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: 1478019
Sex: F
Age: 39
State: NJ

Vax Date: 07/14/2021
Onset Date: 07/14/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Sulfa quinilones

Symptom List:

Symptoms: Severe fever and leg pain

Other Meds:

Current Illness:

ID: 1478020
Sex: F
Age: 76
State: KY

Vax Date: 03/02/2021
Onset Date: 07/13/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: PCR POSITIVE 07/13

Other Meds: no

Current Illness: no

ID: 1478021
Sex: F
Age: 29
State: TX

Vax Date: 06/29/2021
Onset Date: 06/29/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever, chills and joint pain that lasted 2 days after the vaccine. Severe fatigue and shortness of breath that lasted 10 days after the vaccine.

Other Meds: Metphormine, spironolactone, fluoxetine

Current Illness: None

ID: 1478022
Sex: F
Age: 60
State: NC

Vax Date: 04/15/2021
Onset Date: 05/14/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Sulpha, sesame oil

Symptom List:

Symptoms: Monthly facial hives - have suddenly appeared for no reason every month for the last 3 months - no new products had been introduced - same hygiene routine and food. Disappear after a week or so.

Other Meds: Montelukaset 20mg

Current Illness: None

ID: 1478023
Sex: F
Age: 69
State: KY

Vax Date: 03/12/2021
Onset Date: 07/02/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: seasonal allergies

Symptom List:

Symptoms: BECAME SYMPTOMATIC AND PCR POSITIVE

Other Meds: seasonal allergy medication

Current Illness: no

ID: 1478024
Sex: F
Age: 52
State: NC

Vax Date: 04/11/2021
Onset Date: 04/21/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Chicken, Erythromycin

Symptom List:

Symptoms: Fever lasting two days, pain in the right arm. Significant swelling in hands and feet making it impossible to grip things with hands. 10 days later, extreme paresthesias in the upper and lower extremities, face, and tongue lasted for two months. The numbness in the tongue and hands continue. Severe shortness of breath is continuing. Respiratory disorder continues, unable to clear my lungs after several Dr. visits and ER visits. Xray of the lungs, however, seems clear.

Other Meds: Levothyroxine

Current Illness: None

ID: 1478025
Sex: F
Age: 25
State: TN

Vax Date: 07/07/2021
Onset Date: 07/07/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was given dose 1 of Pfizer 19MAY2021 at the vaccine clinic. Patient had surgery a few weeks later, and was told by separate staff that did their Covid test that they needed to restart their series because they were outside of 42 days since their first shot, incorrectly and against studies. The patient came back to the vaccine clinic and told staff they needed dose 1, and was given a dose of Moderna. Patient has had no known reaction since either vaccine, and is seen as dose complete.

Other Meds:

Current Illness:

ID: 1478026
Sex: F
Age: 38
State: MD

Vax Date: 05/18/2021
Onset Date: 05/24/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: onset is approximate - approximately a week after the second dose, I noticed a lesion under my right armpit. It itched and burned to the point that I scratched it raw in my sleep. It has since spread to the other armpit, then my right arm, then my back, then my chest, and now I have a small spot on my right cheek.

Other Meds: natural/herbal vitamins - doTERRA LLV, Deep Blue polyphenol complex, YarrowPom, DDR prime, onGuard softgels, Copaiba, TerraZyme digestive enzymes, TriEase, Turmeric

Current Illness: none

ID: 1478027
Sex: F
Age: 19
State:

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 8 hours after receiving vaccine I began to shake and get super cold. A pounding headache began. Legs were crampy. This continued through the night but was better in the morning.

Other Meds: none

Current Illness: none

ID: 1478028
Sex: F
Age: 44
State: TX

Vax Date: 07/01/2021
Onset Date: 07/07/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: swelling of the tongue and some weakness of the right arm and leg.

Other Meds:

Current Illness:

ID: 1478029
Sex: F
Age: 59
State: NJ

Vax Date: 03/17/2021
Onset Date: 04/06/2021
Rec V Date: 07/16/2021
Hospital: Y

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

Lab Data:

Allergies: carbamazepine dilantin

Symptom List:

Symptoms: Patient was hospitalized for Guillain Barre Syndrome

Other Meds: sisingulair ramipril phenobarbital lipitor coumadin aspirin

Current Illness: N/A

ID: 1478030
Sex: M
Age: 16
State: IN

Vax Date: 07/14/2021
Onset Date: 07/16/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Bandaid adhesive

Symptom List:

Symptoms: Golf ball sized lump appeared under right arm approximately 36 hours after injection. Very painful.

Other Meds: none

Current Illness: none

ID: 1478031
Sex: F
Age: 23
State: FL

Vax Date: 03/25/2021
Onset Date: 06/01/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: A month after receiving the second dose of the Pfizer vaccine I started having chronic daily diarrhea alongside dehydration, nausea, tenesmus, fatigue, right sided sharp temporal migraine, and dizziness.

Other Meds:

Current Illness:

ID: 1478032
Sex: F
Age: 52
State: NJ

Vax Date: 05/03/2021
Onset Date: 05/04/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Opioids get rash; Latex allergy; sulfa drugs get rash

Symptom List:

Symptoms: So it started the night of my vaccine, I had headache and body aches. It was really bad headaches for the whole week, the body aches went away after about 3 days though. Then in the week I started feeling the tingling in the right side of my body, just tingling like all over that part of my body and I still have that tingling now. It had gotten a little bit better but it is still prominent, I also get a lot of itching which will not go away. I had a telehealth with my DR on 5/20/2021 and he asked me to go in person on 5/28/2021 and he asked me to go for an MRI and they said they did not see anything. I have another follow up with him in a few days. At this point, half of my right leg and half of my right arm are tingling. I take a bunch of migraine medications and literally nothing is helping with the headaches either.

Other Meds: Advil; Vitrum; Nexium; B12; probiotics; biotin; calcium; vitamin E; vitamin C; meloxicam; Coreg ER; amlodipine; nasal spray; Botox injection

Current Illness: N/A

ID: 1478033
Sex: F
Age: 30
State: NY

Vax Date: 07/13/2021
Onset Date: 07/13/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Shrimp allergy

Symptom List:

Symptoms: Fever, generalized body aches, and diarrhea from 4pm on 7/13 until 7/15.

Other Meds: None

Current Illness: None

ID: 1478034
Sex: M
Age: 38
State: IL

Vax Date: 07/10/2021
Onset Date: 07/12/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Got COVID, post second shot of the vaccine

Other Meds: None. Took some Tylenol for Sore Arm after the Vaccine

Current Illness: None

ID: 1478035
Sex: F
Age: 26
State: SC

Vax Date: 07/14/2021
Onset Date: 07/14/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Ceclor

Symptom List:

Symptoms: 12 hours after the injection, I had body aches, sweats, chills, headache, and nausea. These adverse effects lasted approximately 12 hours.

Other Meds:

Current Illness:

ID: 1478036
Sex: F
Age: 32
State: NY

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: tired, hard to take a breath, nausea, sore arm, swollen lymph nodes for 2 weeks after, body aches, worst chills i have ever had in my life, fever for 24 hours exactly after shot given

Other Meds: prenatal vitamin, Vitamin b12, Vitamin D, Claritin

Current Illness: Fever for 24 hours exactly, tired, body aches, Worst chills in my whole life, nausea, small cough, hard to take a breath, swollen lymph nodes in face and neck for 2 weeks after.

ID: 1478037
Sex: F
Age: 67
State: TX

Vax Date: 04/21/2021
Onset Date: 04/23/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: no known allergies

Symptom List:

Symptoms: Developed redness, pain and swelling at injection site approximately 2 days after injection. Swelling and pain started migrating into armpit and then into breast. She was experiencing breast vein distention, pain, generalized swelling to L armpit and breast, and a lump in her axilla. The redness, pain and swelling at injection site resolved after two weeks. She noticed the pain to the L breast lasted about 1 month, but she is still currently experiencing breast/axilla swelling and does not feel like this has resolved. She also noticed chest pain and tightness in the chest about 3 weeks after injection. She is not currently experiencing chest pain today.

Other Meds: atorvastatin 20mg daily, gabapentin 300mg TID

Current Illness: no illnesses

ID: 1478038
Sex: F
Age: 79
State: GA

Vax Date: 07/14/2021
Onset Date: 07/14/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: IV VALIUM

Symptom List:

Symptoms: PAIN AND REDNESS OF LEFT ARM. ARM IS SWOLLEN

Other Meds: EMERGEN-C, NASAL SALINE

Current Illness: ESOPHAGEAL DYSPHAGIA

ID: 1478039
Sex: F
Age: 91
State: SC

Vax Date: 07/15/2021
Onset Date: 07/15/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was combative and only 0.3 mL of the dose was able to be administered before the patient tried to bite the nurse administering the vaccine.

Other Meds:

Current Illness:

ID: 1478040
Sex: F
Age: 36
State: IL

Vax Date: 07/10/2021
Onset Date: 07/12/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Got COVID less than 48 hours post second shot.

Other Meds: None

Current Illness: None

ID: 1478041
Sex: F
Age: 57
State: PA

Vax Date: 02/22/2019
Onset Date: 03/01/2019
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Most antibiotics, dairy AT THE TIME OF THE VACINATION. After vactination: dairy, corn syrup, corn, eggs, fruit, celery, potassium

Symptom List:

Symptoms: Sudden severe food allergies, Eye anurism, muscle weakness, joint swelling and pain,headaches

Other Meds: verapamil, v-c, benedryl

Current Illness:

ID: 1478042
Sex: F
Age: 42
State: IN

Vax Date: 07/10/2021
Onset Date: 07/11/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Pennacillin

Symptom List:

Symptoms: Severe migraines and even with blood pressure medication blood pressure thru the roof. 168/110 6 days and still a migraine with eye pain And blood pressure will not come down average blood pressure is 149/100, also my neck is stiff

Other Meds: None, waited 1 day after to take my blood pressure meds

Current Illness: None

ID: 1478043
Sex: F
Age: 63
State: MA

Vax Date: 04/16/2021
Onset Date: 04/27/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Walnuts, Jalape?os, Dairy, Penicillin, Sulindac

Symptom List:

Symptoms: Continued tingling in right arm from elbow up to jaw with feeling of pressure on right shoulder from first dose. Now additional feelings of electrical shocks in arm from elbow to jaw. Also, pain radiating down right leg with feelings that inside of leg is being pulled from ends of hip to ankle and twisted at the same time. Unable to stand for more that 1-2 minutes with extreme pain. Seeked treatment with Primary Care Physician and specialist Dr. At examination, determined that I had no reflexes on my entire right side and sent for Cervical MRI and Lumbar MRI. Diagnosed with Cervicalgia, Myalgia, Spondylosis with radiculopathy, and prescribed Gabapentin, 300mg, 3xday and a transforaminal epidural steroid injection under fluoroscopic guidance. If this does not find relief, my primary will refer me to a neurologist.

Other Meds: None

Current Illness: Tingling and pressure in my right arm from first Moderna shot

ID: 1478044
Sex: F
Age: 40
State: MN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: sulfa, clomid, latex

Symptom List:

Symptoms: I started with a fever and a headache about 3 hours after receiving the vaccine. I took Tylenol and felt better. About 10 am that evening I had chills, I jumped in the shower to warm up my body which helped and I went to bed. Wednesday about mid day I became quite nauseated, dizziness and just did not feel well. I took benedryl that evening and went to bed. Thursday around mid- day again I continued to have nausea and dizziness, then I also started having chest tightness, I used my albuterol inhaler which is new to me for allergy induced asthma, which helped. Overnight Thursday into Friday I woke up in the night and had sweat through my clothes. I had the same symptoms carry on into Friday. Saturday I was beginning to feel better until mid afternoon I had a different chest discomfort and nausea and I reported to the emergency room they ruled out a cardiac event, gave me 2 baby aspirin and zofran and sent me home. Sunday I woke up with a terrible migraine I treated with alternating tylenol and ibuprofen for about 24 hours. Monday- Tuesday- Wednesday I just felt worn out, fatigued over all not well. Thursday I finally started feeling better and contiue dto feel better.

Other Meds: Pepcid and Omeprazole Norplanon implant

Current Illness: none

ID: 1478045
Sex: F
Age: 49
State: GA

Vax Date: 07/12/2021
Onset Date: 07/14/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: RIGHT UPPER ARM WAS VERY HOT, FEVERISH, RED, ITCHEY, BURNING AND SORE, WENT TO THE ER 7/15/21 AT AROUND 315AM TO BE SEEN, THE ER DOCTOR ORDERED THE NURSE TO GIVE ME A SHOT OF TORADOL IN MY RIGHT HIP AND THEY GAVE ME A BENADRYL PILL AS WELL AND SENT ME HOME.CAME BACK TO WORK THE NEXT DAY 7/16/21 RIGHT ARM NOT AS HOT AND FEVERISH BUT STILL RED, AND LITTEL HOT, AND SORE ALSO MORE ITCHEY AND BURNING.

Other Meds: Tylenol 8hr

Current Illness: Lupus

ID: 1478046
Sex: M
Age: 58
State: NJ

Vax Date: 07/12/2021
Onset Date: 07/12/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Medical professional administering vaccine drew up wrong dose instead of the recommended dosage.

Other Meds: No medications

Current Illness: None

ID: 1478047
Sex: F
Age: 56
State: MI

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: sulfa drugs

Symptom List:

Symptoms: slight toungue and lip swelling similar but not as bad as her allergic reaction to sulfa drugs. along with rapid heart rate and difficulty walking. next day she broke out with canker sores.

Other Meds: welbutrin. xanax

Current Illness: none

ID: 1478048
Sex: F
Age: 22
State: PA

Vax Date: 07/13/2021
Onset Date: 07/13/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: The patient was sitting in a chair in our waiting room as we request after a vaccine with her soon to be mother in law. After about 5 or 10 minutes her mother in law said shes not feeling well to my technician who was visible from her seat. He called me to her and I went to help. The patient put her head back while she was seated and stated that she wasn't feeling well and was breaking out in a sweat. She then stated her vision was blurry and felt like she was going to throw up. I had my technician call 911. I asked her if she thought she would feel better if she put her head between her legs and she refused stating that she would throw up. We kept her in the chair while her eyes opened and closed and kept talking to her to keep her responsive. She asked for water so we got her a cold bottle and we held it against her forehead which she said made her feel better. After approximately 5 minutes she totally snapped out of it. She wanted a drink of the cold water and I advised her to take small sips. Then two gentleman arrived from the ambulance crew and checked her bp which was normal. They offered to take her to the hospital to get checked but she refused.

Other Meds: none

Current Illness: none

ID: 1478049
Sex: F
Age: 36
State: IN

Vax Date: 07/14/2021
Onset Date: 07/15/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever, chills, nausea, pain at injection site, soreness around injection site, body aches

Other Meds: None

Current Illness: None

ID: 1478050
Sex: F
Age: 32
State: NC

Vax Date: 04/30/2021
Onset Date: 05/07/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Calcitonin and Zofran

Symptom List:

Symptoms: About a week after she received Pfizer vaccine she noted she began having some hair loss and then proceeded to lose the great majority of her hair.

Other Meds: Allegra, biotin, Fioricet, Nicoderm, One a day vitamin, and Phenergan as needed

Current Illness: n/a

ID: 1478051
Sex: F
Age: 12
State: WI

Vax Date: 06/09/2021
Onset Date: 06/09/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient got pfizer vaccine at age 11 due to parent writing then wrote a 9 over the 8. Then proceeded to write age 12 for age. No reactions reported.

Other Meds:

Current Illness:

ID: 1478052
Sex: F
Age: 64
State: PA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Codeine Melon Apples Benadryl

Symptom List:

Symptoms: Tongue swollen, mouth felt funny within 4 hours. Following day headache and fatigue

Other Meds: Vitamin D Cyanocobalamin Meloxicam

Current Illness: None noted

ID: 1478053
Sex: F
Age: 22
State:

Vax Date: 07/09/2021
Onset Date: 07/10/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Passed out, fever, vomit, diarrhea, sweating, chills

Other Meds:

Current Illness:

ID: 1478054
Sex: M
Age: 74
State: WV

Vax Date: 07/12/2021
Onset Date: 07/12/2021
Rec V Date: 07/16/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: He had a huge Acute inflammatory response that required an ambulance transport due to his inability to walk. He needed fluids in the ED then dexamethasone which immediately changed his progress for the better. He then needed a blood transfusion due to low hemoglobin. He needed a platelet transfusion due to very low platelets. He had to stay for three and a half days.

Other Meds: Tylenol 650 timed release He is on a medicine regimine for acute myloid leukemia

Current Illness: acute myeloid leukemia

ID: 1478055
Sex: F
Age: 0
State: IN

Vax Date: 07/16/2021
Onset Date: 07/01/2021
Rec V Date: 07/16/2021
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Symptoms: Nauseas , had a fever of 102 for two days , chills, pain all over the body

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Date Died: 07/15/2021

ID: 1478056
Sex: M
Age: 96
State: MO

Vax Date: 02/19/2021
Onset Date: 07/14/2021
Rec V Date: 07/16/2021
Hospital: Y

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Symptoms: Presented to ED with shortness of breath. Tested + for COVID-19 at nursing home 1 day prior to presentation. Reports complaints of increasing fatigue, body aches, and respiratory difficulties. Was hypoxic on arrival to ER and required high flow nasal cannula at 45L 60% FiO2 initially. Admitted to floor for oxygen/dexamethasone treatment. Patient's oxygen was titrated as needed. The day following admission patient developed apnea/cyanosis with large amounts of thick sputum. Patients respiratory status declined rapidly and patient expired.

Other Meds: Unknown med list at time of vaccinations. Medication list at time of admission include - Coreg, vitamin B12 injections, Aricept, Synthroid, prazosin, Crestor, Zyprexa, albuterol, ferrous sulfate, mag oxide, omeprazole, sertraline

Current Illness:

ID: 1478057
Sex: F
Age: 58
State: MO

Vax Date: 07/15/2021
Onset Date: 07/15/2021
Rec V Date: 07/16/2021
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Allergies: Wasp stings, latex, gluten

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Symptoms: began with burning and slight tightness to throat and upper chest that progressed into difficulty breathing.

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Current Illness:

ID: 1478058
Sex: F
Age: 36
State: ME

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 07/16/2021
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Allergies: Acetaminophen

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Symptoms: At around midnight on 4/8/21 I woke up with extreme muscle and joint pain. This pain never went away the joint pain has subsided although the muscle pain did get better after 24hrs I still have muscle pain and weakness. I have gone to see several times, she has done blood work which all came back normal. I cannot do the same level of activity I could prior to the vaccine. She recommend I take ibuprofen daily to help. No further testing was recommended

Other Meds: Thrive vitamins

Current Illness: None

ID: 1478059
Sex: M
Age: 73
State: CO

Vax Date: 02/06/2021
Onset Date: 02/16/2021
Rec V Date: 07/16/2021
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Symptoms: Deep Vein Thrombosis left calf

Other Meds: hydroxyurea 500mg, simuvastatin 10mg, mirtrazaphine 15 mg, aspirin 81mg, vitamin d3 4000mg, omega 3 fish oil 4000mg, multi vitamin, niacin amide 1000 mg, turmeric 1600mg

Current Illness: essential thrombocythemia,

ID: 1478060
Sex: M
Age: 56
State: LA

Vax Date: 05/06/2021
Onset Date: 06/07/2021
Rec V Date: 07/16/2021
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Symptoms: Extreme pain limiting mobility of left arm. Alternating ice packs and heat pad over the course of weeks with stretching in an attempt to regain mobility.

Other Meds: Rosuvastatin

Current Illness: none

ID: 1478061
Sex: F
Age: 54
State: IN

Vax Date: 05/17/2021
Onset Date: 05/18/2021
Rec V Date: 07/16/2021
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Allergies: NKDA or food allergies

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Symptoms: Patient had a low grade temp 99.6/chills/HA/achey eyes for 2 full weeks after the second Covid shot.It is still happening off and on.

Other Meds: Dilitazem 120 mg daily Fluoxetine 2o mg daily Omeprazole 40 mg daily

Current Illness: none

ID: 1478062
Sex: M
Age: 77
State: AZ

Vax Date: 03/14/2021
Onset Date: 03/17/2021
Rec V Date: 07/16/2021
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Symptoms: Diarrhea, sometimes uncontrolled, lasting 5 weeks then intermittent for 4-5 weeks. Rx- probiotics and lomotil

Other Meds: glimiperide, metformin, ASA, lisinopril

Current Illness: none

ID: 1478063
Sex: F
Age: 21
State: MN

Vax Date: 07/07/2021
Onset Date: 07/11/2021
Rec V Date: 07/16/2021
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Allergies: NKDA

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Symptoms: 3 days post vaccine administration, patient started to experience chest pain that felt pressure like in nature. Patient did go the ED and had a BMP, CMP, and troponin drawn, all of which were normal, an EKG was also obtained that showed a few abnormalities but nothing concerning. Patient presented to the clinic following the ED visit with continued chest pain. This pain is worth with activity and turns into a sharp pain at that time. Patient has been experiencing chest pain since 3 days post vaccination administration. Patient also reports having lower resting HRs at night with pulse being in the 40s-50s when normally it is 60s-70s. Patient does report occasional palpitations as well.

Other Meds: multivitamin

Current Illness: none

ID: 1478064
Sex: F
Age: 61
State: DE

Vax Date: 04/24/2021
Onset Date: 05/01/2021
Rec V Date: 07/16/2021
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Allergies: Sulfa

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Symptoms: Right ankle is extremely tender and sore, swelling and joint pain. Currently wearing ankle brace and Physical Therapy for support.

Other Meds: Synthroid, Losartan.

Current Illness: None.

ID: 1478065
Sex: F
Age: 84
State: CA

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 07/16/2021
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Allergies: Sulfa, onions, mangos

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Symptoms: Don't remember the whole next day with the exception of a minute in the morning when my husband was stepping on my left arm and I was on the floor beside the bed, telling me to get up and take care of him ( he has dementia) and then in the late afternoon and I'm on the floor in the living room and my husband is stepping on my left hand and is telling me to get up and take care of him. I remember nothing until the next morning when I got up and was normal. Took my blood pressure and it was 97/50. I have high blood pressure. I have no idea of how I functioned.

Other Meds: Amlodipine Besylate 5 mgm AM Aspirin 81 mgm Every other day Plavix 1/2 tablet Every other day Benazepril 20 mgm AM and PM METOPROLOL TARTRATE 25 mgm. 1 tablet AM and PM Furosemide (lasix) 20 mgm AM Ezetimibe (Zetia) 1 tablet daily

Current Illness: none

ID: 1478066
Sex: F
Age: 50
State: NY

Vax Date: 10/31/2018
Onset Date: 11/09/2018
Rec V Date: 07/16/2021
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Symptoms: Excruciating right jaw pain 10 days after injection. Inflammation in right side gums and mouth. Fever. Cellulitis developed in neck on right side. Numbness on right side of lower lip/mouth. Right side forearm and right hand numbness and muscle weakness. Right leg stocking and foot also numb. ER and hospital admission November 15. Treated with Augmentin. Still experience muscle weakness and numbness in same areas 2.5 years later.

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Current Illness:

ID: 1478067
Sex: M
Age: 21
State: MA

Vax Date: 07/15/2021
Onset Date: 07/15/2021
Rec V Date: 07/16/2021
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Allergies: No known medication allergies

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Symptoms: Patient received their second dose of the Moderna COVID-19 vaccine 21 days after their first dose. . The first dose was administered on 06/24/2021 and the second dose was administered 07/15/2021. No side effects reported when contacted for follow up on 07/16/2021.

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Current Illness:

ID: 1478068
Sex: F
Age: 71
State: LA

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 07/16/2021
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Symptoms: Internal bleeding (black, terry stool), fatigue. Second vaccine injection received 02/19/2021 @ 1:00PM. On 02/20/2021 emergency in-oatient hospitalization following days of weakness. Hemoglobin 3.7 g/DL. Diagnosis of colorectal cancer and subsequest colectomy. Non-responsive hemoglobin recovery after multiple transfusion. Diagnosis of MDS on 04/20/2021. Began Vidaza (sub-Q) treatment on 06/01/2021. Continued transfusions every ~10 days. Referred to Clinic for 2nd opinion. Search in progress for donor for bone marrow transplant.

Other Meds: Relief Factor.Trelogy,D3,ProAir,Ascriptin,Levothyroxin

Current Illness:

Total 2021 VAERS Injuries: 679,999

Page last modified: 03 October 2021 5:28pm