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: 1574287
Sex: M
Age: 93
State: KY

Vax Date: 02/04/2021
Onset Date: 08/14/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient has been fully vaccinated as of 2/4/21. Patient has tested positive as of 8/14/21

Other Meds:

Current Illness:

ID: 1574288
Sex: F
Age: 34
State: FL

Vax Date: 08/13/2021
Onset Date: 08/14/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Patient stated that she was been having Dizziness since 8/14/2021. She stated that she received loose stool and extreme fatigue. She is also experiencing nausea and no apatite.

Other Meds: Coalmine

Current Illness:

ID: 1574289
Sex: M
Age: 31
State: KY

Vax Date: 03/11/2021
Onset Date: 08/13/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: PT TESTED POSITIVE FOR COVID 19

Other Meds:

Current Illness: NONE

ID: 1574290
Sex: F
Age: 18
State: FL

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Shaking after vaccine. Gave patient water and advised to sit for 15-30 minutes. Patient got up towards bathroom and her vision went dark. She was caught before she hit the ground. We laid her down with a pillow and called 911. She was sweating. After 2-3 minutes she was okay and able to speak and call her mother who is a doctor. We were able to sit her up in a chair and her mother came to take her to the hospital/office.

Other Meds:

Current Illness:

ID: 1574291
Sex: F
Age: 57
State: NC

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Itching hands, scalp, face. Jaw and tooth pain. Fever. Headache.

Other Meds: None

Current Illness: None

ID: 1574292
Sex: M
Age: 44
State:

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received a 2nd dose of Moderna only 21 days after the 1st dose. 1st dose on 5/7/21 and 2nd dose on 5/28/21.

Other Meds:

Current Illness:

ID: 1574293
Sex: U
Age: 0
State:

Vax Date: 08/06/2021
Onset Date: 08/06/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Three doses of Pfizer COVID-19 vaccine were administered as an unauthorized third dose or "booster" on 8/6/21 to hospital employees. We are considering this an "administration error" as the third dose was not authorized for these individuals under the EUA.

Other Meds:

Current Illness:

ID: 1574294
Sex: F
Age: 74
State: AR

Vax Date: 01/28/2021
Onset Date: 08/13/2021
Rec V Date: 08/16/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt admitted on 8/13/2021 with weakness. Pt is an Oncology for non-small cell lung cancer. She began having COVID symptoms on July 27th and was admitted to Hospital from July 29th through August 6th. During that time, she received a full course of IV remdesivir as well as steroids and broad-spectrum antibiotics. She was discharged from hospital on prednisone. Pt has been sleeping most of the time, lethargic and coughing per husband. Pt is still an inpatient at this time.

Other Meds:

Current Illness:

ID: 1574295
Sex: F
Age: 57
State: NY

Vax Date: 04/09/2021
Onset Date: 04/15/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: Always tired, shortness of breath (waking in middle of the night unable to catch breath), bad anxiety with problems sleeping, mental fogginess, vision not as clear, dizziness, and irregular ekg. Seeing a cardiologist on August 26, 2021

Other Meds: Januvia Ramipril Xanax,vitamins allergy nasal spray Flovent

Current Illness: Type 2 Diabetes Asthma IBS & GERD Psoriasis

ID: 1574296
Sex: M
Age: 49
State: WA

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chronic Idiopathic Urticaria and angioedema (all areas of the body) most days starting approximately 24 hours after second vaccine. No history of urticaria or angioedema, no allergies. Similar presentation 4 days after first vaccine but ceased after 10 days without medication. Unlike after the first vaccine, symptoms did not stop after second vaccine. Patient self-medicated with diphenhydramine. Patient saw allergy specialist doctor 21 May 2021 who prescribed prophylactic fexofenadine for two weeks, then patient to test if symptoms recurred. After approximately 2 months, patient was able to stop taking fexofenadine without symptoms recurring. As of 16 August, symptoms do recur but only very occasionally.

Other Meds: None

Current Illness: None

ID: 1574297
Sex: M
Age: 13
State: LA

Vax Date: 08/11/2021
Onset Date: 08/12/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: Bactrim

Symptom List:

Symptoms: Hives all over body, itching, lethargic, headache

Other Meds: None

Current Illness: None

ID: 1574298
Sex: F
Age: 67
State: NJ

Vax Date: 01/22/2021
Onset Date: 03/01/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: Penicillen

Symptom List:

Symptoms: *Tinnitus/Pulsatile Tinnitus *Tinnitus started after 2nd dose of Moderna Covid19 Vaccine shot on 2/26/2021. Noticed Tinnitus in March 2021. *Tinnitus during the day but more pronounced in the evening

Other Meds: Atorvastin 20mg tablet; Vitamin D3 1,000 every other day

Current Illness: None

ID: 1574299
Sex: F
Age: 41
State: KY

Vax Date: 01/01/2021
Onset Date: 08/14/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: five months later patient tested positive. c\o fever, chills, muscle aches, runny nose, cough, sob, nasal drainage

Other Meds:

Current Illness:

ID: 1574300
Sex: F
Age: 49
State: CT

Vax Date: 04/11/2021
Onset Date: 07/10/2021
Rec V Date: 08/16/2021
Hospital: Y

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: I was instructed by my PCP to report that after testing positive for Covid-19 on 7/11/21 I was admitted to the hospital on 7/18/21 and was there for 17 days 10 of which were in the ICU. I was on a high flow cannula and mask at full and have been discharged at home on oxygen at 3 liters. I was fully vaccinated on 4/11/21 and my first dose was on 3/17/21. (side note: after my first dose I had hives about 2-3 hours after receiving it and when I got the 2nd dose I stayed a 1/2 longer and had no reaction at all.)

Other Meds: miloxicam, flonase

Current Illness: n/a

ID: 1574301
Sex: M
Age: 30
State: MI

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: No known allergies.

Symptom List:

Symptoms: Patient received a pfizer dose and it was discovered after that the patient received a Janssen dose in 04/2021.

Other Meds: N/A

Current Illness: Not known

ID: 1574302
Sex: F
Age: 25
State:

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received a 2nd dose of Moderna only 21 days after the 1st dose. 1st dose on 5/7/21 and 2nd dose on 5/28/21.

Other Meds:

Current Illness:

ID: 1574303
Sex: F
Age: 25
State: NY

Vax Date: 01/27/2021
Onset Date: 07/25/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: Grasses, cat dander, cockroaches, rats, pecans/walnuts

Symptom List:

Symptoms: Muscle soreness, did not think it was linked to COVID but rather fibromyalgia -> had a CDC VAERS check-in the same week as my employer prompting me to get COVID tested at our worksite -> negative COVID test + no other COVID symptoms

Other Meds: Sronyx 1QD (birth control) Famotidine 40 mg 1QD (GERD) Duloxetine 30 mg 1QD (depression) Bupropion 150 mg 1QD (weight loss for off-brand Contrave) Naltrexone 25 mg 1/2QD (weight loss for off-brand Contrave) Pantoprazole 40 mg 1QD (GERD) Chl

Current Illness: Managing effects of IBS + PCOS + anxiety + depression

ID: 1574304
Sex: F
Age: 43
State: CA

Vax Date: 04/02/2021
Onset Date: 04/04/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: I had seizure. I have epilepsy under control for about a decade with medication. I haven't had a seizure for approximately 10 years. I attempted to call my doctor but she was not available.

Other Meds: Melatonin 3mg Magnesium 300mg Lamotrigine 200mg HydroChlorthiazide 25mg Losartan 100mg Amitriptyline 50mg

Current Illness: none

ID: 1574305
Sex: F
Age: 49
State: MO

Vax Date: 07/30/2021
Onset Date: 08/10/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: PATIENT CALLED AND REPORTED THAT SHE HAS PAIN IN THE RIGHT ARM THAT IS RADIATING, SHE WAS CRYING. SHE REPORTS THAT SHE WENT TO THE EMERGENCY ROOM LAST TUESDAY BUT THEY REFUSED TO TREAT HER. SUGGESTED THAT PATIENT USE ICE PACKS, TYLENOL, IBUPROFEN, AND SEE PHYSICIAN.

Other Meds: NONE

Current Illness: NONE

ID: 1574306
Sex: M
Age: 12
State: MO

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received COVID 19 (Pfizer) vaccine. Within a few minutes of receiving vaccine patient had a fainting episode before he sat down in the chair in the lobby. Patient hit his head on floor. I went to patient to find him conscious/alert and breathing normally. A technicain called 911 since he hit his head and I stay with him until EMS arrived. I kept him laying on the ground and elevated his feet on a chair. EMS to vitals and all were good. They stayed with him for another 10-15 mintues, then release him home with his mother.

Other Meds:

Current Illness:

ID: 1574307
Sex: F
Age: 22
State: MI

Vax Date: 05/16/2021
Onset Date: 05/17/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: AMOXICILLIN

Symptom List:

Symptoms: PATIENT REPORTS INCREASED BRUISING SINCE RECEIVING 1ST MODERNA VACCINE. PATIENT NOTICED DURING USUAL DAILY ACTIVITIES WHICH USUALLY DO NOT CAUSE HER BRUISING HAS NOW STARTED TO CAUSE BRUISING.

Other Meds:

Current Illness:

ID: 1574308
Sex: M
Age: 30
State: AR

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Seizure - TM lost consciousness at 1:03p about 3 minutes after receiving vaccine, seizure started seconds after losing consciousness. Transferred to floor, positioned on side, 911 called, VS obtained. Seized again after transferring to floor. TM diaphoretic, cool. VS 116/55, P 51, R 12, O2 97 @ 1:04. Member became responsive at 1:05 but still disoriented. Supportive care and reassurance provided, member became alert to time, person, situation. VS @ 1:09 112/70, P 50, O2 97. Emergency services arrived to assume care at 1:14p. TM transferred to ED via ambulance.

Other Meds:

Current Illness:

ID: 1574309
Sex: M
Age: 19
State:

Vax Date: 07/24/2021
Onset Date: 08/16/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received Pfizer COVID vaccine on 3/25/2021 and 4/16/2021 by different vendor. Patient then received 3rd Pfizer dose by us as documented here on 7/24/2021.

Other Meds:

Current Illness:

ID: 1574310
Sex: F
Age: 58
State: PA

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Experienced nausea and vomited during post vaccination observation period. Monitored for another hour with improvement of symptoms. Pt did receive 2nd vaccine dose on 05/15/2021 without incident

Other Meds:

Current Illness:

ID: 1574311
Sex: M
Age: 21
State:

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received a 2nd dose of Moderna only 21 days after the 1st dose. 1st dose on 5/7/21 and 2nd dose on 5/28/21.

Other Meds:

Current Illness:

ID: 1574312
Sex: F
Age: 58
State: IN

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Patient had no adverse reaction at . She states, " I was headed home and felt numbness in lips and face. I looked in rear view mirror and she stated her lips were purple. Patient states felt like her throat was closing and had her epi-pen and administered dose. She then proceeded to go to Hospital/ for treatment where she received Benadryl and Epi. She was instructed to tell her health provider about allergic reaction to Moderna.

Other Meds: unknown

Current Illness: unknown

ID: 1574313
Sex: F
Age: 38
State: PA

Vax Date: 12/28/2020
Onset Date: 08/14/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: Covid-19 Vaccine, Mrna, Bnt162b2, Lnp-s (Pfizer)Shortness of breath / Dyspnea, Itching, Dizziness / Lightheaded, Flushed BuspironeDizziness / Lightheaded EscitalopramOther (document details in comments) ParoxetineOther (document details in comments) VenlafaxineOther (document details in comments)

Symptom List:

Symptoms: Cough Sore throat Congestion or running nose

Other Meds: bimatoprost (LATISSE) 0.03 % ophthalmic solution fexofenadine (ALLEGRA) 180 mg tablet LORazepam (ATIVAN) 0.5 mg tablet pantoprazole (PROTONIX) 40 mg DR tablet sertraline (ZOLOFT) 50 mg tablet topiramate (TOPAMAX) 50 mg tablet triamterene-hy

Current Illness: tension migraines

ID: 1574314
Sex: M
Age: 61
State:

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received a 2nd dose of Moderna only 21 days after the 1st dose. 1st dose on 5/7/21 and 2nd dose on 5/28/21.

Other Meds:

Current Illness:

ID: 1574315
Sex: F
Age: 17
State: PA

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccine unintentionally administered to a 17 year old. She had no adverse event from the vaccine

Other Meds:

Current Illness:

ID: 1574316
Sex: F
Age: 61
State: WI

Vax Date: 08/12/2021
Onset Date: 08/13/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: tape, amoxicillin, sulindac, latex, onion, penicillin, sulfa

Symptom List:

Symptoms: symptoms started the day after vaccine with swelling of hand, face, and collar bone, chills, body aches, tingling sensation all over body, fatigue, headache, decreased appetite, achy joints

Other Meds:

Current Illness:

ID: 1574317
Sex: F
Age: 61
State: NM

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: PENICLIN, SULPHA DRUGS; Tornal; Cenegrin; Benaril; Syntax; any opide drug; chocolate; oats; walnut

Symptom List:

Symptoms: The first thing I noticed is the fever it was really high had body aches and crazy tired. So it went away after the 32 hours.

Other Meds: ANAHISTOMIN

Current Illness: none

ID: 1574318
Sex: F
Age: 31
State: OR

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Sulfa

Symptom List:

Symptoms: Bell's Palsy- right side. Drooping started in eyebrow, progressed to mouth and cheek. went to urgent care 4/6/2021, prescribed prednisone and rest, sent home.

Other Meds: Duloxetine, Adderall, vitamin D

Current Illness:

ID: 1574319
Sex: F
Age: 5
State: DC

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: none reported

Symptom List:

Symptoms: Patient is 5 years old but received Gardasil which is indicated for 9 and up

Other Meds:

Current Illness:

ID: 1574320
Sex: F
Age:
State: TX

Vax Date: 08/14/2021
Onset Date: 08/15/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: Phenol, sulfa

Symptom List:

Symptoms: High fever 101-103 within 12 hours, lasting for more than 36 hours so far, complete body muscle fatigue and pain, headache, dizziness, hives/swollen rash across chest, nausea

Other Meds:

Current Illness:

ID: 1574321
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1574322
Sex: M
Age: 54
State: FL

Vax Date: 02/05/2021
Onset Date: 07/14/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: COVID-19 infection

Other Meds:

Current Illness:

ID: 1574323
Sex: F
Age: 14
State: CA

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Pt.'s Mother states that after receiving the 2nd dose of Phizer 08/14/2021, started experiencing symptoms 08/14/2021 3mins after injection of dizziness, head jerking (seizure activity), confusion, and blueish color to the lips. Vitals were taking, possibly blood sugar suggested being low. 10mins later pt. states everything was blurry and not bright. Treated with a Poweraid, 15mins vision finally clearing with 15mins of observation. Pt. and Mother stayed for 45mins to continue to monitor. Symptoms have subsided besides a headache. (Appt. for 04:10pm, Mother was told that facility was out of vaccinations but then @ 04:30pm was administered, questioning expiration dates of vaccines provided.)

Other Meds: N/A

Current Illness: N/A

ID: 1574324
Sex: M
Age: 31
State:

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 08/16/2021
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Symptoms: light headed and hard to breath, did not report until approximately 2:55 pm blood pressure 108/72, Pso2 99% - 100% heart rate 72. Skin pink warm and dry. Respirations even and unlabored. Had patient rest and take off mask for better ventilation. Patient called his father. Father informed of all the above. Patient feeling better, took patient home. Father to follow up with v-safe. Discharged at 3:15

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Current Illness:

ID: 1574325
Sex: F
Age: 52
State: AL

Vax Date: 01/27/2021
Onset Date: 02/27/2021
Rec V Date: 08/16/2021
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Allergies: sulfa percocet

Symptom List:

Symptoms: pt says she started noticing that her hair was falling out. Every day she would find hair in her hairbrush, sink and floor. She could run her hand through her hair and it would come out by the handfuls. After a couple of months she had to get it cut to about 1" since she had lost so much of her hair. She says it is starting to grow back now.

Other Meds: htcz 12.5 mg, Crestor, multivitamin, emergent C, Xanax 1mg qd,

Current Illness:

ID: 1574326
Sex: F
Age: 25
State:

Vax Date: 08/14/2021
Onset Date: 08/16/2021
Rec V Date: 08/16/2021
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Symptoms: Patient completed Moderna COVID vaccine series by different vendor on 2/5/2021 and 3/5/2021. Patient then received 3rd dose of Moderna vaccine by us as documented on this report on 8/14/2021.

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Current Illness:

ID: 1574327
Sex: F
Age: 53
State: MN

Vax Date: 08/06/2021
Onset Date: 08/08/2021
Rec V Date: 08/16/2021
Hospital: Y

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Allergies: Sulfa drugs

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Symptoms: Pt received vaccine on 8/6. Around 8/7 or 8/8, her facility started noticing that she was "off" -- confused, refusing meds, etc. She was brought in to the hospital on 8/12, and has had waxing/waning encephalopathy the entire time she's been here. Workup has been either negative or inconclusive; we don't yet have a good handle on what is making her encephalopathic. She is now on Day 5 of hospitalization, unclear how long she will remain inpatient with us.

Other Meds: Pantoprazole, Robitussin, lactulose, lidocaine patch, rifaximin, melatonin, potassium chloride, furosemide, spironolactone, oxycodone, ergocalciferol, acetaminophen

Current Illness: Septic shock 2/2 UTI (resolved prior to vaccination), encephalopathy 2/2 that infection (also resolved prior to vaccination), T7 and T12 compression fractures, anemia, thrombocytopenia

ID: 1574328
Sex: M
Age: 16
State: FL

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/16/2021
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Allergies: None

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Symptoms: Chills, malaise, vomiting, nausea

Other Meds: Multivitamin

Current Illness: None

ID: 1574329
Sex: F
Age: 66
State: MO

Vax Date: 07/14/2021
Onset Date: 07/16/2021
Rec V Date: 08/16/2021
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Allergies: No known allergies

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Symptoms: 7/16/21 0200 sharp pain in neck, and throat. 0700 right eye won?t close, mouth not responding on right side , tongue deviated to the right. Right side of face unresponsive to movement. Pain in right ear, ringing in right ear, pain behind right ear along with right neck and jaw pain. ER visit. Diagnosis: Bell?s Palsy.

Other Meds: Vit. D, Super B complex, Fish oil

Current Illness: None

ID: 1574330
Sex: F
Age: 60
State: WI

Vax Date: 08/12/2021
Onset Date: 08/12/2021
Rec V Date: 08/16/2021
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Symptoms: Patient came for her second dose of the shingrix vaccine and we confirmed with her that it was her second dose. We later found out that she had already gotten 2 doses of the shringrix at a different pharmacy one in 2018 and 2020. so she has had a total of 4 shingrix shots.

Other Meds: n/a

Current Illness: n/a

ID: 1574331
Sex: M
Age: 36
State: NV

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 08/16/2021
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Allergies: Zithromax (Z-Pak)

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Symptoms: Nausea, energy loss, muscle/body pain, chills, headaches, stomach pain, hot flashes, blurry vision, chest tightness, sore eyes, brain fog.

Other Meds: Albuterol, Zyrtec.

Current Illness: None

ID: 1574332
Sex: F
Age: 49
State: PA

Vax Date: 01/06/2021
Onset Date: 08/10/2021
Rec V Date: 08/16/2021
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Allergies: Sulfamethoxazole-trimethoprim Hives / Urticaria, Itching, Swelling Levonorgestrel Itching

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Symptoms: Fatigue Sore throat Congestion or running nose

Other Meds: cholecalciferol, vitamin D3, 25 mcg (1,000 unit) tablet Fluoxetine (PROzac) 40 mg capsule ketoconazole (NIZORAL) 2 % shampoo levothyroxine (SYNTHROID) 137 mcg tablet multivit-min/iron/folic acid/K (BARIATRIC MULTIVITAMINS ORAL) pantoprazole

Current Illness: None

ID: 1574333
Sex: F
Age: 72
State: OK

Vax Date: 02/16/2021
Onset Date: 03/18/2021
Rec V Date: 08/16/2021
Hospital: Y

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Allergies: Penicillin

Symptom List:

Symptoms: On March 9th Patient Had an Heart Attack. She was treated at Hospital. She was Discharged on March 12th. On March 18th patient has a stroke. They admitted her and she was Discharged on April 7th. 2021

Other Meds: Caller stated that she can provide detailed list of medication.

Current Illness:

ID: 1574334
Sex: F
Age: 31
State: NY

Vax Date: 02/06/2021
Onset Date: 08/03/2021
Rec V Date: 08/16/2021
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Symptoms: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose 01/09/21Lot# 2nd dose02/06/21 ,lot# Diagnosed covid positive:08/07/21 Symptom onset:08/03/21 Exposure: Symptoms:Runny nose, loss of smell

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Current Illness:

ID: 1574335
Sex: M
Age: 63
State: FL

Vax Date: 01/27/2021
Onset Date: 07/20/2021
Rec V Date: 08/16/2021
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Symptoms: COVD-19 Infection

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Current Illness:

ID: 1574336
Sex: F
Age: 27
State: NY

Vax Date: 01/30/2021
Onset Date: 08/06/2021
Rec V Date: 08/16/2021
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Symptoms: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose 01/02/21Lot# 2nd dose01/30/21 ,lot# Diagnosed covid positive:08/06/21 Symptom onset:08/02/21 Exposure: Symptoms:fever, cough, fatigue,muscle aches, loss of smell

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Current Illness:

Total 2021 VAERS Injuries: 679,999

Page last modified: 03 October 2021 5:28pm