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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






Manufacturers

Total Manufacturer

Incidents per State

State Total
28,193
AK1,084
AL2,357
AR1,552
AS31
AZ7,318
CA28,113
CO5,391
CT3,688
DC679
DE742
FL15,245
FM3
GA6,071
GU48
HI1,016
IA2,291
ID1,259
IL9,099
IN13,937
KS2,303
KY3,047
LA2,084
MA6,618
MD5,716
ME1,479
MH5
MI8,186
MN5,591
MO4,444
MP10
MS1,192
MT1,264
NC7,310
ND661
NE1,480
NH1,554
NJ7,347
NM1,943
NV1,714
NY15,329
OH9,083
OK2,500
OR3,708
PA9,656
PR1,070
QM1
RI1,028
SC2,716
SD664
TN3,894
TX15,169
UT2,152
VA6,860
VI22
VT887
WA6,284
WI5,307
WV1,172
WY426
XB4
XL1
XV1

ID: 1002659
Sex: F
Age: 63
State: MN

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Left arm tingling a small amount after 5 minutes but not bad... pain the next day at injection site. Pain has continued every day. and still aches 3 weeks after shot

Other Meds: Chlorthalidone Synthroid

Current Illness:

ID: 1002660
Sex: F
Age: 46
State: WI

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

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

Lab Data:

Allergies: nut sensitivity, ragweed, dust and grass allergy Dycloxycillin

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA 2/2/2021- starting 2 hours after injection= injection site tenderness (5/10), mild swelling of injection site with warmth. fatigue and body aches (mild/moderate) 2/3/2021- continued symptoms of above 2/4/2021- very mild tenderness to injection site if touched, other symptoms gone

Other Meds: multi vitamin, vitamin D supplement and turmeric 500 mg daily

Current Illness: none

ID: 1002661
Sex: F
Age: 78
State: CT

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

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

Lab Data:

Allergies: none reported

Symptom List:

Symptoms: Patient complained of headache, lightheadedness and anxiety. Observation awake, alert and anxious. No wheezing. Initial blood pressure was 190/100 pulse 92 . Lungs clear. After 5 minutes of observation symptoms unchanged. 170/90 pulse 90 . Extra systoles on pulse palpation. Administered 12.5 mgs Benadryl p.o.. No change in symptoms, no further improvement in blood pressure and pulse. Patient remained anxious, lives alone, transported patient to emergency room.

Other Meds: Synthroid anti-hypertension statin multivitiamin

Current Illness: none reported. Asked if history of Covid19

ID: 1002662
Sex: F
Age: 93
State: IN

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe diarrhea and dry heaves about 22 hours after second Pfizer vaccine. Lasted for approximately 3 hours. Slowly gaining strength back 48 hours after shot.

Other Meds: Tylenol ES 500mg Calcium 500 mg w/Vit D Cymbalta 30 mg Diltiazem ER 180 mg Prosight Tablet Warferin Sodium 4 mg Metoprolol Succ ER 50 mg Furosemide 40m Docusate Sodium

Current Illness: None

ID: 1002663
Sex: F
Age: 45
State: MI

Vax Date: 01/23/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: Vicodin

Symptom List:

Symptoms: Redness, swelling, itchy circle

Other Meds: Breo Ellipta ProAir

Current Illness:

ID: 1002664
Sex: F
Age: 39
State: KS

Vax Date: 01/28/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: Gummy vitamins, some off brands of Simvastatin, Oxycontin

Symptom List:

Symptoms: Temp of 100.8 night after vaccination, rash at site of vaccination two days later, and hives across entire body 6 days after vaccine. I took Benadryl for the hives.

Other Meds: Buspirone, Blisovi Fe, Metformin, Ozempic, Simvastatin, Vanlafaxine

Current Illness: None

ID: 1002665
Sex: M
Age: 65
State:

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Two hours post shot patient began experiencing chest pain, presented to ED and had a troponing of 0.7, started on heparin infusion and taken to cath lab where received complex PCI to prox LAD lesion as well as distal LAD lesion

Other Meds:

Current Illness:

ID: 1002666
Sex: F
Age: 51
State: IN

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

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

Lab Data:

Allergies: Contact cold medicine, very low tolerance to any type of pain medication, codiene, flexaril, etc

Symptom List:

Symptoms: Roughly three hours after receiving the 2nd covid vaccine (Moderna) my symptoms started. My left arm was painful to touch, could not put any pressure on left hand at all. I became dizzy. My whole body began to ache to the point of having a difficult moving around.

Other Meds: Bupropion HCL, Buspirone HCL, Duloxetine HCL, Naproxsan

Current Illness: none

ID: 1002667
Sex: M
Age: 39
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The patient received his vaccine on Tuesday, 2/2/21. The patient did not complain of any ADRs or fever immediately following the injection. However, the next day he had a temperature of 100.2 F. Since the patient was febrile, he was given rapid COVID tests, which was negative. Patient received acetaminophen. He was not in distress. He had no complaints otherwise.

Other Meds:

Current Illness:

ID: 1002668
Sex: M
Age: 71
State: SC

Vax Date: 01/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: strong flu like symptoms: all over body ache (muscle, teeth, everywhere), moderate chills, mild headache. I treated symptoms with Tylenol (2 capsules every 4 hours) and the symptoms began to weaken after a couple of hours.

Other Meds: simivistatin 40 mg, diltiazem 250mg, fish oil pill supplement, potassium pill supplement, B-6 pill supplement,, magnesium pill supplement

Current Illness: none

ID: 1002669
Sex: F
Age: 47
State: IN

Vax Date: 02/02/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List:

Symptoms: chills, headache, nausea,.2/2 headache on 2/2 sent me to hospital er on 2/3 they gave me tylenol,benadryl,toradol,and compazine,after headacvhe eased sent me home went to bed and didn,t wake till noon on 2/4 at time of this report I was still felling hazy and shacky hopefully feel better tomorrow

Other Meds: Gabapentin, Topamax, Xyrem, Paxil, Paroxetine, Vitamin D3, Adderall, Sumatriptan

Current Illness: depression,narcolepsy,gerd,asthma

ID: 1002670
Sex: F
Age: 74
State: VA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: PATIENT CALLED ME RETROSPECTIVELY TO INFORM ME SHE HAD EXPERIENCED TEMPATURES RANGING FROM 99 TO 101 DEGREES FAHRENHEIT FOR 6 DAYS CONSECUTIVELY STARTING WITHIN HOURS FOLLOWING THE MODERNA VACCINATION. THIS WAS THE FIRST DOSE IN THE TWO DOSE SERIES.

Other Meds: N/A

Current Illness: NONE

ID: 1002671
Sex: F
Age: 71
State: WA

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: seasonal allergies

Symptom List:

Symptoms: 2/2/21 Slight arm discomfort - went away after an hour. Face became red, blotchy and itchy in afternoon. Took benedry tablets and allegra cream. 2/3/21 woke up with puffy face. Still had redness and itchy. Contacted nurse association suggested fill out this form and contact my doctor. my doctor said go to urgent care clinic. I decided to call my dermatologist who I will meet with today. Note: Not sure if this is reaction to vaccination - I have never had an adverse reaction to taking any type of vaccine.

Other Meds: Simivastatin, losartin, metrodazole, aspirin 81

Current Illness: None

ID: 1002672
Sex: F
Age: 51
State: CA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever, chills, nausea, vomiting, muscle and joint pain, fatigue first 48hrs. Total fatigue and weakness 96hrs.

Other Meds:

Current Illness:

ID: 1002673
Sex: M
Age: 58
State: NJ

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 102.7 fever 2 days. Flu symptoms severe.

Other Meds: None

Current Illness: None

ID: 1002674
Sex: F
Age: 33
State: MN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: Diphenhydramine.

Symptom List:

Symptoms: I had severe fatigue and exhaustion causing me to sleep for 20 hours.

Other Meds: prenatal vitamins, Celexa, Magnesium, Vitamin D and a B-12 supplement.

Current Illness: No

ID: 1002675
Sex: F
Age: 27
State: MD

Vax Date: 01/08/2021
Onset Date: 01/13/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Scattered Diffuse erythematous plaques ~ 5 days after receiving second Pfizer vaccine + with systemic body aches. Treated with topic steroid and PO steroids

Other Meds:

Current Illness:

ID: 1002676
Sex: F
Age: 43
State: MO

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: Cat allergy

Symptom List:

Symptoms: Within 2 mins of shot: Tachycardia, dizziness, some mild shortness of breath/chest tightening, reddening of face/chest (and strange almost metallic taste in mouth). The metallic taste subsided quickly (within 2 mins) tachycardia subsided quickly (within 5-10min), and I felt dizzy for approx 30mins (the skin on my chest still looks slightly red approx 2 hours later). The next day/morning I awoke with slightly puffy/swollen face and upper lip lightly swollen/tingly

Other Meds: Vitamin D3 3,000 IUs/day Vitamin C 500mg 1x/day Iron/Ferrous Sulfate 45mg 3x/week Ibuprofen PRN

Current Illness: None

ID: 1002677
Sex: F
Age: 49
State: AZ

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

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

Lab Data:

Allergies: Levaquin

Symptom List:

Symptoms: Feeling like I have a bad cold. Exhausted, headache, lethargic, stomach ache, no fever. Started the morning after I received the first vaccine

Other Meds: Metformin, Latuda, lamictal, synthroid, advair, melatonin, Allegra, Hizentra

Current Illness: None

ID: 1002678
Sex: F
Age: 49
State: NJ

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: Seasonal, shellfish, mushrooms, peanuts, honey, iodine, latex, aspirin, penicillin, sulfa, sulfites, erythromycin

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA: Vaccine recipient reported that on 1/28/2021 they developed chest tightness, chest pain, shortness of breath and mental fogginess about 10 minutes after the vaccine was administered. She was sent to the ED for evaluation. By the time she reached the ED, her symptoms resolved. Experienced unusual back/chest pain that resolved in <4 hours. She reports she did not have these symptoms after her 1st vaccine dose. She reported that the EKG was done and it was okay. Her lungs sounded okay. She was then discharged to home. On a follow up call she reported that she has chest tightness that lasted overnight.

Other Meds: Gabapentin, nortriptyline, vitamin b12, Singulair, Pepcid, azelastine drops, omeprazole, albuterol inhaler

Current Illness: none

ID: 1002679
Sex: F
Age: 71
State: FL

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: First 3 days swollen and sore, and got better. BUT on 8th day a rash developed, swollen, hot and itchy. It is now exactly 2 weeks since the vaccine and it?s not better . I was given the vaccine in my left arm because the pharmacist told me it was protocol from the CDC. I had 11 lymph nodes removed in that arm in 1995 and wanted the right arm. He did say that if I insisted, he would redo the paperwork, so I reluctantly accepted. The left. I went to see my physician today and he told me not to take the second dose.

Other Meds: Vitamin D Turmeric

Current Illness: None

ID: 1002680
Sex: F
Age: 36
State: MS

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: sulfur drugs, Claritin, and latex

Symptom List:

Symptoms: Left and right side of neck up to the ear area was numb for several days. Developed a itchy rash on neck and notice skin peeling on ears.

Other Meds: Multi vitamins

Current Illness: hbp

ID: 1002681
Sex: M
Age: 53
State: GA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/04/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: axillary adenopathy, fever , chills, flank pain, desaturation of oxygen , lethargy

Other Meds:

Current Illness: unknown Diabetes Mellitus

ID: 1002682
Sex: F
Age: 56
State: NY

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: bee stings

Symptom List:

Symptoms: 1/4 vaccination. About 1 later, I had severe and weird sensation. Look at self in mirror, severely red, flushed. Itching back of throat, felt allergic reaction. Itching, coughing, first hour. Then pain over whole body, HA, nausea, diarrhea. 'felt like hit by a wall, severe HA'. Took benadryl and tylenol. Intense for 4 days, 'living off of benadryl'. The muscle and joint pain continued, nausea and diarrhea. By sat, I could finally eat. Sunday I could move again. But if I did anything, was hard to catch my breath with any exertion.

Other Meds: metformin, locinapril, multivitamin, probiotics

Current Illness: n/a

ID: 1002683
Sex: M
Age: 80
State: MD

Vax Date: 01/19/2021
Onset Date: 01/22/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: Statins - severe muscle aches

Symptom List:

Symptoms: Arm a little sore at site but nothing out of the ordinary, then about 3 days later increased soreness and redness. As of this date, pain somewhat improved but redness is about 5-6 inches. Looks like an "ink spill". Denies accompanying fever, swelling, or chills. Denies ever having any adverse reaction following a vaccination other than mildly sore arm. Reporter recommended consultation with his PCP to assess arm as well as advise on whether to receive 2nd COVID vaccine.

Other Meds: Praluent Injection every 2 weeks Gabapentin Amlodipine Vesicare Metoprolol Benzapril Metformin Nexium Tylenol Fish Oil Vitamin D Flax Seed Oil Glucosamine

Current Illness: Newly diagnosed Type 2 diabetic

ID: 1002684
Sex: M
Age: 37
State: TX

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: He was given Moderna instead of Pfizer. His first dose was given 1/14/2021 of Pfizer Lot EL3249. He had left his card at home and documentation was not available at time of administration.

Other Meds: None

Current Illness: None

ID: 1002685
Sex: F
Age: 71
State: MI

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: Clindamyacin

Symptom List:

Symptoms: Eye twitch with visual shaking Migraine headache

Other Meds: Flonase

Current Illness: None

ID: 1002686
Sex: M
Age: 56
State: WI

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Patient has pre-existing arthritis. Patient noticed significant augmentation of joint pain symptoms starting two days after vaccination. Augmentation of joint pain symptoms has remained the same or increased in the (2) weeks following. Symptoms are interfering with work and daily activities.

Other Meds:

Current Illness: No

ID: 1002687
Sex: F
Age: 20
State: CO

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Ongoing chills, nausea, diarrhea, fatigue and malaise. On the 7th day after the vaccine was administered, the patient also developed injection site erythema, swelling and tenderness; left supraclavicular and left axillary lymphadenopathy outcome pending

Other Meds: Yaz 3 mg -0.02 mg tab

Current Illness: none

ID: 1002688
Sex: F
Age: 76
State:

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: Prednisone, morphine, naproxen, pollen extract, Flonase, etodolac

Symptom List:

Symptoms: Evening of vaccine patient felt chills that lasted through out the night. Patient got up Sunday morning and passed out, fell to floor. Patient reports that once she woke up it was about 15 mins before she could get off the floor. All day Sunday felt very fatigued and rested. Then felt "foggy" on Monday.

Other Meds:

Current Illness: NA

ID: 1002689
Sex: F
Age: 37
State: WI

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Starting morning after immunization, left arm began feeling hard, red, swollen, "feels like there's a baseball under my skin". Patient has been taking acetaminophen, ibuprofen, aspirin around the clock, thus is unaware if she has a fever. Patient states she thinks she has cellulitis. Symptoms continue to worsen. Patient will seek medical care tomorrow (2/5/21).

Other Meds:

Current Illness:

ID: 1002690
Sex: F
Age: 84
State: IN

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: UTI symptoms burning when urinating.

Other Meds: Blood pressure medicine Sprycel Ocuvite D3

Current Illness: High blood pressure Low blood ( taking weekly shots to increase blood level) Kidney stage 3

ID: 1002691
Sex: M
Age: 84
State: FL

Vax Date: 01/28/2021
Onset Date: 01/31/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Woke up about 2:30 AM with uncontrollability with bowels and urinary. Black ink like stoll. Chills and Sweating, Joint and Bone pain. Dizziness on arising, unsteady in Walking. Lasted for 2 days before subsiding. Still remain weak on 2//4/2021. Second shot due on 2/16/2021 Same Faculty.

Other Meds: finasteride 5 mg tabletTRELEGY ELLIPTA 100-62.5-25 mcg,, omeprazole 20 mg capsule, fluticasone-salmeterol 100-50 mcg/dose, tiotropium 18 mcg inhalation capsule, albuterol HFA 90 mcg/actuation inhaler, tamsulosin 0.4 mg, diclofenac 1 % topic

Current Illness: COPD, High Blood Pressure

ID: 1002692
Sex: F
Age: 18
State: OR

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: 11:40 Vasovagal response-fainted. VS: 107/72, HR 65 , RR 16, O2 100%. Laid down. juice, water and ice packs offered. Patient left observation area with her mom at 11:50.

Other Meds: Unknown

Current Illness: Unknown

ID: 1002693
Sex: F
Age: 75
State: WA

Vax Date: 01/28/2021
Onset Date: 01/31/2021
Rec V Date: 02/04/2021
Hospital: Y

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

Lab Data:

Allergies: Eggs- unknown reaction Shellfish- anaphylaxis

Symptom List:

Symptoms: Sudden onset of left arm heaviness and problems working 3rd and 5th digits of left hand. Admitted overnight for suspected TIA. MRI subsequently confirmed acute to subacute right frontoparietal infarct

Other Meds: Unknown

Current Illness: Unknown

ID: 1002694
Sex: F
Age: 36
State: MN

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: Sulfa nitrofurantoin flonase

Symptom List:

Symptoms: On 2/2, my whole body was heavy and I felt tired. I had occasional brain zaps. I felt hot. On 2/3, I felt better during daytime, but then at night developed abdominal pain. I woke up in the middle of the night and had diarrhea throughout the night. I had a total of 3 episodes of explosive diarrhea. Nausea, dizziness, weakness, low grade temp. I went to urgent care on the morning of 2/4. I was told my symptoms are likely adverse effect of the vaccine.

Other Meds: None

Current Illness: None

ID: 1002695
Sex: M
Age: 20
State: MI

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Wrong drug / manufacturer given. Staff member received first dose of Phizer vaccine. Then was scheduled for Moderna vaccine on 1/31/21 and he received it. After vaccine administration, it was noted that he had received two different vaccines.

Other Meds:

Current Illness:

ID: 1002696
Sex: F
Age: 84
State: IN

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chills, weakness, light headed, slight nausea , slight arm pain at injection sight. Only treatment was go to bed

Other Meds: Prednisone, methotrexate , vitamin D, juice plus, elderberry syrup,

Current Illness:

ID: 1002697
Sex: F
Age: 61
State: VA

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: sensitive to epinephrine (shaky)

Symptom List:

Symptoms: 1/30/21: "whoosh-like" dizzy spell and nauseous at 8AM, okay during the rest of the day, then very dizzy, nauseous (vomiting with the dizziness at 10 PM for about one hour), continued dizziness and nausea throughout the night and through the next day 1/31/21: continued light dizziness and light nausea throughout the day (rested at home) -- a bit weak and a bit fatigued 2/1/21 - 2/2/21: light-headed, a bit woozy, a bit weak, and a bit fatigued (rested at home) 2/3/21 - 2/4/21: feeling much better but still a tiny bit woozy/light-headed (resumed normal activities but careful about balance)

Other Meds: As needed: Advil, Tylenol Daily: multivitamin, vitamin D3 - 50mcg, vitamin C - 250 mg Sometimes: horsetail herbal supplement - 500 mg

Current Illness: none (Shingles vaccine, first dose, November 2020)

ID: 1002698
Sex: F
Age: 72
State: TX

Vax Date: 01/20/2021
Onset Date: 01/30/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: 10 days after vaccination, injection site became itchy, red, swollen and hard. 7.5cm x 5cm. Headache and slept most of the time for the next 4 days.

Other Meds: Hydrochlorothiazide, rosuvastatin, venlafaxine, levothyroxine

Current Illness: None

ID: 1002699
Sex: M
Age: 35
State: AK

Vax Date: 01/29/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: Denies

Symptom List:

Symptoms: Bell?s palsy

Other Meds: None

Current Illness: None

ID: 1002700
Sex: F
Age: 83
State: CO

Vax Date: 01/22/2021
Onset Date: 01/27/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: PCN--oxycodone-tape-keflex

Symptom List:

Symptoms: 5 days after the shot the left arm was hot and swollen and had a red ring about 5 inches around Saw my PCP-thought it was infected-gave me antibiotic and steroid cream

Other Meds: ASA 325mg--clopidogril75mg--dexilant30mg--d0fetilide125mcg--levothyroxin50mcg--lisinopril10mg--metoprolol10mg--potassium--repatha140mg

Current Illness: none

ID: 1002701
Sex: F
Age: 73
State: CO

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

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

Lab Data:

Allergies: Contrast dy

Symptom List:

Symptoms: As soon as I got the shot I felt ?strange? . all over. We waited a bit and then the nurse took my BP. It was sky high. 210/180 They took it a couple of times and even changed machines. Then the took me in a wheelchair to the ER. On the way I could not answer some questions or my answers were slow. According to my husband I slumped a bit. And answered questions in my native tongue. In the room they did all kinds of tests. BP was still high, but came down . After a few hours my ?fog? in my head cleared and I felt ? normal ? again. They let me go around 11 pm. The doctor said it was NOT the vaccine, but I disagree with her. I felt good till I got the shot. She says I had a syncope vasovagal. But that occurs with low BP. I had high BP.

Other Meds: GinkgoBiloba 120ml; Vitamin D-3; Lutin&Zeaxantin; Omeprazole

Current Illness: hypertension Parkinson

ID: 1002702
Sex: F
Age: 59
State: SD

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: Bad muscle aches fever and soreness plus headache

Other Meds: none

Current Illness: none

ID: 1002703
Sex: F
Age: 50
State: TN

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Red, and itchiness noted to injection site first 24-48 hours. 7 days later, raised, reddened area (length of emp index finger) noted.

Other Meds:

Current Illness:

ID: 1002704
Sex: F
Age: 68
State: WA

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

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

Lab Data:

Allergies: sulfa, corn, doxycycline, penicillin, erythromycin

Symptom List:

Symptoms: Patient called into PCP office reporting red rash surrounding her mouth, extending to her chin and down her neck. Patient also described throat as "scratchy".

Other Meds:

Current Illness:

ID: 1002705
Sex: F
Age: 33
State: OR

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: Extreme fatigue for 24 hrs, moderate fatigue for 4 days after. Body aches from head to toe for 24 hrs. Sharp stabbing pain throughout body intermittently for 24 hours. joint pain for 24 hrs. Nausea for 4 hours. Headache for 24 hours.

Other Meds: NONE

Current Illness: NONE

ID: 1002706
Sex: F
Age: 27
State: NJ

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Vaccine recipient reported that after their 1st dose of Moderna, a week later they developed a site reaction on their left arm. Patient experienced contact dermatitis following vaccination. The area was hard, red, swollen and warm to touch. She also developed a small rash her on chest. On a follow up call on 2/2/2021 - Still has symptom; spreads if scratched and makes contact with another part of her body. Prescribed oral steroids.

Other Meds: Vitamin D, multivitamin , vitamin C, zinc

Current Illness: None

ID: 1002707
Sex: F
Age: 33
State: CT

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

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

Lab Data:

Allergies: Azithromycin (Hives)

Symptom List:

Symptoms: Patient reported generalized urticaria and b/l orbital swelling >24 hours after 1st dose, no systemic effects. Seen by allergist and cleared to receive 2nd dose, advised to take cetirizine 10 mg twice daily starting 2/3. Received vaccination under close observation by clinic staff, reported about 10-15 minutes later the following symptoms: foggy/spacey, itchy (tongue, oral mucosa, posterior pharyngeal), increased saliva output, throat clearing, new globus sensation, & bilateral tingling. RN administered epinephrine 0.3 mg IM x 1 dose, IV line w/ normal saline @ 125 mL/hr, EMS called and patient transported to ED for further observation.

Other Meds: Cetirizine 10 mg twice daily since 2/3/2021, hydroxyzine 25 mg every 4 hours PRN, albuterol inhaler PRN, advair hfa 230-21 twice daily, montelukast 10 mg nightly

Current Illness:

ID: 1002708
Sex: F
Age: 52
State: VT

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Left arm "killing me", Chills, headache, myalgia, fatigue, nausea

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 279,999

Page last modified: 03 October 2021 5:28pm