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: 1382683
Sex: F
Age: 29
State: WA

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

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

Lab Data:

Allergies: DAIRY

Symptom List:

Symptoms: FULL BODY ITCHING STARTED WITHIN 20 MINS OF RECEIVING THE VACCINE, THEN URTICARIA STARTED ON LEFT ARM AND SREAD TO FULL BODY WITHIN 30 MINS. PATIENT CURRENTLY ADMINISTERED 25 MG/10ML OF DIPHENHYDRAMINE ORAL SOLUTION. PATIENT IS STILL EXPERIENCING

Other Meds: NONE

Current Illness: NONE

ID: 1382684
Sex: M
Age: 55
State: WI

Vax Date: 03/19/2021
Onset Date: 03/26/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Tinnitus in left ear which is severe and still there. Sore arm

Other Meds: lisinopril, alopurinol,

Current Illness: none

ID: 1382685
Sex: F
Age: 18
State: CA

Vax Date: 05/29/2021
Onset Date: 05/30/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chest tightness and chest pain. Pain with deep inspiration. Nausea and diarrhea. Tactile temperature elevated, no true fever. Symptoms lasted for 3 days before improving. Muscle pain and fatigue

Other Meds: Melatonin

Current Illness: None

ID: 1382686
Sex: F
Age: 52
State: IN

Vax Date: 03/19/2021
Onset Date: 03/24/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt has had leg pain/hip pain that occured 5 days after first vaccination and never fully resolved; worsened after her second vaccination.

Other Meds:

Current Illness:

ID: 1382687
Sex: M
Age: 33
State: NH

Vax Date: 05/07/2021
Onset Date: 05/18/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: clindamycin

Symptom List:

Symptoms: left biceps tendonitis

Other Meds: Lexapro Adderall

Current Illness: unknown

ID: 1382688
Sex: M
Age: 36
State: WI

Vax Date: 05/19/2021
Onset Date: 05/20/2021
Rec V Date: 06/08/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Cardiology Consult: Patient ID: (Name) Date of birth: (Date) Primary Care Provider: (Name), MD Admitting Provider: (Name), MD Admitted: 5/22/2021 Reason for Admission: Chest pain SUMMARIZED H&P: Patient is a 36 year old male with no significant past medical history, healthy gentleman, that presents post covid vaccine with chest pain. He got his second dose of Moderna vaccine on Wednesday and then later that evening developed fevers, chills, body aches and flu likely symptoms. They continued through Thursday evening. He was taking ibuprofen but was having a hard time swallowing it. He started developing neck and chest discomfort and initially thought it was due to difficulty with pills. Symptoms continued through Friday despite the flu like symptoms improving. They talked to a family member that recommended they present for presentation. On presentation EKG showed diffuse ST elevation with PR depression. PR elevation in V4. Troponin peaked at 16.57 and is now 6.59. Echo with normal EF and no effusion. He was started on colchicine yesterday. Tele without any arrhythmias. He reports that symptoms were worse when laying down or taking deep breaths. Has not had any symptoms today. No history of heart disease, exertional symptoms or family history of early CAD Patient Active Problem List: Skin lesion of left leg Anisometropic amblyopia of right eye Myopia of both eyes with astigmatism NSTEMI (non-ST elevated myocardial infarction) PMH: has no past medical history on file. PSH: has a past surgical history that includes pr create eardrum opening,gen anesth (11/06). FH: family history is not on file. SH: reports that he has never smoked. He has never used smokeless tobacco. Social History Occupational History ? Not on file Tobacco Use ? Smoking status: Never Smoker ? Smokeless tobacco: Never Used Substance and Sexual Activity ? Alcohol use: Not on file ? Drug use: Not on file ? Sexual activity: Not on file Allergies: has No Known Allergies. Medications: Prior to Admission medications Medication Sig Start Date End Date Taking? Authorizing Provider fexofenadine (ALLEGRA) 180 MG tablet Take 180 mg by mouth once daily as needed Yes Provider, Historical, MD FIBER PO Take 1 tablet by mouth once daily Yes Provider, Historical, MD ibuprofen (MOTRIN) 200 MG tablet Take 200-600 mg by mouth every 6 hours as needed for Pain Yes Provider, Historical, MD Review of Systems: A 10 point ROS was obtained and was otherwise negative except for chest pressure Physical Exam: GENERAL: thin, well-appearing individual in no apparent distress. Vital Signs:*BP 98/70 Pulse 79 Temp 96.3 ?F (35.7 ?C) (Oral) Resp 18 Ht 5' 11" (1.803 m) Wt 156 lb 6.4 oz (70.9 kg) SpO2 98% BMI 21.81 kg/m2Body mass index is 21.81 kg/m?. EYES: EOM intact bilaterally. EARS: hearing is grossly intact. NOSE: patent and moist. OROPHARYNX: moist and pink. NECK: supple, no masses, no adenopathy, no thyromegaly, no JVD, no carotid bruits. LUNGS: Clear to auscultation bilaterally. No rhonchi, rales or wheezes. HEART: Regular rate and rhythm, normal S1 and S2, no murmur(s). No rubs or gallops. ABDOMEN: Soft, nondistended. Nontender to deep palpation. No palpable masses, or organomegaly. Positive bowel sounds. EXTREMITIES: No clubbing,cyanosis. no pedal edema. CIRCULATION: 2+ pedal pulses bilaterally. SKIN: No rashes or open lesions. NEURO/PYSCH: No gross focal deficits. Alert and oriented x 3. Appropriate affect and mood. Most recent diagnostics and Labs: Recent Labs Component Name 05/23/21 0808 CHOLESTEROL 142 TRIGLYCERIDE 60 HDL 44 LDL 86 NONHDL 98 Recent Labs Component Name 05/23/21 0808 05/22/21 1415 WBC 6.0 9.1 Recent Labs Component Name 05/23/21 0808 05/22/21 1415 SODIUM 141 140 POTASSIUM 3.8 4.0 CHLORIDE 104 102 CO2 32* 27* BUN 11 8 CREATININE 0.90 0.9 CALCIUM 9.4 9.2 GFR >90 >90 No results for input(s): APT, INR in the last 87600 hours. Echo: ? Ejection fraction is 5560%. Question extremely mild area of inferoapical hypokinesis. ? There is no clinically significant regurgitation or stenosis. ? Pulmonary arterial systolic pressure is within the normal range. ? No significant pericardial effusion. IMPRESSION: Myopericarditis 2/2 covid vaccine - EKG changes and positive troponin - No evidence of effusion - troponin trending down and symptoms are improving PLAN: I reviewed findings with patient and his fianc?. We discussed pathophysiology and treatment. Since he had a difficult time with ibuprofen, we will treat with colchicine for 6 weeks at 0.6mg BID. Discussed side effect of diarrhea. I reviewed recommendations for avoiding strenuous activity and contact sports for 1 month due to cardiac inflammation. I reviewed risk of cardiac arrhythmias with myopericarditis and do recommend continuing with metoprolol on discharge. Recommend follow up with general cardiology in 4-6 weeks for follow up Thank you, (Name), DO Cardiac Electrophysiology

Other Meds:

Current Illness:

ID: 1382689
Sex: M
Age: 63
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: shortness of breath, chest pain, angina

Other Meds:

Current Illness:

ID: 1382690
Sex: F
Age: 16
State: VA

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

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

Lab Data:

Allergies: Lactose

Symptom List:

Symptoms: Vomiting Dizziness Heart racing

Other Meds: Prozac Vienva

Current Illness: None

ID: 1382691
Sex: F
Age: 19
State: AR

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: No.

Symptom List:

Symptoms: The night of vaccination I had fever, aches and body chills that lasted for 4 days. On the 6th day after the vaccine the chest pains started. I've been seen in the ER three times now. A stabbing pain under my left breast that is continuous.

Other Meds: I have an IED.

Current Illness: No.

ID: 1382692
Sex: F
Age: 41
State: MD

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Arm pain at injection site. Redness, itching and swelling at injection site. Pain when lifting or moving arm for 3 days. Developed neck pain within 6 hours and gradually got worse during the night on the same side as the injection. The pain moved to the other side of the neck (right side) a few days later. The neck pain has continued to reoccur on both sides of my neck since the second injection on 5/11/21, occasionally going away then coming back a day later.

Other Meds: Aggrenox

Current Illness: none

ID: 1382693
Sex: M
Age: 43
State: NY

Vax Date: 03/26/2021
Onset Date: 04/01/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Very strong pain in the soles of the feet, especially the left foot. Pain is intermittent, it comes and goes.

Other Meds: Acetaminophen only

Current Illness:

ID: 1382694
Sex: F
Age: 46
State: NH

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

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

Lab Data:

Allergies: Latex

Symptom List:

Symptoms: Starting 2 days post vaccine she experienced a series of mild seizures and headaches/dizziness. Her provider temporarily increased her dose Topamax which led to improvement of symptoms.

Other Meds: Topamax

Current Illness:

ID: 1382695
Sex: M
Age: 16
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:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: No known allergies per mom

Symptom List:

Symptoms: Patient received MCV4 vaccine #2 dose around 11:15am on June 8, 2021 while sitting on corner of exam table. About 11:20am, patient suddenly fell forward from exam table and hit the floor face down while MA and mom present in room and assisted him further. Vitals were taken and stable. Patient remained alert and oriented. Patient was able to arise from floor and sit up on exam table and was further examined by Dr. and FNP. Patient started to experience chest pain within a few minutes and 911 was dispatched at 1136am. Patient has remained alert and oriented through exam and upon arrival of EMS/Fire Dept around 11:45am and vitals remained stable. Ambulance with paramedics arrived around 11:55am and vitals remained stable. After the EMS/Fire Dept and Paramedics discussed mom the different options of going to ER by ambulance or Private vehicle, mother chose Private vehicle. Patient walked out of Dr office around 12:09 pm to private vehicle while being escorted by mom and Fire EMS personnel. Mom was going to take patient to Local ER for further evaluation.

Other Meds: None per mom

Current Illness: None per mom

ID: 1382696
Sex: F
Age: 37
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: after 4 days after got vaccine till now, feel chest pain, heart pain sometimes during the 2 days after got vaccine: Dizziness and weakness. Injection site pain (in your arm). Tiredness. Headache. Muscle pain. Fever. Injection site swelling. Injection site redness. Nausea.

Other Meds:

Current Illness:

ID: 1382697
Sex: F
Age: 0
State: MI

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Adacel was given to patient instead of Pentacel.

Other Meds: none

Current Illness: none

ID: 1382698
Sex: F
Age: 32
State: TX

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

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Symptoms: Fever between 12 -104, migraine headache, body ache, Joint pain, nausea Time course: 3 days today. Sx started on on 6/6 Tx: ibuprofen, tylenol, fluids

Other Meds: Fioricet Sumatriptan

Current Illness: No

ID: 1382699
Sex: F
Age: 48
State: MT

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

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

Lab Data:

Allergies: No Known Medication allergies

Symptom List:

Symptoms: Increased blood pressure and pulse following vaccination.

Other Meds: Albuterol HFA Adderall

Current Illness: Unknown

ID: 1382700
Sex: F
Age: 16
State: TX

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccine administered to client that was under the recommended age range. No adverse reactions noted.

Other Meds:

Current Illness:

Date Died: 06/08/2021

ID: 1382701
Sex: F
Age: 93
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: stroke like symptoms, eye pain, unresponsive episode. brain bleed, death

Other Meds:

Current Illness:

ID: 1382702
Sex: F
Age: 70
State: CA

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

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

Lab Data:

Allergies: shellfish, iodine

Symptom List:

Symptoms: I just woke up and I was completely sweaty. This was the morning after my vaccination. I had my son here and he thought I was going to have a seizure. It was almost like the chills, it would not stop. I was nauseas, I was achy and so sore. I took Tylenol and kept putting cool clothes on my body as best I could. This lasted for about 4 days, I was in bed for those four days. Extreme fatigue. And when I saw very sweaty, my son had to change my sheets for me because they were so wet. A few weeks after that I got extreme pain in my abdomen and I had to have my appendix removed. At that time I was informed that I had the beginning of kidney stones. We have not addressed them because I have had one problem after the next. I did not contact my doctor during that time but did see them afterwards. I was aware of the side effects and figured that was it. I had no energy, no appetite or anything. I did get sick vomiting for four days as well. I still have sore joints, but not as bad. I am trying to cut back on carbohydrates to cut back on inflammation. I handle pain very well usually. My daughter wanted me to go to the hospital. I went to the DR for appendicitis and I ended up very sick from all the antibiotics as well.

Other Meds: Imitrex, Combivent

Current Illness: none.

ID: 1382703
Sex: F
Age: 35
State: FL

Vax Date: 05/26/2021
Onset Date: 06/01/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Fatigue, chest pain, cough, shortness of breath, shortness of breath, choking sensation, burning sensation in the chest and heart, headache, pain in the throat.

Other Meds: Fit 9 supplement Chlorophyll capsules Vitamin C.

Current Illness: No

ID: 1382704
Sex: F
Age: 41
State: NE

Vax Date: 04/09/2021
Onset Date: 06/02/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Continued off and on heavy periods/heavy bleeding...this started on 2 June....about two months after receiving the J&J COVID shot (4 Apr)

Other Meds: None

Current Illness: None

ID: 1382705
Sex: F
Age: 67
State: TN

Vax Date: 03/21/2021
Onset Date: 03/22/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: voltaren, peanuts

Symptom List:

Symptoms: lt breast side soreness, injection site soreness, swollen under arm, entire arm sore,...shoulder,

Other Meds: multi vitamin, vitamin d and c

Current Illness:

ID: 1382706
Sex: M
Age: 62
State: ND

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Fever highest 103F, head ache, body ache, chills, tired, unable to eat symptoms lasted 3 days and during that time my heart went back into atrial fibrillation

Other Meds: Amiodarone, Acetaminophen, Apixaban, Metoprolol Succinate, Multivitamin, Vitamin D3

Current Illness: Heart failure and atrial fibrillation caused by Covid19 October 2020. Heat beat was successfully reset by external electrical cardioversion April 8, 2021.

ID: 1382707
Sex: F
Age: 59
State: OH

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient recieved wrong vaccination for second dose

Other Meds:

Current Illness:

ID: 1382708
Sex: M
Age: 13
State: CT

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

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

Lab Data:

Allergies: Environmental, pollen, dust, dogs

Symptom List:

Symptoms: tachycardia, chest pain, pressure

Other Meds: Singular 40mg, Claritin 10mg, Flintstone's vitamins

Current Illness: none

ID: 1382709
Sex: F
Age: 40
State: MI

Vax Date: 05/31/2021
Onset Date: 06/03/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: Cipro, Vicodin, and latex.

Symptom List:

Symptoms: 3 days after getting 1 dose of Pfizer vaccine I started I had pain in my left arm and was losing feeling from the injection site into my fingers--tingly feeling. Joint pain in both hands--this subsided about 10 days afterwards. 13 days afterwards, my abdomen swelled--normal waist is 27--went up to 30/31 inches. 15 days afterwards (today) ankles swollen and tingly in both feet but the left worse than the right. Period is also 10 days late as of today--I was regular before the vaccine.

Other Meds: Multiple vitamin with Iron, B-complex, Vitamin C, Vitamin D, Zinc, probiotic, and Omega 3's.

Current Illness: None.

ID: 1382710
Sex: F
Age: 43
State: MO

Vax Date: 01/29/2021
Onset Date: 02/19/2021
Rec V Date: 06/08/2021
Hospital: Y

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: fatigue for a few days. She went to Urgent care on 4/24 where she tested (+) for COVID. Went to hospital April 29 evening around 10pm. Discharged on April 30th around 500pm. Diagnosed with pneumonia.

Other Meds: unknown

Current Illness: unknown

ID: 1382711
Sex: F
Age: 20
State: PA

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

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

Lab Data:

Allergies: no known allergies

Symptom List:

Symptoms: Pt called pharmacy on 6/8/21 at approximately 10am and reported have chest tightness, and shortness of breath for the past 10 hours. Pt denies having any changes to medications or other conditions. Instructed pt to contact her doctor, or (if symptoms become severe), 911.

Other Meds: aripiprazole 15mg daily

Current Illness: none known

ID: 1382712
Sex: F
Age: 13
State: CA

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

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Dizziness, clammy skin and dilated eyes, followed by a temporary ?black out?

Other Meds: None

Current Illness: None

ID: 1382713
Sex: M
Age: 12
State: VA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Client received Pfizer #1. Five minutes after vaccine, client felt dizzy and lost consciousness briefly. Client became profusely diaphoretic. Transferred via wheelchair to medical cot. BP monitored over 20 minutes. Symptoms resolved and able to leave clinic independently.

Other Meds: None

Current Illness: None

ID: 1382714
Sex: F
Age: 55
State: PA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 06/08/2021
Hospital:

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

Lab Data:

Allergies: Septra, Dust, Dogs, Weeds

Symptom List:

Symptoms: VAERS ID from previous report 1036950 Headache and confusion that started 20 hours after 1st dose of the Pfizer vaccine. Hearing sensitivity by day 3. In ER for high blood pressure on day 8 with no explanation. Nursing Staff at my place of employment informed me I needed to be in the ER that day due to BP of 187/120. I had an MRI of my brain showing migraine-like activity. It is almost 4 months from the date I received the vaccine and I have had only 9 days with no migraine. I'm tired of all the headaches that are completely new since the vaccine. Thankfully my doctor instructed me not to get another dose. I'm tired of feeling like this and feel I have no one to turn to for help. The migraines are affecting my daily activities and my work.

Other Meds: Loratadine, Vitamin D

Current Illness: None, was feeling great

ID: 1382715
Sex: M
Age: 16
State: WA

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 06/08/2021
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Allergies: None known

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Symptoms: Persistent neuropathic pain and neurologic weakness in left arm

Other Meds: Vyvanse 40mg

Current Illness: None

Date Died: 06/08/2021

ID: 1382716
Sex: M
Age: 89
State: IL

Vax Date: 06/07/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
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Symptoms: Family called to report patient passed away within 24 hours upon receipt of first vaccination. Patient was ambulating to the bathroom when they heard him fall. Upon going to check on him he was already deceased.

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Current Illness:

ID: 1382717
Sex: F
Age: 34
State:

Vax Date: 06/05/2021
Onset Date: 06/05/2021
Rec V Date: 06/08/2021
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Allergies: Sulfa Allergy

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Symptoms: Tachycardia - HR 100-120 bpm approximately 12 hours after receiving vaccination, occurring on and off until approx. 24 hours after vaccination Heart palpitations from approx. 12 hours after vaccination until around 48 hours after vaccination.

Other Meds: Women's Multi-vitamin (1x daily), probiotics (1x daily)

Current Illness: None

ID: 1382718
Sex: F
Age: 60
State: TX

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 06/08/2021
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Symptoms: I had a headache, chills, and a fever. Then I had tingling in my head. I started breaking out in a rash all over my face, especially on the right side and near my eye. My face swelled up completely. I went to the ER. I was diagnosed with Shingles. I was given nerve pain medication. Later I saw another ER doctor and I was given an antiviral & steroid medication, but I was nervous to take it. I then visited my PCP, where they checked my eye.

Other Meds:

Current Illness:

ID: 1382719
Sex: F
Age: 27
State: WI

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 06/08/2021
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Allergies: Erythromycin Bactrim

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Symptoms: A few hours after the injection I had a significant amount of arm pain, the injection site was raised and very hot to the touch. After about 3 days it went away. On day 7 or 8 I woke up to sharp pain, burning and itching on my left arm again. The redness was back and it was covering a majority of my bicep area and hot to the touch. These symptoms persisted for an additional 6 days.

Other Meds: Junel FE (birth control) Sertraline Alprazolam

Current Illness: N/A

ID: 1382720
Sex: F
Age: 63
State: CA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 06/08/2021
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Allergies: I have a gluten, sulfur drugs, contrast dye.

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Symptoms: I had to go to the ER because I was having a severe reaction to the vaccine. I had fatigue, chills, headaches, weakness, tachycardia, shortness of breathe, muscle pain.

Other Meds: I only take vitamins.

Current Illness: No.

ID: 1382875
Sex: F
Age: 70
State: WA

Vax Date: 06/07/2021
Onset Date: 06/07/2021
Rec V Date: 06/08/2021
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Symptoms: Longer than recommended time from first vial puncture to vaccination. Vial was punctured between 3&5pm on 6/6 and patient was vaccinated 6/7 between 1&2 pm. Vial remained refrigerated. Patient contacted 6/8, administration details were disclosed. Patient asymptomatic. CISA consult requested, awaiting results from Janssen safety team regarding viability of vaccine.

Other Meds:

Current Illness:

ID: 1382876
Sex: F
Age: 35
State: NY

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/08/2021
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Allergies: NKDA

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Symptoms: nausea, vomiting, myalgia, fever, rash, headache

Other Meds: n/a

Current Illness: n/a

ID: 1382878
Sex: M
Age: 37
State: CA

Vax Date: 06/07/2021
Onset Date: 06/07/2021
Rec V Date: 06/08/2021
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Allergies: No

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Symptoms: anxiety attacked .. black out.. hypotension .. profusive sweating, pale, patient said can't talk but talking mentioned had headache through the back of his head...

Other Meds: None

Current Illness: Unknown

ID: 1382879
Sex: F
Age: 13
State: MA

Vax Date: 06/07/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
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Symptoms: Sore arm, headache, fever, fatigue and later hot red blotch on arm at injection site .

Other Meds:

Current Illness:

ID: 1382880
Sex: M
Age: 77
State: WA

Vax Date: 06/07/2021
Onset Date: 06/07/2021
Rec V Date: 06/08/2021
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Symptoms: Longer than recommended time from first vial puncture to vaccination. Vial was punctured between 3&5pm on 6/6 and patient was vaccinated 6/7 between 1&2 pm. Vial remained refrigerated. Patient contacted 6/8, administration details were disclosed. Patient asymptomatic. consult requested, awaiting results from Janssen safety team regarding viability of vaccine.

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Current Illness:

ID: 1382881
Sex: F
Age: 68
State:

Vax Date: 05/21/2021
Onset Date: 05/22/2021
Rec V Date: 06/08/2021
Hospital: Y

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Symptoms: Presented to ED who presents for evaluation of several complaints. Patient endorses having her first phase of vaccination early morning/afternoon yesterday. Becoming last night tachypneic and tachycardic per the husband to keep a close eye on her vital signs due to her extended complicated medical history. She began feeling short of breath yesterday evening which has persisted into the morning as well. She has been having about 12 hours of progressive now constant moderate/severe left-sided rib/left upper quadrant abdominal pain that radiates about this area and is stabbing in nature. Tachypnea because of most likely bilateral pleural effusion left more than right. Patient admitted. Bilateral pleural effusions left greater than the right. Patient underwent thoracentesis and about 600 cc of turbid fluid was removed. Fluid is neutrophilic exudate which is raised the possibility of acute inflammatory process. No pneumonia seen on the CAT scan but only compressive atelectasis. It is very concerning that patient's presentation is related to the Covid vaccination as an adverse effect. Initially she was placed on Maxipime and Flagyl but have been discontinued since. She was empirically started on high-dose steroids for this inflammatory state and eventually switched to tapering dose of prednisone. She will follow up with pulmonary in 2 weeks time with repeat chest x-ray.

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Current Illness:

ID: 1382882
Sex: F
Age: 30
State: CA

Vax Date: 05/20/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
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Symptoms: Few minutes after having the second moderna shot. PT started to get severe swelling, redness and itching at the shoulder injection site. this was followed by pt having swelling in the back of the throat and trouble breathing. This occued at the Clinic. She was given sub cutaneous epinepnephirne. She was trasported to my hospital emergency room where additional benadryl, pepic and prednisone. She was observed in the emergency room and discarged home. to follow up her doctor.

Other Meds: Has ulcerative Colitis. ON Liada

Current Illness:

ID: 1382884
Sex: M
Age: 20
State: CO

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

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Symptoms: Chest pain, Troponin leak

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Current Illness:

ID: 1382885
Sex: F
Age: 30
State: NY

Vax Date: 05/19/2021
Onset Date: 05/24/2021
Rec V Date: 06/08/2021
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Allergies: NONE

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Symptoms: Tingling/ heaviness in hands and feet, dizziness, fatigue, and shortness of breath. Symptoms began Monday May 24th at night and have persisted until present day. I visited urgent care and was ordered examination. A comprehensive metabolic panel (CMP) and a complete blood count (CBC) has been done. Both exams are normal. Further examination is in progress as per general doctors request. I believe the aforementioned symptoms are due to the vaccination.

Other Meds: NONE

Current Illness: NONE

ID: 1382886
Sex: F
Age: 65
State: WA

Vax Date: 06/07/2021
Onset Date: 06/07/2021
Rec V Date: 06/08/2021
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Symptoms: Longer than recommended time from first vial puncture to vaccination. Vial was punctured between 3&5pm on 6/6 and patient was vaccinated 6/7 between 1&2 pm. Vial remained refrigerated. Attempted to contact patient 6/8. Consult requested, awaiting results from Janssen safety team regarding viability of vaccine.

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Current Illness:

ID: 1382887
Sex: F
Age: 0
State: PA

Vax Date: 05/26/2021
Onset Date: 06/08/2021
Rec V Date: 06/08/2021
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Symptoms: Large grossly bloody and mucus filled stool Otherwise fine On intussusception watch/monitor

Other Meds:

Current Illness:

ID: 1382888
Sex: F
Age: 17
State: CA

Vax Date: 05/15/2021
Onset Date: 05/16/2021
Rec V Date: 06/08/2021
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Symptoms: The day after the second dose of the vaccine she started to have pains in all of her joints. Her chest felt painful and even her finger joints. It was a constant pain that got worse with movement. The pain scale without the medication was an 8 but with the medication a 5 on the scale of 1-10. Ibuprofen and Hydrocodone helped control the pain but it did not make it totally go away. The joint pain lasted for three weeks to date but the chest pain has improved. Heat pads also help. She has never experienced these symptoms before. There were similar symptoms after the first vaccine but it is much more intense after the second dose. It has been consistent since the second dose of the vaccine but the medication and heat application does seem to help. Hospital after the first dose for chest pain.

Other Meds: Oxybutynin XR Depakote Norethindrone Gabapentin Baclofen Verapamil Sertraline

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm