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
63,479
AK1,562
AL4,914
AR3,110
AS44
AZ12,730
CA54,886
CO10,464
CT7,347
DC1,568
DE1,561
FL33,514
FM3
GA12,508
GU74
HI2,078
IA4,130
ID2,361
IL18,091
IN22,023
KS4,061
KY6,276
LA4,395
MA13,121
MD11,272
ME2,858
MH8
MI16,697
MN10,689
MO8,360
MP30
MS2,487
MT2,035
NC14,437
ND1,184
NE2,562
NH2,717
NJ16,033
NM3,532
NV3,784
NY30,921
OH17,029
OK5,673
OR7,479
PA21,111
PR1,959
QM2
RI1,833
SC5,601
SD1,087
TN8,048
TX31,896
UT3,791
VA13,180
VI48
VT1,592
WA13,026
WI9,856
WV2,120
WY754
XB5
XL1
XV2

ID: 1063097
Sex: M
Age: 63
State: LA

Vax Date: 02/13/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Rash on the upper left arm around injection. Red, warm slightly itchy.

Other Meds: Toujeo Metformin Avastatin 81mg aspirin Fish oil

Current Illness: None

ID: 1063098
Sex: F
Age: 56
State: IL

Vax Date: 02/03/2021
Onset Date: 02/09/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: On February 9, my right arm began to itch and when I went home at lunch, I looked and there was a small rash forming. On February 10, the rash was larger, so I went to my workplace walk-in clinic. They suggested Benadryl, Zyrtec, and prescribed an antibiotic. The rash got larger - almost from my shoulder to elbow. After 3 - 4 days, the rash started to go away. My skin was yellowish for 3 - 4 more days before it finally cleared to normal around February 17, 2021. On February 19, I woke up and had a rash over my entire body with the exception of where the earlier rash was on my right arm. That spot was perfectly clear. About 2:00 I went to Urgent Care. I received a steroid injection, was prescribed prednisone and levocetirizine and told to take Benadryl, soak in oatmeal baths and use Aveeno lotion. MD said it was hives. It worsened Sunday, February 20, and then gradually began to fade Monday and through the week. Today, March 1, 2021, I still have splotches on my skin but it is mostly clear.

Other Meds: None

Current Illness: None

ID: 1063099
Sex: M
Age: 23
State: MS

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

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Patient fainted post injection. He stated that he had anxiety and felt like his blood sugar might have dropped. EMTs checked him over and patient declined treatment.

Other Meds: NA

Current Illness: NA

ID: 1063100
Sex: F
Age: 70
State: FL

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Day after vaccine L arm red, swollen, and itchy at the injection site and mild achiness. Third day post vaccine I had hives. Took benedryl as had been recommended through out the day.

Other Meds: Ursodiol. Escitalopram. Biotin Hydroxyzine multivitamin CoQ10 Sucralfate. Calcium Trazadone. Vit E Premprexidol. Vit D3

Current Illness:

ID: 1063101
Sex: M
Age: 63
State: MN

Vax Date: 02/03/2021
Onset Date: 02/16/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: No allergies

Symptom List:

Symptoms: Diagnosed with Bells Palsy

Other Meds: Metformin; Victoza. lisinopril; lasix; farxig a; Lipitor

Current Illness:

ID: 1063102
Sex: F
Age: 32
State: MI

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Sore arm, fever of 100.0

Other Meds: None

Current Illness: None

ID: 1063103
Sex: F
Age: 53
State: WI

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: demurral, vancomycin, codeine

Symptom List:

Symptoms: Nausea, chills, vertigo, tired, rash over body developed two days after vaccine

Other Meds: Allegra, 81 mg aspirin, D3, multi vitamin, vitamin C, Zinc, montelukast, verapamil, probiotic, spironolactone

Current Illness:

ID: 1063104
Sex: F
Age: 76
State: CA

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Augmentin pill (rash), Sulfa drug (? childhood note), ciprio (dizziness)

Symptom List:

Symptoms: Initial day not problematic. On the 8th day I developed a 2 inch oval spot of redness at the injection site, plus heat and itching , swellling and soreness. This all dissapated after 4 more days.

Other Meds: Levothyroxin, Metformin, Ibuprophin, "Move Free", One-a-day Women's vitamin, Lasartan

Current Illness: 0

ID: 1063105
Sex: F
Age: 70
State: TN

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Predisone

Symptom List:

Symptoms: Headache after injection- 2/24/21 Lasted for 2 days Headache/ extreme fatigue, neck pain, extreme left arm soreness, back pain, 2/25/21 Headache/ fatigue/ body aches - morning of 2/26/21 Rapid heart rate up to 128 bpm sitting still, rapid breathing, tight throat, low blood pressure. These symptoms began afternoon of 2/26/21 and lasted at least 5 hours.

Other Meds: Allopurinol, Enalaparil Maletate, Hydorclorthyzide,Levothroxine Sodium Tab, Metformin

Current Illness: None

ID: 1063106
Sex: F
Age: 76
State: IN

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Prevnar 13

Symptom List:

Symptoms: 2 rash spots; dark red fading to medium red; itching; fluish symptoms for 4 days.

Other Meds: Gabapentin 600mg 3xper day. These prescriptions are all for 1x per day: Tradjenta 5mg; Metoprolol Succinate ER 50mg; Lisinopril 40 mg; Chlorthalidone 25mg; Myrbetriq ER 50mg

Current Illness: None

ID: 1063107
Sex: F
Age: 70
State: CA

Vax Date: 02/01/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, bee stings

Symptom List:

Symptoms: This was my second dose. The reaction began during the night after my 2:00 PM vaccination. Bright red rectangular spot about 5 inches wide by 2 inches tall an inch below vaccination site. Arm is swollen and tender to touch, and it Itches severely, This also happened after my first dose but I mistakenly thought I?d been bit by a spider after the vaccination. The first time, it took about five days to stop itching, and for the swelling to go down.

Other Meds: Synthroid, keppra

Current Illness: None

ID: 1063108
Sex: F
Age: 70
State: OR

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List:

Symptoms: sore arm, headache, tired, stomach cramps, diarrhea-2 days, has subsided

Other Meds: n/a

Current Illness: n/a

ID: 1063109
Sex: M
Age: 77
State: WA

Vax Date: 02/15/2021
Onset Date: 02/21/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Developed Belle's Palsey on left side of face exactly one week after first shot. Doctor says it may or may not come from the vaccine.

Other Meds: 81 mg Aspirin, 20mg Omeprazole, 25mg Losartan, 1200/25D3mcg Calcium, 1000mg Vitamin C, 20mg Simvastatin, 2mg Terazosin, 1200mg/360 Omega 3 Fish Oil, 1000mg Flax Oil

Current Illness:

ID: 1063110
Sex: F
Age: 53
State: MD

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Covid Arm: Lump, warm, redness, and itch around injection site on days 8-12

Other Meds: Elderberry, Vitamin D, Biotin, Fish Oil

Current Illness: NA

ID: 1063111
Sex: F
Age: 50
State: KY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Viaxin, Leviquin

Symptom List:

Symptoms: Almost immediately after I got a massive firey headache, numbness and tingling down the left arm and down the left side of my face. I developed a massive stomach ache which all lasted about 3 hrs. I reached out to my pcp who advised benedryl, pepcid and claritin to help and the benedryl and pepcid took away the numbness and tingling but the headache lingered along with terrible dizziness also. The next day and still since I still have terrible headaches an dizziness, the dizziness has gotten better but is still there.

Other Meds: Gavapatin, Topomax, Zoloft, Cyntroid, Baby Aspirin

Current Illness: No

ID: 1063112
Sex: F
Age: 66
State: NJ

Vax Date: 02/12/2021
Onset Date: 02/24/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Levaquan

Symptom List:

Symptoms: Red rash surrounding injection site. Rash is about 4 inches by 6 inches

Other Meds: Atorvastaton Ramipril Travatan Z 81MG Aspirin

Current Illness:

ID: 1063113
Sex: F
Age: 65
State: OH

Vax Date: 02/26/2021
Onset Date: 03/01/2021
Rec V Date: 03/01/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Presents with nosebleed and diffuse petticae. Also has epistaxis and thrombocytopenia. Pateitn reports symptoms for 2 days.

Other Meds: pravastain, lisinopril/HCTZ, levothyroxine

Current Illness:

ID: 1063114
Sex: F
Age: 83
State: OH

Vax Date: 02/23/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 3 days after the second COVID-19 vaccine the patient developed a large painful, red, and hot rash on the left upper arm. This included around the injection site but it also occurred lower on the arm with normal skin in between. Treatment will include ice and antibiotics due to the patient's extreme neutropenia.

Other Meds:

Current Illness: Neutropenia

ID: 1063115
Sex: F
Age: 62
State: OR

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: "cisytic acid" rash typhoid -> hospital, 2nd shot, no third

Symptom List:

Symptoms: Client received at 21 days instead of 28 days. Scheduling error.

Other Meds: not reported

Current Illness: none

ID: 1063116
Sex: M
Age: 80
State: IL

Vax Date: 02/22/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: i HAD RADIATION ON MY SKIN IT WAS HEALING AND AFTER I TOOK THE SHOT IT BECAME INFLAMED. tHE DOCTOR TOLD ME TO TURN IT IN

Other Meds: folic acid , b12, thyroid med

Current Illness:

ID: 1063117
Sex: F
Age: 73
State: CO

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Syringe/Needle malfunctioned during injection. Pt. was given a half dose as the syringe/needle did not make a good connection and only half the dose went into the patient arm. (The syringe and needle kept spinning). An 11th dose was able to be pulled from the vial, and the patient was given another half dose to complete her vaccination series.

Other Meds:

Current Illness:

ID: 1063118
Sex: F
Age: 94
State: MN

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: unknown - says may have had reactions in the past to other shots such as a swollen tongue and fast heartbeat

Symptom List:

Symptoms: States had felt her heart beating fast, had a swollen tongue and a weird feeling. PHN checked BP and was 142/84, pulse 94 apically, O2 sats 94% on RA. Patient stated that the feeling lasted for just a minute. PHN gave juice to patient after checking vitals and she stated she felt much better. Asked if would like some Benadryl and she said she took an allergy medication this morning as part of her normal routine. Patient also stated she has a history of an irregular heart rhythm. She stated she ate well for breakfast this morning to ensure she did not have a low blood sugar while waiting for her shot. Note time of incidence at 1139am and had not eaten since breakfast. Patient stated she was fine to go home after her 30 minute wait time. Her VS were good at this time. PHN requested that patient contact her PCP if there were any further concerns following her leaving the site for the vaccination.

Other Meds: medications for irregular heartrate, diabetes, allergy pill

Current Illness:

ID: 1063119
Sex: F
Age: 26
State: NJ

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Sulfa based antibiotics

Symptom List:

Symptoms: Fever, severe shaking, muscle aches, severe headache, pain in chest and abdomen, nausea, vomiting. Started around 10pm 12/26, mostly subsided by 9pm the next day.

Other Meds: None

Current Illness:

ID: 1063120
Sex: M
Age: 38
State: IL

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: penicillin (?)

Symptom List:

Symptoms: 1/8 vaccination Almost 72 hours later, fatigue, itching in a few spots, I saw hives/welts on couple different areas on upper arms, upper thighs. Very big and itchy. I took some Claritin. Those welts continued to grow and spread; Upper inner arms, flanks, inner thighs. Continued throughout the night *took pictures of welts Took some Benadryl at night. Woke up; symptoms still there and extended even more to include hands. I went to work. I wasn't feeling ill but uncomfortable. Took some more antihistamines. It got worse thru the day. No SOB. 1/12 noon Different kind of rash, petechia in appearance.; shins. My knees, ankles, feet were starting to swell. Hives had gone from the thighs and up, But below, shins to feet, were swelling. 1/13 I woke up to a lacy rash over all extremities. Bruising on shins. Knees, hands and feet still swollen. Started Oral steroid. By noon that day, pretty much everything had cleared up. Six day course treatment, no symptoms came back. No fever. No SOB. I did miss work the 1/13 as it was at its worse.

Other Meds: n/a

Current Illness: n/a

ID: 1063121
Sex: M
Age: 65
State: WI

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: sore arm, body aches, chills, low energy - symptoms for 2 days then all ok. did not seek medical attention

Other Meds: ? atorvastatin 20 MG tablet ? cloNIDine 0.2 MG tablet ? furosemide 40 MG tablet ? potassium chloride SA 20 MEQ tablet ? doxazosin 4 MG tablet ? metFORMIN ER 500 MG XR tablet ? glipiZIDE 5 MG tablet ? doxycycline 100 MG capsule ? eplerenone

Current Illness:

ID: 1063122
Sex: F
Age: 28
State: CA

Vax Date: 02/23/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, singulair

Symptom List:

Symptoms: Arm was immediately sore, with soreness continuing for 2 days. 3 days after injection, a large (3" diameter) red circle formed immediately adjacent to injection site. Area was hot to touch, swollen, and itchy. No treatment given. Symptoms are beginning to dissipate on their own 3 days after red circle first appeared.

Other Meds: Cimzia, azathioprine, B12

Current Illness: None

ID: 1063123
Sex: M
Age: 39
State: OH

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Around 5:30am I woke up feeling as though I had not slept well. I had chills, then I would sweat, then I would have chills again. I had severe fatigue, and muscle aches centering in my lower back. I took my temperature and it was 100 degrees. I took Aleve and laid back down. My fever subsided, but I continued to intermittently feel chills throughout the day. I took a warm bath and shower. I felt exhausted and the ache in my back continued. I laid back down from 5-11pm and continued to feel chills, though not as severe as they had been. In the evening, beginning around 7, when I would get up I felt a chill and a wave of paranoia, affecting my mental stability. These would subside when I laid back down. I retired to bed at 11 and woke up at 5am completely drenched in sweat. I changed clothes and returned to bed. When I woke up at 7:30am for work, I felt much better and have felt fairly normal, except for being dehydrated, since.

Other Meds: Claritin D Celexa Flonase Montelukast Multivitamin

Current Illness: None

ID: 1063124
Sex: M
Age: 36
State: OH

Vax Date: 01/27/2021
Onset Date: 02/12/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Acute myocarditis after 2nd vaccine dose

Other Meds: no

Current Illness: No

ID: 1063125
Sex: F
Age: 37
State: PA

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

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Nausea, muscle pain, body soreness

Other Meds: Adderall Pristiq hydroxychloroquine

Current Illness: None

ID: 1063126
Sex: F
Age: 40
State: NY

Vax Date: 01/26/2021
Onset Date: 02/02/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Persistent swollen lymph nodes in neck region. Persistent pain, discomfort, burning sensation in left arm and neck region

Other Meds:

Current Illness:

ID: 1063127
Sex: F
Age: 66
State: AZ

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever, chills, nausea, vomiting, migraine aura, headache - onset 20 hours after dose. Took Tylenol and fever reduced from 99.9 to 98.6. Head ache persisted for 12 hours following onset. Remainder of side effects resolved within 6 hours of onset.

Other Meds: Lisiniptil Atorvastatin Synthyroid Fish oil Calcium Multi vitamin

Current Illness: None

ID: 1063128
Sex: F
Age: 72
State: FL

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Food Crab reaction throat swelling

Symptom List:

Symptoms: Sleepy and weakness. Drunk like sx at 1900 hr. Currently very tired. Steady gait.

Other Meds: zoloft levothyroxine

Current Illness:

ID: 1063129
Sex: F
Age: 23
State: KS

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Hives of neck/face, difficulty breathing and swallowing

Other Meds: Albuterol inhaler Adderall XR 10 mg Nexplanon implant Metformin 500 mg

Current Illness: None

ID: 1063130
Sex: M
Age: 19
State: CA

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: 0902 C/O of lightheaded, 72 P, 20 R, 119/72 @ 0912. Pt stated feeling faint, noted paleness & diaphoretic. 0911 Pt stated feeling better, noted color is now pink, no longer diaphoretic. 0917 Pt stated he would like to leave. 0919 Pt left on his own.

Other Meds: None

Current Illness: None

ID: 1063131
Sex: F
Age: 38
State: TX

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

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

Lab Data:

Allergies: Medications: Penicillin, Amoxicillin, Fentanyl Food: Coconut, Tree Nuts, Peanuts, Milk, Cocoa, Barley, Vanilla, Watermelon, Bananas, Onions, Soy Other: Latex, various trees grasses and weeds

Symptom List:

Symptoms: Within 90 seconds I had severe vertigo and a severe migraine. In about 5 minute the vertigo subsided to a moderate enough level that I could walk to the observation room. Over the subsequent 30 minute period I started itching and feeling generally awful like the flu and was a bit nauseous. My BP and Pulse were within acceptable limits though so I was released to go home. As the evening wore on I developed a light rash down my arm. My PCP Dr. proscribed some different OTC medications to halt the allergic reaction I seemed to be having (based on its similarity to some of my food allergy reactions). I took these treatments for 36 hours. I woke the next morning with a severe autoimmune flare up that had me unable to get up without a cane for assistance. I had no fever but felt feverish. I was in a lot of pain all over. My injection site was very swollen and had a hives ring around it that lasted for about 5 days. The total reaction from initial allergic reaction through the flare up lasted 8 days. Additionally, I take weekly allergy shots. Prior to the vaccine I had to reaction to these shots (desired result). Since then, I have a mild bout of vertigo after each allergy shot (indicating my immune over-response has been hyped up).

Other Meds: Meloxicam, hydroxichloriquine, citalopram, tumeric, multivitamin, magnesium, quercitin, vitamin D, B-Complex

Current Illness: None

ID: 1063132
Sex: F
Age: 82
State:

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: NO

Symptom List:

Symptoms: About 3 hours after shot I got diarrhea and it was bad. Pain in arm, dizziness and loss taste and i have not gotten back yet, joint pain, tiredness, fever. I have been so thirsty i have been drinking a ton of water. i had all the symptoms of covid . I had covid in November and symptoms were worse .

Other Meds: NO

Current Illness: NO

ID: 1063133
Sex: F
Age: 79
State: NJ

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Demarol Codeine

Symptom List:

Symptoms: Fever, /headache, Chills, Sore, itchy Arm, body aches, Tired

Other Meds: Cozaar Amlodopine Vitamin D Vitsmin C

Current Illness: none

ID: 1063134
Sex: F
Age: 65
State: MA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: This was my second dose of the Moderna vaccine. Approximately 6 hours after receiving the dose ,my injected arm, became quite swollen, red, painful, and warm. The inflammation was not at the point of injection but began 1 to 2 inches below it. My husband ,thought it looked like cellulitis. After reviewing some literature he found about some reported arm issues with Moderna, and told me to wait and watch. The inflammation continued and spread as far as my elbow. On day 3 the arm symptoms started to gradually abate, except for mild itching. I also had a reaction,6 hours post vaccination, of fever and body aches which resolved after 24 hours

Other Meds: Fosamax 70 mg taken weekly (last does 2/19/21 prior to vaccine) Spironolactone 100 mg One-day-Woman's Multi Vitamin Calcium 4500mg plus D3 500 IU

Current Illness: none

ID: 1063135
Sex: F
Age: 77
State: IL

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Donnatal Doxycycline Hyzaar Tegretol

Symptom List:

Symptoms: patient felt extreme fatigue and weakness -- trouble in moving and getting to bed-- layed down for 30 min and improved after 30 minutes

Other Meds: several hours after the vaccine , patient experienced extreme fatigue, dizziness and muscular weakness ( generalized) lasting 30 minutes

Current Illness: no

ID: 1063136
Sex: F
Age: 65
State: TX

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: codeine morphine

Symptom List:

Symptoms: shortly after shot area turned red, about a half dollar size, hot and painful time I got home it was the size of a small pancake really red hot , small lump and painful. on Saturday I had chills, very tired and loopy still red, hot lump painful but felt somewhat better, Monday arm is still red and shape of a small pancake, hot, painfulful and starting to itch.

Other Meds: vit c,d,calcium, centrum for women, dexliant 60mg, carvedilol 25mg, cilostazol 100 mg,furosemide 20 mg

Current Illness: n/a

ID: 1063137
Sex: M
Age: 42
State: TX

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient was given the Moderna Covid-19 vaccine, dose #1. When the information was being entered, documentation showed te patient had received the Pfizer vaccine on 1/21/2021.

Other Meds: Plavix, Lisinopril, Furosemide

Current Illness: unknown

ID: 1063138
Sex: M
Age: 75
State: WI

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Pt felt lightheaded and faint immediately after receiving Moderna vaccine (given around 1305). Pt laid down on bed and observed with blood pressures taken several times over next 15 minutes (was 66/43, then 74/44, 86/45, then 99/64). Pt reported feeling better. Pt reported only eating a bowl of cereal and some cookies prior to his appointment. Pt was offered water and snacks. After about an hour, pt felt well enough to take a cab home. Pt reported a history of fainting after vaccines in the past. Pt instructed for his second dose to tell the nurse about this and have his second dose lying down, and to eat a good breakfast and drink water prior to coming in for the vaccine.

Other Meds:

Current Illness:

ID: 1063139
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1063140
Sex: M
Age: 60
State: PA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: compazine

Symptom List:

Symptoms: Swelling on right side of face occurred 24-48 hours after injection. Feelings of anxiety of unknown origins 24 hours after injection. Soreness at the injection site.

Other Meds: Lopressor 25 mg

Current Illness: Sinus infection - month prior

ID: 1063141
Sex: F
Age: 66
State: OH

Vax Date: 02/13/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: After almost 2 weeks since my first injection, the site became reddened and itchy.

Other Meds: Vit D, Omeprozole, Advil occasionally

Current Illness:

ID: 1063142
Sex: F
Age: 40
State: NJ

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: low grade fever, body aches and chills, 24 hours, acetaminophen and Ibuprofen

Other Meds: Warfarin, Buspbar, Trintellix, Wellbutrin,

Current Illness: None

ID: 1063143
Sex: M
Age: 63
State: CO

Vax Date: 02/11/2021
Onset Date: 02/24/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: bactrim

Symptom List:

Symptoms: I have been having muscle spasms, uncontrollable jerking and shaking, mostly when I'm at rest. I'm also getting a little tingling in fingertips and toes. I have had muscle tension in upper back and shoulders, generalized irritability. It is affecting my sleep. I went to the emergency room today, and I have a doctor's appointment scheduled and neurology on Wednesday. ER gave me some fluids.

Other Meds: prevoset 6.25 mg magnesium 200 mg Claritin 10 mg clonazepam 2.5 (as needed, rarely) anacedeadal alsistine 500 mg daily vitamin d3 2000 IUs

Current Illness: No

ID: 1063144
Sex: M
Age: 18
State: OK

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: sore throat, facial swelling, oral lesions

Other Meds: multiple- contact pt

Current Illness: CF, DM, chronic bronchitis, depression/anxiety

ID: 1063145
Sex: F
Age: 51
State: NY

Vax Date: 12/21/2020
Onset Date: 01/09/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I experienced bizarre symptoms after my first dose. I had a near syncopal episode, heart palpitations, shortness of breath, hypertension and dizziness. I went to the ER due to my symptoms. They performed an EKG, Lab work, X-ray of the chest, Covid test-19 all which were negative. I still have these symptoms which have not gone away.

Other Meds:

Current Illness:

ID: 1063146
Sex: F
Age: 56
State: MI

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Triggered migraines that normally come in the spring/early summer lasting 1 to 2 weeks. They have been treated daily with Zomig nasal and Aimovig injection and started on propanolol 80 mg. Nothing has helped. Continue to have have migraines.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 559,999

Page last modified: 03 October 2021 5:28pm