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: 1512555
Sex: M
Age: 74
State: MI

Vax Date: 07/21/2021
Onset Date: 07/21/2021
Rec V Date: 07/29/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: Nkda

Symptom List:

Symptoms: Patient was incorrectly given the inactive agent/dilutent of Shingrix vaccine. Fortunately, no side effects.

Other Meds:

Current Illness:

Date Died: 05/27/2021

ID: 1512556
Sex: M
Age: 78
State:

Vax Date: 01/08/2021
Onset Date: 05/14/2021
Rec V Date: 07/29/2021
Hospital: Y

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt. presented to UC with change in mental status; arrived from extended care facility; discharged home on 05/20/21 to hospice care. Pt.'s son called to cancel subsequent appointments because pt. passed away on 05/27/21.

Other Meds:

Current Illness:

ID: 1512557
Sex: F
Age: 43
State: AR

Vax Date: 07/28/2021
Onset Date: 07/28/2021
Rec V Date: 07/29/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient's tongue began to "tingle".

Other Meds:

Current Illness:

ID: 1512558
Sex: F
Age: 46
State: VA

Vax Date: 07/15/2021
Onset Date: 07/15/2021
Rec V Date: 07/29/2021
Hospital:

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

Lab Data:

Allergies: peanuts eggs milk shellfish soy wheat / gluten

Symptom List:

Symptoms: Throat Swelling internally, Stiff neck, Trouble swallowing, Facial numbness, Rapid heart, tight chest

Other Meds: none

Current Illness: no

ID: 1512559
Sex: M
Age: 59
State: PA

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 07/29/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies: Morphine

Symptom List:

Symptoms: Extreme fatigue, constipation, lower muscle pain down legs, severe pain in knees, difficult to climb stairs. Out of work for 5-6 weeks. Went to primary care doctor and a cardiologist. Still experiencing severe fatigue

Other Meds: Vitamin B12, Vitamin D, Liver Oil, Triamterene

Current Illness: None

Date Died: 05/09/2021

ID: 1512561
Sex: F
Age: 47
State: KY

Vax Date: 02/24/2021
Onset Date: 05/08/2021
Rec V Date: 07/29/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received both doses of the Pfizer vaccine on 2/24/21 and 3/17/21. Patient came to the ER on 5/8/21 with chest pain, where she tested positive for COVID. While patient was receiving a precordial drain she went into V. tach but was successfully resuscitated. She went to ICU but went into cardiopulmonary arrest and died on 5/9/21.

Other Meds:

Current Illness:

ID: 1512562
Sex: M
Age: 36
State: MN

Vax Date: 12/29/2020
Onset Date: 07/24/2021
Rec V Date: 07/29/2021
Hospital:

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Symptom List:

Symptoms: Symptoms unknown but noted to have started on 7/24, exposure is reason given for testing

Other Meds:

Current Illness:

ID: 1512563
Sex: M
Age: 27
State:

Vax Date: 04/12/2021
Onset Date: 07/26/2021
Rec V Date: 07/29/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Contracted COVID after vaccination

Other Meds:

Current Illness:

ID: 1512564
Sex: M
Age: 44
State: NE

Vax Date: 07/28/2021
Onset Date: 07/28/2021
Rec V Date: 07/29/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: none known

Symptom List:

Symptoms: Patient said he did not have a Covid vaccine before, but when we were logging the dose into our state's IIS it showed he did get a dose of Pfizer on 6/19/21.

Other Meds: none known

Current Illness:

ID: 1512565
Sex: F
Age: 79
State:

Vax Date: 04/27/2021
Onset Date: 05/04/2021
Rec V Date: 07/29/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient presented to the ED and was subsequently hospitalized for fever and sepsis within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1512566
Sex: F
Age: 34
State: MN

Vax Date: 01/04/2021
Onset Date: 07/26/2021
Rec V Date: 07/29/2021
Hospital:

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Symptom List:

Symptoms: Symptoms unknown but noted to have started on 7/26, exposure is reason given for testing

Other Meds:

Current Illness:

ID: 1512567
Sex: F
Age: 68
State: ID

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 07/29/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: morphine

Symptom List:

Symptoms: Eye sight White spots started forming until I couldn't see. Face was white, lips were blue. Lasted about 40 minute, when eyesight was coming back, I could see it moving like a line slowing from right to left until it disappeared & my sight was back completely. Had to be driven home from work. When eyesight was back hen chills, sick to stomach, fever. These symptoms lasted about 12 hours.

Other Meds: Esomerprazole

Current Illness:

ID: 1512568
Sex: F
Age: 65
State: WV

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

Vax Type:
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Lab Data:

Allergies: no allergies

Symptom List:

Symptoms: Concentration of the vaccine was higher than anticipated; ~1mL of diluent was used instead of intended 1.8mL. Only one vaccine from this batch was administered to this patient and the rest of the vaccines were disposed upon recognition of the error, which was discovered after reviewing the remaining quantity of diluent. The patient showed no adverse reaction upon administration or the following observation time. The patient was informed of this larger concentration after recognition of the error, patient was okay with resolution, and facility plans follow up the with patient on the week of 8/1/21. Future quantities will be evaluated by a pharmacist.

Other Meds: unknown

Current Illness: no illnesses

ID: 1512569
Sex: F
Age: 23
State: VA

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

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Lab Data:

Allergies: n/a

Symptom List:

Symptoms: She had a history of vasovagal response & let me know ahead of time. Mom was also present. I got an ice pack, crackers, hard candy & water ready for her. Had her sit in a seat with feet elevated. A few minutes post she said she could feel it coming on & lost consciousness for about 15 seconds. She came back to & we put an ice pack on her neck. Mom & I had her lay on the floor with feet elevated & ice pack on the back of her head. Her color came back & she asked for some water. She said she was much better & we let her lay there for the 15 minutes. Mom & her left 30 minutes after

Other Meds: n/a

Current Illness: n/a

ID: 1512570
Sex: F
Age: 64
State: CT

Vax Date: 04/06/2021
Onset Date: 04/11/2021
Rec V Date: 07/29/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Presented to ED on 4/14/21: Pt is a 64 y.o. female w/ PMH significant for HLD, proteinuria, hx ischemic bowel on daily asa, migraines p/w dizziness and hear fluttering. Patient states for the last 2 days has been having intermittent fluttering in her chest, no chest pain or shortness of breath. Also endorses since yesterday positional vertigo, sudden and severe in nature. Was associated with 2 episodes of emesis today. Denies any hearing loss, tinnitus, recent illness, fevers, history of vertigo, headache. No leg swelling, hemoptysis, recent surgery or travel, history of blood clots, hormone use. No abdominal pain, diarrhea, urinary symptoms. Denies any recent changes in her medications, denies heavy caffeine use, denies any alcohol or drug use. Patient was seen earlier today at urgent care where she was found to have ventricular bigeminy so was sent to the ED. Was also given 25 milligrams meclizine with minimal relief in her symptoms. Remaining review of systems and physical exam as detailed; Dx: Central versus peripheral vertigo including BPPV, labyrinthitis, ventricular arrhythmia, migraine, less likely to be ACS, PE, infection/gastroenteritis: MDM/COURSE: EKG with PVCs/ventricular bigeminy, troponin negative, CBC, BMP, electrolytes; neurology consult, MRI vertigo protocol neg -> recommended daily ASA, neurology followup oupatient given fluids, monitored on telemetry here without any issues will dc with strict return precautions, instructions to followup with PCP for possible holter monitor/cardiology referral; This patient was presented to and discussed with an attending emergency physician; a treatment plan and disposition were collaboratively agreed upon. History Chief Complaint Patient presents with, Irregular Heart Beat; Dizziness, N/V, and fluttering in chest. pt in and out of ventricular bigeminy. Dizziness; The history is provided by the patient and medical records. Other; This is a new problem. The current episode started 2 days ago. The problem occurs hourly. The problem has not changed since onset.Pertinent negatives include no chest pain, no abdominal pain, no headaches and no shortness of breath. Nothing aggravates the symptoms. Nothing relieves the symptoms. She has tried nothing for the symptoms. Past Medical History: Diagnosis Date; Dry eyes; Hypercholesteremia; MVA (motor vehicle accident) 01/29/2017; Proteinuria; Past Surgical History: Procedure Laterality Date; COLONOSCOPY; MASS EXCISION Left 04/24/2018; Excision of left lateral ankle mass; SIGMOIDOSCOPY (FLEX SIG) (IMAGES) 2/10/2015; Procedure: SIGMOIDOSCOPY, FLEXIBLE; W/BX, SINGLE/MULTIPLE; Surgeon: MD; Location: YNH AMBULATORY PROCEDURE CENTER; Service: Internal Medicine; TONSILLECTOMY 21 yo; Socioeconomic History Marital status: Married; Occupational History; Comment: currently on leave-long term disability 1/2017 Tobacco Use; Smoking status: Never Smoker; Smokeless tobacco: Never Used; Substance and Sexual Activity Alcohol use: Yes; Alcohol/week: 0.0 standard drinks; Comment: occ; Drug use: No; Sexual activity: Not Currently Partners: Male; Social History Narrative; Divorced. Then married 2012. Review of Systems: Constitutional: Negative for fever. HENT: Negative for congestion. Eyes: Negative for visual disturbance. Respiratory: Negative for shortness of breath. Cardiovascular: Positive for palpitations. Negative for chest pain. Gastrointestinal: Negative for abdominal pain. Genitourinary: Negative for dysuria. Musculoskeletal: Negative for back pain. Skin: Negative for rash. Neurological: Positive for dizziness. Negative for headaches. Psychiatric/Behavioral: Negative for agitation. BP (!) 151/86 | Pulse 65 | Temp 97.2 ?F (36.2 ?C) | Resp 16 | SpO2 98%; Physical Exam; Vitals signs and nursing note reviewed. Constitutional: General: She is not in acute distress. Appearance: She is well-developed. HENT: Head: Normocephalic and atraumatic. Right Ear: Tympanic membrane normal. Left Ear: Tympanic membrane normal. Eyes: Pupils: Pupils are equal, round, and reactive to light. Comments: Bidirectional nystagmus Corrective saccade on head impulse test, neg test of skew; Neck: Musculoskeletal: Neck supple. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Abdominal: Palpations: Abdomen is soft. Tenderness: There is no abdominal tenderness. Musculoskeletal: General: No tenderness. Right lower leg: No edema. Left lower leg: No edema. Skin: General: Skin is warm and dry. Neurological: Mental Status: She is alert. Cranial Nerves: No cranial nerve deficit. Sensory: No sensory deficit. Motor: No weakness. Coordination: Coordination normal. Psychiatric: Behavior: Behavior normal. ED COURSE; Reviewed previous: previous chart; Interpreted by ED Provider: pulse oximetry, ECG and labs; Consults: NEURO; Patient Reevaluation: Attending Supervised: Resident; I saw and examined the patient. I agree with the findings and plan of care as documented in the resident's note. Of note pt sent from YHP for palpitatins and vertigo. No relief with meclizine at YHP. BP (!) 167/90 | Pulse 62 | Temp 98.1 ?F (36.7 ?C) (Oral) | Resp 18 | SpO2 99%; Pt had MRI that was normal and was seen by neuro. Can be DC home. Patient progress: stable; Clinical Impressions as of Apr 14 2302; Dizziness; Palpitations; ED Disposition; Discharge F/u visit with PCP; On 4/16/21 visit she relayed sensation of hiccups in chest happening at random x 2 months and for past 5 days has fluttering in chest accompanied by a sense of imbalance. ECG showed ventricular bigeminy and follow up ECG showed frequent PVCs. I advised TTE,48-hour Holter, Sress test, advised to cut her usuall tea or coffee in evening after Holter, Metoprolol 25mg bid as needed fluttering in chest but start after Holter, ECASA 81mg daily as she has been taking, and cardiology referral. Stress test 5/5/21did not show obstructive coronary arteries but did show calcifications in left anterior descending artery and right coronary artery. TTE 5/5/21 was unremarkable. Holter 4/19-21 showed NSR with exceptionally high VE and occ SVE. 5/13/21: Given coronary calcifications, I advised changing simvastatin from 20mg to 80mg to push LDL < 70. Overall she feels "a lot better." She can still feel some flutters, mostly in mornings and pulse feels faint when palpating (she does not feel faint). If feels a lot of these then she takes one tab of metoprolol and this helps over 2 days. Advised to take metoprolol 25mg XL daily. She would like to taje in evenings to prevent flutters in amShe has f/u with Dr in 5/25/21. Cardiologist f/u: is a 64 y.o. year old female s/p ED visit on 4/14/2021 for intermittent fluttering in her chest, presenting for evaluation of high density PVCs. She notices palpitations mostly when lying down and getting up in the morning. She reports developing the palpitations and fatigue, 5-6 days after getting her second COVID (Pfizer) vaccine on 4/6/2021. She currently takes metoprolol 25 mg once daily at night which she believes is helping the flutters. She had one prior presyncopal episode during the night and a feeling of losing her balance. No tachycardia or syncope. She does not have high BP. She denies chest pain, pressure or tightness with exertion. She has occasional SOB with exertion and a cough which occurs in the morning with clear phlegm, but she reports no postnasal drip. She also reports a hiccup sensation that occurs in the morning. She does not have fever, shills or sweats. MEDICATIONS: aspirin, 81 mg, Oral, Daily; cyanocobalamin, 1,000 mcg, Oral, Daily; metoprolol succinate XL, 25 mg, Oral, Daily; multivitamin, 1 capsule, Oral, Daily; naproxen sodium, 440 mg, Oral, BID PRN; ramipriL, 5 mg, Oral, Daily; simvastatin, 80 mg, Oral, Daily; PAST MEDICAL HISTORY: patient has a past medical history of Dry eyes, Hypercholesteremia, MVA (motor vehicle accident) (01/29/2017), and Proteinuria. ALLERGIES: has No Known Allergies. FAMILY HISTORY: family history includes Cancer in her father; Cataracts in her maternal grandfather and paternal grandmother; Colon cancer in her maternal grandmother; Colon polyps in

Other Meds: AIMOVIG AUTOINJECTOR 70 mg/mL autoinjector INJECT 1 ML SUBCUTANEOUSLY EVERY 28 DAYS, Normal; aspirin 81 MG EC tablet; Take 81 mg by mouth daily.., Until Discontinued, Historical Med; augmented betamethasone dipropionate (DIPROLENE-AF) 0.05

Current Illness: none

ID: 1512571
Sex: M
Age: 11
State: WI

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Discovered after vaccination was given than Mother had lied about DOB on req form (3/16/2009) when patients actual DOB was 9/16/09, which makes him under 12 years old and not eligable for vaccine.

Other Meds:

Current Illness:

ID: 1512572
Sex: F
Age: 43
State: DE

Vax Date: 01/23/2021
Onset Date: 05/24/2021
Rec V Date: 07/29/2021
Hospital:

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Lab Data:

Allergies: AMOXICILIAN IMITREX INJECTION PERCOCET FENTANYL VICODIN REGADENOSON

Symptom List:

Symptoms: MY THYOID SWELLED UP OUT OF NO WHERE. I WENT TO MY DOCTOR. THEY DID BLOOD WORK WHICH MY LEVELS WERE NORMAL. TOOK ULTRASOUND SCAN AND SHOWED IT WAS ENLARGED ON THE RIGHT SIDE OF MY THYROID LOBE. SAID THAT IT WAS THYROIDITIS. ALSO MY EKG CAME BACK ABONORMAL. THEY SAID I HAVE LEFT BUDDLE BRANCH BLOCK. I'VE NEVER HAD ABNORMAL PRIOR TO VACCINATION NOR HAD ANY NOTED HEART ISSUES. I'M NOW 44 YEARS OLD. I WAS 43 WHEN I HAD VACCINE. THIS IS VERY RARE AT MY AGE. I WAS HEALTHY PRIOR TO THE VACCINE.

Other Meds: ADVIL ONLY AS NEEDED 200MG BISOPROLOL-HCTZ 2.5MG-6.25MG 1 DAILY

Current Illness: NONE

ID: 1512573
Sex: F
Age: 48
State: AZ

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 07/29/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: I had very large painful red welts on my left arm, fever of about 100.5-101, which I took Tylenol for, I was sick like when you have a bad cold for about 2 days, in bed sick. I had bad swollen lymph nodes, you could see them with your naked eye, in my left armpit. That swelling was very painful at first, but the pain subsided in about a week, but the significant swelling never went down. I read some stuff online that swelling of the lymph nodes is common with the vaccine, but it doesn?t go down in 12 weeks you should see a doctor. I went to the doctor for the swollen lymph nodes. They did not prescribe any medications. They just examined my lymph nodes. They did some blood work to see if this was just because of the vaccine, and they came back normal.

Other Meds: Diuretic and beta blocker for high blood pressure

Current Illness: None

ID: 1512574
Sex: F
Age: 35
State: MN

Vax Date: 01/05/2020
Onset Date: 07/28/2021
Rec V Date: 07/29/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: unknown

Other Meds:

Current Illness:

ID: 1512575
Sex: M
Age: 66
State:

Vax Date: 01/14/2021
Onset Date: 03/30/2021
Rec V Date: 07/29/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt. presented to EC with 7-day history of shortness of breath, febrile to 101.7 on 03/30/21

Other Meds:

Current Illness:

ID: 1512576
Sex: F
Age: 48
State: CT

Vax Date: 03/23/2021
Onset Date: 03/26/2021
Rec V Date: 07/29/2021
Hospital:

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

Lab Data:

Allergies: Topical allergy to gluten

Symptom List:

Symptoms: Eye swelled, skin around eyes (lids and undereye) red and extreme dryness. The skin around the mouth and chin is swollen, very red, and very dry.

Other Meds: NA

Current Illness: na

ID: 1512577
Sex: F
Age: 29
State: MI

Vax Date: 07/28/2021
Onset Date: 07/29/2021
Rec V Date: 07/29/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: NONE

Symptom List:

Symptoms: PATIENT CAME BACK TO THE PHARMACY AROUND 1130AM THE DAY AFTER THE VACCINATION, SHE SAID SHE WOKE UP WITH A RASH ALL OVER HER ARMS AND LEGS. TOLD HER TO TAKE SOME BENADRYL AND IF THE SYMPTOMS GOT WORSE OR DID NOT IMPROVE THEN GO SEE A DR.

Other Meds: N/A

Current Illness: NONE

ID: 1512578
Sex: F
Age: 28
State: MD

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 07/29/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies: shellfish, tree nuts, almond, coconut, kiwi, pomegranate, sesame seed, fish

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: patient presents to clinic to establish care several months after immunization. Reports symptoms consistent with a severe allergic reaction almost immediately after receiving vaccine: dyspnea and stridor. Patient was hospitalized, received intravenous fluids, epinephrine, and was discharged to home. Since then patient continues to experience dyspnea on exertion and activity level has not returned to pre-vaccination status.

Other Meds: albuterol, fexofenadine-pseudoephedrine, fluconazole, montelukast, omeprazole, triancinolone topical

Current Illness: none reported

ID: 1512579
Sex: M
Age: 65
State: MN

Vax Date: 04/08/2021
Onset Date: 07/28/2021
Rec V Date: 07/29/2021
Hospital: Y

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies: Animal Dander (Nic)

Symptom List:

Symptoms: POSITIVE COVID TEST 7/28/21

Other Meds: naproxen sodium (ALEVE) 220 mg oral capsule

Current Illness:

ID: 1512580
Sex: F
Age: 38
State: VA

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

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

Lab Data:

Allergies: penicillin allergy

Symptom List:

Symptoms: Pt felt dizzy, "heavy body", lightheaded, slightly nauseous at times. EMTs were called, checked vitals (all were okay), she chose to not leave in ambulance, was advised not to drive home so husband came to pick her up. She was counseled on monitoring symptoms if she felt she needed to go to hospital later. Signed waiver with EMTs

Other Meds:

Current Illness:

ID: 1512581
Sex: M
Age: 11
State: WI

Vax Date: 07/09/2021
Onset Date: 07/09/2021
Rec V Date: 07/29/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Discovered after vaccination that Mother lied about age on requisition form (3/16/2009). Actual DOB is 9/16/2009 which makes patient under 12 years old and not eligible for vaccine.

Other Meds:

Current Illness:

ID: 1512582
Sex: F
Age: 43
State: CA

Vax Date: 07/28/2021
Onset Date: 07/28/2021
Rec V Date: 07/29/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin Penicillin Trazodone

Symptom List:

Symptoms: Patient is a 43 year old female who has completed a 45-minute observation period with the following signs and symptoms of an adverse reaction: other - Chest tightness and skin redness. Per patient, she had a "bad" reaction to flu vaccine and had to be sent to ED. Patient c/o feeling warm, appears flushed. Given cold pack. Lung sounds, clear. No audible wheezing. No visible rash or hives noted. Denies SOB, No tongue or lip swelling noted, no difficulty swallowing. Patient speaks in full sentences. Allergies Allergen Reactions ? Erythromycin Base Skin Rash and/or Hives and Asthma and/or Shortness of Breath ? Pcn Class [Penicillins Class] Skin Rash and/or Hives and Asthma and/or Shortness of Breath Anaphylaxis ? Trazodone And Phenylpiperazines Palpitations with 50 mg at bedtime Pfizer-BioNTech COVID-19 vaccine # 1 in series administered. o Action(s) taken: Another drug administered - benadryl 25mg PO and Recommended transfer to higher level of care, risk and benefits explained to patient, patient declined o Allergy to COVID-19 vaccine documented in Allergies activity: No, will discuss with clinician o Patient advised to discuss second dose considerations with a clinician o sent home stable. Refused to go to ED or urgent care Vitals: 07/28/21 1642 07/28/21 1700 07/28/21 1715 BP: (!) 164/80 (!) 148/68 134/76 Pulse: 80 78 72 Resp: 18 18 18 SpO2: 100% 100% 100%

Other Meds: -Mobic -Robaxin -Zyrtec

Current Illness: None

ID: 1512583
Sex: F
Age: 69
State: KY

Vax Date: 01/27/2021
Onset Date: 07/26/2021
Rec V Date: 07/29/2021
Hospital: Y

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Symptoms: Resident got vaccine in January of 2021. Resident began having shortness of breath and feeling bad. Tested on 7/26/2021 and was positive for COVID. resident sent to ER due to low O2 sats and has since been hospitalized with no plans for discharge.

Other Meds:

Current Illness:

ID: 1512584
Sex: F
Age: 45
State: NY

Vax Date: 05/02/2021
Onset Date: 06/26/2021
Rec V Date: 07/29/2021
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Allergies: n/a

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Symptoms: three menstrual periods/irregular bleeding after second dose. Bleeding started on June 26, again on July 4, and again on July 21. Fertility specialist diagnosed one possibly two ovarian cysts at 27mm and 33mm diameter via ultrasound. Treatment is watch and wait to see if they resolve naturally. My cycle was very regular prior to covid vaccine series.

Other Meds: n/a

Current Illness: n/a

ID: 1512585
Sex: F
Age: 14
State: IL

Vax Date: 07/29/2021
Onset Date: 07/29/2021
Rec V Date: 07/29/2021
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Symptoms: Patient felt dizzy and nauseated few minutes after getting her 1st Pfizer dose. Mother stated her daughter didn?t eat anything since morning. 3 ice packs were used, 2 on her neck and 1 on her head. Two crackers and bottle water was offered. Blood pressure at 10:45am 107/66 Hg/mm. Blood pressure at 10:55 am 126/75 Hg/mm. She states I feel much better and no longer feel dizzy or nauseous.

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Current Illness:

ID: 1512587
Sex: F
Age: 55
State: AR

Vax Date: 01/19/2021
Onset Date: 07/29/2021
Rec V Date: 07/29/2021
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Allergies: No

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Symptoms: I feel very tired and fatigue all the time. On edge all the time. I feel empty on the inside, my head feels like I am in a fog all the time. Am very emotional all the time. I consider myself a very strong person. But every since the vaccine, am very mody, crying and angry all the time. I have no patience for people anymore. I was never like that at first. I was a out going type and now I always want to be a lone. Both of my arms feel very heavy and tingling all the time.

Other Meds: No

Current Illness: No

ID: 1512588
Sex: F
Age: 39
State: CT

Vax Date: 07/29/2021
Onset Date: 07/29/2021
Rec V Date: 07/29/2021
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Allergies: Latex - hives, anaphylaxis Pineapple - anaphylaxis Shellfish - anaphylaxis Iodinated contrast - dyskinesia/dystonia promethazine - unknown

Symptom List:

Symptoms: Within 30 seconds of vaccine, patient began vomiting continuously and felt like her throat was closing. She was given IM epinephrine in the clinic and transported to the ED. By ED arrival, she stated her throat no longer felt tight. In the ED, was given 25mg IV benadryl, 20mg IV famotidine, 125mg IV methylprednisolone and 1L of saline. She was monitored prior to discharge.

Other Meds: clonidine, famotidine, haloperidol, hydroxyzine pamoate, lidoderm patch, melatonin, nabumetone, prednisone, sertraline, trazodone

Current Illness:

ID: 1512589
Sex: F
Age: 51
State: MA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 07/29/2021
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Allergies: n/a

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Symptoms: Vaccine received in the morning, and followed instructions given at facility to mitigate side effects. By early evening, expected stiffening of muscle began. The next morning, woke at 8am to find I could not move that arm at all, and it was cramped in place, elbow bent, hand up to my chin. My arm was extremely painful and immobile, despite the use of anti-inflammatories and ice/heat, and did not begin to subside until approximately 12 hours later, at which point I had increasing use of my arm. Although, painful, by the next morning I had full range of motion.

Other Meds: Lamictal Levothyroxine

Current Illness: n/a

ID: 1512590
Sex: F
Age: 61
State:

Vax Date: 04/08/2021
Onset Date: 07/21/2021
Rec V Date: 07/29/2021
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Allergies: Dyes Formaldehyde

Symptom List:

Symptoms: 2 Straight Days Headaches 7/20/21-7/21/21 I Don?t Get Headaches 7/22/21 cramps in stomach light blood through 7/23/21 heavy dark blood with light clotting. 7/25/21-7/26/21 large blood clots until 7/28/21. 0n 7/28/21 called Primary Physician for a Consultation it?s scheduled for Friday. I have enormous swelling in my Right leg in rear upper thigh. I have decided to go to Emergency Room. I have a slight headache and after Blood completely stop I am now seeing very light blood. I?m 61 I had stop having periods at 58!started back when I first took John & Johnson shot. I reported here before.

Other Meds: 50,000 mg Vitamin D 200-800 mg Ibuprofen as needed

Current Illness: Orthopedic Bilateral hands Carpal Tunnel Bilateral Knees C3 Fracture Neck Spine Fusion Drop Foot Right Leg Can?t Walk Gait

ID: 1512591
Sex: M
Age: 73
State: TN

Vax Date: 04/13/2021
Onset Date: 05/14/2021
Rec V Date: 07/29/2021
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Allergies: None

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Symptoms: Pretty severe muscle soreness starting in right leg/hip area then down front of leg to knee. Moved to left leg hip area down front to knee with a point of sharp pain where leg muscle attached. The expanded to right shoulder then left side of back of neck then left shoulder. Some right side rib cage soreness which is persistent. No treatment....acetamin barely touches the pain. Oxycodone works for maybe 90 minutes. Right leg pain mostly gone. Left leg pain except for point mostly gone. both shoulders and neck remain very sore and movement is restricted. Pain started overnight in right leg is very slow to heal in every location. No exercise or previous injuries. Could this be Guillen-Barre (sp)?? I am 73 and in good health otherwise.

Other Meds: Metoprolol Succinate ER 25 MG Oral Tablet Extended Release Lisinopril 5 MG Oral Tablet - Take One Tablet By Mouth Daily. Clopidogrel Bisulfate 75 MG Oral Tablet - Take One Tablet By Mouth Daily. Atorvastatin Calcium 80 MG Oral Tablet - Take

Current Illness: None

ID: 1512592
Sex: M
Age: 33
State: CA

Vax Date: 03/25/2021
Onset Date: 03/28/2021
Rec V Date: 07/29/2021
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Allergies: Augmentin

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Symptoms: Hives all over body, itchiness, swollen lips, face hands and feet. Pain and wormth in the swollen areas.

Other Meds: None

Current Illness: None

ID: 1512593
Sex: F
Age: 14
State: OH

Vax Date: 07/29/2021
Onset Date: 07/29/2021
Rec V Date: 07/29/2021
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Symptoms: Upon administration of Covid 19 vaccine, needle accidentally dislodged from syringe causing zero to a miniscule amount of vaccine be administered. OK to redose vaccine, and to report to VAERS. Patient was then administered Covid vaccine and tolerated without any complications or incidents

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Current Illness:

ID: 1512594
Sex: F
Age: 71
State: OR

Vax Date: 01/24/2021
Onset Date: 02/15/2021
Rec V Date: 07/29/2021
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Allergies: No

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Symptoms: Middle of February, I started having abominable pain with some nausea. Worse in the morning. I went to ER and they did some testing. Pain meds and medication for nausea and Lidocaine patches. Went to - Dr put me on Prilosec at the begging of March. Pain continued. I had an endoscopy on 4/6/2021 and it showed the beginnings of two ulcers and irritation of lining. They took me off Prilosec and put me on Protonix. I followed up with doctor in the middle of May and I was doing better and they reduced it to half a Protonix dose and symptoms have come into control. No caffeine, alcohol and spicy foods - so I've had some dietary changes. I had a duodenal ulcer in my 20's that presented pretty much with the same symptoms. Still on my other meds.

Other Meds: Metformin; Lipitor; Trazadone; Multi-Vitamin; Vit D; Biotin; Exlax

Current Illness: No

ID: 1512595
Sex: F
Age: 50
State: TX

Vax Date: 06/28/2021
Onset Date: 07/06/2021
Rec V Date: 07/29/2021
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Allergies: NONE

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Symptoms: She had rash on her arm, Neck after a week of the first dose

Other Meds: NONE

Current Illness: NO

ID: 1512596
Sex: M
Age: 17
State: MI

Vax Date: 07/29/2021
Onset Date: 07/29/2021
Rec V Date: 07/29/2021
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Allergies: none

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Symptoms: After giving the vaccine I realized that I gave it wrong. I did not know that the vials were not diluted already. I thought that the amount in the vial was what was left in the vial from previous doses. I didn't see posted anywhere how to give this vaccine. Since I know most vaccines are 0.5 ml that's what I assumed. All the other medical assistants and nurses were busy so I didn't have anyone to ask. I normally do not work at this location and any other time I've given covid vaccines they were done at other locations, with instructions on drawing up and administering.

Other Meds: none

Current Illness: none

ID: 1512597
Sex: F
Age: 75
State: KY

Vax Date: 02/23/2021
Onset Date: 07/25/2021
Rec V Date: 07/29/2021
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Symptoms: positive for covid-19

Other Meds:

Current Illness:

ID: 1512598
Sex: F
Age: 16
State:

Vax Date: 07/28/2021
Onset Date: 07/28/2021
Rec V Date: 07/29/2021
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Allergies: lavender, mango

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Symptoms: itching on arms and neck

Other Meds: none

Current Illness: none

ID: 1512599
Sex: F
Age: 67
State: TN

Vax Date: 07/21/2021
Onset Date: 07/22/2021
Rec V Date: 07/29/2021
Hospital: Y

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Allergies: Peniclin Iodine Sulfur Morphine Latex

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Symptoms: Patient stated that the day after the shot she had extreme fatigue and she went to take a breathing treatment her pulse started going up. Patient was transferred to hospital by Ambulance. She was given blood thinners.

Other Meds: Nexium Azo bladder control sodium Patient has other medication. could not understand what she was saying .

Current Illness:

ID: 1512600
Sex: F
Age: 67
State: NH

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 07/29/2021
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Symptoms: Monday after, I thought I had a spider bite under my right breast that wrapped around to my back and I went to doctor they diagnosed me with Shingles.

Other Meds: vitamins

Current Illness: headache, fever chills week before vaccine

ID: 1512601
Sex: M
Age: 69
State: MN

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 07/29/2021
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Allergies: ?

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Symptoms: None stated.

Other Meds: lisinipril, remron, ativan, Vitamin D and K2, whole food organic multiple

Current Illness: Mild concussion

ID: 1512602
Sex: F
Age: 17
State: LA

Vax Date: 07/29/2021
Onset Date: 07/29/2021
Rec V Date: 07/29/2021
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Symptoms: no adverse reactions

Other Meds:

Current Illness:

ID: 1512603
Sex: M
Age: 13
State: FL

Vax Date: 07/24/2021
Onset Date: 07/26/2021
Rec V Date: 07/29/2021
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Allergies: None

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Symptoms: Fever and headache with sniffles. Tylenol every 6-8 hours for 2 days

Other Meds: Zomacton 1.8mg per day

Current Illness: None

ID: 1512604
Sex: M
Age: 51
State: KY

Vax Date: 02/02/2021
Onset Date: 07/26/2021
Rec V Date: 07/29/2021
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Symptoms: positive for covid-19

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Current Illness:

ID: 1512605
Sex: M
Age: 79
State: MN

Vax Date: 02/22/2021
Onset Date: 07/28/2021
Rec V Date: 07/29/2021
Hospital: Y

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Symptoms: POSITIVE COVID TEST 7/28/21

Other Meds: acetaminophen (TYLENOL) 325 mg oral tablet acetaminophen (TYLENOL) 500 mg oral tablet ALPRAZolam (XANAX) 0.5 mg oral tablet amoxicillin (AMOXIL) 500 mg oral capsule atorvastatin (LIPITOR) 80 mg oral tablet

Current Illness:

ID: 1512606
Sex: F
Age: 51
State: MT

Vax Date: 07/22/2021
Onset Date: 07/22/2021
Rec V Date: 07/29/2021
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Allergies: antibiotics

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Symptoms: Vaccine given and within 5 minutes patient began to get very itchy, scratching at arm, neck and scalp. No shortness breath.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 679,999

Page last modified: 03 October 2021 5:28pm