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
75,377
AK1,648
AL5,444
AR3,470
AS44
AZ13,477
CA59,009
CO11,130
CT7,942
DC1,647
DE1,699
FL37,010
FM3
GA13,650
GU82
HI2,221
IA4,364
ID2,496
IL19,680
IN22,717
KS4,330
KY7,085
LA4,801
MA14,105
MD12,087
ME3,034
MH8
MI18,192
MN11,489
MO9,034
MP30
MS2,717
MT2,163
NC15,628
ND1,279
NE2,762
NH2,898
NJ17,592
NM3,747
NV4,167
NY33,258
OH18,337
OK6,002
OR8,082
PA22,854
PR2,139
QM2
RI1,926
SC6,164
SD1,143
TN8,834
TX34,752
UT4,088
VA14,128
VI50
VT1,684
WA14,021
WI10,523
WV2,241
WY814
XB5
XL1
XV2

ID: 1578290
Sex: F
Age: 43
State: NJ

Vax Date: 02/05/2021
Onset Date: 08/09/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose 01/14/2021 Moderna,Lot#026L20A 2nd dose: 02/05/2021 Moderna,Lot# 031L20A Diagnosed covid positive:08/09/21 Symptom onset:08/09/21 Exposure:Home Symptoms:Cough, fatigue,loss of smell, sore throat, congestion

Other Meds:

Current Illness:

ID: 1578291
Sex: M
Age: 11
State: VA

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Did not have an adverse event. But both guardian and kid gave false date of birth, and the shot was given to the kid who hasn't turned 12 yet.

Other Meds:

Current Illness:

ID: 1578292
Sex: M
Age: 37
State: MD

Vax Date: 08/09/2021
Onset Date: 08/10/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: pain in hands and feet. described more in additional details-Medium, Additional Details: Patient is experiencing pain and tingling in his extremeties (hands and feet). He has been consistently having this pain since the day after his 2nd dose of pfizer. He has never experienced anything like this before dispite other health conditions. tylenol and muscle relaxers have mininally helped his pain. The pain does get better and worse but that has been consistent overall. Patient was advised to see a provider.

Other Meds:

Current Illness:

ID: 1578293
Sex: M
Age: 39
State: AR

Vax Date: 08/11/2021
Onset Date: 08/11/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: Vaccine given 7 days too early - no adverse event

Other Meds: unknown

Current Illness: none at time of vaccination one month prior unknown

ID: 1578294
Sex: F
Age: 41
State: NC

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Initially, crying shaking, able to verbally respond. 5 minutes later unresponsive for few seconds, able to verbally arouse. Progressed in a few minutes to nauseated, dry heaves, intervals of unresponsiveness, to awake, speech became slurred. Help called immediately. Blood pressure 170/100. Pulse rapid 100. Transferred to the emergency department. IV started Benadryl and Ativan administered, O2 via nasal cannula 3 liters.

Other Meds:

Current Illness:

ID: 1578295
Sex: M
Age: 76
State: PA

Vax Date: 02/25/2021
Onset Date: 08/09/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: BenazeprilConfusion / Delirium

Symptom List:

Symptoms: Tested positive for COVID-19

Other Meds: amLODIPine (NORVASC) 10 mg tablet aspirin 81 mg tablet fish,bora,flax oils-om3,6,9no1 (OMEGA 3-6-9 COMPLEX) 400-400-400 mg capsule GLUCOSAM/MSM/VIT C/MANG/HERB21 (GLUCOSAMINE-MSM COMPLEX ORAL) HYDROcodone-acetaminophen (NORCO) 5-325 mg per

Current Illness: None

ID: 1578296
Sex: M
Age: 15
State: NY

Vax Date: 08/13/2020
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild

Other Meds:

Current Illness:

ID: 1578297
Sex: M
Age: 55
State: KY

Vax Date: 05/26/2021
Onset Date: 07/16/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dose 1. 5/3/2021 Dose 2. 5/26/2021

Other Meds:

Current Illness:

ID: 1578298
Sex: F
Age: 22
State: CA

Vax Date: 07/27/2021
Onset Date: 07/28/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: light rash on both arms

Other Meds:

Current Illness:

ID: 1578299
Sex: M
Age: 29
State: GA

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: PATIENT PASSED OUT IMMEDIATELY AFTER RECEIVING VACCINATION. HE WAS ONLY OUT FOR LESS THAN 10 SECONDS AND THEN CAME TO. WE CALLED EMS TO CHECK HIM OUT. THEY WERE TO OUR STORE IN LESS THAN 5 MINUTES , CHECKED HIS VITALS, AND CLEARED HIM. HE IS FULLY RECOVERED NOW.

Other Meds:

Current Illness:

ID: 1578300
Sex: F
Age: 15
State: CA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1578301
Sex: F
Age: 62
State: MN

Vax Date: 01/21/2021
Onset Date: 02/18/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Codeine

Symptom List:

Symptoms: Tested positive for COVID-19 after being fully vaccinated.

Other Meds: Sertraline, Imitrex, Aspirin

Current Illness:

ID: 1578302
Sex: F
Age: 45
State: NY

Vax Date: 08/11/2021
Onset Date: 08/12/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: I had extremely bad head aces, I threw up and was extremely nauseas, I also had blurred vision. This all occurred 24 hours of receiving the vaccine. I went to the emergency room and I was given an IV, and gave me anti nausea, and I was given something else but I can't remember the name.

Other Meds: NONE

Current Illness: NONE

ID: 1578303
Sex: M
Age: 49
State: PA

Vax Date: 07/31/2021
Onset Date: 08/01/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Fever, Chills, Body Aches, Dizzy, Tired, follow up with severe stomach and back pain.

Other Meds: n/a

Current Illness: Sick from first dose of Moderna vaccine prior.

ID: 1578304
Sex: F
Age: 67
State: TN

Vax Date: 08/10/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: per patient - "08/13/2021 pressure in chest started throwing up and a lot of pressure. a log of sharp pains. went to hospital and was diagnosed as heartattack."

Other Meds:

Current Illness:

ID: 1578305
Sex: F
Age: 15
State: CA

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1578306
Sex: M
Age: 20
State: NC

Vax Date: 08/12/2021
Onset Date: 08/15/2021
Rec V Date: 08/17/2021
Hospital:

Vax Type:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies: Augmentin

Symptom List:

Symptoms: Herpes Zoster Ophthalmicus to the left eye. Given 7-day course of Valacyclovir, two types of eye drops and an eye ointment. Patient was deployed the next day. Outcome unknown at this time.

Other Meds: n/a

Current Illness: n/a

ID: 1578307
Sex: F
Age: 47
State: WI

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

Vax Type:
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Vax Site:

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: 32 minutes noted facial itching, mid sternal chest tightness. Started coughing and expectorating with cough. Informed staff she had used her inhaler prior to coming to the clinic for vaccination. BP 157/80 HR 80 Pulse oxy 100% on RA.

Other Meds: Inhaler for asthma

Current Illness: Asthma

ID: 1578308
Sex: F
Age: 63
State: CA

Vax Date: 02/10/2021
Onset Date: 03/31/2021
Rec V Date: 08/17/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Cipro based antibiotics - about 10 years ago I had a reaction

Symptom List:

Symptoms: Immediately after vaccine In about 12 hours, I experienced chills and probably mild fever for about 8-10 hours. The next day I was fine. My arm was sore - for probably a day (24 hours) - it lessened through the 24 period. I felt, in the latter part of March, a protrusion - a hard sort of lump in the area that I had had the cancer before. I noticed it in the shower. I thought it was a lymph node from the vaccine but after two weeks, I went in to get it checked. I had a biopsy and there were two lumps; surgery then on June 1st. I started radiation treatment on July 13th -set up was before that and I am almost done tomorrow is my last big one and then 5 more boosts into incision site. I am burned to a crisp. I could die from the treatment. I am hoping that it will help me get rid of the stray cancer cells. My skin is starting to open up (yesterday) - I am using lots of creams and Aloe Vera. It will take a while to get back to normal. I am hoping it stays. Four years ago, I didn't get any burn.

Other Meds: Levothyroxine; multi-vitamin - ALIVE brand - over 50; vit D3; vit E

Current Illness: No

ID: 1578309
Sex: F
Age: 72
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient described her eye watering and feeling like there were pins and needles poking her eye. This occurred in the evening on the day she received the vaccine. The discomfort has continued unchanged until now, the day after, at which she reported to me. She made an appointment with a eye doctor.

Other Meds:

Current Illness:

ID: 1578310
Sex: F
Age: 37
State: VA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: pt received vaccine at 1550. As she walked through the clinic on the way to exit, she felt dizzy. Staff brought chair and recorded vital signs. Pt was given water and VS repeated five mins later. Pt stated she felt better so staff assisted pt to sit in waiting area. Pt began to shake and stated she was dizzy again. Vitals recorded, Pt alerted staff that she consumed an energy drink before coming for vaccine. RN monitored pt and pt status did not improve, so RN brought pt to ED in wheelchair accompanied by pt's family. RN handed pt off to ED staff and gave brief report at 1630.

Other Meds: omeprazole, hydroxyzine

Current Illness:

ID: 1578311
Sex: F
Age: 24
State: PA

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

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

Lab Data:

Allergies: NONE LISTED

Symptom List:

Symptoms: PATIENT RECEIVED VACCINATION AND SAT DOWN FOR HER 15 MINUTE WAIT. WITHIN 5 MINUTES PT WAS VERY LIGHT HEADED, HAVING TROUBLE BREATHING (NOT DUE TO SWELLING), AND PINS AND NEEDLES IN HER HANDS

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1578312
Sex: F
Age: 62
State: CA

Vax Date: 07/07/2021
Onset Date: 08/05/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Last injection of vaccine was 7/28/21. Extreme Itching and Shingles appeared 8/5/2021 in mid afternoon.

Other Meds: Tradjenta, Glip/Metform, Pioglitazone. Atorvastatin, Lisinopril

Current Illness: None

ID: 1578313
Sex: F
Age: 47
State: NC

Vax Date: 07/22/2021
Onset Date: 07/23/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Morphine and kiwi

Symptom List:

Symptoms: After receiving my second shot, the next day my menstrual cycle started. I was two weeks early and I had horrible cramping. My lower back became inflamed and couldn't get out of bed. I still have lower back pain and I spot on a regular bases. I have blurred vision during the late afternoons and I'm so tired.

Other Meds: Metoprolol

Current Illness: None

ID: 1578314
Sex: M
Age: 85
State: KY

Vax Date: 04/07/2021
Onset Date: 08/10/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Moderna on 4/7 and 5/18. Positive on 8/11 admitted 8/10-current

Other Meds:

Current Illness:

ID: 1578315
Sex: F
Age: 47
State: VA

Vax Date: 07/25/2021
Onset Date: 07/25/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Immediately after initial shot I had a medicinal/metallic taste in my mouth and then my tongue felt like I had burnt it (like one would with hot coffee). The scalded/burnt feeling has not gone away. Immediately after my second shot (08/15/2021) the medicinal/metallic taste appeared again. In both instances the medicinal/metallic taste dissipated within 2 hours, but the scalded feeling has remained constant.

Other Meds: None

Current Illness: None

ID: 1578316
Sex: M
Age: 14
State: MN

Vax Date: 06/28/2021
Onset Date: 08/01/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: First Pfizer COVID 19 given IM 6/3/21 ,second dose 6/28/21 lot no EW0168. Patient reports that he was well until 08/01/2021. He presented to the Emergency Room on 08/03/2021 with concerns of chest pain, shortness of breath, which had been ongoing for the last 2 days. He initially started with a history of diarrhea, abdominal pain, and low-grade fever. Both he and his brother had the same symptoms at the same time On 08/01/2021, he had gone swimming in the lake at that time and thought it was due to exertion, but he developed chest pain and shortness of breath and his heart beating fast(palpable tachycardia). Over the next 24 hours, his diarrhea resolved and his fever discontinued, but he continued to have chest pain intermittently throughout the day and shortness of breath. He went to Hospital on 08/03/2021 and they transferred him, as they noted that he had an elevated troponin at 30 and EKG changes with ST-segment elevation and depression. He was actually feeling much better. He had no headache, no history of seizures, no dizziness, no fainting, and a little lightheadedness. Occasionally his pain would extend to the jaw, but no radiation to the back. The upper abdominal pain he had was in the epigastrium. His appetite has now come back to normal. He is able to drink, able to keep fluids down, and his chest pain has almost resolved in the last 36 hours. He also has no diarrhea, and does not have any joint pains. No skin rash. Initially, he felt the heart rate going fast, but now he does not feel any tachycardia. He has had no chills. Admitted 8/3/21 -8/7/21

Other Meds: none

Current Illness: Ill with anosmia ,chills and low grade fever, malaise in December 2020 4 members in family ill in December Dad tested positive for Coronavirus PCR ,others not tested

ID: 1578317
Sex: F
Age: 74
State: PA

Vax Date: 02/25/2021
Onset Date: 08/09/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: No Known Allergies

Symptom List:

Symptoms: Tested positive for COVID-19

Other Meds: amLODIPine (NORVASC) 10 mg tablet aspirin tablet celecoxib (CeleBREX) 200 mg capsule(Expired) docusate sodium (COLACE) 100 mg capsule flu vac 2019 65up-adjMF59C,PF, (FLUAD 2019-2020, 65 YR UP,,PF,) 45 mcg (15 mcg x 3)/0.5 mL syringe multivi

Current Illness:

ID: 1578318
Sex: M
Age: 55
State: CA

Vax Date: 03/19/2021
Onset Date: 03/21/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: tinnitus increased substantially for 2 weeks, and then lessened, but is still more than it was pre-vaccine. onset date of side effect estimated

Other Meds:

Current Illness:

ID: 1578319
Sex: M
Age: 52
State: CA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 1) Intermittent sharp chest pain beginning approximately 3 hrs after vaccination. Chest pain severity increasing over time post vaccination. 2) Difficulty breathing, increasing with time post vaccination. 3) Left shoulder to left hand/fingers numbness and loss of strength 4) General malaise / slight nausea

Other Meds: Levothyroxine 100 mcg

Current Illness: none

ID: 1578320
Sex: M
Age: 20
State: NJ

Vax Date: 05/26/2021
Onset Date: 05/27/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Penicilin

Symptom List:

Symptoms: Fever and hallucinations on first night after dose. From injection onwards constant headache and eye issues such as focusing and photophobia, fatigue, tiredness.

Other Meds: Omeprozole

Current Illness: GIRD

ID: 1578321
Sex: F
Age: 88
State: KY

Vax Date: 03/16/2021
Onset Date: 08/11/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pfizer on 3/16 and 4/6. Positive on 8/11 admitted on 8/11-current

Other Meds:

Current Illness:

ID: 1578322
Sex: M
Age: 78
State: TN

Vax Date: 02/11/2021
Onset Date: 08/11/2021
Rec V Date: 08/17/2021
Hospital: Y

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

Lab Data:

Allergies: Anectine Cipro Contrast Dye ZyrTEC codeine penicillin

Symptom List:

Symptoms: 79-year-old male multiple medical problems who presents with complaint of generalized weakness. Per ER report patient said generalized weakness for the past 10 days. Patient was recently seen in the emergency department approximately 3 days ago for similar complaint. Patient found to be Covid positive. Patient not eating or drinking at home. EMS was called patient was found to have a glucose of 52. Amp of D50. Patient was given another amp of D50 in the emergency department. At this time patient denies headache or acute visual change. Patient drowsy but improving. There is no chest pain shortness of breath or palpitations. There is no abdominal pain, nausea vomiting. No history of fever chills or rigors. Patient has no other concerns. Patient to be admitted for further evaluation.

Other Meds: Medication on Admission to hospital: allopurinol 300 mg oral tablet, 300 mg/ 1 tab(s), Oral, Daily Aspirin Low Dose, Oral, Daily carvedilol 3.125 mg oral tablet, 3.125 mg/ 1 tab(s), Oral, BID clopidogrel 75 mg oral tablet, 75 mg/ 1 tab(s

Current Illness: Unknown

ID: 1578323
Sex: M
Age: 90
State: TX

Vax Date: 05/21/2021
Onset Date: 05/31/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: On May 21, 2021, patient received the 2nd dose of Covid-19 Pfizer vaccine. On May 31, 2021, 10 days later, we had a family celebration at 1pm for his 91st birthday. His family noticed the right side of his face a little droopy. His wife noticed his left arm and leg had slight strange movements. On June 2, 2021, late pm, his family noticed left arm and leg flailing uncontrollably and slurred speech with right side facial paralysis. Some mental confusion. Other symptoms that appeared over the next 2 days, all occurring at the same time and severe for the next 2 weeks: -severe fatigue and had no energy. -chest tightness -severe dry mouth -inside of mouth covered in cold sores (he gets one cold sore every few years normal, this was all over inside mouth and not normal) -lips bleeding with bottom lip appearing swollen -alternating hot/cold episodes but no fever -low blood pressure episodes, drops randomly, (normally has high blood pressure) -skin sensitivity, pain to touch on both arms and legs -bottoms of feet tingling, pins and needles sensation -large amounts of foam-like/sticky phlegm down throat, had to clear throat constantly -lost almost complete sense of smell and taste -eyes: he was being treated for dry/burning/matted eyes. After the vaccine, all of this was much worse plus he had horrible light sensitivity. All light hurt his eyes and his vision declined. *all of these symptoms lasted approximately 4 weeks and then subsided except for the following 3 which he still has: 1 fatigue/no energy. 2 cannot fully smell or taste. 3 eye problems. On June 4th, 2021, symptoms were extreme and chest pain was severe. Patient went to medical facility. They ran many tests. We listed them in #19 as best as we could remember. Nothing out of the ordinary. Doctor or the hospital will have access to these records. Diagnosed acute chorea and sent him home. On June 5, 2021, patient went to doctor for an office visit. Later that evening his vision blurred so patient again went to the same Emergency Room. They ran more tests. They diagnosed Tremor and sent him home. Patient says ?he feels like his whole body system changed after the second dose.? Patient continued to follow up with doctor, who is a wonderful dr. Doctor prescribed 2 short-term medications on separate occasions (Levetiracetam & Carbamazepine). They did not relieve symptoms. Dctor referred patient to specialist. On June 23, 2021, specialist ordered an MRI and prescribed Risperidone 0.5mg. This appears to have worked for the arm and leg movement problem. Throughout this time period of May 21 - Aug 14, different eye drops were also issued at different times. Alphagan, Latanoprost; OD, Dorzolamide. He continues to seek help for his eyes. They are not better. As of August 14, 2021, all symptoms appear to be gone except for fatigue, no energy, the eye problems (eye pain, poor vision, light sensitivity), and partial loss of smell and taste. Patient is not fully recovered. His fatigue and lack of energy is severely affecting his health and lifestyle. Pre-adverse event, Patient had good energy and was full of life. Daily, he would spend hours tending to his large outdoor garden, building projects in his woodshop, driving to visit friends, running errands in town, and on occasion he would take a job through his construction company. Since the 2nd dose of vaccine, he is now 85-90% homebound, only having about 15 minutes worth of energy to move around before he has to rest. He is also unable to drive. To the best of our ability, this is how we remember the events above occurring.

Other Meds: Baby aspirin. Antibiotic for eyes, pill form, last few days of med; Life Extension Multivitamin & Mineral Mix powder. Ancient Nutrition Multi Collagen Protein.

Current Illness: Matter in eyes, dry eyes.

ID: 1578324
Sex: F
Age: 61
State: KY

Vax Date: 07/19/2021
Onset Date: 08/11/2021
Rec V Date: 08/17/2021
Hospital: Y

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Symptoms: Janssen on 7/19. Positive on 8/4 admitted on 8/11-current

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Current Illness:

ID: 1578325
Sex: M
Age: 44
State: FL

Vax Date: 08/16/2021
Onset Date: 08/17/2021
Rec V Date: 08/17/2021
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Symptoms: High fever, muscle aches, headache, chills, hot flashes dizziness, extreme fatigue. This was my 3rd Moderna dose. The first two doses (February 18, 2021 and again on March 18, 2021) did not affect me at all.

Other Meds:

Current Illness:

ID: 1578326
Sex: M
Age: 32
State: TX

Vax Date: 08/12/2021
Onset Date: 08/12/2021
Rec V Date: 08/17/2021
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Allergies: NKA

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Symptoms: pt received first dose of Pfizer COVID vaccine and approximately 10 minutes later became pale and diaphoretic. He complained of nausea and feeling lightheaded. He was given two orange juices and 500cc normal saline administered . He was given 2cc(10mg) of ephedrine IV per Dr. Routine vital sign monitoring and an EKG were performed. The patient and his mohter declined EMS transport and decided to go to Hospital. He was seen there and dismissed to home that same day.

Other Meds:

Current Illness: None

ID: 1578327
Sex: M
Age: 51
State: CA

Vax Date: 04/13/2021
Onset Date: 04/17/2021
Rec V Date: 08/17/2021
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Allergies: Sulfa, Fish,shellfish, numerous grasses and trees

Symptom List:

Symptoms: After 24 hours, initially fell and recovered. Approximately, 4 days after the second vaccine, I experienced a hot burning in the right side of my face followed by facial numbness and tingling. The numbness would spread to my left side and tongue. Additionally, I was experiencing headaches on regular basis. Do not have a history of either. After several weeks, the headaches subsided. However, the facial numbness and tingling happens sporadically as well as tingling and numbness in my hands and feet.

Other Meds: Zyrtec, Prilosec

Current Illness: None

ID: 1578328
Sex: F
Age: 53
State: TN

Vax Date: 08/09/2021
Onset Date: 08/10/2021
Rec V Date: 08/17/2021
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Allergies: Aspirin causes bruising

Symptom List:

Symptoms: I used to have Migraines, but I have not had any for over 10 years. The morning after the first dose of the vaccine I had chills, nausea, body aches and diarrhea I started to get a headache. I had to call into work for two days. I have had a Migraine every morning since the shot, and it has been nine days so far. The Migraines have come every morning and they last about two hours. I have tried Ibuprofen, but it does not seem to work. Today it has been coming and going and it is later in the day. They do not seem to be getting better so far. I have been trying some rest to cope with the pain. The headaches are a little milder and different than the ones I had in the past. Light does not hurt at the moment.

Other Meds: Vitamins

Current Illness:

ID: 1578329
Sex: M
Age: 37
State: MN

Vax Date: 08/08/2021
Onset Date: 08/14/2021
Rec V Date: 08/17/2021
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Symptoms: 2 inch diameter circular erythema and edema at injection point that began 14 Aug 2021

Other Meds:

Current Illness:

ID: 1578330
Sex: F
Age: 41
State: KY

Vax Date: 03/31/2021
Onset Date: 08/09/2021
Rec V Date: 08/17/2021
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Symptoms: Patient is fully vaccinated as of 3/31/21, patient is symptomatic and has tested positive as of 8/9/21

Other Meds:

Current Illness:

ID: 1578331
Sex: M
Age: 75
State: KY

Vax Date: 01/26/2021
Onset Date: 08/12/2021
Rec V Date: 08/17/2021
Hospital: Y

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Symptoms: Moderna on 1/26 and 2/19. Positive on 8/3 admitted 8/12-8/13

Other Meds:

Current Illness:

ID: 1578332
Sex: M
Age: 11
State: MN

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
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Symptoms: Patient's mother used incorrect date of birth to obtain COVID vaccine for patient 11 years of age. The vaccine administered is for patients 12 years of age and older.

Other Meds:

Current Illness:

ID: 1578333
Sex: F
Age: 53
State: PA

Vax Date: 03/03/2021
Onset Date: 08/14/2021
Rec V Date: 08/17/2021
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Allergies: Pollen ExtractsOther (document details in comments)

Symptom List:

Symptoms: Cough Rhinorrhea Chest pain Shortness of breath

Other Meds: albuterol HFA (VENTOLIN HFA) 90 mcg/actuation inhaler amLODIPine (NORVASC) 5 mg tablet amLODIPine (NORVASC) 5 mg tablet atorvastatin (LIPITOR) 40 mg tablet atorvastatin (LIPITOR) 40 mg tablet ATROVENT HFA 17 mcg/actuation inhaler baclofen (

Current Illness:

ID: 1578334
Sex: M
Age: 45
State: TX

Vax Date: 08/06/2021
Onset Date: 08/11/2021
Rec V Date: 08/17/2021
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Allergies: None

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Symptoms: It started with the flu, cough, severe muscle pain, nause since Thursday and it remained the same until Saturday when he started with temperature. Went to the hospital for emergencies and they tested him for Covid and it came out negative. He is tired and severe stmach pain. Only paracetamol for treatment, Ibuprofen and medication for nausea.

Other Meds: None

Current Illness: None

ID: 1578335
Sex: F
Age: 27
State: UT

Vax Date: 08/17/2021
Onset Date: 08/17/2021
Rec V Date: 08/17/2021
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Allergies: Unknown, hives from Flu Shot

Symptom List:

Symptoms: Patient fainted, lost consciousness for a minute, was rigid when she opened her eyes and her hands and feet were tingling. Took her about 10 minutes to get normal feeling back in her hands and feet. EMS was activated and they monitored her for about 30 minutes. She was allowed to go home with her husband. She is pregnant, but due date is unknown.

Other Meds: Unknown

Current Illness: Unknown

ID: 1578336
Sex: F
Age: 80
State: KY

Vax Date: 01/25/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
Hospital: Y

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Symptoms: Moderna on 1/25 and 2/18. Positive on 8/13 admitted on 8/13-current

Other Meds:

Current Illness:

ID: 1578337
Sex: F
Age: 50
State: CA

Vax Date: 02/06/2021
Onset Date: 02/01/2021
Rec V Date: 08/17/2021
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Allergies: Gluten and Dairy not officially diagnosed.

Symptom List:

Symptoms: Severe tinnitus, high pitched ringing in ears. Right > Left. Constant, sometimes very intense sometimes more quiet but never gone since 2nd vaccine.

Other Meds: none

Current Illness: None

ID: 1578338
Sex: F
Age: 83
State: KY

Vax Date: 03/09/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
Hospital: Y

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Symptoms: Janssen on 3/9. Positive on 8/12 admitted 8/13-current

Other Meds:

Current Illness:

ID: 1578339
Sex: F
Age: 36
State: TX

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 08/17/2021
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Allergies: none

Symptom List:

Symptoms: At first I had hallucinations, body aches, a headache and stomach ache with vomiting. Now 5 months later I am having liver problems, thyroid problems. I still have pain in my legs which hinders sleep and my ability to walk.

Other Meds: Immunotherapy

Current Illness: cancer

Total 2021 VAERS Injuries: 611,351

Page last modified: 03 October 2021 5:28pm