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
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: 1574640
Sex: M
Age: 51
State: WA

Vax Date: 03/01/2021
Onset Date: 03/24/2021
Rec V Date: 08/16/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: Amoxicillian=hives Strawberries Raspberries Tomato

Symptom List: Dysphagia, Epiglottitis

Symptoms: I had moderna arm both times the second injection I broke out in hives, had a rash. Nothing the ER prescribed took it away. Went to my primary and she prescribed steroids, that did not help relieve symptoms so she the prescribed antibiotics and those took away the rash with a lace pattern. Pain in my joints, intense flashes of heat. Fatigue.

Other Meds: Venalfaxine ER 150 mg Lisinoprol/HCTZ 20-12.5 Montelukast 10 mg VenlafaxineER 37.5

Current Illness: Moderna Arm and I was sick for one week. Fever, Chills, Fatigue

ID: 1574641
Sex: M
Age: 44
State: CO

Vax Date: 04/25/2021
Onset Date: 08/08/2021
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: Anxiety, Dyspnoea

Symptoms: COVID PCR Positive on 8/8/2021

Other Meds:

Current Illness:

Date Died: 08/07/2021

ID: 1574642
Sex: F
Age: 96
State: MS

Vax Date: 08/05/2021
Onset Date: 08/06/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: Codeine, shellfish, sulfa, tramadol, Parvon

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

Symptoms: Nausea after 4-5 hours; coughing, fever for 8-10 hours

Other Meds: Synthroid, Eloquis, Topral, Renexa, Atarax

Current Illness: Bronchitis - 3 weeks prior, had recovered with no symptoms 10 days prior to vaccination

ID: 1574643
Sex: M
Age: 36
State: AZ

Vax Date: 06/12/2021
Onset Date: 06/16/2021
Rec V Date: 08/16/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Noticed a runny nose, much more active mucus membranes than is typical for me. Eventually, with draining down my throat overnight, I developed a pretty severe cough. As this got worse, I finally went to see my physician. I was diagnosed with pneumonia. The doctor said it likely started out as bronchitis, then developed into pneumonia.

Other Meds: None

Current Illness: None

ID: 1574644
Sex: M
Age: 48
State: TX

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:

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

Symptoms: pt felt joint pain on day 1 and lung tightness that resolved quickly on day 3

Other Meds:

Current Illness:

ID: 1574645
Sex: F
Age: 49
State: NJ

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

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: Penicillin

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

Symptoms: Swollen Lymph nodes, headache, fatigue, muscle weakness, brain fog, diarrhea, skin sensation in shin area.

Other Meds: None

Current Illness: None

ID: 1574646
Sex: F
Age: 51
State: TN

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

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

Lab Data:

Allergies: Penicillin, Sulfa, Clindamycin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Day 1 - fatigue, drowsiness Day 2- fatigue, mild muscle aches, temperature elevated to 99.1, bloating/gas Day 3 - fatigue, lymphadenopathy (right side jaw, neck, clavicle, breast/chest), bloating/gas Day 4 - fatigue, lymphadenopathy (right side jaw, neck, clavicle, breast/chest) Day 5 - fatigue, lymphadenopathy (right side jaw, neck, clavicle, breast/chest), nausea, decreased appetite, decreased ability to focus, headache, elevated blood pressure, anxiety Day 6- fatigue, lymphadenopathy (right side jaw, neck, clavicle, breast/chest), nausea, decreased appetite, constant tinnitus left > right, anxiety Day 7 through present - lymphadenopathy improving; continued, unrelenting tinnitus left > right, headaches

Other Meds: Synthroid 112 mcg Vitamin D 2000 IU One A Day VitaCraves Women's

Current Illness: None

ID: 1574647
Sex: F
Age: 60
State: CA

Vax Date: 02/03/2021
Onset Date: 08/04/2021
Rec V Date: 08/16/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: No

Symptom List: Pharyngeal swelling

Symptoms: Hot sensation on my cheek and it was a rash; I had it a couple of days, 2-3 days. End of May, I started having a stomach infection. In June, I developed a sore throat; it might be allergies. I just had to take my nasal cleansing and gargling and cough drop. I also had congestion. I am taking I had those three or four days. Also, they found a blood clot. I didn't have any symptoms for the blood clot itself. I had to have an abdominal sonogram, CT and X-ray because when they first did it (for a stomach infection) the radiologist found a blood clot in my ovary. The doctor said it was uncommon and unusual. I am taking PRADAXA for three months to dissolve the clot. Before that I was taking another medication to dissolve the clot. In August, due to a past surgery my back surgery (lumbar Laminectomy) was 2018, I have pain that comes and goes; I get strong, sharp pain. It isn't daily but it happens all of a sudden. I was feeling all achy all over.

Other Meds: Hydrochlorothiazide; Tizanidine

Current Illness: No

ID: 1574648
Sex: F
Age: 14
State:

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: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient felt dizzy and hot for about 5-10 minutes. Gave some water to sip on and a cold pack to place on chest and she felt better in a couple minutes.

Other Meds:

Current Illness:

ID: 1574649
Sex: M
Age: 49
State: AZ

Vax Date: 03/09/2021
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: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Breakthrough COVID infection after Pfizer vaccine. Patient tested positive via antigen rapid test and PCR 1-hr test on 8/16/2021. Moderate symptoms of sinus congestion, runny nose, lethargy, loss of taste.

Other Meds: Zolpidem Naproxen Allegra D

Current Illness: None

ID: 1574650
Sex: F
Age: 49
State: CA

Vax Date: 08/06/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Very tight chest, short of breath the morning after getting the second dose. Four days after the shot, tingling in my left arm that shoots down to my hand and tingling and numbness in my left leg down to my foot. The left leg also has pain in the calf

Other Meds: none

Current Illness: none

ID: 1574651
Sex: F
Age: 45
State: MO

Vax Date: 07/07/2021
Onset Date: 07/21/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Rash, Urticaria

Symptoms: Panic attack symptoms...numbness/tingling is hands, feet, lips, tongue, rapid heartbeat, trouble breathing, intense fear, trembling, etc. Severw at first then mild symptoms every day. Symptoms improved 2 days before the 2nd moderna shot. Two days after the 2nd dose, symptoms came back worse and are continuing every day.

Other Meds: Vitamins D, C, B super complex, turmeric, probiotic

Current Illness: None

ID: 1574652
Sex: U
Age: 71
State: GA

Vax Date: 07/21/2021
Onset Date: 07/30/2021
Rec V Date: 08/16/2021
Hospital: Y

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

Lab Data:

Allergies: none

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

Symptoms: Stroke that lead vision impairment.

Other Meds: Latanaprost 0.005% Lovoxyl 112mg rosuvastin 10mg Ibersartan 150mg

Current Illness: none

ID: 1574653
Sex: F
Age: 68
State: FL

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

Vax Type:
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Lot:
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Lab Data:

Allergies: Codeine

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

Symptoms: I have had psoriasis for about 20 years. It has always been pretty static. It was on my head and elbows. After the second COVID vaccination on March 31, the psoriasis was all over my body and it also changed in appearance. Some of the areas were harder than others and some of the areas were just red and smooth. Hard to describe without images. I have not yet seen a dermatologist. I have always managed it through diet. Now nothing seems to work. It's hard for me to imagine this was not related to the vaccine.

Other Meds: None

Current Illness: None

ID: 1574654
Sex: M
Age: 19
State: NH

Vax Date: 07/05/2021
Onset Date: 07/12/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Shortness of breath, trouble breathing, chest pain, pericarditis

Other Meds: None

Current Illness: None

ID: 1574655
Sex: F
Age: 73
State: CO

Vax Date: 02/05/2021
Onset Date: 06/30/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Admitted to hospital - reported COVID positive in outside testing site in late June

Other Meds:

Current Illness:

ID: 1574656
Sex: F
Age: 44
State: AL

Vax Date: 03/09/2021
Onset Date: 08/11/2021
Rec V Date: 08/16/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Sulfur, Penicillin & Sulfur

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

Symptoms: Blood clot

Other Meds: Potassium, Folic Acid, Levetiracetam, Sidenafil, Levothyroxine, Prednisome, Famotidine, Triamterene, Nadolol, Letairus, Women's One a Day, Vitamin C, Vitamin D3, Systane Eye Drops, Mupirocin, Triamcinolone Acetonide Ciclopirox, Omeprozale,

Current Illness: Systemic Erythemus Lupus, Pulmonary Hypertension Liver Cirrhosis

ID: 1574657
Sex: F
Age: 80
State: CO

Vax Date: 02/06/2021
Onset Date: 08/03/2021
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: Ear pain, Hypoaesthesia

Symptoms: Positive COVID PCR on 8/3/2021

Other Meds:

Current Illness:

ID: 1574658
Sex: M
Age: 58
State: KY

Vax Date: 05/08/2021
Onset Date: 06/28/2021
Rec V Date: 08/16/2021
Hospital: Y

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies: SULLFER DRUGS , MORPHINE, CASHEWS

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: BLOOD PRESSURE DROPPED REAL LOW , THEN ALSO HAD PAIN IN MY CHEST AND HARD TO BREATH

Other Meds: METFORMIN,LISINOPRIL, EMPAGLIFLOZIN ,ALOGLIPTIN ,METOPROLOL, AMITRIPTYLINE, AND LACTOBACILLUS ACIDOPHILUS

Current Illness: DIABETIC CRONECK PAIN SINUSES, POISON IVY ROCKY MOUNTAIN FEVER

ID: 1574659
Sex: F
Age: 48
State: NY

Vax Date: 01/22/2021
Onset Date: 01/01/2021
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: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Body aches and fatigue.

Other Meds: Tylenol

Current Illness: No

ID: 1574660
Sex: M
Age: 89
State: CO

Vax Date: 02/03/2021
Onset Date: 07/19/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Outpatient positive COVID test on 7/19/21 after receiving Pfizer two-dose series

Other Meds:

Current Illness:

ID: 1574661
Sex: F
Age: 30
State: AZ

Vax Date: 06/26/1982
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: Unevaluable event

Symptoms: (Per report from technician) "[patient] came in to get vaccinated at 1:20 pm, the vaccine was administered and a few minutes later [patient] started feeling nauseous and her left arm was tingly/numb. I felt her left arm and it was cold to the touch in comparison with the other arm. She was monitored for a full 30 minutes and additionally for another hour post vaccination. We performed a set of vitals and all came out in normal range. I left at 2:50pm, at which time the patient was still experiencing numbness and tingling. [The patient] seemed okay, I also advised her to seek medical attention if it worsens/"

Other Meds:

Current Illness:

ID: 1574662
Sex: F
Age: 61
State: MN

Vax Date: 04/22/2021
Onset Date: 05/18/2021
Rec V Date: 08/16/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: NKDA

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

Symptoms: Patient had first COVID vaccine shot on 4/22/21. Throughout the month she felt stuffiness in the left sinus passages. On 5/18/21 she developed pain in the left ear and jaw area. On 5/20/21 she had second COVID vaccine shot. On 5/21/21 she developed jaw/ear pain worsened and she developed left arm pain. On 5/22/21 she developed left numbness/tingling and left facial numbness/tingling. On 5/24/21 she went to the ER for left facial drooping. She had MRI brain which did not show evidence and stroke and she was diagnosed with Bell's palsy. A week later she noticed numbness/tingling in the right hand and shortly after in the feet. She developed imbalance. Symptoms seemed to plateau after 2 weeks. On 6/28/21 she had an EMG/NCS which confirmed diagnosed of Guillain Barre Syndrome (GBS). Given relatively mild and improving symptoms she was not treated with IVIG. It is unclear if the COVID vaccine was related to the GBS.

Other Meds: Alprazolam Buproprion Levothyroxine Sodium Meclizine Phentermine

Current Illness: UTI treated with Bactrim

ID: 1574663
Sex: F
Age: 62
State: NC

Vax Date: 07/23/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: Patient received Pfizer COVID-19 vaccination shot #1 from pharmacy on 7/23/2021. Patient returned for Pfizer shot #2 on 8/13/2021. At the time of the second shot the patient admitted to having received the Johnson and Johnson COVID-19 vaccination in march from another provider. Pfizer shot #2 was not administered. Patient did not report and Adverse event.

Other Meds:

Current Illness:

ID: 1574664
Sex: M
Age: 62
State: NC

Vax Date: 04/07/2021
Onset Date: 04/09/2021
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: Injection site pain, Menorrhagia

Symptoms: Severe muscle cramps then fainting. Low blood pressure (80/60) and heart rate (<50 bpm)

Other Meds: Flonase, probiotic

Current Illness: None

ID: 1574665
Sex: F
Age: 35
State: OH

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: Rondec

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

Symptoms: Fever, sore throat, vomiting. Nausea, dizziness, blurred vision, headache. Chest pain, cough Outpatient clinc and well as ER visit for treatment. Bloodwork, cheat xray, cat scan, strep test and covid swabbed

Other Meds: Atenolol Cetirizine

Current Illness: Migraines/ hypertension

ID: 1574666
Sex: M
Age: 58
State: NC

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: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Head Ache, Neck Ache, Low Fever, Extreme Fatigue, Loss of Concentration, Diahreah , nausea for Friday, Saturday, Sunday, Monday

Other Meds:

Current Illness: None

ID: 1574667
Sex: M
Age: 52
State: CA

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: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: passed out 15 minutes after receiving the vaccine felt better after about 30 minutes

Other Meds: advil, famatodine, prevacid, multi viamin

Current Illness: None

ID: 1574859
Sex: M
Age: 78
State: CA

Vax Date: 02/07/2021
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

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

Symptoms: I cannot say for sure this was connected to the vaccine....but about a week afterwards both upper arm musles became sore as well as upper leg muscles, but it was tolerable. My brother who had the shot at same time had the same reaction but to a lesser degree. I waited to see if it would go away but it stayed. I then received my second dose on March 12 2021 and as the days went on it got worse to the point where I cannot get up and down from a chair without pushing my self up with my arms. WALKIBG BECAME MORE DIFFICULY, ESPECIALLY REGARDING STAIRS. i CONTINUED WAITING TO SEE IF IT WOULD FINALLY GO AWAY BUT AS IT REMAINED i FINALLY CONTACTED MY DOCTOR IN jULY AND TODAY i HAD A CONSULTATION WITH A NEUOROLOGIST AND HE WILL BE CONDUCTING A COUPLE OF PROCEDURES SOON REGARDING NERVES AND MUSCLES. (sorry for capital letters ... I pushed the wrong key) .. Again, I cannot be positive this was a reaction to the vaccine, but as I did not have this problem beforehand and as my brother had the same reaction to a much lesser degree, I thought I would report this as a friend encouraged me to. I am curious as to if any others that had the moderna vaccine have had this same experience. Thank you.

Other Meds: baby aspirin

Current Illness: none

ID: 1574860
Sex: F
Age: 66
State:

Vax Date: 05/28/2021
Onset Date: 07/12/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: sulpha

Symptom List: Nausea

Symptoms: Blood clot located in my esophagus

Other Meds: Synthroid 25 mg daily Montelukast 10 mg asthma inhaler

Current Illness: none

ID: 1574861
Sex: F
Age: 55
State: CA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: Shrimp; Penicillin; Milk

Symptom List: Injection site pain

Symptoms: 04/01/2021 Arm swelling, could hardly move arm, slight feverish. Felt bad for about 24 hours, cold like symptoms. Pain in arm lasted for about 2 weeks. 04/29/2021 A little bit of swelling, a little under the weather for about 4 days.

Other Meds: Metoprolol; Simvastatin

Current Illness: None

ID: 1574862
Sex: M
Age: 0
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: NONE

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

Symptoms: patient completely fainted, what I believed was a syncope, patient fail and hit his head badly, had nausea, numbness in his upper body, headache, pain in the neck, difficulty breathing

Other Meds: NOT THAT I KNOW OF

Current Illness: NONE

ID: 1574863
Sex: M
Age: 51
State: UT

Vax Date: 08/01/2021
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: None

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

Symptoms: Fever was up to 103. Aches. Diarrhea. Cold sweats 3 days after. Strange pain in different areas in my legs.

Other Meds: Syraquill 200 mg

Current Illness: None

ID: 1574864
Sex: F
Age: 63
State: FL

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

Symptom List: Tremor

Symptoms: Hives onset around neck within 10 minutes, gave patient diphenhydramine 25mg by mouth. Hives resolved within hours.

Other Meds:

Current Illness:

ID: 1574865
Sex: F
Age: 12
State: OH

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 08/16/2021
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Allergies: no allergies

Symptom List: Erythema, Pruritus

Symptoms: Within minutes of finishing up giving the patient her three vaccinations, she lost consciousness. We moved her to the floor from the chair and laid her on her side. She was still breathing and had a pulse. She woke up after approximately 30 seconds. We kept her in the recovery position and I monitored her heart rate and breathing. After she felt better we moved her to a sitting position and gave her some apple juice. After about 15 minutes she felt "normal" again and we allowed her to walk with her mother in front of the pharmacy to make sure she felt ok to go home. The patient was sent home with instructions on when to pursue medical attention, to call if she had any non-emergent questions and that we would follow up the next day. I did not feel an ambulance was necessary.

Other Meds: Unknown

Current Illness: Na

ID: 1574866
Sex: F
Age: 46
State: CA

Vax Date: 01/08/2021
Onset Date: 08/11/2021
Rec V Date: 08/16/2021
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Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: 8/16, EE called to EHS that Sx, chills, runny nose, fever and bodyache since 8/11. Son was pos last wk. The last day worked was 7/12. EE was tested. Fully vaccinated.

Other Meds:

Current Illness:

ID: 1574867
Sex: M
Age: 78
State: CA

Vax Date: 12/21/2020
Onset Date: 01/01/2021
Rec V Date: 08/16/2021
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Allergies: No allergies, only side effects.

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: 10 days or a little later, left arm pain developed in Triceps radiating to forearm and to left shoulder and eventually settle in left hand resulting in weakness, numbness and pain in fingers.

Other Meds: Mycophenolic acid, Januvia, Rosuvastatin, CoQ 10, ASA 81 mg, Hair, nail, skin product, Tymlos injection, Calcium Citrate,

Current Illness: No illnesses

ID: 1574868
Sex: U
Age:
State: TX

Vax Date:
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Rec V Date: 08/16/2021
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Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Unable to lift left arm above 90 degrees X 5 days. Enlarged lymph node in axilla-left arm X 3 days Joint aches most severely in knees X 2 weeks

Other Meds:

Current Illness:

ID: 1574869
Sex: F
Age: 39
State: CA

Vax Date: 01/13/2021
Onset Date: 08/11/2021
Rec V Date: 08/16/2021
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Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: 8/16, EE called that Sx, runny nose, nasal congestion, and HA since 8/11. Her husband was pos and EE tested on 8/9(-). The last day worked was on 8/3. 2/3 kids are Pos.

Other Meds:

Current Illness:

ID: 1574870
Sex: F
Age: 69
State: AK

Vax Date: 02/05/2021
Onset Date: 04/28/2021
Rec V Date: 08/16/2021
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Allergies: No

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

Symptoms: Immediate reaction to vaccine: fever, body aches, headache and joint pain and fatigue; Those lasted about 48 hours. In April, I had blood in my urine. I had cystoscopy and they found bladder tumors that were cancerous. They removed them on May 28th. They were able to get them removed. Before the surgery, I had a bladder infection, and I went to an urgent care; antibiotics to treat that.

Other Meds: Hydroxychloroquine; Escitalopram; Thyroid med; Colchicine; EDARBI; Vit D; B complex; Pantoprazole

Current Illness: No

ID: 1574871
Sex: F
Age: 57
State: TX

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 08/16/2021
Hospital:

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Symptom List: Pain in extremity

Symptoms: Patient stated that she has been itching and has had a rash since she received the vaccine. Patient stated that she is constantly itching. patient stated that she can not sleep because she is constantly itching. Patient stated that administrator did not provide a LOT number for the second vaccine.

Other Meds:

Current Illness:

ID: 1574872
Sex: F
Age: 29
State: TN

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 08/16/2021
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Allergies: Penicillin, morphine, heparin, dairy, red meat, mushrooms, cherries

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

Symptoms: Within minutes patient reported pressure around throat- it felt like it was closing and she was having trouble breathing; there were white bumps on her arms which she recognized as hives. Pharmacist administered Epinephrine 0.3mg in right thigh, with patient consent- patient reported throat no longer closing, ease breathing, and increased heart rate. Pharmacist offered second dose of epinephrine- patient reported feeling better; offered to call 911- patient declined and wanted to call husband (who was a firefighter and right outside). Husband called 911 and paramedics arrived on scene (in less than a half hour).

Other Meds:

Current Illness:

ID: 1574873
Sex: M
Age: 31
State:

Vax Date: 07/07/2021
Onset Date: 07/18/2021
Rec V Date: 08/16/2021
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Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Red rash appeared around injection site and lasted for a week. During this time, patient experienced tenderness of the arm at the injection side, similar to what he had experienced shortly after receiving the vaccination back on 7/7/21.

Other Meds:

Current Illness:

ID: 1574874
Sex: M
Age: 73
State: IN

Vax Date: 08/04/2021
Onset Date: 08/04/2021
Rec V Date: 08/16/2021
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Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Pharmacist inadvertently administered a 0.5ml dose of the Shingrix diluent only. No adverse reaction reported to date. No reported visit required to healthcare professional

Other Meds:

Current Illness:

ID: 1574875
Sex: M
Age: 19
State: AL

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

Symptom List: Vomiting

Symptoms: Patient received the vaccine and within 5 minutes during the mandatory waiting period, the patient felt nauseous and stood up to go to the bathroom. He felt like he was going to vomit. On the way to the bathroom, the patient began to feel light headed, hearing loss, and lastly blurred vision. The patient subsequently fell to the floor in what appeared to be syncopal episode.

Other Meds: N/A

Current Illness: N/A

ID: 1574876
Sex: F
Age: 24
State: CA

Vax Date: 08/12/2021
Onset Date: 08/15/2021
Rec V Date: 08/16/2021
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Allergies: Allergic to Buspar (rash) and ibuprofen (vomiting, rash)

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: This is patients second pregnancy. Her due date is 11/19/21. She came in today complaining of intense uterine contractions that felt like tightening and period cramps and were causing intense vaginal pressure. This pain had been occurring every 2-10 minutes for almost 24 hours, it was so bad she could not sleep. According to the TOCO monitor and my assessment she was not contracting. The fetal heart rate was appropriate for the gestational age. Her cervix was not dilated or effaced. She was not bleeding or leaking fluid and the baby was active.

Other Meds: None

Current Illness: None

ID: 1574877
Sex: F
Age: 48
State: CA

Vax Date: 01/13/2021
Onset Date: 08/09/2021
Rec V Date: 08/16/2021
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Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: 8/13, and stated that Sx, cough and HA since 8/9. The last day worked was 8/9. Will be tested 8/13.

Other Meds:

Current Illness:

ID: 1574878
Sex: M
Age: 55
State: TN

Vax Date: 08/05/2021
Onset Date: 08/10/2021
Rec V Date: 08/16/2021
Hospital:

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Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 5 days following second dose of Pfizer covid vaccine started experiencing pressure around both eyes. Pressure was so severe that it popped a blood vessel in the left eye and had irritation and heavy pressure on the right eye. Also had a mild congestion headache along with nausea. All 5 days or so after the second shot. Patient did not seek any medical treatment or check with any doctor. Reported us when came to pharmacy for family member's vaccination.

Other Meds:

Current Illness:

ID: 1574879
Sex: M
Age: 13
State: CA

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

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Allergies: None

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

Symptoms: Syncope a few seconds after administration. Syncope lasted 30 seconds. Resolved on its own. No treatment warranted.

Other Meds: none

Current Illness: none

ID: 1574880
Sex: F
Age: 58
State: WA

Vax Date: 05/21/2021
Onset Date: 08/15/2021
Rec V Date: 08/16/2021
Hospital: Y

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Lab Data:

Allergies: NKDA

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: Patient received COVID vaccine Pfizer 2 dose series on 4/30/21 and 5/21/21. . Patient was on a cruise, returned 8/3/21. About 3-4 days after that she started having cough, headache, fevers, and mild chills. She tested positive for COVID-19 at a testing center on 8/11/21. She since then has developed some diarrhea, headache, myalgias. She continues to have subjective fevers but this is improving. She denies much of anosmia, anorexia. She started having hypoxia down to mid-80s on home pulse oximetry and was admitted to our facility on 8/15/21 for COVID-19 severe pneumonia with acute hypoxic respiratory failure and acute hepatitis. As of today (8/16), patient is still admitted.

Other Meds: Baby aspirin, cetrizine, levothyroxine

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am