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: 1540588
Sex: M
Age: 51
State: TX

Vax Date: 05/07/2021
Onset Date: 07/24/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Sinus pain and congestion, headache, fever, loss of smell and taste, infrequent cough

Other Meds: Fish oil, vitamin C and D, baby aspirin

Current Illness: None

ID: 1540589
Sex: F
Age: 54
State: PA

Vax Date: 05/21/2021
Onset Date: 05/30/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Approximately 2-3 weeks after the first shot, I began to have pain in my left shoulder. It was initially stiff feeling and I wasn't able to raise my arm above my head for long period of time. The month of June the pain began to radiate down to my elbow and the ability to reach / stretch my arm straight, nor hold my arm up. At this point I did see my Primary and shared my concern. He stated, "it's tendonitis" and order a script for physical Therapy. In essence, blew me off. As of today, I have pain radiating from the left shoulder at time up the neck and have ear discomfort. If I stretch my arm out, I'll have pain that would radiate down to my hand. I can not reach behind my back! Any movement beyond my side is Painful.

Other Meds: Atorvastatin 10mg ? 1 pill Once a day Janumet 50 ? 1000 mg Twice a day Lipitor (atorvastatin) 10 mg ? 1 pill Once a day Lisinopril 10mg ? 1 pill Once a day Pioglitazone HCL 15 mg ? 1 pill Once a day Potassium Citrate Er

Current Illness: Diabetes,

ID: 1540590
Sex: M
Age: 28
State: NM

Vax Date: 07/15/2021
Onset Date: 07/15/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: pt had swelling of tongue & tongue blisters about 6 hrs after getting pfizer vaccine #1; sx resolved w/in about 6 hrs w/out Rx

Other Meds:

Current Illness:

ID: 1540591
Sex: F
Age: 41
State: TX

Vax Date: 01/29/2021
Onset Date: 05/01/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List:

Symptoms: Dizziness increasing over the months following vaccination

Other Meds: Dukoxetine

Current Illness: N/a

ID: 1540592
Sex: F
Age: 47
State: FL

Vax Date: 07/24/2021
Onset Date: 07/27/2021
Rec V Date: 08/10/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin and Vicodin

Symptom List:

Symptoms: Ended up admitted to the hospital for bilateral pulmonary embolism

Other Meds: Ambien at bedtime

Current Illness: asthma

ID: 1540593
Sex: F
Age: 33
State: CO

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient had Moderna for 1st vaccine on 7/13/2021 at the Health Department. She came in today for her 2nd dose and was inadvertently given Pfizer instead. Patient monitored, seemed to be okay. No adverse effects during time of monitoring.

Other Meds:

Current Illness:

ID: 1540594
Sex: F
Age: 13
State: TX

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: She had her 2nd dose of Pfizer COVID-19 vaccination on 08/06 . On 08/07 fell while skating landing on her right knees hitting her head and chest with bruising on her chest. On 08/08, she started with nausea and vomiting. In the evening she had burning right chest pain with palpitations and difficulty breathing. She presented to the emergency department where she had a WBC 10.56, hemoglobin 10.6, hematocrit 33.6, platelet count 220, neutrophils 73.7%, lymphocytes 15.7%, and monocytes 8.6%. Sodium 136, potassium 4.1, chloride 105, carbon dioxide 22, BUN 10, creatinine 0.71, AST 55, and ALT 20. CK-MB of 36.26 and a troponin I of 11.801 and a BNP of 62.9. She had a chest x-ray with no radiographic evidence of traumatic injury to the chest. Cervical spine x-ray normal. EKG normal sinus rhythm with ST elevation consider early repolarization, pericarditis or injury. Her SARS-CoV-2 PCR was negative. She was admitted to medical floor on the cardiology service. She was treated with colchicine then ibuprofen and observed without other intervention.

Other Meds: Levothyroxine, albuterol, aripiprazole, escitalopram, atomoxetine, hydroxyzine, prazosin, trazodone

Current Illness: She had a fall when pushed a skating ring on August 7, 2021 and hit her head and right knee on the floor.

ID: 1540595
Sex: F
Age: 46
State: PA

Vax Date: 04/28/2021
Onset Date: 05/12/2021
Rec V Date: 08/10/2021
Hospital:

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

Allergies:

Symptom List:

Symptoms: I was diagnosed with a DVT in my left leg 2 weeks following my first dose.

Other Meds: levothyroxin 112 mcg birth control pill

Current Illness: Torn meniscus in left knee

ID: 1540596
Sex: F
Age: 48
State: FL

Vax Date: 08/03/2021
Onset Date: 08/10/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Tickling both hands left and right. Left hand is more than the right hand. This tickling I felt it on my first dose which was on 7/12/2021 on my left arm and hand but in 2 hours was gone but today 8/10/2021 at 1am my left hand started the tickling and also my right hand. Moreover as of now 12:30 pm on 8/10/2021 I still feel the tickling.

Other Meds: zyrtec

Current Illness: none

ID: 1540597
Sex: M
Age: 49
State: MI

Vax Date: 02/12/2021
Onset Date: 08/03/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: gabapentin, codeine

Symptom List:

Symptoms: Came to EC for malaise, fatigue, weakness

Other Meds: Robitussin, robaxin, prilosec, xarelto, fioricet, albuterol

Current Illness: History of DVT, Leukocytosis,

ID: 1540598
Sex: M
Age: 65
State: NC

Vax Date: 07/21/2021
Onset Date: 07/23/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Ceclor

Symptom List:

Symptoms: Platelets dropped to 98,000 and white blood count dropped to 3.0 less then 48 hours after vaccination Routine blood work had been scheduled and revealed the changes noted. Left arm soreness, no fever, slight fatigue reported. 7 days later CBC was repeated and platelets now 159,000 and white blood cells 5.4 No treatment. Full recovery

Other Meds: Rosuvastatin, jardiance, metformin, losarten, finasteride, testosterone gel 1%, baby aspirin, vitamin D, fish oil

Current Illness: None

ID: 1540599
Sex: F
Age: 23
State: NC

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: L arm/hand paresthesia (tingling sensation) - no loss of motor strength, sensation intact. No respiratory sxs, no rash.

Other Meds: N/A

Current Illness: None

ID: 1540600
Sex: F
Age: 52
State: FL

Vax Date: 07/12/2021
Onset Date: 07/13/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: Latex, peanuts, soy, walnuts, wheat, corn, sesame seeds and milk

Symptom List:

Symptoms: Woke morning following injection with typical reported symptoms (chills, fever, muscle aches), upon waking the next day (7/13/21) I began to experience dizziness upon bending over or looking up. I?ve experienced vertigo in the past, but I?ve practiced relief exercises to no avail. I?m still suffering from this dizziness as of the date submi thing this report. (8/10/21)

Other Meds: Lisinopril, Quetiapine, Furosemide, Gabapentin, Ibuprofen, Contrave 8, Potassium Chloride, Therems multivitamin

Current Illness: None

ID: 1540601
Sex: F
Age: 62
State: WI

Vax Date: 07/22/2021
Onset Date: 07/23/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: Sulfa & Ciprofloxacin

Symptom List:

Symptoms: Left arm became red, swollen and hot to touch from top of shoulder to elbow, and axillary region. It was itchy. Arm was tender to the touch. Onset 7/23/21 to 7/26/21. Was treated with 40 mg of Prednisone once a day for 3 days

Other Meds: acyclovir, aspirin, omeprazole, pregabalin, rosuvastatin, sertraline, sodium chloride,

Current Illness: None

ID: 1540602
Sex: F
Age: 13
State: IN

Vax Date: 07/12/2021
Onset Date: 07/12/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Clinic does the vaccinations for all surrounding locations. Pt was from another location and arrived for an appointment. Pt was checked in and taken back for vaccine administration. Vaccine was given by an MA and age was not verified.

Other Meds: NA

Current Illness: NA

ID: 1540603
Sex: M
Age: 39
State: AR

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient became light headed and passed out. He was moved to the floor when he came to, because he started shaking. Patient reported it was because he was scared that he couldn't see. He reported feeling much better after about 10 minutes, and said it was because he was very scared of needles.

Other Meds: propranolol, gabapentin

Current Illness: "nerve disorder" that makes him scared of shots

ID: 1540604
Sex: F
Age: 14
State: MO

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Hold body in pain, unable to sleep, 103 fever, crying and in constant pain

Other Meds: None

Current Illness: None

ID: 1540605
Sex: F
Age: 38
State: MD

Vax Date: 07/15/2021
Onset Date: 08/05/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Second shot at 08/05/2021. Planed to be pregnant. Signs implied implantation. Period due at 08/09/2021 and came on time but with unprecedented pain so extreme that we called 911. The pain persisted for 30 minutes. After took pain-killer, Advil, the pain subsided and disappeared.

Other Meds:

Current Illness:

ID: 1540606
Sex: M
Age: 48
State: WA

Vax Date: 04/09/2021
Onset Date: 04/29/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: UNKNOWN

Symptom List:

Symptoms: PATIENT RECEIVED MORE THAN THE RECOMMENDED DOSES OF COVID-19 VACCINE. FIRST VACCINE RECEIVE WAS JANSSEN ON 4/9/2021, THEN PFIZER ON 4/29/2021. SIDE EFFECTS, TREATMENT, AND OUTCOME UNKNOWN.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1540607
Sex: F
Age: 58
State: MN

Vax Date: 03/13/2021
Onset Date: 04/09/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: naproxen long needle pine

Symptom List:

Symptoms: April 10 received 2nd dose of vaccine. When I colored my hair, ( which I have been doing for 8 years) AFTER vaccine, I had allergic reaction that started on my scalp. Red in appearance and very itchy. 4/12- on scalp and left ear. 4/21 also on left arm, left thigh in back. Also across top of, between, and bottom of breasts. 4/23 left side of neck. 4/25- ear almost healed, scalp and behind ears less itchy. Itch gone on arm and thigh. Breast areas still itchy. 4/26 itchy spots on right side of neck, back of left ear itchy. 5/4 colored my hair again . 5/5 Stronger reaction than above. Went to Urgent care. was perscribed 5 day course of 10mg Prednisone. symptoms persistedMet with Dr on June 14

Other Meds: Estrogen

Current Illness: none

ID: 1540608
Sex: F
Age: 35
State: MN

Vax Date: 02/28/2021
Onset Date: 03/01/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Sudden onset of carpal tunnel eventually leading to discovery of Hashimoto's thyroid disease and low functioning kidneys

Other Meds: Multivitamin Fishoil Vitamin D

Current Illness: None

ID: 1540609
Sex: F
Age: 0
State: CA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Infant came in for her 2-month well child exam and received the following vaccinations: DTap-Hep B-IPV; Haemophilus b; pneumococcal 13-valent conjugate vaccines; and rotavirus vaccine (oral) vaccination. Child was observed for 15 minutes and caregiver then took child to her vehicle. At that time, the caregiver returned the infant to the clinic and reported dark marks to her forehead along infant's forehead just below the hair line and one next to her lips. Child was observed her for an additional 30 -minutes and her spots started to go away. No other symptoms were noted. Infant then left the clinic with caregiver.

Other Meds: none

Current Illness: Infant came in for her 2-month well child exam and received the following vaccinations: DTap-Hep B-IPV; Haemophilus b; pneumococcal 13-valent conjugate vaccines; and rotavirus vaccine (oral) vaccination. Child was observed for 15 minutes and caregiver then took child to her vehicle. At that time, the caregiver returned the infant to the clinic and reported dark marks to her forehead along infant's forehead just below the hair line and one next to her lips. Child was observed her for an additional 30 -minutes and her spots started to go away. No other symptoms were noted. Infant then left the clinic with caregiver.

ID: 1540610
Sex: F
Age: 52
State: MI

Vax Date: 05/06/2021
Onset Date: 07/31/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I have been in menopause for 2 years. I have not had a period for those two years. I started post menopausal menstrual bleeding on 07/31/2021 which lasted for 5 days.

Other Meds: Levothyroxin 100mcg

Current Illness: None

ID: 1540611
Sex: F
Age: 46
State: MD

Vax Date: 07/01/2021
Onset Date: 07/01/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: Iodine

Symptom List:

Symptoms: On July 1, 2021 fifteen minutes after the shot started to get a headache and pain in her arm. Stated she felt dizzy and tired after the shot. She noticed that her arm and fingers were tingling. An hour after the shot her body aches began to increase and about 9:00pm her throat was swollen and her left side of her body was swollen. The next morning she felt nauseas and her body was still in pain. She felt cramping in her stomach and diaherria for days. Saturday morning still was experiencing stomach ache and also had a mild fever. During these days she had a headache the whole time. On Monday she still was experience cramping and the headache turned into a migraine that migrated from her neck all the way down her back. Went to the emergency but didn't do anything. Went to visit her doctor and she gave her a injection shot.

Other Meds:

Current Illness:

ID: 1540612
Sex: F
Age: 87
State:

Vax Date: 03/30/2021
Onset Date: 08/09/2021
Rec V Date: 08/10/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, blurred vision, dehydration, weakness, dizziness, elevated D-dimer, Shortness of breath

Other Meds:

Current Illness:

ID: 1540613
Sex: M
Age: 79
State: FL

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

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Pt. states that after receiving the 2nd dose of Moderna 08/06/2021, started experiencing symptoms that evening of face swelling, severe headache, weakness, and rash throughout the body. Swelling subsided within 24hrs, and vertigo set in. Still continuing to experience headaches. No primary visit noted.

Other Meds: N/A

Current Illness: N/A

ID: 1540614
Sex: F
Age: 31
State: PA

Vax Date: 08/03/2021
Onset Date: 08/03/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: Environmental

Symptom List:

Symptoms: 8/4, 8/5, 08/9: rapid irregular heart rate as high as 140 for periods lasting around 1-2mins, chest pain, sweating, light headed ness, and slight nausea

Other Meds: Allegra

Current Illness: None

ID: 1540615
Sex: F
Age: 35
State: KY

Vax Date: 01/28/2021
Onset Date: 06/08/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Night sweats, abdominal pain, right sided lower back pain, mild shortness of air, 5 cm complex ovarian mass was found via transvaginal ultrasound on the date listed, right sided. Was started on birth control tablets. ROMA score done, all levels within normal limits. Currently still following, will have repeat ultrasound 2 weeks from now to reevaluate progression. Pain was present for several weeks, had to wait 2 months for an appointment to get in to see MD for evaluation.

Other Meds: Omeprazole 20mg OTC once daily, did not take every day.

Current Illness: None

ID: 1540616
Sex: F
Age: 70
State: GA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List:

Symptoms: I had flu like symptoms from both shots which lasted no more than 24 hours. Nausea, diarrhea, vomiting, fever 100, body aches, headaches. Lot 1st dose 012M20A, IM LA. On 8/3/2021, I had an extremely runny nose, sneezing and watery eyes. I thought I was having allergies. I woke up with gastritis and had vomiting for 3 days. On 8/7/2021, I was not feeling any better, so I went to the ER. I was having vomiting and extreme stomach cramps. My BP 196/92 in the ER. They did a bunch of tests and COVID test and I was positive for COVID. I was there for a few hours to get treated for my stomach cramps. I was given IV meds and once I felt better I was discharged. I am self quarantining for 14 days. I currently have symptoms of migraines, horrible coughing, fever, body aches and hip pain, and extreme fatigue.

Other Meds: None

Current Illness: None

ID: 1540617
Sex: F
Age: 39
State: IL

Vax Date: 07/30/2021
Onset Date: 08/07/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: Preparation H

Symptom List:

Symptoms: Shingles

Other Meds: Vitamin D B12 Fish Oil

Current Illness:

ID: 1540618
Sex: M
Age: 55
State: MD

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Covid vaccine given and patient requested to be monitored at the Urgent Care. Approximately 15 minutes post vaccine admission, patient have shortness of breath, rash, face swelling, wheezing. Chart reviewed showed patient received epi pen, solumedrol, pepcid, benadryl, zofran and fluids.

Other Meds: Metformin, Lipitor

Current Illness: unknown

ID: 1540619
Sex: M
Age: 37
State: VA

Vax Date: 02/02/2021
Onset Date: 02/05/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: Pentasa and Imuran - Reactions:Itching, Swelling

Symptom List:

Symptoms: 1st day symptoms appeared, skin sensitivity began at first with a little redness appearing on hands, arms and feet at first. The falling day redness and itching would happen off and on throughout the day in the hands and feet and arms. On 2/6/2021 redness and itching was persistent and would not go away, symptoms now were also appearing around neck, ears, scalp chest pretty much any were being touched. 2/5/2021 that night i tried to self medicate with Benadryl. On 2/7/2021 along with redness and itching, my face, ears, hands and feet had began swelling. I went to the ER that morning, I had also taken to much Benadryl over the night trying to self medicate.

Other Meds: sodium chloride 0.9 % SOLN 250 mL with inFLIXimab 100 MG SOLR infused into the vein every 8 weeks; omeprazole 1 - 40 MG capsule every day; cetirizine 1- 10 MG tablet taken every day; busPIRone 10 MG tablet twice daily; escitalopram 10 MG ta

Current Illness:

ID: 1540620
Sex: F
Age: 70
State: AL

Vax Date: 08/02/2021
Onset Date: 08/03/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: nkda

Symptom List:

Symptoms: Swelling/redness/heat/pain at site of injection

Other Meds: Fluticasone/salmeterol, albuterol mdi, simvastatin 40mg, duoneb, pantoprazole, meloxicam, magnesium oxide, vitamin d, doxycycline

Current Illness: unknown

ID: 1540621
Sex: M
Age: 17
State: WI

Vax Date: 07/22/2021
Onset Date: 07/27/2021
Rec V Date: 08/10/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Moderna under 18 year old

Other Meds:

Current Illness:

ID: 1540622
Sex: M
Age: 87
State: WA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 08/10/2021
Hospital:

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Lab Data:

Allergies: UNKNOWN

Symptom List:

Symptoms: PATIENT RECEIVED MORE THAN THE RECOMMENDED DOSES OF COVID-19 VACCINE. THE FIRST VACCINE, PFIZER, WAS ADMINISTERED 1/18/2021 AND THE SECOND VACCINE, JANSSEN, WAS ADMINISTERED 4/9/2021. TREATMENT AND OUTCOME UNKNOWN. ALSO UNKNOWN IS IF SYMPTOMS WERE EXPERIENCED.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1540623
Sex: M
Age: 37
State: CA

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

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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Severe flu like symptoms within 9 hours, fever of 103.5 within 12 hours. Severe headaches pressure, and feeling of burning in the head, eyes, and ears. At 18 hours, fever remains at 101.1, with severe headache pressure. Treatment included acetaminophen and water.

Other Meds: Lexapro

Current Illness: None

ID: 1540624
Sex: F
Age: 50
State: CA

Vax Date: 07/27/2021
Onset Date: 07/27/2021
Rec V Date: 08/10/2021
Hospital:

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Lab Data:

Allergies: Cephalexin, Ivp Dye, Iodine Containing, Trazodone, Doxycycline, Nuts, Amlodipine 10mg.

Symptom List:

Symptoms: I felt the chest burning that I felt with the first vaccine but not to the same extent (only lasted a hour or so then it went away) on the second day 7/29/2021 I started feeling like I needed to use my inhalers more often, I felt like I was having tight breathing. I only use my inhalers seasonal or when needed not everyday. On the that Sunday 8/2/2021 I started having heart flutters/palpitations/flushes that required me to go to the ER as I was concerned. I was put on a 24 hour heart monitor to track any irregularities.

Other Meds: Amlodipine 5mg

Current Illness: Seasonal allergies

ID: 1540625
Sex: F
Age: 38
State: MI

Vax Date: 03/29/2021
Onset Date: 06/28/2021
Rec V Date: 08/10/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Fist injection on 3/29/21 Second injection on 4/19/21 Hospitalized on 6/29/21 with a PE (pulmonary embolism) in left lung. Shortness of breath, chest pain, elevated heart rate Still trying to determine the cause of the PE

Other Meds: multi vitamin

Current Illness: none

ID: 1540626
Sex: F
Age: 46
State: CA

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

Vax Type:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: day after injection pain in arm then turned into lymphadenopathy supracalvicular. painful lump on right clavicle area, pain swelling under right arm pit, running to breast area. numbness right small finger, right facial area some decreased sensation, cold sore starting left upper lip. headache , slight nausea and fatigue. By day 3 , 8/9/21 late evening moderate to severe headache, heart palpitations, extreme nausea and dry heave, fatigue, general aches, all night into morning which is now 8/10/21. Had to call in sick for work.

Other Meds: synthroid, baby aspirirn, vitamin c

Current Illness: none

ID: 1540627
Sex: F
Age: 36
State: TX

Vax Date: 07/28/2021
Onset Date: 07/28/2021
Rec V Date: 08/10/2021
Hospital:

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Lab Data:

Allergies: Penacillan

Symptom List:

Symptoms: Diahrrea - lasted day 2, 3, 4 Body Aches - lasted day 2, 3, 4 Blurred Vision - day 1 Confusion - day 1 Tightness of chest - night 1, 2, 3, 4 Gasping for air - shortness of breath - night 2, 3

Other Meds: Birth control

Current Illness: No

ID: 1540628
Sex: F
Age: 64
State: TN

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 08/10/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: NONE

Symptom List:

Symptoms: PT. WAS VACCINATE . SHE EXPERIENCED DRY COUGH,BODY ACHES,PLEURITIC CHEST PAIN 15 MINS. AFTER TAKING THE VACCINE.NO MEDICAL CARE GIVEN ON SITE.

Other Meds: METFORMIN,PROZAC,TRIAMTERENE, LOVASTATIN,LEVOTHYROXINE,PEPCID,IBUPROFEN

Current Illness: NONE

ID: 1540629
Sex: M
Age: 84
State: MO

Vax Date: 01/02/2021
Onset Date: 08/03/2021
Rec V Date: 08/10/2021
Hospital: Y

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Severe cough, SOB and pneumonia.

Other Meds: unknown

Current Illness: unknown

ID: 1540630
Sex: F
Age: 50
State: WA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 08/10/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: UNKNOWN

Symptom List:

Symptoms: PATIENT RECEIVED MORE THAN RECOMMENDED DOSES OF THE COVID-19 VACCINE. THE MODERNA SERIES WAS ADMINISTERED ON 2/3/2021 AND 3/3/2021, THEN THE JANSSEN VACCINE WAS ADMINISTERED ON 4/1/2021.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1540631
Sex: M
Age: 62
State: AK

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Pt came to hospital's vaccine site on 8/6/21, filled out and signed a consent form stating that it was his 1st COVID vaccine dose. Pt got the vaccine, was observed for 15 minutes, and left. No reactions observed. Staff went to enter the vaccine into the state's database and saw that the pt had previously gotten 2 doses of the Moderna COVID vaccine, the dose given on 8/6/2021 was the patient's 3rd dose.

Other Meds:

Current Illness:

ID: 1540632
Sex: F
Age: 47
State: MS

Vax Date: 08/05/2021
Onset Date: 08/07/2021
Rec V Date: 08/10/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Started having rapid heartbeat, heart palpitations, excessive sweating, general body aches & pains

Other Meds: Vitamin B-12, Multi Vitamin, Zinc, Vitamin D, Vitamin C

Current Illness: Sinus Infection

ID: 1540633
Sex: M
Age: 61
State: OR

Vax Date: 07/20/2021
Onset Date: 07/20/2021
Rec V Date: 08/10/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: no known allergies

Symptom List:

Symptoms: Client reported on COVID vaccine screening form that he had not received any prior COVID vaccine and confirmed this to RN. Dose 1 of Pfizer administered. After administration, 1 prior dose of Moderna administered 4/24/21. Client contacted and reported no adverse effects. Was advised by this RN (following consult with program medical director) that he had received a mixed series, that no further doses of covid vaccine recommended at this time but that no data on efficacy of mixed dose series is available. Client reported understanding and had no questions or concerns. Will call clinic or RN if further question.

Other Meds: unknown

Current Illness: none reported

ID: 1540634
Sex: F
Age: 52
State: MT

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: severe swelling, redness, warmth of injection site, chest tightness, fatigue

Other Meds:

Current Illness:

ID: 1540635
Sex: M
Age: 34
State: PA

Vax Date: 01/20/2021
Onset Date: 04/20/2021
Rec V Date: 08/10/2021
Hospital:

Vax Type:
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Vax Name:
Lot:
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Lab Data:

Allergies: No

Symptom List:

Symptoms: Tendonitis.

Other Meds: No

Current Illness: No

ID: 1540636
Sex: M
Age: 23
State: MI

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 08/10/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Been vomiting daily at least once if not more (generally more), exacerbated migraine, pancreatitis

Other Meds: Omeprazole Depakote Aimovig Botox for migraines Amitriptyline Abilify Propranolol Zyprexa Lamictal Invega Cannabis My doctor was bad so if it was that she DID say I was over medicated at her fault at the time as well

Current Illness: None

ID: 1540637
Sex: F
Age: 69
State: NJ

Vax Date: 03/01/2021
Onset Date: 08/07/2021
Rec V Date: 08/10/2021
Hospital: Y

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

Lab Data:

Allergies: Latex, niacin, Cat Scan dye

Symptom List:

Symptoms: Hospitalized with breakthrough COVID at Medical Center on 8/7/2021

Other Meds: Alprazolam Carbidopa-levodopa Rosuvastatin Cymbalta Apixiban Levothyroxine Pregabalin Insulin Midodrine Omeprazole Trulicity Gabapentin

Current Illness:

Total 2021 VAERS Injuries: 679,999

Page last modified: 03 October 2021 5:28pm