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: 0931635
Sex: M
Age: 52
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The vaccine was reconstituted and prepared in the syringe, and the expiration date and time was marked on the vaccine syringe. The vaccine was administered to the patient after the recommended beyond-use time.

Other Meds:

Current Illness:

ID: 0931636
Sex: F
Age: 43
State: AZ

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

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA. Severe headache, muscle aches, nausea, vomiting, fatigue, soreness at site of injection. Symptoms beginning ca. 12 hr after injection. Vomited 4x between 2:30 a.m. and 11 a.m. Symptoms somewhat improved by 2:30 p.m on 01/09/2021, 24 hr after injection: headache reduced, able to consume liquids, but still fatigued.

Other Meds: None.

Current Illness:

ID: 0931637
Sex: F
Age: 37
State: KY

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Approximately 10 hours after receiving the vaccine, I had a sore arm. Then experienced aches in my hip and knee joints, hot sweats alternating with chills, I did not take my temperature. I woke up the next morning with a headache and skin sensitivity. I took ibuprofen alternating with Tylenol and started to feel better. I felt back to normal about 36 hours after receiving the vaccine.

Other Meds: Montelukast Junel Nasonex Multivitamin Zyrtec

Current Illness: None

ID: 0931638
Sex: F
Age: 39
State: NC

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: latex, neosporin, adhesives

Symptom List:

Symptoms: numbness and tingling in left side of face (1/8), also in tongue and right hand (1/9)

Other Meds: adderall, protonix, singulair, yaz, krill oil, vitamin d, biotin, probiotic

Current Illness: none

ID: 0931639
Sex: M
Age: 40
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The vaccine was reconstituted and prepared in the syringe, and the expiration date and time was marked on the vaccine syringe. The vaccine was administered to the patient after the recommended beyond-use time.

Other Meds:

Current Illness:

ID: 0931640
Sex: F
Age: 90
State: KY

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: promethazine, sulfa

Symptom List:

Symptoms: Nurse wanted this rxn reported. The patient had severe chills. The nurse said this is not normal for this patient.

Other Meds: Pt is in nursing home. Unsure.

Current Illness: Pt is in nursing home. Not sure.

ID: 0931641
Sex: F
Age: 53
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The vaccine was reconstituted and prepared in the syringe, and the expiration date and time was marked on the vaccine syringe. The vaccine was administered to the patient after the recommended beyond-use time.

Other Meds:

Current Illness:

ID: 0931642
Sex: F
Age: 61
State: SC

Vax Date: 12/11/2020
Onset Date: 12/11/2020
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: Chronic right shoulder pain up her neck. Pain makes it hard to lift arm and perform some daily activities like cleaning, hair brushing. Very painful to lift arm. Cannot sleep on that side without pain.

Other Meds: Vitamin D 1000 IU, Atorvastatin, Black Cohash

Current Illness: No

ID: 0931643
Sex: F
Age: 25
State: MN

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: Cefpodoxime

Symptom List:

Symptoms: Body aches began at 11pm night of receiving vaccine. Headache, chills and low grade fever (up to 100.1) developed following day. 48 hours after vaccine headache and body aches persist, chills and fever resolved

Other Meds: Venlafaxine Amitriptyline Propranolol Vitamin C Sumatriptan Magnesium Melatonin

Current Illness: Ear issue and vertigo. Diagnosis not yet determined

ID: 0931644
Sex: F
Age: 51
State: IN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: Zyrtec, Flexaril, Topamax

Symptom List:

Symptoms: Fever, chills, profuse sweating, tremors, body aches, headache, teeth pain, eye pain, nausea, diarrhea, fatigue, coughing

Other Meds: Synthroid, Carafate, Triamterene HCTZ, Sertraline, Claritin, multi vitamin, D3, Biotin, probiotic, garlic, ginger, b12, Linzess

Current Illness: I had Covid beginning 12/4/20 and it lasted for two weeks

ID: 0931645
Sex: F
Age: 32
State: CA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: Penicillins Cephalosporins Some tape adhesives

Symptom List:

Symptoms: 1. Injection site pain: started soon after injection continued to get worse until 1 day after injection then progressively got better 2. Fever: t-max 38.2 orally noted at 0430 1/6/21. Fevers associated with chills and rigors at times. 3. Extreme joint and body aches: started early morning 1/6/21 and progressively got worse until 1/7/21 then got better with subsiding around 1/8/21. Pain preventing/limiting normal movements such as walking, turning, and weight baring. 4. Extreme fatigue: sleeping for 18-20 hours a day with hard to stay awake 1/6/21-1/8/21. Resolved by 1/9/21.

Other Meds: Pre-natal vitamin

Current Illness: No e

ID: 0931646
Sex: F
Age: 22
State: KY

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Soreness at injection site roughly 10 minutes after injection, soreness went away a few minutes afterwards. Injection was given in the morning, around 10am, around late afternoon, 4-5pm, area around injection site was very sore, as if there was a bad bruise there, but there was no visible marks. Shoulder was very sore to the point of hardly being able to lift arm to the side away from the body. Day after injection arm was still sore but the pain was less. 2 days after injection, arm was only slightly sore in the morning with no pain by mid afternoon.

Other Meds: Zoloft

Current Illness: None

ID: 0931647
Sex: F
Age: 59
State: AK

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

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

Lab Data:

Allergies: nuts cause anaphylaxis niacin causes flushing Patient-reported allergy to cholesterol med (unknown which one) causing anaphylaxis

Symptom List:

Symptoms: After 30 minutes, patient complained of tingling on right side of tongue and feeling of fullness on right side of throat. Te=reated with 25mg of oral benadryl, symptoms improving but not resolved so 25mg PO repeated at hour later. Symptoms completely resolved approxiamtely 2 hours after onset of symptoms. Patient was under direct observation during this time. Patient discharged in stable condition. Patient provided additional oral benadryl to take home and use prn. Additional home epi pens provided with instructions on use if needed. Patient instructed to not be alone during next 24 hours. Sone would be staying with patient. On site health aide provider available during after hours and emergency response in village. Provider from team NP, contacted patient later evening and checked on patient status, reported to be doing well.

Other Meds: Atorvastatin 20mg daily Cabergoline 0.5mg weekly Ceterizine 10mg daily DOK 100mg BID Flonase 50mcg daily Lantus Solistar 34u qhs Lisinopril 10mg daily Metformin ER 500mg 4tab daily Omeprazole 20mg daily Ozempic 0.5mg weekly

Current Illness: UTI treated with Macrobid on 12/14/20.

ID: 0931648
Sex: F
Age: 35
State: MN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: On 1.8.21, woke up with a temp of 101.8 oral, chills, body aches, terrible headache

Other Meds: Celexa Probiotic Omeprazole Birth control pill

Current Illness: None

ID: 0931649
Sex: F
Age: 30
State:

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills & fatigue, 24 hours after vaccination. Lasted about 16 hours

Other Meds: Sertraline, trazodone, hydroxyzine

Current Illness: None

ID: 0931650
Sex: M
Age: 42
State: TX

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

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

Lab Data:

Allergies: Animals, dust, grasses and trees

Symptom List:

Symptoms: Heart palpitations and shortness of breath starting around 11 this morning. Received vaccine yesterday at 4:30.

Other Meds: Vyvanse (haven?t taken since Wednesday 1/6/2021)

Current Illness:

ID: 0931652
Sex: M
Age: 53
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The vaccine was reconstituted and prepared in the syringe, and the expiration date and time was marked on the vaccine syringe. The vaccine was administered to the patient after the recommended beyond-use time.

Other Meds:

Current Illness:

ID: 0931653
Sex: F
Age: 30
State: IL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Dizziness, increased heart rate, feeling like fainting, and headache.

Other Meds: None

Current Illness: None

ID: 0931654
Sex: F
Age: 67
State: IN

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: PCN, codeine, Erythromycin, biaxin

Symptom List:

Symptoms: nausea, severe body aches, headache, felt very cold, weak, sore arm all subsided by 1/9/21 except sore arm

Other Meds: maxide , losartin, calcium with vit.D, singular, aspirin

Current Illness: sinus headache (chronic)

ID: 0931655
Sex: F
Age: 32
State: CA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: Motrin

Symptom List:

Symptoms: Approx 5-6 hours after vaccination she felt an itchy throat and broke out in hives on chest and legs. She took benadryl and this resolved. Approx 24 hours later she started with sore throat and cough and mild SOB.

Other Meds:

Current Illness:

ID: 0931656
Sex: M
Age: 54
State: NY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I am a front line physician. I had moderate Covid in March 2020. After my vaccination at 2:15pm on 1/6/2021 I had very slight chills at 11:30 pm as I went to bed. I awoke at 5:30am 1/7/2021 with severe chills and very slight fever of 98.8 (oral). I took 800mg Advil then. I remained in bed with chills until 4pm. I had a fever of 100.0 at 11:45am. Took 800mg Advil. Chills subsided to mild around 4pm. Was able to walk around house. Ate dinner. No GI symptoms. 11:30pm had fever 100.0 and moderate to sever chills. Took 800 mg Advil. Felt better and went to sleep at around 1am. Woke up 6am 1/8/2021 and was able to go to work. When I got to work I was able to sign up for this reporting service but could nit document my first day of symptoms. I took that opportunity now. I believe it is important that I had these reactions after having the covid illness 3/2020. I had small amount remaining antibodies at time of Vaccination, which surely contributed to my response.

Other Meds: Lisinopril, carvedilol, atorvastatin, vitamin D, aspirin 81mg, coQ10.

Current Illness: None

ID: 0931657
Sex: F
Age: 23
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The vaccine was reconstituted and prepared in the syringe, and the expiration date and time was marked on the vaccine syringe. The vaccine was administered to the patient after the recommended beyond-use time.

Other Meds:

Current Illness:

ID: 0931658
Sex: F
Age: 52
State: PA

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

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

Lab Data:

Allergies: Demerol, PCN, onions

Symptom List:

Symptoms: after receiving vaccine patient immediately felt warm, dizzy and started dry heaving. we dosed Zofran 4mg, gave one dose epi-pen, and 50mg Benadryl. patient still complained of chest pain and was dry heaving. she was then transported by ems to the hospital at 4pm.

Other Meds: gummy multivitamin

Current Illness: none

ID: 0931659
Sex: F
Age: 41
State: IL

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tingling in injection arm, fingers; tingling in face; tongue swelling 30 minutes- 1 hour after vaccine. Visited immediate care; received IV of Benadryl, Pepcid & Steroid.

Other Meds: Levothyroxine Vitamin D Elderberry Mirena IUD

Current Illness: None

ID: 0931660
Sex: M
Age: 33
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The vaccine was reconstituted and prepared in the syringe, and the expiration date and time was marked on the vaccine syringe. The vaccine was administered to the patient after the recommended beyond-use time.

Other Meds:

Current Illness:

ID: 0931661
Sex: F
Age: 38
State: OR

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

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

Lab Data:

Allergies: Latex hypersensitivity (includes food allergies to ginger, kiwi, tumeric, cayenne), Nutrasweet (phenylalanine), Preservatives in "caines" not a "caine" allergy. Seasonal allergies. History of side effects to tripans, topiramate, Reyvow, effexor, fluoxetine.

Symptom List:

Symptoms: Initial headache, body aches, shaky hands and body, swelling of fingers(pinky, ring and middle fingers of right hand), pain in finger joints(pinky, ring and middle fingers)

Other Meds: Prazosin, Vyvanse, Tylenol(prn), feverfew, butterbur, coenzyme Q10, iron, vitamin D, B Complex, vitamin C, metformin, ubrelvy (prn), ajovy, Metoclopramide(prn), Ondansetron (prn), albuteral (prn), nexplanon implant, furosemide (prn), potass

Current Illness: Allergies, history of anaphylaxis, history of migraines from tbi, history of reactions with medications.

ID: 0931662
Sex: F
Age: 49
State: NC

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/09/2021
Hospital: Y

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

Lab Data:

Allergies: Lovenox, latex, pollen, mold, cat dander

Symptom List:

Symptoms: Received vaccine 12/19/2020 at hospital around lunch time. Severe abd pain started 10 hours after vaccine administration with vomiting. I went to emergency room next morning Emergency appendectomy 12/20/2020. Had bleeding after surgery. Second surgery 12/21/2020

Other Meds: Zyrtec, vitamin c, singular,, lisinopril, xolair

Current Illness: Asthma, hypertension

ID: 0931663
Sex: F
Age: 40
State: KS

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List:

Symptoms: Swollen and painful left infraclavicular lymph node 2 days after 2nd COVID vaccine

Other Meds: Spironolactone Vitamin D3 Zinc

Current Illness: No

ID: 0931664
Sex: F
Age: 36
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The vaccine was reconstituted and prepared in the syringe, and the expiration date and time was marked on the vaccine syringe. The vaccine was administered to the patient after the recommended beyond-use time.

Other Meds:

Current Illness:

ID: 0931665
Sex: F
Age: 43
State: KY

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: Alpha Gal, red meat allergy

Symptom List:

Symptoms: Severe chills, headache, stiff neck, nausea, diarrhea, weakness. Onset of chills approx. 8 hours post immunization. Severe shaking chills occurred with decreasing frequency over next 48 hours. Headache more intense for 48 hours, but persists still today (1/9/21). Nausea for 48 hours. Diarrhea lasted 4 days with decreasing frequency. Stiff and painful neck and base of skull has steadily decreased but is still present today (1/9/21).

Other Meds: Norvasc, Bisoprolol, Nexium, Zoloft, HCTZ, Losartan, Vitamin D

Current Illness: throat infection treated with Amoxicillin

ID: 0931666
Sex: F
Age: 48
State: IL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Elevated Heart Rate, Elevated Blood pressure (160/100), difficulty swallowing, blotching to chest and neck

Other Meds:

Current Illness:

ID: 0931667
Sex: F
Age: 23
State: IN

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Two painful lumps near collar bone on injection side

Other Meds: Birth control

Current Illness:

ID: 0931668
Sex: F
Age: 35
State: PA

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

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

Lab Data:

Allergies: Sudafed, levaquin/cipro, akleve, clindamiacin, mold, dust, pollen

Symptom List:

Symptoms: Hours after injection: 100.2 fever, chills, lethargy, muscle aches, couldn't lift left arm, muscle pain at injection site Next day: pain in arm, struggle to lift arm above shoulder, rash on chest, neck, and forehead. All other symptoms abated.

Other Meds: Cymbalta 30mg, gabatril 6mg, multivitamin, probiotic, fish oil

Current Illness:

ID: 0931669
Sex: F
Age: 39
State: IN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: Cats, ragweed, mold

Symptom List:

Symptoms: Extreme fatigue, slight headache...otherwise I feel fine, but the fatigue has made it hard to do things.

Other Meds: Levothyroxine, Blisovi 24 FE, biotin, collagen, multivitamin, omega 3, loratadine

Current Illness: None

ID: 0931670
Sex: M
Age: 39
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The vaccine was reconstituted and prepared in the syringe, and the expiration date and time was marked on the vaccine syringe. The vaccine was administered to the patient after the recommended beyond-use time.

Other Meds:

Current Illness:

ID: 0931671
Sex: F
Age: 27
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The vaccine was reconstituted and prepared in the syringe, and the expiration date and time was marked on the vaccine syringe. The vaccine was administered to the patient after the recommended beyond-use time.

Other Meds:

Current Illness:

ID: 0931672
Sex: F
Age: 48
State: IL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Elevated Heart rate and blood pressure. Blotching to chest and neck. difficulty swallowing.

Other Meds:

Current Illness:

ID: 0931673
Sex: M
Age: 30
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The vaccine was reconstituted and prepared in the syringe, and the expiration date and time was marked on the vaccine syringe. The vaccine was administered to the patient after the recommended beyond-use time.

Other Meds:

Current Illness:

ID: 0931674
Sex: F
Age: 44
State: PA

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

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Patient called and stated that left side of her face turned red and had a small rash. She has some sort of difficulty breathing and felt her tongue somewhat swell up. I informed her to take benadryl 50mg right away and seek medical emergency at urgent care or ER.

Other Meds: unknown

Current Illness: unknown

ID: 0931675
Sex: F
Age: 32
State: IN

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: As soon as it was administered, I felt my heart start racing and felt a tingling sensation through my entire body especially in my hands and feet. I let the nurse know under observation and she took my vitals and my BP was high for me as well 146/85. I waited for an hour and then had my husband pick me up. The tingling continued for a week and a half and made it impossible to sleep. It?s slowly gotten better, but I still feel almost a palpitation/flutter feeling.

Other Meds: Lexapro, oral birth control

Current Illness: None

ID: 0931676
Sex: F
Age: 62
State: MA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: High fever, fatigued, chills

Other Meds: 1 zyrtec

Current Illness: Covid 12/28 felt like head cold temp 99.4 1 day. No other symptoms

ID: 0931677
Sex: F
Age: 27
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The vaccine was reconstituted and prepared in the syringe, and the expiration date and time was marked on the vaccine syringe. The vaccine was administered to the patient after the recommended beyond-use time.

Other Meds:

Current Illness:

ID: 0931678
Sex: F
Age: 0
State: FL

Vax Date: 06/01/1952
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: PATIENT RECEIVED FIRST COVID VACCINE AND STARTED FEELING DIZZY AT 15 MINUTE WINDOW, EMS WAS NOTIFIED AND HELPED CLIENT TO AMBULANCE. PATIENT WALKED TO AMBULANCE AND BACK TO HER VEHICLE WITHOUT ASSISTANCE. EMS FOUND PATIENT TO BE HAVING PANIC ATTACK, VITAL SIGNS STABLE, SLIGHT HEADACHE AFTER DIZZZINESS RESOLVED. PATIENT HAS HX OF R/A AND CARDIAC HISTORY AS WELL AS ANXIETY.

Other Meds: None noted

Current Illness: Rheumatoid Arthritis

ID: 0931679
Sex: F
Age: 63
State: CT

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Localized 4" induration with tenderness.

Other Meds:

Current Illness: Melanoma

ID: 0931680
Sex: F
Age: 51
State: NY

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

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

Lab Data:

Allergies: Augmentin, Shellfish, Latex, passionfruit, carrot

Symptom List:

Symptoms: lip swelling, facial hives/erythema, burning

Other Meds:

Current Illness: n/a

ID: 0931681
Sex: F
Age: 68
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The vaccine was reconstituted and prepared in the syringe, and the expiration date and time was marked on the vaccine syringe. The vaccine was administered to the patient after the recommended beyond-use time.

Other Meds:

Current Illness:

ID: 0931682
Sex: F
Age: 32
State: TX

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: person complained of tenderness and tingling down left arm. They are 25 weeks pregnant.

Other Meds: prenatal vitamins, claritin prn

Current Illness: none

ID: 0931683
Sex: F
Age: 29
State: TX

Vax Date: 12/18/2020
Onset Date: 12/21/2020
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Infra clavicular lymphadenopathy noted on 12/21/20. Followed by supraclavicular lymphadenopathy noted on 12/30/2020. Since I have extensive family history of brear cancer and lymphoma I got lab work and a CT scan with contrast of my chest and neck. Labwork (cbc, cmp, ana, crp) was normal. Peripheral smear showed increased in Roloux phenomenon. CT showed unilateral generalized lymphadenopathy on axillary, infraclavicular, supraclavicular and cervical region. With some noted measuring > 1cm.

Other Meds: Birth control

Current Illness: None

ID: 0931684
Sex: M
Age: 31
State: AL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: I got a muscle ache on the injection site 4-5 hours after the jabbing, and a febrile (97.4), tiredness and headache the next day of it. I took a NSAIDS tablet 3-4 hours after showing up febrile. I almost recovered with a little bit of a headache 2 days later of the injection.

Other Meds: No

Current Illness: No

ID: 0931685
Sex: M
Age: 62
State: MD

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Modern COVID-19 vaccine Fever to 102.4 with shaking chills, joint aches, extreme fatigue for 36 hrs

Other Meds: Aspirin 81mg Multivitamins

Current Illness: COVID-19 infection 7 weeks prior

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm