VAERS 2021 Database www.vaers.hhs.gov

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

Total Manufacturer

Incidents per State

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

ID: 1386032
Sex: M
Age: 31
State: CA

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

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Fever, pain in the body, cough, pain in the legs arms.

Other Meds: No

Current Illness: No

ID: 1386033
Sex: F
Age: 79
State: MO

Vax Date: 05/19/2021
Onset Date: 05/28/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: On 5/28/2021 pt started feeling light-headed, dizzy, chest heaviness, chills and her arm and legs were burning. Her husband eventually called 911 and they told him it "sounded like a reaction to COVID vaccine" and "if she got worse they would send someone out". Pt stated these feelings lasted until about 0300 on 5/29/21 and after she fell asleep most things resolved expect the light-headedness. Pt reports she is still fatigued and has bouts of dizziness and lightheadedness and she has no energy. Pt was encouraged to call and report her symptoms to her primary provider and seek their guidance on when to receive her second injection.

Other Meds:

Current Illness:

ID: 1386034
Sex: M
Age: 13
State: MA

Vax Date: 06/05/2021
Onset Date: 06/07/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, sulfa drugs, seasonal allergies

Symptom List:

Symptoms: Patient presents to the ED with myocarditis s/p dose #2 of Pfizer COVID-19 vaccine. From note: Patient is 13 yo M who was in his usual state of health prior to getting his Pzifer COVID-19 vaccine #2 on Saturday morning (6/5). Saturday night he began to feel fatigued with fevers as high as 102.8 F. These symptoms continued through the night and into Sunday morning when he had episodes of NBNB emesis. Sunday night he was actually feeling somewhat better and was able to sleep through the night. He stayed home from school on Monday due to fatigue. At 3 am this morning (6/8), he woke up with aching parasternal non-radiating chest pain that he describes as an 8/10 and worse while lying down. Denies SOB and heart palpitations. His parents took him to a hospital where he was found to have an elevated troponin (reported 5.84 - unknown scale) and Hct 28.8. There was also question of an abnormal EKG (?p wave inversion). He got a bedside echo which showed no pericardial effusion. Additional labs included: WBC nml, plt nml, MBCK 16. In the ED, his vital signs have been stable. EKG was normal sinus. Trop elevated to 0.43 and echo was normal. Reassuringly his echo was normal, he has had no arrhythmias (after nearly 24hrs of continuous monitoring), his chest pain has largely resolved and his troponin has remained stable.

Other Meds: Acetaminophen, ferrous sulfate

Current Illness: anemia

ID: 1386035
Sex: F
Age: 59
State: OH

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

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

Lab Data:

Allergies: Pcn

Symptom List:

Symptoms: Extreme shivering like sensation but not cold. Whole body affected- lasted about 4 hours. Felt like my nerves were on fire, no position helped. Very achy and headache. No temp. Dizzy and walking a issue.

Other Meds: Seroguel 50 mg Levothyroxine 100mcg

Current Illness: None

ID: 1386036
Sex: F
Age: 62
State: NY

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: mold

Symptom List:

Symptoms: Two things: FIRST Immediate redness and itchyness and swelling at the injection site. This did go away. SECOND the person who administered it was not careful and seemed to hit a nerve. The range of motion limitation is not going away - even though it has been 8 weeks.

Other Meds: synthroid

Current Illness: none

ID: 1386037
Sex: U
Age:
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient accidentally received dose 2 Pfizer instead of Moderna. Education provided to patient by RN and Mixteco translator, follow up telehealth appt set up for patient.

Other Meds:

Current Illness:

ID: 1386038
Sex: M
Age: 45
State: MA

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

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

Lab Data:

Allergies: Lisinopril, Amlodipine, Morphine, NSAIDS

Symptom List:

Symptoms: Patient received a mixed series of COVID-19 mRNA vaccine. On 5/5/21 he received a dose of Moderna COVID-19 vaccine. On 6/3/21 he inadvertently received a dose of Pfizer COVID-19 vaccine for his second dose.

Other Meds:

Current Illness:

ID: 1386039
Sex: F
Age: 60
State: NC

Vax Date: 04/01/2021
Onset Date: 04/10/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Approximately 5 days after the patient received her first dose of the Pfizer COVID vaccine, she developed shingles. She was properly treated and received her 2nd dose on 5/5/21

Other Meds:

Current Illness:

ID: 1386040
Sex: F
Age: 51
State: CO

Vax Date: 05/02/2021
Onset Date: 05/06/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: fatigue, arm tender, headache, pain in arm, lost range of motion, took, advil, tylenol, aleve, went to urgent care on Thursday...given muscle relaxer

Other Meds: farxiga, atenolol, triamterene, lvothyroxne,

Current Illness:

ID: 1386041
Sex: M
Age: 76
State: FL

Vax Date: 03/05/2021
Onset Date: 04/18/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Chest pain (comes and goes), shortness of breadth, tingling in hands,

Other Meds: Corbadopa/levadopa

Current Illness: Exhibit parkinsoniam symptoms

ID: 1386042
Sex: F
Age: 48
State: AL

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: if the patient move her arm in wrong direction or lift something then her arm would her. it started around 30 minutes after the vaccine. it would stop hurting for a bit and then resume if arm is lifted or move.

Other Meds: gabapentin

Current Illness: n/a

ID: 1386043
Sex: F
Age: 18
State: VA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: None Known

Symptom List:

Symptoms: Anxiety, Vomited post vaccine. Recovered after about 15 minutes.

Other Meds: None known

Current Illness: None Known

ID: 1386044
Sex: M
Age: 41
State: MN

Vax Date: 03/11/2021
Onset Date: 03/14/2021
Rec V Date: 06/09/2021
Hospital: Y

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

Lab Data:

Allergies: Sulfa drugs, frozen seafood

Symptom List:

Symptoms: 3 days after injection of J&J Covid19 vaccine, I experienced heart palpitations for over 24 hours and went to the clinic for evaluation. A week later I experienced chest pain and was inpatient at the Hospital for 2 days. In patient, I had a variety of tests performed, including angioplasty where no blockage was found. EKG showed minor issue with ventricular palpitation. I almost fainted during my stress test, and tests showed low platelette count to check for CVST (I have family history of CVST). I am to see a neurocardiologist on June 16th for further investigation.

Other Meds: None

Current Illness: None

ID: 1386045
Sex: F
Age: 17
State: AL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: PATIENT RECEIVED PFIZER COVID 19 VACCINE AT THEIR FIRST OUTREACH WHICH WAS NOT WITH OUR CLINIC . TODAY SHE AND HER FAMILY CAME IN OUR CLINIC DURING A MODERNA CLINIC AND ONE OF OUR VACCINATORS GAVE HER A SHOT WITH MODERNA FOR THE SECOND DOSE COVID 19 VACCINE.

Other Meds:

Current Illness:

ID: 1386046
Sex: M
Age: 67
State: CA

Vax Date: 03/07/2021
Onset Date: 05/07/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: Penicillins and Amoxicillin

Symptom List:

Symptoms: Severe Immune Response. Fever, Rash, Itching, High Heart rate, Weakness, Shortness of breath. Treated at Emergency room May 09, 2021 Follow up office visit with Dr May 10, 2021 May 12, 2021 May 17, 2021 and June 03, 2021

Other Meds: Ecotrin81mg, B-12 2500mcg, Probiotic, Folic Acid 400mcg, D3

Current Illness: None

ID: 1386047
Sex: F
Age: 43
State:

Vax Date: 05/13/2021
Onset Date: 05/20/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: This was reported after the fact by the patients doctor. The patient began to have rippling lines in her breast, one week after receiving the vaccine. She began seeking treatment at her PCP and was sent to Doctor at the center. According to Dr. she presented with creases and dents in her left breast. A mammogram was negative. A left breast ultrasound was then preformed, and found branches of superficial thrombosed veins in her left breast. Dr. believes it is related to the covid vaccine. Patient was then sent to the ER for fear of DVT. Patient was found to have no DVTs and was diagnosed with superficial thrombophlebitis and sent home.

Other Meds:

Current Illness:

ID: 1386048
Sex: F
Age: 35
State: CA

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

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Headache fever flu back pain in legs arms loss of smell of taste.

Other Meds: No

Current Illness: No

ID: 1386049
Sex: F
Age: 55
State: SC

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: I have allergy to.

Symptom List:

Symptoms: I had a sore arm and a large rash that lasted for a few days. My left arm was very sensitive to touch.

Other Meds: I was prescriptions meds.

Current Illness: No other illnesses.

ID: 1386050
Sex: F
Age: 52
State: IA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: sulfa, pineapple

Symptom List:

Symptoms: first dose lot #ER2613 received on 3/23/2021 nerve sensitivity, pain, tingling, crawling sensation in shot arm. Lasted 3 days. Mentioned it to nurse prior to second dose. Second shot nerve sensitivity, pain, tingling, crawling sensation, pins and needles started in shot arm that evening of shot next day moved between arms, hands, face, legs and feet. severity has lessened but has not gone away and there is always some low level sensation of it somewhere all of the time.

Other Meds: Spirolactione 25 mg, Triazodone 50 mg, venlafxine 75 mg, levothyroxine 50 mcg, cyclobenzaprine 5 mg.

Current Illness: asthma, migraines.

ID: 1386051
Sex: F
Age: 12
State: CA

Vax Date: 05/22/2021
Onset Date: 06/04/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: She broke out in hives on June 4, they haven't cleared up yet. She was experiencing intense joint pain this morning (June 9) and we had to take her to the ER. They did blood tests, stated that her blood test for inflamation was mildly high.

Other Meds: none

Current Illness: none

ID: 1386052
Sex: M
Age: 73
State: PA

Vax Date: 01/21/2021
Onset Date: 02/11/2021
Rec V Date: 06/09/2021
Hospital: Y

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

Lab Data:

Allergies: No allergies

Symptom List:

Symptoms: Pt diagnosed with Guillain- Barre syndrome pt was hospitalized 3 weeks after receiving first dose of Moderna vaccine. Pt did not receive second dose d/t being hospitalized. Pt was hospitalized for 91 days. Pt was vented for over a week. Pt is wheelchair bound and unable to walk. Pt states feet are numb and can't move them

Other Meds: Losartan, atorvastatin, carvedilol, spironalactone

Current Illness: no illnesses

ID: 1386053
Sex: F
Age: 68
State: IN

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: Succinylcholine, gluten.

Symptom List:

Symptoms: Headache, body aches, chills, fatigue,. Lasting 7-8 days. Subsided gradually.

Other Meds: Levothyroxin, lisinopril, hctz, micro K, Valcyclovir, restasis, famotidine, ipratopium nasal spray, ultram, Aleve, magnesium.

Current Illness: None

Date Died: 06/06/2021

ID: 1386054
Sex: F
Age: 18
State: OH

Vax Date: 05/14/2021
Onset Date: 06/06/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: DEATH FROM BLOOD CLOT

Other Meds: VANAFLAXINE BUSPIRONE ABILIFY SPRINTEC

Current Illness: CHLAMYDIA

ID: 1386055
Sex: F
Age: 39
State: TX

Vax Date: 05/14/2021
Onset Date: 05/15/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I have been suffering from fatigue, chills, headaches, eye pain, pain in my arm (where I received the vaccine) for the past several weeks after my second dose of the Pfizer vaccine. The symptoms started the day after my second dose and continue to persist (almost a month later).

Other Meds: Been taking ibuprofen and herbal tea.

Current Illness: None

ID: 1386056
Sex: M
Age: 22
State: KS

Vax Date: 06/07/2021
Onset Date: 06/08/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: pt mom reports on Tuesday morning. PT HAS FEVER, SWELLING OF LEGS, SHORTNESS OF BREATHE, NO BLOOD FLOW IN EXTREMETIES. PT REPORTS FEELING NUMBNESS IF EXTREMETIES. CANT SEE OUT OF HIS RIGHT EYE, REFERRED TO hospital.

Other Meds: n/a

Current Illness: n/a

ID: 1386057
Sex: F
Age: 56
State: MI

Vax Date: 05/03/2021
Onset Date: 05/17/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: Vicodin-itching

Symptom List:

Symptoms: I am having facial numbness in my lower chin/Jaw area that comes and goes. It started again on the afternoon of June 2, 2021 and continued into the next day, however the numbness was increasing to different areas on my face. My Dr urged me to go to the ER. They ran several tests and could not come up with a logical solution for the numbness. The symptoms begin on May 17, 2021

Other Meds: Wellbutrin 300mg vitamin D 1000 Temovate 0.05% ointment vivelle dot .01 MG patch Lamictal 150MG Prilosec 20mg zoloft 100 mg testssterone 50mg/5gm 1% gel Valtres 500 mg

Current Illness: none

ID: 1386058
Sex: F
Age: 47
State: NY

Vax Date: 05/22/2021
Onset Date: 05/26/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: I have a allergy to lavclinden.

Symptom List:

Symptoms: Since I got the vaccine not the day of but days after I started getting very severe migraines. I've had them every single day since the vaccine. I had to send the doctor a request to fill an old prescription for the headaches that is not really helping. I've had migraines before but I haven't had a migraine since 2016. My brain feels like swollen and like its flipping. Not a dizzy feeling but a feeling like my brain is doing a cartwheel in my head.

Other Meds: My regular medications that I take everyday.

Current Illness: No.

ID: 1386059
Sex: M
Age: 32
State: WA

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

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Pnt called Saturday 6/6 stating he developed tightness in chest within hours and laryngitis, a stutter, hard to articulate thoughts and generally didn't feel well by that evening. I advised to go to ER for evaluation. I followed up on Tues 6/8/21 and he stated the ER said he has inflammation of the heart and lungs but sent him home. Also none of the previous symptoms had resolved and he also has pain in left upper chest, decreased energy and loss of appetite. The patient said he doesn't have a PCP so I advised to go to ER again.

Other Meds: Unknown

Current Illness: None

ID: 1386060
Sex: F
Age: 61
State: FL

Vax Date: 05/13/2021
Onset Date: 05/16/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: My symptoms are shortness of breath which may mirror symptoms of Myocarditis or Pericarditis...not every day, but sporadic and gets worse at night in bed.

Other Meds: Adrenal supplement, Deep Sleep supplement, vitamin and iron

Current Illness:

ID: 1386061
Sex: F
Age: 53
State: NY

Vax Date: 03/28/2021
Onset Date: 04/19/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: Shellfish

Symptom List:

Symptoms: On April 19th I had vaginal bleeding & severe cramps. I went through menopause 6 years ago and had no bleeding or cramping before this. The cramping, pain & bloating continues.

Other Meds: Probiotics, vitamin c, d, folic acid & magnesium

Current Illness: No

ID: 1386062
Sex: F
Age: 83
State: TX

Vax Date: 01/13/2021
Onset Date: 01/26/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: Codeine, morphine, and erythromycin

Symptom List:

Symptoms: On January 26th said she was seeing double images one and above the other. The next day she seen her doctor for this matter.

Other Meds: Losartan, furosemide, Nexium, and oxybutynin chloride, citraical, baby aspirin, eye caps, and triple omega 369, vitamin b12, vitamin d3,

Current Illness: none

ID: 1386063
Sex: F
Age: 41
State: NE

Vax Date: 05/18/2021
Onset Date: 05/21/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: Demoral

Symptom List:

Symptoms: Acute pulmonary embolism 6/3/2021 at 9:24am prescribed eliquis 10mg, potassium 60 meq, magnesium 2g, morphine 4mg

Other Meds: Trazadone, toprimate, chlorthalidone

Current Illness: No

ID: 1386064
Sex: M
Age: 23
State: MI

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient fainted and fell to the ground after receiving vaccine.

Other Meds:

Current Illness:

ID: 1386065
Sex: M
Age: 16
State: WA

Vax Date: 05/15/2021
Onset Date: 05/27/2021
Rec V Date: 06/09/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Vomiting, abdominal pain, dysuria

Other Meds: creatine, biotin, turmeric, multivitamin, vitamin D, vitamin B12

Current Illness:

ID: 1386066
Sex: F
Age: 20
State: MA

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

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

Lab Data:

Allergies: Tree nuts, Sulfa drugs, cats, dogs, ragweed, dust, pollen

Symptom List:

Symptoms: Anaphylaxis as a result of COVID-19 vaccination. Chest pain, chest burning, swollen tongue, nausea, dizziness, lightheadedness.

Other Meds: Methylphenidate, Lexapro, Zyrtec

Current Illness: None

ID: 1386067
Sex: F
Age: 76
State: CT

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 06/09/2021
Hospital:

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Allergies: Plaquenil, Pradaxa, Erythromycin, Furandantin, Negram, Vibramycin, Cardura, Atarax, bee stings

Symptom List:

Symptoms: I felt an immediate "anaphylaxis-like" reaction right away. I had swelling of my mouth, face, eyes and nausea. I felt dizzy and light headed and had fever of 101F, headache, body aches and I could not get out of bed. I had trouble sleeping. I had trouble concentrating, decrease cognitive abilities and extreme fatigue. I did take an antihistamine (Xyzal) prior to the vaccine. I took Tylenol and Zofran for nausea. The swelling subsided after 2 days, and the acute-flu like symptoms lasted about a week. I usually see my doctor every week for weekly injection for my RA . I still have nausea and he prescribed Zofran for that. I have small-medium lost my appetite and my taste and smell have change and also itchy eye. But I have noticed increased saliva excretion.

Other Meds: Synthroid 112mcg once a day Valsartan 80mg twice a day Wellbutrin XL 150mg once a day Xarelto 15mg every evening Prevacid 20mg twice a day Zetia 10mg every evening Lipitor 20mg every evening Cerefolin once a day Nuvigil 150mg once a day Ly

Current Illness: none

ID: 1386068
Sex: M
Age: 26
State: FL

Vax Date: 06/09/2021
Onset Date: 06/09/2021
Rec V Date: 06/09/2021
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Symptoms: Status post receiving J&J on left deltoid. Patient stated he has a fear of blood prior to receiving the vaccine. Patient went to the observation area and was noted to have a syncopal episode witnessed by RN. Patient was noted to be pale and diaphoretic. Patient was lowered to the ground by two (2) RNs. RN held c-spine while lowering patient to the floor. He was nonresponsive for approximately 30 seconds. No injuries were noted. After being lowered to the ground in supine position, patient was A/Ox4. Vital signs were assessed as follows: O2 was 98%. HR was 65. Temperature was 98.1. BP was 116/75. Respirations were 16. Patient stated he has a history of a similar incident that happened 7 years ago when he cut his finger he "passed out." EMS was called at 1425 and arrived at 1430 and assisted him into a chair. Upon checking his blood sugar, patient immediately had a second syncopal episode/LOC while EMS was on scene. Patient was again lowered to the ground in supine position. EMS performed a 12 lead EKG and transferred him to a stretcher. Patient A/O x4 prior to EMS departure. EMS left with the patient at 1445.

Other Meds:

Current Illness:

ID: 1386069
Sex: M
Age: 31
State: CA

Vax Date: 06/09/2021
Onset Date: 06/09/2021
Rec V Date: 06/09/2021
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Allergies: none

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Symptoms: Increased HR and dizziness. Provided patient with water and had him lay down in zero gravity chair. Symptoms resolved after 10 mins.

Other Meds: none

Current Illness: none

ID: 1386070
Sex: M
Age: 81
State: GA

Vax Date: 05/14/2021
Onset Date: 05/21/2021
Rec V Date: 06/09/2021
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Allergies: none reported

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Symptoms: The patient's wife called today to ask about the second shot and reported an itchy rash all over stomach and some on arms and legs. The patient's wife also states he has a rash on his back, but that and practitioner said it looks more fungal and not related to the rash on his stomach, arms and legs.

Other Meds:

Current Illness:

ID: 1386071
Sex: F
Age: 48
State: IL

Vax Date: 03/10/2021
Onset Date: 03/31/2021
Rec V Date: 06/09/2021
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Allergies: Campath Dilantin Inactive ingredient in brand Norco

Symptom List:

Symptoms: Mild/Moderate hearing loss

Other Meds: Bactrim, Prograf, Cellcept, Prozac, Xanax, ADDerall, birth control pill, Atorvostatin, vitamin D, vitamin B12, magnesium, Metformin, melatonin, Allegra, Singulair

Current Illness: None

ID: 1386072
Sex: F
Age: 13
State: FL

Vax Date: 06/09/2021
Onset Date: 06/09/2021
Rec V Date: 06/09/2021
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Allergies: no known drug allergies

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Symptoms: Patient received her vaccine on 6/9/2021. after Vaccine was completed the patient was asked to sit in the lobby for 15 minutes so she could be monitored due to 1st dose. Within 5 minutes Patient stated to parent that she was thirsty, when parent grabbed a water and returned to see Patient fainting and sliding out of her chair. Went to assist patient to make sure she was OK. Patient was saying she felt sleepy and wanted to sleep. we kept her conscious but her words began to slur. Rescue came and assessed the patient who began to turn pale. She complained of her chest hurting and she started sweating. Rescue took patient to the local ER. Patient came back from ER with parent to let us know that she was OK. Her color had returned and she was no longer pale.

Other Meds: none

Current Illness: none

ID: 1386073
Sex: M
Age: 16
State: TX

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

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Allergies: Amoxicillin

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Symptoms: June 4: Vaccine received June 6 (AM): felt arm pain and mild chest pain not affected by breathing or moving. Continues on and off, but was relieved by ibuprofen. June 7: 1PM- chest pain became persistent, not relieved by ibuprofen. Describes as "squeezing" with palpitations. Accompanied by feeling clammy, weak, pale, subjective fever. Brought to ED and transferred to ICU 6/7 at 18:44 for labs and imaging consistent with myopericarditis. Started treatment on scheduled Ibuprofen (600 mg q8 hours). Chest pain improving, but serial troponin continued to rise. 6/9: NSAID changed to Toradol for continued chest pain with colchicine

Other Meds: none

Current Illness: mild congestion 2 weeks prior

ID: 1386074
Sex: M
Age: 28
State: WA

Vax Date: 06/09/2021
Onset Date: 06/09/2021
Rec V Date: 06/09/2021
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Allergies: no known allergies

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Symptoms: Patient felt tingling in the arm after administration & informed vaccinator that he felt like he was going to pass out. He started to lose consciousness shortly after & EMS was called to clear before he was allowed to leave. Patient was out for only a couple of seconds before regaining consciousness. He remembered feeling dizzy & like he was falling during the episode.

Other Meds: none

Current Illness: none

ID: 1386075
Sex: M
Age: 38
State: WA

Vax Date: 06/07/2021
Onset Date: 06/07/2021
Rec V Date: 06/09/2021
Hospital: Y

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Allergies: NKDA

Symptom List:

Symptoms: approximately 1 hour post injection, patient felt diaphoretic, syncopated and experienced Ventricular fibrillation/ cardiac arrest requiring CPR and defibrillation. he has no known history of similar

Other Meds: 1. lisinopril 2. Chlorthalidone

Current Illness: none known

ID: 1386076
Sex: F
Age: 12
State: MO

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

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Allergies: Banzel - arrythmias cefepime - redness clobazam - dyskinesia depakote- pancreatitis dextrose containing products - on Ketogenic Diet Fosphenytoin - arrythmias dexmedetomidine - bradycardia sabril - lethargy vancomycin- redmans infusion syndrome (infuse doses over 2 hours and pre-treat with benedryl)

Symptom List:

Symptoms: 6/8/21 -Presented with respiratory failure requiring intubation about 12 hours after 2nd dose of COVID-19 vaccine. Desaturated to the low 80's despite oxygen. Febrile to 38.8 after admission and had several breakthru seizures requiring loading doses of Keppra. 5/17/21-Had event of tachycardia into the 140s, and slight fever of 100.6, and 8 minute seizure after 1st dose.

Other Meds: Albuterol as needed, Amiodarone daily, Calcitriol daily, Calcium Carbonate daily, cholecalciferol daily, Epidiolex twice daily, clonazepam three times daily, Flovent twice daily, Keppra twice daily, multivitamin daily, norethindrone daily,

Current Illness: Had similar febrile reaction after 1st dose of the COVID Pfizer vaccine on 5/15/21 requiring hospitalization, but was discharged home after 1-2 days of observation.

ID: 1386077
Sex: F
Age: 49
State: CA

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 06/09/2021
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Allergies: NKDA

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Symptoms: Patient had headache, body aches, chills, and right upper quadrant pain with acute elevation in ALT/AST and biliruben.

Other Meds: Loratadine, Dulera, Miralax, Estroven

Current Illness:

ID: 1386078
Sex: F
Age: 82
State: MI

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

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Allergies: Fentanyl, Morphine, possible PCN

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Symptoms: Daughters report that mother, pt., was sleepy with a possible fever the day after the 1st Moderna COVID-19 vaccine which was administered on 5/5/2021. On 6/2/2021 she received the 2nd Moderna dose. The following morning, 6/3/2021, at 7am she was awaken by her daughter and had a fever of 101 degrees F, began vomiting shortly after and whole body was shaking. Ambulance was called and transported her to Hospital ER where she was admitted. Several tests were performed. Diagnosed with a UTI, treated and released on 6/7/2021 to Rehab center for therapy for 3-6 weeks.

Other Meds: Lasix, Flomax, K, Synthroid, Prilosec, Eliquis, Temazepam, Folic Acid,

Current Illness: None

ID: 1386080
Sex: F
Age: 57
State: IL

Vax Date: 05/21/2021
Onset Date: 05/22/2021
Rec V Date: 06/09/2021
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Allergies: NKDA

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Symptoms: Patient states she experienced arm pain and tingling post vaccination that is still occurring 3 weeks later. Her primary physician suspects she has SIRVA and has scheduled an ultrasound to determine if it is an injury such as muscle tear or an allergic reaction.

Other Meds: N/A

Current Illness: N/A

ID: 1386081
Sex: F
Age: 54
State: FL

Vax Date: 03/24/2021
Onset Date: 03/01/2021
Rec V Date: 06/09/2021
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Allergies: None

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Symptoms: Tinnitus- constant ringing in my ear. Never had this before

Other Meds:

Current Illness: None

ID: 1386082
Sex: F
Age: 13
State: UT

Vax Date: 06/07/2021
Onset Date: 06/09/2021
Rec V Date: 06/09/2021
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Allergies: None

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Symptoms: Shortness of breath a few hours after injection, no other symptoms

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 679,999

Page last modified: 03 October 2021 5:28pm