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
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: 1072765
Sex: F
Age: 74
State: NY

Vax Date: 02/25/2021
Onset Date: 04/04/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: used to have severe local reaction to bee stings but over 7 years lessen to just bite area.I raise bees and have Epi Pen

Symptom List:

Symptoms: 8 days after the shot developed intense itching and hives 2cm around injection site. Itching and hives lasted about 1 1/2 hour

Other Meds: Lexapre Diltiazem Milk Thistle Prebiotic Ocuvite Medical Marijuana Recreational Marijuana

Current Illness: Chronic Polyneuropathy - lessening over 2 years

ID: 1072767
Sex: F
Age: 42
State: TN

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pain in left side torso and mid back began about 18 hours post injection and continued over next few days. On day 3 following the injection severe stomach pain began. On day 4 following the injection a rash began to appear in the area where the pain started. On day 5 post injection rash worsen and I received medical attention. Diagnosis was shingles and was given antiviral medication. It is now 7 days post injection and the shingles have worsened.

Other Meds: None

Current Illness: None

ID: 1072768
Sex: F
Age: 35
State: AZ

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: Sulfa based medication, penicillin, adhesives, tramadol medication

Symptom List:

Symptoms: After my first vaccine, I experienced left arm soreness and fatigue. Two days later I experienced severe migraine headaches, nausea and dizziness. I take Humira medication for my Crohn's disease.

Other Meds: Multi-vitamins, probiotics, Acetometaphin

Current Illness:

ID: 1072769
Sex: F
Age: 28
State: MO

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

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

Lab Data:

Allergies: nkda

Symptom List:

Symptoms: patient experienced syncope while waiting in the post vaccination waiting area, she was sweating profusely and was unable to respond for a short amount of time, less than a minute. after about a minute she recovered and could respond normally.

Other Meds: none known

Current Illness: none known

ID: 1072770
Sex: M
Age: 59
State: MS

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

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

Lab Data:

Allergies: Neosporin, penicillin, sensitive to bananas and onions,

Symptom List:

Symptoms: slight nausea that comes and goes, next day- soreness in arm at and around injection site, tired dopy feeling that lasted for 24 hrs. Day 2 - soreness is still apparent in arm and nausea is less apparent but still comes and goes.

Other Meds: Amlodipine Besylate, Atorvastatin, Xyzal Allergy, Glucosamine + Chondroitin, Centrum Silver multivitamin

Current Illness:

ID: 1072771
Sex: F
Age: 11
State: AL

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

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Patient woke up the next morning covered in hives. She has not changed anything in her normal routine including bath soap, laundry detergant, food and drink.

Other Meds: N/A

Current Illness: N/A

ID: 1072772
Sex: F
Age: 70
State: CA

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Codeine

Symptom List:

Symptoms: Received 2nd does of Moderna Covid-19 vaccine on2/26/21 in my left deltoid area. 18 hours later developed an indurated, red, itchy, and very tender area 6cm by 14 cm in the same area. Exactly as shown and described as the "Covid Arm" on several websites. Induration and rash remained constant for 3 days, then slowly regressed, until completely gone on 3/4/21. Had no reaction to the 1st dose of Moderna vaccination.

Other Meds: Atorvastatin

Current Illness: None

ID: 1072773
Sex: F
Age: 57
State: WA

Vax Date: 02/01/2021
Onset Date: 02/26/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Bruising and large rash

Other Meds:

Current Illness:

ID: 1072774
Sex: F
Age: 49
State: WI

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: HEADACHE, FEVER, FATIGUE

Other Meds:

Current Illness:

ID: 1072775
Sex: F
Age: 51
State: OR

Vax Date: 02/17/2021
Onset Date: 02/25/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: Possible allergy to Metronidazole; adverse reaction in 2004.

Symptom List:

Symptoms: One week and approx. 7 hours after injection, an existing mild tinnitus in the right ear became noticeably worse. Three days after that, a bilateral higher frequency buzzing tinnitus (that presents over the head rather than in the ear) appeared. Prior existing tinnitus levels were previously unnoticeable throughout the day (able to successfully ignore and forget about) but now both are noticeable throughout the day and take quite a bit of effort to distract myself from.

Other Meds: Occasional use of melatonin or Benadryl as a sleep aid, daily collagen powder supplement.

Current Illness: None.

ID: 1072777
Sex: M
Age: 70
State: GA

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: After my first Covid vaccine on Jan 11 I began to experience some pain and stiffness in my left hand. In particular it was kind of cramped up and stiff when I woke up in the morning. Two days after my second Covid vaccine on Feb 8, those symptoms became much worse. My hand was very stiff in the morning and I couldn't straighten my index finger except by pulling it up with my other hand. Prior to receiving the Covid vaccines, I had never experienced these issues before.

Other Meds: Simvastatin Lisinopril Diclofenac Gel Trazadone Lyrica Claritin

Current Illness: None

ID: 1072778
Sex: F
Age: 74
State: CA

Vax Date: 02/08/2021
Onset Date: 02/26/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: left upper arm itching about 3 weeks after injection subsequently developed redness/swelling/pain suspect cellulitis currently being treated with PO antibiotics (doxycycline and keflex) improving after starting treatment

Other Meds: left upper arm itching at injection site followed by redness / pain / swelling PO antibiotics are prescribed to treat for presumed cellulitis

Current Illness: no acute illness prior to vaccination

ID: 1072779
Sex: M
Age: 68
State: UT

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: chills, fever of 103, aches

Other Meds: Multi-vitamin glucosamine benedryl trazodone provastatin lysine

Current Illness: none

ID: 1072780
Sex: F
Age: 68
State: FL

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

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

Lab Data:

Allergies: na

Symptom List:

Symptoms: Chills, Fever 100.6, massive headache, body aches

Other Meds:

Current Illness: 1 mo post op rotator cuff repair

ID: 1072781
Sex: M
Age: 70
State: FL

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

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

Lab Data:

Allergies: Gluten

Symptom List:

Symptoms: After receiving his vaccine client complained of dizziness. Vital signs obtained by EMS. BP 207/99, HR 88, O2sat 98%. Client advised to go to ER. Client declined. Client states he feels better. Discharged home by EMS.

Other Meds: HTn meds

Current Illness: nka

ID: 1072782
Sex: F
Age: 68
State: MI

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Client received Covid19 vaccine first dose from Moderna on 1/18/21. I inadvertently gave her second dose on 2/15/21 from Pfizer. Client reported no adverse reaction and no harm done.

Other Meds:

Current Illness:

ID: 1072783
Sex: F
Age: 67
State: WA

Vax Date: 04/04/2021
Onset Date: 02/29/2020
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, penicillin, metfirmon

Symptom List:

Symptoms: Metallic taste in mouth, tongue felt funny/itchy

Other Meds: Basalgar kwikpen, escitalopram Ocala team tab 20 MG, lisinopril 20 MG, Rosuvastatin calcium 20 MG, hydroxychloroquine sulfate 200 mg Cyclobebzaprine Hal 5 Mg

Current Illness: None

ID: 1072784
Sex: F
Age: 87
State: WI

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 2nd vaccine on 02/24/2021 (right arm). By 48 hours after the injection the arm swelled up, was tender, and painful. Still has pain and swelling in the right arm (3/4/2021). The swelling and edema is not directly over the injection site at the deltoid, rather is primarily around the medial bicep muscle region.

Other Meds: Protonix, Cipro, Effexor, Lorazepam, Amlodipine, Amiodarone, Synthroid, Baclofen, Warfarin, Aspirin, Omega 3 fatty acid

Current Illness: None

ID: 1072785
Sex: M
Age: 70
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient complaint of dizziness and sweating10 minutes after vaccination. Loss of consciousness for 10 seconds. Patient placed on the gurney with elevated legs. Patient gained consciousness after 10 seconds. Patient was given juice and discharged home after 24 minutes observation .

Other Meds:

Current Illness:

ID: 1072786
Sex: F
Age: 53
State: CT

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: Allergy Bactrim/Sulpha drugs Embril Humera Methotrexate Florquinilins Lamictal Tumeric

Symptom List:

Symptoms: I started to feel severe lethargy and fatigue. My eyes flared, double vision up with my usual autoimmune attack. I could not get out of bed for five days. Chills and back pain, joint swelling. It felt like a really flare up of my autoimmune condition. I also had similar problems with the first dose but not as bad. I was midway between my bi-weekly Cosentyx.

Other Meds: Cosentix Celebrex Topamax Linsen Clonipin Vitamin D 10,000 units daily B12 weekly

Current Illness:

ID: 1072787
Sex: F
Age: 54
State: NJ

Vax Date: 02/24/2021
Onset Date: 03/02/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Latex

Symptom List:

Symptoms: Itching at injection site that began 6 days after receiving the vaccine. Redness at the injection site and extending 2 inches beginning 7 days after receiving the vaccine. Ongoing as of the date of this report.

Other Meds: Tamoxifen, Flonase, Vitamin D-3, Caltrate, Mulitvitamin

Current Illness: None

ID: 1072788
Sex: F
Age: 47
State: NY

Vax Date: 01/25/2021
Onset Date: 01/28/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin Shell fish

Symptom List:

Symptoms: Tightness in the throat within 1 hour of the first does and resolved by taking Benadryl for two consecutive days. Also, three days after the first dose I developed rash on my torso, abdomen, chest, upper arms and thighs. I had pityriasis rosea 4 years ago and it seems that the COVID-19 vaccine reactivated this skin condition. It is very itchy and feels internally prickly around my chest and neck.

Other Meds: Vitamins C, D, B12, Zinc Zyrtec IFerex (iron) Biotin

Current Illness: Von willebrand disease Hashimoto's Disease

ID: 1072790
Sex: U
Age: 61
State: WI

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: CHILLS, BODY ACHES

Other Meds:

Current Illness:

ID: 1072791
Sex: M
Age: 49
State: CA

Vax Date: 02/24/2021
Onset Date: 02/27/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: Penicillin.

Symptom List:

Symptoms: Given second shot on Wed 2/24 at 12pm -- Had flu like symptoms for one day. Woke up on Sat 2/27 with sudden hearing loss in left ear. Hearing loss was accompanied by a loud static sound and pressure. Saw ENT specialist on Tue 3/2 -- no evidence of any wax buildup. She immediately sent me for hearing test; showed 70% loss. Both doctors feel this is a Viral infection and that it may have occurred due to my strong immune response I had to the COVID vaccine. Was prescribed 60mg of Prednisone for two weeks; am on day 3 as of writing this. Am going to see another specialist tomorrow, 3/5/21. I am a healthy 50yr old male with no previous hearing problems. The only change in my life was getting the vaccine. I think this important to report, although I have yet to find any link between vaccine and SSHL. I have been tested over the last year a few times (mouth swab) and all test were negative. I have not been tested since my hearing loss, though I don't feel sick at all. I have read that some people who actually had COVID experienced new or increased tinnitus but did not find anyone who had actual hearing loss -- this was just doing some online reading; not actual study reports.

Other Meds: None.

Current Illness: None.

ID: 1072792
Sex: F
Age: 85
State: CA

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

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

Lab Data:

Allergies: NOT REPORTED

Symptom List:

Symptoms: PATIENT RECEIVED COVID VACCINE-MODERNA FOR 1ST DOSE. FOR 2ND DOSE, PFIZER VACCINE HAS BEEN ADMINISTERED INSTEAD OF MODERNA. THE ERROR HAS BEEN REPORTED IMMEDIATELY TO THE SITE LEAD NP; NOTIFIED PT AND HER CARE GIVER . RELATED DOCUMENTATION ON HER CHART HAS BEEN COMPETED ALONG ITH VAERS.

Other Meds: N/A

Current Illness:

ID: 1072793
Sex: M
Age: 17
State: CA

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

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

Lab Data:

Allergies: NO

Symptom List:

Symptoms: Patient 17 years old, underage 18 per manufacturer guidelines. No reported side effects after vaccination.

Other Meds: NO

Current Illness: NO

ID: 1072794
Sex: F
Age: 68
State: FL

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

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

Lab Data:

Allergies: Wasp stings

Symptom List:

Symptoms: Maculopapular rash on abdomen, chest, sides and back, underside of arms. Noticed rash a few hours after vaccination. Next morning rash was worse. Went to the doctor. He said take antihistamine. And call next day if rash is worse. I called today because rash is worse.

Other Meds: Metoprolol 25 mg daily Plaquinel 200 mg daily

Current Illness: Peripheral neuropathy Heart Arrhythmia (MCTD) Mixed Connective Tissue Disease

ID: 1072795
Sex: F
Age: 39
State: CA

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

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: headache, extreme fatigue, injection site warm, sore, joint aches, ears hot and achy

Other Meds: n/a

Current Illness: n/a

ID: 1072796
Sex: M
Age: 44
State: SC

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: 1. First COVID vaccine was received on Dec 30, 2020. 2. COVID symptoms begin on January 6, 2021. 3. Positive COVID PCR test on January 7, 2021 4. Moderately sick from January 8 through January 19. 5. Cleared by employee health division to return to work on January 22. I inquired as to whether or not I should receive the second dose of the vaccine as scheduled, on January 22. I was told that it was safe. 6. Between 4-5pm on January 22, 201, I received my 2nd COVID vaccine. 7. At approximately 1am on January 23, 2021, I awoke dripping w/ sweat, fever of 102.2, and severe body aches. I took 800 mg Ibuprofen and 1g Tylenol at 4am. Neither helped w/ symptoms. At approximately 11am, I took 60 mg prednisone. Approximately 1 hour later, fever broke and body aches began to resolve. Mild soreness and fatigue persisted for approximately 24 hours.

Other Meds: Wellbutrin

Current Illness: COVID-19

ID: 1072798
Sex: M
Age: 70
State: PA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe chest pains.

Other Meds: Metopropol Succinate ER 100MG Simvastatin 40MG Aller-Flo 100 might X 2 Hydrochlorothiazide 25mg Olmesartan Medoxomil 40 mg Potassium Cl Er 10 Meq Meloxicam 7.5 Mg Amlodipine Besylate 15 Mg B12 timed release 2000 mcg Pramipexole .250 Mg Nexi

Current Illness: None

ID: 1072799
Sex: F
Age: 26
State: MT

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: ONSET SYMPTOMS ABOUT 12HRS AFTER INJECTION. SYMPTOMS INCLUDED FEVER UP TO 101.7, CHILLS, FATIGUE, HEADACHE, BODY ACHES.

Other Meds: VIENVA

Current Illness: NONE

ID: 1072800
Sex: F
Age: 73
State: FL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: PATIENT FELT DIZZY AND NAUSEOUS RIGHT AFTER RECEIVING THE VACCINATION. SHE WAS ASKED TO WAIT 30 MINS POST ADMINISTRATION AND RIGHT BEFORE SHE LEFT WE CHECKED THAT THE PATIENT FELT MUCH BETTER AND NAUSEA WENT AWAY .

Other Meds:

Current Illness:

ID: 1072801
Sex: F
Age: 57
State: TX

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

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

Lab Data:

Allergies: PCN

Symptom List:

Symptoms: C/O flush to facial region, observed, no treatment. Flushing subsided, feels better..

Other Meds: Synthroid, Lisinopril, Estradiol

Current Illness: Sinusitis

ID: 1072802
Sex: F
Age: 23
State: PR

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: Nuts and shellfish

Symptom List:

Symptoms: Swollen lips and throat discomfort

Other Meds: N/a

Current Illness: N/a

ID: 1072803
Sex: M
Age: 70
State: CA

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

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Patient Stated that he felt a cold fluid running down his arm as he was receiving the second dose. He looked and saw a clear fluid running down his arm. The patient got home and felt like he did not receive a full 2nd dose of the vaccine and returned the next day asking to receive a repeat dose. Per CDC guidelines since amount administered was not known, a full repeat dose was given one day later (on 3/4/21).

Other Meds: N/A

Current Illness: N/A

ID: 1072804
Sex: F
Age: 39
State: MO

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

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

Lab Data:

Allergies: strawberries

Symptom List:

Symptoms: Pt received 1st dose of covid-19 vaccine during mass clinic. Pt was given 30 minute observation period due to history of allergic reaction to strawberries, which pt defined as tongue tingling. Approx 15 minutes into observation period, pt described feeling the same feeling of her tongue tingling with feeling slightly light-headed. Pt denied SOB, chest pain, itching. EMS evaluated pt and was not given any medication but instructed to take PO Benadryl once home and to call 911 if symptoms worsened. Her 4 Lead EKG was WNL. Pt left facility without issue though reported feeling "a little funny still" but denied feeling worse.

Other Meds: Unknown

Current Illness: unknown

ID: 1072806
Sex: F
Age: 71
State: FL

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, several blood pressure medicines

Symptom List:

Symptoms: Itchy red rash 2/18-2/27/21. Flu like symptoms 2/21-2/24/2021, but no fever - just no energy, stuffed head, headache, achy, slept 15 hours one night, 13 the next. By 2/24/21, better but still listless. Essential tremors possibly were worse until 3/1/21.

Other Meds: Fish oil, folic acid, turmeric, magnesium, CoQ-10, D3, Flinsto

Current Illness: None

ID: 1072807
Sex: M
Age: 72
State: NJ

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Traumatic diarrhea; vomiting lasting for 24 hours. Low-grade fever; severe headache lasting for 72 hours. Caused outbreak of atopic dermatitis.

Other Meds: Hydrochlorothiazide 25 mg; Lisinopril 20 mg; Metformin 500 mg; Rosuvastatin 20 mg; Oxycodone 5 mg; Gabapentin 300 mg; Carisoprodol 350 mg; Bayer Aspirin 81 mg; Vitamin D3 1000IU; Zinc 50 mg

Current Illness: None

ID: 1072808
Sex: F
Age: 30
State: NC

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient reported being flushed; slightly short of breath; and a severe headache. EMS was called at the patient's request and she was examined by them. She later saw her primary care provider that day and they reported she is fine.

Other Meds: Unknown

Current Illness: Unknown

ID: 1072809
Sex: F
Age: 85
State: IL

Vax Date: 02/09/2021
Onset Date: 02/12/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Bell's Palsy occurred on right side of face , beginning 3 days after injection. Treated with steroids by primary care physician. Followed up with neurologist who ordered bloodwork and MRI (awaiting results). 3 weeks later, palsy still has not resolved. It was advised to wait at least 6 weeks and until the palsy is resolved before getting the second Moderna shot.

Other Meds: high blood pressure medications, thyroid medication

Current Illness:

ID: 1072810
Sex: F
Age: 72
State: NC

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

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

Lab Data:

Allergies: Unsure

Symptom List:

Symptoms: SOB and HTN on 1/30/21, 3 wks after 1st Covid shot. Submassive acute saddle pulmonary embolism. Pt was sent by ambulance to ER. On arrival, CT revealed a saddle embolism. Heparin was initiated and pt was transported to hospital. Admitted to ICU and bil thrombolytic catheters were placed. On 1/31/21 thrombosis has dissolved. on cessation of thrombolysis and removal of lytic stents on 1/31/21 pt was placed on Xarelto. Pt was D/C on 2/1/21.

Other Meds: Unsure

Current Illness: Unsure

ID: 1072811
Sex: M
Age: 74
State: ND

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received 2nd dose Pfizer and should have received 2nd dose moderna. Patient notified. All questions answers. No adverse reaction . Education provided to the nurse that administered 2nd dose.

Other Meds:

Current Illness:

ID: 1072812
Sex: F
Age: 70
State: MI

Vax Date: 02/20/2021
Onset Date: 02/28/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Sulfa, Shellfish

Symptom List:

Symptoms: I received the 1st Pfizer dose on 1/30/21 and 2nd Pfizer dose on 2/20/21. After the 2nd dose, I developed mild fever (under 100)*F, a bad headache, blurred vision, nausea, joint pain and fatigue. I took Tylenol for the fever and headache and recovered after 2 days. However, on 2/28/21 I developed a SECOND SERIES OF SIDE EFFECTS starting 8 days after the 2nd dose. I developed a fever of 100.7*F , a bad headache, nausea, palpitations, and severe joint pains and strong fatigue. I consulted my PCP, who recommended I fill out this report. I took Advil on 2/28, improved after 2 days, and now have a slight headache and some fatigue but otherwise recovered.

Other Meds:

Current Illness:

ID: 1072814
Sex: F
Age: 77
State:

Vax Date: 02/26/2021
Onset Date: 03/03/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient stated she received second dose of Moderna 2/26/2021. She stated she had some seide effects for a couple days and that was it. She stated she now has discomfort at the injection site. RN asked if she tried Tylenol or Advil and she stated she did but it did not help. RN reviewed trying acool compress at the site.

Other Meds:

Current Illness:

ID: 1072815
Sex: F
Age: 83
State: MD

Vax Date: 02/19/2021
Onset Date: 02/26/2021
Rec V Date: 03/04/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was briefly admitted to undergo a cardiac catheterization. Per the EUA, hospitalizations are to be reported irrespective of attribution to vaccine.

Other Meds:

Current Illness:

ID: 1072816
Sex: M
Age: 65
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient complaint of right eye numbness and slight headache 6 minutes after vaccination. Both symptoms resolved immediately. Vital signs within normal. Juice given and patient was placed in recumbent position and was observed for 14 minutes then discharged home.

Other Meds:

Current Illness:

ID: 1072817
Sex: F
Age: 47
State: NY

Vax Date: 03/03/2020
Onset Date: 03/04/2020
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: bees

Symptom List:

Symptoms: approx 11.5 hours after vaccine had headache, myalgia, shakes and chills with hot flashes, insomnia and nausea

Other Meds: multivitamin

Current Illness: none

ID: 1072818
Sex: F
Age: 43
State: PA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Developed hives on my neck and back and extreme itchiness - took 2 benedryl and it cleared up within 30 minutes, Have never had hives before. Some weird tongue sensation is lingering as well that has been lingering. Emailed Dr who said to avoid taking benedryl or steriods after second dose but it was ok to proceed with second dose.

Other Meds: Citalopram

Current Illness: none

ID: 1072819
Sex: F
Age: 71
State: WA

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

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

Lab Data:

Allergies: Tape

Symptom List:

Symptoms: Stabbing pain in right armpit Swelling in right armpit Seems like fluid, NOT a lymph node - covers all of armpit

Other Meds: Zoloft Pravastatin Daily viItamin Fish oil Probiotic Vitamin C Calcium Zinc

Current Illness: None

ID: 1072820
Sex: F
Age: 46
State: WA

Vax Date: 01/03/2021
Onset Date: 01/07/2021
Rec V Date: 03/04/2021
Hospital:

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

Lab Data:

Allergies: Shrimp

Symptom List:

Symptoms: Heart palpitations and high blood pressure -BP was out of control I waited for a couple of days to see if it goes away - on the four day of the symptoms I saw my doctor. The doctor January 13 - Increased dose on my BP medicine to lower the Blood pressure. Symptoms resolved right before 2nd dose. They went away about the 26th of January. Decreased to my normal dose, my BP medicine, when my blood pressure went down. I received the 2nd dose of vaccine January 30th.

Other Meds: Blood pressure - ace inhibitor

Current Illness: no

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm