382215
Sex: F
Age: 41
State: TX

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 06/08/2021
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Allergies: Morphine

Symptom List:

Symptoms: I tested positive for Covid-19 on 1/19/21. My symptoms included increased fatigue and burning eyes prior to testing positive. I was treated with a z-pack, prednisone, and a proair inhaler

Other Meds: Levoxyl, metoprolol, zyrtec, multivitamin

Current Illness: None

ID: 1382216
Sex: F
Age: 52
State: OK

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 06/08/2021
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Allergies: Biaxin

Symptom List:

Symptoms: Severe arm pain, swollen lymph glands in neck and under left arm and headache. Severe fatigue, muscular wasting of bicep muscle at injection site. Ongoing muscle weakness and pain in left arm.

Other Meds: Ropinerole ER 4mg 1 X day Gabapentin 300 mg 1 x day

Current Illness: n/a

ID: 1382217
Sex: M
Age: 57
State: WV

Vax Date: 04/08/2021
Onset Date:
Rec V Date: 06/08/2021
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Symptoms: pt says he had chills the day of taking the vax. The next day he had extreme fatigue and was very sleepy not being able to stay awake. Pt says this vax has reset his internal time clock. He gets sleepy around noon time but at bed time he is feeling like he could run a 5K. He will get groggy in the daytime but cannot sleep at night. He gets daily episodes of weakness in his legs where they feel like rubber. He stays light headed and gets dizzy spells on occasion. Pt will discuss w/ his PCP at next visit.

Other Meds:

Current Illness:

ID: 1382218
Sex: M
Age: 54
State: OK

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 06/08/2021
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Allergies: Not known

Symptom List:

Symptoms: fatigue, dizziness, and headache for three days

Other Meds: N/A

Current Illness: N/A

ID: 1382219
Sex: F
Age: 41
State: WA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 06/08/2021
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Allergies: garlic allergy

Symptom List:

Symptoms: Patient had immediate pain following injection with the vaccine. This pain has persisted for 6 weeks. There was no injection site reaction (swelling or bruising or bleeding). She has pain, limited ROM, stiffness if she sleeps or leans on the arm.

Other Meds: none

Current Illness: none

ID: 1382220
Sex: F
Age: 39
State: NC

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 06/08/2021
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Allergies: NKA

Symptom List:

Symptoms: On approximately 5/28 she began having tickle cough with minial mucus production with expiratory wheezing and shortness of breath. Initially after the vaccine she had mild headache, low grade fever, fatigue and body aches which resolved within 2 days. The SHOB and wheezing didn't begin until over a week later. She can relate no other trigger for her asthma and has not had an exacerbation in several years until this. Note, one letter on vaccine card is unreadable.

Other Meds: NuvaRing

Current Illness: none

ID: 1382221
Sex: M
Age: 63
State: PA

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 06/08/2021
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Allergies: Yes, medications

Symptom List:

Symptoms: Nausea, vomiting. Does not recall any other significant ones other than these.

Other Meds: Medications prescribed by his PCP and Nephrologist

Current Illness: kidney failure, end stage renal disease, HTN, DM2.

ID: 1382222
Sex: F
Age: 22
State: VA

Vax Date: 04/07/2021
Onset Date: 04/21/2021
Rec V Date: 06/08/2021
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Allergies: NKDA

Symptom List:

Symptoms: Initially had arm soreness that resolved expectantly after about 2-3 days. Then 2 weeks after vaccination arm became even more sore and she experienced pain with movements. No signs of infection from the injection site. No rashes, fevers/chills, signs of superficial phlebitis. This lasted for approximately 6 weeks.

Other Meds: None

Current Illness: N/A

ID: 1382223
Sex: F
Age: 44
State: OH

Vax Date: 06/04/2021
Onset Date: 06/07/2021
Rec V Date: 06/08/2021
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Allergies: n/a

Symptom List:

Symptoms: Extreme inflammation (swelling, hot to the touch, rash) at injection site and extending four inches below the site.

Other Meds: Multivitamin OTC, vitamin D supplement OTC

Current Illness: n/a

ID: 1382224
Sex: F
Age: 59
State: NY

Vax Date: 06/03/2021
Onset Date: 06/04/2021
Rec V Date: 06/08/2021
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Allergies: Doxycycline, lacrilube, ibuprofen, penicillin

Symptom List:

Symptoms: COMES IN FOR ACUTE VISIT FOR RASH REACTION AFTER HER SECOND COVID VACCINE. HAD FATIGUE X 2 DAYS, NO OTHER SX FROM VACCINE EXCEPT REACTION AT ARM THAT SHE IS CONCERNED ABOUT SINCE IT IS MOVING DOWN AND AROUND HER ARM. STARTED WITH REDNESS DAY AFTER VACCINE, LEFT UPPER ARM AT SHOULDER AREA. THEN NEXT DAY MOVED DOWN TO MID ARM AND THEN YESTERDAY AND TODAY MORE AT MID ARM EXTENDING TO MEDIAL ARM. THE REDNESS AT SHOULDER AREA AND NEAR SHOULDER HAS RESOLVED. NOT REALLY PAINFUL, MORE JUST A LITTLE IRRITATED/ A LITTLE ITCHY. NO PAIN IN MUSCLE, GOOD ROM SHOULDERS. NO LUMP NOTICED AT ARMPIT.

Other Meds: Desloratadine, Vitamin D3, MVI

Current Illness: None

ID: 1382225
Sex: M
Age: 1
State: CO

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

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Allergies: NONE

Symptom List:

Symptoms: Expired vaccine given, no adverse reaction.

Other Meds: NONE

Current Illness: NONE

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm