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: 1509954
Sex: M
Age: 12
State: WA

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Adverse reaction to COVID-19 vaccine 2. Microcytic anemia Retic Count Iron and Iron Binding Capacity Ferritin CBC no Differential Doing well following adverse reaction. Advised to let us know of any recurrent symptoms. Anticipating possible booster doses of COVID-19 vaccine down the line, advised that they should stay tuned for information about whether he would be a candidate. Mild anemia with significant microcytosis. Will check iron studies, follow up with results. Consider thalassemia if iron studies normal.

Other Meds:

Current Illness:

ID: 1509955
Sex: F
Age: 30
State: LA

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

Vax Type:
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Lab Data:

Allergies: nuts, shellfish, pollen, soy, wheat

Symptom List:

Symptoms: a minute or so after I vaccinated patient, I asked her to stay in store 15 minutes, she came back to the window stating she didn't feel well. I brought her back into the room and monitored her. She complained of pain moving up chest, "ball" in throat, then tongue swelling, severe pain in head and then tingling in the arms. She never had any difficulty breathing or speaking . EMS was called and came and patient refused treatment and left on her on with her parents

Other Meds:

Current Illness:

ID: 1509956
Sex: M
Age: 64
State: VA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 07/28/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: The next day I was pretty much wiped out. I was having trouble breathing. 2 weeks after getting the shot I went to see the doctor I was prescribed ventalin because they thought it was seasonal allergies. It didn't get any better so I went back to the doctor and I was referred to a cardiologist. It continued to get worse. The cardiologist has now taken over and have ran stress test.

Other Meds: None

Current Illness: None

ID: 1509957
Sex: M
Age: 22
State: FL

Vax Date: 07/23/2021
Onset Date: 07/28/2021
Rec V Date: 07/28/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List:

Symptoms: After the Pfizer vaccination, the patient started to sweat and became pale. The patient passed out for 5 seconds. His mother was present. The patient was given water and remained seated for 15 minutes . He walked out of the pharmacy

Other Meds: none

Current Illness: none

ID: 1509958
Sex: F
Age: 16
State: CA

Vax Date: 07/20/2021
Onset Date: 07/20/2021
Rec V Date: 07/28/2021
Hospital:

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Symptom List:

Symptoms: Patient is a 16 year old female here with mother, complaining of right deltoid pain since MCV4 and Men B vaccination on 07/20. Injection pain up to her neck, later radiating down to wrist. No medication yet.

Other Meds:

Current Illness:

ID: 1509959
Sex: F
Age: 45
State:

Vax Date: 07/19/2021
Onset Date: 07/19/2021
Rec V Date: 07/28/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: PFizer vaccine was administered after being discovered that the vaccines were kept in the freezer for 11 days longer than the two week standard time. Patient was notified and given the option for additional dose.

Other Meds:

Current Illness:

ID: 1509960
Sex: M
Age: 23
State: WI

Vax Date: 04/23/2021
Onset Date: 07/26/2021
Rec V Date: 07/28/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: SARS-CoV-2 (COVID-19) Ag [Presence] in Respiratory specimen by Rapid immunoassay~SARS-CoV-2 (COVID-19) Ag [Presence] in Respiratory specimen by Rapid immunoassay performed on 7/26/21. Came back detected. Case investigation interview with patient has not been conducted as of the time of this note.

Other Meds:

Current Illness:

ID: 1509961
Sex: F
Age: 68
State: WA

Vax Date: 07/15/2021
Onset Date: 07/15/2021
Rec V Date: 07/28/2021
Hospital:

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Symptom List:

Symptoms: Assessment & Plan: Pt is here to discuss post covid vaccination symptoms after vaccine was given 5/7/21. Reviewed information. Additional research done prior to seeing patient. While ivermectin may be used in the clinical trial setting it is not currently recommended for outpatient treatment howevver, it has been shown to decrease time of symptoms by about 2 days. Given taht we are so far from the vaccine I am more thinking that this might be continued elevated body inflammation. She also has joint pains and arthritis, thus we discussed using mobic which given its NSAIDs category is generally not recommended immediately after vaccines due to decreased antibody response. Given she is still having these global inflammation symptoms, with joint pains/body aches, will start mobic 7.5mg bid for around a month. If no benefit, could consider low dose prednisone burst to help diminish any further inflammation. However if the mobic does not help the symptoms, I do not suspect continued improvement in symptoms with prednisone but could try 5-10mg QD x 5 days. Other options which may be helpful if it is suspected to be mast cell activation would lbe antihistamines +/- montelukast. She will f/u in 1 month or sooner should condition worsen

Other Meds:

Current Illness:

ID: 1509962
Sex: M
Age: 34
State:

Vax Date: 07/15/2021
Onset Date: 07/15/2021
Rec V Date: 07/28/2021
Hospital:

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Symptom List:

Symptoms: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.

Other Meds:

Current Illness:

ID: 1509963
Sex: F
Age: 48
State: ID

Vax Date: 07/21/2021
Onset Date: 07/21/2021
Rec V Date: 07/28/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Pt had no adverse reaction. Shot was just given on day 14 and not 24 or higher.

Other Meds:

Current Illness:

ID: 1509964
Sex: F
Age: 16
State: IL

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

Vax Type:
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Lab Data:

Allergies: NONE

Symptom List:

Symptoms: She became ridged and pupils dilated and had some involuntary movements of arms and legs lasted about 8 sec. Client then regained conciseness . She states she was light headed and felt like she passed out and woke up. Client monitored for 30 minutes and then was released to go home. PCP notified.

Other Meds:

Current Illness:

ID: 1509965
Sex: F
Age: 55
State: TX

Vax Date: 12/29/2020
Onset Date: 01/10/2021
Rec V Date: 07/28/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List:

Symptoms: 103 fever, headache muscle ache

Other Meds: cynthroid, somora, zynax, sambirpern

Current Illness: none

ID: 1509966
Sex: M
Age: 60
State: WI

Vax Date: 07/24/2021
Onset Date: 07/24/2021
Rec V Date: 07/28/2021
Hospital:

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Symptom List:

Symptoms: Patient marked on consent form that he had NOT received any vaccinations in the past 28 days, so 1st dose of Pfizer Covid19 vaccine was administered. WI DHS caught that the patient had received Johnson and Johnson vaccine 07/16/2021, and received Moderna Covid19 vaccine 07/21/2021. So this Pfizer dose is being inputted as an error of incorrect 2nd dose given - incorrect mRNA Covid19 vaccine product administered for second dose in 2-dose series.

Other Meds:

Current Illness:

ID: 1509967
Sex: F
Age: 25
State:

Vax Date: 07/19/2021
Onset Date: 07/19/2021
Rec V Date: 07/28/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: PFizer vaccine was administered after being discovered that the vaccines were kept in the freezer for 11 days longer than the two week standard time. Patient was notified and given the option for additional dose.

Other Meds:

Current Illness:

ID: 1509968
Sex: M
Age: 35
State: UT

Vax Date: 04/16/2021
Onset Date: 05/26/2021
Rec V Date: 07/28/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: I did not have anything as far as getting the shot but the second day of getting the shot I felt extreme fever, shaking in the bones and I did not go to work. I felt in extreme fever stage. Hot and cold. My body could not tell what was going on. Weeks later in May and June I was sick, and it lasted for a month and that was a lot of sinus infections, not having as good as taste I always had, lost of smell. I went to the doctor when both my ears were infected since I could not hear with either of them. They prescribed amoxicillin for 10 days because I had 2 ears infections. I still have coughing, nasal problems, half my smell is gone. I feel like I have a lingering cold. The first month I was not coughing at all, and when I cough I get a dry cough sometimes.

Other Meds: None

Current Illness: None

ID: 1509969
Sex: F
Age: 42
State: NY

Vax Date: 07/26/2021
Onset Date: 07/26/2021
Rec V Date: 07/28/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: After receiving the pfizer vaccine pt c/o dizziness , then slow to respond to questions pt later was unable to state her name and where she was, rapid response called; Pt taken to the ED.

Other Meds:

Current Illness:

ID: 1509970
Sex: F
Age: 43
State: CO

Vax Date: 07/02/2021
Onset Date: 07/03/2021
Rec V Date: 07/28/2021
Hospital:

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Symptom List:

Symptoms: Onset of nausea, vomiting (~6 episodes) & related symptoms of vertigo began about 0600h on 7/3. Presented to ED for eval/treat. Basic workup done - no abnormal labs noted. Given ondansetron & meclizine in ED and symptoms decreased enough for patient to agree to be discharged to home. Later in the morning on 7/3, patient began experiencing fever & chills (did not take her own temp), which resolved by evening.

Other Meds:

Current Illness:

ID: 1509971
Sex: F
Age: 74
State: FL

Vax Date: 02/15/2021
Onset Date: 04/01/2021
Rec V Date: 07/28/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: unknown

Symptom List:

Symptoms: sudden onset April 2021 headache pressure in head ringing in ears - constant worse when lying down dizziness BP very high medication increased then very low - all medication stopped 7/5/21

Other Meds: Breo Aspirin Pantoprazole oxybutynin venlafaxine meloxicam

Current Illness:

ID: 1509972
Sex: F
Age: 47
State:

Vax Date: 07/22/2021
Onset Date: 07/24/2021
Rec V Date: 07/28/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Tachycardia, profuse sweating, lightheaded, dizziness, aggressive heart palpitations, Shortness of breath

Other Meds: lisinopril/hctz, savella, topiramate

Current Illness: N/A

ID: 1509973
Sex: F
Age: 71
State: GA

Vax Date: 05/25/2021
Onset Date: 07/23/2021
Rec V Date: 07/28/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient hospitalized due to COVID-19. Patient is fully vaccinated.

Other Meds:

Current Illness:

ID: 1509974
Sex: F
Age: 27
State: LA

Vax Date: 07/25/2021
Onset Date: 07/28/2021
Rec V Date: 07/28/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Symptoms began at 12:30AM Symptoms began as itchy, inflamed hands and feet Next swelling of lips began When seated on the toilet, began to sweat uncontrollably as itchy and inflammation increase Called for partner to check in on me at this time. Tried to get into the bathtub to help with itching but was unable to due to sudden urge to use restroom. Had one bowel movement after returning to toilet Proceeded to continue to sweat and ears began to ring. Vision became blurred, seeing purple spots. Speech was slurred and limbs were heavy and weak. Could think clearly but unable to do simple tasks such as grasp a cup of water without effort. Vision completely blackout at this point. I did not faint and still able to communicate but could not see anything other than blackness. This happened twice between 10 minute span. Once I was able to lie down, Vision and hearing cleared. Chills began then and itching continued. I was wrapped in three blankets unable to stop chills and shakes. Eventually I was able to relax and stop the chills and fall back to sleep at 3AM. It is now 2:05PM and I am experiencing some itching, fatigue, and cramping

Other Meds: Green tea extract, beets chewable, prescription adderall 10mg x 2 day, prozac 40 MG 1 x day

Current Illness: None

ID: 1509975
Sex: F
Age: 76
State: WA

Vax Date: 06/13/2021
Onset Date: 06/21/2021
Rec V Date: 07/28/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: ASSESSMENT AND PLAN: 1. Palpitations (Primary) Assessment & Plan: Next step would be to take 1/2 dose metoprolol for any Bp <100/70 but pt doesn't want to do that at this time. Will cont asprin prophylaxis and will check tsh given concurrent fatigue. Will call with results. If normal thyroid, will f/u in 6 months or sooner should condition worsen Orders: - TSH, Reflex Free T4; Future - aspirin 81 mg EC tablet; Take 1 tablet by mouth Daily. Dispense: 90 tablet; Refill: 3 2. Essential hypertension Assessment & Plan: Well controlled at present. Limited by palpitations t hat are controlled by metoprolol but when controlled with metoprolol also occasionally cause some low bp and fatigue of unknown etiology. Will cont for now but may need to decrease metoprolol to 1/2 dose for any Bp <100/70 inf uture. Orders: - metoprolol tartrate (LOPRESSOR) 25 mg tablet; Take 1 tablet by mouth 2 times daily. Dispense: 180 tablet; Refill: 3 3. Fatigue after COVID-19 vaccination Comments: suspect much of fatigue is related to covid 19 vaccination. will monitor 4. Gastroesophageal reflux disease without esophagitis - omeprazole (PRILOSEC) 20 mg capsule; Take 1 capsule by mouth Daily 1 tablet before breakfast . Dispense: 90 capsule; Refill: 2 5. Seborrhea Comments: refilled chronic medications Orders: - desonide (DESOWEN) 0.05 % lotion; Apply 1 Application topically Daily as needed (itch) Apply once daily to prevent ear seborrhea. . Dispense: 59 mL; Refill: 3 - triamcinolone (KENALOG) 0.1% lotion; Apply small amount to affected area(s) two to four times daily as needed: avoid face and groin areas. Dispense: 60 mL; Refill: 3

Other Meds:

Current Illness:

ID: 1509976
Sex: M
Age: 53
State: CA

Vax Date: 04/23/2021
Onset Date: 05/05/2021
Rec V Date: 07/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I had mostly nausea and diarrhea. It keep happening so I went to my doctor. They told me to take over-the-counter medicine for it.

Other Meds:

Current Illness:

ID: 1509977
Sex: F
Age: 43
State: NY

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

Vax Type:
Manufacturer:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: I got shot, spoke with pharmacist who injected for about 3 min, they didn?t behave me sit and wait 15min like my husband did (different location) this morning. I started to leave store and immediately had metallic taste & my head felt different. I knew something was off! The taste is still there, my head is achy but everything else is fine.

Other Meds: None

Current Illness: Ended 5th IVF cycle on 7/16/21 (day of retrieval)

ID: 1509978
Sex: F
Age: 48
State: CA

Vax Date: 07/19/2021
Onset Date: 07/20/2021
Rec V Date: 07/28/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies: Penicillin, amoxicillin, Sensitivity to dairy and gluten

Symptom List:

Symptoms: For the second shot, it was night sweats, dizziness, brain fog, and just disorientation. Then hot flashes between 1pm- 5pm the next day. THEN I have had nonstop dizziness, disorientation, and some nausea that might be tied to low blood pressure that started right after the 2nd Vax

Other Meds: I am taking hydrocortisone, NO thyroid and Low Dose Naltrexone (LDN). Vitamin include B-12, multivitamin, Calcium, magnesium , zinc,

Current Illness:

ID: 1509979
Sex: F
Age: 25
State:

Vax Date: 07/16/2021
Onset Date: 07/16/2021
Rec V Date: 07/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: PFizer vaccine was administered after being discovered that the vaccines were kept in the freezer for 11 days longer than the two week standard time. Patient was notified and given the option for additional dose.

Other Meds:

Current Illness:

ID: 1509980
Sex: F
Age: 52
State: NE

Vax Date: 01/22/2021
Onset Date: 07/19/2021
Rec V Date: 07/28/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin, Penicillin, Bactrim, Biaxin, Doxycycline

Symptom List:

Symptoms: On July 19, 2021 about 05:30PM I was driving home and I had severe chest pain, on the right side of my heart. Once I got home I felt awful even after the pain stopped, I was diaphoretic. I went to work the next day and called a nurse. She suggested I go to the ER since I had chest pain. At the ER, they started an IV, did EKG, did a portable chest x-ray and gave me aspirin. I was sent home from the ER that day.

Other Meds: Metformin, Benadryl 50mg, Calcium supplement, Cranberry supplement, Vit D 1000/U, baby aspirin 80mg, Krill Oil, Cinnamon supplement

Current Illness: none

ID: 1509981
Sex: F
Age: 37
State: MI

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: I admisitered the Varicella vaccine via IM injection. This vaccine is to be administered via SQ. Client had no symptoms at time of vaccine or for 15 mins after. Called client 24 hours later, she states only some soreness when the injection site is touched. She denies any other adverse effects.

Other Meds: none

Current Illness: none

ID: 1509982
Sex: M
Age: 69
State: TN

Vax Date: 02/16/2021
Onset Date: 03/02/2021
Rec V Date: 07/28/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin-rash as a baby

Symptom List:

Symptoms: About 2 weeks after first COVID-19 vaccine, patient states he had trouble breathing and called 911. He states he was diagnosed with multiple blood clots at the hospital. He doesn't recall exact dates, states the difficulty breathing started at 2am. Was taken to on .

Other Meds: Miralax PRN; Pantoprazole; Another acid reducer

Current Illness: None reported

Date Died: 07/21/2021

ID: 1509983
Sex: M
Age: 76
State: MI

Vax Date: 05/29/2021
Onset Date: 06/01/2021
Rec V Date: 07/28/2021
Hospital: Y

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

Lab Data:

Allergies: None known allergies

Symptom List:

Symptoms: The patient received the Janssen vaccine on 5-29-21 and had previously well controlled asthma. The patient presented to ED on 6-1-21, 6-13-21, 6-28-21, and 7-19-21 with acute asthma exacerbation. On 7-21-21 the patient was admitted into the ED and later ICU with cardiac arrest related to asthma acerbation and pronounced deceased on 7-25-21. Symptoms: - Wheezing -Shortness of breath - Onset following the day after vaccine administration Treatments: - Albuterol/ipratropium nebulizers - Prednisone -Albuterol inhaler

Other Meds: Amlodipine Budesonide-fomoterol Montelukast Albuterol

Current Illness: None

ID: 1509984
Sex: F
Age: 33
State: CA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 07/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Body aches slight fever fatigue and chest tightness.

Other Meds: Vitamin and fish oil and vitamin D

Current Illness: None

ID: 1509985
Sex: F
Age: 41
State: IA

Vax Date: 03/23/2021
Onset Date: 04/23/2021
Rec V Date: 07/28/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: I was monitored at the clinic because my anxiety increased my BP. I was released after 30 more minutes. I took my hydroxyzine when I went home, and then planned to take it across the day (Up to 3 a day). At 3PM, I started to feel my left side inner mouth feel swollen and my jaw area, cheek, left side became numb and remained that way for 2 weeks. Went to ER that night at 4PM, ER Dr. said "bells palsy like" symptoms that would go away in time. Consulted with primary and told him of my concerns before getting second vax, he recommended I proceeds with second Vax.

Other Meds: Hydroxizine 25mg as needed for anxiety - did not take it the morning of first vax, Losartan100mg /HCTZ 25mg,

Current Illness: none

ID: 1509986
Sex: F
Age: 43
State: ME

Vax Date: 01/26/2021
Onset Date: 03/24/2021
Rec V Date: 07/28/2021
Hospital:

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Lab Data:

Allergies: I am allergic to Celebrex.

Symptom List:

Symptoms: I experienced chest tightness and numbness (trigeminal myalgia). I had heart palpitations (blood pressure went up and heart resting rate was high as well). I scheduled a virtual appointment with my doctor for the following week since I could not reach her initially while I was at my campsite. She referred me for Thyroid testing. I was referred to a Endocrinologist who did not feel that my Thyroid function was off enough to put me on medication and she referred me to a Surgeon because I have a Thyroid Nodule just to rule out that it's not my Thyroid.; however because of my chest tightness did repeat tests for a month Heart rate and blood pressure are still off and my normal doctor put me on metoprolol to take every day. I was also prescribe gabapentin to take whenever I have numbness and nerve pain.

Other Meds: I took my allergy medications - Singular, Zyrtec, and Flonase.

Current Illness: No

ID: 1509987
Sex: M
Age: 40
State: GA

Vax Date: 07/24/2021
Onset Date: 07/25/2021
Rec V Date: 07/28/2021
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Symptoms: Patient developed new-onset hypertension the day after immunization that has persisted for the past 4 days. Patient not having chest pain, shortness of breath, or palpitations. Patient does endorse forceful heartbeat.

Other Meds:

Current Illness:

ID: 1509988
Sex: F
Age: 18
State:

Vax Date: 07/19/2021
Onset Date: 07/19/2021
Rec V Date: 07/28/2021
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Symptoms: Pfizer vaccine was administered after being discovered that the vaccines were kept in the freezer for 11 days longer than the two week standard time. Patient was notified and given the option for additional dose.

Other Meds:

Current Illness:

ID: 1509989
Sex: F
Age: 73
State: CA

Vax Date: 07/23/2021
Onset Date: 07/24/2021
Rec V Date: 07/28/2021
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Allergies: Food Dye Pain killers many food allergies

Symptom List:

Symptoms: Patient complained of many complications her main concern was her pulse was dropping low to a 50. Her blood pressure was dropping at a high rate. She complain of fatigue and headaches and feeling really dizzy.

Other Meds: Slow release 200mg Cynthoid 3 50 Micrograms inhaler Patient has other medications that she could not get the name of gummy Vitamins

Current Illness:

ID: 1509991
Sex: M
Age: 21
State: CA

Vax Date: 06/04/2021
Onset Date: 06/18/2021
Rec V Date: 07/28/2021
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Symptoms: Dose 2 given 14 days.

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Current Illness:

ID: 1509992
Sex: M
Age: 38
State: OH

Vax Date: 04/22/2021
Onset Date: 05/17/2021
Rec V Date: 07/28/2021
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Lab Data:

Allergies: Eggs, Erythromycin

Symptom List:

Symptoms: Since the second injection I've lost the ability to speak. Along with quite a lot of pain in my throat. As I'm not a doctor I couldn't say if it is vaccine related, but one thing followed the other.

Other Meds: none

Current Illness:

ID: 1509993
Sex: M
Age: 17
State:

Vax Date: 07/16/2021
Onset Date: 07/16/2021
Rec V Date: 07/28/2021
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Symptoms: Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.

Other Meds:

Current Illness:

ID: 1509994
Sex: U
Age: 74
State: MI

Vax Date: 01/28/2021
Onset Date: 02/02/2021
Rec V Date: 07/28/2021
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Lab Data:

Allergies: Bentyl

Symptom List:

Symptoms: Hearing loss in left ear a few days after first vaccine Right ear was affect after second vaccine on 2/18/2021 which was profound. My physician ordered prednisone ear drops and ordered a CT scan. Then referred me to ENT. Was placed on Prednisone for 2 weeks for sudden profound hearing loss.

Other Meds: Synthroid .88

Current Illness: None

ID: 1509995
Sex: F
Age: 17
State: PA

Vax Date: 07/28/2021
Onset Date: 07/28/2021
Rec V Date: 07/28/2021
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Allergies: NONE

Symptom List:

Symptoms: Patient received vaccine at roughly 2:40 pm on 7/28/21. Was advised to stay at location for 15 minutes prior to leaving . Patient was shopping in store and fainted . Found patient lying on floor with her mother by her side . Patient was alert but shaken . Patient said she had hit her head and scraped her leg. patient was put into a chair and given some juice and an ice pack for back of neck . After about 10 to 15 minutes patient said she felt well enough to walk and was taken home by her mother .

Other Meds: UNKNOWN

Current Illness: NO

ID: 1509996
Sex: F
Age: 40
State: GA

Vax Date: 07/23/2021
Onset Date: 07/24/2021
Rec V Date: 07/28/2021
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Allergies: Penicillin

Symptom List:

Symptoms: Chest pain, shortness of breath and sweating

Other Meds: Thyroid medicine, blood pressure and Celexa

Current Illness:

ID: 1509997
Sex: M
Age: 78
State: NJ

Vax Date: 02/01/2021
Onset Date: 03/05/2021
Rec V Date: 07/28/2021
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Allergies: Penicillin

Symptom List:

Symptoms: Severe and constant fatigue. Joint pain extreme. As well as muscle pain

Other Meds:

Current Illness:

ID: 1509998
Sex: F
Age: 59
State: MA

Vax Date: 04/20/2021
Onset Date: 04/27/2021
Rec V Date: 07/28/2021
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Allergies: None

Symptom List:

Symptoms: Erratic heartbeat, palpitations, atrial fib, ventricular tachycardia.

Other Meds: Metoprolol; singulair

Current Illness: Hypertrophic cardiomyopathy

ID: 1509999
Sex: F
Age: 57
State: OK

Vax Date: 07/23/2021
Onset Date: 07/26/2021
Rec V Date: 07/28/2021
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Allergies: Penicillin Chicken Eggs

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Symptoms: Patient reported muscle spasms

Other Meds: aripiprazole albuterol inhaler PRN Zyrtec Synthroid ASA Asmanex Singulair pravastatin metformin lisinopril

Current Illness: n/a

ID: 1510000
Sex: F
Age: 66
State: VA

Vax Date: 02/03/2021
Onset Date: 02/08/2021
Rec V Date: 07/28/2021
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Allergies: Zofran

Symptom List:

Symptoms: Began as itchy red rash, painful to touch, increasingly warm and swollen, increasing in size. Went to urgent care on 3rd day and was told to use Benadryl and cortisone cream. Began to fade 2/13 and gone on 2/15

Other Meds: Woman's One a Day Multi-Vitamin Vitamin C Simvastatin (20 mg 3 days/week) Risedronate Sodium (35 mg once/week)

Current Illness: None

ID: 1510001
Sex: M
Age: 64
State: AZ

Vax Date: 04/14/2021
Onset Date: 07/18/2021
Rec V Date: 07/28/2021
Hospital: Y

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Allergies: none

Symptom List:

Symptoms: On 07/18/2021 late that night my right knee swollen rapidly, about 1:30am called EMS, Xrays indicated fluid, Blood testing said my INR 7.1, the DR took my off Warphrine and bed rest. I was in the hospital for 6 days.

Other Meds: I am taking Warfrin, Synthroid, Lumotragine, Partonic, triCore, Aldectom, alpurinal, Coregg, Lasetics, Cevelamer, Crestor, metalazone, Pramafixal, baby aspirin, Gabapentin, Lunesta, Adavan, Retesabine, Potassium chloride, Seroquel, Lantis

Current Illness: none

ID: 1510002
Sex: F
Age: 63
State: CA

Vax Date: 01/21/2021
Onset Date: 02/06/2021
Rec V Date: 07/28/2021
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Allergies: Mildly allergic to dairy and egg whites (Blood test results)

Symptom List:

Symptoms: I was woken up by a severe headache in the area behind my left ear. I went to brush my teeth and then looked in the mirror and saw my face and that the toothpaste could not stay in my mouth. The entire left side of my face had fallen about an inch. I could tell because my eyebrows were not even. The headache continued for several days but not as severe as the initial event. I could not use the muscles on the left side of my face at all. Initially, I was afraid to go to the hospital because of the level of COVID in my area but I did take pictures throughout the several weeks of my recovery.

Other Meds: Losartan Potassium-Hetz 12.5 Mg Amlodipine Besylate 10 Mg Aller-Flex

Current Illness: None

ID: 1510003
Sex: F
Age: 91
State: GA

Vax Date: 02/25/2021
Onset Date: 07/21/2021
Rec V Date: 07/28/2021
Hospital: Y

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Symptoms: Patient hospitalized due to COVID-19. Patient is fully vaccinated.

Other Meds:

Current Illness:

ID: 1510004
Sex: F
Age: 57
State: CA

Vax Date: 04/23/2021
Onset Date: 04/25/2021
Rec V Date: 07/28/2021
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Allergies: Celebrex,

Symptom List:

Symptoms: After receiving the vaccine I had the occasional sore arm and was experiencing chills for the first 3 days. Later on throughout the month I started to experience heart palpitations. I mentioned them to my PCP and he advised me to use a heart monitoring system until they could find out the reason why I was experiencing them out of nowhere. Also I have an appointment coming up to check out what is going on with my hip. I have been experiencing hip pain ever since receiving my 2nd dose of the vaccine. They are sending me to an orthopedic after they did an xray and seen how it was slowly deteriorating.

Other Meds: Benzaprine 10mg 1 xday, Vitamin C 100mg 1 xday, Vitamin D

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm