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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1582970
Sex: F
Age: 17
State: MN

Vax Date: 08/11/2021
Onset Date: 08/18/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient is a staff member at nursing home in her area. Facility requested dose to be sent (per our LTC provider agreement for COVID-19 vaccines) without informing us (Pharmacy) that patient was under 18 years old. Dose was administered on 8/11/21. To our knowledge, the patient did not have any major adverse effects from the vaccine but we needed to report due to wrong age group for Moderna.

Other Meds:

Current Illness:

ID: 1582971
Sex: F
Age: 51
State: MI

Vax Date: 08/09/2021
Onset Date: 08/09/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: lasinapril, adhesive tape, bactrim, coconut, macrodid

Symptom List:

Symptoms: lightheaded, dizzy after 1 min post vaccine, followed by "feeling like being hung over,. next day nausia vomiting 3rd day SOB Chest pain

Other Meds: asa jardiance neurontin, claritin, cozzar, prilosec, prachochol,semaglutide

Current Illness: none

ID: 1582972
Sex: M
Age: 59
State: PA

Vax Date: 03/30/2021
Onset Date: 04/22/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Persistent Muscle pain and fatigue in left arm outer bicep and outer forearm after first 3/30/2021 when lifting moderate to heavy weight using over hand grip raised to shoulder with palm facing up, similar to holding waiter serving tray at shoulder. Pain lessens after repeated use as if outer forearm or outer lower bicep was injured and must be stretched or warmed up. But initial pain is severe and debilitating with loss of strength most noticed with overhand grip lifting and holding weighted object at shoulder with palm facing up, no elbo joint pain.

Other Meds: Aspirin, fiber supplement, multi vitamin daily

Current Illness: Unknown

ID: 1582973
Sex: F
Age: 30
State: SC

Vax Date: 08/05/2021
Onset Date: 08/06/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin Penecillin Mucinex Sudafed

Symptom List:

Symptoms: Sharp pain in chest when taking deep breaths beginning about 24 hours after injection lasting approximately 3-4 days after injection; Moderate soreness in arm where injection was received and tenderness in underarm beginning a few hours after injection and lasting approximately 2 days after injection

Other Meds: Setraline 50 MG once daily Omeprazole 40 MG once daily Women's Probiotic

Current Illness: None

ID: 1582974
Sex: M
Age: 43
State: MA

Vax Date: 08/18/2021
Onset Date: 08/18/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Brief seizure within 5 minutes of vaccination.

Other Meds: multi-vitamin

Current Illness: None

ID: 1582975
Sex: M
Age: 63
State: GA

Vax Date: 08/18/2021
Onset Date: 08/18/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: EUA COVID VACCINE PFIZER WAS ADMINISTERED AFTER PATIENT KNOWINGLY PROVIDED FALSE INFOMRATION STATING THIS WAS HIS FIRST VACCINATION. PT WAS PREVIOUSLY VACCINATED WITH BOTH DOSES OF MODERNA. NO KNOWN ADVERSE REACTIONS HAVE BEEN REPORTED SINCE ADMINISTERING THE PFIZER VACCINE.

Other Meds:

Current Illness:

ID: 1582976
Sex: F
Age: 95
State: FL

Vax Date: 01/15/2021
Onset Date: 08/16/2021
Rec V Date: 08/18/2021
Hospital: Y

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

Lab Data:

Allergies: Statins

Symptom List:

Symptoms: The patient presents with COVID positive. ED Nurse states pt is was tested for COVID on 8/9/2021 and had an X-ray that showed COVID pneumonia but it wasn't confirmed. Nurse states pt was sent so COVID pneumonia can be r/o and pt can get medically cleared back to facility. She states the pt is 93% on room air, and pt has no complaints at this time. HPI limited to pt's history of dementia. The course/duration of symptoms is constant. The degree at present is none. Risk factors consist of hypertension, diabetes mellitus and age. Patient was still admitted at time the form was submitted.

Other Meds: Colace, Omega 3, Gabapentin, Lisinopril, Zinc, Loratadine,

Current Illness: Unknown

ID: 1582977
Sex: F
Age: 14
State: CO

Vax Date: 08/18/2021
Onset Date: 08/18/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: Seasonal Allergies

Symptom List:

Symptoms: Syncope episode with fall and hit to back of head. 911 was called and attended the scene. Patient and patient guardian signed refusal for transport after evaluation by medical staff onboard and ambulance crew.

Other Meds: Albuterol Rescue Inhaler

Current Illness: Asthma

ID: 1582978
Sex: F
Age: 73
State: KY

Vax Date: 03/09/2021
Onset Date: 08/01/2021
Rec V Date: 08/18/2021
Hospital: Y

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

Lab Data:

Allergies: UNKNOWN

Symptom List:

Symptoms: VACCINATED WITH JANSSEN VACCINE IN MARCH OF THIS YEAR. WENT TO HOSPITAL ER ON 8/15/21 WITH A 2 WEEK HISTORY OF SYMPTOMS WHICH INCLUDED: CHILLS, RUNNY NOSE, FATIGUE, SHORTNESS OF BREATH, NAUSEA, ABDOMINAL PAIN AND DIARRHEA. RECEIVED MONOCLONAL ANTIBODY TREATMENT WHILE IN ER AND WAS ADMITTED THE SAME DAY. SHE IS NOT IN ICU OR ON THE VENTILATOR. HER HUSBAND TESTED POSITIVE ON 8/6/21 AND HE WAS HOSPITALIZED ON 8/14/21.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1582979
Sex: M
Age: 70
State: IA

Vax Date: 08/07/2021
Onset Date: 08/08/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Unknown

Other Meds:

Current Illness:

ID: 1582980
Sex: M
Age: 62
State: PA

Vax Date: 03/20/2021
Onset Date: 08/11/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: SimvastatinMyalgia / Muscle Pain Darvon [Propoxyphene]Other (document details in comments) LisinoprilCoughing

Symptom List:

Symptoms: Cough

Other Meds: albuterol 2.5 mg /3 mL (0.083 %) nebulizer solution albuterol HFA (PROAIR HFA) 90 mcg/actuation inhaler atorvastatin (LIPITOR) 20 mg tablet benzonatate (TESSALON) 100 mg capsule coenzyme Q10 100 mg capsule escitalopram (LEXAPRO) 20 mg table

Current Illness:

ID: 1582981
Sex: F
Age: 35
State: MI

Vax Date: 01/10/2021
Onset Date: 03/31/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: LEFT TIBIAL PLATEAU FRACTURE WITH NO INCITING TRAUMA/EVENT. HEMARTHROSIS

Other Meds: n/a

Current Illness: n/a

ID: 1582982
Sex: M
Age: 87
State: AR

Vax Date: 04/13/2021
Onset Date: 08/17/2021
Rec V Date: 08/18/2021
Hospital: Y

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

Lab Data:

Allergies: Quinapril, atenolol

Symptom List:

Symptoms: Hospitalized with covid after being fully vaccinated

Other Meds: unknown

Current Illness: unknown

ID: 1582983
Sex: F
Age: 15
State: CA

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

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

Lab Data:

Allergies: No known allergies.

Symptom List:

Symptoms: Spoke with pt's mother. Pt's mother reported that pt complained of severe pain on 8/16/21 after vaccination in PM. Pt reported to MOP-she noted a lump in armpit near breast in arm where vaccine was administered. Mother of patient could not identify arm where lump was or describe what the lump looked like. Mother of patient reported that pt continued to complain of pain (unk severity). Mother of patient reported patient did not want to go to MD today due to today being first day of school. Encouraged mother of patient to contact patient's PCP and follow-up with provider to be assessed. Mother of patient verbalized understanding.

Other Meds: Pt takes multi-vitamin; Hair, Skin and Nails Supplement; Vitamin D3 and Vitamin B12

Current Illness: No illnesses noted at time of vaccination or up to one month prior.

ID: 1582984
Sex: M
Age: 43
State: KS

Vax Date: 04/01/2021
Onset Date: 04/20/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Severe fatigue and joint pain. Still happening

Other Meds:

Current Illness:

ID: 1582985
Sex: F
Age: 70
State: FL

Vax Date: 01/13/2021
Onset Date: 03/01/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Developed dry cough which progressed to intermittent dry/productive cough with yellow sputum, intermittent wheezing with deep breaths.

Other Meds: synthroid 75 mcg, one tab Mon-Sat, 1/2 tab Sunday calcium osteobiflex preservision B-12

Current Illness: N/A

ID: 1582986
Sex: F
Age: 31
State: PA

Vax Date: 03/27/2021
Onset Date: 08/13/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: Metoclopramide HclShortness of breath / Dyspnea, Welts, Swelling

Symptom List:

Symptoms: Cough Headache New loss of taste or smell Congestion or running nose

Other Meds: clotrimazole-betamethasone (LOTRISONE) cream PNV22-iron cb,gl-folic-dss-dha (PNV OB+DHA) 27-1-50-250 mg combo pack

Current Illness:

Date Died: 08/03/2021

ID: 1582987
Sex: M
Age: 25
State: FL

Vax Date: 07/21/2021
Onset Date: 08/01/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Young, healthy 25 year old male. Very physically active, no health issues. Suddenly had horrible headache at 2am. Threw up, went to take a shower, girlfriend found him 10-20 min later purple in the shower. Called EMS. Heart & lungs brought back with defibrillator & ventilator. CT scan showed massive brain hemorrhage. No brain activity. Pronounced dead Tuesday Aug 3rd. Doctors concluded ruptured AVM due to amount of blood in brain. Does vaccine cause inflammation that could have caused early rupture?

Other Meds: No

Current Illness: Common cold, recovered.

ID: 1582988
Sex: M
Age: 68
State: NY

Vax Date: 03/03/2021
Onset Date: 08/13/2021
Rec V Date: 08/18/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Pt experienced dry cough, occasional fever, episodic Diarrhea starting 8/13/2021, and is now admitted to hospital for treatment since 8/17/2021

Other Meds: unknown

Current Illness: none

ID: 1582989
Sex: F
Age: 36
State: TX

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Around three hours post-vaccination, I developed a headache and arm pain at the injection site. As the afternoon progressed, the headache intensified and I became more tired and lethargic, and just not feeling well. Around 9 PM I laid down to try and go to sleep but the severe pain in my arm made it difficult. The pain radiated down to my elbow, up into my armpit, and across my chest. I experienced some chest tightness. The headache remained. All of my joints ached and were painful. I took an epsom salt bath and soaked. I took Tylenol and Bendryl to try and help me sleep. The next day, I feel drained, weak, lethargic, and tired. I still have a headache and don't feel well. It has been over 24 hours since my injection and I still don't feel like myself.

Other Meds: Synthroid 0.075mg, Paroxetine 10mg, Tylenol, Bendaryl (Diphenhydramine)

Current Illness: None

ID: 1582990
Sex: F
Age: 47
State: CO

Vax Date: 07/28/2021
Onset Date: 07/28/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Could not move arm due to pain. Felt like large fluid sac inside a bruise. Extreme pain upon any movement. When walking could feel fluid move upon impact of step. From laying to sitting position painful in arm. Very minor swelling. This pain lasted for a week then a large rash for a week then very itchy for a week.

Other Meds: cortisol shot, aprazolam, zolpoidiem, geodon, melatonin, trazadone, ibuprophen, tylenol.

Current Illness: appendectomy

ID: 1582992
Sex: M
Age: 33
State: WI

Vax Date: 04/15/2021
Onset Date: 08/01/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: Patient lied on intake form and indicated he did not receive previous vaccination. Upon further investigation found pt received JJ on 4/9/21

Other Meds: NONE

Current Illness: NONE

ID: 1582993
Sex: F
Age: 73
State: NE

Vax Date: 08/01/2021
Onset Date: 08/14/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: Eggs Morphine Epinephrine Some sulfa Latex Quinine Surgical tape Piroxicam

Symptom List:

Symptoms: Very tired and Hive on the face first 30 hours. Then developed bad headache, itchy eyes, throat and ears, nasal congestion, body pain, tight chest, sneezing and lots of nasal drainage, bad cough. Very sick Sunday and Monday. Starting to feel a little better on Tuesday. Wednesday still a lot of nasal congestion and coughing.

Other Meds: Prilosec 20 mg twice a day Alprazolam.025 four times a day Fluoxetine 20 mg daily Levothyroxine 125 MCG daily Metoprolol sucanate 25 mg one daily Valsartan 160 mg one daily Centrum vitamin over 50 one daily Extra strength Tylenol Travaprost

Current Illness: None

ID: 1582994
Sex: F
Age: 51
State: GA

Vax Date: 02/06/2021
Onset Date: 07/16/2021
Rec V Date: 08/18/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin; Avelox; Cipro

Symptom List:

Symptoms: Friday July 16, 2021, about 10:30-11:00 pm I started having abdominal pain that radiating through to my back. I could not sleep and was up all night in pain. It felt like I was being sawed in half. At 05:00am Saturday morning I went to the ER, I was given pain medication that did not help with the pain. I had a CT that was "normal". I was discharged home by 10:00am Saturday. Saturday night I started having nausea and vomiting into Sunday morning. My spouse contacted a doctor that suggested I go back to a different ER, which I went to on Sunday 10:00am. At this point I was vomiting blood. I was taken to medical center by ambulance. The CT scan showed pancreatitis. I had labs done showed lipase numbers were high. By 02:00pm Sunday I was admitted to a step-down unit in the hospital. On Tuesday I received an endoscopy to make sure there was nothing else going on in esophagus or stomach. I had a small tear in esophagus that had started to heal itself. My lipase numbers started to come back down. I went home from hospital on Wednesday afternoon. I have not had any symptoms come back since leaving the hospital.

Other Meds: Abilify; Prozac; Levothyroxine; Folic Acid; Prilosec; Adderall; Norco; Humira; Methotrexate

Current Illness: No

ID: 1582995
Sex: F
Age: 30
State: FL

Vax Date: 08/14/2021
Onset Date: 08/15/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Two days the vaccination, patient experienced joint stiffness, tenderness, and soreness. Starting the morning of the third day, patient experienced swelling of the wrist, hands, and fingers with difficulty opening left hand. Patient visited prescriber and was given a toradol injection which didn't ease any symptoms. Prescriber told patient that she may be experiencing reactive arthritis and performed blood work. Starting on the fourth day, symptoms worsened to widespread joint pain, warmth, and swelling (knees and ankles). Patient also is experiencing chest tenderness and difficulty breathing which has improved over the day. Prescriber believes that it is myocarditis with systemic inflammation and prescribed prednisone, which patient is awaiting the fill at the pharmacy.

Other Meds: None

Current Illness: None

ID: 1582996
Sex: F
Age: 66
State: FL

Vax Date: 03/04/2021
Onset Date: 08/16/2021
Rec V Date: 08/18/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: COVID-19 admission complaints of severe abdominal pain 2hrs ago

Other Meds: SIMVASTATIN & LEVOTHYROXINE

Current Illness:

ID: 1582997
Sex: F
Age: 66
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Tingling around lips and on face immediately, headache, stomach pain, chills, nausea. covid arm (1 week later with return of systemic symptoms) with 4" VERY itchy and somewhat painful red rash, brain fog, THis all resolved by March 2. On Aug. 4, I had a sudden tingling face (very similar to after the shot) and then a red rash broke out on my whole body. This all lasted about an hour. Probably not related to shot so far out, but thought I would mention it because I have never had anything like this happen.

Other Meds: Synthroid, calcium, Astragalus, b complex, vitamin D3

Current Illness:

ID: 1582998
Sex: M
Age: 68
State: PA

Vax Date: 04/03/2021
Onset Date: 08/02/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: No Known Allergies

Symptom List:

Symptoms: Cough Fatigue Muscle or body aches Headaches Congestion or runny nose

Other Meds: ACCU-CHEK AVIVA PLUS TEST STRP strip ACCU-CHEK FASTCLIX LANCET DRUM misc atorvastatin (LIPITOR) 40 mg tablet cholecalciferol, vitamin D3, 10 mcg (400 unit) capsule co-enzyme Q-10 50 mg capsule lysine 1,000 mg tablet metFORMIN (GLUCOPHAGE) 5

Current Illness:

ID: 1582999
Sex: F
Age: 37
State: CA

Vax Date: 07/22/2021
Onset Date: 07/26/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: menstral cycle started early...lasted for 165 days

Other Meds: iron

Current Illness:

ID: 1583000
Sex: F
Age: 62
State: AL

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

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

Lab Data:

Allergies: shellfish, cholesterole meds.

Symptom List:

Symptoms: My Left arm has redness going down my arm the pharmacists said it was covid arm

Other Meds: none at time of vaccination

Current Illness: none

ID: 1583001
Sex: F
Age: 55
State: CA

Vax Date: 08/06/2021
Onset Date: 08/08/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: contrast dye, latex

Symptom List:

Symptoms: Sore throat, nausea, headache, body ache, fatigue for first 4 days. On day 3, intermittent shooting pain to left neck, TNJ and ear. On day 11, unilateral weakness of left facial muscles from forehead to platysma, with inability to close left eyelid, tongue deviation to the right.

Other Meds: hydrochlorothiazide-losartan 12.5/50 mg, 1 Tab, PO, Daily; estradiol 0.5 mg oral tablet, 1 Tab, PO, Daily; Toprol XL 25 mg, PO,

Current Illness:

ID: 1583002
Sex: M
Age: 79
State: MT

Vax Date: 02/12/2021
Onset Date: 04/27/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: hydroco/apap tabs

Symptom List:

Symptoms: Vertigo upon rising in the morning. Sitting or standing caused vomiting. Transported by ambulance to ER. Cause was uncertain but dehydration was a possibility. Prior to vertigo, I experienced tinnitus shortly after the 2nd COVID injection. Did not relate to injection at the time so was not reported. Neither tinnitus or vertigo was experienced at any time prior to the injection. Vertigo has not reappeared but tinnitus continues 24 hours a day.

Other Meds: omeprazole, carvedilol, atorvastatin,aspirin, fish oil, fluticasone propionate salmeterol powder, multiple vitamin

Current Illness: none

ID: 1583003
Sex: M
Age: 62
State: CA

Vax Date: 04/12/2021
Onset Date: 07/01/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Adverse event is an continuous drop in Resting Heart Rate (RHR) from historical daily average of 62 bmp to now 46 bpm, and sleeping R.H.R. recorded at 42-40 bpm. (1) Primary Care Physician Office Visit on 8/13/21 recorded a finger pulse rate of 43 bpm . PCP has referred me to a Cardiologist pending (2) Microlife Blood Pressure Monitor recording & stored readings: 3/24/21 = 60 bpm ; 5/9/21 = 63 bpm ; June no reading ; July 7/6 thru 7/15 reading averaged 51 - 54 bmp ; 7/19 = 45 bmp ; 7/20 thru 8/17 ranged 43, 44, 45 bmp (3) Fitbit 4 reading: between 8/8/21 - 8/18-21 records R.H.R. of 46-47 bpm. Sleeping RHR recorded between 42-40 bpm.

Other Meds: Prescription: Losartan Potassium 50 mg Tablet - 1 time a day O-T-C : One A Day Men's 50+ Multivitamin / Multimineral Supplement

Current Illness: None

ID: 1583004
Sex: F
Age: 58
State: TX

Vax Date: 06/15/2021
Onset Date: 06/30/2021
Rec V Date: 08/18/2021
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Symptom List:

Symptoms: painful tongue, dizziness, joint pain, headache

Other Meds:

Current Illness:

ID: 1583005
Sex: F
Age: 65
State: PA

Vax Date: 03/24/2021
Onset Date: 08/11/2021
Rec V Date: 08/18/2021
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Allergies: No Known Allergies

Symptom List:

Symptoms: Cough Fever

Other Meds: b complex vitamins capsule betamethasone valerate (VALISONE) 0.1 % lotion calcium carbonate/vitamin D3 (CALCIUM 500 + D ORAL) clopidogreL (PLAVIX) 75 mg tablet estradioL (ESTRACE) 0.01 % (0.1 mg/gram) vaginal cream pantoprazole (PROTONIX) 4

Current Illness:

ID: 1583006
Sex: F
Age: 56
State: MN

Vax Date: 03/11/2021
Onset Date: 04/05/2021
Rec V Date: 08/18/2021
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Allergies: Ace inhibitors, Lisinopril

Symptom List:

Symptoms: 2nd shot Pfizer EW 0151 in L arm received at same place 4/2/21. I RECALL that significant hear palpitations began about this time and coincidentally my thyroid levels spiked within the month, so discussions began and weaned off methimazole, but levels came down dramatically and are now very lowest normal level. Still significant PVC's. Getting workup, Holter monitor shows > 1000 PVC per 24 hours (on a slow day)! I am an experienced RN also, very weird my issues coincided with 2nd shot? "They" scheduled me for the second vaccine 4/2, 3 weeks after first vaccine. Could that have been a problem too? I am reporting this as an FYI, not as a KNOWN adverse event from the vaccine.

Other Meds: Methimazole, Glucosamine Chondroitin with MSM, Multi vitamin, Vit D, Meloxicam, Valsartan Hydrochlorothiazide, Fexofenadine, lamotrigine 25 mg (depression), deslafexine, acetaminophen

Current Illness: no

ID: 1583007
Sex: M
Age: 81
State: AR

Vax Date: 03/10/2021
Onset Date: 08/13/2021
Rec V Date: 08/18/2021
Hospital: Y

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Allergies: No known allergies

Symptom List:

Symptoms: Hospitalization with Covid after being fully vaccinated

Other Meds: unknown

Current Illness: unknown

ID: 1583008
Sex: M
Age: 48
State: NC

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 08/18/2021
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Allergies: None

Symptom List:

Symptoms: Almost exactly 24 hours after 2nd shot, heart rate spiked at around 160 bpm without strenuous activity. Heart rate dropped to a lower, but elevated rate for the remainder of the day. Normal heart rate after the following nights sleep.

Other Meds: Aller-tec(Zyrtec)

Current Illness: None

ID: 1583009
Sex: M
Age: 14
State: TX

Vax Date: 08/17/2021
Onset Date: 08/17/2021
Rec V Date: 08/18/2021
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Symptoms: pt states numbness around vaccine site

Other Meds:

Current Illness:

ID: 1583010
Sex: F
Age: 27
State: ID

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 08/18/2021
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Allergies: None

Symptom List:

Symptoms: I went to the doctor for abdominal pain that started around the time of the shot. Every time I went in they noticed that my heart rate was really high. This summer they diagnosed me with Postural orthostatic tachycardia syndrome (POTS). And they have not figured out why I have it yet. They think I might have had COVID before getting the vaccine. For treatment they gave me lots of electrolytes for hydration. They think I might have POTS before getting the vaccine.

Other Meds: Birth control

Current Illness: None

Date Died: 07/29/2021

ID: 1583011
Sex: F
Age: 78
State: WA

Vax Date: 03/03/2021
Onset Date: 06/11/2021
Rec V Date: 08/18/2021
Hospital: Y

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Allergies: UNK

Symptom List:

Symptoms: Associated with a LTC facility. experienced dyspnea, cough, wheezing and fever Hospitalized

Other Meds: unnamed chemotherapy

Current Illness: UNK

ID: 1583012
Sex: F
Age: 35
State: NC

Vax Date: 03/26/2021
Onset Date: 04/18/2021
Rec V Date: 08/18/2021
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Allergies: Betadine, iodine, Lamictal, Geodon, Tegretol, Lactose intolerant

Symptom List:

Symptoms: My first night after being inoculated with the second vaccine, I developed bone pain from my iliac crest in each hip all the way to my ankles. I also developed daily migraines as a result. I have had migraines in the past, but they were wholly controlled. Now, I have to take medication 3x/day. The medication makes me nauseous and sleepy, so it is difficult to do my daily chores and drive as I don't feel alert. My PCP dismissed me beyond giving me the pain gel. The PA neurologist referred me to a pain clinic. Overall I feel lethargic and nauseous due to the additional medications. I'm also in more pain, above and beyond my baseline pain. I also don't drive very often because I am in pain and feel so lethargic. Overall my activities of daily living have declined as I am always in pain.

Other Meds: Fanapt 8mg BID, Divalproex Sodium DR 500mg TID, Methylphenidate ER 20mg TID, Ketoconazole 2% shampoo (for seborrheic dermatitis), Pregabalin 100mg TID, Albuterol Sulfate inhaler with spacer, Diazepam 5mg TID; 7.5mg @hs. New Rx's since adve

Current Illness: None

ID: 1583013
Sex: F
Age: 67
State: NY

Vax Date: 02/08/2021
Onset Date: 03/19/2021
Rec V Date: 08/18/2021
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Allergies: none

Symptom List:

Symptoms: trouble breathing

Other Meds: synthroid cytomel lumigan

Current Illness: none

ID: 1583014
Sex: F
Age: 42
State: AZ

Vax Date: 08/15/2021
Onset Date: 08/15/2021
Rec V Date: 08/18/2021
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Allergies: none

Symptom List:

Symptoms: Patient stated after the 2nd dose that she had the J and J vaccine in the past. She said she wanted to get this vaccine since she felt that the J and J did not work for her. She informed us after she got the 2 nd dose.

Other Meds: none

Current Illness: none

ID: 1583015
Sex: F
Age: 52
State: TX

Vax Date: 02/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/18/2021
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Allergies: Penicillin

Symptom List:

Symptoms: On 08/10/2021 Tested positive for COVID-19. Began with lose of taste/smell, chills, congestion, fever, drainage, headache and fatigue. Dr called in Zpac and taking Tylenol every 6 hours.

Other Meds: I take Amour Thyroid meds; Loratadine.

Current Illness: none

ID: 1583016
Sex: M
Age: 68
State: TX

Vax Date: 02/11/2021
Onset Date: 02/01/2021
Rec V Date: 08/18/2021
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Symptoms: Sore arm: I could barely lift it. I experienced a lot of pain in my arm whenever I lifted, moved, or raised it up. I feel a deep muscle pain in my left arm. When I had a follow-up in regards to my laceration from another injury, I brought up my sore arm with my doctor. My doctor recommended me to do stretches and arm lifts.

Other Meds:

Current Illness:

ID: 1583017
Sex: M
Age: 25
State: TX

Vax Date: 08/12/2021
Onset Date: 08/14/2021
Rec V Date: 08/18/2021
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Allergies: none

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Symptoms: Covid symptomps within 2 days, positive test for covid 4 days later.

Other Meds: none

Current Illness: none

ID: 1583018
Sex: M
Age: 16
State: CA

Vax Date: 08/06/2021
Onset Date: 08/09/2021
Rec V Date: 08/18/2021
Hospital: Y

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Allergies: Amoxicillin-hives

Symptom List:

Symptoms: 16 Y 8 M male who presents with chest pain and found to have elevated Troponin I. Pt previously healthy male who received his second Pfizer COVID-19 vaccine dose on 8/6. He began having some intermittent chest pain/pressure yesterday, sometimes radiating to the back. The pain continued and progressed to include shortness of breath with exertion, particularly with stairs (after 2 steps). He was able to go to school but looked unwell so his mom brought him into the ED for evaluation. There he had an elevated troponin of 30 and EKG changes (diffuse ST elevation) consistent with pericarditis. During the time that he was waiting to be evaluated, his pain resolved. Pt with Pfizer COVID-19 vaccine induced myopericarditis. He was monitored for a few days in the ICU given risk for decompensation. Subsequently transferred to the floor given asymptomatic and troponin downtrending. Echo and EKG both unremarkable. Treated with ibuprofen and pepcid and plan to continue for 2 weeks. On discharge patient is hemodynamically stable, tolerating PO, saturating well on room air, without cardiopulmonary symptoms. Troponin down trended and is <1. Follow up with cardiology outpatient.

Other Meds: Selenium Sulfide 2.5% Top Lotion

Current Illness: None

ID: 1583019
Sex: F
Age: 57
State: SD

Vax Date: 01/08/2021
Onset Date: 08/17/2021
Rec V Date: 08/18/2021
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Allergies: Statins, Sulfa, hay fever, contact dermatits

Symptom List:

Symptoms: 12/18/20 Covid Pfizer 1/8/21 Covid Pfizer 8/7-8/13 Travel to Montana, family reunion 8/12 + Covid exposure to Sister in law 8/17 ill, tested +Covid, PCR 8/28 potential to RTW

Other Meds: Prozac, Levothyroxine, Zetia

Current Illness: none

ID: 1583021
Sex: F
Age: 53
State: TX

Vax Date: 08/08/2021
Onset Date: 08/09/2021
Rec V Date: 08/18/2021
Hospital:

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Allergies: Penicillin

Symptom List:

Symptoms: Enlarged lymph node (size of a plum) under left arm. The site of the vaccination was on the left arm.

Other Meds: Vitamin D

Current Illness: N/a

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm