VAERS 2021 Database www.vaers.hhs.gov

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

Total Manufacturer

Incidents per State

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

ID: 1462085
Sex: F
Age: 46
State:

Vax Date: 06/08/2021
Onset Date: 06/13/2021
Rec V Date: 07/10/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Chronic digestive issues including constipation and diarrhea; feces black; all occurred for 4 weeks. Menstrual cycle was halted for 2 months from the first dose on 5/12. Elevated skin bump on middle of chest akin to a mole appeared five days after second dose (6/8) where there was nothing previously; it was frozen/removed by a dermatologist.

Other Meds:

Current Illness:

ID: 1462086
Sex: M
Age: 39
State: SC

Vax Date: 07/09/2021
Onset Date: 07/10/2021
Rec V Date: 07/10/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills, body aches, fever of 101.5, profuse sweating, insomnia

Other Meds: Zyrtec

Current Illness: None

ID: 1462087
Sex: M
Age: 43
State: VA

Vax Date: 07/10/2021
Onset Date: 07/10/2021
Rec V Date: 07/10/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: patient was given janssen covid- 19 vaccine at 4.30 pm and 10 min later the patient fell forward from his chair on his face as he felt very dizzy and sweating.. Patient regained consciousness right away and was doing fine after a few min.

Other Meds: na

Current Illness: none

ID: 1462088
Sex: M
Age: 32
State: KS

Vax Date: 07/10/2021
Onset Date: 07/10/2021
Rec V Date: 07/10/2021
Hospital:

Vax Type:
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Lab Data:

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Symptom List:

Symptoms: patient shortly after sitting down felt tingling all over and started to sweat-stopped right away, checked bp and applied cool packs to wrists/neck/head 10:13am 149/88 bp and 74 pulse, 147/99 @10:22am, 142/93 @10:28am and left pharmacy area, 11:20 stopped backed by to say feeling good faxed primary care doctor about event

Other Meds:

Current Illness:

ID: 1462089
Sex: F
Age: 26
State: FL

Vax Date: 07/10/2021
Onset Date: 07/10/2021
Rec V Date: 07/10/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: NKA

Symptom List:

Symptoms: dizziness, syncope, pale complexion, sob/difficulty breathing/ gasping for air, nausea after about 5-10 minutes after vaccine given. EpiPen given by pharmacist, fluids given by rescue. breathing improved, Vitals were stable upon transport to hospital

Other Meds: None disclosed

Current Illness: None disclosed

ID: 1462090
Sex: M
Age: 65
State: TX

Vax Date: 06/12/2021
Onset Date: 06/01/2021
Rec V Date: 07/10/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: Patient describes having numbness from his upper arm to his fingers. The numbness occasionally will subside with sharp burning, tingling sensations. Patient made appointment with primary care provider. Primary care provider gave patient a new prescription for gabapentin. Primary care provider is monitoring.

Other Meds:

Current Illness:

ID: 1462091
Sex: F
Age: 69
State:

Vax Date: 07/10/2021
Onset Date: 07/10/2021
Rec V Date: 07/10/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Numbness (lips), weakness. Evaluated by EMS-Cleared

Other Meds:

Current Illness:

ID: 1462092
Sex: F
Age: 68
State: WI

Vax Date: 03/25/2021
Onset Date: 05/07/2021
Rec V Date: 07/10/2021
Hospital: Y

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: chest pain diagnosed as Pericarditis at hospital on Approx May 14, 2021

Other Meds: atorvastatin lisinopril multi vitamin D3 levothyroxine low dose aspirin lumigan eye drop timolol eye drop

Current Illness: ckd - under control 53 GFR type 2 diabetis -under tight control

ID: 1462093
Sex: F
Age: 11
State: WI

Vax Date: 06/05/2021
Onset Date: 06/05/2021
Rec V Date: 07/10/2021
Hospital:

Vax Type:
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Lab Data:

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Symptom List:

Symptoms: Patient's guardian, provided inaccurate information regarding patients date of birth. The date of birth provided on the consent form, and subsequent identity verification steps, was 08/12/2008. The correct date of birth was actually 08/12/2009 making patient only 11 years old, and an ineligible candidate for the Pfizer covid-19 vaccine. Patient received her first dose 05/15/2021 and the second dose on 06/05/2021. No adverse effects were reported to my knowledge.

Other Meds:

Current Illness:

ID: 1462094
Sex: M
Age: 41
State: AZ

Vax Date: 05/01/2021
Onset Date: 06/03/2021
Rec V Date: 07/10/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Sulfa, Citilopram, Risperidone.

Symptom List:

Symptoms: Extreme increase in average blood pressure (ongoing and current). Approx. 120/75 to 150/105. I was proscribed Lisinopril.

Other Meds: Gagapentin, Adderall, Naltrexone, Campral, Abilify, Antabuse.

Current Illness:

ID: 1462095
Sex: F
Age: 39
State: IN

Vax Date: 07/08/2021
Onset Date: 07/09/2021
Rec V Date: 07/10/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Asprin Adhesive Toradol Regalin

Symptom List:

Symptoms: Fever Body ache Chills Malaise Diarrhea

Other Meds: Celebrex Hydroxychloroquine Benlysta Spironolactone Mycophenolic acid

Current Illness:

ID: 1462096
Sex: F
Age: 20
State: OR

Vax Date: 06/29/2021
Onset Date: 06/29/2021
Rec V Date: 07/10/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Given Pfizer #1 instead of Moderna #2. No side effects or adverse outcomes noted.

Other Meds: Escitalopram Nexplanon

Current Illness: None

ID: 1462097
Sex: F
Age: 52
State: NC

Vax Date: 04/03/2021
Onset Date: 05/10/2021
Rec V Date: 07/10/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: Started having upper abdominal pain and then a couple of weeks later started with diarrhea. Was planning on traveling so went to physician to get tested and to do lab work for symptoms.Labs included liver enzymes. ALT and AST were somewhat elevated and Alk Phos was very elevated. Later, on 6/11/2021, had an abdominal ultrasound which did not show signs of fatty liver disease or any obvious problems with bile ducts or portal veins. Liver enzymes, as of, 5/21/2021, were ALT 57, AST 49, and Alk Phos 615. These labs will be repeated on 7/12/2021.

Other Meds: Duloxetine, levothyroxin, trazodone, Tylenol, Boswellia, vitamin D, vitamins, iron, cyanocabalamin, fish oil supplement, loratidine.

Current Illness: Anemia, arthritis

ID: 1462098
Sex: M
Age: 50
State: PA

Vax Date: 06/23/2021
Onset Date: 06/25/2021
Rec V Date: 07/10/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Tingling/needle/itchy feeling in hands, feet, scalp, inner thighs

Other Meds: None

Current Illness: None

ID: 1462099
Sex: F
Age: 30
State: WI

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 07/10/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Muscular/Joint Pain, 3/10, Tylenol, 24 hours 101.7 Fever, Tylenol, 36 hours

Other Meds: Lexapro 20mg daily Tamoxifen 20mg daily Lithium 600mg daily

Current Illness:

ID: 1462100
Sex: F
Age: 36
State: WA

Vax Date: 07/10/2021
Onset Date: 07/10/2021
Rec V Date: 07/10/2021
Hospital:

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Lab Data:

Allergies: Penicillin, bee stings

Symptom List:

Symptoms: Light headed, shaking, nausea, head ahead

Other Meds: None

Current Illness: None

ID: 1462101
Sex: F
Age: 22
State: VA

Vax Date: 05/20/2021
Onset Date: 06/20/2021
Rec V Date: 07/10/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: High fever, extreme chills, body aches, numbness in my arms and legs, nausea, difficulty breathing lasted for 4 days after second dose. After the second dose I am still missing my period and my hair is falling out in large clumps.

Other Meds: none

Current Illness: none

ID: 1462102
Sex: F
Age: 14
State: AZ

Vax Date: 07/07/2021
Onset Date: 07/07/2021
Rec V Date: 07/10/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient developed an itchy rash on torso and upper body. They were red almost like pimples and very itchy. Also developed a fever of 102, and arm was throbbing. Father alternated Ibuprofen and Tylenol for the fever , and Benadryl for the itchy rash. Today she is doing much better but still has a itchy rash on the arm. She no longer has a fever and seems to be much better.

Other Meds: none

Current Illness: NONE

ID: 1462103
Sex: F
Age: 32
State: CA

Vax Date: 01/19/2021
Onset Date: 03/15/2021
Rec V Date: 07/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Miscarriage at 8 weeks gestation in two consecutive pregnancies in March 2021 and June 2021

Other Meds: None

Current Illness: None

ID: 1462104
Sex: M
Age: 60
State: TX

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 07/10/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: Codiene

Symptom List:

Symptoms: A day after the vaccine, I started itching , the itching was localized to arms and soon to my back. Having allergies , I started on my OTC medications to include Hydrocortisone cream . As the days progressed, the rash was over my entire body to include swelling of face and legs.

Other Meds: Allegra Xyal COQ 10 Low dose apirin 0.81mg Benadryl

Current Illness: Type II Diabetes Hypercholesteremia Essential Primary Hypertension

ID: 1462105
Sex: F
Age: 33
State:

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 07/10/2021
Hospital:

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

Lab Data:

Allergies: Gluten

Symptom List:

Symptoms: Pulsatile tinnitus, Pain in the left cranial ocular region, inability to close eyes properly resulting in corneal ulcer, hot flashes for two plus weeks, night sweats, irregular menses, heart pain and cardiovascular impairments all within the first month following. Onset began the day after vaccination. Menses has returned to normal two months later. Two months post vaccination, tinnitus is still present, dry eye and drooping left eye indicating mild Bell's palsy reaction. Heart inflammation still present.

Other Meds: Athletic Greens

Current Illness: None

ID: 1462106
Sex: F
Age: 40
State: IL

Vax Date: 07/10/2021
Onset Date: 07/10/2021
Rec V Date: 07/10/2021
Hospital:

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

Lab Data:

Allergies: Patient stated no allergies and never needed an epipen

Symptom List:

Symptoms: The patient had been in the post vaccine area close to 15 minutes. The patient said it felt like she could feel the vaccine going thru her arm and across her face and up the side of her face and she felt a little dizzy. I asked her if she wanted a water and I would check on her in 5 minutes. She then said her tongue felt a little funny, but that she could swallow. I had her wait approximately 15 minutes longer to see if it would pass. She stated that the dizziness had passed but the tongue/throat felt a little swollen but it had not progressed. There was no redness/flushing. I offered her a dose of Benadryl. Pt accepted the dose. I asked her to call me when she arrived at her destination. The patient called to say that she had arrived and was feeling some better.

Other Meds:

Current Illness:

ID: 1462107
Sex: M
Age: 53
State: PA

Vax Date: 07/04/2021
Onset Date: 07/07/2021
Rec V Date: 07/10/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Pt stopped by the pharmacy Saturday 7/10/21 and stated he develpoed "pressure" in his R ear - like it feels like water is in it. He saw his PCP and no sign of infection or congestion.

Other Meds:

Current Illness: No

ID: 1462108
Sex: M
Age: 42
State: WA

Vax Date: 06/24/2021
Onset Date: 06/26/2021
Rec V Date: 07/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 2nd day after final dose woke up with severe vertigo. Lasted for 5 days. Since then have had increasing chest discomfort and muscle spasms. Left shoulder and arm still hurt 2 and a half weeks after dose.

Other Meds:

Current Illness:

ID: 1462109
Sex: M
Age: 12
State: IL

Vax Date: 07/07/2021
Onset Date: 07/10/2021
Rec V Date: 07/10/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Pt having fever, chest pain, and palpitations two days after 2nd Pfizer covid-19 dose.

Other Meds: non

Current Illness: none

ID: 1462110
Sex: F
Age: 45
State: IL

Vax Date: 07/06/2021
Onset Date: 07/06/2021
Rec V Date: 07/10/2021
Hospital:

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

Allergies: none that I know of

Symptom List:

Symptoms: AFTER 1ST DOSE ON 6/15/2021 I HAD A MILD NUMB SENSATION ON THE TIPS OF MY FINGERS IN LEFT HAND STILL REMAINING AT TIME OF 2ND DOSE. AFTER 2ND DOSE, INCREASED NUMBNESS ON LEFT HAND AND RIGHT SIDE EFFECTED WITH NUMBNESS AS WELL. NUMBNESS AND A FEELING OF NAILS THROUGH FINGERS COMES AND GOES STILL.

Other Meds: none

Current Illness: none

ID: 1462111
Sex: F
Age: 45
State: NM

Vax Date: 06/25/2021
Onset Date: 07/02/2021
Rec V Date: 07/10/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Bells Palsey (right facial dysequilibrium with standing, ambulatoin Headache, cervical trigger points

Other Meds: none

Current Illness: none

ID: 1462112
Sex: F
Age: 26
State: CA

Vax Date: 07/09/2021
Onset Date: 07/10/2021
Rec V Date: 07/10/2021
Hospital:

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

Lab Data:

Allergies: Allergy noted to ondansetron, reported reaction of throat swelling. Food intolerances noted to garlic, mushroom, mustard, unclear if any of above true IgE alleries.

Symptom List:

Symptoms: 26y G4P3 @ 29 wk 3d gestation presented to labor and delivery triage for preterm contractions approx 24h after 1st dose of PFizer COVID vaccine. Notably she was treated for bacterial vaginosis a week prior. She additionally complained of strong headache. She was afebrile, with normal exam. OB ultrasound was normal, and there was no cervical dilation. She was given IV hydration, morphine for pain, and discharged home after brief observation without evidence for preterm labor or preeclampsia. Unclear if contractions related to vaccination, suspect headache was likely due to vaccine.

Other Meds: Recently completed course of oral metronidazole for bacterial vaginosis. Taking prenatal vitamin.

Current Illness: Bacterial vaginosis diagnosed 1 month and 1 week prior, treated twice with metronidazole.

ID: 1462113
Sex: F
Age: 46
State: CO

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 07/10/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: My sister has developed multiple Blood Clots in both of her lungs. She is now currently hospitalized. No history or family history of Blood Clots. No damages.

Other Meds:

Current Illness:

ID: 1462114
Sex: F
Age: 54
State: WA

Vax Date: 05/17/2021
Onset Date: 06/01/2021
Rec V Date: 07/10/2021
Hospital:

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

Lab Data:

Allergies: N/A (Airborne mold, slightly)

Symptom List:

Symptoms: About June 1, developed muscles/skin aches all over that felt different than muscle aches from overuse. This lasted about 2 1/2 weeks. I also had a sudden relapse of SIBO-constipation and bloating. This is improving. About June 20 I developed a rash on my mid-inner thighs (which is a place I had cool-sculpting 5 yrs ago - something I regret due to results). I've never had a bumpy red rash there. The rash was also on my inner upper arms and wrists. It was gone after about 8-10 days. Then I had a bad reaction to a mild sunburn. My right inner calf from ankle to knee developed densely populated blood spots (purpura?) This also has never happened before. Then on July 9 I developed a pain behind my right knee, outer side that has no cause. I was concerned it was a blood clot and went to urgent care on July 10. It's worsening, but labs showed it was not a clot (whew) but likely a continuation of an inflammatory response to the vaccine. I anticipate it's not over. (Anecdotally, I work with Covid Disease Investigators and I've spoken with many cases who described COVID-19 moving around their body; some who had symptoms return or worsen after a period of well-being and others who have had extreme reactions to the mRNA vaccines in which any area of health weakness flared extremely and they were quite sick.

Other Meds: Supplements: Resveratrol, Vit D, Omegas, Vit C, Micro-nutrients, Berberine, 25 mg Setraline

Current Illness: None

ID: 1462115
Sex: M
Age: 66
State: AZ

Vax Date: 07/10/2021
Onset Date: 07/10/2021
Rec V Date: 07/10/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: PATIENT GOT THE FIRST SHOT ON 04-19-21 AND IS TODAY RECEIVING THE SECOND SHOT MORE THAN SIX WEEKS AFTER THE FIRST SHOT

Other Meds:

Current Illness:

ID: 1462116
Sex: F
Age: 22
State: TN

Vax Date: 07/10/2021
Onset Date: 07/10/2021
Rec V Date: 07/10/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient experienced light-headedness immediately after receiving vaccination. Patient bleed slightly and while I applied pressure and then a bandaid the patient started to feel weak. I had hear sit in a chair inside the pharmacy and prop her legs. In a couple minutes the patient turned very white and and slumped over in the chair. For a minute she did not respond to myself or her sister talking to her and asking her questions. Within another minute the patient started talking and responding normally. I called EMS and they came within minutes to check her vitals. Her blood pressure was lower than her normal. Her blood sugar was normal. The EMT considered her to have experience vasovagal syncope.

Other Meds:

Current Illness:

ID: 1462117
Sex: F
Age: 24
State: OK

Vax Date: 06/21/2021
Onset Date: 06/25/2021
Rec V Date: 07/10/2021
Hospital:

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

Lab Data:

Allergies: TETRACYCLINE

Symptom List:

Symptoms: PT EXPERIENCED A DELAYED CUTANEOUS REACTION OCCURING ABOUT A WEEK AFTER RECEIVING VACCINE RESULTING IN A RASH THAT IS STILL PRESENT

Other Meds: ZOLOFT, HYDROXYZINE, TRAZODONE

Current Illness: NO

ID: 1462118
Sex: F
Age: 36
State: MD

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 07/10/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Vancomycin

Symptom List:

Symptoms: Second dose of Pfizer vaccine given on 5/4/2021 to left Upper arm. I immediately felt burning inside my left shoulder joint as the medication was being pushed in. Approx 20 min after injection as I was waiting/being monitored I felt very dizzy and felt like I was going to pass out, I was seeing stars. Nursing staff had me lay on a stretcher and drink fluids. I have had burning pain inside my left shoulder joint since. It is exacerbated when lifting left arm above my head and across my chest. I have trouble lifting heavy objects and holding doors open. I was seen by orthopedic Dr. 6/7/2021 and he said that if pain persisted into July I should be seen again for a steroid injection to the left shoulder to decrease inflammation and pain secondary to the injection, likely causing subacromial bursitis. I have a follow appointment scheduled 7/19/2021.

Other Meds: Metoprolol 25 mg daily Wellbutrin xl 300 mg daily Hydroxyzine 25 mg daily Flexeril 10 mg prn Avovy monthly injectable

Current Illness: N/A

ID: 1462119
Sex: F
Age: 33
State: CA

Vax Date: 07/10/2021
Onset Date: 07/10/2021
Rec V Date: 07/10/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List:

Symptoms: After 10 minutes I felt nauseous, warm and my vision went black and white. I was on the verge of fainting. I laid down for another 10 minutes while drinking water and I felt much better. Have general malaise for 4 hours now since the shot, but that seems standard. I was surprised I felt the effects right away.

Other Meds: Synthroid for hypothyroidism

Current Illness: N/a

ID: 1462120
Sex: F
Age: 44
State: CA

Vax Date: 07/09/2021
Onset Date: 07/09/2021
Rec V Date: 07/10/2021
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Allergies: Sulfa-drugs, mangos

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Symptoms: Swelling of throat and tongue, racing heart and shaky right arm 1 to 2 minutes after receiving the shot. Doctor and Nurse on site monitored me. Doctor checked my heart with stethoscope. RN checked my blood pressure. I had taken zyrtec the night before the shot. The symptoms stopped progressing after about 10 minutes. I felt fine 30 minutes after the shot and went home.

Other Meds: Mirena Intruterine device

Current Illness: None

ID: 1462121
Sex: F
Age: 69
State: MI

Vax Date: 02/18/2021
Onset Date: 03/25/2021
Rec V Date: 07/10/2021
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Allergies: Pineapples, strawberries

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Symptoms: Swelling and pain at the injection site

Other Meds: Atenolol, atorvastatin, furosemide, nifedipine, pantoprazole, ,spironolactone, timolol

Current Illness:

ID: 1462122
Sex: F
Age: 42
State: TN

Vax Date: 07/08/2021
Onset Date: 07/10/2021
Rec V Date: 07/10/2021
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Allergies: Codeine Amoxicillin

Symptom List:

Symptoms: Raised rash on upper body front and back, achey body, headaches, skin sensitivity

Other Meds: Zyrtec-D

Current Illness:

ID: 1462123
Sex: F
Age: 41
State: CA

Vax Date: 07/09/2021
Onset Date: 07/09/2021
Rec V Date: 07/10/2021
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Symptoms: Patient's arm started to get a red rash with tingling down her arm almost immediately after vaccination. Did not spread past the right arm. Patient took a Benadryl and stayed for 30 minutes for observation. The rash did not progress any further and patient went home after 30 minutes. Spoke to patient 7/10/21 (next day) and she is doing fine, rash and tingling resolved.

Other Meds:

Current Illness:

ID: 1462124
Sex: M
Age: 31
State: IL

Vax Date: 07/09/2021
Onset Date: 07/09/2021
Rec V Date: 07/10/2021
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Allergies: Iodefan

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Symptoms: Moderna Covid-19 EUA symptoms-General swelling of entire body still ongoing, rash(new), numbness and tingling of arm were shot was administered lasting 24hrs, cluster headaches, fever for over 24hrs still ongoing

Other Meds: None

Current Illness: none

ID: 1462125
Sex: M
Age: 54
State: OR

Vax Date: 05/25/2021
Onset Date: 06/21/2021
Rec V Date: 07/10/2021
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Allergies: ALMONDS, CHERRIES, BEE STINGS, LAMASIL, TEA TREE OIL

Symptom List:

Symptoms: Patient has staring to develop a twitching in the left eye followed by pressure and a gritty feeling with redness.

Other Meds: ATENOLOL, GABAPENTIN, CITALOPRAM HYDROBROMIDE, SUMATRIPTAN, CYCLOBENZAPRINE HYDROCHLORIDE, GNC MULTIVITAMIN, SIX STAR CREATINE X3, SIX STAR NITRIC OXIDE MATRIX, MUSCLETECH HMB FREE ACID

Current Illness: none

ID: 1462126
Sex: M
Age: 61
State: CA

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 07/10/2021
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Allergies: None

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Symptoms: Tinnitus in right ear

Other Meds: None

Current Illness: None

ID: 1462127
Sex: M
Age: 36
State: TX

Vax Date: 07/10/2021
Onset Date: 07/10/2021
Rec V Date: 07/10/2021
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Allergies: NA

Symptom List:

Symptoms: Paleness, sweating

Other Meds: NA

Current Illness: HIGH BLOOD PRESSURE

ID: 1462128
Sex: F
Age: 22
State: UT

Vax Date: 07/08/2021
Onset Date: 07/09/2021
Rec V Date: 07/10/2021
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Allergies: None

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Symptoms: The pt reported having swelling in the lips the day after the vaccine. The patient had Juvederm lip fillers on 7/1/2021 and did not disclose to the pharmacy/pharmacist before having the Covid19 (Moderna) vaccine. The patient reported taking diphenhydramine for the swelling, went to the instacare where she was prescribed prednisone for the allergic reaction. The patient reported to have significant relief from the swelling by 6:30 P.M. that same day.

Other Meds: None

Current Illness: None

ID: 1462129
Sex: F
Age: 36
State: WA

Vax Date: 07/10/2021
Onset Date: 07/10/2021
Rec V Date: 07/10/2021
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Allergies: unknown

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Symptoms: Adverse event: Guest was here for first dose of Pfizer COVID vaccine, which was received at 2:29pm. At 2:42 pm LPN observed guest beginning to sweat and stating she was nervous. LPN walked her to the medical tent and called for aid. EMT?s responded approximately 2 minutes later to the medical tent where guest was observed breathing rapidly and repeating that she felt very nervous and felt she might throw up, although she did not. EMT?s took vital signs at 2:50pm as follows: BP 128/76, HR 76, O2 saturation of 99% on room air. Guest was medically cleared by EMT?s around 3pm but remained sitting and resting in the tent until 3:15pm. She remained in the building approx. 10 minutes longer and then left for home. Treatment: Assessment and treatment by EMTs Outcome: Medically cleared, exited facility with friends. Participants: LPN RN EMT EMT

Other Meds: unknown

Current Illness: unknown

ID: 1462130
Sex: M
Age: 39
State: MD

Vax Date: 04/29/2021
Onset Date: 05/23/2021
Rec V Date: 07/10/2021
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Symptoms: After receiving his second Pfizer vaccine Blisters started to develop in his mouth, and have now spread across his body (face, inside nose, arms, legs, groin area). The blisters are painful and itchy and make him feel like his skin is on fire. He was trouble sleeping at night from the pain. He went to the doctor on May 24, 2021 and was told to rinse his mouth with a mix of milk of magnesia & hydrogen peroxide, but it didn't help much. It cleared up for a few weeks then started to spread. He went to the doctor again on June 14, 2021 and was prescribed Tacrolimus .1% ointment & Mupirocin 2% ointment, but that didn't help. He went to the doctor again on July 9, 2021 and they did a biopsy of one of the blisters. We're waiting on the results.

Other Meds: Amlodipine, Lisinopril, Vitamin D3, Vitamin C

Current Illness:

ID: 1462131
Sex: M
Age: 69
State: WA

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 07/10/2021
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Allergies: Sensitivities to NSAIDS, Keflex

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Symptoms: Within one day, Muscle pain in legs and muscle weakness in legs. Legs felt "heavy" and weakness is progressive; pain resolved in about 2 weeks, balance/walking unsteady, trunk muscle weakness, fasiculations both quadriceps, swelling of lower legs, espec. right, pins and needles feeling bottom of feet with pain walking diagnosed as peripheral neuropathy. As of 7/10, muscle weakness in legs progressing and can't be on feet more than 20 minutes

Other Meds: multivitamins, probiotics, Lansoprazole, ibuprofen

Current Illness:

ID: 1462132
Sex: F
Age: 35
State: PA

Vax Date: 07/09/2021
Onset Date: 07/10/2021
Rec V Date: 07/10/2021
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Allergies: Shellfish

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Symptoms: Head to toe hives in large splotches all over. Roughly 50% or more of body that move around throughout the day.

Other Meds: D3 Prenatal

Current Illness: Tender breast, likely clogged milk duct

ID: 1462133
Sex: M
Age: 57
State: SC

Vax Date: 07/08/2021
Onset Date: 07/08/2021
Rec V Date: 07/10/2021
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Allergies: Penicillin-Bactrim- Augmentin-Seafood and some nuts- mold and dust mites

Symptom List:

Symptoms: Redness and swelling in the area of the injection, fatigue, very strong headache now into my third day and fever up to 102.5 F

Other Meds: Zyrtec-Muccinex-Mulivitims-Calcium-Vitamins D and B12

Current Illness: None

ID: 1462134
Sex: M
Age: 78
State: AK

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 07/10/2021
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Symptoms: Legs and feet swelled suddenly and dramatically. Cardiologist described it as possible myocarditis and congestive heart failure.

Other Meds: allopurinal, lipator, Multi-vitamins, Vit D, maybe aspirin

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm