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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







Manufacturers

Total Manufacturer

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1512914
Sex: F
Age: 20
State: OR

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

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

Lab Data:

Allergies: NO KNOWN ALLERGIES

Symptom List: Dysphagia, Epiglottitis

Symptoms: tingling in right hand and stiffness in all fingers

Other Meds: MIRTAZAPINE, IBUPROFEN

Current Illness:

ID: 1512915
Sex: F
Age: 66
State:

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

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Burning sinuses, thick, clear, nasal drainage in back of throat, headaches, bad taste in mouth, partial loss of taste, occasionally heart palpatations.

Other Meds: Hydroxychloroquine, escitalpram, cozaar, zinc, quercitin, vitamin D, B complex

Current Illness: None

ID: 1512916
Sex: F
Age: 24
State: CT

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

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

Lab Data:

Allergies:

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: n/a

Other Meds:

Current Illness:

ID: 1512917
Sex: M
Age: 82
State: FL

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: pt admitted to the hospital for COVID 19 symptoms post vaccination.

Other Meds:

Current Illness:

ID: 1512918
Sex: F
Age: 22
State: CT

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

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

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: n/a

Other Meds:

Current Illness:

ID: 1512919
Sex: M
Age: 14
State: PA

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

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

Lab Data:

Allergies: N/A

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: Symptoms for 14 year old male were chest pains on left side, with difficulty taking deep breath?s. Symptoms worse when lying down. Symptoms began at 3:00 AM and Continued until the morning when mother took son to local emergency room. Bloodwork and diagnostic x-ray showed no abnormalities, patient was discharged at 11:49 AM with recommendation of rest, ibuprofen or Tylenol as needed for chest discomfort. Advice to return to ED for worsening pain.

Other Meds: Daily multivitamin and probiotic

Current Illness: Summer cold at beginning of July (7/5-7/7) and underwent Covid PCR test the following week and was negative.

ID: 1512920
Sex: F
Age: 82
State:

Vax Date: 03/01/2021
Onset Date: 07/13/2021
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: Pyrexia, White blood cell count decreased

Symptoms: R29.90 - Stroke-like symptom I63.9 - Cerebrovascular accident aborted by administration of thrombolytic agent (CMS/HCC) R29.810 - Facial weakness

Other Meds:

Current Illness:

ID: 1512921
Sex: M
Age: 55
State: VA

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

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

Lab Data:

Allergies: Ciprofloxacin

Symptom List: Pharyngeal swelling

Symptoms: Tinnitus in both ears markedly worsened around 1 week after first dose of vaccine. Saw my primary physician two weeks later (05/19) to discuss if ok to take second vaccine dose. Dr referred me to an ENT whom I saw that same day; hearing test administered; ENT Dr advised the following: 1) tinitus possibly related to vaccine 2) tinitus might not improve 3) second vaccine dose may or may not further worsen and unsure of mechanism which may be neuro imflamation for which the Dr offered steriod perscription which we agreed to forego.

Other Meds: Finacea topical

Current Illness:

ID: 1512922
Sex: F
Age: 26
State: CT

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: n/a

Other Meds:

Current Illness:

ID: 1512923
Sex: F
Age: 92
State:

Vax Date: 02/11/2021
Onset Date: 04/09/2021
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: Diarrhoea, Nasal congestion

Symptoms: Patient was found to have hyperkalemia of 6.1 as outpatient, and was referred to the hospital for further evaluation and presented on 04/09/21; the patient has been afebrile, no supplemental oxygen was required.

Other Meds:

Current Illness:

ID: 1512924
Sex: M
Age: 25
State: PR

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

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

Lab Data:

Allergies: NO KNOWN DRUG OR FOOD ALLERGY

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: INMEDIATELY AFTER VACCINATION, THE PATIENT DEVELOPED DIZZINESS, SWEATING, AND TREMORS. THE SYMPTOMS RESOLVED AFTER 30 MINUTES APPROXIMATELY.

Other Meds: NO NO HISTORY OF MEDICATIONS OR SUPPLEMENTS USE

Current Illness: NO ACUTE ILLNESS AT THE TIME OF VACCINATION

ID: 1512925
Sex: F
Age: 58
State: CT

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

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: n/a

Other Meds:

Current Illness:

ID: 1512926
Sex: F
Age: 33
State: CT

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

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

Lab Data:

Allergies:

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: n/a

Other Meds:

Current Illness:

ID: 1512927
Sex: F
Age: 72
State: ME

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

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

Lab Data:

Allergies: Sulfa

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: HP came in and received Moderna vaccine. HP already received both shots of Pfizer in February and March of 2021. She falsified our consent questionnaire and lied to staff in order to get vaccine. She has no reported symptoms or concerns after administration. She did intend on getting Moderna vaccine in hopes of extra coverage against delta variant.

Other Meds: unknown

Current Illness: unknown

ID: 1512928
Sex: F
Age: 78
State: WI

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

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

Lab Data:

Allergies:

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Patient was a walk in for her second (booster) dose. At check in patient did not have vaccine card. Patient was checked in, sent to receive vaccine and had not yet been added to the schedule. Her vaccination card was being filled out while being sent to receive second dose. Vaccination was administered (Moderna Covid-19 Vaccine) and patient was being monitored for 15 minutes. When writer was told patient had been added to the schedule and went to chart administration, writer noticed that patient had received her first dose on 02/05/2021 of Pfizer Covid-19 Vaccine.

Other Meds:

Current Illness:

ID: 1512929
Sex: M
Age: 48
State: TX

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 07/29/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Day 1 after vaccine patient short of breath. Went to ER. Admitted to Hospital. Was in CHF, sustained MI. Eventually tranferred and underwent 4 vessel CABG and wears Defibrillator vest.

Other Meds: Testosterone, Thyroid Hormone.

Current Illness: Obstructive sleep apnea, Hypothyroid, Low-T

ID: 1512930
Sex: M
Age: 15
State: CT

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

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

Lab Data:

Allergies:

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: n/a

Other Meds:

Current Illness:

ID: 1512931
Sex: F
Age: 38
State:

Vax Date: 04/14/2021
Onset Date: 06/25/2021
Rec V Date: 07/29/2021
Hospital:

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

Lab Data:

Allergies: Penicillin-rash

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Elevated liver enzymes at annual labs, referred to gastroenterologist, appointment is scheduled

Other Meds: Multi-vitamin, Vitamin D, Magnesium, Omega-3 fish oil, Calcium

Current Illness:

ID: 1512932
Sex: M
Age: 22
State: NY

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

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Id say approximately 60 seconds after administration of the vaccine, I started to become the most lightheaded I've ever felt, like I was really about to pass out. I felt a very extreme pins and needles feeling in both my hands and my feet, and my vision began to fade. After about 30 seconds of that and beginning to panic, I stood up and knocked on the doctors door and asked for water and told him how I was feeling. After about a few minutes of sitting and drinking Gatorade my vision returned fully and I began feeling stronger again. Since then I only feel a slight pain around the injection site.

Other Meds: None

Current Illness: None

Date Died: 06/12/2021

ID: 1512933
Sex: F
Age: 76
State: GA

Vax Date: 01/28/2021
Onset Date: 06/08/2021
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: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Hospitalized and died due to COVID1-19 after being vaccinated.

Other Meds:

Current Illness:

ID: 1512934
Sex: U
Age:
State: OH

Vax Date: 09/17/1983
Onset Date:
Rec V Date: 07/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Pt was approximately three months pregnant, and miscarried shortly after receiving vaccine, this was per mother. Case reports daughter had problems with pregnancy prior to receiving the COVID vaccine, and after examining following the miscarriage and noted finding huge blood clots.

Other Meds:

Current Illness:

ID: 1512935
Sex: M
Age: 45
State:

Vax Date: 04/28/2021
Onset Date: 04/30/2021
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: Unevaluable event

Symptoms: Patient presented to the ED and was subsequently hospitalized for Diverticulitis of large intestine with perforation without bleeding within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1512936
Sex: F
Age: 13
State: CT

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

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

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: n/a

Other Meds:

Current Illness:

ID: 1512937
Sex: F
Age: 74
State:

Vax Date: 01/22/2021
Onset Date: 04/12/2021
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: Injection site pain, Pain

Symptoms: Pt. presented to EC with worsening cough and fatigue on 04/21/21.

Other Meds:

Current Illness:

ID: 1512938
Sex: M
Age: 77
State: KY

Vax Date: 02/08/2021
Onset Date: 07/22/2021
Rec V Date: 07/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Developed Covid 19 on 7/22/21 Cold like symptoms

Other Meds:

Current Illness:

ID: 1512939
Sex: M
Age: 26
State: CT

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

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

Lab Data:

Allergies:

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: n/a

Other Meds:

Current Illness:

ID: 1512940
Sex: F
Age: 70
State: WI

Vax Date: 02/12/2021
Onset Date: 07/24/2021
Rec V Date: 07/29/2021
Hospital:

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

Lab Data:

Allergies: Codeine - Hives Tranexamic Acid - Contraindication to Zithromax Z-Pak - Unknown

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient tested positive for COVID-19 on 7/26/2021 Seen in the ER on 7/29/2021 for a cough

Other Meds: Cetirizine 10mg daily Glucosamine Chondroitin MSM Complete 1 tab BID for joints Gabapentin 300mg HS for nerve pain Multivitamin with minerals daily Fish oil 1,000mg daily Omeprazole 20mg daily for reflux

Current Illness:

ID: 1512941
Sex: F
Age: 20
State: MD

Vax Date: 07/27/2021
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: Chills, Fatigue, Headache, Myalgia

Symptoms: The patient reported swelling of her upper lip that began on 7/28/2021. It was more pronounced this morning.

Other Meds: none

Current Illness: none

ID: 1512942
Sex: M
Age: 16
State: CT

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

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

Lab Data:

Allergies:

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: n/a

Other Meds:

Current Illness:

ID: 1512943
Sex: F
Age: 28
State: WY

Vax Date: 05/23/2021
Onset Date: 06/07/2021
Rec V Date: 07/29/2021
Hospital:

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

Lab Data:

Allergies: Phenergin, Flexeril, Salmon, Hydroxyzine

Symptom List: Nausea

Symptoms: On 6/7/21, my tongue felt numb on the right half, I thought I had just burned my tastebuds on my lunch. On 6/8/21 I was dizzy, my right eye and right side of my lip started twitching a lot, I thought I was just stressed. On 6/9/21 I woke up with mild muscle weakness in my mouth, and had no feeling or taste on half of my tongue. Went to a local urgent care and was given anxiety meds and a referral for a therapist. I also mentioned my right ear was feeling a bit painful like the start of an ear infection possibly, Dr never addressed the issue with my face muscles and my BP was 164/88. On 6/10/21 I woke up with both eyes swollen and more of my right facial muscles not functioning properly. Went to the ER where they asked about my face and other questions regarding the facial swelling, turns out I had an allergic reaction to the anxiety meds. They did some strength tests and diagnosed me with Bells Palsy, blood pressure was 152/110. Was given Valtrex by the ER DR to help with the Bells Palsy. Had a follow up appointment with my PCP on 6/14/21, she prescribed Predizone. By 6/21/21 most of my facial function had returned. I had a 6 week follow up with my PCP on 7/27/21, my facial function is still not 100% but is better than it was on 6/14/21. I am now seeing a therapist due to this event and my newfound fear of death or any other medical issues directly related from this vaccine.

Other Meds: Allegra, Flonase, Albuterol as needed

Current Illness: N/A

ID: 1512944
Sex: M
Age: 28
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Not adverse event. Reporting Covid positive despite vaccination

Other Meds: Stelara, entyvio. Enbrel

Current Illness:

ID: 1512945
Sex: M
Age: 50
State: FL

Vax Date: 04/06/2021
Onset Date: 07/18/2021
Rec V Date: 07/29/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Patient required hospitalization due to breakthrough infection. He received JnJ vaccine on 4/6/21. Hospitalized from 7/18 to 7/20/21. Below is copied from discharge summary: Hospital Course: Admitted with dyspnea on exertion and had covid infection Patient came with his wife, patient didnt require a lot of oxygen He is now on RA, s/p dexamethason and Ramdesevir Patient echo showed normal EF and no wall motion abnormality Ok to be discharged home and quarantine for 10-14 days.

Other Meds: amLODIPine (NORVASC) 5 MG PO Tablet Take 1 tablet by mouth daily. 5/2/18 ferrous sulfate 325 (65 FE) MG PO Tablet Take 1 tablet by mouth daily (with breakfast). 5/2/18 furosemide (LASIX) 20 MG Oral Tablet Take 1 tablet by mouth dai

Current Illness:

ID: 1512946
Sex: M
Age: 33
State: CT

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

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

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: n/a

Other Meds:

Current Illness:

ID: 1512947
Sex: F
Age: 15
State: OR

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

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Pt received 2nd dose <21 day recommendation.

Other Meds: Unknown

Current Illness: None

ID: 1512948
Sex: M
Age: 21
State: FL

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

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

Lab Data:

Allergies: n/a

Symptom List: Erythema, Pruritus

Symptoms: Patient blacked out while sitting during the observation time. He hit his head in the fall and was observed having some convulsions.

Other Meds: n/a

Current Illness: N/A

ID: 1512949
Sex: F
Age: 16
State: NY

Vax Date: 05/04/2021
Onset Date: 05/15/2021
Rec V Date: 07/29/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: within 15 hours had increased seizure activity lasting for the next week which eventually tapered down

Other Meds: Phenobarbital, Keppra, Midazolam, Baclofen, Gavilax, Senna, Probiotics, Omeprazole, Albuterol nebs, Saline nebs, Alendronate treatment, Calcium

Current Illness: None

ID: 1512950
Sex: M
Age: 50
State: MN

Vax Date: 04/26/2021
Onset Date: 05/03/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Patient presented to the ED and was subsequently hospitalized for chest pain, elevated troponin, S/P aortic aneurysm repair within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1512951
Sex: F
Age: 27
State: CT

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

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: n/a

Other Meds:

Current Illness:

ID: 1512952
Sex: M
Age: 18
State: IL

Vax Date: 07/28/2021
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:

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Patient has had no adverse outcome to date. Diluent used in administering the vaccine was not the diluent shipped with the vaccine. The diluent was correct type, concentration (normal saline USP .09% ) , but was in a single use bottle, not intended for use with injection and used with one other patient previously.

Other Meds:

Current Illness:

ID: 1512953
Sex: F
Age: 33
State: SD

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

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

Lab Data:

Allergies:

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: n/a

Other Meds:

Current Illness:

ID: 1512954
Sex: F
Age: 19
State: IN

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

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

Lab Data:

Allergies: N/A

Symptom List: Pain in extremity

Symptoms: Aching chest pain and headache

Other Meds: N/A

Current Illness: N/A

ID: 1512955
Sex: F
Age: 49
State:

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

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

Lab Data:

Allergies: No known allergies

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: At 1145, patient reported dizziness to EMT. Patient reported the dizziness started "about ten minutes after I sat down". Patient stated the dizziness "feels the same when I sat down". Patient denied itchiness, rashes, hives, difficulty swallowing, and difficulty breathing. At 1145, EMT assessed patient vital signs: blood pressure 156/102 mmHg and pulse 76 beats/minute. Patient reported history of hypertension and took her unspecified blood pressure medication in the morning. Patient offered EMS. Patient denied EMS. At 1150, EMT reassessed patient vital signs: blood pressure 170/114 mmHg and pulse 79 beats/minute. Patient reported she felt less dizzy. Patient reported this blood pressure is "normal" for her. Patient reported feeling anxious. At 1200, EMT reassessed patient vital signs: blood pressure 172/112 mmHg and pulse 79 beats/minute. Patient reported she feels "all better". Patient denied dizziness. RN educated patient on signs/symptoms of when to seek emergency care, to follow up with primary care provider and to sign up on v-safe. At 1210, patient left facility with unlabored respirations and steady gait.

Other Meds: Unspecified medications for hypertension

Current Illness: None

ID: 1512956
Sex: M
Age: 82
State: CA

Vax Date: 12/31/2020
Onset Date: 07/24/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Patient was admitted with COVID-related Pneumonia 7/24/2021, discharged on 7/26/2021. Received both doses of Pfizer vaccine (dose #1 on 12/31/2020 and does #2 on 1/21/2021).

Other Meds:

Current Illness:

ID: 1512957
Sex: F
Age: 51
State: VA

Vax Date: 05/28/2021
Onset Date: 06/04/2021
Rec V Date: 07/29/2021
Hospital: Y

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

Lab Data:

Allergies: N/A

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Heart attack symptoms - chest pain, shortness of breath, pounding heart approx. 1 week after 1st shot. Hospitalized with small heart attack. After 2nd shot, emergency room visit for stroke-related symptoms - numbness in left side of face and left arm. Test results did not reveal cause. 2 months later still experiencing chest pain in and around heart. No prior health issues or heart related issues other than high blood pressure and cholesterol.

Other Meds: lisinopril atorvastatin B-12 Lysine Glucosamine Biotin

Current Illness: None

ID: 1512958
Sex: M
Age: 56
State: WI

Vax Date: 03/18/2021
Onset Date: 07/27/2021
Rec V Date: 07/29/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List: Vomiting

Symptoms: Patient developed COVID-19 on 7/27/2021

Other Meds: Tylenol 500mg Albuterol 90mcg/inh 2 puffs q4hr PRN for wheezing Vitamin D3 1000IU 1 tab daily fexofenadine 180mg daily Advair Diskus 250 mcg - 50 mcg BID for wheezing Meclizine 25mg TID PRN for dizziness Simvastatin 20mg HS for elevated lip

Current Illness:

ID: 1512959
Sex: M
Age: 38
State: NY

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

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: n/a

Other Meds:

Current Illness:

ID: 1512960
Sex: M
Age: 27
State: CT

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

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

Lab Data:

Allergies:

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: n/a

Other Meds:

Current Illness:

ID: 1512961
Sex: F
Age: 55
State: NY

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

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

Lab Data:

Allergies: Sensitivities to: Aggrenox/Demerol/vancomycin/lansoprazole/lisinopril/statins/augmentin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Brief Dizziness/multiple heart palpitations(few with dizziness)/1 episode of brief tachycardia with dizziness /dry cough. All sx x?s five months/enlarged tender supraclavicular lymph nodes x?s 6 months (currently slightly enlarged and non tender)/loose stools x?s two months

Other Meds: Synthroid/hydrochlorothiazide/spironolactone/valsartan /vitamins c,d,b,multi/lactaid

Current Illness: None

ID: 1512962
Sex: M
Age: 16
State: TX

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

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

Lab Data:

Allergies:

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Completed the vaccine series for the patient since it was initiated before he was 18

Other Meds:

Current Illness:

ID: 1512963
Sex: M
Age: 58
State: MN

Vax Date: 05/08/2021
Onset Date: 05/14/2021
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: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: Patient presented to the ED and was subsequently hospitalized for Severe sepsis with acute organ dysfunction within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am