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
88,334
AK1,815
AL6,133
AR3,993
AS45
AZ14,539
CA64,759
CO12,159
CT8,719
DC1,747
DE1,868
FL41,499
FM3
GA16,132
GU92
HI2,477
IA4,739
ID2,763
IL21,496
IN23,655
KS4,844
KY8,414
LA5,328
MA15,281
MD13,105
ME3,277
MH8
MI20,143
MN12,873
MO10,275
MP30
MS3,073
MT2,392
NC17,450
ND1,440
NE3,023
NH3,124
NJ19,456
NM4,089
NV4,600
NY36,525
OH20,140
OK6,525
OR8,918
PA24,920
PR2,483
QM2
RI2,092
SC6,952
SD1,243
TN10,038
TX38,745
UT4,482
VA15,477
VI62
VT1,780
WA15,487
WI11,573
WV2,461
WY894
XB5
XL1
XV2

ID: 1091282
Sex: F
Age: 52
State: VT

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chills

Other Meds:

Current Illness:

ID: 1091283
Sex: M
Age: 42
State: CA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient was transferred from facility on 2/6/21. Prior to his transfer he had received the first dose of Moderna vaccine n 2/4/21. He received a dose of Pfizer BioNTech vaccine on 2/17/21 at facility where he is now.

Other Meds: Orphenadrine Citrate ER, Oral 100 mg Renu Multipluc, BID Duloxetine HCL, 30 mg BID, Oral

Current Illness: None noted

ID: 1091284
Sex: F
Age: 33
State: NY

Vax Date: 03/07/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Shellfiish, flagyl, diflucan

Symptom List:

Symptoms: Received injection on the R arm. However, injection was administered very close to the shoulder instead of the deltoid muscle. Area is very swollen and it has not decreased in swelling in several days despite applying ice, taking ibuprorfen, and also applying heat. There is also a knot. I massaged the area to try to loosen the knot. However, I noticed it gets more swollen instead of getting better. The pain subsides momentarily. However, it returns. It is affecting my range of motion, I cannot lift my arm above my head as it causes extreme pain.

Other Meds: Zyrtec

Current Illness: Pre-Diabetes

ID: 1091285
Sex: M
Age: 33
State: NJ

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Client contacted NJCRI on 3/11/21 complaining that on 3/10/21 at 10 pm he began feeling tire, achy throat and this morning 3/11/21 at 8 am began with profuse diarrhea, shortness of breath and heart palpitations. BP taken by patient at home 164/90 and pulse of 140 bpm while nurse triaged on the phone.

Other Meds: Multiple vitamins and other are unknown

Current Illness: Tachycardia hospitalization 3/3 to 3/4/21

ID: 1091286
Sex: M
Age: 25
State: TX

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

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

Lab Data:

Allergies: MANGO FRUIT INSECT BITES

Symptom List:

Symptoms: PT C/O FACIAL FLUSHING, FATIGUE, PAIN IN JOINTS AND A HEADACHE. VS @ 10:46 AM BP 124/93 HR 78 SpO2 98% PT REACTION RESOLVED WITH TIME AND HYDRATION WITH GATORADE.

Other Meds: NONE REPORTED

Current Illness: NONE REPORTED

ID: 1091287
Sex: F
Age: 66
State: MO

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Nkda

Symptom List:

Symptoms: Fever 101.5 for 3 days chest pain SOB heaviness in chest upon exertion since 02/19/2021 to present

Other Meds: Meloxicam 7.5mg. Sentry multivitamin & multimineral supplement. Aspirin 81mg once daily for each

Current Illness: None

ID: 1091288
Sex: F
Age: 52
State: IN

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Headache, body aches, chills started approximately 6 hours post vaccine. Treated only with Advil and Tylenol . Symptoms, including tiredness, were prominent for first 24 hours; less but still apparent for next 24 hours ( same treatment used). Symptoms resolved by 3 days post vaccine.

Other Meds: Centrum multivitamin for women 50+, 1 daily Fluoxetine, 60mg daily

Current Illness: None

ID: 1091289
Sex: F
Age: 65
State: IN

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Tylenol (aceteminophen severe reactions) Tetnus vaccination (1985) Premarin (any medications made from horse serum) Decongestants

Symptom List:

Symptoms: Symptoms started around noon the next day and consisted of beginning with chills and then led to a fever of 101.6 for the rest of the afternoon. Ached all over felt like been hit by a truck. Around 9pm the fever broke and then just had slight headache. I was fine the next day.

Other Meds: Synthroid 75mcg once a day Calcium, Magnesium and Zinc once a day D3 (5000 iu) Once a day 81mg aspirin

Current Illness: None

ID: 1091290
Sex: F
Age: 43
State: TN

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient received Moderna Covid 19 vaccine lot# 031A21A expiration 08/28/2021 0.5ml to right deltoid at 09:45 a.m. on 03/10/2021. Patient verbalized No known drug allergies. Patient was asked to wait in parking lot area for monitoring of adverse reaction. At approximately 09:49 a.m monitoring officer called to RN that patient needed assistance. RN, LPN, EMT-P, LPN and , LPN went to assess patient at her vehicle. Patient reports "she feels like her throat is tingling, itching, and closing up and just weird." Patient also reported that "she could feel her throat swelling." RN assessed for any rash or swelling and patient only with chest redness but no rash. RN assessed vitals. BP 138/90, HR 92, Respirations 14. Patient educated on epi injection and possible side effects and patient verbalized understanding. EMS contacted to come assess. At 09:51 a.m. Epinephrine Injection (Auto Injector) 0.3mg given to right thigh w/o difficulty. Lot# 0FM534, Exp 09/2022. Patient monitored. Patient stated at 09:55 "I can already feel my throat getting better and it doesn't seem to be swelling anymore." EMS arrived at approximately 09:57 to assess patient. Vitals taken by EMT at 10a.m. BP 184/129, HR 88, O2 sat 100%, Respirations 16. EKG performed by EMT . Results were normal. EMT assessed patients throat and patient continues to report "the swelling and tingling is getting better and I do not feel short of breath." EMT recommended ER visit since epi was administered for eval. Patient declined and states "she feels better and knows what to do if reaction starts again." EMT recommended patient to take Benadryl when she gets home and to go to ER with any additional problems. RN checked vitals again at 1012 a.m. BP 172/120, HR 80, Respirations 16. and asked patient to continue to wait for 20 more minutes for additional monitoring. Vitals at 1031 a.m BP 168/110, HR 78, Respirations 16. Patient continues to report "she is feeling much better and ready to go home. Patient left at 10:33 a.m.. Spouse driving. RN contacted patient same day at home at 1353. Patient stated she took 50mg of Benadryl at home and is resting and feeling much better and questioned if she could still get her second dose of moderna vaccine. RN educated she should talk with her Primary Care physician regarding any additional vaccines. Patient verbalized understanding.

Other Meds: Vivance 60mg 1 po daily Ziac 5-6.25mg 1 po daily Xyrem 4.5 g 2 tabs po qhs

Current Illness: None

ID: 1091291
Sex: F
Age: 20
State: MD

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Severe muscle pain all over body

Other Meds: Singular

Current Illness: N/A

ID: 1091292
Sex: M
Age: 81
State: MN

Vax Date: 02/13/2021
Onset Date: 02/22/2021
Rec V Date: 03/11/2021
Hospital: Y

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

Lab Data:

Allergies: Sulfa Drugs

Symptom List:

Symptoms: went to the hospital for 5 days and had 5 infusions, one each day. He was diagnosed with Guillain Barre Syndrome. currently in rehab going on 3 weeks now.

Other Meds: Eliquis amiodarone b-12 baby aspirin Flonase loratadine mexiletine Montelukast metoprolol omeprazole Crestor Vyndamax

Current Illness: No

ID: 1091293
Sex: M
Age: 24
State: NC

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Janssen COVID-19 Vaccine EUA At 11 PM the night of the vaccine (Saturday), extremely bad chills, fever and weakness set in almost immediately. I could not get my body to warm up and was borderline too weak to walk. Very bad headache and nausea set in as well. After several hours the chills turned to intermittent sweating/cold and I could not keep a consistent body temp, nor sleep that night. The next morning (Sunday) I had very bad aches and soreness, along with chills/fever and headaches that could be managed fine with around the clock acetaminophen. Around 8 PM that night, most of these flu like symptoms subsided. The following morning (Monday), still very exhausted despite a full 10 hours sleep. Tiredness and weakness lasted through the day. Tuesday morning until around 3 PM i still experienced drowsiness and was unable to gain strength for anything more than typical day to day tasks (could not workout). Wednesday morning, felt normal but while exercising experienced shortness of breath almost immediately as well as chest/lung pain easily. Come Thursday I feel 90% normal.

Other Meds:

Current Illness:

ID: 1091294
Sex: F
Age: 51
State: KS

Vax Date: 02/24/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Developed a red, hot, slightly elevated spot on the back of arm that received injection on day 14 post vaccination (yesterday). Patient marked area with a pen, to see if it spread overnight. Area did spread and was approx. 9cm x 9cm today when reported to pharmacy.

Other Meds:

Current Illness:

ID: 1091295
Sex: F
Age: 57
State: NC

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: Severe chills started at 10:30 PM and lasted for 3 1/2 hours. At 2:00 AM they were gone and then just hot. But the chills were crippling. Severe! No pain in arm at injection spot.

Other Meds: 15 mg of Lexapro and daily vitamin

Current Illness: None

ID: 1091296
Sex: F
Age: 60
State: NY

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Aspirin, Hep B Vaccine

Symptom List:

Symptoms: Fatigue, wheezing, difficulty breathing, dry hacking cough, chills

Other Meds: Effexor 150mg, Vit D3, Vit B12, Ibuprofen

Current Illness: Nicotine dependence, BMI 30+, high cholesterol

ID: 1091297
Sex: F
Age: 39
State: TX

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: seafood/shellfish

Symptom List:

Symptoms: Within approximately 2 minutes of receiving vaccine, anaphylactic reaction began. Patient's cheeks became very flush/red, & her throat became itchy and tingly. Within the next minute or 2 she started vomiting. She then felt tightness in her chest, and shortness of breath. Complained of lips feeling numb and "heavy". Dr was present and ordered an IV to be started, and placed patient on oxygen and a cardiopulmonary monitor with pulse oxmeter after she used a ProAir inhaler. Patient was given IV steroid SoluCortef, IV Zofran for the vomiting, IV Pepsid, and IV Benedryl all for the allergic reaction. She also received 500 ml IV fluids. Symptoms lessoned within one hour, and she was observed for another hour and a half on cardiac monitor and pulse ox by nursing staff as well as Dr. Vitals stable throughout event.

Other Meds: Synthroid

Current Illness: seasonal allergies

ID: 1091298
Sex: M
Age: 41
State: NC

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills, fever over 102.1 for 5 hours, extreme burning sensation in stomach, cramps in stomach for over 24 hours. Extreme fatigue for over 24 hours. Pain, soreness, and raised area at injection site.

Other Meds: None

Current Illness: None

ID: 1091299
Sex: F
Age: 40
State:

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chest pain and back pain, nurse initially reported rash on forehead and stomach. Pharmacist went to visually inspect her forehead and stomach there was no visible rash on forehead and arm

Other Meds:

Current Illness:

ID: 1091300
Sex: M
Age: 68
State: IN

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Began running a temperature of 99.4 to 101.2 for approximately 24 hours.

Other Meds: escitalopram

Current Illness:

ID: 1091301
Sex: M
Age: 12
State: TX

Vax Date: 03/08/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Bactrum

Symptom List:

Symptoms: Severe redness, itching, swelling, heat to right upper arm

Other Meds: None

Current Illness: None

ID: 1091302
Sex: F
Age: 63
State: VT

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Malaise, HA, body aches, fever, missed next shift

Other Meds:

Current Illness:

ID: 1091303
Sex: F
Age: 68
State: CA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 1st. shot I felt Light headache starting same day about 4pm and same symptoms for about 4 days. 2nd dose, light pain on dose location on arm, slight headaches few days later. About 4 Days later started feeling nauseous for almost each day of and on. Not normal for me, Still feeling nausea today, not severe but bothersome.

Other Meds: Advil, lexapro, mevacor,

Current Illness:

ID: 1091304
Sex: F
Age: 60
State: AR

Vax Date: 03/04/2021
Onset Date: 03/12/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Mold

Symptom List:

Symptoms: My Arm Pit and my Breast on my right side of my body became so painful as if I had a major injury or surgery. Tylenol and Aspirin could not control the intense pain. The pain was excruciating!! I also had aches, fever, chills and tender lymph nodes in my neck. The excruciating pain last 3-4 days. 7 days later I still have tenderness in my breast and arm pit.

Other Meds: Armor Thyroid

Current Illness: Hashimoto?s Thyroid

ID: 1091305
Sex: F
Age: 38
State: NH

Vax Date: 03/08/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: bactrum

Symptom List:

Symptoms: my face became red and itchy. its going on two days now

Other Meds: I Also have Lupus. I take benlysta, plaquenil, verapamil, methylphenidate, vitamin B complex, vitamin d3, fiber supplements,

Current Illness: lupus, reynauds

ID: 1091306
Sex: F
Age: 39
State: NC

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Janssen COVID-19 Vaccine EUA Major body aching, chills, fever. Still at 24+ hours after vaccine.

Other Meds: Xanax, gabapentin, trazodone, birth control, belsomra

Current Illness: Cancer, migraines

ID: 1091307
Sex: M
Age: 51
State: CA

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Very swollen left armpit area

Other Meds: Cosentyx

Current Illness: None

ID: 1091308
Sex: F
Age: 50
State: MD

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

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

Lab Data:

Allergies: none listed

Symptom List:

Symptoms: Patient may have inadvertently been given 1cc of Moderna COVID vaccine instead of 0.5cc. Patient was notified.

Other Meds: none listed

Current Illness: not at time of vaccination

ID: 1091309
Sex: F
Age: 65
State: GA

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

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Facial flushing radiating to neck. VS: 11:45am 145/95 97 02 -96%; 12:00PM 140/92 88 02-96% 12:15PM 134/94 92 02-94%. Disposition: 12:20pm Pt. feeling well.

Other Meds: unknown

Current Illness: unknown

ID: 1091310
Sex: F
Age: 65
State: TN

Vax Date: 02/19/2021
Onset Date: 02/24/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Azithromycin

Symptom List:

Symptoms: lump appeared on back of neck, cough, post nasal drip

Other Meds: Flintstone Vitamins 200IU Vitamin D Vitamin C 500mg Hormone Therapy

Current Illness: None

ID: 1091311
Sex: F
Age: 74
State: UT

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: About Feb 18 she started display sudden signs of delusion, confusion, major Cognitive issues, unable to find words for speach and erratic behavior.

Other Meds: Prolisa, Prednisone, Methotrexate, Bactrim, Omeprazole, Folic Acid, Advai HF, Lovastatin, Montelukast, low dose asprin, Fish oil, Cinnamon, D3, Probiotic 10, Visioin formula 50+ consisting of Lurein, Zeaxanthin, Omega-3, ARGAN Oil Infused

Current Illness: EGPA

ID: 1091312
Sex: F
Age: 57
State: CA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Bactrim

Symptom List:

Symptoms: The following day, after dose #1, woke up with chills, fever, headache, body aches, and sensitivity to light. Also, pain at injection site. After dose #2, the following day, woke up with headache, body aches, no fever, pain at injection site. However, not as severe as after the first dose.

Other Meds: Nortriptylin,hydrochlorothiazide, Solifenacin, Flonase, Claritin, Vitamin D.

Current Illness: Tested positive for Covid-19 on 12/31/2020

ID: 1091313
Sex: F
Age: 29
State: CA

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient received the Janssen COVID 19 vaccine at approximately 3:10 pm. After her vaccination, she walked to the observation area and sat down in a chair. Within 5 minutes, she had a vasovagal response, lost consciousness, fell to the floor. Nurses in the observation area assessed her. She was responsive within a few seconds. Patient was transferred to a cot by nurses where she continued to be observed. She stated she remembered "everything going dark." Patient denied any pain, had no obvious injuries. It was unknown if patient hit her head so EMS was called to evaluate her. EMS arrived within 5 minutes of the call and assessed patient. She was medically cleared. Her husband picked her up and stated he would drive her home.

Other Meds: Spironolactone for acne

Current Illness: None

ID: 1091314
Sex: F
Age: 68
State: IN

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills, headache,lethargic, temp 100.4 lasting 12 hours took ibuprofen 200mg x2 pills every 4 hours totaling 2 doses

Other Meds: Levothyroxine 0.175mg x 1 dal. Escitalopram 20mg. X 1 dal., Bystolic 20mg. X 1 dal., Trelegy 62.5 mcg/25mcg 1 puff dal. , D3 50mcg(2,000 iu)

Current Illness: None

ID: 1091315
Sex: F
Age: 58
State: TX

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: PT C/O METALLIC TASTE . PT STATES THIS HAS NEVER HAPPENED TO HER BEFORE WITH ANY PREVIOUS VACCINES OR MEDICATIONS. NO VITAL SIGNS TAKEN PT WAS HYDRATED WITH GATORADE AND STABLE AT D/C FROM THE OBSERVATION SITE.

Other Meds: HERBS VITAMINS

Current Illness: NONE REPORTED

ID: 1091316
Sex: M
Age: 47
State: TX

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: ASA

Symptom List:

Symptoms: Nausea and Vomiting

Other Meds: Zyrtec

Current Illness: seasonal allergies

ID: 1091317
Sex: F
Age: 55
State: IN

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin Penicillin Seasonal Allergies Pet Allergies

Symptom List:

Symptoms: Hives on lower part of arm below elbow

Other Meds: Advair Ventolin

Current Illness: vomiting, diarrhea, stomach cramping lasted 24 hours... 5 days prior to shot....took a Covid test was negative.

ID: 1091318
Sex: F
Age: 49
State: GA

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Nauseated and body aches and chills

Other Meds: Blood pressure, heartburn and cholesterol medications. Fish oil, vitamin b and d

Current Illness: None

ID: 1091319
Sex: F
Age: 46
State: CA

Vax Date: 02/18/2021
Onset Date: 02/25/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Food/dust/weed allergies as a child - resulted in outbreaks of hives frequently. Resolved with age. Anaphylaxis response to nutritional yeast flakes, January of 1997. No adverse reactions since.

Symptom List:

Symptoms: Classic "COVID Arm": Red, raised welt, about 4" diameter, itchy. Presented exactly one week after shot.

Other Meds: Lipitor

Current Illness: None

ID: 1091320
Sex: M
Age: 59
State: IN

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Joint pain, fatigue, felt weird. Felt spacey. Light headed.

Other Meds: Gabapinton

Current Illness: N/A

ID: 1091321
Sex: M
Age: 75
State:

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received second dose Pfizer after receiving 1st dose Moderna at another provider. Patient did not present vaccination card and stated this was first dose.

Other Meds:

Current Illness:

ID: 1091322
Sex: F
Age:
State: RI

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

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

Lab Data:

Allergies: Pcn

Symptom List:

Symptoms: Pt was giving a vaccine at 11:45. Patient started having itchy feeling on her back and neck at 12:16. No hives or redness on skin.. No complaints of difficulty breathing or shortness of breath. Itchy feeling went away 1226. Vs 133/61 spo2 98% reps 18. Hr 73

Other Meds: Insulin aspirin lexapro losartan

Current Illness:

ID: 1091323
Sex: M
Age: 30
State: VT

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Malaise, HA, body aches, fever, missed next shift

Other Meds:

Current Illness:

ID: 1091324
Sex: F
Age: 38
State: NY

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

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Dizziness/ lightheaded Faintness Vitals normal Offered juice Symptoms resolved after 30 min observation and discharged home

Other Meds:

Current Illness: none

ID: 1091325
Sex: M
Age: 64
State: FL

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Nil

Symptom List:

Symptoms: Started abnormal heart rhythm. 400-500 skipped beats per day. Mostly PVC. Not continuous but periodic over the course of the day . Symptoms have lasted 3 weeks. PET scan revealed no ischemia at this time .

Other Meds: ASA, Diltiazem, zetia , Crestor

Current Illness: Nil

ID: 1091326
Sex: F
Age: 58
State: WI

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Starting at 10:30 p.m. I experienced severe, shaking chills, fever, random tingling, some joint aches and a headache. I took advil p.m. and tried to sleep, but really couldn't sleep much. By 7 a.m. the symptoms subsided accept for a mild headache. I went to my teaching job that afternoon and felt pretty good. Now two days later, I feel completely fine.

Other Meds: none

Current Illness: none

Date Died: 03/05/2021

ID: 1091327
Sex: F
Age: 63
State: FL

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

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

Lab Data:

Allergies: Not sure

Symptom List:

Symptoms: Death

Other Meds: Not sure

Current Illness: Not sure

ID: 1091328
Sex: M
Age: 17
State: KY

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: sore arm

Other Meds: None

Current Illness: None

ID: 1091329
Sex: F
Age: 26
State: NJ

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Entire penicillin family (amoxicillin, Omnicef/cefdinir), slight mouth irritation to cantaloupe, mango, almonds, avocados, and raw carrots

Symptom List:

Symptoms: Pain and swelling at injection site, muscle of injected arm is achy, hard to lift even to shoulder-height, itching at injection site, body aches, headache, upset stomach/nausea (but no vomiting or diarrhea)

Other Meds: Cetirizine hydrochloride (Wal-Zyr) (10mg), sertraline (Zoloft) (175mg), gabapentin (100 mg), methylphenidate (18mg), noreth-ethinyl estradiol-iron (Kaitlib fe)

Current Illness: None

ID: 1091330
Sex: F
Age: 65
State: IN

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Inter venous morphine

Symptom List:

Symptoms: Sore arm, fatigue, chills & low fever, body aches. Lasted about 48 hours.

Other Meds: B complex vitamin, D3 supplement, zinc supplement

Current Illness: None

ID: 1091331
Sex: F
Age: 39
State: NC

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Topamax, temporarily lost vision in one eye.

Symptom List:

Symptoms: Approximately 2.5 hours after injection, a fiery pain started at the injection site, went up to the shoulder, and down the left side of my chest. This was accompanied by chest tightening and slight shortness of breath. The pain ended after about a minute while I was getting my phone to call an ambulance because it was so bad. I chose not to complete the call as the pain began to fade. The chest tightening and breathing issue resolved a couple minutes later. My arm was extremely painful the rest of the day (achy, not the fiery sensation). I have never had a reaction like this to any vaccine or medication.

Other Meds: Wellbutrin SR, hydrochlorothiazide, sertraline, montelukast, Flonase. Multivitamin.

Current Illness: None

Total 2021 VAERS Injuries: 679,999

Page last modified: 03 October 2021 5:28pm