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: 1454235
Sex: F
Age: 34
State: PA

Vax Date: 06/12/2021
Onset Date: 06/13/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: First pregnancy, estimated date of delivery 11/26/21. Joint pain, headache starting early morning on the next day (6/13/21) after the second covid shot. These symptoms subsided by the end of the same day. Starting on the evening of 6/13/21, after the joint pain and headache had subsided, a full body rash developed. The rash was located on the chest, upper back, inside of both elbows, the side/inside of both wrists, and behind the left knee. The rash was small red splotchy circles that wasn't itchy or painful. The rash cleared up after about 2 days on its own. No topical treatments or oral medication was taken or put on the rash. In the past, a similar rash has occasionally appeared during fever or illness. The rash doesn't always appear during every illness, and sometimes only on parts of the body, usually the chest and back. The rash has also occasionally appeared on the inside of the elbows without concurrent illness.

Other Meds: prenatal vitamin

Current Illness: none

ID: 1454237
Sex: F
Age: 67
State: MN

Vax Date: 06/30/2021
Onset Date: 06/30/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies: patient reported no known allergies

Symptom List:

Symptoms: Patient received a vaccine that had been drawn up with expired solution. Patient was then given correct vaccine that wasn't expired

Other Meds: none that pharmacy is aware of

Current Illness: none reported

ID: 1454238
Sex: F
Age: 87
State: IL

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: On Tuesday, March 9th, a friend of mine went to my mother's home to take her to a scheduled dentist appointment. Upon arrival, she observed that my mother was disoriented and her vision was impaired. Specifically, her right pupil was completely off to the right side, her eye was irritated and slightly swollen. Per recommendation from the primary care office, my mother was taken to the emergency room. She remained hospitalized for two weeks during which time, several labs and x-rays were performed; several ideas surfaced regarding root cause including Miller Fisher Syndrome, mini-stroke, etc. but no final diagnosis was identified.

Other Meds: Enalapril 20 mg 1 tablet 2 x daily Hydrochlorothiazide 25 mg 1/2 tablet daily Labetalol 200 mg 1 tablet 2 x daily Clopidogrel 75 mg 1 tablet daily Rosuvastatin 20 mg 1 tablet at bedtime Aspirin 81 mg 1 tablet daily Tylenol 650 mg 1 tablet d

Current Illness: None

ID: 1454239
Sex: F
Age: 74
State: MA

Vax Date: 04/01/2021
Onset Date: 04/09/2021
Rec V Date: 07/07/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies: macrolide medications, Palithizone acetate, Mangos, Latex, Nickel, Leather

Symptom List:

Symptoms: It was itchy and burning on my left breast, the same breast where I had radiation as well as a rash that looked like an irritation, red skin rash. This began April 9, 2021 approximately. I saw my DR, but it was getting better by then. I saw a different doctor on April 13, 2021 to confirm it wasn't an infection. I did not get any medication, I just waited it out and used over the counter itch control type medication - I took Benadryl pills and a topical cream.

Other Meds: Aspirin 81MG, Synthroid 6x weeks, Vitamin D3 daily, Rosuvastatin 40MG 1x daily, Calcium Citrate 400MG daily, Exemestane 25 mg daily, Metoprolol 25mg daily

Current Illness: n/a

ID: 1454240
Sex: M
Age: 54
State: KS

Vax Date: 05/27/2021
Onset Date: 05/28/2021
Rec V Date: 07/07/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Pain in my shoulder joint. I cannot lift my arm laterally.

Other Meds: Atorvastatin, 40mg Levothyroxine, 150mg Omeprazole 20mg

Current Illness:

ID: 1454241
Sex: F
Age: 72
State: TX

Vax Date: 04/03/2021
Onset Date: 06/11/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs, penicillin, cilantro

Symptom List:

Symptoms: On 06/11/2021 I had some blood work done because my white blood cell count was too high and my doctor wanted me to have a bone marrow biopsy, they removed a piece of my hip bone, and they said I had Smoldering multiple myeloma, which means I have some abnormal cells that could or could not turn into multiple myeloma.

Other Meds: Metropol 25 mg, Estradiol .5 mg, fish oil, vitamin D3, vitamin E

Current Illness: None

Date Died: 05/29/2021

ID: 1454242
Sex: F
Age: 75
State: TX

Vax Date: 01/05/2021
Onset Date: 05/29/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies: Citrus

Symptom List:

Symptoms: Cause of death: sub drawn hematoma with a normal platelet count

Other Meds: Predzone, Pludrocortosine, Levothyroxine, a blood thinner, methotyxriate, metoprolol, Fosamax

Current Illness: Multilemona, Addison's Disease, overactive thyroid, heart murmur, rheumatoid arthritis, weak heart, osteoporosis

ID: 1454243
Sex: F
Age: 17
State: TX

Vax Date: 06/12/2021
Onset Date: 06/21/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccine was diluted using the incorrect diluent - bacteriostatic normal saline was used instead of preservative-free normal saline.

Other Meds:

Current Illness:

ID: 1454244
Sex: M
Age: 81
State: FL

Vax Date: 06/30/2021
Onset Date: 07/01/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Same as I had when I had Covid-19 seven months previously: extreme fatigue and total loss of appetite, but this time it lasted only 13 hours instead of 10 days or more. I tested positive for Covid-19 antibodies 2 weeks prior to the shot.

Other Meds: Methotrexate, leucovorin, Plavix

Current Illness:

ID: 1454245
Sex: M
Age: 74
State: WI

Vax Date: 01/30/2021
Onset Date: 07/05/2021
Rec V Date: 07/07/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt called EMS for "impending doom". Upon arrival EMS found oxygen saturations 80%, patient just states he feels like he is dying. Seen in ED and admitted for pneumonia due to COVID-19.

Other Meds:

Current Illness:

ID: 1454246
Sex: M
Age: 24
State: MO

Vax Date: 03/28/2021
Onset Date: 04/13/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies: Neosporin, seasonal allergies

Symptom List:

Symptoms: Chest pain issues have resolved mostly. The most debilitating thing to come after the vaccine was the onset of ringing, buzzing persistently in left ear, comes and goes in right ear. Started 2 weeks and 2 days after second dose of Pfizer vaccine, and after flying multiple times and started when I got back on the 13th of April 2021. It has remained constant but has improved slightly from where it was in the beginning, have been doing Hyperbaric Oxygen Therapy (five 1 hour sessions, spaced about a week-week and a half apart over the last 2 months to see if things improve). Things I would say have improved but I am running out of patience and financial means to keep going to a doctor. I feel helpless, depressional, work performance is awful, and lastly very suicidal than I have ever been. Just want to die.

Other Meds: Claritin, Propanolol

Current Illness: Dealing with congestion from allergies, residual chest pains from virus diagnosis on August 28, 2020

ID: 1454247
Sex: F
Age: 50
State: MA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List:

Symptoms: Within hours of the second injection I felt fatigued, several hours after the injection (later at night) I vomited for about 6 hours, then experienced 3 days of fevers, chills, body aches, and exhaustion. I could not get out of bed for 3 days.

Other Meds: Lisinopril

Current Illness: None

ID: 1454248
Sex: F
Age: 24
State: FL

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

Vax Type:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: 1110am pt c/o numbness, tingling to back of throat denies tightness, water given, BP116/81 P90 SpO2 97%, 1122am pt states"better" B/P 109/73 P 80 R16 SpO2 97%,

Other Meds:

Current Illness:

ID: 1454249
Sex: M
Age: 44
State: CA

Vax Date: 06/23/2021
Onset Date: 06/27/2021
Rec V Date: 07/07/2021
Hospital: Y

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

Lab Data:

Allergies: Lidocaine- rash

Symptom List:

Symptoms: Vertebral artery dissection and cerebellar infarcts. Nausea, vertigo. Hospitalized x 2 days (6/28-6/30/21). Started on elliquis. To follow up with Neurology

Other Meds: Protein supplement and metabolic fat burner before exercise clomiphene

Current Illness: n/a

ID: 1454250
Sex: M
Age: 21
State: TX

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccine was diluted using the incorrect diluent - bacteriostatic normal saline was used instead of preservative-free normal saline.

Other Meds:

Current Illness:

ID: 1454251
Sex: M
Age: 43
State: OH

Vax Date: 07/02/2021
Onset Date: 07/03/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Deep vein thrombosis affecting the left internal jugular, axillary, subclavian and brachial veins.

Other Meds: famotidine (PEPCID) 20 mg tablet Take 1 tablet (20 mg total) by mouth nightly.Patient taking differently: Take 20 mg by mouth as needed. ibuprofen (ADVIL,MOTRIN) 600 mg tablet Take 1 tablet (600 mg total) by mouth every 6 (six) hours as

Current Illness: None at the time of vaccination. Deep vein thrombosis involving the left internal jugular, axillary, subclavian and brachial veins developed 1-2 days after vaccination.

ID: 1454252
Sex: M
Age: 57
State: MO

Vax Date: 06/30/2021
Onset Date: 06/30/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: At 4:00PM the same day that the vaccine was administered; patient noticed a rash on his back. Patient took one dose of benadryl and the rash went away by that same evening. The following day at 10:30AM patient noticed his lips swelled. He took another dose of Benadryl and swelling of lips went away. His wife encouraged patient to call and report his side effects. Client is completely recovered from his side effects. He did not sign up for and did not seek medical attention from his physician.

Other Meds: Lisinopril and amlodipine

Current Illness: None

ID: 1454253
Sex: M
Age: 21
State:

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Pt Contracted COVID-19 on 07Jul2021

Other Meds: none noted

Current Illness: none noted

ID: 1454254
Sex: M
Age: 51
State: IL

Vax Date: 06/23/2021
Onset Date: 06/24/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: weakness, body aches, headaches, increased BPs (checked by wife at home), chills, sweats at night, yellowing of eyes, nausea, intermittent cough

Other Meds: Amlodipine, lisinopril

Current Illness:

ID: 1454255
Sex: M
Age: 76
State: TX

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Started 10 minutes after vaccine lips were swollen and also had a hard time swallowing.

Other Meds: Prescription medications

Current Illness: No

ID: 1454256
Sex: F
Age: 45
State: PR

Vax Date: 06/29/2021
Onset Date: 06/29/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies: Codeine, Meatballs

Symptom List:

Symptoms: A 45-year-old female patient reports that 60 minutes after leaving the vaccination center, she presented the following symptoms: Nausea; Vomiting; Fever; Headache; Rash when scratching; Itching; Swelling on the lips; Small bruise on your left upper limb. After taking your second dose of MODERNA.

Other Meds: Enalapril 20mg Humulin 70/30

Current Illness: N/A

ID: 1454257
Sex: F
Age: 39
State: TX

Vax Date: 06/22/2021
Onset Date: 06/24/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List:

Symptoms: Rash on left arm after second dose

Other Meds: Daily women?s vitamins

Current Illness: N/a

ID: 1454258
Sex: F
Age: 12
State: TX

Vax Date: 06/12/2021
Onset Date: 06/12/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccine was diluted using the incorrect diluent - bacteriostatic normal saline was used instead of preservative-free normal saline.

Other Meds:

Current Illness:

ID: 1454259
Sex: U
Age: 13
State: TX

Vax Date: 06/12/2021
Onset Date: 06/12/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccine was diluted using the incorrect diluent - bacteriostatic normal saline was used instead of preservative-free normal saline.

Other Meds:

Current Illness:

ID: 1454260
Sex: M
Age: 25
State: FL

Vax Date: 07/03/2021
Onset Date: 07/03/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient is a 25 y/o male whom after being vaccinated and being informed about 15 min. observation period, lost consciousness. Client's head was supported until he regained consciousness and was helped into a wheelchair and taken to the private recovery area where EMS took his vitals. BP 70/40, pulse 58, Glucose 88, Resp. 16, normal mentation. Patient diaphoretic, complaining of nausea and dizziness. Client was then transported by EMS staff from recovery area @ 12:33pm and taken to Coral Springs Hospital Emergency Room.

Other Meds: none

Current Illness: none

ID: 1454262
Sex: U
Age: 18
State: TX

Vax Date: 06/12/2021
Onset Date: 06/12/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccine was diluted using the incorrect diluent - bacteriostatic normal saline was used instead of preservative-free normal saline.

Other Meds:

Current Illness:

ID: 1454263
Sex: F
Age: 47
State: CA

Vax Date: 06/14/2021
Onset Date: 06/30/2021
Rec V Date: 07/07/2021
Hospital: Y

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

Lab Data:

Allergies: NKA to food, drugs, or environment

Symptom List:

Symptoms: Pt came to hospital with dizziness, headache and fever. Pt had extremely elevated D-dimer, and elevated infection markers including procalcitonin. However, her workup for an infectious process was inconclusive. Vaccine related event is a possibility as no infection source was detected.

Other Meds: None

Current Illness: no known

ID: 1454264
Sex: M
Age: 56
State: NY

Vax Date: 05/21/2021
Onset Date: 05/25/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies: No allergies.

Symptom List:

Symptoms: I experienced pain in my arm and end up with a injury in my arm due to vaccination.

Other Meds: Yes I am taking prescriptions.

Current Illness: No other illnesses.

ID: 1454265
Sex: F
Age: 48
State: MD

Vax Date: 06/25/2021
Onset Date: 06/25/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies: sulfur, elavil, rocephin,

Symptom List:

Symptoms: mouth itching, then throat, arms itching, heart palpitations , used benedryll

Other Meds: migraine meds

Current Illness:

ID: 1454266
Sex: F
Age: 49
State: LA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The night of this second vaccination, I began having shortness of breath, chest pains, and chills. The chills were gone the next morning, but the shortness of breath and labored breathing lasted for more than six weeks. It has gotten better but comes back after light activity. The sharp chest pains have gotten better but still occur on occasion. The chest pressure and discomfort have lessened but still exist.

Other Meds: Lexapro Multi-vitamin Calcium B-12 Aimovig Imitrex (as needed)

Current Illness: N/A

Date Died: 05/06/2021

ID: 1454267
Sex: M
Age: 73
State: DE

Vax Date: 12/29/2020
Onset Date: 03/02/2021
Rec V Date: 07/07/2021
Hospital: Y

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Breakthrough; resulted in death from COVID related symptoms.

Other Meds: Unknown

Current Illness: Unknown

ID: 1454268
Sex: F
Age: 29
State: MD

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 07/07/2021
Hospital:

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

Lab Data:

Allergies: Penicillin; sulfa; jelly fish; clindamycin

Symptom List:

Symptoms: My throat closed and it has gone downhill since then. My lungs have not stopped hurting since that day, I keep getting a rash and I react to sunlight. My vision is foggy, my eyes hurt. I have low back pain and I feel like my kidneys hurt. I get confused very easily now. My neck and my head hurt. I feel like a big ball of pain. I have been to ER 3 times since the 2nd dose. My normal doctor believes I had an autoimmune response to vaccine.

Other Meds: Omeprazole; Topamax; Microzide; Atenolol

Current Illness:

ID: 1454269
Sex: M
Age: 24
State:

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

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: Syncope within 2 minutes after shot. Excessive forehead sweating and lightheadedness. Did not fall to floor or lose consciousness. Resolved completely in 15 minutes. Gave pt Gatorade and peanut butter crackers. Pt admitted to always getting nervous prior to any medical procedure. Pt visiting. 100% fine when he left.

Other Meds: na

Current Illness: no

ID: 1454270
Sex: M
Age: 74
State: WI

Vax Date: 05/26/2021
Onset Date: 07/05/2021
Rec V Date: 07/07/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt called EMS for "impending doom" on 7/5/2021. Upon arrival EMS found oxygen saturations 80%, patient just states he feels like he is dying. Seen in ED and admitted for pneumonia due to COVID-19. Previously tested (+) for COVID-19 on 12/22/2020 prior to hospital admission for SI, with left proximal humeral fracture complicated by H. pylori PUD. Tested (-) on 12/7/2020 in ED when evaluated initially for pain due to humeral fracture from fall on 12/3/2020. Tested (-) for COVID on 12/12/2020 prior to EGD.

Other Meds:

Current Illness:

ID: 1454271
Sex: F
Age: 65
State: FL

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

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: She got her vaccine, drove home and had pain at the site, redness for a couple of days, and a fever. She had difficulty raising her arm, stiffness, but was ok, some tiredness. She drank a lot of water, rested and then a couple of days later she had noise in her head like crickets, but her daughter didn't have any crickets in her house and they didn't hear it. She noticed it more when she's in a room and it's quiet at night and early in the morning, and it still continues still as of 7/7/21. She doesn't hear them when she's active and busy but she can hear it now as she's talking to me on the phone. It has not gotten any better or worse, but did not have this problem before having the vaccine. She has not seen anybody for the ringing in her ears, but is presently in another area and when she goes back she is going to see her doctor regarding the ringing. She has had no problems with imbalance, no mobility problems, and has had no change in her medications, has been on the same medications for many years.

Other Meds: Metformin 850 mg, Lisinopril 40 mg.

Current Illness: None.

ID: 1454272
Sex: F
Age: 59
State: MD

Vax Date: 06/18/2021
Onset Date: 06/18/2021
Rec V Date: 07/07/2021
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Allergies: shellfish,hydrocodone

Symptom List:

Symptoms: vaccine given elsewhere. 3 hours after vaccine pt developed fever 102, blisters in nose, congestion, vomiting, wheezing. the patient did not return calls after event for a follow up

Other Meds: albuterol, alprazolam,wellbutrin,soma,diltiazem,furosemide,Metoprolol succinated,narcan,prilosec,,Roxicodone,Desyrel,xarelto

Current Illness:

ID: 1454273
Sex: M
Age: 52
State: IL

Vax Date: 04/01/2021
Onset Date: 04/19/2021
Rec V Date: 07/07/2021
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Allergies: None

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Symptoms: Rash on back of right leg, groin and front of left leg

Other Meds: Singular, Rosuvastatin, Zyrtec, protonix

Current Illness: None

ID: 1454274
Sex: F
Age: 67
State: TN

Vax Date: 06/17/2021
Onset Date: 06/28/2021
Rec V Date: 07/07/2021
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Allergies: Macrobid, Sulfa, Penicillin

Symptom List:

Symptoms: Patient reported fatigue and aches for 2 days post vaccination. On day 11 post vaccination, she had a reaction at the injection site; red achey, warm to the touch. Also, joint pain and fatigue that lasted 5-7 days

Other Meds: vitamin C, Cytomel, levothyroxine

Current Illness: none

ID: 1454275
Sex: M
Age: 52
State: CA

Vax Date: 04/14/2021
Onset Date: 04/21/2021
Rec V Date: 07/07/2021
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Allergies: None.

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Symptoms: Slight headache, burning in the throat, runny nose constantly.

Other Meds: None.

Current Illness: None.

ID: 1454276
Sex: F
Age: 59
State: OR

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 07/07/2021
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Allergies: Allergic reaction to sodium pentathol at age 18

Symptom List:

Symptoms: Right after shot started feeling off, woozy for the entire day. A week later began developing chest pain, went to get tested at urgent care, sent to ER because of fear of pulmonary embolism. At the ER ran some tests on heart (EKG, etc.) Not given any medication. Chest pain lingered for a while, no reaction to second shot. Gut issues persisted throughout

Other Meds: Lipitor (torbastatin for cholesterol)

Current Illness: Ongoing colitis that had started 3 months prior initiated by a medication

Date Died: 05/23/2021

ID: 1454278
Sex: F
Age: 102
State: DE

Vax Date: 01/25/2021
Onset Date: 05/03/2021
Rec V Date: 07/07/2021
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Allergies: Unknown

Symptom List:

Symptoms: Breakthrough death resulted from COVID.

Other Meds: Unknown

Current Illness: Unknown

ID: 1454279
Sex: M
Age: 15
State: MD

Vax Date: 06/22/2021
Onset Date: 06/22/2021
Rec V Date: 07/07/2021
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Symptoms: headache for 5 days straight took tylenol

Other Meds:

Current Illness:

ID: 1454280
Sex: F
Age: 27
State: NY

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

Symptom List:

Symptoms: she started to feel dizziness, sweating, and eyes were rolling upward.

Other Meds: n/a

Current Illness: n/a

ID: 1454281
Sex: F
Age: 27
State: IL

Vax Date: 07/06/2021
Onset Date: 07/06/2021
Rec V Date: 07/07/2021
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Allergies: Pepto Bismol, Strawberries , Peaunut butterBipolar

Symptom List:

Symptoms: Patient complained of dizziness, feeling faint, racing pulse and flush of heat all over after 15 minutes in waiting room. Patient taken to exam room at 5 pm and lied back on exam table with head elevated 45 degrees. B/P taken at 5 pm 118/88 in left arm sitting, apical pulse 76 and O2 Sat 100% on room air. Patient denied chest pain or shortness of breath. Patient states she has anxiety and fear of needle. Patient drank a cup of water, instructed on slow deep breathed. after being observed for 15 minutes, patient stated she was feeling better. Spouse at bedside as well. Patient observed another five minutes and BP retaken at 520 pm was 116/88 left arm sitting. Patient states she feel well enough to go home. Spouse states that she will drive patient. Instructed patient on slowly sitting up, then slowly standing. patient denied dizziness upon leaving at 520pm approx. patient mood laughing a joking upon leaving. Patient left in stable condition. Instructed patient to seek medical attention with any chest pain or SOB.

Other Meds: Vitamin D 50,000 units once weekly Ferrous sulfate 325 mg once daily

Current Illness: Dizziness reported on 6/30/21

ID: 1454282
Sex: M
Age: 26
State: AZ

Vax Date: 07/06/2021
Onset Date: 07/06/2021
Rec V Date: 07/07/2021
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Symptoms: The patient came in to the emergency department for a visit. he stated while in the ed that he had an appointment that was scheduled for today that he was going to miss. Glancing at the system the nurse and myself thought it actually did state 07/06/2021. I administered the vaccine and went on to chart the dose given. Upon going in to remove the patient's appointment I realized we misread the date and the patient was actually scheduled for 7/16/21. So the patient was actually 6 days earlier for his 2nd dose than what was recommended

Other Meds:

Current Illness:

ID: 1454283
Sex: F
Age: 42
State: CO

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 07/07/2021
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Allergies: Vicodin; morphine; codeine; promethazine; sulfa antibiotics

Symptom List:

Symptoms: Severe migraines Imitrex and Zofran to treat regular migraines multiple times per month that were not persisting before vaccine. Fatigue, fever, vomiting, soreness.

Other Meds: Allergy medication (Cetirizine)

Current Illness: None

ID: 1454284
Sex: U
Age: 12
State: TX

Vax Date: 06/21/2021
Onset Date: 06/21/2021
Rec V Date: 07/07/2021
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Symptoms: Vaccine was diluted using the incorrect diluent - bacteriostatic normal saline was used instead of preservative-free normal saline.

Other Meds:

Current Illness:

ID: 1454285
Sex: F
Age: 36
State: MN

Vax Date: 03/24/2021
Onset Date: 05/07/2021
Rec V Date: 07/07/2021
Hospital: Y

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Allergies: Sulfa, Benadryl, Erythromycin, Doxycycline, Penicillin, Clindamycin

Symptom List:

Symptoms: I had my second dose of the Covid19 vaccine on March 24, 2021. I didn't know at the time that I was pregnant, it was very early. Received a positive confirmation on April 14, 2021. At this time I was about 6 weeks along. Due date was estimated for the beginning to mid- December. On May 7th I had my first appointment with an OB, at that time she was unable to find a heartbeat. HCG quants were checked and I was sent for a more extensive ultrasound on May 11. Miscarriage was confirmed that day. Scheduled a D&C for May 24th, on the 21st I spiked a fever and was exhibiting signs on sepsis. That evening an emergent D&C was performed. Seemed to be on the mend the next morning and was sent home with oral antibiotics. On the 25th I spiked another fever and was advised by my physician to get to the emergency room. Spent the next three nights in the hospital with IV antibiotics. Came home with a couple different oral antibiotics (Flagyl and Clindamycin) for the next 2 weeks. This seemed to cover the infection.

Other Meds: Loratadine, Pre-Natal vitamins

Current Illness: None

ID: 1454286
Sex: M
Age: 55
State: FL

Vax Date: 06/08/2021
Onset Date: 06/27/2021
Rec V Date: 07/07/2021
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Symptoms: Positive PCR Covid test on 7/1/2021. Covid symptons. Itchy hives on 6/15/2021.

Other Meds: Lexapro, lisinipril, Nuvigil, Travatan Z.

Current Illness:

ID: 1454287
Sex: M
Age: 22
State: FL

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 07/07/2021
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Allergies: None

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Symptoms: Elevated heart rate within couple of minutes of receiving vaccine and extreme fatigue. Visited emergency room 4 times within two months after receiving vaccine and had abnormal EKGs. Followed up with a neurologist, cardiologist, gastrologist, and primary care physician to receive more follow-up tests but have not received any official diagnoses yet. As of July 7th, I still have rapid heart rate, low blood pressure, shortness of breath, bone cracking, and back & stomach & neck pains that all started since receiving the second dose of vaccine.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm